Pamelor

Antidepressants may increase the risk of suicidal thoughts or actions in children, teenagers, and young adults. However, depression and certain other mental problems may also increase the risk of suicide. Talk with the patient's doctor to be sure that the benefits of using Pamelor outweigh the risks.

Family and caregivers must closely watch patients who take Pamelor . It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms like worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient's doctor.

                 Pamelor is used for:

Treating depression. It may also be used for other conditions as determined by your doctor.

Pamelor is a tricyclic antidepressant. It works by increasing the activity of certain chemicals in the brain that help elevate mood.

                   Do NOT use Pamelor if:

    * you are allergic to any ingredient in Pamelor or to similar medicines

    * you have taken furazolidone or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days, or you are taking astemizole, droperidol, or terfenadine

    * you are recovering from a recent heart attack

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

                  Some medical conditions may interact with Pamelor . 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 drink alcohol-containing beverages daily or you have a history of alcohol abuse

    * if you take thyroid medicine or you have a history of overactive thyroid, glaucoma, heart problems, kidney or liver problems, diabetes, seizures, the blood disease porphyria, or difficulty urinating

    * if you have a history of suicidal thoughts or behavior, bipolar disorder, or any other mental disorders; you are undergoing electroshock therapy; or you are scheduled to have any surgery

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

    * Azole antifungals (eg, fluconazole), cimetidine, duloxetine, flecainide, methylphenidate, mibefradil, phenothiazines (eg, chlorpromazine), propafenone, quinidine, selective serotonin reuptake inhibitors (SSRIs) (eg, fluoxetine), or terbinafine because they may increase the risk of Pamelor 's side effects

    * Arsenic, astemizole, droperidol, furazolidone, MAOIs (eg, phenelzine), pimozide, quinolone antibiotics (eg, ciprofloxacin), streptogramins (eg, dalfopristin), terfenadine, or tramadol because the risk of high blood pressure, serious heart problems (eg, irregular heartbeat), or seizures may be increased

    * Barbiturates (eg, phenobarbital) or phenytoin because they may decrease Pamelor 's effectiveness

    * Anticholinergics (eg, benztropine), carbamazepine, chlorpropamide, or sympathomimetics (eg, phenylephrine) because the risk of their side effects may be increased by Pamelor

    * Clonidine, guanethidine, or guanfacine because their effectiveness may be decreased by Pamelor

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

    * Pamelor comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Pamelor refilled.

    * Take Pamelor by mouth with or without food.

    * If you miss a dose of Pamelor , 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. If you take 1 dose daily at bedtime, do not take the missed dose the next morning.

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

                       * Pamelor may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Pamelor 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 Pamelor ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

    * Pamelor may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.

    * Do not become overheated in hot weather or while you are being active; heatstroke may occur.

    * Children, teenagers, and young adults who take Pamelor may be at increased risk for suicidal thoughts or actions. Watch all patients who take Pamelor closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.

    * Pamelor may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Pamelor . Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

    * Tell your doctor or dentist that you take Pamelor before you receive any medical or dental care, emergency care, or surgery.

    * Lab tests, including blood cell counts, may be performed while you use Pamelor . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

    * Use Pamelor with caution in the ELDERLY; they may be more sensitive to its effects, especially confusion, blood pressure changes, and irregular heartbeat.

    * Pamelor should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.

    * PREGNANCY and BREAST-FEEDING: It is not known if Pamelor can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Pamelor while you are pregnant. It is not known if Pamelor is found in breast milk. Do not breast-feed while taking Pamelor .

If you stop taking Pamelor suddenly, you may have WITHDRAWAL symptoms. These may include headache, nausea, and tiredness.

                     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:

    Dizziness; drowsiness; dry mouth; excitement; headache; impotence; nausea; nightmares; pupil dilation; sensitivity to sunlight; sweating; tiredness; upset stomach; vomiting; weakness; weight loss or gain.

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); blurred vision or other vision changes; changes in sex drive; chest pain; confusion; constipation; fainting; fast, slow, or irregular heartbeat; fever; frequent or difficult urination; hallucinations; impulsive behavior or other unusual changes in behavior; jaw, neck, or muscle spasms; mental or mood changes (eg, increased anxiety, mood swings, agitation, irritability, nervousness, restlessness); panic attacks; ringing in the ears; seizures; severe dizziness or drowsiness; sore throat; stomach pain; suicidal thinking or behavior; swelling of the testicles; tremor; trouble sleeping; trouble walking or keeping your balance; twitching of the face or tongue; uncontrolled movements of arms and legs or stiffness; unusual bleeding or bruising; worsening of depression; yellowing of the skin or eyes.

                       Store Pamelor at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Pamelor out of the reach of children and away from pets.

Cure for depression

Wellbutrin is an antidepressant medication. It works in the brain to treat depression.

Wellbutrin is used to treat major depressive disorder and seasonal affective disorder. At least one brand of bupropion (Zyban) is used to help people stop smoking by reducing cravings and other withdrawal effects.

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

                        Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days. You should not take Wellbutrin if you have seizures, an eating disorder, if you are using a second form of bupropion, or if you have suddenly stopped using alcohol or sedatives.

Wellbutrin may cause seizures, especially in people with certain medical conditions or when using certain drugs. Tell your doctor about all of your medical conditions and the drugs you use.

You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself. Avoid drinking alcohol while taking Wellbutrin. Alcohol may increase your risk of a seizure while you are taking Wellbutrin.

                        Do not take Wellbutrin if you have taken a monoamine oxidase inhibitor (MAOI) such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl), or tranylcypromine (Parnate) in the last 14 days. You should not take Wellbutrin if you have:

      epilepsy or a seizure disorder;

      an eating disorder such as anorexia or bulimia;

      if you are using a second form of bupropion; or

      if you have suddenly stopped using alcohol or sedatives (such as Valium).

Wellbutrin may cause seizures, especially in people with certain medical conditions or when using certain drugs. Tell your doctor about all of your medical conditions and the drugs you use.

If you have any of these other conditions, you may need a dose adjustment or special tests to safely take Wellbutrin:

      heart disease, high blood pressure, history of heart attack;

      a history of head injury, seizures, or brain or spinal cord tumor;

    * kidney disease;

    * liver disease (especially cirrhosis);

      bipolar disorder (manic depression);

You may have thoughts about suicide when you first start taking an antidepressant, such as Wellbutrin, especially if you are younger than 24 years old. Tell your doctor if you have worsening symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

FDA pregnancy category C. It is not known whether this medication is harmful to an unborn baby. Before taking Wellbutrin, tell your doctor if you are pregnant or plan to become pregnant during treatment. Bupropion passes into breast milk and could be harmful to a nursing baby. Do not take Wellbutrin without telling your doctor if you are breast-feeding a baby.

Do not give this medication to anyone younger than 18 years old without the advice of a doctor.

                           Take Wellbutrin exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Wellbutrin can be taken with or without food.

Do not crush, chew, or break the extended-release tablet. Swallow the pill whole. Breaking the pill may cause too much of the drug to be released at one time.

Do not stop taking Wellbutrin without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly.

If you use the Wellbutrin extended-release tablet, the tablet shell may pass into your stools (bowel movements). This is normal and does not mean that you are not receiving enough of the medicine.

Store this medicine at room temperature away from moisture and heat.

                         Avoid drinking alcohol while taking Wellbutrin. Alcohol may increase your risk of a seizure while you are taking this medicine. If you drink alcohol regularly, talk with your doctor before changing the amount you drink. Wellbutrin can cause seizures in people who drink a lot of alcohol and then suddenly quit drinking when they start using the medication.

Avoid using bupropion to treat more than one condition at a time. If you take Wellbutrin for depression, do not also take Zyban to quit smoking. Too much of this medicine can increase your risk of a seizure.

Bupropion 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.

                     

Xanax

Xanax is in a group of drugs called benzodiazepines (ben-zoe-dye-AZE-eh-peens). It affects chemicals in the brain that may become unbalanced and cause anxiety.

Xanax is used to treat anxiety disorders, panic disorders, and anxiety caused by depression.

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

Do not use this medication if you are allergic to Xanax or to other benzodiazepines, such as chlordiazepoxide (Librium), clorazepate (Tranxene), diazepam (Valium), lorazepam (Ativan), or oxazepam (Serax). This medication can cause birth defects in an unborn baby. Do not use Xanax if you are pregnant.

Before taking Xanax, tell your doctor if you have any breathing problems, glaucoma, kidney or liver disease, or a history of depression, suicidal thoughts, or addiction to drugs or alcohol.

Do not drink alcohol while taking Xanax. This medication can increase the effects of alcohol. Xanax may be habit-forming and should be used only by the person it was prescribed for. Xanax should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it.

It is dangerous to try and purchase Xanax on the Internet or from vendors outside of the United States. Medications distributed from Internet sales may contain dangerous ingredients, or may not be distributed by a licensed pharmacy. Samples of Xanax purchased on the Internet have been found to contain haloperidol (Haldol), a potent antipsychotic drug with dangerous side effects.

Take Xanax exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Xanax may be habit-forming and should be used only by the person it was prescribed for. Xanax should never be shared with another person, especially someone who has a history of drug abuse or addiction. Keep the medication in a secure place where others cannot get to it. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking the pill would cause too much of the drug to be released at one time.

Measure the liquid form of Xanax with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

To take alprazolam orally disintegrating tablets (Niravam):

Using dry hands, remove a tablet from the bottle and place the tablet on your tongue. It will begin to dissolve right away.

Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.

Swallow several times as the tablet dissolves. If desired, you may drink liquid after the tablet has completely dissolved.

Contact your doctor if this medicine seems to stop working as well in treating your panic or anxiety symptoms.

Your symptoms may return when you stop using Xanax after using it over a long period of time. You may also have seizures or withdrawal symptoms when you stop using Xanax. Withdrawal symptoms may include blurred vision, trouble concentrating, loss of appetite, diarrhea, muscle twitching, numbness or tingling, or increased sensations.

Do not stop using Xanax suddenly without first talking to your doctor. You may need to use less and less before you stop the medication completely.

To be sure this medication is helping your condition, your doctor will need to check your progress on a regular basis. Do not miss any scheduled visits to your doctor.

Store Xanax at room temperature away from moisture, heat, and light. Remove any cotton from the bottle of disintegrating tablets, and keep the bottle tightly closed.

Keep track of how many pills have been used from each new bottle of this medicine. Benzodiazepines are drugs of abuse and you should be aware if any person in the household is using this medicine improperly or without a prescription.

Alprazolam is available with a prescription under the brand names Xanax and Niravam. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

Imipramine ( janimine)

Generic Name: Imipramine Tablets (im-IP-ra-meen)

Brand Name: Tofranil

Antidepressants may increase the risk of suicidal thoughts or actions in children, teenagers, and young adults. However, depression and certain other mental problems may also increase the risk of suicide. Talk with the patient's doctor to be sure that the benefits of using Imipramine outweigh the risks.

Family and caregivers must closely watch patients who take Imipramine. It is important to keep in close contact with the patient's doctor. Tell the doctor right away if the patient has symptoms like worsened depression, suicidal thoughts, or changes in behavior. Discuss any questions with the patient's doctor.

It is used in treating depression. It is also used in some children to help reduce bedwetting. It may also be used for other conditions as determined by your doctor. Imipramine is a tricyclic antidepressant. It works by increasing the activity of certain chemicals in the brain that help elevate mood.

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

* Imipramine comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Imipramine refilled.

* Take Imipramine by mouth with or without food.

* Taking Imipramine at bedtime may help reduce side effects (eg, daytime drowsiness). Discuss this possibility with your doctor.

* It may take 1 to 3 weeks before you notice the effect of Imipramine. Continue to use Imipramine even if you feel well. Do not miss any doses.

* If you miss a dose of Imipramine, 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. If you take 1 dose daily at bedtime, do not take the missed dose the next morning.

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

* Imipramine may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Imipramine 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 Imipramine ; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.

* Imipramine may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.

* Do not become overheated in hot weather or while you are being active; heatstroke may occur.

* Children, teenagers, and young adults who take Imipramine may be at increased risk for suicidal thoughts or actions. Watch all patients who take Imipramine closely. Contact the doctor at once if new, worsened, or sudden symptoms such as depressed mood; anxious, restless, or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur.

* Imipramine may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Imipramine . Use a sunscreen or wear protective clothing if you must be outside for more than a short time.

* Tell your doctor or dentist that you take Imipramine before you receive any medical or dental care, emergency care, or surgery.

* Lab tests, including blood counts, may be performed while you use Imipramine . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.

* Use Imipramine with caution in the ELDERLY (especially those with cardiac disease); they may be more sensitive to its effects.

* Imipramine should be used with extreme caution in CHILDREN younger than 6 years old; safety and effectiveness in these children have not been confirmed.

* PREGNANCY and BREAST-FEEDING: It is not known if Imipramine can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Imipramine while you are pregnant. It is not known if Imipramine is found in breast milk. Do not breast-feed while taking Imipramine .

If you suddenly stop taking Imipramine , you may experience WITHDRAWAL symptoms, including headache, nausea, and tiredness.