Medications:

ASACOL
AXID
CARAFATE
CIPRO
FLAGYL
FOSAMAX
IMURAN
LEVAQUIN
LORTAB
MYCOSTATIN
NEXIUM
PEPCID
PREDNISONE (cortisone pill)
PREVACID
PRILOSEC
QUESTRAN
ROWASA ENEMA

ASACOL
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· Generic: Mesalamine (colitis drug)

· USES: Treatment of Crohn’s disease, ulcerative colitis, and proctitis.

· FOOD-DRUG INTERACTION: Swallow tablets whole. Do not break outer covering. May take with or without food

· CAUTIONS: Inform physician if allergic to mesalamine or salicylates; or if you have chronic kidney disease. In a few patients, this drug may aggravate abdominal cramping, diarrhea, or blood in the stool. Notify physician. Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: abdominal cramps, indigestion, nausea, bloating, diarrhea, headache, dizziness, rash. Rare or serious reactions: fever, severe headaches, increased blood in stool.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

AXID
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· Generic: Nizatidine (ulcer medicine)

· USES: Treatment of peptic ulcer and related acid conditions, such as gastric ulcer and reflux esophagitis.

· FOOD-DRUG INTERACTION: Take with food for increased blood absorption. Caffeine (coffee, tea, cola, chocolate) and alcohol increase stomach acid secretion and may worsen ulcer/acid symptoms. Do not take with antacids.

· CAUTIONS: Inform physician if allergic to nizatidine or H2 blocker ulcer medicine; or if you have chronic kidney or liver disease. Asprin (salicylates) aggravates acid-ulcer conditions-avoid! Consult physician before stopping drug. Do not use over-the-counter for more than 2 weeks without physician approval. Report for tests as directed. Advise physician if pregnant, planning pregnancy or breast-feeding.

· SIDE EFFECTS: drowsiness, sweating, hives, palpitations, rash. Rare or serious reactions: confusion, agitation.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

CARAFATE
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· Generic: Sucralfate (ulcer medicine)

· USES: Colon protection after removal of polyps

· FOOD-DRUG INTERACTION: Best effect occurs when taken on empty stomach one hour before eating. Avoid antacids one hour before or after taking drug. Keep this and all medications out of the reach of children.

· CAUTIONS: Inform physician if allergic to sucralfate; or if taking antacids, cimetidine (Tagamet), digoxin (Lanoxin) phenytoin (Dilantin), tetracycline (Achromycin), blood thinners (Coumadin), or Vitamins A, D, E, or K. Do not drive or engage in hazardous activities if dizziness or drowsiness occurs. Consult physician before stopping drug. Advise physician if pregnant, planning pregnancy or breast-feeding.

· SIDE EFFECTS: dizziness, drowsiness, indigestion, nausea, stomach cramps, constipation, rash.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

CIPRO
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· Generic: Ciprofloxacin (antibiotic)

· Uses: Antibiotic used in the treatment of urinary tract and other infections.

· Food-Drug Interaction: Take on empty stomach for best blood absorption. Delayed but full absorption does occur with food. Do not take antacids or products containing iron or zinc for 4 hours before or 2 hours after this medication because they block absorption. Drink plenty of fluids. Use caution with alcohol and with driving or operating hazardous machinery until effect is known (dizziness, sedation). Not recommended for children or during pregnancy.

· CAUTIONS: Inform physician if allergic to ciprofloxacin or other antibiotics; or if taking antacids (Mylanta, Maalox), blood thinners (Coumadin), caffeine (NoDoz, coffee), cyclosporine (Sandimmune), iron (Fesol), probenecid, sucralfate (Carafate), theophylline (Theo-Dur), zinc preparations, phenytoin (Dilantin), glyburide (Micronase, Diabeta), or cimetidine (Tagamet); or if you have severe chronic kidney or liver disease, seizures, epilepsy, or ulcerative colitis. Stop drug if pain occurs in or around a joint-possible tendon rupture. Do not exercise, contact physician. Avoid excessive sun (skin sensitivity). Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: nausea, diarrhea, headache, dizziness, indigestion, rash, drowsiness, constipation. Rare or serious reactions: fever, sore throat, visual disturbances.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.


FLAGYL
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· Generic Name: Metronidazole (me-troe-NI-da-zole)

· Uses: Used to treat infections

· Food Drug Interaction: Take this medicine with food to prevent stomach upset. DO NOT DRINK ALCOHOL while you are taking this medicine and for at least 3 days after the last dose. This medicine may cause a harmless darkening of the urine. BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. Do not breast feed while taking this medicine.

· Possible side effects: stomach upset, loss of appetite, constipation, headache, or metallic taste. If they continue or are bothersome, check with your doctor. Check with your doctor as soon as possible if you experience rash; vomiting; sore throat or fever; numbness, tingling, or burning of your arms, hands, legs, or feet; or seizures.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

FOSAMAX
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· Generic: Alendronate (osteoporosis pill)

· USES: Treatment of postmenopausal osteoporosis, steroid induced osteoporosis, and Paget’s disease.

· FOOD-DRUG INTERACTION: Must be taken 30 minutes before first food, liquid, or medicine of the day. Take with a full glass (6-8oz) of plain tap water only. Do not use bottled or mineral water. Do not lie down for 30 minutes after taking.

· CAUTIONS: Inform physician if allergic to alendronate; or if taking ranitidine (Zantac), calcium supplements, antacids, aspirin or salicylates; or if you have severe chronic kidney disease. Consult physician regarding proper diet, especially intake of calcium and vitamin D. Report for tests as directed. Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: constipation, diarrhea, indigestion, nausea, stomach pain. Rare or serious reactions: severe heartburn, food sticking in throat, painful swallowing.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

IMURAN
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· USES: Treatment of rheumatoid arthritis, Crohn's disease, ulcerative colitis. Allows patient to reduce dosage of steroid use.

· FOOD-DRUG INTERACTION: If nausea or vomiting develops, eat dry foods (toast, crackers), soups, or unsweetened juices. Eat small meals throughout the day. Avoid sugars, sweets, fried, or fatty foods. There are medications available to treat nausea and vomiting.

· CAUTIONS: Inform physician if allergic to azathioprine or other chemotherapy drugs; or if taking ACE inhibitors (Capoten, Vasotec, Accupril, Altace, Monopril, Lotensin, Zestril, Prinivil), allopurinol (Zyloprim), methotrexate (Rheumatrex, Folex), blood thinners (Coumadin), cyclosporine (Sandimmune); or if you have a history of pancreatitis, chronic kidney or liver disease, or have had a recent infection, especially shingles or chicken pox. Report for tests as directed. Inform physician if you develop any infection. Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: loss of appetite, lip and mouth sores, joint, muscle, or stomach pain, loss of hair, rash, unusual fatigue, weakness. Rare or serious reactions: fever, sore throat, abnormal bleeding or bruising, cough, difficult breathing, severe stomach pain, nausea, vomiting, yellow color to skin or eyes.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

LEVAQUIN
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· Generic: levofloxacin (antibiotic)

· Uses: Treatment of certain infections, also as a prophylaxis for GI procedures.

· Food-Drug Interaction- May take on empty stomach or with food/milk to prevent stomach upset. Take 2 hours before or 2 hours after taking antacids containing magnesium or aluminum. Drink plenty of liquids. Take full prescribed course.

· CAUTIONS: Inform physician if allergic to levofloxacin, or if taking theophylline (Theo-Dur), antacids (Mylanta, Maalox), sucralfate (Carafate), iron (Fesol), iron containing multivitamins, phenytoin (Dilantin), diabetic pills, arthritis medicine (Advil, Aleve, Motrin, Voltaren, others); or if you have chronic kidney disease, diabetes, or convulsions (seizures). Avoid excessive sun (skin sensitivity). Do not drive or engage in hazardous activities until effect of drug is known.

· Side Effects: itching, rash, diarrhea, gas, nausea, abdominal pain, vaginal discharge, dizziness, lightheadedness. Rare or serious reactions: convulsions, tremors.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

LORTAB
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· Generic Combination: Hydrocodone, acetaminophen

· USES: Analgesic used to control moderate to severe pain.

· FOOD-DRUG INTERACTION: For best blood absorption, take on an empty stomach 1 hour before or 2 hours after eating. May take with food/milk to prevent stomach upset. Avoid alcohol due to risk of severe liver damage

· CAUTIONS: Inform physician if overly sensitive to sedative drugs; or if taking any other drugs; or if you have chronic lung, gallbladder, kidney or liver disease, asthma or enlarged prostate. Avoid long-term use (may cause addiction). Do not drive or engage hazardous activities if drowsiness, dizziness or confusion occurs. Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: lightheadedness, dizziness, drowsiness, nausea, vomiting, constipation, difficult urination, itching, rash. Rare serious reactions: difficult breathing, yellow color to skin or eyes, unusual weakness, fever, sore throat, abnormal bleeding or bruising.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

MYCOSTATIN
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· Generic: Nystatin (yeast medicine)

· USES: Treatment of yeast infections.

· FOOD-DRUG INTERACTION: The oral form is not absorbed into the blood. Take exact dose prescribed.

· CAUTIONS: Inform physicians if allergic to nystatin; or if using any other medicine for yeast infection. Advise physician if pregnant, planning pregnancy, or breast-feeding. Keep this and all medications out of the reach of children.

· SIDE EFFECTS: With local applications: irritation of skin or mouth tissues.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

NEXIUM
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· Generic Name: Esomeprazole (ess-oh-MEP-ra-zole)

· Uses: This medicine is a proton pump inhibitor used to treat heartburn, gastroesophageal reflux or stomach ulcers. It may also be used to treat other conditions as determined by your doctor.

· How to use this medicine: Follow the directions for using this medicine provided by your doctor. Swallow whole. Do not chew, or crush the capsule. Take this medicine before a meal, unless otherwise directed by your doctor. If you have difficulty swallowing capsules, you may open the capsule and sprinkle the contents on 1 tablespoon of applesauce. Mix the medicine with the applesauce and swallow immediately. The applesauce should not be hot and should be soft enough to swallow without chewing. Discard any uneaten applesauce/medicine mixture. This medicine may be taken with antacids if your doctor has instructed you to take antacids. If you miss a dose of this medicine, 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.

· Cautions: Before you begin taking any new medicine, either prescription or over-the-counter, check with your doctor or pharmacist. For women: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using this medicine during pregnancy.

· Side Effects: headache, constipation, cough, dizziness, or rash. If they continue or are bothersome, check with your doctor. Contact your doctor immediately if you experience sore throat or fever, unusual bleeding or bruising, vomiting, or loss of appetite. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

PEPCID
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· Generic: Famotidine (ulcer pill)

· Uses: Treatment or prevention of peptic ulcers and related acid conditions.

· Food- Drug Interaction: Take on empty stomach or with food to prevent stomach upset. Caffeine (coffee, tea, cola, chocolate) and alcohol stimulate stomach acid production and may worsen ulcer/acid symptoms.

· CAUTIONS: Inform physician if allergic to famotidine; or if taking ketoconazole (Nizoral); or if you have chronic kidney or liver disease. Do not use over-the-counter for more than 2 weeks without physician approval. Do not use in children under 12 years of age. Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: headache, dizziness, constipation, diarrhea. Rare or serious reactions: fever, swelling of eyes, chest tightness, abnormal skin bruising, unusual weakness, confusion, agitation.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

PREDNISONE (cortisone pill)
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· Prednisone is a Generic Drug

· Brand Names: USA: Deltasone, Orasone CANADA: Deltasone, Winpred

· USES: Used in many conditions, including cortisone deficiency and many other conditions. Various types of inflammatory bowel disease.

· FOOD-DRUG INTERACTION: May take with or without food. A diet low in salt (sodium) and high in potassium and protein is recommended. Long-term use may lower bone calcium so calcium rich foods and/or vitamin D/calcium supplements are recommended. Use alcohol with caution (stomach irritation).

· CAUTIONS: Inform physician if you have had previous side effects from any steroid or cortisone drug; or if taking oral contraceptives, blood thinners (Coumadin), Digoxin (Lanoxin), erythromycin (E-Mycin), ketoconazole (Nizoral), phenytoin (Dilantin); or if you have diabetes, viral hepatitis, high blood pressure, osteoporosis, seizures, chronic kidney or liver disease, or a history of tuberculosis. Sustained use may result in serious damage to joints (hips, shoulders), or cataracts. Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: weight gain, indigestion, nervousness, acne, rash, swelling of face, feet or ankles; menstrual irregularity. Rare or serious reactions: mental changes, depression, unusual fatigue or weakness, blurred or changing vision, joint pain, especially shoulders or hips, infections.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

PREVACID
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· Generic name: Lansoprazole (lan-SOE-pra-zole)

· Uses: The medicine is a proton pump inhibitor used to treat ulcers, gastroesophageal reflux, or Zollinger-Ellison syndrome. It may also be used to treat other conditions as determined by your doctor.

· How to use this medicine: Follow the directions for using this medicine provided by your doctor. Take this medicine in the morning unless your doctor directs otherwise. Take before eating. Swallow whole. Do not break, crush, or chew before swallowing. If you have trouble swallowing the capsule, check with your pharmacist to see if capsule can be opened. If you miss a dose of this medicine, 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 two doses at one time.

· Side Effects: headache, diarrhea, cough, dizziness, or rash. If they continue or are bothersome, check with your doctor. If you notice other effects not listed above, contact you doctor, nurse, or pharmacist.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

PRILOSEC
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· Generic: omeprazole (stomach acid pill)

· USES: Treatment of reflux of stomach acid into the esophagus, reflux esophagitis, peptic ulcers, Zollinger-Ellison Syndrome, other severe stomach acid conditions.

· FOOD-DRUG INTERACTION: Usually taken before meals once or twice a day. Do not open or crush, swallow capsule whole. Antacids may be used. Avoid nicotine, caffeine and alcohol, which may aggravate stomach acid symptoms.

· CAUTIONS: This drug is a proton pump inhibitor (PPI). It blocks the production of stomach acid. Inform physician if you have an allergy to omeprazole or other proton pump inhibitors; or if taking diazepam (Valium), phenytoin (Dilantin) or blood thinners (Cournadin). If stomach acid level is too low certain iron preparations (Feosol), ampicillin (Polycillin), ketoconazole (Nizoral), or digoxin (Lanoxin) may not be fully absorbed. Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: headache, diarrhea, constipation, abdominal discomfort, nausea, vomiting, dizziness, rash, cough, weakness.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

QUESTRAN
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· Generic: cholestyramine (cholesterol medicine)

· USES: To treat diarrhea

PURPOSE: To absorb and combine with the bile salts in the intestine to form a more solid stool.

· FOOD-DRUG INTERACTION: Mix with any liquid except carbonated drinks, such as Coke or Sprite. May take on empty stomach or with meals. Do not take this drug with other medicines because it may make them ineffective. Take other drugs 1 hour before or 2 hours after this medication. Long term use may lower levels of fat soluble vitamins in body-Vitamins A, D, K, and E. Use foods high in these vitamins or a multiple vitamin supplement.

· CAUTIONS: Inform physician if allergic to cholestyramine or if taking any other drug, especially a blood thinner (Coumadin), Cordarone, prednisone (cortisone), propranolol (Inderal), digoxin (Lanoxin), arthritis pills, diuretics or fluid pills, Actigall, thyroid (Synthroid); or if you have a bleeding disorder, constipation, gallstones, active liver disease, peptic ulcer disease, intestinal disorder, or chronic kidney disease. Consult physician regarding use of any other drug. Advise physician if pregnant, planning pregnancy, or breast-feeding.

· SIDE EFFECTS: constipation, indigestion, bloating, diarrhea. Rare or serious reactions: severe constipation, severe stomach pain, nausea, vomiting, black stools, loss of weight.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

ROWASA ENEMA
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· USES: Treatment of ulcerative proctitis, ulcerative colitis, Crohn's colitis.

· FOOD-DRUG INTERACTION: Shake bottle well before using. Follow package instructions carefully on how to give enema. Since retention of the drug is important, it is best given after a bowel movement, at bedtime, or as instructed by physician.

· CAUTIONS: Inform physician if allergic to sulfites or mesalamine (5-amino-salicylate); or if taking sulfasalazine (Azulfidine); or if you have asthma or chronic kidney disease. Advise physician if pregnant, planning pregnancy, or breast feeding. Keep this and all medications out of the reach of children.

· SIDE EFFECTS: headache, flu, flatus (gas), anal pain, mild hair loss. Rare or serious reactions: acute abdominal pain, bloody diarrhea, fever.

· This does not cover all uses, cautions or side effects. See physician/pharmacist for more information.

© 1997-2000 Iberia Gastroenterology Associates, Inc.




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