Tuesday, 2 August 2011

DORMICUM (MIDAZOLAM) 7.5MG 10 PILLS IN STRIP FROM ROCHE


Dormicum 7.5mg (Midazolam) is used for treatment of acute seizures and for inducing sedation and amnesia before medical procedures. Take this medicine by mouth with a glass of water. Do not take double or extra doses. Midazolam must never be used without individualization of dosage particularly when used with other medications capable of producing central nervous system depression.


General Information:

Midazolam is a type of benzodiazepines and it belongs to the category of hypnotics and sedatives drugs. It is an ultra short benzodiazepine having the benefit of rapid onset of action, recovery, and non painful induction and lack of venous irritation. 

Midazolam  (marketed in many countries under brand names Dormicum, Hypnovel, and Versed) is a short-acting drug in the benzodiazepine class that is used for treatment of acute seizures and for inducing sedation and amnesia before medical procedures.

INDICATION:

  • Preoperative sedation/anxiolysis, induction of general anesthesia.

  • Sedative hypnotic for gastrointestinal endoscopy, bronchoscope, dentistry and surgery done under regional anesthesia.

  • In ICU for artificial ventilation which requires long term sedation.

  • Patients with acute narrow angle glaucoma.

  • Intrathecal or epidural administration.

DORMICUM SIDE EFFECTS:


Side effects of Dormicum are:

   *Decreased tidal volume,

   *Respiratory rate decrease

   *Apnea

   * Variations in blood pressure and pulse rate.

 In paediatrics, on Intra Venous (IV) administration desideration

   * Hypertension.

   *Paradoxical reactions.

   *Kernicterus.

   *Hiccoughs.

   *Seizure like activity and nystagmus are observed.

In adults, on IM administration

   * Headache.

   *Hiccoughs.

   *Nausea.

   *Vomiting.

   *Coughing.

   *Over sedation.

   *Headache.

   *Drowsiness local effects are observed.

DOSAGES:

Standard Intra Muscular (IM) dose is 0.07 to 0.08 mg/kg, i.e. 3.6 mg of midazolam.

The standard Intra Venous (IV) dose is 0.01 to 0.07 mg/kg i.e. 2.5mg of midazolam.

For induction of general anesthesia, the recommended incremental dose is 0.1 to 0.5 mg/kg following an initial dose of 0.08 mg/kg.

PRECAUTIONS:

Less frequent or lower doses should be instituted in higher risk adult and pediatric surgical patients, elderly, debilitated patients, patients with COPD, patients with chronic renal failure and CHF, patients with uncompensated acute illness, such as severe fluid or electrolyte disturbances. Use in Pregnancy or during lactation is only recommended if the potential benefits far outweigh the potential risk. Titrate slowly in adult or pediatric patients when indicated for sedation/ anxiolysis/amnesia. After a long-term administration, do not discontinue abruptly. 


WARNING:

Midazolam must never be used without individualization of dosage particularly when used with other medications capable of producing central nervous system depression. Prior to the intravenous administration of midazolam in any dose, the immediate availability of oxygen, resuscitative drugs, age- and size-appropriate equipment for bag/valve/mask ventilation and intubation, and skilled personnel for the maintenance of a patent airway and support of ventilation should be ensured. Patients should be continuously monitored with some means of detection for early signs of hypoventilation, airway obstruction, or apnea, i.e., pulse oximetry. Hypoventilation, airway obstruction, and apnea can lead to hypoxia and/or cardiac arrest unless effective countermeasures are taken immediately. 


Friday, 15 July 2011

ATIVAN (LORAZEPAM) 2MG 10 TABLETS FROM WYETH ATIVAN (LORAZEPAM) 2MG 10 TABLETS FROM WYETH

Ativan is used in the treatment of anxiety disorders and for short-term relief of the anxiety. Take this medication exactly as prescribed by your doctor. The usual range is 2 to 6 mg/day given in divided doses. The most common side effects are dizziness, weakness, unsteadiness. If overdose is suspected, contact your local poison control center or emergency room immediately. Drug and mechanism: Ativan is used in the treatment of anxiety disorders and for short-term (up to 4 months) relief of the symptoms of anxiety. The short-term relief of manifestations of excessive anxiety in patients with anxiety neurosis. Adjunct for the relief of excessive anxiety that might be present prior to surgical procedures. Anxiety and tension associated with the stresses of everyday life usually do not require treatment with anxiolytic drugs. It belongs to a class of drugs known as benzodiazepines. Tolerance and dependence can develop with the use of Ativan. You may experience withdrawal symptoms if you stop using it abruptly. Only your doctor should advise you to discontinue or change your dose. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). DOSAGE FOR ATIVAN: Ativan (lorazepam) is administered orally. For optimal results, dose, frequency of administration, and duration of therapy should be individualized according to patient response. To facilitate this, 0.5 mg, 1 mg, and 2 mg tablets are available. The usual range is 2 to 6 mg/day given in divided doses, the largest dose being taken before bedtime, but the daily dosage may vary from 1 to 10 mg/day. For anxiety, most patients require an initial dose of 2 to 3 mg/day given b.i.d. or t.i.d. For insomnia due to anxiety or transient situational stress, a single daily dose of 2 to 4 mg may be given, usually at bedtime. For elderly or debilitated patients, an initial dosage of 1 to 2 mg/day in divided doses is recommended, to be adjusted as needed and tolerated. OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. Symptoms of overdose may include confusion, slow reflexes, clumsiness, deep sleep, and loss of consciousness. MISSED DOSE: If you miss a dose and are taking more than 1 dose daily, do not take it if it is almost time for the next dose. Instead, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up. If you take it once daily at bedtime and miss a dose, do not take it the following morning. Call your doctor to find out what to do. SIDE EFFECTS OF ATIVAN: Most adverse reactions to benzodiazepines, including CNS effects and respiratory depression, are dose dependent, with more severe effects occurring with high doses. In a sample of about 3500 patients treated for anxiety, the most frequent adverse reaction to Ativan (lorazepam) was sedation (15.9%), followed by dizziness (6.9%), weakness (4.2%), and unsteadiness (3.4%). The incidence of sedation and unsteadiness increased with age. Other adverse reactions to benzodiazepines, including lorazepam are fatigue, drowsiness, amnesia, memory impairment, confusion, disorientation, depression, unmasking of depression, disinhibition, euphoria, suicidal ideation/attempt, ataxia, asthenia, extra pyramidal symptoms, convulsions/seizures tremor, vertigo, eye-function/visual disturbance (including diplopia and blurred vision), dysarthria/slurred speech, change in libido, impotence, decreased orgasm; headache, coma; respiratory depression, apnea, worsening of sleep apnea, worsening of obstructive pulmonary disease; gastrointestinal symptoms including nausea, change in appetite, constipation, jaundice, increase in bilirubin, increase in liver transaminases, increase in alkaline phosphates; hypersensitivity reactions, anaphylactic/oid reactions; dermatological symptoms, allergic skin reactions, alopecia; SIADH, hyponatremia; thrombocytopenia, agranulocytosis, pancytopenia; hypothermia; and autonomic manifestations. Precautions: Before taking lorazepam, tell your doctor or pharmacist if you are allergic to it; or to other benzodiazepines (e.g., diazepam, alprazolam, clonazepam); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: narrow-angle glaucoma. Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart disease, kidney disease, liver disease, severe lung/breathing problems (chronic obstructive pulmonary disorder-COPD, sleep apnea), mental/mood disorders (e.g., depression, psychosis), another type of glaucoma (open-angle type), muscle weakness, drug/alcohol abuse. This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Avoid alcoholic beverages. Before having surgery, tell your doctor or dentist that you are using this medication. The elderly may be more sensitive to the effects of this drug, especially drowsiness and unsteadiness. Also, the elderly may not experience relief of anxiety with lorazepam. It may have the opposite effect on

Wednesday, 13 July 2011

KAMAGRA JELLY 1 WEEK PACK FROM AJANTA INDIA 100 MG ORAL USE ONLY


Kamagra is a medication prescribed for the treatment of erectile dysfunction by increasing blood flow of the penis. Kamagra is a generic version of the popular drug Viagra, the credibility and safety of Kamagra  is similar as its brand equivalent.


General information
Kamagra oral jelly is a breakthrough medication for erectile dysfunction. Kamagra  oral jelly is a generic version of Viagra. Used to treat erectile dysfunction, this medication works by relaxing the blood vessels in the penis when sexually excited. This product comes in a liquid form which is to be consumed orally and dissolved under your tongue, which makes it works fast into the bloodstream, within 30 minutes.

Side effects

Kamagra, like all medications, has some side effects that can occur. These side effects are generally mild and should not last longer than a few hours. The most common side effects are:
  • Headaches

  • Flushing

  • Dizziness

  • Urinary tract infection

  • Stuffy nose

  • Indigestion

  • Diarrhoea

  • Vision changes: blurring, a blue tinge to vision or sensitivity to light
Some of those side effects are likely to occur when taking higher doses. If you experience some of these side effects, consider reducing your doses and your side effects will reduce or possibly remove them.

Seek medical advice in the rare event an erection has lasted for more than 4 hours, if you have chest pains, dizziness or nausea.

Interesting Facts about Kamagra
  • Kamagra  is less expensive than its brand equivalent- this is because the manufacturers of Kamagra do not have to invest any money on marketing, promotion or development. So they can sell the drug at a reasonable rate.

  • The active ingredient and the product quality of Kamagra  is the same as its brand equivalent. The difference lies in minor aspects like shape, color, packaging, flavor and labeling.

  • Kamagra  can help more people overcome erectile dysfunction because of its low cost
What Kamagra It Used For:
  • Boosts up your sexual performance

  • Treats erectile dysfunction

  • Enhances your sexual drive

  • Helps achieving harder erection

  • Improves sexual stamina
How Kamagra It Used
  • The medication is taken orally

  • Do take the medication forty five minutes before the sexual activity

  • Works best along with sexual stimulation
Kamagra: Tips for using the drug
  • Make sure that your doctor knows your medical history particularly your allergies, penis conditions, anemia, eye problems, blood system cancers, high or low blood pressure etc

  • Get up slowly while rising from a seated or lying position in order to avoid dizziness

  • Avoid alcohol as this can increase the side effects of the drug. Limit it if possible

  • The drug may be more sensitive to elderly people.
Kamagra  meets the strictest manufacturing guidelines. It is the finest assurance you can ask for while using a drug. So don't walk away from it thinking it's fake. But be smart and save the money, which you make by opting for Kamagra  instead of its expensive brand equivalent