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| Avapro |
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 Avapro
This page contains drug information on Avapro.
The information provided includes the following:
what is Avapro
the possible side effects of Avapro
what happens if you miss a dose of Avapro
what happens if you overdose with Avapro
the most important information about Avapro
how to use Avapro
other drugs that may affect Avapro
what to avoid while using Avapro
Generic Name: irbesartan (er beh SAR tan)
Brand Names: Avapro
What is the most important information I should know about irbesartan?
- Do not take irbesartan if you are pregnant or could become pregnant during treatment. When used during the second and third trimesters of pregnancy, irbesartan can cause injury and even death to the developing fetus. Notify your doctor immediately if you think you might be pregnant.
- Use caution when driving, operating machinery, or performing other hazardous activities. Irbesartan may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Also use caution when rising from a sitting or lying position.
- Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness and dizziness while taking irbesartan.
What is irbesartan?
- Irbesartan is in a class of drugs called angiotensin II receptor antagonists. Irbesartan prevents the constriction (narrowing) of blood vessels (veins and arteries).
- Irbesartan is used to treat hypertension (high blood pressure) and diabetic nephropathy (kidney disease caused by diabetes).
- Irbesartan may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking irbesartan?- Before taking irbesartan, tell your doctor if you
· have kidney disease;
· have liver disease;
· are on a salt-restricted diet or have high levels of potassium in your blood; or
· are taking a potassium supplement (e.g., K-Dur, Klor-Con, others), or a potassium-sparing diuretic such as amiloride (Midamor), triamterene (Dyrenium, Dyazide, Maxzide), or spironolactone (Aldactone).
- You may not be able to take irbesartan, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.
- Irbesartan is in the FDA pregnancy category D. This means that it is known to be harmful to an unborn baby. When used during the second and third trimesters of pregnancy, irbesartan can cause injury and even death to the developing fetus. Do not take irbesartan if you are pregnant or could become pregnant during treatment
- It is not known whether irbesartan passes into breast milk. Do not take irbesartan without first talking to your doctor if you are breast-feeding a baby.
How should I take irbesartan?
- Take irbesartan exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
- Take each dose with a full glass (8 ounces) of water.
- You can take irbesartan with or without food.
- Your doctor may want to monitor your blood pressure or perform other tests to monitor the effects of this medication.
- Do not stop taking irbesartan without first talking to your doctor. If you stop taking the medication, your condition could become worse.
- Store irbesartan at room temperature away from moisture and heat.
What happens if I miss a dose?
- Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.
What happens if I overdose?
- Seek emergency medical attention.
- Symptoms of an irbesartan overdose are not well known, but might include dizziness, weakness, fainting, fatigue, and chest pain.
What should I avoid while taking irbesartan?
- Use caution when driving, operating machinery, or performing other hazardous activities. Irbesartan may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Also use caution when rising from a sitting or lying position.
- Use alcohol cautiously. Alcohol may further lower blood pressure and increase drowsiness and dizziness while taking irbesartan.
- Do not use salt substitutes or take potassium supplements without first talking to your doctor. Irbesartan can affect potassium levels in the body.
What are the possible side effects of irbesartan?
If you experience any of the following serious side effects, stop taking irbesartan and call your doctor immediately or seek emergency medical treatment:
- an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives); or
little or no urine.
Other side effects are less serious. Continue to take irbesartan and talk to your doctor if you experience
- diarrhea or upset stomach;
- swelling;
- muscle pain, cramps, or backache;
- dizziness;
- headache;
- insomnia; or
- congestion or cough (very unlikely).
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 other drugs will affect irbesartan?
Before taking irbesartan, tell your doctor if you
- take a potassium supplement such as K-Dur, Klor-Con, and others;
- take a potassium-sparing diuretic (water pill) such as amiloride (Midamor), spironolactone (Aldactone), or triamterene (Dyrenium, Dyazide, Maxzide); or
- use a salt substitute.
Irbesartan can affect potassium levels in the body. You may not be able to take irbesartan, or you may require a dosage adjustment or special monitoring if you are taking any of the medicines listed above. Tell your doctor about any other medicines you take for high blood pressure or other heart conditions. Irbesartan may cause very low blood pressure if it is taken with other heart medications. Drugs other than those listed here may also interact with irbesartan or affect your condition. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products. |
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| Lopressor |
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 Lopressor
This page contains drug information on Lopressor.
The information provided includes the following:
what is Lopressor
the possible side effects of Lopressor
what happens if you miss a dose of Lopressor
what happens if you overdose with Lopressor
the most important information about Lopressor
how to use Lopressor
other drugs that may affect Lopressor
what to avoid while using Lopressor
Generic Name: metoprolol (me TOH pro lol)
Brand Names: Lopressor, Toprol-XL
What is the most important information I should know about metoprolol?
- Do not stop taking metoprolol without first talking to your doctor. Stopping suddenly may make your condition worse.
- If you need to have any type of surgery, you may need to temporarily stop using metoprolol. Be sure the surgeon knows ahead of time that you are using metoprolol.
- Metoprolol 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.
- Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking metoprolol.
- Metoprolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
- Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.
What is metoprolol?
- Metoprolol is in a group of drugs called beta-blockers. Beta-blockers affect the heart and circulation (blood flow through arteries and veins).
- Metoprolol is used to treat angina (chest pain) and hypertension (high blood pressure). It is also used to treat or prevent heart attack.
- Metoprolol may also be used for purposes other than those listed in this medication guide.
What should I discuss with my healthcare provider before taking metoprolol?
Before taking metoprolol, tell your doctor if you have:
- asthma, bronchitis, emphysema;
- diabetes;
- low blood pressure;
- a heart problem such as heart block, sick sinus syndrome, slow heart rate, or congestive heart failure;
- depression;
- liver or kidney disease;
- a thyroid disorder;
- myasthenia gravis;
- pheochromocytoma; or
- problems with circulation (such as Raynaud's syndrome).
If you have any of these conditions, you may not be able to use metoprolol, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category C. This medication may be harmful to an unborn baby and should not be used by a woman who is pregnant. Tell your doctor if you become pregnant during treatment.
Metoprolol can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take metoprolol?
- Take metoprolol exactly as it was prescribed for you. Do not take the medication in larger amounts or for longer than recommended by your doctor.
- Take this medication with a full glass of water.
- Take metoprolol at the same time every day.
- 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 or crushing the pill would cause too much of the drug to be released at one time.
- Do not skip doses or stop taking metoprolol without first talking to your doctor. Stopping suddenly may make your condition worse.
- To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Your blood pressure may also need to be checked. It is important that you not miss any scheduled visits to your doctor.
- If you need to have any type of surgery, tell the surgeon that you are using metoprolol. You may need to briefly stop using metoprolol before having surgery.
- Metoprolol is only part of a complete program of treatment for hypertension that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely if you are being treated for hypertension.
- Hypertension often has no symptoms, so you may not even feel that you have high blood pressure. Continue using this medicine as directed, even if you feel well. You may need to use blood pressure medication for the rest of your life.
- Store metoprolol at room temperature away from moisture and heat.
What happens if I miss a dose?
- Take the missed dose as soon as you remember. If your next dose is less than 4 hours away, skip the 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 an metoprolol overdose may include uneven heartbeats, shortness of breath, bluish-colored fingernails, dizziness, weakness, fainting, or seizure (convulsions).
What should I avoid while taking metoprolol?
- Metoprolol 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.
- Avoid drinking alcohol, which could increase drowsiness and dizziness while you are taking metoprolol.
What are the possible side effects of metoprolol?
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:
- slow or uneven heartbeats;
- feeling light-headed, fainting;
- feeling short of breath, even with mild exertion;
- swelling of your ankles or feet;
- nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes);
- depression; or
- cold feeling in your hands and feet.
Other less serious side effects are more likely to occur, such as:
- decreased sex drive, impotence, or difficulty having an orgasm;
- sleep problems (insomnia);
- tired feeling; or
- anxiety, nervousness.
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 other drugs will affect metoprolol?
Before taking metoprolol, tell your doctor if you are using:
- allergy treatments (or if you are undergoing allergy skin-testing);
- clonidine (Catapres);
- guanabenz (Wytensin);
- an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), or selegiline (Eldepryl, Emsam);
- a diabetes medication such as insulin, glyburide (Diabeta, Micronase, Glynase), glipizide (Glucotrol), chlorpropamide (Diabinese), or metformin (Glucophage);
- a heart medication such as nifedipine (Procardia, Adalat), reserpine (Serpasil), verapamil (Calan, Verelan, Isoptin), diltiazem (Cartia, Cardizem);
- medicine for asthma or other breathing disorders, such as albuterol (Ventolin, Proventil), bitolterol (Tornalate), metaproterenol (Alupent), pirbuterol (Maxair), terbutaline (Brethaire, Brethine, Bricanyl), and theophylline (Theo-Dur, Theolair); or
- cold medicines, stimulant medicines, or diet pills.
If you are using any of these drugs, you may not be able to take metoprolol, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect metoprolol. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. |
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