Gyne Cure Topical

Generic Name: tioconazole (Topical route)

tye-oh-KON-a-zole

Commonly used brand name(s)

In Canada

• Gyne Cure


• Trosyd Af


• Trosyd J

Available Dosage Forms:

• Cream

Chemical Class: Imidazole

Uses For Gyne Cure

Tioconazole belongs to the family of medicines called antifungals, which are used to treat infections caused by a fungus or yeast. They work by killing the fungus or yeast or preventing its growth.

Tioconazole cream is applied to the skin to treat :

• ringworm of the body (tinea corporis);


• ringworm of the foot (tinea pedis; athlete's foot);


• ringworm of the groin (tinea cruris; jock itch);


• tinea versicolor (sometimes called ``sun fungus''); and


• yeast infection of the skin (cutaneous candidiasis).

Tioconazole is available in the following dosage forms:

• Topical


• Cream (Canada)

Before Using Gyne Cure

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Although there is no specific information comparing use of this medicine in children with use in other age groups, this medicine is not expected to cause different side effects or problems in children than it does in adults.

Geriatric

Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of tioconazole in the elderly with use in other age groups, this medicine is not expected to cause different side effects or problems in older people than it does in younger adults.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of tioconazole

This section provides information on the proper use of a number of products that contain tioconazole. It may not be specific to Gyne Cure. Please read with care.

Apply enough tioconazole to cover the affected and surrounding skin areas, and rub in gently.

Keep this medicine away from the eyes.

Do not apply an occlusive dressing (airtight covering, such as kitchen plastic wrap) over this medicine unless you have been directed to do so by your doctor. To do so may cause irritation of the skin.

To help clear up your infection completely, it is very important that you keep using tioconazole for the full time of treatment , even if your symptoms begin to clear up after a few days. Since fungus infections may be very slow to clear up, you may have to continue using this medicine every day for several weeks or more. If you stop using this medicine too soon, your symptoms may return. Do not miss any doses .

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For topical cream dosage form:
  
  • For ringworm of the body or yeast infection of the skin:
    
    • Adults—Use two times a day for 2 to 4 weeks.
    
    
    • Children— Dose must be determined by your doctor.
    
    
  
  
  • For ringworm of the foot:
    
    • Adults—Use two times a day for up to 6 weeks.
    
    
    • Children— Dose must be determined by your doctor.
    
    
  
  
  • For ringworm of the groin:
    
    • Adults—Use two times a day for up to 2 weeks.
    
    
    • Children— Dose must be determined by your doctor.
    
    
  
  
  • For tinea versicolor (“sun fungus”):
    
    • Adults—Use two times a day for 1 to 4 weeks.
    
    
    • Children— Dose must be determined by your doctor.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Gyne Cure

If your skin problem does not improve within:

• 2 weeks for ringworm of the body or yeast infection of the skin, tinea versicolor, or ringworm of the groin;


• 4 to 6 weeks for ringworm of the foot;

or if it becomes worse, check with your doctor.

To help clear up your infection completely and to help make sure it does not return, good health habits are also required. The following measures will help reduce chaffing and irritation and will also help keep the area cool and dry:

• For patients using tioconazole for ringworm of the groin (tinea cruris; jock itch) :
  
  • Avoid wearing underwear that is tight-fitting or made from synthetic materials (for example, rayon or nylon). Instead, wear loose-fitting, cotton underwear.
  
  


• For patients using tioconazole for ringworm of the foot (tinea pedis; athlete's foot) :
  
  • Carefully dry the feet, especially between the toes, after bathing.
  
  
  • Avoid wearing socks made from wool or synthetic materials (for example, rayon or nylon). Instead wear clean, cotton socks and change them daily or more often if the feet sweat a lot.
  
  
  • Wear sandals or other well-ventilated shoes.
  
  


• For patients using tioconazole for ringworm of the body (tinea corporis) :
  
  • Carefully dry yourself after bathing.
  
  
  • Avoid too much heat and humidity if possible.
  
  
  • Wear well-ventilated, loose-fitting clothing.
  
  

If you have any questions about these measures, check with your health care professional.

Gyne Cure Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

Less common

• Burning


• itching


• redness


• skin rash


• swelling


• or other signs of skin irritation not present before use of this medicine

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Gyne Cure Topical side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More Gyne Cure Topical resources

• Gyne Cure Topical Side Effects (in more detail)
• Gyne Cure Topical Use in Pregnancy & Breastfeeding
• Gyne Cure Topical Support Group
• 7 Reviews for Gyne Cure Topical - Add your own review/rating

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• Vaginal Yeast Infection

Gentak

gentamicin sulfate

Dosage Form: ophthalmic solution

Sterile

Rx only

Gentak Description

Gentak® Gentamicin sulfate is a water-soluble antibiotic of the aminoglycoside group.

Gentamicin Sulfate Ophthalmic Solution is a sterile, aqueous solution for ophthalmic use.

Each mL contains:

Active: Gentamicin Sulfate USP (equivalent to 3 mg gentamicin base)

Preservative: Benzalkonium Chloride

Inactives: Disodium Phosphate, Monosodium Phosphate, and Sodium Chloride. The pH range is from 6.8 to 7.3.

Gentamicin is obtained from cultures of Micromonospora purpurea. It is a mixture of the sulfate salts of gentamicin C1, C2, and C1A. All three components appear to have similar antimicrobial activities. Gentamicin sulfate occurs as a white powder and is soluble in water and insoluble in alcohol. The structural formula is as follows:

Gentak - Clinical Pharmacology

Microbiology

Gentamicin sulfate is active in vitro against many strains of the following microorganisms:

 

Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus pneumoniae, Enterobacter aerogenes, Escherichia coli, Haemophilus influenzae, Klebsiella pneumoniae, Neisseria gonorrhoeae, Pseudomonas aeruginosa, and Serratia marcescens.

Indications and Usage for Gentak

Gentamicin Sulfate Sterile Ophthalmic Solution is indicated in the topical treatment of ocular bacterial infections, including conjunctivitis, keratitis, keratoconjunctivitis, corneal ulcers, blepharitis, blepharoconjunctivitis, acute meibomianitis, and dacryocystitis caused by susceptible strains of the following microorganisms:

 

Staphylococcus aureus, Staphylococcus epidermidis, Streptococcus pyogenes, Streptococcus pneumoniae, Enterobacter aerogenes, Escherichia coli, Haemophilus influenzae, Klebsiella pneumoniae, Neisseria gonorrhoeae, Pseudomonas aeruginosa, and Serratia marcescens.

Contraindications

Gentamicin Sulfate Sterile Ophthalmic Solution is contraindicated in patients with known hypersensitivity to any of the components.

Warnings

NOT FOR INJECTION INTO THE EYE. Gentamicin Sulfate Ophthalmic Solution is not for injection. It should never be injected subconjunctivally, nor should it be directly introduced into the anterior chamber of the eye.

Precautions

General

Prolonged use of topical antibiotics may give rise to overgrowth of nonsusceptible organisms including fungi. Bacterial resistance to gentamicin may also develop. If purulent discharge, inflammation or pain becomes aggravated, the patient should discontinue use of the medication and consult a physician.

If irritation or hypersensitivity to any component of the drug develops, the patient should discontinue use of this preparation and appropriate therapy should be instituted.

Information for patients

To avoid contamination, do not touch tip of container to the eye, eyelid or any surface.

Carcinogenesis, Mutagenesis, Impairment of Fertility

There are no published carcinogenicity or impairment of fertility studies on gentamicin. Aminoglycoside antibiotics have been found to be non mutagenic.

Pregnancy

Pregnancy Category C

Gentamicin has been shown to depress body weights, kidney weights and median glomerular counts in newborn rats when administered systemically to pregnant rats in daily doses approximately 500 times the maximum recommended ophthalmic human dose. There are no adequate and well-controlled studies in pregnant women. Gentamicin should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.

Pediatric Use

Safety and effectiveness in neonates have not been established.

Adverse Reactions

Bacterial and fungal corneal ulcers have developed during treatment with gentamicin ophthalmic preparations.

The most frequently reported adverse reactions are ocular burning and irritation upon drug instillation, non-specific conjunctivitis, conjunctival epithelial defects and conjunctival hyperemia.

Other adverse reactions which have occurred rarely are allergic reactions, thrombocytopenic purpura and hallucinations.

Gentak Dosage and Administration

Gentamicin Sulfate sterile ophthalmic solution; Instill one or two drops into the affected eye(s) every four hours. In severe infections, dosage may be increased to as much as two drops once every hour.

How is Gentak Supplied

Gentak® Gentamicin Sulfate ophthalmic solution - Sterile, 5-mL plastic dropper bottle, box of one. (NDC 17478-283-10)

STORAGE

Store at 2° to 30°C (36° and 86°F).

Avoid exposure to excessive heat.

Manufactured by: Akorn, Inc.

Lake Forest, IL 60045

GK00N

Rev. 10/08

Gentak  gentamicin sulfate  solution

Product Information Product Type HUMAN PRESCRIPTION DRUG NDC Product Code (Source) 17478-283 Route of Administration OPHTHALMIC DEA Schedule

INGREDIENTS Name (Active Moiety) Type Strength Gentamicin Sulfate (Gentamicin) Active 3 MILLIGRAM  In 1 MILLILITER Benzalkonium Chloride Inactive   Disodium Phosphate Inactive   Monosodium Phosphate Inactive   Sodium Chloride Inactive

Product Characteristics Color      Score      Shape Size Flavor Imprint Code Contains

Packaging # NDC Package Description Multilevel Packaging 1 17478-283-10 1 BOTTLE In 1 BOX contains a BOTTLE, DROPPER 1 5 mL (MILLILITER) In 1 BOTTLE, DROPPER This package is contained within the BOX (17478-283-10)

Revised: 12/2008Akorn, Inc.

More Gentak resources

• Gentak Side Effects (in more detail)
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• Gentak Support Group
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• Gentak Concise Consumer Information (Cerner Multum)


• Gentak eent Monograph (AHFS DI)


• Gentak Advanced Consumer (Micromedex) - Includes Dosage Information


• Gentak Cream MedFacts Consumer Leaflet (Wolters Kluwer)


• Genoptic Concise Consumer Information (Cerner Multum)


• Genoptic Drops MedFacts Consumer Leaflet (Wolters Kluwer)

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• Conjunctivitis, Bacterial

Gas Aid Maximum Strength

Generic Name: simethicone (Oral route)

sye-METH-i-kone

Commonly used brand name(s)

In the U.S.

• Alka-Seltzer Anti-Gas


• Anti-Gas Ultra Strength


• Baby Gasz


• Equilizer Gas Relief


• Gas Aid Maximum Strength


• Gas-X


• Genasyme


• Maalox Anti-Gas


• Mylanta Gas


• Mylicon


• Mytab Gas


• Phazyme

In Canada

• Ovol


• Phazyme Liquid Gas Relief, Maximum Strength

Available Dosage Forms:

• Tablet, Chewable


• Liquid


• Capsule


• Syrup


• Suspension


• Tablet


• Solution


• Capsule, Liquid Filled

Therapeutic Class: Antiflatulent

Uses For Gas Aid Maximum Strength

Simethicone is used to relieve the painful symptoms of too much gas in the stomach and intestines.

Simethicone may also be used for other conditions as determined by your doctor.

Simethicone is available without a prescription.

Once a medicine has been approved for marketing for a certain use, experience may show that it is also useful for other medical problems. Although these uses are not included in product labeling, simethicone is used in certain patients before the following tests:

• Before a gastroscopy


• Before a radiography of the bowel

Before Using Gas Aid Maximum Strength

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

This medicine has been tested in children and, in effective doses, has not been shown to cause different side effects or problems than it does in adults.

Geriatric

Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. There is no specific information comparing use of simethicone in the elderly with use in other age groups.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of simethicone

This section provides information on the proper use of a number of products that contain simethicone. It may not be specific to Gas Aid Maximum Strength. Please read with care.

For effective use of simethicone:

• Follow your doctor's instructions if this medicine was prescribed.


• Follow the manufacturer's package directions if you are treating yourself.

Take this medicine after meals and at bedtime for best results.

For patients taking the chewable tablet form of this medicine:

• It is important that you chew the tablets thoroughly before you swallow them. This is to allow the medicine to work faster and more completely.

For patients taking the oral liquid form of this medicine:

• This medicine is to be taken by mouth even if it comes in a dropper bottle. The amount you should take is to be measured with the specially marked dropper or measuring spoon.

Avoid foods that seem to increase gas. Chew food thoroughly and slowly. Reduce air swallowing by avoiding fizzy, carbonated drinks. Do not smoke before meals. Develop regular bowel habits and exercise regularly. Make certain your health care professional knows if you are on a low-sodium, low-sugar, or any other special diet. Most medicines contain more than their active ingredient.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For symptoms of too much gas:
  
  • For oral dosage forms (capsules or tablets):
    
    • Adults and teenagers—Usual dose is 60 to 125 milligrams (mg) four times a day, after meals and at bedtime. The dose should not be more than 500 mg in twenty-four hours.
    
    
    • Children—Dose must be determined by the doctor.
    
    
  
  
  • For oral dosage form (chewable tablets):
    
    • Adults and teenagers—Usual dose is 40 to 125 mg four times a day, after meals and at bedtime or the dose may be 150 mg three times a day, after meals. The dose should not be more than 500 mg in twenty-four hours.
    
    
    • Children—Dose must be determined by the doctor.
    
    
  
  
  • For oral dosage form (suspension):
    
    • Adults and teenagers—Usual dose is 40 to 95 mg four times a day, after meals and at bedtime. The dose should not be more than 500 mg in twenty-four hours.
    
    
    • Children—Dose must be determined by the doctor.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Gas Aid Maximum Strength Side Effects

There have not been any common or important side effects reported with this medicine. However, if you notice any side effects, check with your doctor.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

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• Endoscopy or Radiology Premedication
• Functional Gastric Disorder
• Gas
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Golimumab

Pronunciation: goe-LIM-ue-mab
Generic Name: Golimumab
Brand Name: Simponi

Serious and sometimes fatal infections, including tuberculosis (TB), a fungal infection, and other types of infection, have occurred in patients using Golimumab. Most patients who developed these infections were taking medicines that suppressed their immune system (eg, methotrexate, corticosteroids).

TB may be caused by a new infection or by reactivation of a previous infection. Patients should receive a TB skin test before using Golimumab. Patients who test positive for TB should begin treatment for TB before starting Golimumab. All patients should also be monitored for signs of TB while using Golimumab, even if their TB test is negative. Contact your doctor immediately if you develop symptoms of TB or any other infection (eg, persistent cough or sore throat, muscle weakness, weight loss, fever, chills, unusual vaginal discharge, painful or frequent urination, persistent feeling of being unwell).

Golimumab is a tumor necrosis factor (TNF) blocker. Lymphoma and other types of cancer have been reported in children and teenagers treated with TNF blockers. This has been fatal in some cases. Talk with your doctor for more information.

Golimumab is used for:

Treating rheumatoid arthritis (RA) in certain patients along with methotrexate. It is also used to treat psoriatic arthritis alone or with methotrexate. It may also be used to treat ankylosing spondylitis or for other conditions as determined by your doctor.

Golimumab is a TNF blocker. It works by blocking a protein (TNF-alpha) found in the body that causes inflammation.

Do NOT use Golimumab if:

• you are allergic to any ingredient in Golimumab


• you have a severe infection (eg, sepsis) or any other active infection


• you are using costimulation modulators (eg, abatacept), interleukin-1 receptor blockers (eg, anakinra, rilonacept), tocilizumab, or another TNF blocker (eg, etanercept, infliximab)

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

Before using Golimumab:

Some medical conditions may interact with Golimumab. 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, including rubber or latex


• if you have a history of infections or an infection that keeps coming back; TB infection or positive TB skin test; hepatitis B infection or other liver problems; heart problems (eg, heart failure); diabetes; HIV; lymphoma or another type of cancer; or numbness, tingling, or other nervous system problems (eg, multiple sclerosis, Guillain-Barré syndrome)


• if you have an autoimmune disorder (eg, lupus) or other immune system problems, have recently received a vaccine, are scheduled to receive a vaccine, or are scheduled to have surgery


• if you have open cuts or sores on your body, have flu-like symptoms or other signs of infection (eg, fever; chills; cough; warm, red, or painful skin), or are using medicine to treat an infection


• if you have ever lived in or traveled to an area where TB is common, or if you have come into close contact with a person with active TB


• if you live, have lived, or traveled to certain parts of the country (eg, Ohio or Mississippi river valleys and the Southwest) where certain types of fungal infections (eg, histoplasmosis, coccidioidomycosis, blastomycosis) are common. Check with your doctor if you are not sure if you have lived or traveled in an area where these infections are common


• if you have low blood platelets, white blood cells, or hemoglobin


• if you take medicine that may decrease your immune system (eg, cyclosporine) or if you have recently received rituximab

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

• Corticosteroids (eg, prednisone), costimulation modulators (eg, abatacept), interleukin-1 receptor blockers (eg, anakinra, rilonacept), rituximab, tocilizumab, or other TNF blockers (eg, etanercept, infliximab) because the risk of serious infection may be increased


• Anticoagulants (eg, warfarin), cyclosporine, or theophylline because their effectiveness may be decreased by Golimumab

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

How to use Golimumab:

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

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


• Golimumab is given as an injection under the skin. A health care provider will teach you how to use it. Be sure you understand how to use Golimumab. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.


• Golimumab should be colorless to slightly yellow in appearance and may contain small particles that are white, or that you can see through. This is normal and will not change the effectiveness of Golimumab.


• Do not use Golimumab if it contains large particles, is cloudy or discolored, or if the syringe or autoinjector is cracked or damaged.


• Do not shake Golimumab before use.


• Allow the prefilled syringe or autoinjector to sit out at room temperature for 30 minutes before using. Do not warm Golimumab in any other way. Do not remove the needle cover or the cap on the autoinjector until right before use.


• Use the proper technique taught to you by your doctor. Inject deep under the skin, NOT into muscle.


• Rotate injection sites. New injections should be given at least 1 inch from an old site. Do not inject into areas where the skin is tender, bruised, red, or hard, or where you have scars or stretch marks.


• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.


• If you miss a dose of Golimumab, use it as soon as you remember. Then go back to your regular dosing schedule. If you are not sure when to use Golimumab, check with your doctor or pharmacist.

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

Important safety information:

• Golimumab may cause dizziness or vision changes. These effects may be worse if you take it with alcohol or certain medicines. Use Golimumab with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.


• Golimumab may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.


• Golimumab may increase the risk of developing blood cancer (eg, leukemia, lymphoma) and other types of cancer. This may be fatal in some cases. Discuss any questions or concerns with your doctor. Tell your doctor if you have ever had cancer. Contact your doctor right away if you develop symptoms of leukemia or lymphoma, such as unusual bruising, unusual lumps or swelling (eg, in your neck, armpit, or groin), night sweats, recurring fever, unusual tiredness or weakness, persistent unexplained itching, or unexplained weight loss.


• A rare type of cancer called HSTCL has been reported in patients using TNF blockers. These cases have been fatal. Most of these cases occurred in teenagers or young adults. Most of these patients had Crohn disease or ulcerative colitis. Patients who developed this cancer were usually using Golimumab along with certain other medicines (azathioprine, 6-mercaptopurine). Tell your doctor if you have or have ever had any type of cancer. Tell your doctor right away if you develop stomach pain or tenderness, fever, night sweats, or unexplained weight loss.


• New or worsening nervous system problems (eg, multiple sclerosis, Guillain-Barré syndrome, seizures) have occurred with TNF blockers. Tell your doctor if you have a condition that affects your nervous system. Discuss any questions or concerns with your doctor.


• Patients with inflammatory diseases (eg, RA) who use Golimumab, especially those with more severe inflammatory diseases, have an increased risk of developing lymphoma. Talk with your doctor if you have questions about your risk of developing any type of cancer while using Golimumab.


• Some patients who use Golimumab have developed new or worsening psoriasis. Tell your doctor right away if you notice any new or worsening skin problems (eg, red, flaky, or itchy skin patches).


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


• Golimumab may reduce the number of clot-forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools.


• Do not receive a live vaccine (eg, measles, mumps) while you are taking Golimumab. Talk with your doctor before you receive any vaccine.


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


• Use Golimumab with caution in the ELDERLY; they may be more sensitive to its side effects, especially an increased risk of infection.


• Golimumab should be used with extreme caution in CHILDREN younger than 18 years; 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 Golimumab while you are pregnant. It is not known if Golimumab is found in breast milk. Do not breast-feed while taking Golimumab.

Possible side effects of Golimumab:

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:

Cold sores; hoarseness; mild itching, pain, redness, or swelling at the injection site; mild sore throat; runny or stuffy nose.

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); blood in the urine or stools; butterfly-shaped rash on the nose and cheeks; chest pain; dark urine; diarrhea; fainting; fast or irregular heartbeat; increased sensitivity to the sun; loss of appetite; mental or mood changes; muscle pain or weakness; new or worsening joint pain; new or worsening red, scaly patches or raised bumps filled with pus on the skin; numbness, burning, or tingling; open sore that does not heal; painful or frequent urination; pale stools; persistent cough; red, swollen, or blistered skin; severe or persistent headache or dizziness; severe or persistent stomach pain; severe or persistent pain, swelling, or redness at the injection site; shortness of breath; signs of infection (eg, fever, chills, or persistent sore throat; muscle aches; warm, red, or painful skin or sores); swelling of the ankles, hands, or feet; unexplained weight loss; unusual bruising or bleeding; unusual lumps; unusual tiredness or weakness; unusually pale skin; vision changes; vomiting; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Golimumab side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.

Proper storage of Golimumab:

Store Golimumab in the refrigerator, between 36 and 46 degrees F (2 and 8 degrees C). Do not freeze. Protect from light. Store in the original container until ready to use. If you need to take Golimumab with you, such as when traveling, store it in a cool carrier with an ice pack and protect it from light. Do not use after the expiration date on the prefilled syringe or autoinjector. Do not use Golimumab if it has ever been frozen. Keep Golimumab out of the reach of children and away from pets.

General information:

• If you have any questions about Golimumab, please talk with your doctor, pharmacist, or other health care provider.


• Golimumab is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Golimumab. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Golimumab resources

• Golimumab Side Effects (in more detail)
• Golimumab Use in Pregnancy & Breastfeeding
• Golimumab Drug Interactions
• Golimumab Support Group
• 13 Reviews for Golimumab - Add your own review/rating

• Golimumab Professional Patient Advice (Wolters Kluwer)


• Golimumab Monograph (AHFS DI)


• golimumab Subcutaneous Advanced Consumer (Micromedex) - Includes Dosage Information


• Simponi Prescribing Information (FDA)


• Simponi Consumer Overview

Compare Golimumab with other medications

• Ankylosing Spondylitis
• Psoriatic Arthritis
• Rheumatoid Arthritis

gramicidin/neomycin/polymyxin B ophthalmic

Generic Name: gramicidin, neomycin, and polymyxin B ophthalmic (gram i SYE din, NEE oh MYE sin, POL ee MIX in B off THAL mik)

Brand names: Neosporin Ophthalmic, Ocu-Spore-G, Neocidin, AK-Spore, Neocin PG, Neoptic

What is gramicidin, neomycin, and polymyxin B ophthalmic?

Gramicidin, neomycin, and polymyxin B are all antibiotics. They are used to treat bacterial infections.

The ophthalmic form of gramicidin, neomycin, and polymyxin B is used to treat bacterial infections of the eyes.

Gramicidin, neomycin, and polymyxin B ophthalmic may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about gramicidin, neomycin, and polymyxin B ophthalmic?

Contact your doctor if your symptoms begin to get worse or if you do not see any improvement in your condition after a few days.

Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye.

Apply light pressure to the inside corner of your eye (near your nose) after each drop to prevent the liquid from draining down your tear duct.

Who should not use gramicidin, neomycin, and polymyxin B ophthalmic?

Do not use gramicidin, neomycin, and polymyxin B ophthalmic if you have a viral or fungal infection in your eye. It is used to treat infections caused by bacteria only. It is not known whether gramicidin, neomycin, and polymyxin B ophthalmic will harm an unborn baby. Do not use this medication without first talking to your doctor if you are pregnant. It is not known whether gramicidin, neomycin, and polymyxin B ophthalmic passes into breast milk. Do not use this medication without first talking to your doctor if you are breast-feeding a baby.

How should I use gramicidin, neomycin, and polymyxin B ophthalmic?

Use gramicidin, neomycin, and polymyxin B eyedrops exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before and after using your eyedrops.

To apply the eyedrops:

• 
  

  Tilt your head back slightly and pull down on your lower eyelid. Position the dropper above your eye. Look up and away from the dropper. Squeeze out a drop and close your eye. Apply gentle pressure to the inside corner of your eye (near your nose) for about 1 minute to prevent the liquid from draining down your tear duct. If you are using more than one drop in the same eye or drops in both eyes, repeat the process with about 5 minutes between drops.

  
  

Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye. Do not use any eyedrop that is discolored or has particles in it. Store gramicidin, neomycin, and polymyxin B ophthalmic at room temperature away from moisture and heat. Keep the bottle properly capped.

What happens if I miss a dose?

Apply the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the missed dose and apply the next one as directed. Do not use a double dose of this medication.

What happens if I overdose?

An overdose of this medication is unlikely to occur. If you do suspect an overdose, wash the eye with water and call an emergency room or poison control center near you. If the drops have been ingested, drink plenty of fluid and call an emergency center for advice.

What should I avoid while using gramicidin, neomycin, and polymyxin B ophthalmic?

Do not touch the dropper to any surface, including your eyes or hands. The dropper is sterile. If it becomes contaminated, it could cause an infection in your eye. Use caution when driving, operating machinery, or performing other hazardous activities. Gramicidin, neomycin, and polymyxin B ophthalmic may cause blurred vision. If you experience blurred vision, avoid these activities.

Use caution with contact lenses. Wear them only if your doctor approves. After applying this medication, wait at least 15 minutes before inserting contact lenses.

Avoid other eye medications unless your doctor approves.

Gramicidin, neomycin, and polymyxin B ophthalmic side effects

Serious side effects are not expected with this medication.

Commonly, some burning, stinging, irritation, itching, redness, blurred vision, eyelid itching, eyelid swelling or crusting, tearing, or sensitivity to light may occur.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect gramicidin, neomycin, and polymyxin B ophthalmic?

Avoid other eye medications unless they are approved by your doctor.

Drugs other than those listed here may also interact with gramicidin, neomycin, and polymyxin B ophthalmic. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

More gramicidin/neomycin/polymyxin B ophthalmic resources

• Gramicidin/neomycin/polymyxin B ophthalmic Side Effects (in more detail)
• Gramicidin/neomycin/polymyxin B ophthalmic Use in Pregnancy & Breastfeeding
• Gramicidin/neomycin/polymyxin B ophthalmic Support Group
• 0 Reviews for Gramicidin/neomycin/polymyxin B - Add your own review/rating

• Neocidin Prescribing Information (FDA)


• Neocidin Advanced Consumer (Micromedex) - Includes Dosage Information

Compare gramicidin/neomycin/polymyxin B ophthalmic with other medications

• Conjunctivitis, Bacterial

Where can I get more information?

• Your pharmacist has additional information about gramicidin, neomycin, and polymyxin B written for health professionals that you may read.

See also: gramicidin/neomycin/polymyxin B side effects (in more detail)

Genasal

Generic Name: oxymetazoline nasal (ox ee me TAZ oh leen)

Brand Names: Afrin, Afrin Nasal Sinus, Allerest 12 Hour Nasal Spray, Duramist Plus, Duration, Four-Way Nasal Spray, Genasal, Neo-Synephrine 12 Hour, Nostrilla, NRS Nasal, NTZ Long Acting Nasal, Oxyfrin, Oxymeta-12, Sinarest Nasal, Sinex Long-Acting, Twice-A-Day

What is Genasal (oxymetazoline nasal)?

Oxymetazoline is a decongestant. It works by constricting (shrinking) blood vessels (veins and arteries) in your body. The nasal formulation acts directly on the blood vessels in your nasal tissues. Constriction of the blood vessels in your nose and sinuses leads to drainage of these areas and a decrease in congestion.

Oxymetazoline nasal is used to treat congestion associated with allergies, hay fever, sinus irritation, and the common cold.

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

What is the most important information I should know about Genasal (oxymetazoline nasal)?

Do not use oxymetazoline nasal for longer than 3 to 5 days. Longer use could cause damage to your nasal tissue and lead to chronic congestion. If your symptoms do not improve, see your doctor.

Do not use more of this medication than is recommended on the package or by your doctor.

Who should not use Genasal (oxymetazoline nasal)?

Do not use oxymetazoline nasal if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days. This could cause a very dangerous drug interaction with serious side effects.

Before taking this medication, tell your doctor if you have

• 
  

  high blood pressure;

  
  


• 
  

  any type of heart disease, hardening of the arteries, or irregular heart beats;

  
  


• 
  

  thyroid problems;

  
  


• 
  

  diabetes;

  
  


• 
  

  glaucoma or increased pressure in the eye;

  
  


• 
  

  an enlarged prostate or difficulty urinating; or

  
  


• 
  

  liver or kidney disease.

  
  

You may not be able to use oxymetazoline nasal, or you may require a lower dose or special monitoring during your therapy if you have any of the conditions listed above.

It is not known whether oxymetazoline nasal will harm an unborn baby. Do not use oxymetazoline nasal without first talking to your doctor if you are pregnant. Infants are especially sensitive to the effects of oxymetazoline nasal. Do not use this medication without first talking to your doctor if you are breast-feeding a baby. If you over 60 years of age, you may be more likely to experience side effects from oxymetazoline nasal. You may require a lower dose of this medication.

How should I use Genasal (oxymetazoline nasal)?

Use oxymetazoline nasal exactly as directed by your doctor, or follow the instructions that accompany the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

To apply the nasal spray, keep your head upright, spray, then sniff hard for a few minutes after administering a dose.

To apply the nasal drops, lie on a bed on your back with your head hanging over the edge. Insert the drops and remain in this position for several minutes. Gently turn your head from side to side.

Do not allow the tip of the container to touch the inside of your nose or any other surface. This spreads the infection.

Also, to prevent the spread of infection, do not share this medication with anyone else.

Discard this medication bottle after use. Do not save it for reuse.

Never use this medication in larger doses or more often than is recommended. Too much oxymetazoline nasal could be very harmful. Oxymetazoline nasal should not be used more often than twice a day (every 12 hours).

Do not use oxymetazoline nasal for longer than 3 to 5 days. Longer use could cause damage to your nasal tissue and lead to chronic congestion. If your symptoms do not improve, see your doctor.

Store oxymetazoline nasal at room temperature away from moisture and heat.

What happens if I miss a dose?

Use the missed dose as soon as you remember. However, if it is almost time for your next regularly scheduled dose, skip the missed dose and use the next one as directed. Do not use a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of an oxymetazoline nasal overdose include extreme tiredness, sweating, dizziness, a slow heartbeat, and coma.

What should I avoid while taking Genasal (oxymetazoline nasal)?

Never use this medication in larger doses or more often than is recommended. Too much oxymetazoline nasal could be very harmful.

Genasal (oxymetazoline nasal) side effects

If you experience any of the following serious side effects, stop using oxymetazoline nasal and seek emergency medical attention:

• 
  

  an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);

  
  


• 
  

  seizures;

  
  


• 
  

  unusual behavior or hallucinations; or

  
  


• 
  

  an irregular or fast heartbeat.

  
  

More commonly, you may experience some sneezing or burning, stinging, dryness, or irritation of the nose. These side effects are usually mild and temporary.

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. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Genasal (oxymetazoline nasal)?

Do not use oxymetazoline nasal if you have taken a monoamine oxidase (MAO) inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), or tranylcypromine (Parnate) in the last 14 days.

Although drug interactions between topical nasal decongestants and drugs taken by mouth are not expected, they can occur. Rarely, oxymetazoline nasal may interact with the following medicines:

• 
  

  furazolidone (Furoxone);

  
  


• 
  

  guanethidine (Ismelin);

  
  


• 
  

  indomethacin (Indocin);

  
  


• 
  

  methyldopa (Aldomet);

  
  


• 
  

  bromocriptine (Parlodel);

  
  


• 
  

  caffeine in cola, tea, coffee, chocolate and other products;

  
  


• 
  

  theophylline (Theo-Dur, Theochron, Theolair, others);

  
  


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


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


• phenothiazines such as chlorpromazine (Thorazine), thioridazine (Mellaril), and prochlorperazine (Compazine); and


• other commonly used phenothiazines, including fluphenazine (Prolixin), perphenazine (Trilafon), mesoridazine (Serentil), and trifluoperazine (Stelazine).

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

More Genasal resources

• Genasal Side Effects (in more detail)
• Genasal Use in Pregnancy & Breastfeeding
• Genasal Drug Interactions
• Genasal Support Group
• 0 Reviews for Genasal - Add your own review/rating

• Genasal Advanced Consumer (Micromedex) - Includes Dosage Information


• Afrin Solution MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Genasal with other medications

• Nasal Congestion

Where can I get more information?

• Your pharmacist has additional information about oxymetazoline nasal written for health professionals that you may read.

See also: Genasal side effects (in more detail)

Geodon Capsules

Pronunciation: zi-PRAS-i-done
Generic Name: Ziprasidone
Brand Name: Geodon

Geodon Capsules is an antipsychotic. It may increase the risk of death when used to treat mental problems caused by dementia in elderly patients. Most of the deaths were linked to heart problems or infection. Geodon Capsules is not approved to treat mental problems caused by dementia. Discuss any questions or concerns with your doctor.

Geodon Capsules is used for:

Treating schizophrenia. It is also used alone or with other medicines (eg, lithium, valproate) to treat bipolar disorder (manic-depression). It may also be used for other conditions as determined by your doctor.

Geodon Capsules an antipsychotic. It may work by altering the balance of certain chemicals that occur naturally in the brain, which are responsible for thinking and behavior.

Do NOT use Geodon Capsules if:

• you are allergic to any ingredient in Geodon Capsules


• you have recently had a heart attack, have severe heart failure, or have a history of certain types of irregular heartbeat (eg, long QT syndrome)


• you are taking astemizole, cisapride, dofetilide, droperidol, halofantrine, levomethadyl, a macrolide immunosuppressive (eg, tacrolimus), mefloquine, methadone, nilotinib, pentamidine, certain phenothiazines (eg, thioridazine), pimozide, probucol, procainamide, quinidine, certain quinolone antibiotics (eg, moxifloxacin), a serotonin receptor antagonist antiemetic (eg, dolasetron), sotalol, sparfloxacin, terfenadine, or tetrabenazine.

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

Before using Geodon Capsules:

Some medical conditions may interact with Geodon Capsules. 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 considered or attempted suicide


• if you have had any problem with fainting or dizziness


• if you have a history of heart problems (eg, heart failure, slow or irregular heartbeat), low blood potassium or magnesium levels, low blood volume, low white blood cell counts, a drug-induced movement disorder, diabetes, kidney or liver problems, stroke, heart attack, low blood pressure, seizures, difficulty swallowing, neuroleptic malignant syndrome (NMS), Alzheimer disease, or dementia


• if you have diabetes or a family history of diabetes or if you are very overweight


• if you have had high blood prolactin levels or a history of certain types of cancer (eg, breast, pancreas, pituitary), or if you are at risk for breast cancer


• if you are dehydrated, drink alcohol, or will be exposed to high temperatures

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

• Arsenic, astemizole, bepridil, chloroquine, cisapride, class III antiarrhythmics (eg, amiodarone, sotalol), dofetilide, domperidone, droperidol, halofantrine, haloperidol, IA and IC antiarrhythmics (eg, flecainide, procainamide, propafenone, quinidine), kinase inhibitors (eg, lapatinib, nilotinib), levomethadyl, macrolide immunosuppressives (eg, tacrolimus), macrolides and ketolides (eg, azithromycin, erythromycin), maprotiline, mefloquine, methadone, pentamidine, phenothiazines (eg, thioridazine), pimozide, probucol, quinolones (eg, ciprofloxacin, moxifloxacin), serotonin receptor antagonist antiemetics (eg, dolasetron), sparfloxacin, streptogramins (eg, mitomycin, pristinamycin), terfenadine, or tetrabenazine because the risk of side effects, such as abnormal heart rhythms, may be increased


• Tramadol because the risk of seizures may be increased


• Ketoconazole because it may increase the risk of Geodon Capsules's side effects


• Carbamazepine because it may decrease Geodon Capsules's effectiveness

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

How to use Geodon Capsules:

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

• An extra patient leaflet is available with Geodon Capsules. Talk to your pharmacist if you have questions about this information.


• Take Geodon Capsules by mouth with food.


• Swallow Geodon Capsules whole. Do not break, crush, or chew before swallowing.


• Taking Geodon Capsules at the same time each day will help you remember to take it.


• Take Geodon Capsules on a regular schedule to get the most benefit from it.


• It may take a few weeks for you to notice the benefits of Geodon Capsules. Continue to take Geodon Capsules even if you feel well. Do not miss any doses.


• If you miss a dose of Geodon Capsules, 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 Geodon Capsules.

Important safety information:

• Geodon Capsules may cause drowsiness, dizziness, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Geodon Capsules 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 Geodon Capsules; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.


• Geodon Capsules 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.


• Geodon Capsules may rarely cause a prolonged, painful erection. This could happen even when you are not having sex. If this is not treated right away, it could lead to permanent sexual problems such as impotence. Contact your doctor right away if this happens.


• Geodon Capsules may lower the ability of your body to fight infection. Avoid contact with people who have colds or infections. Tell your doctor if you notice signs of infection like fever, sore throat, rash, or chills.


• Geodon Capsules may raise your blood sugar. High blood sugar may make you feel confused, drowsy, or thirsty. It can also make you flush, breathe faster, or have a fruit-like breath odor. If these symptoms occur, tell your doctor right away.


• Diabetes patients - Geodon Capsules may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.


• Serotonin syndrome is a possibly fatal syndrome that can be caused by Geodon Capsules. Your risk may be greater if you take Geodon Capsules with certain other medicines (eg, "triptans," monoamine oxidase inhibitors [MAOIs]). Symptoms may include agitation; confusion; hallucinations; coma; fever; fast or irregular heartbeat; tremor; excessive sweating; and nausea, vomiting, or diarrhea. Contact your doctor at once if you have any of these symptoms.


• Neuroleptic malignant syndrome (NMS) is a possibly fatal syndrome that can be caused by Geodon Capsules. Symptoms may include fever; stiff muscles; confusion; abnormal thinking; fast or irregular heartbeat; and sweating. Contact your doctor at once if you have any of these symptoms.


• Geodon Capsules may increase the amount of a certain hormone (prolactin) in your blood. Symptoms may include enlarged breasts, missed menstrual period, decreased sexual ability, or nipple discharge. Contact your doctor right away if you experience any of these symptoms.


• Some patients who take Geodon Capsules may develop muscle movements that they cannot control. This is more likely to happen in elderly patients, especially women. The chance that this will happen or that it will become permanent is greater in those who take Geodon Capsules in higher doses or for a long time. Muscle problems may also occur after short-term treatment with low doses. Tell your doctor at once if you have muscle problems with your arms; legs; or your tongue, face, mouth, or jaw (eg, tongue sticking out, puffing of cheeks, mouth puckering, chewing movements) while taking Geodon Capsules.


• Lab tests, including electrolyte levels, complete blood cell counts, or fasting blood sugar levels, may be performed while you use Geodon Capsules. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Use Geodon Capsules with caution in the ELDERLY; they may be more sensitive to its effects, especially dizziness and lightheadedness upon sitting or standing up and uncontrolled muscle movements.


• Geodon Capsules should not be used in CHILDREN; safety and effectiveness in 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 taking Geodon Capsules while you are pregnant. Using Geodon Capsules during the third trimester may result in uncontrolled muscle movements or withdrawal symptoms in the newborn. Discuss any questions or concerns with your doctor. It is not known if Geodon Capsules is found in breast milk. Do not breast-feed while taking Geodon Capsules.

Possible side effects of Geodon Capsules:

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:

Anxiety; constipation; diarrhea; dizziness; drowsiness; dry mouth; feeling unusually tired or sleepy; headache; increased cough or runny nose; loss of appetite; nausea; restlessness; upset stomach; vomiting; weakness; weight 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; unusual hoarseness); abnormal thoughts; change in amount of urine produced; confusion; decreased sexual ability; difficulty speaking or swallowing; enlarged breasts; fainting; fast, slow, or irregular heartbeat; fever, chills or persistent sore throat; inability to move; missed menstrual period; muscle rigidity; muscle spasms or twitching; nipple discharge; pounding in the chest; prolonged or painful erection; seizures; shortness of breath; suicidal thoughts or attempts; sweating; symptoms of high blood sugar (increased thirst, increased urination, confusion, flushing, rapid breathing, or fruity breath odor); tremor; uncontrolled movements (eg, arm or leg movements, twitching of the face or tongue, jerking or twisting); unusual mood or mental changes; vision changes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Geodon side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include fainting; irregular heartbeat; seizure; slurring of speech; uncontrolled movement of the head and neck.

Proper storage of Geodon Capsules:

Store Geodon Capsules 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 Geodon Capsules out of the reach of children and away from pets.

General information:

• If you have any questions about Geodon Capsules, please talk with your doctor, pharmacist, or other health care provider.


• Geodon Capsules is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Geodon Capsules. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Geodon resources

• Geodon Side Effects (in more detail)
• Geodon Dosage
• Geodon Use in Pregnancy & Breastfeeding
• Drug Images
• Geodon Drug Interactions
• Geodon Support Group
• 82 Reviews for Geodon - Add your own review/rating

Compare Geodon with other medications

• Autism
• Bipolar Disorder
• Body Dysmorphic Disorder
• Paranoid Disorder
• Schizoaffective Disorder
• Schizophrenia
• Tourette's Syndrome