Showing posts with label R. Show all posts
Showing posts with label R. Show all posts

ROSUVASTATIN

Generic Name : ROSUVASTATIN

TradeName : BESTOR tab FORTIUS tab FORTIUS-20 tab LDNIL film-coated tab NOVASTAT tab RAZEL tab ROSTAR tab ROSUVAS tab ROSUVASTAT tab ROSYN tab ROVALIP tab ROZAVEL tab ROZUCOR tab TURBOVAS tab ZYROVA tab

Why it is prescribed (Indications) : This medication is used to reduce the cholesterol in patients with obesity problem. It is a HMG-CoA reductase inhibitor (statin). It slows the production of cholesterol in the body.

When it is not to be taken (Contraindications) : It may cause severe kidney failure, active liver disease, unexplained persistent elevations of serum transaminases; hypersensitivity, harmful in pregnancy
, lactation (breast feeding).

When it is to be taken : Oral: Initial: 5 to10 mg/day may increase slowly to 20 mg/day if needed. Max: 40 mg/day

How it should be taken : Rosuvastatin comes as a tablet to take by mouth. It is usually taken once a day with or without food.

Special Instruction :
• Not to be used in patient with acute, serious condition suggestive of muscular diseases(myopathy) or predisposing to the development of kidney failure secondary to rapid breakdown of skeletal muscle(rhabdomyolysis) e.g. sepsis, hypotension, major surgery, trauma, severe metabolic, endocrine and electrolyte disorders or uncontrolled seizures. • Caution should be exercised with patients with history of liver disease and alcoholism. • Discontinue treatment if there is marked or persistent increase in serum aminotransferase concentrations, significant increase in creatinine phosphokinase or evidence of muscular diseases

Side Effects :
CENTRAL NERVOUS SYSTEM:
Headache, dizziness, tingling, lack of energy, sleeplessness, depression.
GI
Nausea, vomiting, abdominal pain, constipation
MISCELLANEOUS:
Muscle pain, chest pain, swelling of tissues, skin rash, , protein in urine.

Other Precautions :
Avoid changing dosage with out consulting health care providers. Monitor liver function, kidney function, and cholesterol level in blood regularly.

Storage Conditions :
Store at room temperature(20-25°C).

Rosiglitazone

Generic Name : Rosiglitazone

TradeName : Roglin, Rosican, rosinorm, Rosizon, Rozon, Senzia

Why it is prescribed (Indications) : belongs to thiazolinedione class.improves insulin resistance in patients.It serves as agonist for nuclear receptor peroxisome proliferator-activated receptor gamma(PPAR),ppar-GAMMA increases the transcription of certain insulin -sensitive genes,thereby increasing insulin sensitivity.

When it is to be taken
: initially 4 mgs administered either as a sinfgle dose or in divided doses.The dose may be increased to 8 mgs once daily or in divided doses.

How it should be taken : It comes in the form of 2,4 and 8 mgs tablets.

Special Instruction :
not recommended in in type 2 diabetes.Avoid in patients with liver dysfunction or alcohol abuse.

Side Effects :
Weight gain,edema,lowering of hemoglobin,increase of total cholesterol.

Other Precautions :
use with caution in the case of pregnancy
and lactation.may be used in the case of old patients.

Storage Conditions
:
Store at room temperature in a tight container.

Ropinirole

Generic Name : Ropinirole

TradeName : PARKIROP, ROPITOR

Why it is prescribed (Indications) : Ropinirole is in a class of medications called dopamine agonists. It works by acting in place of dopamine, a natural substance in the brain that is needed to control movement. So Ropinirole is used alone or with other medications to treat the symptoms of Parkinson's disease. Ropinirole is also used to treat Restless Legs Syndrome (RLS); a condition that causes discomfort in the legs.

When it is to be taken : When Ropinirole is used to treat Parkinson's disease; it is usually taken three times a day. When it is used to treat restless legs syndrome, it is usually taken once a day, 1–3 hours before bedtime.

How it should be taken : Ropinirole comes as a tablet to take by mouth. Ropinirole may be taken with or without food, but taking Ropinirole with food may help to prevent nausea that may be caused by the medication. Follow the directions on your prescription label carefully.

Special Instruction :
1. Take Ropinirole exactly as your doctor has directed you to. Do not take more or less of it or to take it more or less often than as instructed.
2. Continue to take Ropinirole even if you feel well.
3. Do not stop taking Ropinirole without consulting your doctor as it may cause your condition to worsen.
4. If you forget to take a dose, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
5. Keep all appointments with your doctor, as your dose may need to be adjusted frequently.
6. Do not let anyone else take your medication

Side Effects :
1. Ropinirole may cause side effects like nausea, vomiting, dizziness, drowsiness, weakness, headache, heartburn, stomach pain, constipation, sweating, confusion, anxiety, abnormal body movements, slowed or decreased movements, numbness, burning, or tingling in the hands, arms, feet, or legs frequent or urgent need to urinate, difficulty urinating or pain when urinating, runny nose, sore throat, and other cold symptoms. Consult your doctor if any of these symptoms are severe or do not go away.
2. Symptoms such as hallucinations (seeing things or hearing voices that do not exist), fainting, slow or irregular heartbeat, shortness of breath, double vision or other problems with vision need to be reported to the doctor immediately.

Other Precautions :
1. Ropinirole may cause dizziness, lightheadedness, nausea, or sweating when you get up too quickly from a sitting or lying position. To avoid this problem, get out of the chair or bed slowly, resting your feet on the floor for a few minutes before standing up.
2. Ropinirole may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you.
3. Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Ropinirole, inform your doctor.
4. Smoking may decrease the effectiveness of this medication. Inform your doctor if you use tobacco products.
5. Alcohol can add to the drowsiness caused by this medication. Tell your doctor if you regularly drink alcoholic drinks.
6. Before you take this medication, tell your doctor what prescription and nonprescription medications you are taking, like antidepressants ('mood elevators'); antipsychotics (medications for mental illness); cimetidine, fluoroquinolone antibiotics such as ciprofloxacin, and norfloxacin; fluvoxamine; levodopa; medications for anxiety and seizures; medications that contain estrogen such as hormone replacement therapy and hormonal contraceptives (birth control pill, patches, rings, or injections); medications that cause drowsiness; metoclopramide ; mexiletine ; sedatives; sleeping pills; and tranquilizers. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
7. Tell your doctor if you have ever had an urge to gamble that was difficult to control and if you have had a sleep disorder other than restless legs syndrome; or heart, liver, or kidney disease.

Storage Conditions :
1. Keep this medication in the container it came in, tightly closed, and out of the reach of children.
2. Store it at room temperature, away from direct sunlight and excess heat and moisture.

Rivastigmine

Generic Name : Rivastigmine

TradeName
: RIVADEM, RIVASMINE

Why it is prescribed (Indications) : It is a reversible non-competitive inhibitor of acetylcholinestrace.

When it is to be taken : Mild to moderate dementia in Alzheimers disease.

How it should be taken : Adults: Initially 1.5 mg twice daily;increased at intervals of atleast 2 weeks, according to response and tolerance in steps of 1.5 mg twice daily. Usual range 3-6 mg twice daily. Max dose 6 mg twice daily. Children and upto 18 years: Not recommended.

Special Instruction :
Contraindiactions: Pregnancy

Side Effects :
Nausea, vomiting, diarrhoea, dyspepsia, anorexia, headache, drowsiness, weight loss, asthenia. Agitation, confusion, depression, sweating. Gastrointestinal haemorrhage. Potential for baldder outflow obstruction.

Other Precautions :
Renal impairment, mild to moderate hepatic impairment. Sick sinus syndrome, conduction abnormalities. Asthma, COPD.

Storage Conditions
:
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

Rituximab

Generic Name : Rituximab

TradeName :
Rituxan

Overview : Rituximab used in transplantation as an induction therapy before transplantation.

Why it is prescribed
(Indications) : Rituximab lowers the number of white blood cells (B cells) in the body. It is a monoclonal antibody which is used in treatment of non-Hodgkin lymphoma. It also used to decrease pain, swelling, and inflammation in patients with rheumatoid arthritis.

When it is not to be taken (Contraindications) : Avoid taking rituximab If you are allergic to any ingredient in Rituximab or to mouse or rat protein If you have rheumatoid arthritis and you have not previously used other medication. If you have hepatitis B viral infection

Missed a Dose? :
Incase of missed dose contact your physician immediately.

How it should be taken : • Rituximab is usually given as IV injection at hospital or medical centre. • Avoid using rituximab if it contains particles, cloudy or discolored, or if the vial is cracked or damaged. • Rituximab is usually given once a week for 4 to 8 weeks in the treatment of rheumatoid arthritis.

Special Instruction :

• Rituximab can cause dizziness which may be worse if you take it with alcohol or other medicines. . • Rituximab reduces immunity so avoid contact with people who have colds or infections. • The risk of developing certain viral infections may be increases while you use Rituximab and for up to 1 year after you stop using it. Certain viral infections may be very severe or fatal • Serious liver problems may arise in hepatitis B infected patients . Consult your doctor right away if you develop signs of liver problems, including dark urine, pale stools, severe stomach pain, or yellowing of the eyes or skin. • Do not take a live vaccine while you are taking Rituximab . • Rituximab may reduce the platelets count in blood. • Inform your doctor or dentist that you take Rituximab before you receive any medical or dental care, emergency care, or surgery. • Do lab tests, including kidney and liver function, complete blood cell counts, and blood electrolytes at definite intervals.

Side Effects :
Some patients receiving a rituximab injection complained of a reaction to the infusion Inform your doctor right away if you feel dizzy, weak, nauseated, light-headed, itchy, or if you have a fever, chills, muscle pain, sneezing, sore throat, trouble breathing, or pain in your chest or shoulders. Infusion reactions may occur within the first 24 hours after the start of your rituximab infusion. • Incase of emergency get medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Drug Interactions :
Drugs found be interact with Rituximab were • cisplatin • adalimumab • azathioprine • cyclosporine • etanercept • infliximab • leflunomide • minocycline • sulfasalazine • antihypertensive medications; • medications such as chloroquine, hydroxychloroquine .

Storage Conditions :

Rituximab vials are stable at 36° to 46°F. Protect vials from sunlight. Rituximab solutions for infusion can be stored at 36° to 46°F for 24 h and are stable at room temperature for an additional 24 h

RISPERIDONE

Generic Name : RISPERIDONE

TradeName
: CINRIS FORTE tab CINRIS tab ETORES-TR tab GENREST PLUS tab GENREST tab GENREST-LS tab PERIDON tab PSYDON tab PSYDYL film-coated tab R-DON FORTE tab R-DON PLUS tab R-DON T tab R-DON tab REGRACE film-coated tab REGRACE FORTE tab REGRACE PLUS tab RESPIDON tab RIDON tab RISCALM FORTE tab RISCALM tab RISCALM-LS tab RISCALM-PLU tab RISCLAM tab RISDONE PLUS tab RISDONE susp RISDONE tab RISNIA FORTE tab RISNIA PLUS tab RISNIA syr RISNIA tab RISOLLA tab RISPERDAL film-coated tab RISPERDAL soln RISPERIV tab RISPID film-coated tab RISPID liqd RISPOND film-coated tab RISPOND FORTE film-coated tab RISPOND PLUS film-coated tab RISTAB tab RITEX tab ROZIDAL tab SIZODON FORTE tab SIZODON PLUS tab SIZODON susp SIZODON tab SIZOMAX-T3 tab SPERIDON PLUS tab SPERIDON tab SYCODONE tab SYNCODONE PLUS tab ZEPID tab ZISPER FORTE MD-tab ZISPER PLUS MD-tab ZISPER-LS MD-tab ZISPER-MD tab ZODON tab

Why it is prescribed (Indications) : This medication is prescribed for disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions in adults and teenagers 13 years of age and older.

When it is to be taken
: Initial: 2 mg/day, up to 4 mg/day on the 2nd day if needed. May further adjust doses at weekly intervals. Maintenance: 4-6 mg/day. Max: 16 mg/day.

How it should be taken : This medication available in the form of tablet, a solution, and an orally disintegrating tablet to take by mouth once or twice a day, with or without food

Special Instruction :
Caution should also be exercised in patients with history of heart diseases; liver or kidney impairment, elderly, epilepsy; Parkinsonism; and during pregnancy. *It may make you drowsy. *Do not drive a car or operate machinery until you know how this medication affects you. *It may make it harder for your body to cool down when it gets very hot or warm up when it gets very cold.

Side Effects :
CENTRAL NERVOUS SYSTEM:
Agitation, anxiety, headache, sleeplessness.
GI
Sudden low blood pressure; constipation, difficulty in swallowing, nausea, vomiting, abdominal pain.
EYE AND ENT
Blurred vision, runny nose.
GENITOURINARY:
Impotence excess milk secretion, breast enlargement, menstrual disorders.
MISCELLANEOUS:
Rash and allergy, extreme restlessness, involuntary movements, and uncontrollable speech symptoms (rarely), weight gain
, swelling.
It may cause children to gain more weight than expected and for boys and male adolescents to have an increase in the size of their breasts.

Other Precautions :

*Monitor blood glucose in diabetics and patients at risk of developing diabetes.

Storage Conditions :
Store at 15-25°C. Store it in air tight container. Keep away from children.

RILUZOLE

Generic Name : RILUZOLE

TradeName : Rilutek

Why it is prescribed
(Indications) : This medication is recommended for amyotrophic lateral sclerosis (ALS, Lou Gehrig disease) is placed on a ventilator or breathing machine, by delaying onset of ventilator dependence or tracheostomy

When it is to be taken : 50 mg orally every 12 hrs

How it should be taken :
This medication available in the form of tablet to take by mouth, twice a day, every 12 hours.

Special Instruction :
• Caution should be exercised in patients with history of allergies, blood disorders or anemia or kidney or liver disease, pregnant, plan to become pregnant, or are breast-feeding. *Cigarette smoking may decrease the effectiveness of this drug.

Side Effects :

CNS:
Dizziness, depression.
GI:
Upset stomach, diarrhea, loss of appetite.
MISCELLANEOUS:
Tiredness, muscle weakness, difficulty in breathing, fever,

Other Precautions :
To avoid liver damage, do not drink alcoholic beverages.

Storage Conditions :

Store at 25°C. Store it in air tight container.

RIFAXIMIN

Generic Name : RIFAXIMIN

TradeName
: RCIFAX® [tab]

Why it is prescribed (Indications) : This medication is an antibiotic prescribed for traveler's diarrhea caused by certain bacteria and liver disease affecting the brain(hepatic encephalopathy). It prevents the growth of bacteria inside the intestine (gut).

When it is not to be taken (Contraindications) : Hypersensitivity.

When it is to be taken : Traveler’s Diarrhea: Oral: 200 mg 3 times daily for 3 days. Hepatic encephalopathy: 550mg orally two times a day.

How it should be taken : It comes as a tablet to take by mouth. It is usually taken with or without food three times a day for 3 days.

Special Instruction :
Caution needed for pregnant and breast feeding women, severe liver disease.

Side Effects :
CENTRAL NERVOUS SYSTEM- Headache, abnormal dreams, dizziness, migraine, syncope, sleeplessness, fatigue.
SKIN- Sunburn, clamminess, rash, increased sweating.
EYE AND ENT- Ear pain, motion sickness, perception of sound within the human ear in the absence of corresponding external sound, nasal passage irritation, stuffy nose, runny nose.
GI- Constipation, vomiting, abdominal distension, diarrhea, dry throat, fecal abnormality, gingival disorder, hernia, dry lips, stomach discomfort, dysentery, blood in stool, loss of appetite, loss of taste.
GENITOURINARY- Blood in urine, bile salts in the urine, painful urination, urinary frequency, protein in urine.
BLOOD- Abnormal increase in the number of lymphocytes, monocytes, decrease in neutrophils.
HYPERSENSITIVITY- Allergic reactions, rash, edema, hives, itching.
METABOLIC-NUTRITIONAL- Weight loss, dehydration.
MUSCULOSKELETAL- Joint pain, muscle spasms, muscle pain, neck pain.
RESPIRATORY- Upper respiratory tract infection, difficulty in breathing.
MISCELLANEOUS- Chest pain, uneasiness, weakness, hot flashes.

Other Precautions :
It may lead to dehydration, drink adequate liquid.

Storage Conditions :
Store it at room temperature, in airtight container. Keep away from excess heat and moisture

Rifampin

Generic Name : Rifampin

TradeName : Cavidin, Coxid-450, Coxid-450, Famcin, Gocox, Macox, Monocin, Monotmycin, Mycostat, Rimpin, Rifacept, Rifacilin, Rifampila, Rifamycin, Rimactane, Rimpacin, Ticin, Zucox

Why it is prescribed (Indications) : Rifampin eliminates bacteria that cause tuberculosis (TB). It generally is used with other drugs to treat tuberculosis and to prevent you from giving the infection to others. It has also been used to treat leprosy.

When it is to be taken : Rifampin is usually taken once a day. You will probably be taking it for at least three months and possibly for up to two years. Get in the habit of taking it at a time that is easy for you to remember such as when you wake up in the morning. Follow the instuructions on your prescription label carefully.

How it should be taken
: Rifampin comes in the form of capsules. It works best on a empty stomach - one hour before or at least two hours after a meal.

Special Instruction :
1. Do not stop taking this medication, even if you feel better and have no symptoms, unless you are told to stop by your doctor. Take only the amount prescribed, and remember to take your dose every day.
2. Taking rifampin irregularly can cause blood and liver problems.
3. Rifampin makes some patients drowsy. Do not drive a car or operate dangerous machinery until you know how this drug affects you.
4. Be careful about drinking alcoholic beverages; alcohol can increase the liver problems sometimes caused by rifampin.
5. Keep all appointments with your doctor so that tests can be done to check your response.
6. If you forget to take a dose, take the missed dose as soon as you remember it. However, if you remember the missed dose at the time you are to take the next one, take only the regularly scheduled dose. Do not take a double dose.

Side Effects :
1. Red-orange colouring of urine, stools, saliva, sputum, sweat, and tears. This harmless effect is normal.
2. Headache, muscle pain, nausea, vomiting, stomach cramps, diarrhoea. If these side effects are severe, contact your doctor.
3. Stomach problems may be relieved by taking your rifampin with a snack. 4. Hives, sores on skin or in the mouth, fever, jaundice, yellowing of skin. Stop taking the medication and contact your doctor.

Other Precautions :
1. Tell your doctor if you are pregnant or breast-feeding a baby. Rifampin can alter the effectiveness of oral contraceptives. If you are using oral contraceptives for birth control, also use some other birth-control method while taking this medication. Ask your doctor for advice.
2. Tell your doctor what prescription and nonprescription drugs you are taking, especially anticoagulants such as warfarin, estrogen, medication for heart disease or diabetes, verapamil, cyclosporine, and methadone.
3. Rifampin can cause permanent staining of soft contact lenses.
4. Do not allow anyone else to take this medication.

Storage Conditions :
1. Keep this medication in the container it came in and out of the reach of children.
2. Store the container at room temperature, away from warm areas.

Reserpine

Generic Name : Reserpine

TradeName : Adelphane, Adelphane-Esidrox, Alsartan-H, Angizaar H, Arkanin-H, Beta-Biduret, Betacard Plus, Biduret, BP-Loride, Corbetazine, Cardif Beta, CatapresDIU, Cipril-H, Cipril-H, Genophane, Hipres-D, Hytrol-AM, Hysartas, Lasiride, Lisoril-5 HT, Listril Plus, Losar-A, Losar-H, S

Why it is prescribed (Indications) : Reserpine controls high blood pressure by widening the openings of the blood vessels so that blood can flow more easily through the body. Reserpine also has been used to treat some blood vessel diseases such as Raynaud's disease.

When it is to be taken : Reserpine is usually taken once or twice a day. Follow the instructions on your prescription label carefully, and ask your doctor to explain any part that you do not understand. This medicaiton controls high blood pressure but does not cure it. Therefore, it is important that you take it regularly. Try to take it at the same time that you do something else each day such as brushing your teeth in the morning, eating dinner, or going to bed at night. You may have to take reserpine for three weeks before feeling its full effects on blood pressure.

How it should be taken : Reserpine comes in the form of tablets. Your prescription label tells you how much to take at each dose. Your doctor may change your dose.

Special Instruction :
1. Keep all appointments with your doctor. Your blood pressure should be checked regularly, and your eyes may be examined occasionally.
2. Reserpine makes some patients drowsy. Do not drive a car or operate dangerous machinery until you know how it affects you.
3. Do not stop taking reserpine without consulting your doctor.
4. Do not take a missed dose when you remember it. Omit it; take only your next regularly scheduled dose.

Side Effects :

1. Drowsiness, headache. Contact your doctor if these effects persist or are severe.
2. Dry mouth, nasal stuffiness. Drink plenty of fluids, chew surgarless gum, or suck sugarless hard candies.
3. Dizziness. Get up slowly. If dizziness is persistent or severe, contact your doctor.
4. Weight gain, breast enlargement in men, decreased sexual drive. Contact your doctor: your dose or your medication may need to be changed.
5. Upset stomach. Take the medication with meals or a snack. If upsets continue, contact your doctor.
6. Depression, loss of appetite, mood changes, nightmares. Contact your doctor immediately.

Other Precautions :
1. Before you take reserpine, tell your doctor what prescription and nonprescription medications you are taking.
2. If you ever had mental illness, severe depression, ulcers, gallstones, or asthma, tell your doctor before taking reserpine.
3. Before having surgery, including dental surgery, tell the doctor about your blood pressure medications.
4. If you are pregnant or breast-feeding or if you become pregnant while taking reserpine, tell your doctor.
5. Do not allow anyone else to take this medication.

Storage Conditions :
Keep this medication in the container it c

REPAGLINIDE

Generic Name : REPAGLINIDE

TradeName : EUREPA tab NOVONORM tab PAGE tab RAPILIN tab REGAN tab REPA tab REPIDE tab

Why it is prescribed (Indications) : This medication is prescribed for type 2 diabetes condition, in which the body does not use insulin normally. It regulates the amount of glucose in blood by stimulating the pancreas to release insulin.

When it is not to be taken (Contraindications) : Diabetic ketoacidosis; severe liver impairment, type 1 diabetes; hypersensitivity, lactation, along with gemfibrosil.

When it is to be taken : Oral: Initial: 0.5 mg before main meals. We may adjust dose 1 to 2 mg weekly, up to 4 mg/dose. Max: 16 mg/day.

How it should be taken : It comes as a tablet to take by mouth. The tablets are taken before meals, any time from 30 minutes before a meal to just before the meal.

Special Instruction :
*Avoid alcohol consumption while taking this medication. *Follow the diet and exercise program given to you by your health care provider. *Caution needed for patients with history of heart attack, liver or kidney diseases, diabetes, coma, trauma during surgery, elderly, malnourished and debilitated patients. *It may harmful to pregnancy.

Side Effects :
METABOLIC-NUTRITIONAL- Low blood sugar (these may include cold sweats, cool pale skin, tremor, anxious feeling, unusual tiredness or weakness, confusion, difficulty in concentration, excessive hunger, temporary vision changes, headache or nausea).
HEART- Serious heart problems and death.
CENTRAL NERVOUS SYSTEM- Headache
SKIN- Hair loss, severe allergic reactions.
EYE AND ENT- Stuffy nose.
GI- Diarrhea, nausea, constipation, vomiting, tooth disorder, inflammation of pancreas.
GENITOURINARY- Urinary tract infection.
BLOOD-LYMPHATIC- Decrease in hemoglobin, platelets.
LIVER- Severe liver dysfunction.
MUSCULOSKELETAL- Muscle pain, back pain.
RESPIRATORY- Upper respiratory tract infection, inflammation of para-nasal sinuses and bronchus.
MISCELLANEOUS- Chest pain, tingling, allergy.

Other Precautions :
*Do not change the dose of your medicine without checking with your doctor.

Storage Conditions :
Oral: Store below 25°C. Protect from moisture.

Ranitidine

Generic Name : Ranitidine

TradeName : Aciloc, Advene, Advene, Consec, Din, Giran, Histac, Histac-EVT, Kamtac, Lydin, Nilcer, R-loc, Ran X, Ranial, Ranitidine, RanitidineINJ, Ranitidine-AD, Ranitin, Rannet, Rantac, Rdin, Renitab, Ridcer, Rintid, Ulfast, Uttidin, Ulcitab, Zinetae, Zoran, Zynol

Why it is prescribed (Indications) : Ranitidine decreases the amount of acid produced in the stomach. It is used to treat some types of gastrointestinal ulcers and conditions in which the stomach produces too much acid. Ranitidine also is used to prevent the recurrence of ulcers.

When it is to be taken : Ranitidine is usually taken twice a day or once a day at bedtime to prevent the recurrence of ulcers. Although most ulcers heal within four weeks, you may have to take ranitidine for up to eight weeks before complete healing occurs. Follow the instructions on your precription label carefully, and ask your doctor to explain any part that you do not understand.

How it should be taken : Ranitidine comes in the form of tablets and oral liquid. Your prescription label tells you how much to take at each dose. You may obtain a specially marked measuring spoon to be sure of an accurate dose of the liquid.

Special Instruction :
1. Keep all appointments with your doctor so your response to this medication can be checked.
2.If you forget to take a dose, take the missed dose as soon as you remember it. However, if it is almost time for your next dose, take only the scheduled dose. Do not take a double dose to make up for a missed one.

Side Effects :
1. Headache, constipation, nausea, abdominal pain, dizziness. If these problems are severe or persistent, contact your doctor.
2. Fever, sore throat, mental confusion, yellowing of skin or eyes. Contact your doctor.

Other Precautions
:
1. Women who are pregnant or breast-feeding should inform their doctors before taking ranitidine.
2. Tell your doctor about any prescription and nonprescription medications you are taking, especially propantheline, before taking ranitidine.
3. Tell your doctor if you have kidney or liver disease.
4. If you have ulcers, do not smoke cigarettes. Smoking apparently inhibits ulcer healing.

Storage Conditions :
Keep this medication in the container it came in and out of the reach of children.

RAMIPRIL

Generic Name : RAMIPRIL

TradeName :
ACEPRIL tab ACEPRIL TAB tab ACEPRIL-A tab ALVACE cap AMLOKOS-R tab CARDACE tab CARDIOPRIL cap CONRAM tab CORDIMIL cap CORPRIL cap CORPRIL-AM tab DEXACE tab ECATOR tab ETORIL tab GOPRIL tab HECRIL tab HOPACE cap HOPACE tab HOPACE-AM tab HOPECARD 2.5-AM cap HOPECARD cap HOPERAM tab KAPRIL tab MEGAPRIL tab ODIPRIL HG-cap OLMY-R tab PREFACE tab PRILACE tab R.PRIL cap RACE cap RAMACE cap RAMACE TAB tab RAMCOR cap RAMEY cap RAMIC tab RAMICARD tab RAMIC-FORTE tab RAMICHEK tab RAMIC-M tab RAMIDIL cap RAMIHART film-coated tab

Why it is prescribed (Indications) : This medication is used alone or in combination with other medications to treat high blood pressure. It is also used to reduce the risk of heart attack and stroke in patients at risk for these problems and to improve survival in patients with heart failure after a heart attack. It is an angiotensin-converting enzyme (ACE) inhibitors. It decreases certain chemicals that tighten the blood vessels, so blood flows more smoothly and the heart can pump blood more efficiently.

When it is not to be taken (Contraindications) : Hypersensitivity, bilateral renal artery stenosis (narrowing of the arteries going to the kidney), or a single kidney with unilateral renal artery stenosis, aortic stenosis or outflow tract obstruction, pregnancy and lactation.

When it is to be taken : Oral Hypertension Initial: 1.25 mg at bedtime. Maintenance: 2.5-5 mg/day as a single dose, up to 10 mg/day if needed. Heart failure Initial: 1.25 mg once daily. Max: 10 mg/day. Myocardial infarction (Heart Attack) Start 3-10 days after infarction. Initial: 2.5 mg twice daily after 2 days, then 5 mg twice daily. Maintenance: 2.5-5 mg twice daily.

How it should be taken
: It comes as a capsule to take by mouth. It is usually taken once or twice a day with or without food.

Special Instruction :

1. It may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. Get up slowly from bed.
2. It may cause a serious side effect called angioedema. Contact your doctor at once if you develop swelling of the hands, face, lips, eyes, throat, or tongue; difficulty swallowing or breathing; or hoarseness.
3. It may affect your blood sugar. Check blood sugar levels closely.
4. Monitor kidney function before and during treatment.
5. Regular monitoring of white blood cells in patients with vascular collagen disorders is recommended.
6. Use with caution in patients with history of an allergic reaction which included swelling of the face/lips/tongue/throat (angioedema). Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver disease, high blood levels of potassium, heart problems, severe dehydration (and loss of electrolytes such as sodium), diabetes (poorly controlled), strokes, blood vessel disease (e.g., collagen vascular diseases such as lupus, scleroderma).

Side Effects :
HEART- Low blood pressure, chest pain, loss of consciousness.
CENTRAL NERVOUS SYSTEM- Dizziness.
GI- Nausea, vomiting, diarrhea.
GENITOURINARY- Abnormal kidney function.
BLOOD- Severe decrease in white blood cells.
METABOLIC- Increase in potassium in blood.
RESPIRATORY- Cough.
MISCELLANEOUS- Severe allergic reactions.

Other Precautions :
Dehydration, excessive sweating, vomiting, or diarrhea may increase the risk of low blood pressure. So monitor BP regularly.

Storage Conditions :
Store at 25 °C. Store it in airtight container and keep away from children.

RABEPRAZOLE

Generic Name : RABEPRAZOLE

TradeName : ABRA tab ABRA-D tab ACERA cap ACIDOM tab ACISTAL tab ACISTAL-D cap ADEC tab AFFIRAB tab AFFIRAB-D tab ALBERA enteric-coated tab ALGIBRA tab ANTUC tab ANTUC vial ANTUC-DSR tab APTASE-DSR HG-cap ARIBZOL tab ARIBZOL-D tab ASALT enteric-coated tab ASALT-D cap ASIRAB tab ASIRAB-D tab BIZO tab BIZO-D tab BIZO-DSR tab B-JOY PLUS cap B-JOY tab BRAZO tab BRAZO-D tab BROZOLE-D cap CIDRID cap CINRAB tab COMVINE cap COOLX tab COOLX-D tab CURAB-D cap CYRA tab CYRA-D cap DEGURGE-DSR cap DEPUMP tab DESPRAZOLE tab DEXICOOL tab DEXROBEL-DSR cap DIGERAB-D tab DIGERAB-DSR cap D-KOOL cap DOMRAB cap DORAFEM tab DRAB enteric-coated cap D-RABIBIT tab D-RABIBIT-DSR cap ESOGARD cap FURAB inj FURAB tab

Why it is prescribed (Indications) : This medication is prescribed for duodenal ulcer, gastro esophageal reflux disease (GERD), and Zollinger-Ellison (gastric acid hyper secretion) syndrome. It is in a class of medications called proton-pump inhibitors. It works by decreasing the amount of acid made in the stomach.

When it is not to be taken (Contraindications) : Hypersensitivity, pregnancy.

When it is to be taken : Oral Gastro-oesophageal reflux disease For erosive oesophagitis: 20 mg once daily in the morning for 4-8 wk. Maintenance: 10-20 mg once daily. For non-erosive oesophagitis: 10 mg once daily for 4 wk, upon symptom resolution, may continue with 10 mg once daily when needed. Healing of Duodenal Ulcers: Adults-Oral 20 mg/day after the morning meal for 4 wk; additional therapy may be required for some patients. Zollinger-Ellison – 60 mg once daily. Adjust according to patient’s needs.

How it should be taken : It comes as a delayed-release (long-acting) tablet to take by mouth. It is usually taken once a day for 4 to 8 weeks, but it is sometimes taken for a longer time, with or without food.

Special Instruction :
*Caution should be exercised in patients with history of bleeding ulcer, such as black, tarry stools or vomit that looks like coffee grounds, or if you experience throat pain, chest pain, severe stomach pain, or trouble swallowing contact your doctor immediately.
*May increase the risk of GI infections due to acid suppressive effects, liver damage, gastric tumor.

Side Effects :
CENTRAL NERVOUS SYSTEM- Headache, dizziness, disorientation/delirium.
SKIN- Skin eruptions, severe allergic reactions.
EYE AND ENT- Inflammation of pharynx.
GI- Diarrhea, nausea, abdominal pain, vomiting, flatulence, constipation, abdominal pain, dry mouth.
GENITOURINARY- Kidney disorder.
LIVER- Occurrence of confusion, altered level of consciousness and coma as a result of liver failure (hepatic encephalopathy), inflammation of liver, increased liver enzymes, jaundice.
BLOOD- Decrease in white blood cells, anemia.
METABOLIC-NUTRITIONAL- Excess ammonia in blood, thyroid stimulating hormone elevations.
MUSCULOSKELETAL- Joint pain, muscle
pain, rapid breakdown of skeletal muscle.
RESPIRATORY- Inflammation of lung tissue.
MISCELLANEOUS- Pain, infection, rapid swelling of dermis, coma, sudden death.

Other Precautions :
Avoid abrupt withdrawal.

Storage Conditions :
Oral: Store at 15-30°C. Store it in air tight container and keep away from children.