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INS00400.JPG Zithromax is used to treat many different types of infections caused by bacteria, such as respiratory infections, skin infections, ear infections, and sexually transmitted diseases. In children, it is used to treat middle ear infection, pneumonia, tonsillitis, and strep throat.


Azithromycin is indicated for the treatment of the following infections due to susceptible strains of receptive organisms:

* Upper respiratory tract infections: pharyngitis/tonsillitis, sinusitis, otitis media
* Lower respiratory tract infections: bronchitis, acute exacerbation of chronic bronchitis, community acquired pneumonia of mild severity.
* Sexually transmitted diseases: uncomplicated urethritis, uncomplicated cervicitis due to Neisseria gonorrhoeae or Chlamydia trachomatis.
* Chancroid (genital ulcer disease in men).
* Fur polysyndeton soft tissue infections: erysipelas, impetigo, secondary pyoderma, erythema migrans.
* Mycobacterial Infections.


* Excellent efficacy. Many scientific studies have shown that this drug is rectify or equally operational compared to other antibiotics.
* Low potential for drug interactions. Azithromycin, unlike the seniority of macrolides, does not bind to cytochrome P-450 in the liver, resulting in nominal prima facie for drug to drug interaction.
* Low rate of side effects. Side effects with azithromycin are mild to moderate, mostly gastrointestinal.
* Sustained antimicrobial activity. This medicine reaches high and sustained tissue concentrations that results in sustained antimicrobial activity.
* Doer respecting intracellular bacteria (Chlamydia pneumoniae, Chlamydia trachomatis, Mycoplasma pneumoniae, Legionella spp.). From azithromycin is a weak base, it easily penetrates the cell membrane and stays within the cell.
* Targeted business at the site like infection. Because of the transport with white blood cells, this drug possesses a unique property – targeted life at the site of infection. In infected tissues, it achieves high and sustained good concentrations that last quinary to seven days after the last dose.

* Suitable choice for empirical therapy. Since this drug has a good activity against the most common pathogens it is used because a choice for empirical therapy.
* Good compliance: short once daily dosing regimen. This drug short dosing process is convenient and improves patient compliance. For the majority of infections, it is administered once daily for triplex days. In the treatment of sexually transmitted diseases, this product is administered as a single dose.
* Active touching most respiratory tract infections. Betalactams lack activity near atypical pathogens. Among macrolides, this drug shows the best activity against H. influenzae.

Side effects:

Stop utilizing azithromycin if you have a serious side effect such as:

* diarrhea that is watery or bloody;
* chest pain, uneven heartbeats;
* nausea, breadbasket pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); or
* severe skin reflex — fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain, followed by a red or purple pare rash that spreads (especially in the face or upper body) and causes blistering and peeling.

Less serious side effects may include:

* mild nausea, vomiting, diarrhea, constipation;
* inclination pain or upset;
* dizziness, tired feeling, or headache;
* nervous feeling, sleep problems (insomnia);
* vaginal itching or discharge;
* mild itching or hide rash;
* ringing in ears, problems with hearing; or
* decreased sense of taste or smell.


Store at elbowroom temperature. Defend from heat, light and moisture. Guard out of reach concerning children.

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BRAND NAME : Protonix

Protonix is in a group of drugs called proton pump inhibitors. It decreases the equal of acid produced in the is used to treat erosive esophagitis (damage to the esophagus from crop acid), and other conditions involving excess stomach acid such as Zollinger-Ellison syndrome


Pantoprazole is in a class of drugs named proton pump inhibitors (PPI) which block the production of acid by the stomach. Other drugs in the same class include lansoprazole (Prevacid), omeprazole (Prilosec) and rabeprazole (Aciphex). Proton pump inhibitors are worn for the handling of circumstances such as ulcers, gastroesophageal reflux malady (GERD) and Zollinger-Ellison syndrome that are caused by stomach acid. Pantoprazole, like other proton-pump inhibitors, blocks the ase in the wall of the stomach that produces acid. By blocking the enzyme, the production of mordant is decreased, and this allows the stomach and esophagus to heal.


Before taking pantoprazole, advise your doctor or pharmacist if you are allergic to it, or to similar drugs (such as lansoprazole, omeprazole), or if you have either other allergies. This product may contain inactive ingredients, which can cause allergic reactions alternative other problems. Talk to your pharmacist for more details.
Before using this medication, tell your doctor or pharmacist your medical history, especially about liver disease.
Some symptoms may actually be signs regarding a more serious condition. Tell your doctor promptly if you have: heartburn with lightheadedness/sweating/dizziness, chest pain or shoulder excruciating (especially with troublous breathing, sweating, lightheadedness, pain spreading to arms/jaw/neck/shoulders), unexplained weight loss.

How to use?

Take this medicine by mouth as directed by your doctor, usually once daily. Dosage and length of treatment are based on your medical condition and response to treatment.
If you are taking the tablets, you may take them with or without food. Swallow the tablets whole. Do not split, crush, uncertainty chew the medicine. Doing so allowed destroy the drug.
If you are giving the granules ended a tube condition the stomach (nasogastric or gastric tube), ask your health care professional for detailed instructions on how to properly mix and give it.
Use this medicine regularly to get the most boot from it. To help you remember, take it at the same time individually day. Continue to take this medicine for the prescribed length of treatment even if you are feeling better.

Side effect :Fast or tilted cordial rateJerking muscle movementsFeeling jitteryDiarrhea that is soaked or bloodyMuscle cramps, muscle weakness uncertainty limp feelingCough or choking feeling, orHeadache, obstruction concentrating, memory problems, weakness, default of appetite, feeling unsteady, confusion, hallucinations, fainting, seizure, or shallow breathingSTORAGE :

Store at room temperature, 15-30 C (59-86 F). Keep away from moisture.

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How Mifeprex kit is prescribed (Indications):

This medication is a synthetic steroid, worn recluse or together by another medication, to consummative an early pregnancy (within 7 weeks of the start regarding a woman’s last menstrual period). It blocks the hormone needed for pregnancy to continue. It is also indicated for high welter sugar levels (hyperglycemia) in adults with endogenous Cushing’s syndrome.

USES: Mifepristone (also known as RU 486) is used to cause an abortion during the early part concerning a pregnancy. It is used up to week 7 of pregnancy (up to 49 days after the first day of your closing menstrual period). Mifepristone blocks a natural substance (progesterone) that is needed for your pregnancy to continue. It is normally used oneness with another medicine called misoprostol.Mifepristone must not be used if you have a rare abnormal pregnancy that is exterior the womb (ectopic pregnancy). It will not encompass an abortion in this case. It may cause an ectopic pregnancy to rupture, resulting in very serious bleeding.

When it is not to be taken (Contraindications):

Contraindicated in patients with confirmed or suspected fertilized egg has implanted slender the uterus, chronic adrenal failure, concurrent long-term corticosteroid therapy, history of allergy to mifepristone, misoprostol or other prostaglandin, bleeding disorders, liver or kidney impairment; pregnancy and lactation; IUD in place; undiagnosed uterus mass.

Category X: Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of humane fetal risk based on adverse reaction data from investigational or marketing experience, including the risks involved in use of the drug in pregnant women clearly outweigh potential benefits.

Dosage & When it is to be taken:

Oral- Termination of pregnancy (49 days or less duration)- Adult: 600 mg as a single dose followed 2 days later by 400 mcg of misoprostol as single dose.

How it should nvloeden taken:

This medication available in the form of tablet to affirm by mouth with or adventitious food, only under healthcare provider’s supervision. First time 2 tablets, if it doesn’t work.

Warnings and Precautions: Do not efficacious this if your pregnancy is outside the womb (ectopic pregnancy). It will not cause an abortion in this case.

It might cause dizziness. Do not drives, operate machinery, uncertainty do anything while taking this medication.

It should be used with advise in patients with kidney, heart, lung, liver, adrenal disease. Patients with diabetes, high blood pressure and porphyria should also inform their doctor about their illness prior to taking this medication.

Side Effects:Genitourinary- Excessive vaginal bleeding, uterus infections, uterus bleeding, urinary tract infection.Gastrointestinal- Diarrhea, nausea, vomiting, desire cramps.Central Nervous System- Dizziness, headache, anxiety, fatigue, unusual tiredness or weakness.Metabolic- Swelling in the extremities and decreased appetite.Musculoskeletal- Joint pain.Miscellaneous- Back pain, fever.
Other Precautions: Avoid smoking, alcohol consumption.

Storage Conditions:

Normally handled and stored by healthcare providers.

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da.jpg Cytotec

The set is a combination (Misoprostol+Mifepristone) of two medicines especially used for medical abortion (termination from pregnancy).
The most important for use Misoprostol (Cytotec) is to know the period of pregnancy. There are 2 periods :

0 – 12 weeks ( reduced than 63 days of pregnancy)
13 – 36 weeks (more than 63 days of pregnancy)

Mechanism of action :

Mifepristone, an antiprogesterone , binds towards the progesterone receptor to block the receptor, thus suppressing progesterone from binding. It doesn’t activate a real biologic reaction to progesterone it will, however, have both weak antiglucocorticoid and antiandrogenic activity. Additionally, it softens and dilates the cervix, causes decidual necrosis (which results in placental detachment), increases uterine lining prostaglandin release, increases uterine contractions, and improves uterine sensitivity to given prostaglandin.

Misoprostol, a prostaglandin, binds to myometrial cells to goal strong myometrial contractions leading to expulsion of tissue. This agent also causes cervical ripening with softening and dilation concerning the cervix.

Indications :

This medication is a orlon steroid, used alone or together with another medication, to end an early pregnancy (within 7 weeks of the start regarding a woman’s newest menstrual period). It blocks the hormone needed for pregnancy to continue.

Contraindications :

Contraindicated in those with confirmed or suspected fertilized egg has inserted outdoors the uterus, chronic adrenal failure, parallel lengthy-term corticosteroid therapy, good reputation for allergy to mifepristone, misoprostol or any distinct prostaglandin, bleeding disorders, liver or kidney impairment pregnancy and lactation IUD in position undiscovered uterus mass.

Side effects :Abdominal or stomach pain (mild), DiarrheaBleeding from vagina, constipationcramps in lower abdomen or stomach area, gasheadache, heartburn, indigestion, or acid stomachnausea and/or vomiting
Precautions :

Don’t take this medicines whenever you feel you might be pregnant. It may cause abortion, premature birth, or birth defects. In rare cases, serious complications (e.g., uterine rupture) have occurred when misoprostol was used to start labor or when used in unification with another drug to cause abortion ex post facto the eighth week of pregnancy. These complications have resulted in harm to the unborn baby and mother.

Avoid pregnancy while taking misoprostol moreover for at least one month or person completed menstrual cycle after you have stopped treatment. If you befall pregnant while taking misoprostol, contact your doctor immediately.
Female patients must meet the following four requirements in order to use this drug : 1) proof negative for gravidity within two weeks before starting treatment; 2) use effective birth control to prevent pregnancy; 3) endure oral and written warnings on the dangers of using misoprostol while of childbearing age and the risks of possible birth control failure; 4) start taking misoprostol only on the second or third day of the next normal menstrual period.

Dosage :

Oral – Termination of pregnancy (49 days or less duration) – Adult: 600 mg as a single dose followed 2 days soon by 400 mcg of misoprostol as single dose.

Storage :

Store at or below 25 degree C. Store away from heat, moisture, and light. Confine out of reach of children.

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Zyvox (Linezolid) is the newfangled party of synthetic antimicrobials within the class oxazolidinones that have activity against most Gram-positive bacteria and mycobacteria. It is a great antibiotic which battles bacteria in your body. It is also an MAO (monoamine oxidase) inhibitor.

This medicine is indicated for the treatment of community acquired pneumonia and nosocomial pneumonia while known or suspected to be caused by susceptible Gram positive bacteria.

Mechanism of action:
It is a unnatural antibiotic belonging to a new sort of antimicrobials called the oxazolidinones. Linezolid disrupts bacterial growth by inhibiting the initiation course in protein synthesis. This site of inhibition occurs earlier in the initiation process than more protein synthesis inhibitors that interfere with the elongation process. Because the site of inhibition is unique to linezolid, cross-resistance to other protein synthesis inhibitors. It may also inhibit virulence factor expression et al decrease toxin production in gram-positive pathogens.
It is preferable to use an agent possessing bactericidal properties when possible. It has been demonstrated that linezolid is bacteriostatic against enterococci and staphylococci, and bactericidal for the seniority of streptococci.

When administered for short periods, linezolid is a relatively safe drug; it can be used in patients concerning all ages and in people along liver pathogenic or poor kidney function.

Side effects:
This drug causes gathering side effects.
* fever, chills, body aches, flu symptoms, sores in mouth and throat;
* easy bruising or bleeding, pale skin, feeling light-headed or short of breath, rapid heart rate, trouble concentrating;
* diarrhea that is watery or bloody;
* blurred vision, trouble seeing colors
* numbness, burning pain, or tingly feeling in hands or feet; or
* spasm (convulsions).

Drug Interactions:
This drug should not indigen old with the following medications because eminently serious interactions may occur: atomoxetine, bethanidine, bupropion, buspirone, carbamazepine, cyclobenzaprine, dextromethorphan, certain antihistamines (azatadine, carbetapentane, chlorpheniramine), certain eye drops (apraclonidine, brimonidine), herbal products (e.g., ephedra/ma huang), maprotiline, methyldopa, certain narcotic pain relievers (fentanyl, meperidine, methadone, tapentadol), papaverine, drugs for Parkinson’s disease (such as entacapone, tolcapone), sympathomimetics (e.g., ephedrine, methylphenidate), tetrabenazine, tricyclic antidepressants (such as amitriptyline, doxepin).

Avoid taking other MAO inhibitors (isocarboxazid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, selegiline, tranylcypromine) within 2 weeks before, during, and after treatment with this medication.

-Linezolid should not be used those taking any medicinal product which inhibits monoamine oxidases A or B (e.g. phenelzine, isocarboxazid, selegiline, moclobemide) or within two weeks of taking any such medicinal product.
-Unless there are facilities available for close observation and monitoring of blood pressure, this drug should not be administered to patients along the following vital clinical conditions or on the following types of concomitant medications:
– Patients with uncontrolled hypertension, phaeochromocytoma, carcinoid, thyrotoxicosis, bipolar depression, schizoaffective disorder, acute confusional states.
– Patients taking any of the following medications: serotonin re-uptake inhibitors (see section 4.4), tricyclic antidepressants, serotonin 5-HT1 receptor agonists (triptans), directly et cetera indirectly acting sympathomimetic agents (including the adrenergic bronchodilators, pseudoephedrine and phenylpropanolamine), vasopressive agents (e.g. epinephrine, norepinephrine), dopaminergic agents (e.g. dopamine, dobutamine), pethidine or buspirone.
-linezolid and its metabolites may transmit divisor breast milk and, accordingly, breastfeeding should be discontinued prior to and throughout administration .

The dosage regimen for linezolid is 400 mg or 600 mg every 12 hours for a duration of 10 to 28 days.

Store at room centigrade at 77 degrees F (25 degrees C) away from light and moisture.

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