Wednesday, October 5, 2016

Gentacidin


Generic Name: gentamicin (Ophthalmic route)

jen-ta-MYE-sin

Commonly used brand name(s)

In the U.S.


  • Garamycin

  • Genoptic

  • Genoptic S.O.P.

  • Gentacidin

  • Gentafair

  • Gentak

  • Gentasol

  • Ocu-Mycin

Available Dosage Forms:


  • Solution

  • Ointment

Therapeutic Class: Antibiotic


Chemical Class: Aminoglycoside


Uses For Gentacidin


Gentamicin belongs to the family of medicines called antibiotics. Gentamicin ophthalmic preparations are used to treat infections of the eye.


Gentamicin is available only with your doctor's prescription.


Before Using Gentacidin


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


There is no specific information comparing use of this medicine in babies up to one month of age with use in other age groups.


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 or if they cause different side effects or problems in older people. There is no specific information comparing use of this medicine in the elderly with use in other age groups.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersDStudies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding


Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.


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. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.


Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Alcuronium

  • Atracurium

  • Cidofovir

  • Cisatracurium

  • Colistimethate Sodium

  • Decamethonium

  • Doxacurium

  • Ethacrynic Acid

  • Fazadinium

  • Furosemide

  • Gallamine

  • Hexafluorenium

  • Lysine

  • Metocurine

  • Mivacurium

  • Pancuronium

  • Pipecuronium

  • Rapacuronium

  • Rocuronium

  • Succinylcholine

  • Tacrolimus

  • Tubocurarine

  • Vancomycin

  • Vecuronium

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.


  • Indomethacin

  • Methoxyflurane

  • Polygeline

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 gentamicin

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


For patients using the eye drop form of this medicine:


  • The bottle is only partially full to provide proper drop control.

  • To use:
    • First, wash your hands. Tilt the head back and with the index finger of one hand, press gently on the skin just beneath the lower eyelid and pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed for 1 or 2 minutes, to allow the medicine to come into contact with the infection.


  • If you think you did not get the drop of medicine into your eye properly, use another drop.

  • Avoid wearing contact lenses during treatment

  • To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed.

For patients using the eye ointment form of this medicine:


  • First, wash your hands. Tilt the head back and with the index finger of one hand, press gently on the skin just beneath the lower eyelid and pull the lower eyelid away from the eye to make a space. Squeeze a thin strip of ointment into this space. A 1-cm (approximately ⅓-inch) strip of ointment is usually enough unless otherwise directed by your doctor. Let go of the eyelid and gently close the eyes and keep them closed for 1 or 2 minutes, to allow the medicine to come into contact with the infection.

  • To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). After using gentamicin eye ointment, wipe the tip of the ointment tube with a clean tissue and keep the tube tightly closed.

To help clear up your infection completely, keep using this medicine for the full time of treatment, even if your symptoms have disappeared. 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 ophthalmic ointment dosage form:
    • For eye infections:
      • Adults and children—Use every eight to twelve hours.



  • For ophthalmic solution (eye drops) dosage form:
    • For mild to moderate eye infections:
      • Adults and children—One to two drops every four hours.


    • For severe eye infections:
      • Adults and children—One to two drops as often as once every hour as directed 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.


Precautions While Using Gentacidin


If your symptoms do not improve within a few days, or if they become worse, check with your doctor.


Gentacidin 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 immediately if any of the following side effects occur:


Less common
  • Itching, redness, swelling, or other sign of irritation not present before use of this medicine

  • redness of eye, eyelid, or inner lining of eyelid

Rare
  • Black, tarry stools; blood in urine or stools; or unusual bleeding or swelling

  • blurred vision, eye pain, sensitivity to light, and/or tearing

  • seeing, hearing, or feeling things that are not there

  • hallucinations

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:


Less common
  • Burning or stinging

After application, eye ointments usually cause your vision to blur for a few minutes.


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: Gentacidin 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.


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More Gentacidin resources


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


  • Gentacidin Concise Consumer Information (Cerner Multum)

  • Garamycin Ophthalmic Concise Consumer Information (Cerner Multum)

  • Genoptic Drops MedFacts Consumer Leaflet (Wolters Kluwer)

  • Gentak Prescribing Information (FDA)

  • Gentak eent Monograph (AHFS DI)

  • Gentak Cream MedFacts Consumer Leaflet (Wolters Kluwer)



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Guaifenesin/Hydrocodone Liquid


Pronunciation: gwye-FEN-e-sin/hye-droe-KOE-done
Generic Name: Guaifenesin/Hydrocodone
Brand Name: Examples include CodiCLEAR DH and Maxi-Tuss HCG


Guaifenesin/Hydrocodone Liquid is used for:

Relieving cough and throat and airway irritation due to colds, flu, or hay fever. It may also be used for other conditions as determined by your doctor.


Guaifenesin/Hydrocodone Liquid is a cough suppressant and expectorant combination. It works by loosening mucus and lung secretions in the chest, and making coughs more productive. The cough suppressant works in the brain to help decrease the cough reflex to reduce a dry cough.


Do NOT use Guaifenesin/Hydrocodone Liquid if:


  • you are allergic to any ingredient in Guaifenesin/Hydrocodone Liquid or any other codeine or morphine-related medicine (eg, oxycodone)

  • you are taking sodium oxybate (GHB)

  • you have increased pressure in the brain, trouble breathing, or diarrhea due to antibiotic use

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



Before using Guaifenesin/Hydrocodone Liquid:


Some medical conditions may interact with Guaifenesin/Hydrocodone Liquid. 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 a history of glaucoma, an enlarged prostate gland or other prostate problems, heart problems, diabetes, high blood pressure, blood vessel problems, stroke, adrenal gland problems, or an underactive thyroid

  • if you have a history of stomach problems, bowel problems (eg, chronic inflammation or ulceration of the bowel), or gallbladder problems (eg, gallstones), or if you have had recent abdominal surgery

  • if you have breathing or lung problems (eg, asthma, chronic bronchitis, emphysema), or chronic obstructive pulmonary disease (COPD), or if cough occurs with large amounts of mucus

  • if you have recently had any head injury, brain injury or tumor, infection of the brain or nervous system, epilepsy, or seizures

  • if you have a history of alcohol abuse, drug abuse, or suicidal thoughts or behavior

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


  • Cimetidine because it may increase the risk of Guaifenesin/Hydrocodone Liquid's side effects

  • Barbiturates (eg, phenobarbital) or sodium oxybate (GHB) because the risk of severe drowsiness or breathing problems may be increased

  • Naltrexone because it may decrease Guaifenesin/Hydrocodone Liquid's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Guaifenesin/Hydrocodone Liquid 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 Guaifenesin/Hydrocodone Liquid:


Use Guaifenesin/Hydrocodone Liquid as directed by your doctor. Check the label on the medicine for exact dosing instructions.


  • Take Guaifenesin/Hydrocodone Liquid by mouth with or without food.

  • Drink plenty of water while taking Guaifenesin/Hydrocodone Liquid.

  • Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.

  • If you miss a dose of Guaifenesin/Hydrocodone Liquid, 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 Guaifenesin/Hydrocodone Liquid.



Important safety information:


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

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

  • If your symptoms do not get better within 5 to 7 days or if they get worse, check with your doctor.

  • Guaifenesin/Hydrocodone Liquid may interfere with certain lab test results. Be sure your doctor and lab personnel know you are taking Guaifenesin/Hydrocodone Liquid.

  • Tell your doctor or dentist that you take Guaifenesin/Hydrocodone Liquid before you receive any medical or dental care, emergency care, or surgery.

  • Use Guaifenesin/Hydrocodone Liquid with caution in the ELDERLY; they may be more sensitive to its effects.

  • Guaifenesin/Hydrocodone Liquid should be used with extreme caution in CHILDREN younger than 6 years old; 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 Guaifenesin/Hydrocodone Liquid while you are pregnant. It is not known if Guaifenesin/Hydrocodone Liquid is found in breast milk. Do not breast-feed while taking Guaifenesin/Hydrocodone Liquid.


Possible side effects of Guaifenesin/Hydrocodone Liquid:


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:



Constipation; dizziness; drowsiness; excitability; headache; nausea; nervousness or anxiety; trouble sleeping; weakness.



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); anxiety; change in amount of urine; difficulty urinating; hearing change or loss; mental or mood changes; severe drowsiness.



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: Guaifenesin/Hydrocodone 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 blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; vomiting.


Proper storage of Guaifenesin/Hydrocodone Liquid:

Store Guaifenesin/Hydrocodone Liquid at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Guaifenesin/Hydrocodone Liquid out of the reach of children and away from pets.


General information:


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

  • Guaifenesin/Hydrocodone Liquid 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 Guaifenesin/Hydrocodone Liquid. 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 Guaifenesin/Hydrocodone resources


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


Compare Guaifenesin/Hydrocodone with other medications


  • Cough

Guanabenz


Pronunciation: GWAHN-a-benz
Generic Name: Guanabenz
Brand Name: Generic only. No brands available.


Guanabenz is used for:

Treating high blood pressure. It may be used alone or with other medicines. It may also be used for other conditions as determined by your doctor.


Guanabenz is an alpha agonist. It works by relaxing (dilating) blood vessels and decreasing heart rate, which lowers blood pressure.


Do NOT use Guanabenz if:


  • you are allergic to any ingredient in Guanabenz

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



Before using Guanabenz:


Some medical conditions may interact with Guanabenz. 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 severe kidney or liver problems or the blood disorder porphyria

  • if you have blood vessel disease affecting the brain, heart problems, or have had a stroke or a recent heart attack

  • if you are scheduled for surgery

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


  • Beta-blockers (eg, propranolol), calcium channel blockers (eg, verapamil), or digitalis because a severe decrease in heart rate may occur

  • Tricyclic antidepressants (eg, amitriptyline) because the effectiveness of Guanabenz may be decreased and certain side effects may be increased

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


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


  • Guanabenz may be taken with or without food.

  • Guanabenz works best if it is taken at the same time each day.

  • Continue to use Guanabenz even if you feel well. Do not miss any doses.

  • Do not suddenly stop taking Guanabenz without talking to your doctor. Excessive elevations in blood pressure and symptoms such as nervousness, headache, and confusion may occur if Guanabenz is suddenly stopped.

  • If you miss a dose of Guanabenz, 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. If you miss 2 or more doses in a row, contact your doctor.

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



Important safety information:


  • Guanabenz may cause drowsiness, dizziness, or lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Guanabenz. Using Guanabenz alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous tasks.

  • Avoid drinking alcohol or taking other medications that cause drowsiness (eg, sedatives, tranquilizers) while taking Guanabenz. Guanabenz will add to the effects of alcohol and other depressants. Ask your pharmacist if you have questions about which medicines are depressants.

  • Guanabenz may cause dizziness, lightheadedness, or fainting. Alcohol, hot weather, exercise, and fever can increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Also, sit or lie down at the first sign of dizziness, lightheadedness, or weakness.

  • Patients being treated for high blood pressure often feel tired or run down for a few weeks after beginning therapy. Continue taking your medication even though you may not feel quite "normal". Contact your doctor or pharmacist about any new symptoms.

  • If you experience dry mouth, use sugarless candy or gum, or melt bits of ice in your mouth to help keep your mouth moist.

  • Before having any surgical or dental procedures or receiving emergency treatment, tell the doctor or dentist in charge that you are receiving Guanabenz.

  • LAB TESTS, including blood pressure, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.

  • Use Guanabenz with caution in the ELDERLY because they may be more sensitive to its effects, especially dizziness.

  • Use Guanabenz with extreme caution in CHILDREN younger than 12 years of age. Safety and effectiveness in this age group have not been confirmed. Also, CHILDREN who are sick and vomiting may be more sensitive to developing withdrawal symptoms.

  • PREGNANCY and BREAST-FEEDING: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Guanabenz during pregnancy. It is unknown if Guanabenz is excreted in breast milk. If you are or will be breast-feeding while you are using Guanabenz, check with your doctor or pharmacist to discuss the risks to your baby.

If you suddenly stop taking Guanabenz, you may experience WITHDRAWAL symptoms, including nervousness, agitation, headache, tremor, and rapid increase in blood pressure.



Possible side effects of Guanabenz:


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:



Constipation; dizziness; drowsiness; dry mouth; tiredness.



Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); changes in heartbeat; inability to have sex; pounding in the chest.



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: Guanabenz 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. Accidental overdose of Guanabenz is an increasing cause of poisoning in children 3 years of age and younger. Symptoms may include difficult or slow breathing; drowsiness leading to unresponsiveness or coma; irritability; lightheadedness, especially upon standing; pinpoint pupils; slow heartbeat; vomiting; weakness.


Proper storage of Guanabenz:

Store Guanabenz at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Guanabenz out of the reach of children and away from pets.


General information:


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

  • Guanabenz 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 Guanabenz. 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 Guanabenz resources


  • Guanabenz Side Effects (in more detail)
  • Guanabenz Use in Pregnancy & Breastfeeding
  • Drug Images
  • Guanabenz Drug Interactions
  • Guanabenz Support Group
  • 1 Review for Guanabenz - Add your own review/rating


  • guanabenz Advanced Consumer (Micromedex) - Includes Dosage Information

  • guanabenz Concise Consumer Information (Cerner Multum)

  • Guanabenz Prescribing Information (FDA)



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docusate and ferrous fumarate


Generic Name: docusate and ferrous fumarate (DOK ue sate and FER us FUE ma rate)

Brand names: Ferro-Sequels, ...show all 7 brand names.


What is docusate and ferrous fumarate?

Docusate is a stool softener. It makes stools softer and easier to pass.


Ferrous fumarate is a type of iron. You normally get iron from the foods you eat. In your body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.


Ferrous fumarate is used to treat iron deficiency anemia (a lack of red blood cells caused by having too little iron in the body). The docusate contained in this medication is to help prevent constipation that the iron content may cause.


Docusate and ferrous fumarate may also be used for purposes other than those listed in this medication guide.


What is the most important information I should know about docusate and ferrous fumarate?


Before using this medication, tell your doctor if you are allergic to any drugs, or if you have iron overload syndrome, hemolytic anemia (a lack of red blood cells), porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system), thalassemia (a genetic disorder of red blood cells), kidney or liver disease, pancreatitis, stomach ulcer, a history of bowl obstruction, or if you receive regular blood transfusions.


Seek emergency medical attention if you think you have used too much of this medicine, or if anyone has accidentally swallowed it. An overdose of iron can be fatal, especially in a young child.

Overdose symptoms may include drowsiness, severe nausea or stomach pain, vomiting, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, cold or clammy skin, blue lips, and seizure (convulsions).


Take docusate and ferrous fumarate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking docusate and ferrous fumarate .

Docusate and ferrous fumarate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication.


What should I discuss with my healthcare provider before taking docusate and ferrous fumarate?


Before using this medication, tell your doctor if you are allergic to any drugs or food dyes, or if you have:



  • iron overload syndrome;




  • hemolytic anemia (a lack of red blood cells);




  • porphyria (a genetic enzyme disorder that causes symptoms affecting the skin or nervous system);




  • thalassemia (a genetic disorder of red blood cells);




  • liver or kidney disease;




  • pancreatitis;




  • stomach ulcer or a digestive disorder;




  • Crohn's disease or other intestinal problem;




  • a history of bowel obstruction; or




  • if you receive regular blood transfusions.



If you have any of these conditions, you may not be able to use docusate and ferrous fumarate, or you may need a dose adjustment or special tests during treatment.


It is not known whether this medication could be harmful to an unborn baby. Tell your doctor if you become pregnant during treatment. It is not known whether this medicine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give docusate and ferrous fumarate to a child without the advice of a doctor.


How should I take docusate and ferrous fumarate?


Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.


Take docusate and ferrous fumarate on an empty stomach, at least 1 hour before or 2 hours after a meal. Avoid taking antacids or antibiotics within 2 hours before or after taking docusate and ferrous fumarate . Take this medication with a full glass of water. Do not crush, chew, open, or break a docusate and ferrous fumarate tablet or capsule. Swallow the pill whole.

To be sure this medication is helping your condition, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled appointments.


Docusate and ferrous fumarate is only part of a complete program of treatment that may also include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to make sure you get enough iron from both your diet and your medication.


Store this medication at room temperature, away from moisture and heat. Keep the liquid medicine from freezing.

What happens if I miss a dose?


Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention if you think you have used too much of this medicine, or if a child has accidentally swallowed it. An overdose of ferrous fumarate can be fatal to a child.

Overdose symptoms may include drowsiness, severe nausea or stomach pain, vomiting, bloody diarrhea, coughing up blood or vomit that looks like coffee grounds, shallow breathing, weak and rapid pulse, cold or clammy skin, blue lips, and seizure (convulsions).


What should I avoid while taking docusate and ferrous fumarate?


Do not take any vitamin, mineral supplement, laxative, or other stool softener that your doctor has not prescribed or recommended.


Avoid taking an antibiotic medicine within 2 hours before or after you take docusate and ferrous fumarate. This is especially important if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).


Avoid using antacids without your doctor's advice. Use only the specific type of antacid your doctor recommends. Antacids contain different medicines and some types can make it harder for your body to absorb docusate and ferrous fumarate.


Certain foods can also make it harder for your body to absorb docusate and ferrous fumarate. Avoid taking this medication within 1 hour before or 2 hours after eating fish, meat, eggs, liver, coffee, tea, milk, and whole grain or "fortified" breads or cereals.

Docusate and ferrous fumarate side effects


Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor if you have serious side effects such as:

  • bright red blood in your stools;




  • severe stomach pain and vomiting;




  • a sudden change in your bowel movements; or




  • pain in your chest or throat when swallowing a docusate and ferrous fumarate tablet.



Less serious side effects may include:



  • unpleasant taste in your mouth;




  • constipation, diarrhea;




  • nausea, vomiting, stomach pain or upset; or




  • black or dark-colored stools or urine.



This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect docusate and ferrous fumarate?


The following drugs can interact with docusate and ferrous fumarate. Tell your doctor if you use any of the following:



  • any type of antibiotic;




  • cimetidine (Tagamet);




  • penicillamine (Cuprimine);




  • thyroid hormone such as levothyroxine (Synthroid);




  • alendronate (Fosamax), etidronate (Didronel), risedronate (Actonel), or other medications to treat osteoporosis or Paget's disease;




  • deferoxamine (Desferal); or




  • pancrelipase (Cotazym, Creon, Ilozyme, Pancrease, Ultrase).



This list is not complete and there may be other drugs that can interact with docusate and ferrous fumarate. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.



More docusate and ferrous fumarate resources


  • Docusate and ferrous fumarate Use in Pregnancy & Breastfeeding
  • Docusate and ferrous fumarate Drug Interactions
  • Docusate and ferrous fumarate Support Group
  • 0 Reviews for Docusate and ferrous fumarate - Add your own review/rating


Compare docusate and ferrous fumarate with other medications


  • Anemia Associated with Iron Deficiency
  • Iron Deficiency Anemia


Where can I get more information?


  • Your pharmacist can provide more information about docusate and ferrous fumarate.


Guaifenesin/Hydrocodone


Pronunciation: gwye-FEN-e-sin/hye-droe-KOE-done
Generic Name: Guaifenesin/Hydrocodone
Brand Name: Examples include EndaCof-Tab and Ztuss ZT


Guaifenesin/Hydrocodone is used for:

Relieving cough and throat and airway irritation due to colds, flu, or hay fever. It may also be used for other conditions as determined by your doctor.


Guaifenesin/Hydrocodone is a cough suppressant and expectorant combination. It works by loosening mucus and lung secretions in the chest, and making coughs more productive. The cough suppressant works in the brain to help decrease the cough reflex to reduce a dry cough.


Do NOT use Guaifenesin/Hydrocodone if:


  • you are allergic to any ingredient in Guaifenesin/Hydrocodone or any other codeine or morphine-related medicine (eg, oxycodone)

  • you are taking sodium oxybate (GHB)

  • you have increased pressure in the brain, trouble breathing, or diarrhea due to antibiotic use

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



Before using Guaifenesin/Hydrocodone:


Some medical conditions may interact with Guaifenesin/Hydrocodone. 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 a history of glaucoma, an enlarged prostate gland or other prostate problems, heart problems, diabetes, high blood pressure, blood vessel problems, stroke, adrenal gland problems, or an underactive thyroid

  • if you have a history of stomach problems, bowel problems (eg, chronic inflammation or ulceration of the bowel), or gallbladder problems (eg, gallstones), or if you have had recent abdominal surgery

  • if you have breathing or lung problems (eg, asthma, chronic bronchitis, emphysema), or chronic obstructive pulmonary disease (COPD), or if cough occurs with large amounts of mucus

  • if you have recently had any head injury, brain injury or tumor, infection of the brain or nervous system, epilepsy, or seizures

  • if you have a history of alcohol abuse, drug abuse, or suicidal thoughts or behavior

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


  • Cimetidine because it may increase the risk of Guaifenesin/Hydrocodone's side effects

  • Barbiturates (eg, phenobarbital) or sodium oxybate (GHB) because the risk of severe drowsiness or breathing problems may be increased

  • Naltrexone because it may decrease Guaifenesin/Hydrocodone's effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Guaifenesin/Hydrocodone 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 Guaifenesin/Hydrocodone:


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


  • Take Guaifenesin/Hydrocodone by mouth with or without food.

  • Drink plenty of water while taking Guaifenesin/Hydrocodone.

  • If you miss a dose of Guaifenesin/Hydrocodone, 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 Guaifenesin/Hydrocodone.



Important safety information:


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

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

  • If your symptoms do not get better within 5 to 7 days or if they get worse, check with your doctor.

  • Guaifenesin/Hydrocodone may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Guaifenesin/Hydrocodone.

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

  • Use Guaifenesin/Hydrocodone with caution in the ELDERLY; they may be more sensitive to its effects.

  • Guaifenesin/Hydrocodone should be used with extreme caution in CHILDREN younger than 6 years old; 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 Guaifenesin/Hydrocodone while you are pregnant. It is not known if Guaifenesin/Hydrocodone is found in breast milk. Do not breast-feed while taking Guaifenesin/Hydrocodone.


Possible side effects of Guaifenesin/Hydrocodone:


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:



Constipation; dizziness; drowsiness; excitability; headache; nausea; nervousness or anxiety; trouble sleeping; weakness.



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); anxiety; change in amount of urine; difficulty urinating; hearing change or loss; mental or mood changes; severe drowsiness.



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: Guaifenesin/Hydrocodone 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 blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; unusually fast, slow, or irregular heartbeat; vomiting.


Proper storage of Guaifenesin/Hydrocodone:

Store Guaifenesin/Hydrocodone at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Guaifenesin/Hydrocodone out of the reach of children and away from pets.


General information:


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

  • Guaifenesin/Hydrocodone 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 Guaifenesin/Hydrocodone. 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 Guaifenesin/Hydrocodone resources


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


Compare Guaifenesin/Hydrocodone with other medications


  • Cough

Tuesday, October 4, 2016

Gastrogard





Dosage Form: FOR ANIMAL USE ONLY
Gastrogard®

(omeprazole) Oral Paste for Equine Ulcers

Oral Paste for Horses and Foals


  • NADA 141-123, Approved by FDA


Caution


  • Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian.


Description


  • Chemical name: 5-Methoxy-2-[[(4-methoxy-3,5-dimethyl-2-pyridinyl) methyl]sulfinyl]-1H-benzimidazole. Empirical formula: C17H19N3O3S. Molecular weight: 345.42. Structural formula:



How Supplied


  • Gastrogard (omeprazole) Paste for horses contains 37% w/w omeprazole and is available in an adjustable-dose syringe. Each syringe contains 2.28 g of omeprazole. Syringes are calibrated according to body weight and are available in boxes of 7 units or 72 units.


Storage Conditions


  • Store at 68°F – 77°F (20-25°C). Excursions between 59°F – 86°F (15-30°C) are permitted.


Indications


  • For treatment and prevention of recurrence of gastric ulcers in horses and foals 4 weeks of age and older.


Dosage Regimen


  • For treatment of gastric ulcers, Gastrogard Paste should be administered orally once-a-day for 4 weeks at the recommended dosage of 1.8 mg omeprazole/lb body weight (4 mg/kg). For the prevention of recurrence of gastric ulcers, continue treatment for at least an additional 4 weeks by administering Gastrogard Paste at the recommended daily maintenance dose of 0.9 mg/lb (2 mg/kg).


Directions For Use


  • Gastrogard Paste for horses is recommended for use in horses and foals 4 weeks of age and older. The contents of one syringe will dose a 1250 lb (568 kg) horse at the rate of 1.8 mg omeprazole/lb body weight (4 mg/kg). For treatment of gastric ulcers, each weight marking on the syringe plunger will deliver sufficient omeprazole to treat 250 lb (114 kg) body weight. For prevention of recurrence of gastric ulcers, each weight marking will deliver sufficient omeprazole to dose 500 lb (227 kg) body weight.

  • To deliver Gastrogard Paste at the treatment dose rate of 1.8 mg omeprazole/lb body weight (4 mg/kg), set the syringe plunger to the appropriate weight marking according to the horse's weight in pounds.

  • To deliver Gastrogard Paste at the dose rate of 0.9 mg/lb (2 mg/kg) to prevent recurrence of ulcers, set the syringe plunger to the weight marking corresponding to half of the horse's weight in pounds.

  • To set the syringe plunger, unlock the knurled ring by rotating it 1/4 turn. Slide the knurled ring along the plunger shaft so that the side nearest the barrel is at the appropriate notch. Rotate the plunger ring 1/4 turn to lock it in place and ensure it is locked. Make sure the horse's mouth contains no feed. Remove the cover from the tip of the syringe, and insert the syringe into the horse's mouth at the interdental space. Depress the plunger until stopped by the knurled ring. The dose should be deposited on the back of the tongue or deep into the cheek pouch. Care should be taken to ensure that the horse consumes the complete dose. Treated animals should be observed briefly after administration to ensure that part of the dose is not lost or rejected. If any of the dose is lost, redosing is recommended.

  • If, after dosing, the syringe is not completely empty, it may be reused on following days until emptied. Replace the cap after each use.


Warning


  • Do not use in horses intended for human consumption. Keep this and all drugs out of the reach of children. In case of ingestion, contact a physician. Physicians may contact a poison control center for advice concerning accidental ingestion.


Adverse Reactions


  • In efficacy trials, when the drug was administered at 1.8 mg omeprazole/lb (4 mg/kg) body weight daily for 28 days and 0.9 mg omeprazole/lb (2 mg/kg) body weight daily for 30 additional days, no adverse reactions were observed.


Precautions


  • The safety of Gastrogard Paste has not been determined in pregnant or lactating mares.


Clinical Pharmacology



  • Mechanism of Action: Omeprazole is a gastric acid pump inhibitor that regulates the final step in hydrogen ion production and blocks gastric acid secretion regardless of the stimulus. Omeprazole irreversibly binds to the gastric parietal cell's H+, K+ ATPase enzyme which pumps hydrogen ions into the lumen of the stomach in exchange for potassium ions. Since omeprazole accumulates in the cell cannaliculi and is irreversibly bound to the effect site, the plasma concentration at steady state is not directly related to the amount that is bound to the enzyme. The relationship between omeprazole action and plasma concentration is a function of the rate-limiting process of H+, K+ ATPase activity/turnover. Once all of the enzyme becomes bound, acid secretion resumes only after new H+, K+ ATPase is synthesized in the parietal cell (i.e., the rate of new enzyme synthesis exceeds the rate of inhibition).


  • Pharmacodynamics: In a study of pharmacodynamic effects using horses with gastric cannulae, secretion of gastric acid was inhibited in horses given 4 mg omeprazole/kg/day. After the expected maximum suppression of gastric acid secretion was reached (5 days), the actual secretion of gastric acid was reduced by 99%, 95% and 90% at 8, 16, and 24 hours, respectively.


  • Pharmacokinetics: In a pharmacokinetic study involving thirteen healthy, mixed breed horses (8 female, 5 male) receiving multiple doses of omeprazole paste (1.8 mg/lb once daily for fifteen days) in either a fed or fasted state, there was no evidence of drug accumulation in the plasma when comparing the extent of systemic exposure (AUC0-∞). When comparing the individual bioavailability data (AUC0-∞, Cmax, and Tmax measurements) across the study days, there was great inter- and intrasubject variability in the rate and extent of product absorption. Also, the extent of omeprazole absorption in horses was reduced by approximately 67% in the presence of food. This is evidenced by the observation that the mean AUC0-∞ values measured during the fifth day of omeprazole therapy when the animals were fasted for 24 hours was approximately three times greater than the AUC estimated after the first and fifteenth doses when the horses were fed hay ad libitum and sweet feed (grain) twice daily. Prandial status did not affect the rate of drug elimination. The terminal half-life estimates (N=38) ranged from approximately one-half to eight hours.


Efficacy


  • Dose Confirmation: Gastrogard (omeprazole) Paste, administered to provide omeprazole at 1.8 mg/lb (4 mg/kg) daily for 28 days, effectively healed or reduced the severity of gastric ulcers in 92% of omeprazole-treated horses. In comparison, 32% of controls exhibited healed or less severe ulcers. Horses enrolled in this study were healthy animals confirmed to have gastric ulcers by gastroscopy. Subsequent daily administration of Gastrogard Paste to provide omeprazole at 0.9 mg/lb (2 mg/kg) for 30 days prevented recurrence of gastric ulcers in 84% of treated horses, whereas ulcers recurred or became more severe in horses removed from omeprazole treatment.


  • Clinical Field Trials: Gastrogard Paste administered at 1.8 mg/lb (4 mg/kg) daily for 28 days healed or reduced the severity of gastric ulcers in 99% of omeprazole-treated horses. In comparison, 32.4% of control horses had healed ulcers or ulcers which were reduced in severity. These trials included horses of various breeds and under different management conditions, and included horses in race or show training, pleasure horses, and foals as young as one month. Horses enrolled in the efficacy trials were healthy animals confirmed to have gastric ulcers by gastroscopy. In these field trials, horses readily accepted Gastrogard Paste. There were no drug related adverse reactions. In the clinical trials, Gastrogard Paste was used concomitantly with other therapies, which included: anthelmintics, antibiotics, non-steroidal and steroidal anti-inflammatory agents, diuretics, tranquilizers and vaccines.


  • Diagnostic and Management Considerations: The following clinical signs may be associated with gastric ulceration in adult horses: inappetance or decreased appetite, recurrent colic, intermittent loose stools or chronic diarrhea, poor hair coat, poor body condition, or poor performance. Clinical signs in foals may include: bruxism (grinding of teeth), excessive salivation, colic, cranial abdominal tenderness, anorexia, diarrhea, sternal recumbency or weakness. A more accurate diagnosis of gastric ulceration in horses and foals may be made if ulcers are visualized directly by endoscopic examination of the gastric mucosa.

    Gastric ulcers may recur in horses if therapy to prevent recurrence is not administered after the initial treatment is completed. Use Gastrogard Paste at 0.9 mg omeprazole/lb body weight (2 mg/kg) for control of gastric ulcers following treatment. The safety of administration of Gastrogard Paste for longer than 91 days has not been determined.

    Maximal acid suppression occurs after three to five days of treatment with omeprazole.


Safety


  • Gastrogard Paste was well tolerated in the following controlled efficacy and safety studies.

  • In field trials involving 139 horses, including foals as young as one month of age, no adverse reactions attributable to omeprazole treatment were noted.

  • In a placebo controlled adult horse safety study, horses received 20 mg/kg/day omeprazole (5x the recommended dose) for 90 days. No treatment related adverse effects were observed.

  • In a placebo controlled tolerance study, adult horses were treated with Gastrogard Paste at a dosage of 40 mg/kg/day (10x the recommended dose) for 21 days. No treatment related adverse effects were observed.

  • A placebo controlled foal safety study evaluated the safety of omeprazole at doses of 4, 12 or 20 mg/kg (1, 3 or 5x) once daily for 91 days. Foals ranged in age from 66 to 110 days at study initiation. Gamma glutamyltransferase (GGT) levels were significantly elevated in horses treated at exaggerated doses of 20 mg/kg (5x the recommended dose). Mean stomach to body weight ratio was higher for foals in the 3x and 5x groups than for controls; however, no abnormalities of the stomach were evident on histological examination.


Reproductive Safety


  • In a male reproductive safety study, 10 stallions received Gastrogard Paste at 12 mg/kg/day (3x the recommended dose) for 70 days. No treatment related adverse effects on semen quality or breeding behavior were observed. A safety study in breeding mares has not been conducted.


For More Information


  • Please call 1-888-637-4251.

    Marketed by: Merial LLC, Duluth, GA 30096-4640, U.S.A.

    Made in Brazil

    US Patent: 4255431 and 5708017

    ®Gastrogard is a registered trademark of the AstraZeneca

    Group of Companies.

    ©2009 Merial.

    All rights reserved. Rev. 02-2009


PRINCIPAL DISPLAY PANEL - Label


Gastrogard®

(omeprazole)

NADA 141-123, Approved by FDA


Caution: Federal (USA) law restricts this drug to use by or on the

order of a licensed veterinarian.


Indications: For treatment and prevention of recurrence of gastric

ulcers in horses and foals 4 weeks of age and older.


Dosage Regimen: For oral use in horses only. For treatment of

gastric ulcers, Gastrogard® (omeprazole) Paste should be administered

orally once-a-day for 4 weeks at the recommended dosage of 1.8 mg

omeprazole/lb body weight (4 mg/kg). For the prevention of

recurrence of gastric ulcers, continue treatment for at least an

additional 4 weeks by administering Gastrogard (omeprazole) Paste at

the recommended daily maintenance dose of 0.9 mg/lb (2 mg/kg).


NET WT. 6.15 g (2.28 g of omeprazole)


READ PACKAGE INSERT FOR FURTHER

INSTRUCTIONS AND IMPORTANT INFORMATION.


Warning: Do not use in horses intended for human

consumption. Keep this and all drugs out of the reach of children.


Storage: Store at 68°F - 77°F (20-25°C). Excursions between

59°F - 86°F (15-30°C) are permitted.


Marketed by: Merial LLC, Duluth, GA 30096-4640, U.S.A.


Made in Brazil


Customer Assistance: For more information, please call

1-888-637-4251. US Patent: 4255431 and 5708017


®Gastrogard is a registered trademark of the AstraZeneca

Group of Companies. ©2009 Merial. All rights reserved.


1824/01 / 36611, Rev. 02-2009


LOT

EXP




PRINCIPAL DISPLAY PANEL - 7 Syrings Carton


Gastrogard®

(omeprazole) Oral Paste for Equine Ulcers


Improves and Heals Gastric Ulcers


Prevents Gastric Ulcer Recurrence


Once-a-Day Dosing


NADA 141-123, Approved by FDA


Contains 7 Syringes

Individually Wrapped


Product 3661101


MERIAL




PRINCIPAL DISPLAY PANEL - 72 Syringe Shipping Label


READ PACKAGE INSERT FOR FURTHER INSTRUCTIONS

AND IMPORTANT INFORMATION.


Gastrogard®

(omeprazole) Oral Paste for Equine Ulcers


For Treatment and Prevention of

Recurrence of Equine Gastric Ulcers


CAUTION: Federal (USA) law restricts this drug to use by or

on the order of a licensed veterinarian.


Store at 68°F – 77°F (20-25°C).

Excursions between 59°F – 86°F (15-30°C) are permitted.


Lot No & Exp Date


Product 3661172


Marketed by:

Merial LLC,

Duluth, GA 30096-4640, U.S.A.

Made in Brazil

1829/01

36611

Rev. 02-2009


®Gastrogard is a

registered trademark of

the AstraZeneca Group

of Companies.

©2009 Merial.

All rights reserved.


CONTENTS: 72 Syringes Individually Wrapped


MERIAL










Gastrogard 
omeprazole  paste










Product Information
Product TypePRESCRIPTION ANIMAL DRUGNDC Product Code (Source)50604-3704
Route of AdministrationORALDEA Schedule    








Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
omeprazole (omeprazole)omeprazole370 mg  in 1 g





Inactive Ingredients
Ingredient NameStrength
No Inactive Ingredients Found


















Product Characteristics
ColorYELLOWScore    
ShapeSize
FlavorCINNAMONImprint Code
Contains      






















Packaging
#NDCPackage DescriptionMultilevel Packaging
150604-3704-17 SYRINGE In 1 CARTONcontains a SYRINGE, PLASTIC
16.15 g In 1 SYRINGE, PLASTICThis package is contained within the CARTON (50604-3704-1)
250604-3704-272 SYRINGE In 1 BOXcontains a SYRINGE, PLASTIC
26.15 g In 1 SYRINGE, PLASTICThis package is contained within the BOX (50604-3704-2)










Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
NADANADA14112303/16/1999


Labeler - Merial Limited (034393582)
Revised: 08/2010Merial Limited

Glucozide




Glucozide may be available in the countries listed below.


Ingredient matches for Glucozide



Gliclazide

Gliclazide is reported as an ingredient of Glucozide in the following countries:


  • Singapore

  • Sri Lanka

International Drug Name Search