Chymoral Forte Tablet ( Trypsin Chymotrypsin, AGP )
General considerations to follow while taking the Chymoral forte tablet
Chymoral forte tablet is usually taken four times daily, half an hour before a meal or as the physician prescribes.
The complete tablet should be swallowed to preserve the enteric coating.
Do not chew or crush the Chymoral forte tablet.
Avoid drug administration in case of any hyper reaction (the body reacts to the drug, which could induce mild to severe immune-mediated reactions), which include rash, anaphylaxis, and serum sickness.
Take it in regular time intervals daily to get a better result.
Do not take two doses at the same time, as it leads to adverse events.
In case of a missed dose (due to forgetfulness etc.), the missed dose must be taken immediately as and when it is remembered, but if it is close to the next dosing schedule, skip it and go for the next dose.
Follow the treatment chart as directed by the physician.
Chymoral forte mechanism of action
The digestive enzymes that break down lipids (lipases), starch (amylases), and proteins (proteases) are synthesised and produced by the pancreatic cells. The structure and catalytic effect of the various kinds of pancreatic proteases interacting with the protein's peptide bonds varies from one another.
The two types of proteases known as trypsin and chymotrypsin were initially produced in the pancreas from the inactive zymogen precursors trypsinogen and chymotrypsinogen to inhibit unwanted cellular activity and regulate when and where enzyme activity occurs. Zymogens are subsequently transported into the bloodstream or the intestines, where they are either expelled or transformed into digestively active enzymes through proteolysis. The active proteolytic enzymes are increased when trypsin and chymotrypsin are combined.
Chymoral forte indications
Chymoral forte is indicated to treat:
Post-operative wounds (wounds acquired during surgical procedures)
Oedema (swelling) and haematoma (blood clots outside the blood vessels)
Prevention of inflammation of the surgical stitches
Inflammatory disease in the pelvic region (infection of the female reproductive organs)
Caesarean section (the surgical procedure by which a baby is delivered)
Episiotomy (a cut made in the tissue between the vaginal opening and the anus)
Abdominal hysterectomy (surgery for removal of the uterus)
Tooth extraction (removal of the tooth)
A peri-apical abscess (pus in the tooth)
Maxillofacial surgery (reconstructive surgery of the face)
Post-traumatic oedema (swelling due to trauma)
Soft tissue injury
Fractures (breaks or cracks in the bones) and dislocations (bones moving from their original places)
Sports injuries
Sprains (stretching or tearing of a ligament)
Strains (muscle is too stretched and torn)
Chymoral forte dose
Dosage forms & strengths of chymoral forte:
It is available in tablet form.
Each enteric-coated tablet contains the trypsin plus chymotrypsin: 1,00,000 armour units’ enzymatic activity at the ratio of 6:1 approximately.
Tab chymoral forte dosage for adults:
Chymoral forte tablet is usually taken four times per day, half an hour before a meal or as prescribed by the physician.
Cicatrin Powder (Neomycin Sulphate) – GSK
Cicatrin powder is an antibiotic that belongs to a group of medicine called neomycin. It is usually used to treat bactericidal issues or injuries on the skin. Cicatrin is basically made to halt bacterial infection after injuries, cuts or surgeries, and stitches.
Uses of Cicatrin Powder
The most important part for this medication is how to use cicatrin powder? It is often used on the skin and not be taken orally. Following your doctor’s instructions before taking any medications. It is super recommended to use all the medications after a proper checkup and doctor’s advice.
Cicatrin powder is a topical medication commonly used to heal wounds and promote skin regeneration. While it is generally thought of as safe and well-tolerated, there are potential side effects. Considering that may occur in some individuals. It's quite essential to note that human body reactions can vary. Plus, consulting with a healthcare professional for personalized advice is always recommended.
Side Effects of Cicatrin Powder
Here are few possible side effects associated with the use of Cicatrin powder:
- Allergic reactions
Some individuals may experience allergic reactions to Cicatrin powder. Symptoms may include itching, rash, hives, swelling, difficulty breathing, or dizziness. If any of these symptoms happen, it is important to discontinue using it immediately and seek immediate medical attention.
- Skin irritation
Cicatrin powder may cause skin irritation, redness, or a burning sensation at the application site. This is more likely to happen to in individuals with sensitive skin or those who have pre-existing skin conditions. If irritation persists or worsens, it is advisable not to use it any further and seek immediate medical attention.
- Dryness or excessive moisture
Cicatrin powder contains ingredients that help absorb excess moisture from the wound or affected area. In some cases, this may lead to excessive dryness or, conversely, excessive moisture accumulation.
It is important to monitor the skin and adjust the use of Cicatrin powder accordingly. If dryness or moisture-related issues persist or worsen, medical advice should be sought.
- Discoloration
Rarely, Cicatrin powder may cause temporary discoloration of the skin, especially if used for an
extended period. This typically resolves once the treatment is discontinued.
- Infection
While Cicatrin powder is intended to promote wound healing and reduce the risk of infection, it is still possible for an infection to occur.
If you notice that infection is increasing or not getting healed , such as increased pain, redness, swelling, warmth, or discharge, it is important to seek medical attention promptly.
Ciloxan Eye Drop ( Ciprofloxacin ) Novartis
Generics
Ciprofloxacin HCl
Used For
Eye Infection
How it works
Ciprofloxacin hydrochloride is a “fluoroquinolone” antibiotic. This antibiotic works by killing the bacteria that are causing your infection.
Ciloxan Eye Usage And Safety
Dosage
Ciprofloxacin HCl
Side Effects
Redness, itching, irritation, pain, swelling or discomfort in or around the eye(s) and/or eyelids , A white precipitate in the eye(s) or crusting on the eyelid(s) , Excess tear production or discharge from the eye(s) , Dry eye(s) , Staining, swelling or irregular appearance of the front of the eye(s) (cornea) , Flaking skin of the eyelids , A numb sensation in or around the eye(s) , Tired eyes , Allergic reactions; , A feeling that something is in your eye(s) , Decreased or blurred vision , Double vision , Sensitivity to light.
Drug Interactions
Warfarin , cyclosporin , theophylline , caffeine
Indication
These Eye Drops are used to treat certain types of eye infections caused by bacteria.
When not to Use
Do not use these Eye Drops if you have an allergy to:• Ciprofloxacin• Any other “quinolone” antibiotics e.g. nalidixic acid• Any of the other ingredients in Ciprofloxacin Eye Drops that are listed under “Product description”.
Ciloxan Eye Precautions
Precaution
It is important to use Ciprofloxacin exactly as your doctor or pharmacist has told you. If you use the drops less often than your doctor has advised your medicine may not work as well and your eye problem may not improve.
Ciloxan Eye Warnings
Warning 1
Do not put the eye drops into your eye(s) while you are wearing soft contact lenses.
Warning 2
Be careful not to touch the dropper tip against your eye, eyelid or anything else. This will help to prevent your eye drops becoming dirty or contaminated.
Warning 3
Do not stop using Ciprofloxacin Eye Drops or lower the dose without first asking your doctor.
Ciloxan Eye Additional Information
Pregnancy category
Always consult your physician before using any medicine.
Cinokort Injection 40mg/ml I.M. (Triamcinolone Acetonide) – Polyfine
Cinokort Injection contains Triamcinolone Acetonide 40mg/ml, a long-acting corticosteroid formulated as an aqueous intramuscular (I.M.) and intra-articular suspension. It is used to relieve inflammation and suppress allergic reactions in a wide range of conditions, including allergic disorders, skin diseases, and rheumatic conditions.
Its prolonged anti-inflammatory action helps reduce swelling, redness, pain, and discomfort, providing long-lasting symptom relief. Cinokort Injection may also be administered directly into affected joints to help relieve inflammation and improve joint mobility in selected musculoskeletal disorders. This medicine should only be administered by a qualified healthcare professional.
Key Benefits
- Provides long-lasting relief from inflammatory conditions.
- Effectively treats severe allergic reactions and allergic disorders.
- Helps manage inflammatory skin diseases.
- Reduces pain, swelling, and stiffness associated with rheumatic disorders.
- Can be administered intra-articularly to reduce joint inflammation.
- Delivers prolonged corticosteroid action for sustained symptom control.
Composition
Each 1 ml contains:
- Triamcinolone Acetonide BP (Micronised) – 40 mg
Dosage Form: Aqueous Injectable Suspension
Route of Administration: Intramuscular (I.M.) / Intra-articular (As Prescribed)
Indications
Cinokort Injection is indicated for the treatment of:
- Severe allergic conditions
- Allergic skin disorders
- Inflammatory dermatological diseases
- Rheumatoid arthritis
- Osteoarthritis requiring intra-articular corticosteroid therapy
- Joint inflammation and pain
- Other corticosteroid-responsive inflammatory disorders as determined by a physician
How It Works
Triamcinolone Acetonide is a synthetic corticosteroid that works by suppressing the body's inflammatory and immune responses. It reduces the release of inflammatory chemicals responsible for pain, redness, swelling, and tissue irritation, providing long-lasting relief from symptoms.
Directions for Use
- Administer only by a qualified healthcare professional.
- Dosage and frequency depend on the patient's condition and clinical response.
- Do not self-inject unless specifically instructed by your healthcare provider.
- Follow your physician's recommendations regarding treatment duration and follow-up.
Precautions
- Use only under medical supervision.
- Inform your doctor if you have diabetes, hypertension, glaucoma, osteoporosis, liver disease, kidney disease, or any active infection.
- Avoid contact with individuals who have contagious infections while receiving corticosteroid therapy.
- Do not discontinue long-term corticosteroid treatment abruptly without medical advice.
- Regular monitoring may be required during prolonged treatment.
Possible Side Effects
Some patients may experience:
- Pain or discomfort at the injection site
- Increased blood sugar levels
- Fluid retention
- Increased appetite
- Mood changes
- Elevated blood pressure
- Increased risk of infection
- Skin thinning or delayed wound healing with prolonged use
Seek immediate medical attention if severe allergic reactions, vision changes, or unusual swelling occur.
Storage Instructions
- Store below 30°C in a cool, dry place.
- Protect from direct sunlight.
- Do not freeze.
- Keep out of the reach of children.
Cipralex 20mg Tablet (Escitalopram) – Lundbeck
Cipralex 20mg Tablet is an antidepressant medication and is used for the treatment of depression, generalised anxiety disorder (GAD) and obsessive-compulsive disorder (OCD). Each tablet of Cipralex 20mg contains the active ingredient Escitalopram, which is a selective serotonin reuptake inhibitor (SSRI).
How effective is Cipralex 20mg?
Cipralex 20mg Tablet is a commonly used antidepressant. Its use is indicated in the treatment of depressive episodes, social anxiety disorder, panic attacks, obsessive-compulsive disorder, and generalised anxiety disorder. Cipralex 20mg works by increasing the amount of serotonin in the brain, a chemical associated with improved mood.
Cipralex 20mg starts working within 2-4 weeks of use, and it may take up to 6 weeks to feel the full benefits.
Can I buy Cipralex 20mg in Pakistan?
You can now buy Cipralex 20mg Tablets online from emeds Pharmacy by simply completing the online ordering process. There is no particular need for you to physically visit a pharmacy or book an appointment with a doctor as you can safely and securely have medicines delivered to your home or another choice of location. If you have any query relating to ordering Cipralex 20mg Tablets online via our website, feel free to contact us on 0311 113 6337 where a qualified member of the team will be available to assist you.
What dose should I choose?
In adults, for the treatment of depression, the usual dose is ½ tablet (10 mg) taken orally once per day. The dose may be increased to 1 tablet (20 mg) by the doctor.
For the treatment of generalised anxiety disorder (GAD) and obsessive-compulsive disorder, the usual dose is ½ tablet (10 mg) taken orally once per day. The dose may be increased to 1 tablet (20 mg) by the doctor.
This drug is not recommended for use in children and adolescents below the age of 18 years.
If you skip a dose by any chance, take it as soon as you remember. Skip the already missed dose if it’s almost time for the next one. Do not double the dose.
What are the side-effects and other warnings when taking Cipralex 20mg?
Some common and uncommon side-effects when taking Cipralex 20mg include:
Changes in appetite
Restlessness
Decreased libido
Nausea
Headache
Sleepiness
Dizziness
Sinusitis
Fatigue
If you experience any side-effects that persist or worsen or any unusual symptoms, contact your doctor immediately.
Notify your doctor about any prescription/non-prescription drugs you may be taking.
If you are pregnant, might become pregnant, or think you may be pregnant or breast-feeding or planning to breast-feed, notify your doctor or a pharmacist at emeds Pharmacy before using this drug.
Ciproxin 500mg Tablet (Ciprofloxacin) – Bayer
Citanew 10mg Tablet ( Escitalopram ) Hilton
Escitalopram is used to treat depression and anxiety. It works by helping to restore the balance of a certain natural substance (serotonin) in the brain. Escitalopram belongs to a class of drugs known as selective serotonin reuptake inhibitors (SSRI). It may improve your energy level and feelings of well-being and decrease nervousness.
How to use Escitalopram Oxalate
Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking escitalopram and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication by mouth with or without food as directed by your doctor, usually once daily in the morning or evening. The dosage is based on your medical condition, response to treatment, age, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.
To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.
Keep taking this medication even if you feel well. Do not stop taking this medication without consulting your doctor. Some conditions may become worse when this drug is suddenly stopped. Also, you may experience symptoms such as mood swings, headache, tiredness, sleep changes, and brief feelings similar to electric shock. To prevent these symptoms while you are stopping treatment with this drug, your doctor may reduce your dose gradually. Consult your doctor or pharmacist for more details. Report any new or worsening symptoms right away.
It may take 1 to 2 weeks to feel a benefit from this drug and 4 weeks to feel the full benefit of this medication. Tell your doctor if your condition does not improve or if it worsens.
Citro Soda Sachet (Citric Acid) – Abbott
Claforan 1gm Inj. (Cefotaxime Sodium) – Sanofi
Clamentin Ds (312.50Mg/5Ml) 60Ml Suspension
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Description
Co-Amoxiclav 312.5mg/5ml Syrup/Suspension is a combination antibiotic that works by interfering with the synthesis of bacterial cell walls. Amoxicillin, a penicillin-type antibiotic, inhibits the cross-linking of peptidoglycan chains, weakening the cell wall. Clavulanic acid, the second component, inhibits beta-lactamase enzymes produced by bacteria, thereby protecting amoxicillin from degradation and enhancing its antibacterial effect. This dual action effectively combats a wide range of bacteria, including those that have developed resistance to beta-lactam antibiotics. -
Ingredients
Co-Amoxiclav 312.5mg/5ml -
Drug Class
Penicillin combination -
Dosage Form
Suspension -
Uses
The following are the uses of Co-Amoxiclav 312.5mg/5ml Syrup/Suspension:- Used for treating severe respiratory tract infections like pneumonia and bronchitis.
- Used for ear, nose, and throat infections, especially those resistant to common antibiotics.
- Effective against skin and soft tissue infections, including cellulitis and animal bites.
- Used for bone and joint infections, ensuring deep penetration into these tissues.
- Combats certain types of abdominal infections, such as peritonitis and intra-abdominal abscesses.
- Used for prophylaxis in high-risk surgical procedures to prevent post-operative infections.
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In case of Overdose
In the case of an overdose of Co-Amoxiclav 312.5mg/5ml Syrup/Suspension, it is important to recognize the potential symptoms, which may include gastrointestinal disturbances, such as nausea, vomiting, and diarrhea. Additionally, individuals may experience allergic reactions, with symptoms like rashes, itching, and swelling. Prompt medical attention is necessary, and healthcare professionals should be contacted immediately for guidance and appropriate treatment to manage the overdose effectively. -
Missed Dose
In the case of a missed dose of Co-Amoxiclav 312.5mg/5ml Syrup/Suspension, it is important to administer the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one, as this may increase the risk of side effects. It is recommended to take the medication at evenly spaced intervals to maintain an effective level in the body. Consult your healthcare provider if you have any concerns or if you miss multiple doses. -
How To Use
To administer Co-Amoxiclav 312.5mg/5ml Syrup/Suspension, shake the bottle well, use the provided measuring device to draw the prescribed amount, and give it to the patient by mouth, ensuring it is taken as directed by the healthcare provider, typically every 8 hours, regardless of meals. -
When Not to Use
Here are the conditions or situations when Co-Amoxiclav 312.5mg/5ml Syrup/Suspension should not be taken:- Do not use if you have a known allergy to amoxicillin, clavulanic acid, or any other penicillin-based antibiotics.
- Contraindicated in patients with a history of severe allergic reactions to any beta-lactam antibiotics.
- Should not be used in individuals with a previous history of liver problems associated with Co-Amoxiclav or penicillin-based antibiotics.
- Not suitable for patients with mononucleosis.
- Avoid use if you have severe kidney problems, as dosage adjustments are necessary.
- Do not use if you have a history of gastrointestinal diseases, especially colitis, or antibiotic-associated colitis.
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Side Effects
The side effects of Co-Amoxiclav 312.5mg/5ml Syrup/Suspension may include:- Diarrhea
- Nausea and vomiting
- Skin rash or itching
- Fatigue or drowsiness
- Headache
- Abdominal pain
- Allergic reactions (e.g., hives, difficulty breathing)
- Yeast infections (candidiasis)
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Precautions & Warnings
Following are the precautions and warnings for Co-Amoxiclav 312.5mg/5ml Syrup/Suspension:- This medication should not be used if you are allergic to any penicillin-type antibiotics or beta-lactamase inhibitors.
- Ensure you complete the full prescribed course of the medication, even if you feel better, to prevent the risk of antibiotic resistance.
- Do not take Co-Amoxiclav if you have a history of severe allergic reactions to any antibiotics, especially penicillins or cephalosporins.
- Caution is advised for patients with kidney or liver problems, as dosage adjustments may be necessary.
- Inform your doctor if you have a history of gastrointestinal issues, such as colitis, as Co-Amoxiclav may aggravate these conditions.
- This medication may reduce the effectiveness of contraceptive pills; consider using additional contraceptive methods while on this treatment.
- If you develop a severe skin rash, hives, or any other signs of an allergic reaction, discontinue use and seek immediate medical attention.
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Drug Interactions
Following are the drug interactions for Co-Amoxiclav 312.5mg/5ml Syrup/Suspension:- Probenecid and allopurinol can reduce the excretion of amoxicillin, potentially increasing the risk of side effects.
- Co-Amoxiclav may decrease the effectiveness of oral contraceptives, requiring alternative contraceptive methods.
- The risk of bleeding may increase when taken with anticoagulants like warfarin, requiring close monitoring.
- Concurrent use with methotrexate may elevate methotrexate levels, necessitating dosage adjustments.
- When combined with mycophenolate mofetil, Co-Amoxiclav can reduce its effectiveness.
- May decrease the efficacy of live attenuated vaccines, such as the oral polio vaccine.
- Co-administration with certain antibiotics (e.g., chloramphenicol, macrolides) may reduce the effectiveness of Co-Amoxiclav.
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Food Interactions
Following are the food interactions for Co-Amoxiclav 312.5mg/5ml Syrup/Suspension:- Avoid consuming alcohol during the medication course as it may increase the risk of gastrointestinal side effects and liver toxicity.
- Grapefruit and grapefruit juice should be consumed with caution as they may interfere with the metabolism of the drug, leading to increased levels of amoxicillin in the body and potentially increasing the risk of side effects.
- Dairy products like milk, yogurt, and cheese can reduce the absorption of amoxicillin. It is best to take the medication 1-2 hours before or after consuming dairy.
- High-fat meals can delay the absorption of amoxicillin, so it is recommended to take the medication on an empty stomach or at least 1 hour before a meal.
- Avoid consuming large amounts of caffeinated beverages like coffee or energy drinks, as caffeine may increase the risk of side effects and interact with the medication's effectiveness.
- Vitamin C supplements or citrus fruits rich in vitamin C may reduce the absorption of amoxicillin. Consider spacing the intake of these supplements or fruits from the medication by a few hours.
- Probiotics and fermented foods like yogurt and kefir can help restore healthy gut bacteria that may be disrupted by the antibiotic. Consider including these in your diet during and after the course of medication.
- No specific food restrictions are associated with Co-Amoxiclav, but maintaining a balanced diet is essential to support overall health during the treatment.
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Storage/Disposal
Co-Amoxiclav 312.5mg/5ml Syrup/Suspension should be stored in a cool and dry environment, ideally at room temperature, ensuring protection from direct sunlight and moisture. Keep the medication securely sealed in its original packaging to maintain its integrity. Avoid storage in bathrooms or areas exposed to heat, as temperature fluctuations can impact the medicine's effectiveness. Dispose of any unused or expired syrup responsibly; refrain from flushing it down the toilet or draining it into the sink. Consult your pharmacist or healthcare professional for appropriate disposal practices. Additionally, ensure the medication is stored safely away from children to prevent accidental consumption.
Clenil Compositum for Aerosol – Chiesi
Beclomethasone + Salbutamol 800mcg+1600mcg/UDV
Clenil® Compositum for Aerosol
(sterile suspension for nebulization in emergency -Salbutamol 1600mcg + BDP 800mcg) is an ideal combination of Bronchodilator (salbutamol) and anti-inflammatory (BDP) which is recommended as first choice to manage asthma in emergency. The synergism of two active ingredients potentiate total effect and provides better of asthma.
CLEXANE 40MG INJ (ENOXAPARIN) -SANAFI
Used For
Clexane 40mg Injection (0.4ml) is an anticoagulant medicine used to prevent and treat harmful blood clots. It is commonly used to reduce the risk of blood clots in the veins, including Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE).How It Works
Clexane contains Enoxaparin Sodium, a low-molecular-weight heparin. It works by reducing the blood's ability to form clots, helping prevent existing clots from becoming larger and reducing the formation of new clots.Usage & Safety (Dosage, Side Effects, Drug Interactions)
Use Clexane only as prescribed by your doctor. The dose and duration depend on the condition being treated and the patient's medical history. Common side effects may include bleeding, bruising, pain or irritation at the injection site, and anemia. Inform your doctor about all medicines you are taking, especially other anticoagulants, antiplatelet medicines, or medicines that may increase the risk of bleeding.Indications
- Prevention of Deep Vein Thrombosis (DVT)
- Prevention of Pulmonary Embolism (PE)
- Treatment of certain blood clotting conditions
- Prevention of blood clots following surgery or during periods of reduced mobility