Primolut N Tablet (Norethisterone) – Bayer
Primolut-N Tablet is used to treat various menstrual problems including painful, heavy, or irregular periods, premenstrual syndrome (PMS) and a condition called endometriosis. It is a man-made version of the natural female sex hormone progesterone.
Primolut-N Tablet may be taken with or without food, but it is better to take it at the same time each day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need so as to improve your symptoms. Swallow the tablets whole with a drink of water. You should take this medicine for as long as it is prescribed to you.
The most common side effects of this medicine include headache, nausea, abdominal pain, vaginal spotting, dizziness, and breast tenderness. Let your doctor know if these bother you or appear serious, as there may be ways of reducing or preventing them. Some side effects may mean you should stop taking this medicine, including if you develop jaundice, migraine, or changes to your speech or senses (eyesight, hearing, smell, taste, and touch). You should also stop taking it if you become pregnant or if your blood pressure becomes too high.
Before taking this medicine, tell your doctor if you are pregnant or breastfeeding, have diabetes, have a migraine, or any liver disease or ever had any problems with your blood circulation. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. This medicine can affect the results of some blood and urine tests so make sure any doctor treating you knows that you are taking it.
Probeta-N Eye Ear And Nose Drops ( Betamethasone Sodium Phosphate , Neomycin ) 7.5Ml , Atco
Used For Eye Infection, Ear Infection , Nasal Congestion
It work by reducing inflammation (redness, itching and soreness). Topical means that they are used on the outside of the body and not taken by mouth or injection. It also contain neomycin sulphate, an aminoglycoside antibiotic, which prevents bacterial infection developing .
Usage And Safety
Dosage
Betamethasone Sodium Phosphate , Neomycin
Side Effects
Corneal thinning , cataract , rise in intra-ocular pressure , sensitization and cross resistance to neomycin ; avoid unnecessary use .
Drug Interactions
Please tell your doctor if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Indication
Eye : Non-infected inflammatory conditions (e.g . Uveitis , marginal keratitis , allergic conjunctivitis , blepharitis and episcleritis ) where development of bacterial infection is likely. Ear : Otitis externa and other inflammatory conditions where bacterial infection is present or suspected. Nose : Inflammatory conditions where infection is present or suspected .
When not to Use
Do not use if allergic to any of the ingredients in the list.
Precautions
Precaution
Do not use if you know you have (or think you have) a mitochondrial disease (mutations in the parts of your cells which help make energy); certain mitochondrial diseases may increase your risk of hearing loss with this product.
Warnings
Warning 1
Talk to your doctor or pharmacist before using this medicine if you have been treated with these drops/ointment or similar corticosteroid medicine recently. You should not use corticosteroids for a long time without regular medical check-ups from your doctor .
Warning 2
Talk to your doctor or pharmacist before using this medicine if you have redness in your eyes for which you do not know the cause. Steroid treatment must not be given unless the cause of the redness is known .
Warning 3
Talk to your doctor or pharmacist before using this medicine if you are applying these drops to open wounds or damaged skin. The antibiotic component can cause permanent, partial or total deafness if used on open wounds or damaged skin. This possibility should be borne in mind if high doses are given to small children or infants.
Additional Information
Pregnancy category
Always consult your physician before using any medicine.
Storage (YES/NO)
Store this medicine at room temperature, away from direct light and heat.
Progel Antacid 120ml Syrup – Alpha
**How It Works**
This medicine helps relieve heartburn and excess gastric acidity by neutralizing stomach acid, providing fast and effective relief from acid-related discomfort.
**Ingredients**
Antacid
**Drug Class**
Antacid
**Dosage Form**
Syrup / Suspension
**Uses**
This medicine is commonly used for the management of:
* Dyspepsia (indigestion)
* Reflux esophagitis
* Heartburn
* Hiatus hernia
**Dosage**
Use this medicine exactly as prescribed by your doctor.
**Overdose**
An overdose may lead to serious health complications and can be life-threatening in some cases. Seek immediate medical attention if an overdose is suspected.
**Missed Dose**
If you forget to take a dose, take it as soon as you remember. However, if it is nearly time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.
**How To Use**
For best results, it is generally recommended to take this medicine after meals.
**When Not to Use**
Do not use this medicine if you are allergic to any of its ingredients.
**Side Effects**
Like all medicines, this product may cause side effects in some individuals. Consult your healthcare provider if any unwanted effects occur or persist.
**Precautions & Warnings**
Pregnant or breastfeeding women should consult their doctor before using this medicine.
**Drug Interactions**
No significant drug interactions have been reported to date.
**Storage & Disposal**
Store in a cool, dry place away from direct sunlight and moisture. Keep out of the reach of children and ensure the container remains tightly closed after use.
Progyluton Tablet – Bayer
Progynova 2mg Tablet (Estradiol Valerate) – Bayer
Progynova 2 mg Tablets
Estradiol valerate
Progynova is a Hormone Replacement Therapy (HRT). It contains the female hormone, oestrogen. Your ovaries gradually make less of this hormone as you get older and will no longer produce it after you have been through the menopause. Progynova can be used in peri- and postmenopausal women.
What Progynova is used for
Relief of symptoms occurring after menopause
During the menopause, the amount of the oestrogen produced by a woman’s body drops. This can cause symptoms such as hot face, neck and chest ("hot flushes"). Progynova alleviates these symptoms after menopause. You will only be prescribed Progynova if your symptoms seriously hinder your daily life.
Proluton Depot (Hydroxyprogesterone Caproate) – Bayer
Proluton Depot Injection is used to prevent premature labor in pregnant women in order to reduce the risk of giving birth too early (preterm birth). It prevents miscarriage and lower the risk of premature birth in women who have had one premature delivery in the past.
Proluton Depot Injection is administered only by or under the supervision of a doctor. It should be taken as your doctor advice. Your doctor will decide how much you need to take and for how much time. You should take this injection for as long as it is prescribed for you.
The most common side effects of this medicine include local site reactions at the injection site, nausea, itching, diarrhea, and hives. If any of these bothers you, let your doctor know. There may be ways of reducing or preventing them. It may affect blood sugar levels, so monitor your blood sugar regularly. It is better to inform the doctor if you notice yellowing of eyes or skin, dark urine, or stomach pain while using this medicine.
Before taking this medicine inform doctor, if you have ever had any problems with your blood circulation or have diabetes, or any liver disease. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works.
Proviron Tablet (Mesterolone) – Bayer
Proviron is used to replace testosterone in men with hypogonadism. Male hypogonadism is a condition when the body does not produce enough testosterone.
Testosterone is a natural male hormone, known as an androgen, which controls normal sexual development in men.
Testosterone is essential for the development and maintenance of the male reproductive organs as well as other male characteristics, such as hair growth, deep voice, sexual drive, muscle mass and body fat distribution.
Proviron is for use in male patients only.
Qbal Injection (Mecobalamin) – Bosch
R-D Tar Medicated Soap ( Royal Derma )
Rifaxa 550mg Tab ( Rifaximin ) Ferozsons
Rifaximin is used to treat travelers' diarrhea caused by Escherichia coli (E. coli) in adults and children who are at least 12 years old. Most people get this infection by eating food or drinking fluids that have been contaminated with the E. coli bacteria.
Rifaximin is also used to treat irritable bowel syndrome (IBS) in adults whose main symptom is diarrhea.
Rifaximin is also used to lower the risk of a decline in brain function in adults with liver failure. Brain function can be affected when the liver stops working and cannot remove toxic substances from the body.
Rifaximin may also be used for purposes not listed in this medication guide.
Rifaximin side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
Rifaximin may cause serious side effects. Call your doctor at once if you have:
severe stomach pain, diarrhea that is watery or bloody (even if it occurs months after your last dose);
fever; or
fluid build-up around the stomach--rapid weight gain, stomach pain and bloating, trouble breathing while lying down.
Common side effects of rifaximin may include:
swelling in your hands or feet;
nausea;
headache, dizziness;
tiredness; or
abnormal liver function tests.
Warnings
Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.
Before taking this medicine
You should not take rifaximin if you are allergic to rifaximin, rifabutin, rifampin, or rifapentine.
Tell your doctor if you have ever had:
liver disease;
diarrhea with a fever; or
watery or bloody diarrhea.
Tell your doctor if you are pregnant or breastfeeding.
Rifaximin should not be given to a child younger than 12 years old.
How should I take rifaximin?
Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed.
You may take rifaximin with or without food.
For travelers' diarrhea, rifaximin is usually taken for only 3 days. For IBS, rifaximin is usually taken for 2 weeks at a time. Follow your doctor's dosing instructions very carefully.
Use this medicine for the full prescribed length of time, even if your symptoms quickly improve. Skipping doses can increase your risk of infection that is resistant to medication. Rifaximin will not treat a viral infection such as the flu or a common cold.
Do not share this medicine with another person, even if they have the same symptoms you have.
Call your doctor if your symptoms do not improve after 24 to 48 hours, or if they get worse while using rifaximin.
Rifaximin does not treat all bacterial forms of travelers' diarrhea.
Store at room temperature away from moisture and heat.
Rifaximin dosing information
Usual Adult Dose for Traveler's Diarrhea:
200 mg orally 3 times a day for 3 days
Comments:
-This drug should not be used in patients with diarrhea complicated by fever or blood in the stool or diarrhea caused by pathogens other than Escherichia coli.
Use: For the treatment of travelers' diarrhea due to noninvasive strains of E coli
Usual Adult Dose for Hepatic Encephalopathy:
550 mg orally twice a day
Comments:
-In trials, lactulose was used concomitantly in 91% of patients; differences in treatment effect of patients not using concomitant lactulose could not be assessed.
Use: For reduction in risk of overt hepatic encephalopathy recurrence
Usual Adult Dose for Irritable Bowel Syndrome:
550 mg orally 3 times a day for 14 days
Comments:
-If symptoms recur, patients can be retreated up to 2 times with the same dosage regimen.
Use: For the treatment of irritable bowel syndrome with diarrhea
Usual Pediatric Dose for Traveler's Diarrhea:
12 years or older: 200 mg orally 3 times a day for 3 days
-This drug should not be used in patients with diarrhea complicated by fever or blood in the stool or diarrhea caused by pathogens other than E coli.
Royal Derma ( Prickly Heat Soap ) Royal Derma
Sacvin Tablets 24mg/26mg (Sacubitril , Valsartan) PharmEvo
Used For
Heart FailureHow it works
Sacubitril + valsartan inhibits neprilysin (neutral endopeptidase; NEP) , the active metabolite of the prodrug sacubitril and blocks the angiotensin II type-1 (AT1) receptor via valsartan. The cardiovascular and renal effects of sacubitril + valsartan in heart failure patients are attributed to the increased levels of peptides that are degraded by neprilysin, such as natriuretic peptides (NPs) and the simultaneous inhibition of the effects of angiotensin II by valsartan. NPs exert their effects by activating membrane bound guanylyl cyclase coupled receptors, resulting in increased concentrations of the second messenger cyclic guanosine monophosphate (cGMP), which could result in vasodilation, natriuresis and diuresis, increased glomerular filtration rate and renal blood flow, inhibition of renin and aldosterone release, reduction ofsympathetic activity and antihypertrophic and antifibrotic effects. Valsartan inhibits the effects of angiotensin II by selectively blocking the AT1 receptor and also inhibits angiotensin II-dependent aldosterone release. This prevents sustained activation of the renin-angiotensin-aldosterone system that would result in vasoconstriction, renal sodium and fluid retention, activation of cellular growth and proliferation and subsequent maladaptive cardiovascular remodeling.Usage And Safety
Dosage
The recommended starting dose of Sacubitril + Valsartan is one tablet of 49mg + 51mg twice daily.The dose of Sacubitril + Valsartan should be doubled after 2 to 4 weeks to the target maintenance dose of one tablet of 97mg + 103mg twice daily, as tolerated by the patient. Starting dose for some populations : A starting dose of (Sacubitril + Valsartan) one tablet of 24mg + 26mg taken twice daily is recommended for patients not currently taking an ACE inhibitor or an ARB or patients previously taking low doses of these agents. A starting dose of Sacubitril + Valsartan of one tablet of 24mg + 26mg taken twice daily should be considered for patients who have risk factors for hypotension, including patients = 75 years old and patients with low systolic blood pressure (SBP =100 to 110 mmHg). The dose of Sacubitril + Valsartan should be doubled every 2-4 weeks to the target dose of one tablet of Sacubitril + Valsartan 97mg + 103 mg twice daily, as tolerated by the patient. Always consult your doctor or pharmacist for dose adjustments.Side Effects
Very Common : Hyperkalemia, hypotension and renal impairment.Common : Anemia, hypokalemia, hypoglycemia, dizziness, headache, syncope, vertigo, orthostatic hypotension, cough, diarrhea, nausea, gastritis, renal failure (renal failure, acute renal failure), fatigue and asthenia.Uncommon : Hypersensitivity, dizziness postural, pruritus, rash and angioedema.Drug Interactions
Angiotensin Receptor Blockers , OATP1B1 and OATP1B3 substrates, e.g. statins , PDE5 inhibitors including sildenafil , potassium-sparing diuretics (triamterene, amiloride), mineralocorticoid antagonists (e.g. spironolactone, eplerenone), potassium supplements, salt substitutes containing potassium or other agents (such as heparin) , Non-steroidal anti-inflammatory agents (NSAIDs), including selective cyclooxygenase-2 (COX-2) inhibitors , Lithium , OATP1B1, OATP1B3, OAT3 (e.g. rifampicin, ciclosporin), OAT1 (e.g. tenofovir, cidofovir) or MRP2 (e.g. ritonavir) , Metformin HCl.Indication
Sacubitril + Valsartan is indicated in adult patients for treatment of symptomatic chronic heart failure with reduced ejection fraction. Sacubitril + Valsartan is usually administered in conjunction with other heart failure therapies, in place of an ACE inhibitor or other ARB.When not to Use
Sacubitril + Valsartan is contraindicated in patients with:• Hypersensitivity to the active substance, sacubitril, valsartan or to any of the excipient of the product.• Concomitant use with ACE inhibitors. Sacubitril + Valsartan must not be administered until 36 hours after discontinuing ACE inhibitor therapy.• Known history of angioedema related to previous ACE inhibitor or ARB therapy.• Hereditary or idiopathic angioedema.• Concomitant use with aliskiren-containing medicinal products in patients with diabetes mellitus or in patients with renal impairment (eGFR <60 ml/min/1.73 m2 ).• Severe hepatic impairment, biliary cirrhosis and cholestasis.• Second and third trimester of pregnancyPrecautions
Sacubitril + valsartan may cause angioedema. If angioedema occurs, discontinue sacubitril + valsartan immediately, provide appropriate therapy and monitor for airway compromise. Sacubitril + valsartan should not be used in patients with a known history of angioedema related to previous ACE inhibitor or ARB therapy.
Warnings
- ) Sacubitril + valsartan lowers blood pressure and may cause symptomatic hypotension. Patients with an activated renin-angiotensin system, such as volume- and/or salt-depleted patients (e.g., those being treated with high doses of diuretics), are at greater risk. Correct volume or salt depletion prior to administration of sacubitril + valsartan or start at a lower dose. If hypotension occurs, consider dose adjustment of diuretics, concomitant antihypertensive drugs and treatment of other causes of hypotension (e.g., hypovolemia). If hypotension persists despite such measures, reduce the dosage or temporarily discontinue sacubitril + valsartan.
- ) Through its actions on the RAAS, hyperkalemia may occur with sacubitril + valsartan. Monitor serum potassium periodically and treat appropriately, especially in patients with risk factors for hyperkalemia such as severe renal impairment, diabetes, hypoaldosteronism or a high potassium diet. Dosage reduction or interruption of sacubitril + valsartan may be required.
3. ) Caution should be exercised when initiating sacubitril + valsartan in patients with NYHA functional classification IV due to limited clinical experience in this population.