Use this medication regularly in order to get the most benefit from it. Remember to use it at the same time each day. If your symptoms do not improve or if they become worse, check with your doctor. The concomitant use of Demerol Injection with all cytochrome P450 3A4 inhibitors may result in an increase in meperidine plasma concentrations, which could increase or prolong adverse reactions and may cause potentially fatal respiratory depression. In addition, discontinuation of a concomitantly used cytochrome P450 3A4 inducer may result in an increase in meperidine plasma concentration. aldactone roche price
Do not consider WebMD User-generated content as medical advice. Never delay or disregard seeking professional medical advice from your doctor or other qualified healthcare provider because of something you have read on WebMD. You should always speak with your doctor before you start, stop, or change any prescribed part of your care plan or treatment. WebMD understands that reading individual, real-life experiences can be a helpful resource but it is never a substitute for professional medical advice, diagnosis, or treatment from a qualified health care provider. If you think you may have a medical emergency, call your doctor or dial 911 immediately.
You should not take this medication if you are allergic to tolterodine or fesoterodine Toviaz if you have untreated or uncontrolled narrow-angle glaucoma, or if you have a blockage of the urinary tract, stomach, or intestines. Talk to your doctor about using tolterodine safely. Because of these risks, reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate. Store at room temperature away from moisture and heat.
Take this medication by mouth with or without food as directed by your doctor, usually once a day. Swallow the medication whole with a full glass of liquid. Do not crush or chew the medication. Doing so can destroy the long action of the drug and may increase side effects. What happens if I miss a dose Detrol? Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. It is unknown if this drug passes into breast milk. Consult your doctor before breast-feeding.
Take Detrol LA extended-release capsules by mouth with or without food. Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label. Tolterodine may cause a condition that affects the heart rhythm QT prolongation. Serotonin syndrome: Cases of serotonin syndrome, a potentially life-threatening condition, have been reported during concomitant use of opioids with serotonergic drugs. Other. Pain at injection site; local tissue irritation and induration following subcutaneous injection, particularly when repeated; antidiuretic effect. Meperidine causes miosis, even in total darkness. Meperidine, in 60 mg to 80 mg parenteral doses, is approximately equivalent in analgesic effect to 10 mg of morphine. The onset of action is slightly more rapid than with morphine, and the duration of action is slightly shorter. Meperidine is significantly less effective by the oral than by the parenteral route, but the exact ratio of oral to parenteral effectiveness is unknown.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. 'Multum' is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. If concomitant use of acyclovir and Demerol Injection is necessary, monitor patients for respiratory depression and sedation at frequent intervals. What Are Warnings and Precautions for Tolterodine? This may not be a complete list of all interactions that may occur. Ask your health care provider if Detrol LA extended-release capsules 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. If you get a kidney stone, you are in danger of getting more later in life. How does your doctor know if you really do have a kidney stone? Drug-seeking" behavior is very common in persons with substance use disorders. Drug-seeking tactics include emergency calls or visits near the end of office hours, refusal to undergo appropriate examination, testing, or referral, repeated "loss" of prescriptions, tampering with prescriptions, and reluctance to provide prior medical records or contact information for other treating health care providers. "Doctor shopping" visiting multiple prescribers to obtain additional prescriptions is common among drug abusers and people suffering from untreated addiction. Preoccupation with achieving adequate pain relief can be appropriate behavior in a patient with poor pain control. Reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate. Limit dosages and durations to the minimum required. Cordarone, Pacerone dofetilide Tikosyn disopyramide Norpace procainamide Procan, Pronestyl quinidine Quin-G or sotalol Betapace. Inform your doctor if your condition persists or worsens. DEMEROL meperidine hydrochloride, USP Injection is an opioid agonist, available for intramuscular, intravenous, or subcutaneous administration. strattera
Due to additive pharmacologic effect, the concomitant use of benzodiazepines or other CNS depressants, including alcohol, can increase the risk of hypotension respiratory depression, profound sedation, coma, and death. The major hazards of meperidine, as with other opioid analgesics, are respiratory depression and, to a lesser degree, circulatory depression; respiratory arrest, shock, and cardiac arrest have occurred. Meperidine hydrochloride is an opioid agonist with multiple actions qualitatively similar to those of morphine; the most prominent of these involve the central nervous system and organs composed of smooth muscle. The principal actions of therapeutic value are analgesia and sedation. QTdrugs List, AZCERT, Inc. This list is not complete and there are many other drugs that can interact with tolterodine. Tell your doctor about all medications you use. This includes prescription, over the counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you. generic brand name for maxalt maxalt
Tell your doctor if your condition does not improve or if it worsens. Gastrointestinal. Dry mouth, constipation, biliary tract spasm. Food and Drug Administration. WebMD does not endorse any specific product, service, or treatment. Medications, electrical stimulation, or surgery. Doctors sometimes prescribe medicines that block the of an overactive bladder. Electrical stimulation of the bladder nerves helps in some cases. Surgery is reserved for severe cases. It aims to increase the amount of urine your bladder can store. Adverse outcomes in pregnancy can occur regardless of the health of the mother or the use of medications. Prolonged use of Demerol Injection during pregnancy can result in neonatal opioid withdrawal syndrome, which may be life-threatening if not recognized and treated, and requires management according to protocols developed by neonatology experts. Cystine stones: This is the least common type. Once you get a cystine stone, there is a chance that you may have one again. You inherit the possibility of getting them from your parents, both of whom would have to have the same type of genetic disorder. Surgery: Another way doctors can get rid of a kidney stone is to cut a small hole in your back and through your kidney in order to remove the stone. If this procedure is done, you could have to stay in the hospital for several days. Warning: The facts and figures contained in these reports are accurate to the best of our capability; however, our metrics are only meant to augment your medical knowledge, and should never be used as the sole basis for selecting a new medication. As with any medical decision, be sure to work with your doctor to ensure the best choices are made for your condition. Tolterodine may also be used for purposes not listed in this medication guide. cheaper alternative to cefdinir
Demerol Injection should not be used for treatment of chronic pain. Many drugs besides tolterodine may affect the heart rhythm QT prolongation including amiodarone, dofetilide, pimozide, procainamide, quinidine, sotalol, macrolide antibiotics such as erythromycin among others. Check with your pharmacist about how to dispose of unused medicine. Then, if needed, she will order tests to get pictures of your kidneys and urinary tract. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Your doctor may want you to save the stone so it can be tested. If she can figure out what kind of stone it is, that may help prevent you from having another one. Carbon dioxide CO 2 retention from opioid-induced respiratory depression can exacerbate the sedating effects of opioids.
Monitor patients for signs of urinary retention or reduced gastric motility when Demerol Injection is used concomitantly with anticholinergic drugs. Meperidine is metabolized through biotransformation. In vitro data show meperidine is metabolized to normeperidine in liver mainly by CYP3A4 and CYP2B6. Severe allergic reactions rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness; chest pain; confusion, disorientation, or memory problems; difficult or painful urination; fast or irregular heartbeat; fainting; hallucinations; severe dizziness; swelling of the hands, ankles, or feet. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. This medication may cause to not work as well. Live may cause serious problems such as infection if given while you are using this medication. Meperidine produces peripheral vasodilation which may result in orthostatic hypotension or syncope. Avoid becoming overheated in hot weather, saunas, and during or other strenuous activity. Ureteroscopy: This procedure treats stones in the kidneys and ureters. Your doctor uses a thin, flexible scope to find and remove stones. Alternatively, consider the use of non-opioid analgesics in these patients. The findings cannot be clearly attributed to maternal toxicity. For these reasons, FAERS case reports cannot be used to calculate incidence or estimates of risk for a particular product or compare risks between products. lexapro store in edmonton
Observational studies have demonstrated that concomitant use of opioid analgesics and benzodiazepines increases the risk of drug-related mortality compared to use of opioid analgesics alone. If necessary, meperidine may be given intravenously, but the injection should be given very slowly, preferably in the form of a diluted solution. Rapid intravenous injection of narcotic analgesics, including meperidine, increases the incidence of adverse reactions; severe respiratory depression, apnea, hypotension, peripheral circulatory collapse, and cardiac arrest have occurred. Meperidine should not be administered intravenously unless a narcotic antagonist and the facilities for assisted or controlled respiration are immediately available. When meperidine is given parenterally, especially intravenously, the patient should be lying down. Take this medication with water. The concomitant use of acyclovir may increase the plasma concentrations of meperidine and its metabolite, normeperidine. What should I discuss with my healthcare provider before taking tolterodine Detrol? Your doctor will pass the scope through your bladder and ureter into your kidney. She uses a small basket to remove small stones. If the stones are larger, the doctor will pass a laser through the scope to break them up. Typically, you are able to go home on the same day. DEMEROL is not a trademark of Hospira. nvip.info nolvadex
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company. Demerol Injection is contraindicated in patients with known or suspected gastrointestinal obstruction, including paralytic ileus. Shock wave lithotripsy: This is the most common procedure for kidney stones in the United States. It uses shock waves, which can blast the stone into little pieces. Then, the smaller pieces can more easily be passed in your urine. Elderly patients aged 65 years or older may have increased sensitivity to meperidine. In general, use caution when selecting a dosage for an elderly patient, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function and of concomitant disease or other drug therapy. Talk to your doctor or about lifestyle changes that might benefit you. Formal reproductive and developmental toxicology studies for meperidine have not been completed. letrozole
canada detrol online prescription, how to buy detrol otc, buy detrol store europe, order detrol tablets online shop, detrol pills in united states overnight, buy generic detrol from india online, korean detrol, detrol cheap australia, discount detrol buy, purchase detrol without script, detrol can i order uk, order detrol guidelines, best detrol city, order generic detrol online usa, cheap detrol order online canada, other drugs besides detrol, purchase iv detrol, detrol price johannesburg, buy cheap detrol uk, cheapest detrol in uk, detrol canada price, vectura generic detrol, discount detrol use, buy pure detrol, canada detrol fass, cheap detrol basket, price of detrol 100mg, generic detrol kopen, order detrol from china, order now cheapest detrol otc, cheaper alternative to detrol, detrol store in edmonton, detrol stock price news, detrol roche price, generic brand name for detrol
Elevated serum levels have been reported to cause central nervous system excitatory effects. Meperidine should therefore be used with caution in patients with hepatic impairment. Titrate the dosage of Demerol Injection slowly in patients with hepatic impairment and monitor closely for signs of central nervous system and respiratory depression. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately. Although the risk of addiction in any individual is unknown, it can occur in patients appropriately prescribed Demerol Injection. Addiction can occur at recommended dosages and if the drug is misused or abused. clavaseptin
Drink plenty of water: You should drink at least 64 ounces of water each day. Some of that liquid can be orange juice, lemonade, or limeade. What should I avoid while taking tolterodine Detrol? The minimum effective analgesic concentration will vary widely among patients, especially among patients who have been previously treated with potent agonist opioids. Do not increase your dose or take this medication more often than directed. Your condition will not improve any faster and your risk of serious side effects may be increased. Do not start, stop, or change the dosage of any medicines without your doctor's approval. dexamethasone stock price news
In clinical studies reported in the literature, changes in several pharmacokinetic parameters with increasing age have been observed. The initial volume of distribution and steady-state volume of distribution may be higher in elderly patients than in younger patients. The free fraction of meperidine in plasma may be higher in patients over 45 years of age than in younger patients. Demerol Injection exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to overdose and death. What is the most important information I should know about tolterodine Detrol LA?
Abuse of Demerol Injection poses a risk of overdose and death. The risk is increased with concurrent abuse of Demerol Injection with alcohol and other central nervous system depressants. Detrol LA extended-release capsules are to be used only by the patient for whom it is prescribed. Do not share it with other people. What should I discuss with my healthcare provider before taking tolterodine Detrol LA?