Wednesday, October 3, 2012

Sedapap


Generic Name: acetaminophen and butalbital (a SEET a MIN oh fen and bue TAL bi tal)

Brand Names: Bupap, Cephadyn, Marten-Tab, Phrenilin, Phrenilin Forte, Promacet, Sedapap


What is Sedapap (acetaminophen and butalbital)?

Acetaminophen is a pain reliever and fever reducer.


Butalbital is in a group of drugs called barbiturates. It relaxes muscle contractions involved in a tension headache.


The combination of acetaminophen and butalbital is used to treat tension headaches. This medicine is not for treating headaches that come and go.


Acetaminophen and butalbital may also be used for purposes not listed in this medication guide.


What is the most important information I should know about Sedapap (acetaminophen and butalbital)?


Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Tell your doctor if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take medicine that contains acetaminophen.

Before you take acetaminophen and butalbital, tell your doctor if you are allergic to any drugs, or if you have liver or kidney disease, a stomach or intestinal disorder, or a history of drug or alcohol addiction.


Butalbital may be habit-forming and should be used only by the person it was prescribed for. Never share this medication with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

Tell your doctor if the medicine seems to stop working as well in relieving your pain.


This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

What should I discuss with my healthcare provider before taking Sedapap (acetaminophen and butalbital)?


Do not use this medication if you are allergic to acetaminophen (Tylenol) or butalbital, or if you have porphyria. Tell your doctor if you have ever had alcoholic liver disease (cirrhosis) or if you drink more than 3 alcoholic beverages per day. You may not be able to take medicine that contains acetaminophen. Butalbital may be habit-forming and should be used only by the person it was prescribed for. Never share this medication with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it.

To make sure you can safely take acetaminophen and butalbital, tell your doctor if you have any of these other conditions:


  • liver disease;

  • kidney disease;


  • a stomach or intestinal disorder; or




  • a history of drug or alcohol addiction.



Tell your doctor if you drink more than three alcoholic beverages per day or if you have ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains acetaminophen.


FDA pregnancy category C. It is not known whether acetaminophen and butalbital will harm an unborn baby, but it can cause seizures in a newborn if the mother takes the medication late in pregnancy. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Acetaminophen and butalbital can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Older adults may be more sensitive to the effects of this medicine.


How should I take Sedapap (acetaminophen and butalbital)?


Take exactly as prescribed by your doctor. Do not take more of this medication than is recommended. An overdose of acetaminophen can damage your liver or cause death. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your pain. Take this medicine with a full glass of water. Do not stop using acetaminophen and butalbital suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using this medication.

This medication can cause unusual results with certain medical tests. Tell any doctor who treats you that you are using acetaminophen and butalbital.


If you need surgery, tell the surgeon ahead of time that you are using acetaminophen and butalbital. You may need to stop using the medicine for a short time. Store at room temperature away from moisture and heat. Keep track of the amount of medicine used from each new bottle. Butalbital is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription.

What happens if I miss a dose?


Since acetaminophen and butalbital is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.


What happens if I overdose?


Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of acetaminophen and butalbital can be fatal.

The first signs of an acetaminophen overdose include loss of appetite, nausea, vomiting, stomach pain, sweating, and confusion or weakness. Later symptoms may include pain in your upper stomach, dark urine, and yellowing of your skin or the whites of your eyes.


Overdose symptoms may also include extreme drowsiness, confusion, fainting, shallow breathing, or no breathing.


What should I avoid while taking Sedapap (acetaminophen and butalbital)?


This medication may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Ask a doctor or pharmacist before using any other cold, allergy, pain, or sleep medication. Acetaminophen (sometimes abbreviated as APAP) is contained in many combination medicines. Taking certain products together can cause you to get too much acetaminophen which can lead to a fatal overdose. Check the label to see if a medicine contains acetaminophen or APAP. Avoid drinking alcohol. It may increase your risk of liver damage while taking acetaminophen.

Sedapap (acetaminophen and butalbital) 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 at once if you have a serious side effect such as:

  • fast or pounding heart rate, feeling short of breath;




  • feeling like you might pass out;




  • confusion, depression;




  • feeling restless, excited, or agitated;




  • seizure (convulsions); or




  • nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).



Less serious side effects include:



  • headache, dizziness, drowsiness, shaky feeling;




  • drunk feeling;




  • vomiting, constipation;




  • heartburn, trouble swallowing;




  • numbness or tingly feeling;




  • dry mouth;




  • sweating or urinating more than usual;




  • leg pain, tired muscles;




  • stuffy nose, ear pain, ringing in your ears; or




  • mild itching.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.


What other drugs will affect Sedapap (acetaminophen and butalbital)?


Cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by butalbital. Tell your doctor if you regularly use any of these medicines.

Tell your doctor about all other medicines you use, especially:



  • an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate).



This list is not complete and other drugs may interact with acetaminophen and butalbital. 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.



More Sedapap resources


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


  • Axocet MedFacts Consumer Leaflet (Wolters Kluwer)

  • Cephadyn Advanced Consumer (Micromedex) - Includes Dosage Information

  • Phrenilin Prescribing Information (FDA)

  • Tencon Prescribing Information (FDA)



Compare Sedapap with other medications


  • Headache


Where can I get more information?


  • Your pharmacist can provide more information about acetaminophen and butalbital.

See also: Sedapap side effects (in more detail)


Tuesday, October 2, 2012

Mumpsvax


Generic Name: mumps virus vaccine (MUMPS VYE rus)

Brand Names: Mumpsvax


What is Mumpsvax (mumps virus vaccine)?

Mumps is a serious diseases caused by a virus. It is spread from person to person through the air.


Mumps virus causes fever, headache, and swollen glands, but more serious symptoms include hearing loss, and painful swelling of the testicles or ovaries. Mumps can cause breathing problems or meningitis, and these infections can be fatal.


The mumps vaccine is used to help prevent this disease in children.


This vaccine works by exposing your child to a small dose of the virus or a protein from the virus, which causes the body to develop immunity to the disease. This vaccine will not treat an active infection that has already developed in the body.


Measles, mumps, and rubella vaccine is for use in children who are at least 12 months old.


Like any vaccine, the mumps vaccine may not provide protection from disease in every person.


What is the most important information I should know about this vaccine?


The mumps vaccine is usually given as one shot, followed later by a booster vaccine with measles, mumps, and rubella (MMR) vaccine. The first mumps vaccine is usually given when the child is 12 to 15 months old. The MMR shots are then given before the child starts elementary school. Your child's individual booster schedule may be different from these guidelines. Follow your doctor's instructions or the schedule recommended by the health department of the state you live in.


Be sure your child receives all recommended doses of this vaccine. If your child does not receive the full series of vaccines, he or she may not be fully protected against the disease.


Your child can still receive a vaccine if he or she has a cold or fever. In the case of a more severe illness with a fever or any type of infection, wait until the child gets better before receiving this vaccine.


Your child should not receive a booster vaccine if he or she had a life-threatening allergic reaction after the first shot.

Keep track of any and all side effects your child has after receiving this vaccine. If the child ever receives a booster dose, you will need to tell the doctor if the previous shots caused any side effects.


Becoming infected with mumps is much more dangerous to your child's health than receiving the vaccine to protect against it. Like any medicine, this vaccine can cause side effects, but the risk of serious side effects is extremely low.


What should I discuss with my healthcare provider before receiving this vaccine?


You should not receive this vaccine if you have ever had a life-threatening allergic reaction to any vaccine containing mumps virus, or if you are allergic to:

  • gelatin; or




  • neomycin (Mycifradin, Neo-Fradin, Neo-Tab).



You should also not receive this vaccine if you have:



  • severe immune suppression caused by disease (such as cancer, HIV, or AIDS), or by receiving certain medicines such as steroids, chemotherapy or radiation;




  • a cancer such as leukemia or lymphoma; or




  • if you are pregnant.



Before receiving this vaccine, tell the doctor if you have:



  • thrombocytopenia purpura (easy bruising or bleeding);




  • active tuberculosis infection;




  • a history of seizures;




  • a neurologic disorder or disease affecting the brain (or if this was a reaction to a previous vaccine);




  • a weak immune system caused by disease, bone marrow transplant, or by using certain medicines or receiving cancer treatments; or




  • if you have received an immune globulin or other blood product within the past year.



You can still receive a vaccine if you have a cold or fever. In the case of a more severe illness with a fever or any type of infection, wait until you get better before receiving this vaccine.


You should not receive a mumps vaccine if you are pregnant. Wait until after your child is born to receive the vaccine.

A woman should avoid becoming pregnant for at least 3 months after receiving a mumps vaccine.


A woman should not receive this vaccine without telling the doctor if she is breast-feeding a baby.

How is this vaccine given?


This vaccine is given as an injection (shot) under the skin. Your child will receive this injection in a doctor's office or other clinic setting.


The mumps vaccine is usually given as one shot, followed later by a booster vaccine with measles, mumps, and rubella (MMR) vaccine. The first mumps vaccine is usually given when the child is 12 to 15 months old. The MMR shots are then given before the child starts elementary school. Your child's individual booster schedule may be different from these guidelines. Follow your doctor's instructions or the schedule recommended by the health department of the state you live in.


Your doctor may recommend treating fever and pain with an aspirin-free pain reliever such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil, and others) when the shot is given and for the next 24 hours. Follow the label directions or your doctor's instructions about how much of this medicine to give your child.


It is especially important to prevent fever from occurring in a child who has a seizure disorder such as epilepsy.


This vaccine can cause false results on a skin test for tuberculosis. Tell any doctor who treats you if you have received a mumps vaccine within the past 4 to 6 weeks.


What happens if I miss a dose?


Since this vaccine is usually given as only one dose, your child may not be on a booster schedule. If the child is on a booster schedule, contact your doctor if you will miss a dose or if you get behind schedule. The next dose should be given as soon as possible. There is no need to start over.


Be sure your child receives all recommended doses of this vaccine. If your child does not receive the full series of vaccines, he or she may not be fully protected against the disease.


What happens if I overdose?


An overdose of this vaccine is unlikely to occur.


What should I avoid before or after receiving this vaccine?


Your child should not receive a "live" vaccine such as measles, mumps, rubella (MMR), oral polio, yellow fever, or varicella (chickenpox) for at least 4 weeks after receiving mumps vaccine. The other live vaccine may not work as well during this time, and may not fully protect your child from disease.

This vaccine side effects


Keep track of any and all side effects your child has after receiving this vaccine. If the child ever receives a booster dose, you will need to tell the doctor if the previous shots caused any side effects.


Becoming infected with mumps is much more dangerous to your child's health than receiving the vaccine to protect against it. Like any medicine, this vaccine can cause side effects, but the risk of serious side effects is extremely low.


Get emergency medical help if your child has any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if the child has any of these serious side effects:



  • problems with hearing or vision;




  • extreme drowsiness, fainting;




  • fussiness, irritability, crying for an hour or longer;




  • easy bruising or bleeding, weakness;




  • seizure (black-out or convulsions);




  • high fever (within a few hours or a few days after the vaccine); or




  • swelling of the testicles (scrotum) in a male child.



Less serious side effects include:



  • burning or stinging where the shot was given;




  • low fever;




  • mild fussiness or crying;




  • cough, runny nose; or




  • diarrhea.



This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report vaccine side effects to the US Department of Health and Human Services at 1-800-822-7967.


What other drugs will affect mumps vaccine?


Before receiving this vaccine, tell the doctor about all other vaccines your child has recently received.

Also tell the doctor if your child has recently received drugs or treatments that can weaken the immune system, including:



  • an oral, nasal, inhaled, or injectable steroid medicine;




  • medications to treat psoriasis, rheumatoid arthritis, or other autoimmune disorders, such as azathioprine (Imuran), efalizumab (Raptiva), etanercept (Enbrel), leflunomide (Arava), and others; or




  • medicines to treat or prevent organ transplant rejection, such as basiliximab (Simulect), cyclosporine (Sandimmune, Neoral, Gengraf), muromonab-CD3 (Orthoclone), mycophenolate mofetil (CellCept), sirolimus (Rapamune), or tacrolimus (Prograf).



If your child is using any of these medications, he or she may not be able to receive the vaccine, or may need to wait until the other treatments are finished.


There may be other drugs that can affect this vaccine. Tell your doctor about all the prescription and over-the-counter medications your child has received. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your child's doctor.



More Mumpsvax resources


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


  • Mumpsvax Advanced Consumer (Micromedex) - Includes Dosage Information

  • Mumpsvax MedFacts Consumer Leaflet (Wolters Kluwer)



Compare Mumpsvax with other medications


  • Mumps Prophylaxis


Where can I get more information?


  • Your doctor or pharmacist may have information about this vaccine written for health professionals that you may read. You may also find additional information from your local health department or the Centers for Disease Control and Prevention.

See also: Mumpsvax side effects (in more detail)