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п»їProduct info: Pain medicine
Neurontin (GABAPENTIN) is an anticonvulsant used to treat seizures associated with epilepsy. It may also be used to treat pain due to abnormal nerve stimulation (neuropathic pain) and nerve pain associated with herpes zoster infection. It may also be used to treat other conditions as determined by your doctor.

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п»їGABAPENTIN (Systemic)


Some commonly used brand names are:

In the U.S.—
Neurontin

In Canada—
Neurontin
Novo-Gabapentin

Another commonly used name is GBP .
Category
Anticonvulsant
Antineuralgic
Description

Gabapentin (GA-ba-pen-tin) is used to help control some types of seizures in the treatment of epilepsy. This medicine cannot cure epilepsy and will only work to control seizures for as long as you continue to take it.

This medicine is also used to manage a condition called postherpetic neuralgia (pain after “shingles”).

Gabapentin is available only with your doctor's prescription, in the following dosage form:
Oral
Capsules (U.S. and Canada)
Oral Solution (U.S.)
Tablets (U.S. and Canada)
Before Using This Medicine

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 gabapentin, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to gabapentin. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Gabapentin has not been studied in pregnant women. However, studies in pregnant animals have shown that gabapentin may cause bone or kidney problems in offspring when given to the mother in doses larger than the largest human dose. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.

Breast-feeding—This medicine passes into breast milk and may cause unwanted effects in nursing babies. It may be necessary for you to take another medicine or to stop your breast feeding during treatment. Be sure you have discussed the risks and benefits of the medicine with your doctor.

Children—This medicine has been tested in children 3 years to 12 years of age. Children may be sensitive to the effects of gabapentin. This may increase the chance of side effects during treatment. Certain side effects may be especially likely to occur in children. It is especially important that you discuss with the child's doctor the good that this medicine may do as well as the risks of using it..

This medicine has been tested in a small number of patients 12 to 18 years of age. In effective doses, gabapentin has not been shown to cause different side effects or problems than it does in adults.

Older adults—Gabapentin is removed from the body more slowly in elderly people than in younger people. Higher blood levels may occur, which may increase the chance of unwanted effects. Your doctor may give you a different gabapentin dose than a younger person would receive.

Other 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 gabapentin, it is especially important that your health care professional know if you are taking any of the following:
Antacids (e.g., Maalox)—Lower blood levels of gabapentin may occur, so gabapentin may not work properly; gabapentin should be taken at least 2 hours after any antacid is taken.
Morphine (e.g., Kadian, MS Contin)—Higher blood levels of gabapentin may occur and there is an increased chance of side effects from the medicine. A lower dose of either medicine may be needed.

Other medical problems—The presence of other medical problems may affect the use of gabapentin. Make sure you tell your doctor if you have any other medical problems, especially:
Kidney disease—Higher blood levels of gabapentin may occur, which may increase the chance of unwanted effects; your doctor may need to change your dose


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Notapor JozefBratan » Lun Dic 21, 2009 3:14 pm

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п»їWhat is this medicine?

TRAMADOL is a pain reliever. It is used to treat moderate to severe pain in adults.
What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:
brain tumor
drink more than 3 alcohol-containing drinks per day
drug abuse or addiction
head injury
kidney disease or problems going to the bathroom
liver disease
lung disease, asthma, or breathing problems
seizures or epilepsy
an unusual or allergic reaction to tramadol, codeine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
breast-feeding

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п»їPossible food and drug interactions when taking Ultram

Ultram may increase the drowsiness caused by alcohol. Do not drink alcohol while taking Ultram.

Avoid Ultram, too, if you are taking the seizure medication Tegretol.

If Ultram is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Ultram with the following:

Cyclobenzaprine (Flexeril)
Drugs known as MAO inhibitors, including the antidepressants Nardil and Parnate
Serotonin-boosting antidepressants such as Paxil, Prozac, and Zoloft
"Tricyclic" antidepressants such as Elavil, Norpramin, and Tofranil
Major tranquilizers such as Thorazine and Stelazine
Narcotic pain relievers (Demerol, morphine, Darvon, Percocet)
Promethazine (Mepergan, Phenergan)
Quinidine (Quinidex)
Sleeping pills (Halcion, Dalmane, Restoril)
Tranquilizers (Valium, Xanax)
Special information if you are pregnant or breastfeeding

There have been reports of serious harm to developing babies when Ultram was used during pregnancy. If you are pregnant or plan to become pregnant, tell your doctor immediately.

Ultram appears in breast milk and may affect a nursing infant. If Ultram is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment is finished.
Recommended dosage for Ultram

ADULTS

The usual starting dose for chronic pain is 25 milligrams once a day in the morning. The daily dosage is then increased every 3 days until it reaches 200 milligrams taken in four doses of 50 milligrams each. After the phase-in period, Ultram may be taken in doses of 50 to 100 milligrams every 4 to 6 hours, depending on the severity of pain. If rapid pain relief is needed, the phase-in steps can be skipped, though side effects will be more likely. The maximum dosage under any circumstances is 400 milligrams a day (300 milligrams for those over age 75).

For people with kidney problems, the usual starting dose is 50 to 100 milligrams every 12 hours; and the maximum per day is 200 milligrams. For those with cirrhosis, the usual dose is 50 milligrams every 12 hours.

CHILDREN

Safety and effectiveness in children under 16 years of age have not been established.
Overdosage

An overdose of Ultram can be fatal. If you suspect an overdose, seek emergency medical treatment immediately.


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