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п»їIRBESARTAN (Systemic)


Some commonly used brand names are:

In the U.S.—
Avapro
Category
Antihypertensive
Description

Irbesartan (ir-be-SAR-tan) belongs to the class of medicines called angiotensin II inhibitor antihypertensives. It is used to treat high blood pressure (hypertension).

High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure also may increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Irbesartan works by blocking the action of a substance in the body that causes blood vessels to tighten. As a result, irbesartan relaxes blood vessels. This lowers blood pressure.

This medicine is available only with your doctor's prescription, in the following dosage form(s):
Oral
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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 irbesartan, the following should be considered:

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

Pregnancy—Use of irbesartan during pregnancy, especially during the second and third trimesters (after the first 3 months), can cause low blood pressure, severe kidney failure, or even death in the newborn. Therefore, it is important that you check with your doctor immediately if you think that you may have become pregnant . Be sure that you have discussed this with your doctor before taking this medicine.

Breast-feeding—It is not known whether irbesartan passes into breast milk. However, irbesartan passes into the milk of lactating rats. Because this medicine may cause serious side effects, breast-feeding is generally not recommended while you are taking it.

Children—This medicine has been tested in children over 6 years of age and has not been shown to cause different side effects or problems than it does in adults.

Older adults—This medicine has been tested in patients 65 years of age or older and has not been shown to cause different side effects or problems in older people than it does in younger adults. However, blood levels of irbesartan may be increased in the elderly and elderly patients may be more sensitive to the effects of irbesartan.

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 irbesartan, it is especially important that your health care professional know if you are taking any of the following:
Diuretics (water pills)—Effects on blood pressure may be increased

Other medical problems—The presence of other medical problems may affect the use of irbesartan. Make sure you tell your doctor if you have any other medical problems, especially:
Congestive heart failure, severe—Lowering of blood pressure by irbesartan may make this condition worse
Dehydration—Blood pressure-lowering effects of irbesartan may be increased.
Kidney disease—Effects of irbesartan may be increased because of slower removal of medicine from the body.


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How to use Accupril :

Use Accupril as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Take Accupril by mouth on an empty stomach at least 1 hour before or 2 hours after eating, or with a light meal. High-fat meals, however, may decrease the absorption of the medicine into your bloodstream.
If you are taking a tetracyclines (eg, doxycycline) or fluoroquinolones (eg, ciprofloxacin), take it at least 3 hours apart from Accupril . This product contains magnesium, which can interfere with absorption of these antibiotics.
If a dose is missed, take it as soon as possible. If several hours have passed or if it is nearing time for the next dose, do not double the dose to catch up, unless advised by your health care provider. If more than one dose is missed, contact your health care provider or pharmacist.

Ask your health care provider any questions you may have about how to use Accupril .
Important safety information:
Accupril may cause dizziness, lightheadedness, or fainting. These effects may be worse if you take it with alcohol or certain medicines. Use Accupril with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
Patients who take medicine for high blood pressure often feel tired or run down for a few weeks after starting treatment. Be sure to take your medicine even if you may not feel "normal." Tell your doctor if you develop any new symptoms.
Accupril has magnesium in it. Before you start any new medicine, check the label to see if it has magnesium in it too. If it does or if you are not sure, check with your doctor or pharmacist.
Accupril may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Accupril . Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
Check with your doctor before you use a salt substitute or a product that has potassium in it.
Dehydration, excessive sweating, vomiting, or diarrhea may lead to a fall in blood pressure. Contact your health care provider at once if any of these occur.
Accupril may not work as well in black patients. They may also be at greater risk of side effects. Contact your doctor if your symptoms do not improve or if they become worse.
Tell your doctor or dentist that you take Accupril before you receive any medical or dental care, emergency care, or surgery.
Lab tests, including electrolyte levels, may be performed while you use Accupril . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Accupril should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
PREGNANCY and BREAST-FEEDING: Do not use Accupril if you are pregnant. It has been shown to cause death to the fetus and newborn. Avoid becoming pregnant while you are taking it. If you think you may be pregnant, contact your doctor right away. It is not known if Accupril is found in the breast milk. If you are or will be breast-feeding while you use Accupril , check with your doctor. Discuss any possible risks to your baby.

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Accutane (ISOTRETINOIN) is a drug used for the treatment of severe, disfiguring cystic acne that has not cleared up in response to milder medications such as antibiotics.
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Isotretinoin, a retinoid, is available as Accutane in 10-mg, 20-mg and 40-mg soft gelatin capsules for oral administration. Each capsule contains beeswax, butylated hydroxyanisole, edetate disodium, hydrogenated soybean oil flakes, hydrogenated vegetable oil, and soybean oil. Gelatin capsules contain glycerin and parabens (methyl and propyl), with the following dye systems: 10 mg — iron oxide (red) and titanium dioxide; 20 mg — FD&C Red No. 3, FD&C Blue No. 1, and titanium dioxide; 40 mg — FD&C Yellow No. 6, D&C Yellow No. 10, and titanium dioxide.

Chemically, isotretinoin is 13-cis-retinoic acid and is related to both retinoic acid and retinol (vitamin A). It is a yellow to orange crystalline powder with a molecular weight of 300.44. The structural formula is:




Accutane - Clinical Pharmacology

Isotretinoin is a retinoid, which when administered in pharmacologic dosages of 0.5 to 1.0 mg/kg/day (see DOSAGE AND ADMINISTRATION), inhibits sebaceous gland function and keratinization. The exact mechanism of action of isotretinoin is unknown.
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Clinical improvement in nodular acne patients occurs in association with a reduction in sebum secretion. The decrease in sebum secretion is temporary and is related to the dose and duration of treatment with Accutane, and reflects a reduction in sebaceous gland size and an inhibition of sebaceous gland differentiation.[1]
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Due to its high lipophilicity, oral absorption of isotretinoin is enhanced when given with a high-fat meal. In a crossover study, 74 healthy adult subjects received a single 80 mg oral dose (2 ? 40 mg capsules) of Accutane under fasted and fed conditions. Both peak plasma concentration (Cmax) and the total exposure (AUC) of isotretinoin were more than doubled following a standardized high-fat meal when compared with Accutane given under fasted conditions (see Table 2). The observed elimination half-life was unchanged. This lack of change in half-life suggests that food increases the bioavailability of isotretinoin without altering its disposition. The time to peak concentration (Tmax) was also increased with food and may be related to a longer absorption phase. Therefore, Accutane capsules should always be taken with food (see DOSAGE AND ADMINISTRATION). Clinical studies have shown that there is no difference in the pharmacokinetics of isotretinoin between patients with nodular acne and healthy subjects with normal skin.

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Some medical conditions may interact with Aceon . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, planning to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines, foods, or other substances
if you have a history of giant hives or skin inflammation, or hardening of the skin or organs
if you have bone marrow depression, blood vessel problems in the brain (including stroke), or severe immune system disease
if you are undergoing dialysis
if you have high blood potassium, low blood sodium, or are on a sodium-restricted diet
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Some MEDICINES MAY INTERACT with Aceon . Tell your health care provider if you are taking any other medicines, especially any of the following:
Indomethacin, nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or salicylates (eg, aspirin) because the effectiveness of Aceon may be decreased
Clozapine, cyclosporine, dextran sulfate, HMG-CoA reductase inhibitors (eg, simvastatin), indomethacin, mannitol, NSAIDs (eg, ibuprofen), pergolide, phenothiazines (eg, chlorpromazine), potassium, potassium-sparing diuretics (eg, triamterene), thiazide-type diuretics (eg, hydrochlorothiazide), or trimethoprim because the actions and side effects of Aceon and these medicines may be increased
Iron, lithium, sulfonylureas (eg, glyburide), or thiopurines (eg, azathioprine) because the actions and side effects of these medicines may be increased

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