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Evista (Raloxifene) is used for treating and preventing osteoporosis (bone thinning) in women who are past menopause. It is also used to reduce the risk of invasive breast cancer in certain women who are past menopause. It may also be used for other conditions as determined by your doctor.

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Evista is used for:

Treating and preventing osteoporosis (bone thinning) in women who are past menopause. It is also used to reduce the risk of invasive breast cancer in certain women who are past menopause. It may also be used for other conditions as determined by your doctor.

This medicine is a selective estrogen receptor modulator (SERM). It works in osteoporosis by decreasing bone breakdown and thinning that may occur in women after menopause. It works to decrease the risk of invasive breast cancer by blocking estrogen in breast and uterine tissue.

Do NOT use Evista if:

you are allergic to any ingredient in Evista
you are pregnant, could become pregnant, or are breast-feeding
you have not yet gone through menopause
you have a history of blood clots in your legs, lungs, or eyes
you are taking an anion exchange resin (eg, cholestyramine, colestipol) or estrogen

Contact your doctor or health care provider right away if any of these apply to you.

Before using Evista :

Some medical conditions may interact with Evista . 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 liver problems, kidney problems, breast cancer, or any other type of cancer
if you have a history of stroke, transient ischemic attack (TIA), blood vessel problems, heart problems, (eg, heart failure, irregular heartbeat), or high blood pressure
if you are at risk for stroke or heart problems
if you will be having surgery, you smoke or drink alcohol, you are not able to absorb nutrients properly (gastrointestinal malabsorption syndrome), or you have very poor health
if you are taking an estrogen or have a history of high triglyceride levels while taking an estrogen
if anyone in your family has a history of serious blood clots

Some MEDICINES MAY INTERACT with Evista . Tell your health care provider if you are taking any other medicines, especially any of the following:
Anion exchange resins (eg, cholestyramine) because they may decrease Evista 's effectiveness
Diazepam, diazoxide, or lidocaine because the risk of their side effects may be increased by Evista .
Anticoagulants (eg, warfarin) because their effectiveness may be decreased by Evista

This may not be a complete list of all interactions that may occur. Ask your health care provider if Evista 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.

How to use Evista :

Use Evista as directed by your doctor. Check the label on the medicine for exact dosing instructions.
Evista comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Evista refilled.
Take Evista by mouth with or without food.
Take Evista on a regular schedule to get the most benefit from it. Taking Evista at the same time each day will help you remember to take it.
Continue to take Evista even if you feel well. Do not miss any doses.
If you miss a dose of Evista , use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Evista .

Important safety information:

Follow the diet and exercise program given to you by your health care provider. Talk with your doctor about whether you should take a calcium and vitamin D supplement while you use Evista .
Talk with your doctor about the use of weight-bearing exercises to help prevent weak bones.
Evista should be stopped at least 72 hours before surgery or any time you will be confined to a bed or chair for a long period of time (eg, long car ride, long plane flight, bedrest, illness). Tell your doctor or dentist that you take Evista before you receive any medical or dental care, emergency care, or surgery. Tell your doctor if you will be traveling, or any other time you may be confined to a bed or chair.
If you are traveling (eg, long car ride or plane ride), try to avoid sitting in one place for a long time. Be sure to get up and move around as often as possible to help avoid the risk of blood clots.
Evista is not recommended for use in men.
Lab tests and medical exams, including bone density, breast exams, and mammograms, may be performed while you use Evista . They may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
Evista should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
PREGNANCY and BREAST-FEEDING: Do not use Evista if you are pregnant. It may cause harm to the fetus. 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 Evista is found in breast milk. Do not breast-feed while taking Evista .

Possible side effects of Evista :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Hot flashes; increased sweating; joint aches; leg cramps.
Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); abnormal vaginal bleeding; back or side pain; blurred vision, loss of vision, or other vision changes; breast pain, tenderness, swelling, lump or discharge; chest pain; coughing up blood; confusion; flu-like symptoms; leg or calf pain, warmth, or swelling; one-sided weakness; shortness of breath; slurred speech; swelling of the hands, arms, legs or feet; unexplained bleeding.


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Before taking Accupril, tell your doctor if you are taking any of the following drugs:

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This list is not complete and there may be other drugs that can interact with Accupril. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.
Where can I get more information?
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How to use Aceon :

Use Aceon as directed by your doctor. Check the label on the medicine for exact dosing instructions.
You may take Aceon on an empty stomach or with food.
Take Aceon regularly to receive the most benefit from it. Taking Aceon at the same times(s) each day will help you to remember to take it. Continue taking Aceon even if you feel well.
If you miss a dose of Aceon , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Aceon .
Important safety information:
Aceon may cause dizziness or lightheadedness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Aceon . Using Aceon alone, with other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
Dizziness or lightheadedness may occur if you stand up too fast from a lying or sitting position. Avoid sudden changes in posture.
Drink plenty of fluids while taking Aceon and avoid engaging in activities that cause excessive sweating. 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.
A persistent, unproductive cough may occur. Tell your doctor if this occurs. Recovery is rapid when the medicine is stopped.
Patients being treated for high blood pressure often feel tired or run down for a few weeks after beginning therapy. Continue taking our medicine even though you may not feel quite "normal." Contact your doctor or pharmacist about any new symptoms.
Black patients are at higher risk for certain side effects, and may not respond as well to Aceon as patients of other races.
Before you have any medical or dental treatments, emergency care, or surgery, tell your doctor or dentist that you are taking Aceon .
Aceon may lower your resistance to infection. Prevent infection by avoiding contact with people with colds or other infections. Do not touch you eyes or the inside of your nose unless you have thoroughly washed your hands first.
Do not use salt substitutes containing potassium without first talking with your health care provider.
It may take several weeks for Aceon to work. Do not stop taking Aceon without checking with your health care provider.
LAB TESTS, including liver function, kidney function, blood pressure, blood counts, and blood electrolytes, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.
Caution is advised when using Aceon in the ELDERLY because they may be more sensitive to its effects, especially dizziness and rash.
Use Aceon with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.
PREGNANCY and BREAST-FEEDING: Aceon has been shown to cause harm to the fetus. If you become pregnant, discuss with your doctor the benefits and risks of using Aceon during pregnancy. It is unknown if Aceon is excreted in breast milk. Do not breast-feed while taking Aceon .
Possible side effects of Aceon :

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Abnormal skin sensation; arm or leg pain; back pain; cough; depression; diarrhea; dizziness; drowsiness; headache; lightheadedness; nausea; runny nose; weakness.
Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); change in the amount of urine; chest pain; darkening of urine; difficulty swallowing; fainting; fast or irregular heartbeat; fever; hoarseness; pounding in the chest; prolonged nausea, vomiting, or diarrhea; severe lightheadedness or fainting; sore throat; swelling of the hands, legs, face, lips, eyes, throat, tongue, or trunk; unusual joint pain; unusual muscle pain, cramps, or weakness; unusual stomach pain; yellowing of the skin or eyes.

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