NovoLog Mix 70/30 Vials

Pronunciation: IN-su-lin AS-part PROE-ta-meen
Generic Name: Insulin Aspart Protamine/Insulin Aspart
Brand Name: NovoLog Mix 70/30

NovoLog Mix 70/30 Vials are used for:

Treating diabetes mellitus.

NovoLog Mix 70/30 Vials are a combination of an intermediate-acting and a fast-acting form of the hormone insulin. It works by helping your body to use sugar properly. This lowers the amount of glucose in the blood, which helps to treat diabetes.

Do NOT use NovoLog Mix 70/30 Vials if:

• you are allergic to any ingredient in NovoLog Mix 70/30 Vials


• you are having an episode of low blood sugar

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

Before using NovoLog Mix 70/30 Vials:

Some medical conditions may interact with NovoLog Mix 70/30 Vials. 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 drink alcoholic beverages or smoke


• if you have kidney or liver problems; nerve problems; adrenal, pituitary, or thyroid problems; or diabetic ketoacidosis


• if you use 3 or more insulin injections per day


• if you are fasting, are on a low-salt (sodium) diet, have blood electrolyte problems (eg, high blood sodium levels, low blood potassium levels), or you exercise


• if you have had or will be having heart surgery

Some MEDICINES MAY INTERACT with NovoLog Mix 70/30 Vials. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), disopyramide, fenfluramine, fibrates (eg, clofibrate, gemfibrozil), fluoxetine, monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), oral medicines for diabetes (eg, glipizide, metformin, nateglinide), pentamidine, pramlintide, propoxyphene, salicylates (eg, aspirin), somatostatin analogs (eg, octreotide), or sulfonamide antibiotics (eg, sulfamethoxazole) because the risk of low blood sugar may be increased


• Beta-blockers (eg, propranolol), clonidine, guanethidine, lithium, or reserpine because they may increase the risk of high or low blood sugar or may hide the signs and symptoms of low blood sugar, if it occurs


• Atypical antipsychotics (eg, risperidone), corticosteroids (eg, prednisone), danazol, diuretics (eg, furosemide, hydrochlorothiazide), estrogen, hormonal contraceptives (eg, birth control pills), isoniazid, niacin, phenothiazines (eg, chlorpromazine), progesterones (eg, medroxyprogesterone), somatropin, sympathomimetics (eg, albuterol, epinephrine, terbutaline), or thyroid hormones (eg, levothyroxine) because they may decrease NovoLog Mix 70/30 Vials's effectiveness, resulting in high blood sugar

This may not be a complete list of all interactions that may occur. Ask your health care provider if NovoLog Mix 70/30 Vials 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 NovoLog Mix 70/30 Vials:

Use NovoLog Mix 70/30 Vials as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• An extra patient leaflet is available with NovoLog Mix 70/30 Vials. Talk to your pharmacist if you have questions about this information.


• Use NovoLog Mix 70/30 Vials within 15 minutes before meals, unless directed otherwise by your doctor.


• If you will be using NovoLog Mix 70/30 Vials at home, a health care provider will teach you how to use it. Be sure you understand how to use NovoLog Mix 70/30 Vials. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.


• Carefully shake or rotate the vial as directed before each injection. This will ensure that the contents are evenly mixed. This combination insulin should look uniformly cloudy or milky.


• Do not use NovoLog Mix 70/30 Vials if it contains particles, is discolored, or if the vial is cracked or damaged.


• Use the proper technique taught to you by your doctor. Inject deep under the skin, NOT into a vein or muscle.


• Injection sites within an injection area (abdomen, buttock, thigh, upper arm) must be rotated from one injection to the next. Do not inject into skin that is red, swollen, or itchy.


• Do not mix this insulin together with any other type of insulin or any other medicine in the same syringe. Do not use NovoLog Mix 70/30 Vials in an insulin pump.


• Be sure you have purchased the correct insulin. Insulin comes in a variety of containers, including vials, cartridges, and pens. Make sure that you understand how to properly measure and prepare your dose. If you have any questions about measuring and preparing your dose, contact your doctor or pharmacist for information.


• NovoLog Mix 70/30 Vials begins lowering blood sugar within 15 minutes after an injection. The peak effect occurs from 1 to 4 hours after a dose. The effects last up to 24 hours.


• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.


• It is very important to follow your insulin regimen exactly. Do NOT miss any doses. Ask your doctor for specific instructions to follow in case you ever miss a dose of insulin.

Ask your health care provider any questions you may have about how to use NovoLog Mix 70/30 Vials.

Important safety information:

• NovoLog Mix 70/30 Vials may cause drowsiness, dizziness, lightheadedness, or blurred vision. These effects may be worse if you use it with alcohol or certain medicines. Use NovoLog Mix 70/30 Vials with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Do not drink alcohol without discussing it with your doctor. Drinking alcohol may increase the risk of developing high or low blood sugar.


• Do NOT use more than the recommended dose, use NovoLog Mix 70/30 Vials more often than prescribed, or change the type or dose of insulin you are using without checking with your doctor.


• Any change of insulin should be made cautiously and only under medical supervision. Changes in purity, strength, brand (manufacturer), type (regular, NPH, lente), species (beef, pork, beef-pork, human), and/or method of manufacture may require a change in dose.


• Stress or illness, especially with nausea and vomiting, may cause your insulin requirements to change. Even if you are not eating, you still require insulin. You and your doctor should establish a sick day plan to use in case of illness. When you are sick, test your blood/urine frequently and call your doctor as instructed.


• Tell your doctor or dentist that you take NovoLog Mix 70/30 Vials before you receive any medical or dental care, emergency care, or surgery.


• If you will be traveling across time zones, consult your doctor concerning adjustments in your insulin schedule.


• Carry an ID card at all times that says you have diabetes.


• An insulin reaction resulting from low blood sugar levels (hypoglycemia) may occur if you take too much insulin, skip a meal, or exercise too much. Low blood sugar may make you anxious, sweaty, weak, dizzy, drowsy, or faint. It may also make your heart beat faster; make your vision change; give you a headache, chills, or tremors; or make you more hungry. It is a good idea to carry a reliable source of glucose (eg, tablets or gel) to treat low blood sugar. If this is not available, you should eat or drink a quick source of sugar like table sugar, honey, candy, orange juice, or non-diet soda. This will raise your blood sugar level quickly. Tell your doctor right away if this happens. To prevent low blood sugar, eat meals at the same time each day and do not skip meals.


• Developing a fever or infection, eating significantly more than prescribed, or missing your dose of insulin may cause high blood sugar (hyperglycemia). High blood sugar may make you feel confused, drowsy, or thirsty. It can also make you flush, breathe faster, or have a fruit-like breath odor. If these symptoms occur, tell you doctor right away.


• Check with your doctor if you notice a depression in the skin or skin thickening at the injection site. You may need to change your injection technique.


• Proper diet, regular exercise, and regular testing of blood sugar are important for best results when using NovoLog Mix 70/30 Vials. Tell your doctor if you have had a recent change in diet or physical activity.


• Lab tests, including fasting blood glucose levels and hemoglobin A_1c, may be performed while you use NovoLog Mix 70/30 Vials. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Use NovoLog Mix 70/30 Vials with caution in the ELDERLY; if low blood sugar occurs, it may be more difficult to recognize in these patients.


• NovoLog Mix 70/30 Vials should be used with extreme caution in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using NovoLog Mix 70/30 Vials while you are pregnant. It is not known if NovoLog Mix 70/30 Vials are found in breast milk. If you are or will be breast-feeding while you use NovoLog Mix 70/30 Vials, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of NovoLog Mix 70/30 Vials:

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:

Back pain; diarrhea; indigestion; redness, swelling, itching, or mild pain at the injection site; runny nose; weight gain.

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; wheezing); burning, numbness, or tingling of the arms, hands, legs, or feet; changes in vision; confusion; dizziness; drowsiness; fainting; fast or irregular heartbeat; flu-like symptoms (eg, fever, chills, sore throat); headache; loss of consciousness; mental or mood changes; muscle pain, weakness, or cramping; seizures; slurred speech; stomach pain; swelling; tremor; trouble concentrating; unusual hunger; unusual sweating; weakness.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: NovoLog Mix 70/30 side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center or emergency room immediately. Symptoms may include chills; dizziness; drowsiness; fainting; fast or irregular heartbeat; headache; loss of consciousness; nervousness; seizures; shakiness; sweating; tremor; vision changes; weakness.

Proper storage of NovoLog Mix 70/30 Vials:

Store new (unopened) vials in the refrigerator, between 36 and 46 degrees F (2 and 8 degrees C). Do not freeze. Store used (open) vials either in the refrigerator, between 36 and 46 degrees F (2 and 8 degrees C), or at room temperature, below 86 degrees F (30 degrees C). Store away from heat and light. If NovoLog Mix 70/30 Vials has been frozen or overheated, throw it away. Throw away unrefrigerated or opened vials after 28 days, even if they still contain medicine.

Do not leave NovoLog Mix 70/30 Vials in a car on a warm or sunny day. Do not use NovoLog Mix 70/30 Vials after the expiration date stamped on the label. Keep NovoLog Mix 70/30 Vials, as well as syringes and needles, out of the reach of children and away from pets.

General information:

• If you have any questions about NovoLog Mix 70/30 Vials, please talk with your doctor, pharmacist, or other health care provider.


• NovoLog Mix 70/30 Vials are to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about NovoLog Mix 70/30 Vials. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More NovoLog Mix 70/30 resources

• NovoLog Mix 70/30 Side Effects (in more detail)
• NovoLog Mix 70/30 Use in Pregnancy & Breastfeeding
• NovoLog Mix 70/30 Drug Interactions
• NovoLog Mix 70/30 Support Group
• 2 Reviews for NovoLog Mix 70/30 - Add your own review/rating

Compare NovoLog Mix 70/30 with other medications

• Diabetes, Type 1
• Diabetes, Type 2

Nascobal nasal

Generic Name: cyanocobalamin (nasal) (sye AN oh koe BAL a min)

Brand Names: CaloMist, Nascobal

What is nasal cyanocobalamin?

Cyanocobalamin is a man-made form of vitamin B12. Vitamin B12 is important for growth, cell reproduction, blood formation, and protein and tissue synthesis.

Cyanocobalamin is used to treat vitamin B12 deficiency in people with pernicious anemia and other conditions.

Cyanocobalamin may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about nasal cyanocobalamin?

You should not use this medication if you are allergic to cobalt, or if you have Leber's disease. Cyanocobalamin can lead to optic nerve damage (and possibly blindness) in people with Leber's disease.

To treat pernicious anemia, you will have to use this medication on a regular basis for the rest of your life. Not using the medication can lead to irreversible nerve damage in your spinal cord.

Pernicious anemia is also treated with folic acid to help maintain red blood cells. However, folic acid will not treat Vitamin B12 deficiency and will not prevent possible damage to the spinal cord. Use all of your medications as directed.

Avoid eating or drinking hot foods or liquids within 1 hour before or after using the nasal form of this medication.

Tell your doctor if you develop nasal congestion, a cold, or allergies. The nasal spray may not work as well if you are congested.

Your dose needs may change if you become pregnant, if you breast-feed, or if you eat a vegetarian diet. Tell your doctor about any changes in your diet or medical condition.

What should I discuss with my healthcare provider before using nasal cyanocobalamin?

You should not use this medication if you are allergic to cobalt, or if you have Leber's disease. Cyanocobalamin can lead to optic nerve damage (and possibly blindness) in people with Leber's disease.

Before using cyanocobalamin, tell your doctor if you have:

• 
  

  any type of infection;

  
  


• 
  

  iron or folic acid deficiency;

  
  


• 
  

  kidney or liver disease; or

  
  


• 
  

  if you are receiving any medication or treatment that affects bone marrow.

  
  

Tell your doctor if you develop nasal congestion, a cold, or allergies. Nasal cyanocobalamin may not work as well if your nose is congested.

FDA pregnancy category C. It is not known whether this medication can harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Cyanocobalamin passes into breast milk, but it is not known whether cyanocobalamin could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use nasal cyanocobalamin?

Use this medication exactly as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Your dose needs may change if you become pregnant, if you breast-feed, or if you eat a vegetarian diet. Tell your doctor about any changes in your diet or medical condition.

To use nasal cyanocobalamin.

• 
  

  Gently blow your nose to clear any mucus.

  
  


• 
  

  Prime the nasal gel pump before your first use and whenever it has been longer than 2 days between uses. Pump the gel unit several times until a gel droplet appears at the tip, then pump 2 more times.

  
  


• 
  

  Prime the nasal spray before your first use by pumping the spray a few times until a fine mist appears. Prime the pump 1 time before each use thereafter.

  
  


• 
  

  Insert the tip of the nasal pump about half an inch into your nostril, pointing it toward the back of the nose.

  
  


• 
  

  Gently press your other nostril closed with your finger, and tilt your head forward. Pump and sniff gently at the same time. Return your head to an upright position.

  
  


• 
  

  Remove the pump from your nose. Rub your nostril gently for a few seconds.

  
  


• 
  

  Clean the tip of the spray or gel pump with a clean tissue and recap.

  
  

To be sure this medication is helping your condition, your blood will need to be tested every 3 to 6 months. This will help your doctor determine the correct dose and how long to treat you with cyanocobalamin. Do not miss any scheduled appointments.

To treat pernicious anemia, you will have to use this medication on a regular basis for the rest of your life. Not using the medication can lead to irreversible nerve damage in your spinal cord.

Pernicious anemia is also treated with folic acid to help maintain red blood cells. However, folic acid will not treat Vitamin B12 deficiency and will not prevent possible damage to the spinal cord. Use all of your medications as directed.

Store this medication at room temperature away from moisture, heat, and light. Keep the nasal gel in the prescription vial when not in use. Store the nasal spray upright.

What happens if I miss a dose?

Use the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to use the medicine and skip the missed dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of cyanocobalamin is not likely to cause life-threatening symptoms.

What should I avoid while using nasal cyanocobalamin?

Do not drink hot liquid or eat hot food within 1 hour before or after you use nasal cyanocobalamin.

Avoid drinking large amounts of alcohol while you are being treated with cyanocobalamin.

Avoid using any other nasal medications that your doctor has not recommended or prescribed.

Nasal cyanocobalamin 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:

• 
  

  chest pain;

  
  


• 
  

  feeling short of breath, even with mild exertion;

  
  


• 
  

  swelling, rapid weight gain; or

  
  


• 
  

  unusual warmth, redness, or pain in an arm or leg.

  
  

Less serious side effects may include:

• 
  

  headache, dizziness, weakness;

  
  


• 
  

  nausea, upset stomach, diarrhea;

  
  


• 
  

  numbness or tingling;

  
  


• 
  

  runny nose, sneezing, sore throat, swollen tongue;

  
  


• 
  

  fever;

  
  


• 
  

  joint pain; or

  
  


• 
  

  itching or rash.

  
  

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect nasal cyanocobalamin?

Before using cyanocobalamin, tell your doctor if you are taking any of the following medications:

• 
  

  antibiotics;

  
  


• 
  

  methotrexate (Rheumatrex);

  
  


• 
  

  pyrimethamine (Daraprim);

  
  


• 
  

  colchicine; or

  
  


• 
  

  if you drank a lot of alcohol within the past 2 weeks.

  
  

This list is not complete and there may be other drugs that can interact with cyanocobalamin. 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.

More Nascobal resources

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

Compare Nascobal with other medications

• B12 Nutritional Deficiency
• Pernicious Anemia
• Schilling Test
• Vitamin B12 Deficiency

Where can I get more information?

• Your pharmacist can provide more information about nasal cyanocobalamin.

See also: Nascobal side effects (in more detail)

Nasop Dissolving Tablets

Generic Name: Phenylephrine (FEN-il-EF-rin)
Brand Name: Nasop

Nasop Dissolving Tablets are used for:

Relieving congestion due to colds, flu, hay fever, and other allergies. It may also be used for other conditions as determined by your doctor.

Nasop Dissolving Tablets are a decongestant. It works by reducing swelling and constricting blood vessels in the nasal passages, allowing you to breathe more easily.

Do NOT use Nasop Dissolving Tablets if:

• you are allergic to any ingredient in Nasop Dissolving Tablets


• you have had an unusual reaction (eg, dizziness, weakness, tremors, irregular heartbeat) to another sympathomimetic medicine (eg, pseudoephedrine)


• you are taking furazolidone or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) in the last 14 days


• you have severe high blood pressure, severe heart blood vessel disease, fast heartbeat, or severe heart problems

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

Before using Nasop Dissolving Tablets:

Some medical conditions may interact with Nasop Dissolving Tablets. 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 glaucoma or increased pressure in the eye, enlarged prostate gland or other prostate problems, heart problems, diabetes, high blood pressure, blood vessel problems, adrenal gland problems, overactive thyroid, seizures, or stroke

Some MEDICINES MAY INTERACT with Nasop Dissolving Tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Beta-blockers (eg, propranolol), catechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), furazolidone, indomethacin, methyldopa, or MAOIs (eg, phenelzine) because they may increase the risk of Nasop Dissolving Tablets's side effects


• Tricyclic antidepressants (eg, amitriptyline) because they may decrease Nasop Dissolving Tablets's effectiveness


• Digoxin or droxidopa because the risk of irregular heartbeat or heart attack may be increased


• Bromocriptine because the risk of its side effects, such as phenylketonuria, may be increased by Nasop Dissolving Tablets


• Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by Nasop Dissolving Tablets

This may not be a complete list of all interactions that may occur. Ask your health care provider if Nasop Dissolving Tablets 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 Nasop Dissolving Tablets:

Use Nasop Dissolving Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Nasop Dissolving Tablets by mouth with or without food.


• Place tablet on the tongue and allow it to dissolve. Nasop Dissolving Tablets may be taken with or without water.


• If you miss a dose of Nasop Dissolving Tablets and are taking it regularly, 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 Nasop Dissolving Tablets.

Important safety information:

• Nasop Dissolving Tablets may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Nasop Dissolving Tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor.


• If your symptoms do not get better within 7 days or if you develop a high fever, check with your doctor.


• Nasop Dissolving Tablets has phenylephrine in it. Before you start any new medicine, check the label to see if it has phenylephrine or pseudoephedrine in it too. If it does or if you are not sure, check with your doctor or pharmacist.


• Do not take diet or appetite control medicines while you are taking Nasop Dissolving Tablets.


• Some of these products contain phenylalanine. If you must have a diet that is low in phenylalanine, ask your pharmacist if it is in your product.


• If you have trouble sleeping, ask your pharmacist or doctor about the best time to take Nasop Dissolving Tablets.


• Tell your doctor or dentist that you take Nasop Dissolving Tablets before you receive any medical or dental care, emergency care, or surgery.


• Diabetes patients - Nasop Dissolving Tablets may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.


• Use Nasop Dissolving Tablets with caution in the ELDERLY; they may be more sensitive to its effects.


• Caution is advised when using Nasop Dissolving Tablets in CHILDREN; they may be more sensitive to its effects.


• Nasop Dissolving Tablets should be used with extreme caution in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Nasop Dissolving Tablets while you are pregnant. Nasop Dissolving Tablets are found in breast milk. Do not breast-feed while taking Nasop Dissolving Tablets.

Possible side effects of Nasop Dissolving Tablets:

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:

Dizziness; headache; nausea; nervousness; restlessness; sleeplessness; stomach irritation.

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); fast or irregular heartbeat; hallucinations; seizures; tremor; trouble urinating.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Nasop side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room right away. Symptoms may include confusion; hallucinations; irregular or unusually slow or rapid heartbeat; rapid breathing; seizures.

Proper storage of Nasop Dissolving Tablets:

Store Nasop Dissolving Tablets at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nasop Dissolving Tablets out of the reach of children and away from pets.

General information:

• If you have any questions about Nasop Dissolving Tablets, please talk with your doctor, pharmacist, or other health care provider.


• Nasop Dissolving Tablets are to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about Nasop Dissolving Tablets. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Nasop resources

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

Compare Nasop with other medications

• Hypotension
• Nasal Congestion
• Shock
• Supraventricular Tachycardia

Nicotrol NS Spray

Pronunciation: NIK-oh-teen
Generic Name: Nicotine
Brand Name: Nicotrol NS

Nicotrol NS Spray is used for:

Helping you to quit smoking.

Nicotrol NS Spray is a smoking deterrent. It works by providing low levels of nicotine, which may help you to quit smoking by lessening the physical signs of withdrawal symptoms.

Do NOT use Nicotrol NS Spray if:

• you are allergic to any ingredient in Nicotrol NS Spray


• you have had a recent heart attack


• you have persistent nose problems (eg, allergies, runny nose, nasal polyps, sinusitis) or severe asthma


• you have severe or worsening chest pain or a severely irregular heartbeat


• you continue to smoke, chew tobacco, use snuff, or any other nicotine-containing products

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

Before using Nicotrol NS Spray:

Some medical conditions may interact with Nicotrol NS Spray. 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 chest pain (eg, angina), heart problems (eg, coronary artery disease, irregular heartbeat), a history of heart attack, high blood pressure, breathing problems (eg, asthma), an overactive thyroid, an ulcer, a tumor on your adrenal gland (pheochromocytoma), diabetes, kidney or liver problems, or blood vessel problems (eg, Buerger disease, Raynaud phenomena)

Some MEDICINES MAY INTERACT with Nicotrol NS Spray. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Acetaminophen, adrenergic antagonists (eg, prazosin), beta-blockers (eg, labetalol, propranolol), caffeine, imipramine, insulin, oxazepam, pentazocine, or theophylline because the risk of their side effects may be increased when you stop smoking


• Adrenergic agonists (eg, isoproterenol, phenylephrine) because their effectiveness may be decreased when you stop smoking

This may not be a complete list of all interactions that may occur. Ask your health care provider if Nicotrol NS Spray 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 Nicotrol NS Spray:

Use Nicotrol NS Spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• An extra patient leaflet is available with Nicotrol NS Spray. Talk to your pharmacist if you have questions about this information.


• Tilt your head back slightly while using Nicotrol NS Spray.


• Spray Nicotrol NS Spray in your nose whenever you feel the urge to smoke.


• Do not sniff, swallow, or inhale through the nose while the spray is being used


• Do not use more than 1 spray in each nostril for a dose without checking with your doctor.


• Do not exceed 5 doses per hour or 40 doses per day.


• If you miss a dose of Nicotrol NS Spray, 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 Nicotrol NS Spray.

Important safety information:

• Nicotrol NS Spray may cause dizziness, lightheadedness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Nicotrol NS Spray with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• Tell your doctor or dentist that you take Nicotrol NS Spray before you receive any medical or dental care, emergency care, or surgery.


• Be careful while opening and closing the container of medicine. The container may break if it is dropped. If this happens, clean up the spill immediately with an absorbent cloth or paper towel. Avoid contact with the skin. Pick up broken glass carefully, using a broom. Wash the area several times. The absorbent material may be thrown away as household waste. If even a small amount of Nicotrol NS Spray contacts your skin, lips, eyes, or ears, immediately rinse the area with water only.


• Do NOT use Nicotrol NS Spray for longer than 6 months. If you still feel the need to use Nicotrol NS Spray after 6 months, check with your doctor.


• Do not smoke or use tobacco products while you are using Nicotrol NS Spray.


• Nicotrol NS Spray should be used as part of a larger program to help you stop smoking. If you need help choosing a program, talk with your health care provider.


• Diabetes patients - Nicotrol NS Spray may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.


• Use Nicotrol NS Spray with caution in the ELDERLY; they may be more sensitive to its effects.


• Nicotrol NS Spray should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: Nicotrol NS Spray may cause harm to the fetus. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Nicotrol NS Spray while you are pregnant. Nicotrol NS Spray is found in breast milk. If you are or will be breast-feeding while you use Nicotrol NS Spray, check with your doctor. Discuss any possible risks to your baby.

When used for long periods of time or at high doses, some people develop a need to continue taking Nicotrol NS Spray. This is known as DEPENDENCE or addiction.

Do not suddenly stop taking Nicotrol NS Spray without your doctor's approval. Stopping Nicotrol NS Spray suddenly may cause serious WITHDRAWAL symptoms. These may include: anxiety, craving, impaired concentration, increased appetite, irritability, nervousness, sleep disturbances, and weight gain.

Possible side effects of Nicotrol NS Spray:

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:

Acne; back pain; burning or irritation of the mouth, nose, or eyes; changes in taste and smell; constipation; cough; earache; flushing of the face; gas; headache; hoarseness; indigestion; irritability; joint pain; mouth sores; nasal ulcers or blisters; nausea; nose bleed; numbness of the mouth; painful menstruation; runny nose; sinus irritation; sneezing; sore throat; stuffy nose; tingling; tooth disorder; watery eyes.

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); fast or irregular heartbeat; lightheadedness; memory loss; severe dizziness or headache; shortness of breath; tightness in the chest; tremor.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Nicotrol NS side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include cold and clammy skin; confusion; diarrhea; difficulty breathing; dizziness; excessive saliva; fainting; headache; hearing and vision problems; nausea; rapid, weak, or irregular heartbeat; seizures; stomach pain; sweating; tremor; vomiting; weakness.

Proper storage of Nicotrol NS Spray:

Store Nicotrol NS Spray at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nicotrol NS Spray out of the reach of children and away from pets.

General information:

• If you have any questions about Nicotrol NS Spray, please talk with your doctor, pharmacist, or other health care provider.


• Nicotrol NS Spray is to be used only by the patient for whom it is prescribed. Do not share it with other people.


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Nicotrol NS Spray. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Nicotrol NS resources

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

Compare Nicotrol NS with other medications

• Smoking Cessation

Luvox

Generic Name: fluvoxamine (floo VOX a meen)

Brand Names: Luvox, Luvox CR

What is Luvox (fluvoxamine)?

Fluvoxamine is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Fluvoxamine affects chemicals in the brain that may become unbalanced and cause obsessive-compulsive symptoms.

Fluvoxamine is used to treat social anxiety disorder (social phobia), or obsessive-compulsive disorders involving recurring thoughts or actions.

Fluvoxamine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Luvox (fluvoxamine)?

Do not take this medication if you are allergic to fluvoxamine, or if you are also taking alosetron (Lotronex), tizanidine (Zanaflex), thioridazine (Mellaril), pimozide (Orap), or an MAO inhibitor such as isocarboxazid (Marplan), tranylcypromine (Parnate), phenelzine (Nardil), rasagiline (Azilect), or selegiline (Eldepryl, Emsam). Some of these medications can cause serious or life-threatening drug interactions when taken within 14 days before or after taking fluvoxamine.

You may have thoughts about suicide when you first start taking an this medication, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

Video: Treatment for Depression

Treatments for depression are getting better everyday and there are things you can start doing right away.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself. There are many other medicines that can cause serious medical problems if you take them together with fluvoxamine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

What should I discuss with my healthcare provider before taking Luvox (fluvoxamine)?

You should not take this medication if you are allergic to fluvoxamine, or if you are also taking:

• 
  

  alosetron (Lotronex);

  
  


• 
  

  tizanidine (Zanaflex);

  
  


• 
  

  thioridazine (Mellaril);

  
  


• 
  

  pimozide (Orap); or

  
  


• 
  

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

  
  

Some of these medications can cause serious or life-threatening drug interactions when taken together with fluvoxamine. You must wait at least 14 days after stopping an MAO inhibitor before you can take fluvoxamine. After you stop taking fluvoxamine, you must wait at least 14 days before you can start taking an MAOI.

Before taking fluvoxamine, tell your doctor if you have:

• liver disease;


• 
  

  seizures or epilepsy;

  
  


• 
  

  bipolar disorder (manic depression); or

  
  


• 
  

  a history of drug abuse or suicidal thoughts.

  
  

If you have any of these conditions, you may need a dose adjustment or special tests to safely take fluvoxamine.

You may have thoughts about suicide when you first start taking fluvoxamine, especially if you are younger than 24 years old. Tell your doctor if you have symptoms of depression or suicidal thoughts during the first several weeks of treatment, or whenever your dose is changed.

Your family or other caregivers should also be alert to changes in your mood or symptoms. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment.

FDA pregnancy category C. This medication may cause serious or life-threatening lung problems in newborn babies whose mothers take the medication during pregnancy. However, you may have a relapse of symptoms if you stop taking fluvoxamine during pregnancy. If you are planning a pregnancy, or if you become pregnant while taking fluvoxamine, do not stop taking the medication without first talking to your doctor. Fluvoxamine 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. Do not give fluvoxamine to anyone younger than 18 years old without the advice of a doctor.

How should I take Luvox (fluvoxamine)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Do not crush, chew, or open an extended-release capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

You may take fluvoxamine with or without food.

Do not stop using fluvoxamine without first talking to your doctor. You may have unpleasant side effects if you stop taking this medication suddenly. Store fluvoxamine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for the next regularly scheduled dose, skip the missed dose and take the next one as directed. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have taken too much of this medication. Overdose symptoms may include blurred vision, lack of coordination, extreme drowsiness, nausea and vomiting, fast heart rate, trouble breathing, fainting, and coma.

What should I avoid while taking Luvox (fluvoxamine)?

Avoid drinking alcohol, which can increase some of the side effects of fluvoxamine. Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, anxiety or depression can add to sleepiness caused by fluvoxamine. Tell your doctor if you regularly use any of these medicines.

Fluvoxamine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Luvox (fluvoxamine) side effects

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

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have a serious side effect such as:

• 
  

  seizure (convulsions);

  
  


• 
  

  unusual thoughts or behavior;

  
  


• 
  

  anxiety, restlessness, memory problems, trouble concentrating, hallucinations, feeling like you might pass out;

  
  


• 
  

  high fever, chills or goose bumps, loss of coordination, overactive reflexes, stiff muscles; or

  
  


• 
  

  confusion, sweating, fast or uneven heartbeats, and rapid breathing.

  
  

Less serious side effects may include:

• 
  

  loss of appetite, weight loss;

  
  


• 
  

  dry mouth, mild nausea or upset stomach, diarrhea, constipation;

  
  


• 
  

  sleep problems (insomnia);

  
  


• 
  

  dizziness, drowsiness;

  
  


• 
  

  decreased sex drive, impotence, trouble having an orgasm; or

  
  


• 
  

  unusual dreams.

  
  

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Luvox (fluvoxamine)?

Talk to your doctor before taking any medicine for pain, arthritis, fever, or swelling. This includes aspirin and NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), indomethacin, piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others. Taking any of these drugs with fluvoxamine may cause you to bruise or bleed easily.

Many drugs can interact with fluvoxamine. Below is just a partial list. Tell your doctor if you are using:

• 
  

  carbamazepine (Carbatrol, Tegretol);

  
  


• 
  

  clopidogrel (Plavix);

  
  


• 
  

  clozapine (Clozaril, FazaClo);

  
  


• 
  

  a diuretic (water pill);

  
  


• 
  

  linezolid (Zyvox);

  
  


• 
  

  lithium (Lithobid, Eskalith);

  
  


• 
  

  methadone (Dolophine, Methadose);

  
  


• 
  

  mexiletine (Mexitil);

  
  


• 
  

  omeprazole (Prilosec);

  
  


• 
  

  phenytoin (Dilantin);

  
  


• 
  

  propranolol (Inderal, Inderal LA);

  
  


• 
  

  quinidine (Quinaglute, Quinidex, Quin-Release);

  
  


• 
  

  ramelteon (Rozerem);

  
  


• 
  

  St. John's wort;

  
  


• 
  

  tacrine (Cognex);

  
  


• 
  

  tramadol (Ultram);

  
  


• 
  

  tryptophan (also called L-tryptophan);

  
  


• 
  

  theophylline (Elixophyllin, Theo-24, Uniphyl);

  
  


• 
  

  a blood thinner such as warfarin (Coumadin);

  
  


• a sedative such as diazepam (Valium), alprazolam (Xanax), midazolam (Versed), or triazolam (Halcion);


• 
  

  almotriptan (Axert), frovatriptan (Frova), sumatriptan (Imitrex), naratriptan (Amerge), rizatriptan (Maxalt), or zolmitriptan (Zomig);

  
  


• 
  

  medicine to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), perphenazine (Trilafon), and others; or

  
  


• 
  

  an antidepressant such as amitriptyline (Elavil), clomipramine (Anafranil), imipramine (Tofranil), and others.

  
  

This list is not complete and there are many other medicines that can cause serious medical problems if you take them together with fluvoxamine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

More Luvox resources

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

• Luvox Advanced Consumer (Micromedex) - Includes Dosage Information


• Fluvoxamine MedFacts Consumer Leaflet (Wolters Kluwer)


• Fluvoxamine Prescribing Information (FDA)


• Fluvoxamine Maleate Monograph (AHFS DI)


• Luvox CR Prescribing Information (FDA)


• Luvox CR Extended-Release Capsules MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Luvox with other medications

• Anxiety and Stress
• Obsessive Compulsive Disorder

Where can I get more information?

• Your pharmacist can provide more information about fluvoxamine.

See also: Luvox side effects (in more detail)

Novarel

Generic Name: chorionic gonadotropin (Subcutaneous route, Intramuscular route, Injection route)

kor-ee-ON-ok goe-nad-oh-TROE-pin

Commonly used brand name(s)

In the U.S.

• Chorex


• Novarel


• Ovidrel


• Pregnyl


• Profasi

In Canada

• Chorionic Gonadotropin

Available Dosage Forms:

• Powder for Solution


• Solution

Therapeutic Class: Endocrine-Metabolic Agent

Pharmacologic Class: Gonadotropin

Uses For Novarel

Chorionic gonadotropin is a drug whose actions are almost the same as those of luteinizing hormone (LH), which is produced by the pituitary gland. It is a hormone also normally produced by the placenta in pregnancy. Chorionic gonadotropin has different uses for females and males.

In females, chorionic gonadotropin is used to help conception occur. It is usually given in combination with other drugs such as menotropins and urofollitropin. Many women being treated with these drugs usually have already tried clomiphene alone (e.g., Serophene) and have not been able to conceive yet. Chorionic gonadotropin is also used in in vitro fertilization (IVF) programs.

In males, LH and chorionic gonadotropin stimulate the testes to produce male hormones such as testosterone. Testosterone causes the enlargement of the penis and testes and the growth of pubic and underarm hair. It also increases the production of sperm.

Although chorionic gonadotropin has been prescribed to help some patients lose weight, it should never be used this way. When used improperly, chorionic gonadotropin can cause serious problems.

Chorionic gonadotropin is to be administered only by or under the immediate supervision of your doctor.

Before Using Novarel

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 this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Chorionic gonadotropin, when used for treating cryptorchidism (a birth defect where the testes remain inside the body), has caused the sexual organs of some male children to develop too rapidly.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	X	Studies in animals or pregnant women have demonstrated positive evidence of fetal abnormalities. This drug should not be used in women who are or may become pregnant because the risk clearly outweighs any possible benefit.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with 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. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Asthma or


• Epilepsy (seizures) or


• Heart problems or


• Kidney problems or


• Migraine headaches—This medication may worsen these conditions.

• Cancer of the prostate or


• Precocious puberty (a condition that causes early puberty in boys before 9 years of age)—Increases in the amount of testosterone in the bloodstream may make these conditions worse.

• Cyst on ovary or


• Fibroid tumors of the uterus—Chorionic gonadotropin can cause further growth of cysts on the ovary or fibroid tumors of the uterus

• Unusual vaginal bleeding—Irregular vaginal bleeding is a sign that the endometrium is growing too much, of endometrial cancer, or of other hormone imbalances; the increases in estrogen production caused by ovulation can aggravate these problems of the endometrium. If other hormone imbalances are present, they should be treated before beginning ovulation induction

Proper Use of chorionic gonadotropin

This section provides information on the proper use of a number of products that contain chorionic gonadotropin. It may not be specific to Novarel. Please read with care.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For injection dosage form:
  
  • For treating men with problems related to low levels of male hormones:
    
    • Adults—1000 to 4000 Units injected into the muscle two to three times a week. You may need to receive this medicine for several weeks, months, or longer. If you are being treated for a low sperm count and have been on this medicine for six months, your doctor may give you another hormone medicine (menotropin or urofollitropin injection). You may need to receive both of these medicines together for up to twelve more months.
    
    
  
  
  • To help pregnancy occur in women:
    
    • Adults—5000 to 10,000 Units injected into the muscle on a day chosen by your doctor. The dose and day will depend on your hormone levels and the other medicines that you have been using.
    
    
  
  
  • For the treatment of cryptorchidism (condition where testes do not develop properly):
    
    • Children—1000 to 5000 Units injected into the muscle two to three times a week for up to ten doses.
    
    
  
  

Precautions While Using Novarel

It is very important that your doctor check your progress at regular visits to make sure that the medicine is working and to check for unwanted effects.

For women taking this medicine to become pregnant :

• Record your basal body temperature every day if told to do so by your doctor, so that you will know if you have begun to ovulate. It is important that intercourse take place around the time of ovulation to give you the best chance of becoming pregnant. Your doctor will likely want to monitor the development of the ovarian follicle(s) by measuring the amount of estrogen in your bloodstream and by checking the size of the follicle(s) with ultrasound examinations.

Novarel Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

For females onlyMore common

• Bloating (mild)


• stomach or pelvic pain

Less common or rare

• Abdominal or stomach pain (severe)


• bloating (moderate to severe)


• decreased amount of urine


• feeling of indigestion


• nausea, vomiting, or diarrhea (continuing or severe)


• pelvic pain (severe)


• shortness of breath


• swelling of feet or lower legs


• weight gain (rapid)

For boys onlyLess common

• Acne


• enlargement of penis and testes


• growth of pubic hair


• increase in height (rapid)

Frequency not determined

• difficult or labored breathing


• difficulty breathing


• flushing of skin


• hives or welts


• itching of skin


• large, hive-like swelling on face, eyelids, lips, tongue, throat, hands, legs, feet, sex organs


• pain in chest, groin, or legs, especially the calves


• redness of skin


• severe, sudden headache


• skin rash


• slurred speech


• sudden loss of coordination


• sudden, severe weakness or numbness in arm or leg


• sudden, unexplained shortness of breath


• tightness in chest


• unusually warm skin


• vision changes


• wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

• Discouragement


• enlargement of breasts


• feeling sad or empty


• headache


• irritability


• lack of appetite


• loss of interest or pleasure


• pain at place of injection


• trouble concentrating


• trouble sleeping


• tiredness

After you stop using this medicine, it may still produce some side effects that need attention. During this period of time, check with your doctor immediately if you notice the following side effects:

For females onlyLess common or rare

• Abdominal or stomach pain (severe)


• bloating (moderate to severe)


• decreased amount of urine


• feeling of indigestion


• nausea, vomiting, or diarrhea (continuing or severe)


• pelvic pain (severe)


• shortness of breath


• weight gain (rapid)

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Novarel side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More Novarel resources

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

• Novarel Prescribing Information (FDA)


• Novarel MedFacts Consumer Leaflet (Wolters Kluwer)


• Hcg Consumer Overview


• Ovidrel Prescribing Information (FDA)


• Ovidrel Monograph (AHFS DI)


• Ovidrel MedFacts Consumer Leaflet (Wolters Kluwer)


• Pregnyl Prescribing Information (FDA)

Compare Novarel with other medications

• Female Infertility
• Hypogonadism, Male
• Ovulation Induction
• Prepubertal Cryptorchidism

Nasalcrom Child nasal

Generic Name: cromolyn sodium (nasal) (KRO mo lin SO dee um)

Brand Names: Nasalcrom, Nasalcrom Child

What is Nasalcrom Child (cromolyn sodium (nasal))?

Cromolyn sodium is an anti-inflammatory medication. It works by preventing the release of substances in the body that cause inflammation.

Cromolyn sodium nasal is used to prevent allergy symptoms such as runny nose, stuffy nose, sneezing, itching, and post-nasal drip.

Cromolyn sodium nasal will not treat allergy symptoms that have already begun. The medication works best if used at least 1 week before you come into contact with things you are allergic to (pollen, dust, pets, etc).

Cromolyn sodium nasal will not treat the symptoms of asthma, sinus infections, or the common cold.

Cromolyn sodium nasal may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Nasalcrom Child (cromolyn sodium (nasal))?

You should not use this medication if you are allergic to cromolyn sodium.

Before you use cromolyn sodium nasal, tell your doctor if you have asthma, drug allergies, or polyps in your nose.

Cromolyn sodium nasal will not treat allergy symptoms that have already begun. The medication works best if used at least 1 week before you come into contact with things you are allergic to (pollen, dust, pets, etc).

Stop using this medication and call your doctor if you have severe burning, stinging, or irritation in your nose, nosebleeds, sinus pain, sores in your nose, wheezing, chest tightness, fever, or green/yellow mucus from your nose.

Do not use cromolyn sodium nasal more than 6 times in a 24-hour period. Do not use this medication for longer than 12 weeks unless your doctor has told you to.

What should I discuss with my healthcare provider before using Nasalcrom Child (cromolyn sodium (nasal))?

You should not use this medication if you are allergic to cromolyn sodium.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you use cromolyn sodium nasal, tell your doctor if you have:

• 
  

  asthma;

  
  


• 
  

  drug allergies; or

  
  


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  polyps in your nose.

  
  

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether cromolyn sodium passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I use Nasalcrom Child (cromolyn sodium (nasal))?

Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the directions on your prescription label.

This medicine is usually given as 1 spray into each nostril every 4 to 6 hours during allergy season or within 1 week before you will be exposed to an allergen. Follow your doctor's instructions.

Do not use cromolyn sodium nasal more than 6 times in a 24-hour period. Do not use this medication for longer than 12 weeks unless your doctor has told you to.

To use the nasal spray:

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  Blow your nose gently before each use.

  
  


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  Keeping your head upright, insert just the tip of the spray bottle into your nostril. Hold your other nostril closed with one finger. Spray the medicine into the nostril while inhaling, then sniff deeply a few times to make sure the medicine gets up into your nasal passages.

  
  


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  Repeat these steps in your other nostril.

  
  


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  After using the nasal spray, rinse the tip with hot water or wipe it with a clean tissue and recap. Avoid getting water into the nasal spray tip.

  
  

It may take up to 2 weeks of using this medicine before you get the full effect. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 2 weeks of treatment.

Store cromolyn sodium at room temperature away from moisture, heat, and light. Keep the bottle capped when not in use.

What happens if I miss a dose?

Use the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and use the medicine at the next regularly scheduled time. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

What should I avoid while using Nasalcrom Child (cromolyn sodium (nasal))?

Avoid getting this medication in your eyes. If this does happen, rinse with water.

Nasalcrom Child (cromolyn sodium (nasal)) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives or itching; difficulty breathing; severe dizziness; swelling of your face, lips, tongue, or throat.

Stop using this medication and call your doctor if you have any of these serious side effects:

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  severe burning, stinging, or irritation in your nose;

  
  


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  nosebleeds, sinus pain, or sores in your nose;

  
  


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  wheezing, tight feeling in your chest; or

  
  


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  fever, green or yellow mucus from the nose.

  
  

Less serious side effects may include mild burning or stinging inside your nose after use.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Nasalcrom Child (cromolyn sodium (nasal))?

There may be other drugs that can interact with cromolyn sodium nasal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Nasalcrom Child resources

• Nasalcrom Child Side Effects (in more detail)
• Nasalcrom Child Use in Pregnancy & Breastfeeding
• 0 Reviews for Nasalcrom Child - Add your own review/rating

Compare Nasalcrom Child with other medications

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Where can I get more information?

• Your pharmacist can provide more information about cromolyn sodium nasal.

See also: Nasalcrom Child side effects (in more detail)