Drugs Details

Drugs Info of Femcare, Gyne-Lotrimin, Mycelex-G
Drugs Details
  • Drugs Type  : Multum
  • Date : 19th Jan 2015 02:53 am
  • Brand Name : Femcare, Gyne-Lotrimin, Mycelex-G
  • Generic Name : clotrimazole vaginal (Pronunciation: kloe TRIM a zole)
Descriptions

Active Ingredient (clotrimazole vaginal cream)

Clotrimazole 1%

Inactive Ingredient (clotrimazole vaginal cream) s

Benzyl Alcohol, Cetearyl Alcohol, Cetyl Esters Wax, 2-Octyldodecanol, Polysorbate 60, Purified Water, Sodium Phosphate Monobasic, and Sorbitan Monostearate.

What are the possible side effects of clotrimazole vaginal (Femcare, Gyne-Lotrimin, Mycelex-G)?

Stop using clotrimazole vaginal and seek emergency medical attention if you experience an allergic reaction (shortness of breath; closing of your throat; swelling of your lips, face, or tongue; or hives).

Other, less serious side effects may be more likely to occur. These include burning, itching, irritation of the skin, and an increased need to urinate.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at...

Read All Potential Side Effects and See Pictures of Gyne-Lotrimin »

What are the precautions when taking clotrimazole vaginal cream (Gyne-Lotrimin)?

See also Uses section.

Before using this medication, tell your doctor or pharmacist if you are allergic to it; or to other azole antifungal agents (such as terconazole, fluconazole); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

If you have any of the following health problems, consult your doctor or pharmacist before using this medication: diabetes, immune system problems (such as HIV-AIDs), frequent vaginal yeast infections (more than 3 in 6 months or 4 in 1 year).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Ask...

Read All Potential Precautions of Gyne-Lotrimin »

This monograph has been modified to include the generic and brand name in many instances.

Indications

Clotrimazole Vaginal Cream will cure most vaginal yeast (candida) infections.

Clotrimazole Vaginal Cream can kill the yeast that cause vaginal yeast infections and can relieve the associated itching and burning.

Dosage Administration

Directions

Fill the applicator with the cream and then insert one applicatorful of cream into the vagina every day, preferably at bedtime. Dispose of applicator after use.

Repeat this procedure with a new applicator for 7 consecutive days. For relief of external vulvar itching, squeeze a small amount of cream onto your finger and gently spread the cream onto the irritated area of the vulva. Use once or twice a day for up to 7 days as needed to relieve external vulvar itching.

THE CREAM SHOULD NOT BE USED FOR VULVAR ITCHING DUE TO CAUSES OTHER THAN A YEAST INFECTION.

Important: In order to kill the yeast completely, you must use CLOTRIMAZOLE VAGINAL CREAM the full seven days, as instructed above, even if your symptoms are relieved sooner.

How Supplied

See carton and tube crimp for lot number and expiration date.

Store at room temperature between 2°-30°C (36°-86°F).

This monograph has been modified to include the generic and brand name in many instances.

Side Effects

No information provided.

Read the Gyne-Lotrimin (clotrimazole vaginal cream) Side Effects Center for a complete guide to possible side effects

Learn More »

Interactions

Read the Gyne-Lotrimin Drug Interactions Center for a complete guide to possible interactions

Learn More »

This monograph has been modified to include the generic and brand name in many instances.

Warnings

†Do not use if you have abdominal pain, fever, or a foul-smelling vaginal discharge. You may have a condition which is more serious than a yeast infection. Contact your doctor immediately.

†Do not use if this is your first experience with vaginal itch and discomfort. See your doctor.

†If there is no improvement within 3 days, you may have a condition other than a yeast infection. Stop using this product and see your doctor.

†If you may have been exposed to the human immunodeficiency virus (HIV, the virus that causes AIDS) and are now having recurrent vaginal yeast infections, especially infections that don†t clear up easily with proper treatment, see your doctor promptly to determine the cause of your symptoms and to receive proper medical care.

†If symptoms recur within a 2 month period, contact your doctor.

†Do not use during pregnancy except under the advice and supervision of a doctor.

†This medication is for use in the vaginal and vulvar areas only. It is not for use in the mouth or the eyes. In case accidentally swallowed, seek professional assistance or contact a Poison Control Center immediately.

† Keep this and all drugs out of reach of children. This product is not to be used in children less than 12 years of age.

If you have questions about Clotrimazole Vaginal Cream or vaginal yeast infections, contact your doctor.

Precautions

No information provided.

See PATIENT INFORMATION section.

This monograph has been modified to include the generic and brand name in many instances.

OverDose

No information provided.

ContrainDications

This monograph has been modified to include the generic and brand name in many instances.

Clinical Pharamacology

No information provided.

This monograph has been modified to include the generic and brand name in many instances.

Patient Information

HOW TO RECOGNIZE A RECURRENT YEAST INFECTION OF THE VAGINAL AND VULVAR AREA.

Clotrimazole Vaginal Cream will cure most vaginal yeast (candida) infections. But not every vaginal infection is caused by yeast. If this is the first time you are experiencing vaginal itch and discomfort, or if you are experiencing external vulvar itch, it is important to visit your doctor to be sure that yeast is the problem. Do not use if you have abdominal pain, fever, or foul-smelling vaginal discharge. You may have a condition more serious than a yeast infection, and you should see your doctor immediately.

The main symptom of a vaginal yeast infection is itching which can be moderate to intense. The itching is usually in the folds of the vagina and on the external skin (vulva) around the vagina. Yeast infection may also cause a white discharge from the vagina. The discharge may be thick like paste or lumpy like cottage cheese. Underneath the discharge, the irritated skin of the vulva may be swollen, cracked and red, or may have small red sore spots. The vagina may also feel sore inside or have a burning sensation, particularly during vaginal intercourse.

If you have one or more of these symptoms, especially in the days before your period, you could have a vaginal yeast infection.

CLOTRIMAZOLE VAGINAL CREAM CAN KILL THE YEAST THAT CAUSES THE INFECTION.

To cure a vaginal yeast infection, it is necessary to eliminate the yeast cells. Clotrimazole Vaginal Cream can kill the yeast that cause vaginal yeast infections and can relieve the associated itching and burning.

HOW TO USE

WARNING: DO NOT TAKE BY MOUTH OR USE IN THE EYES.

Directions:

Fill the applicator with the cream and then insert one applicatorful of cream into the vagina every day, preferably at bedtime. Dispose of applicator after use.

Repeat this procedure with a new applicator for 7 consecutive days. For relief of external vulvar itching, squeeze a small amount of cream onto your finger and gently spread the cream onto the irritated area of the vulva. Use once or twice a day for up to 7 days as needed to relieve external vulvar itching.

THE CREAM SHOULD NOT BE USED FOR VULVAR ITCHING DUE TO CAUSES OTHER THAN A YEAST INFECTION.

Important: In order to kill the yeast completely, you must use CLOTRIMAZOLE VAGINAL CREAM the full seven days, as instructed above, even if your symptoms are relieved sooner.

To load the applicator

Remove cap from tube of cream. Screw open end of applicator onto tube of cream. Gently squeeze opposite end of tube, forcing cream into barrel of applicator. The plunger will stop moving outward when the barrel contains the proper amount of cream. When the barrel is full, unscrew applicator from tube. After each use, replace cap and roll up the tube from the bottom.

To insert the vaginal cream:

Lie on your back with your knees bent. Insert the open end of the filled applicator into the vagina as deeply as it will go comfortably. Holding the applicator in place with thumb and middle finger, press the plunger until it stops. Withdraw the applicator.

IMPORTANT: Insert one applicatorful of CLOTRIMAZOLE VAGINAL CREAM each day for the full 7 days.

CLOTRIMAZOLE VAGINAL CREAM usually starts to relieve itching and other symptoms within 3 days. If you do not improve in 3 days or if you do not get well in 7 days, you may have a condition other than a vaginal yeast infection. Discontinue use of the product and consult your doctor. Also, if symptoms recur within a 2 month period, contact your doctor.

During your period, continue to use CLOTRIMAZOLE VAGINAL CREAM. Its action is not affected by menstruation. However, DO NOT USE TAMPONS WHILE THE MEDICINE IS IN USE: sanitary napkins may be used instead.

CLOTRIMAZOLE VAGINAL CREAM may reduce the effectiveness of some methods of birth control. Condoms, diaphragms, or vaginal spermicides may be so affected.

ARE THERE REASONS YOU GET VAGINAL YEAST INFECTIONS AND VULVAR IRRITATION?

The vagina normally has a mixture of two kinds of germs called bacteria and yeast. Under certain conditions, the yeast in the vagina can grow too much † causing vaginal itching, vulvar irritation, and often, a discharge. In some women, the conditions that allow the yeast to multiply can include the use of certain birth control pills, routine hormonal changes, or taking antibiotics. Pregnancy and diabetes are two other important conditions that can lead to vaginal yeast infections. In women with frequently recurrent vaginal yeast infections, especially infections that don†t clear up easily with proper treatment, the vaginal yeast infections may also be the result of serious medical conditions, including infection with HIV (the virus that causes AIDS), that can damage the body†s normal defenses against infection.

Hormonal changes are sometimes the cause.

Hormonal changes can cause some women to be prone to yeast infections. Some women get vaginal yeast infections during pregnancy, while taking certain birth control pills, or every month just before their period.

Antibiotics are sometimes the cause.

Killing the normal bacteria of the vagina may allow yeast to multiply. That is why women taking antibiotics are more likely to get vaginal yeast infections.

Damage to the body†s normal defenses against infection is sometimes the cause.

Various medical conditions can damage the body†s normal defenses against infection. One of the most serious of these conditions is infection with the human immunodeficiency virus (HIV † the virus that causes AIDS). Infection with HIV causes the body to be more susceptible to infections, including vaginal yeast infections. Women with HIV infection may have frequent vaginal yeast infections or, especially, vaginal yeast infections that do not clear up easily with proper treatment. If you may have been exposed to HIV and are experiencing either frequently recurring vaginal yeast infections or, especially, vaginal yeast infections that do not clear up easily with proper treatment, you should see your doctor promptly. If you wish further information on risk factors for HIV infection or on the relationship between recurrent or persistent vaginal yeast infections and HIV infection, please contact your doctor or the CDC National AIDS HOTLINE at 1-800-342-AIDS (English), 1-800-344-7432 (Spanish), or 1-800-243-7889 (hearing impaired, TDD).

IF YOU EXPERIENCE FREQUENT VAGINAL YEAST INFECTIONS (THEY RECUR WITHIN A TWO MONTH PERIOD) OR IF YOU HAVE VAGINAL INFECTIONS THAT DO NOT CLEAR UP EASILY WITH PROPER TREATMENT, YOU SHOULD SEE YOUR DOCTOR PROMPTLY TO DETERMINE THE CAUSE AND TO RECEIVE PROPER MEDICAL CARE.

Can yeast be transmitted sexually?

Men usually do not get or spread yeast infections through sexual intercourse. However, if a woman†s yeast infections keep recurring, she should ask her partner to seek evaluation by a doctor.

Cotton underpants may help.

Yeast flourish in a warm, moist environment. Since tight synthetic underpants and pantyhose can increase heat and moisture in the area of the vulva, it is probably better to wear cotton underpants if you are prone to vaginal yeast infections and vulvar irritation.

This monograph has been modified to include the generic and brand name in many instances.

Consumer Overview Uses

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

 

CLOTRIMAZOLE - VAGINAL

 

(kloe-TRIM-a-zole)

 

COMMON BRAND NAME(S): Femcare, Gyne-Lotrimin, Mycelex

 

USES: This medication is used to treat vaginal yeast infections. Clotrimazole reduces vaginal burning, itching, and discharge that may occur with this condition. This medication is an azole antifungal. It works by stopping the growth of yeast (fungus) that causes the infection. The vaginal product comes in 2 forms (a vaginal cream or tablet). Some products come with a skin cream to be applied to the area around the outside of the vagina.

Ask your doctor before using this medication for self-treatment if this is your first vaginal infection. This medication only works for vaginal fungal infections. You may have a different type of infection (such as bacterial vaginosis) and may need a different medication.

If you have fever, chills, flu-like symptoms, stomach/abdominal pain, or a bad-smelling vaginal discharge, do not use this medication. Contact your doctor immediately because these may be signs of a more serious infection.

 

HOW TO USE: If you are using the over-the-counter product to self-treat, read all directions on the product package before using this medication. If you have any questions, consult your pharmacist. If your doctor has prescribed this medication, use it as directed.

Read the Patient Information Leaflet available with this product. Consult your doctor or pharmacist if you have any questions.

This product is for vaginal use only. Wash your hands before and after use. Avoid contact of this product with your eyes. If it gets into your eyes, wash them immediately with plenty of water. Call your doctor if eye irritation persists.

Dosage is based on your medical condition and response to treatment. Use the medication usually once daily at bedtime for 1 to 7 nights depending on the product used, or as directed by your doctor.

If using the vaginal cream, follow the package instructions on how to fill/use the applicator with the cream. Lie on your back with your knees toward your chest. Insert one applicator filled with cream into the vagina as far as it will comfortably go. Slowly press the plunger of the applicator in to apply the cream. Make sure to insert the correct cream for use inside the vagina, not the skin cream for use on the outer genital area (vulva).

If using the vaginal tablet, you may use either the applicator or your finger to insert the tablet. Unwrap the tablet before use. Follow the package instructions on how to fill the applicator with the vaginal tablet. Lie on your back with your knees toward your chest. Insert the tablet or the applicator into the vagina as far as it will comfortably go. Slowly press the plunger of the applicator to release the tablet.

If you have itching/burning around the outside of the vagina (vulva), apply the skin cream to that area usually once or twice a day for no more than 7 days. If you are using a product with only the vaginal cream, you may apply a small amount of the vaginal cream to the area.

Continue to use this medication every day for the full time prescribed, even if symptoms disappear after a few days or if your menstrual period starts. Stopping the medication too soon may allow the yeast infection to return.

Do not use tampons, douches, spermicides or other vaginal products while using this medication. Unscented sanitary napkins may be used for your menstrual period or to protect your clothing from leakage of the medication.

Tell your doctor if your condition does not improve after 3 days or lasts more than 7 days. Tell your doctor if your infection returns within 2 months. You may need a different or additional medication to treat your condition.

Consumer Overview Side Effect

SIDE EFFECTS: See also Uses section.

Vaginal/urethral burning/itching/pain, or lower abdominal cramps may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

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

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

 

Read the Gyne-Lotrimin (clotrimazole vaginal cream) Side Effects Center for a complete guide to possible side effects

Learn More »

PRECAUTIONS: See also Uses section.

Before using this medication, tell your doctor or pharmacist if you are allergic to it; or to other azole antifungal agents (such as terconazole, fluconazole); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

If you have any of the following health problems, consult your doctor or pharmacist before using this medication: diabetes, immune system problems (such as HIV-AIDs), frequent vaginal yeast infections (more than 3 in 6 months or 4 in 1 year).

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Ask your doctor whether you can have sexual intercourse while using this product. This product may weaken rubber products (such as latex condoms, diaphragms, cervical caps) and lead to failure. This can result in pregnancy. Therefore, do not use these products during treatment with this medication. Consult your doctor about other forms of barrier protection/birth control (such as polyurethane condoms) during this time.

Do not use this medication for self-treatment if you are pregnant. During pregnancy, this medication should be used only when clearly needed. If you are pregnant, follow your doctor's instructions on how to use the applicator to insert this medication. Discuss the risks and benefits with your doctor.

It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

Consumer Overview Missed Dose

DRUG INTERACTIONS: The effects of some drugs can change if you take other drugs or herbal products at the same time. This can increase your risk for serious side effects or may cause your medications not to work correctly. These drug interactions are possible, but do not always occur. Your doctor or pharmacist can often prevent or manage interactions by changing how you use your medications or by close monitoring.

To help your doctor and pharmacist give you the best care, be sure to tell your doctor and pharmacist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products) before starting treatment with this product. While using this product, do not start, stop, or change the dosage of any other medicines you are using without your doctor's approval.

Some products that may increase the risk of vaginal yeast infections include antibiotics, corticosteroids (such as prednisone), and drugs that suppress the immune system (such as cyclosporine, methotrexate).

Keep a list of all the products you use. Share the list with your doctor and pharmacist to reduce your risk for serious medication problems.

 

OVERDOSE: This medicine may be harmful if swallowed. If swallowing or overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.

 

NOTES: Do not share this medication with others.

To help prevent vaginal yeast infections, dry the genital area thoroughly after showering, bathing, or swimming. Avoid wearing tight jeans, nylon underwear, pantyhose, a wet bathing suit, or damp/sweaty exercise clothes for long periods. Wear cotton underwear, and change your underwear daily.

If your sexual partner experiences symptoms, they should contact their doctor immediately.

 

MISSED DOSE: If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

 

STORAGE: Store at room temperature between 36-86 degrees F (2-30 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

 

Information last revised March 2013. Copyright(c) 2013 First Databank, Inc.

Patient Detailed Side Effect

Brand Names: Femcare, Gyne-Lotrimin, Mycelex-G

Generic Name: clotrimazole vaginal (Pronunciation: kloe TRIM a zole)

  • What is clotrimazole vaginal (Gyne-Lotrimin)?
  • What are the possible side effects of clotrimazole vaginal (Gyne-Lotrimin)?
  • What is the most important information I should know about clotrimazole vaginal (Gyne-Lotrimin)?
  • Who should not use clotrimazole vaginal (Gyne-Lotrimin)?
  • How should I use clotrimazole vaginal (Gyne-Lotrimin)?
  • What happens if I miss a dose (Gyne-Lotrimin)?
  • What happens if I overdose (Gyne-Lotrimin)?
  • What should I avoid while using clotrimazole vaginal (Gyne-Lotrimin)?
  • What other drugs will affect clotrimazole vaginal (Gyne-Lotrimin)?
  • Where can I get more information?

What is clotrimazole vaginal (Gyne-Lotrimin)?

Clotrimazole is an antifungal medication. It prevents fungus from growing.

Clotrimazole vaginal is used to treat vaginal candida (yeast) infections.

Clotrimazole vaginal may also be used for purposes other than those listed in this medication guide.

What are the possible side effects of clotrimazole vaginal (Gyne-Lotrimin)?

Stop using clotrimazole vaginal and seek emergency medical attention if you experience an allergic reaction (shortness of breath; closing of your throat; swelling of your lips, face, or tongue; or hives).

Other, less serious side effects may be more likely to occur. These include burning, itching, irritation of the skin, and an increased need to urinate.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

Read the Gyne-Lotrimin (clotrimazole vaginal cream) Side Effects Center for a complete guide to possible side effects

Learn More »

What is the most important information I should know about clotrimazole vaginal (Gyne-Lotrimin)?

Use this medication for the full amount of time prescribed by your doctor or recommended in the package even if you begin to feel better. Your symptoms may improve before the infection is completely healed.

Avoid wearing tight-fitting, synthetic clothing (e.g., panty hose) that does not allow air circulation. Wear loose-fitting clothing made of cotton and other natural fibers until the infection is healed.

Avoid getting this medication in your eyes, nose, or mouth.

Side Effects Centers
  • Gyne-Lotrimin

Patient Detailed How Take

Who should not use clotrimazole vaginal (Gyne-Lotrimin)?

Do not use clotrimazole vaginal if you have ever had an allergic reaction to it.

If this is the first time that you have ever had symptoms of a vaginal yeast infection, consult your doctor before using this medication.

Do not use clotrimazole vaginal if you have a fever, abdominal pain, foul-smelling discharge, diabetes, HIV, or AIDS. Consult your doctor.

Do not use this medication without first talking to your doctor if you are pregnant.

Do not use clotrimazole vaginal without first talking to your doctor if you are breast-feeding a baby.

Do not use this medication if you are younger than 12 years of age.

How should I use clotrimazole vaginal (Gyne-Lotrimin)?

Use clotrimazole vaginal exactly as directed by your doctor, or follow the directions that accompany the package. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before and after using this medication.

Insert the tablet, suppository, or cream into the vagina using the applicator as directed.

Use this medication continuously for the prescribed amount of time, even during your menstrual period.

You can use a sanitary napkin to prevent the medication from staining your clothing but do not use a tampon.

If the infection does not clear up after you have finished one course of therapy, or if it appears to get worse, see your doctor. You may have another type of infection.

Avoid getting this medication in your eyes, nose, or mouth.

Store clotrimazole vaginal at room temperature away from moisture and heat.

Side Effects Centers
  • Gyne-Lotrimin

Patient Detailed Avoid Taking

What happens if I miss a dose (Gyne-Lotrimin)?

Apply the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and apply only your next regularly scheduled dose. Do not use a double dose of this medication.

What happens if I overdose (Gyne-Lotrimin)?

An overdose of clotrimazole vaginal is unlikely to occur. If you do suspect that a much larger than normal dose has been used or that clotrimazole vaginal has been ingested, contact an emergency room or a poison control center.

What should I avoid while using clotrimazole vaginal (Gyne-Lotrimin)?

Avoid wearing tight-fitting, synthetic clothing (e.g., panty hose) that does not allow air circulation. Wear loose-fitting clothing made of cotton and other natural fibers until the infection is healed.

Avoid sexual intercourse or use a condom to prevent the infection from spreading to your partner.

What other drugs will affect clotrimazole vaginal (Gyne-Lotrimin)?

Avoid using other vaginal creams or douches at the same time as clotrimazole unless your doctor approves.

Drugs other than those listed here may also interact with clotrimazole vaginal. Talk to your doctor and pharmacist before taking any prescription or over the counter medicines.

Where can I get more information?

Your pharmacist has additional information about clotrimazole vaginal written for health professionals that you may read.


Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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