Package	Price	Per Item	Savings	Order
	Bentyl 100 pills x 10 mg	$83.9	$0.84	$0
	Bentyl 200 pills x 10 mg	$149.98	$0.75	$18
	Bentyl 300 pills x 10 mg	$190.21	$0.63	$62

Bentyl
	Bentyl (Dicyclomine) is used for treating symptoms of irritable bowel syndrome.

Drug Name

Bentyl (Dicyclomine)

Drug Uses

Bentyl is used for treating symptoms of irritable bowel syndrome. It may also be used for other conditions as determined by your doctor.

How to use

• Use Bentyl as directed by your doctor. Check the label on the medicine for exact dosing instructions.
• Bentyl is usually given as an injection at your doctors office, hospital, or clinic. If you will be using Bentyl at home, a health care provider will teach you how to use it. Be sure you understand how to use Bentyl . Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
• Bentyl is for intramuscular (IM) injection only. It is NOT for intravenous (IV) use.

Drug Class and Mechanism

Bentyl is an anticholinergic. It works by blocking a chemical in the smooth muscle of the stomach and intestines, causing them to relax, which reduces cramping.

Missed Dose

If you miss a dose of Bentyl , 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.

Storage

Store Bentyl at room temperature between 68 and 77 degrees F (20 and 25 degrees C) in a tightly closed container. Brief periods at temperatures of 59 to 86 degrees F (15 to 30 degrees C) are permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Bentyl out of the reach of children and away from pets.

Warnings/Precautions

Do not use Bentyl if:

• you are allergic to any ingredient in Bentyl;
• you have blockage of the esophagus, stomach, intestine, or urinary trac;
• you have heart problems due to severe bleeding;
• you have glaucoma;
• you have inflammation of the esophagus due to acid reflux, loss of strength in the intestinal muscles, or chronic inflammation and ulceration of the bowel;
• you have myasthenia gravis (a condition in which the muscles become progressively paralyzed);
• you are breast-feeding.

Some medical conditions may interact with Bentyl . 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 chronic inflammation or ulcers of the bowel, diarrhea, enlargement of the prostrate, hiatal hernia, kidney or liver disease, a nervous system disease, overactive thyroid, or urinary blockage or retention
• if you have heart disease, heart failure, a history of rapid heartbeat, or high blood pressure.

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

• Amantadine, antiarrhythmics (eg, quinidine), antihistamines (eg, diphenhydramine), benzodiazepines (eg, diazepam), monoamine oxidase inhibitors (MAOIs) (eg, phenelzine), narcotic pain medicine (eg, meperidine), nitrates (eg, nitroglycerin, isosorbide), nitrites (eg, sodium nitrite), phenothiazines (eg, chlorpromazine), sympathomimetics (eg, pseudoephedrine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Bentyl ’s side effects
• Metoclopramide or phenothiazines (eg, chlorpromazine) because their effectiveness may be decreased by Bentyl
• Digoxin because the risk of its side effects may be increased by Bentyl.

Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

• blurred vision; constipation; decreased sweating; difficulty sleeping; dizziness; drowsiness; dry mouth; headache; lightheadedness; loss of taste; nausea; nervousness.

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); agitation; confusion; diarrhea; difficulty focusing your eyes; difficulty moving; difficulty speaking; difficulty urinating; disorientation; exaggerated sense of well-being; fainting; hallucinations; pounding in the chest; rapid heartbeat; short-term memory loss; unusual weakness; vomiting.

More Information

Bentyl 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.

Bentyl
		Bentyl 100 pills x 10 mg	$83.9
		Bentyl 200 pills x 10 mg	$149.98
		Bentyl 300 pills x 10 mg	$190.21

	Package	Price	Per Item	Savings	Order
	x	$0	$0	$0
	Reglan 60 pills x 10 mg	$42.37	$0.71	$0
	Reglan 90 pills x 10 mg	$55.86	$0.62	$8

Reglan
	Reglan (Metoclopramide) is used for the short term treatment of gastroesophageal reflux disease (GERD).

Reglan

Generic name: Metoclopramide

Metoclopramide tablets

What are metoclopramide tablets?

METOCLOPRAMIDE (Reglan®) has a number of uses. Metoclopramide helps to control and relieve symptoms of gastroesophageal reflux disease such as heartburn. It is also used to help people with poor motility of the stomach and intestinal tract. Generic metoclopramide tablets are available.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• asthma
• breast cancer
• depression
• G6PD deficiency
• high blood pressure
• kidney disease
• methemoglobin reductase deficiency
• Parkinson’s disease or a movement disorder
• pheochromocytoma
• seizures (convulsions)
• stomach obstruction, bleeding, or perforation
• an unusual or allergic reaction to metoclopramide, procainamide, sulfites, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take metoclopramide tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Take metoclopramide on an empty stomach, about 30 minutes before eating. Take your doses at regular intervals. Do not take your medicine more often than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What drug(s) may interact with metoclopramide?

• alcohol
• bromocriptine
• cyclosporine
• digoxin
• medicines for diabetes, including insulin
• medicines that treat diarrhea
• medicines for hay fever and other allergies
• medicines for mental depression
• medicines for mental problems or psychotic disturbances
• medicines for Parkinson’s disease, like levodopa
• medicines for sleep or for pain

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking metoclopramide?

Serious or limiting side effects are uncommon, but may include:

• breast enlargement in men or women, or production of breast-milk in women who are not breast-feeding
• change in the way you walk (shuffling feet)
• difficulty moving, speaking or swallowing
• drooling, lip smacking, or rapid movements of the tongue
• involuntary or uncontrollable movements of the eyes, head, arms and legs
• irregular heartbeat or palpitations
• muscle twitches and spasms
• skin rash
• unusual tiredness or weakness

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• depression
• diarrhea
• difficulty sleeping
• dizziness
• drowsiness
• headache
• menstrual changes
• restlessness or nervousness
• sexual difficulties (decreased sexual desire or impotence)

What should I watch for while taking metoclopramide?

It may take a few weeks for your stomach condition to improve on this medicine.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how metoclopramide affects you. Alcohol can increase drowsiness or dizziness; avoid alcoholic drinks.

If you are going to have surgery, tell your prescriber or health care professional that you are taking metoclopramide.

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.

		x	$0
Reglan
		Reglan 60 pills x 10 mg	$42.37
		Reglan 90 pills x 10 mg	$55.86

	Package	Price	Per Item	Savings	Order
	Protonix 60 pills x 40 mg	$77.61	$1.29	$0
	Protonix 90 pills x 40 mg	$101.38	$1.13	$15
	Protonix 120 pills x 40 mg	$120.26	$1	$35
	Protonix 180 pills x 40 mg	$168.04	$0.93	$66
	Protonix 270 pills x 40 mg	$233.28	$0.86	$116
	Protonix 60 pills x 20 mg	$48.42	$0.81	$0
	Protonix 90 pills x 20 mg	$64.29	$0.71	$9
	Protonix 120 pills x 20 mg	$76.16	$0.63	$21
	Protonix 180 pills x 20 mg	$106.42	$0.59	$38
	Protonix 270 pills x 20 mg	$147.74	$0.55	$70

Protonix
	Protonix (Pantoprazole) is used to treat erosive esophagitis (damage to the esophagus from stomach acid).

Pantoprazole is used for:

The short-term treatment (7 to 10 days) of severe inflammation and erosion of the esophagus due to gastroesophageal reflux disease (GERD, or stomach contents rising back into the esophagus) in adults. The injection is only used when the oral form of Pantoprazole cannot be taken. Pantoprazole is also used to treat certain conditions associated with Zollinger-Ellison
syndrome and similar conditions.

Pantoprazole is a proton pump inhibitor. It reduces gastric acid secretion by blocking the final step of acid production by the stomach lining. This decreases the discomfort caused by the stomach contents rising back into the esophagus.

Do NOT use Pantoprazole if:

• you are allergic to any ingredient in Pantoprazole

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

Before using Pantoprazole :

Some medical conditions may interact with Pantoprazole. 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 liver problems

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

• Clarithromycin or voriconazole because side effects and toxic effects associated with Pantoprazole may be increased
• Digoxin or methotrexate because the actions and side effects of these medicines may be increased
• HIV protease inhibitors (eg, ritonavir) because their effectiveness may be decreased by Pantoprazole

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

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

• Pantoprazole is usually administered as an injection at your doctor’s office, hospital, or clinic. If you are using Pantoprazole at home, carefully follow the injection procedures taught to you by your health care provider.
• If Pantoprazole contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.
• Pantoprazole should not be taken within 4 hours of imidazoles (eg, ketoconazole).
• If you miss a dose of Pantoprazole , contact your doctor for further instruction.

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

Important safety information:

• Pantoprazole may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Pantoprazole. Using Pantoprazole alone, with certain other medicines, or with alcohol may lessen your ability to drive or to perform other potentially dangerous
  tasks.
• Pantoprazole may affect the results of certain lab tests (eg, false positive urine screen for THC/marijuana). Make sure laboratory personnel and your doctors know you use Pantoprazole.
• Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor, nurse, or pharmacist to explain local regulations for selecting an appropriate container and properly disposing of the container when full.
• LAB TESTS, such as liver function, may be performed to monitor your progress. Be sure to keep all doctor and lab appointments.
• Pantoprazole is not recommended for use in CHILDREN; safety and effectiveness have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Pantoprazole during pregnancy. It is unknown if Pantoprazole is excreted in breast milk. If you are or will be breast-feeding while you are using Pantoprazole , check with your doctor or
  pharmacist to discuss the risks to your baby.

Possible side effects of Pantoprazole :

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:

Constipation; diarrhea; dizziness; headache; indigestion; nausea; pain and swelling at the injection site; runny nose; sleeplessness; stomach pain.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest pain.

Protonix
		Protonix 60 pills x 40 mg	$77.61
		Protonix 90 pills x 40 mg	$101.38
		Protonix 120 pills x 40 mg	$120.26
		Protonix 180 pills x 40 mg	$168.04
		Protonix 270 pills x 40 mg	$233.28
		Protonix 60 pills x 20 mg	$48.42
		Protonix 90 pills x 20 mg	$64.29
		Protonix 120 pills x 20 mg	$76.16
		Protonix 180 pills x 20 mg	$106.42
		Protonix 270 pills x 20 mg	$147.74

	Package	Price	Per Item	Savings	Order
	Nexium 60 pills x 40 mg	$68.3	$1.14	$0
	Nexium 90 pills x 40 mg	$89.29	$0.99	$13
	Nexium 120 pills x 40 mg	$105.57	$0.88	$31
	Nexium 180 pills x 40 mg	$147.56	$0.82	$57
	Nexium 270 pills x 40 mg	$204.77	$0.76	$102
	Nexium 90 pills x 20 mg	$57.69	$0.64	$0
	Nexium 120 pills x 20 mg	$67.14	$0.56	$10
	Nexium 180 pills x 20 mg	$93.35	$0.52	$22
	Nexium 270 pills x 20 mg	$129.75	$0.48	$43

Nexium
	Nexium is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome.

Nexium

Generic name: Esomeprazole

Esomeprazole capsules

What are esomeprazole capsules?

ESOMEPRAZOLE (Nexium®) prevents the production of acid in the stomach. It is used to treat gastroesophageal reflux disease (GERD), ulcers, certain bacteria in the stomach, too much acid in the stomach, and inflammation of the esophagus. It can also be used to prevent ulcers in patients taking medicines called NSAIDs.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• liver disease
• an unusual or allergic reaction to esomeprazole, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take esomeprazole capsules by mouth. Follow the directions on the prescription label. Swallow the capsules whole with a drink of water; do not crush, break or chew. The capsules can be opened and the contents sprinkled on applesauce or yogurt, given with fruit juices, or swallowed immediately with water. Do not crush the contents into the food. Esomeprazole works best if taken on an empty stomach at least one hour before a meal. Take your doses at regular intervals. Do not take your medicine more often than directed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.

What if I miss a dose?

If you miss a dose, just take your next scheduled dose when it is due. Do not use double or extra doses.

What drug(s) may interact with esomeprazole?

• ampicillin
• diazepam
• digoxin
• iron salts
• itraconazole, ketoconazole, voriconazole, or other prescription medicines for fungus or yeast infections
• phenytoin
• warfarin

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.

What side effects may I notice from taking esomeprazole?

Side effects that you should report to your prescriber or health care professional as soon as possible:

• chest pain or tightness
• dark yellow or brown urine
• shortness of breath
• skin rash
• unusual tiredness or fatigue

Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):

• headache
• diarrhea or constipation
• flatulence (gas)
• nausea/vomiting
• dry mouth

What should I watch for while taking esomeprazole?

It can take several days of therapy with esomeprazole before your stomach pains improve. Check with your prescriber or health care professional if your condition does not improve, or if it gets worse. You can take antacids for the occasional relief of pain unless your prescriber or health care professional tells you otherwise.

Where can I keep my medicine?

Keep out of the reach of children in a container that small children cannot open.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light and moisture. Throw away any unused medicine after the expiration date.

Nexium
		Nexium 60 pills x 40 mg	$68.3
		Nexium 90 pills x 40 mg	$89.29
		Nexium 120 pills x 40 mg	$105.57
		Nexium 180 pills x 40 mg	$147.56
		Nexium 270 pills x 40 mg	$204.77
		Nexium 90 pills x 20 mg	$57.69
		Nexium 120 pills x 20 mg	$67.14
		Nexium 180 pills x 20 mg	$93.35
		Nexium 270 pills x 20 mg	$129.75