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Archive for the Anti-Allergic(Asthma) Category

Serevent.

Package Price Per Item Savings Order
Serevent 1 inhaler (25 mcg) x 125 MDI $59.95 $59.95 $0
Serevent 3 inhalers (25 mcg) x 125 MDI $152.12 $50.71 $28
Serevent 6 inhalers (25 mcg) x 125 MDI $261.91 $43.65 $98

Serevent
Serevent (Salmeterol) is used for long-term treatment of asthma.

Serevent

Generic name:

Long-term treatment of asthma. It may be used to prevent breathing problems in certain patients, including patients with night-time asthma, or breathing problems caused by exercise. It may be used for long-term treatment of chronic obstructive pulmonary disease (COPD). It may also be used for other conditions as determined by your doctor.

Salmeterol is a long-acting beta-agonist bronchodilator. It widens the airways in the lungs, which helps you breathe more easily.

Do NOT use Salmeterol if:

you are allergic to any ingredient in Salmeterolyou are using another medicine that has a long-acting beta-agonist (eg, fluticasone/salmeterol, formoterol) in ityou are having an asthma attack (eg, sudden severe onset or worsening of asthma symptoms such as chest tightness, cough, shortness of breath, wheezing)

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

Before using Salmeterol :

Some medical conditions may interact with Salmeterol. 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-feedingif you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplementif you have allergies to medicines, foods, or other substancesif you have had a severe allergic reaction to milk proteinif you have a history of liver problems, diabetes, heart problems (eg, fast or irregular heartbeat, heart blood vessel problems), high blood pressure, low blood potassium levels, seizures, an adrenal gland tumor (pheochromocytoma), or an overactive thyroidif you have recently been to an emergency room for asthma, have a history of frequent hospitalizations for asthma, or have ever had a life-threatening asthma attackif you have had an unusual reaction to a sympathomimetic medicine (eg, albuterol, pseudoephedrine), such as fast or irregular heartbeat, overexcitement, or severe trouble sleepingif you are taking a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) or a tricyclic antidepressant (eg, amitriptyline) or you have taken any of these medicines within the last 14 days

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

Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood potassium or irregular heartbeat may be increasedCatechol-O-methyltransferase (COMT) inhibitors (eg, entacapone), long-acting beta-agonists (eg, fluticasone/salmeterol, formoterol), MAOIs (eg, phenelzine), or tricyclic antidepressants (eg, amitriptyline) because they may increase the risk of Salmeterol ’s side effectsBeta-blockers (eg, propranolol) because they may decrease Salmeterol ’s effectiveness or worsen your condition

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

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

Salmeterol comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Salmeterol refilled.

Always activate and use this device in a level, horizontal position. Do NOT try to use a spacer device with Salmeterol.

To prepare the device for use, open the protective foil pouch and remove the inhaler device. Hold the device in one hand. Use the thumb of the opposite hand to push the thumbgrip as far away from you as it will go. The mouthpiece will appear and snap into position.

Hold the device in a level, flat position with the mouthpiece towards you. Use your thumb to slide the lever away from you as far as it will go. You should hear a click. The device is now ready for use.

Do NOT close or tilt the device, play with the lever, or move the lever more than once. You may accidentally release or waste a dose.

To use a dose of Salmeterol , hold the inhaler level and away from your mouth. Breathe out fully. Do NOT exhale into the device for any reason. Put the mouthpiece to your lips. Breathe in quickly and deeply through your mouth and hold your breath. Remove the inhaler from your mouth. Continue to hold your breath for 10 seconds or as long as possible. Then, breathe out slowly.

Close the device when you are finished taking a dose. Slide the thumbgrip back towards you as far as it will go. The device will click shut, and the lever will return to its original position.

Salmeterol delivers your dose as a very fine powder. Most, but not all, patients can taste or feel it. Even if you cannot feel it, do not use more than the recommended dose. If you are not sure if you are receiving your dose, contact your doctor or pharmacist.

If you are using Salmeterol to prevent breathing problems caused by exercise, use it at least 30 minutes before you start to exercise. Do not use another dose for at least 12 hours. If you already use Salmeterol twice daily on a regular basis, do NOT take an extra dose before you exercise.

Discard the inhaler 6 weeks after removing it from the protective foil pouch or after all the blisters have been used, whichever comes first.

The dose indicator on the device will tell you how many doses are left. The dose indicator will read “0″ when all the blisters have been used.

Never wash the mouthpiece or any other part of the inhaler. Keep it dry and always store it in a dry place.

Do NOT try to take the unit apart.

Continue to use Salmeterol even if you feel well. Do not miss any doses.

If you miss a dose of Salmeterol , 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 Salmeterol.

Possible side effects of Salmeterol :

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:

Headache; nasal or sinus congestion; nervousness; stuffy nose; throat irritation; tremor.

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, tongue, or throat; unusual hoarseness); chest pain; choking; fast or irregular heartbeat; fever; new or worsening asthma symptoms (eg, increased chest tightness, coughing, shortness of breath, or wheezing); overexcitement; severe or persistent headache or dizziness; severe or persistent muscle pain or cramps.

What is the shelf life of the pills?

The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

Serevent
Serevent 1 inhaler (25 mcg) x 125 MDI $59.95
Serevent 3 inhalers (25 mcg) x 125 MDI $152.12
Serevent 6 inhalers (25 mcg) x 125 MDI $261.91


Singulair.

Package Price Per Item Savings Order
Singulair 30 pills x 10 mg $141.32 $4.71 $0
Singulair 60 pills x 10 mg $243.34 $4.05 $40
Singulair 90 pills x 10 mg $315.38 $3.5 $109
Singulair 30 pills x 5 mg $98.42 $3.28 $0
Singulair 60 pills x 5 mg $177.77 $2.96 $19
Singulair 90 pills x 5 mg $240.63 $2.67 $55
Singulair 30 pills x 4 mg $58.69 $1.95 $0
Singulair 60 pills x 4 mg $105.38 $1.76 $12
Singulair 90 pills x 4 mg $142.02 $1.58 $34

Singulair
Singulair (Montelukast) is used for the treatment of asthma and seasonal allergic rhinitis.

Singulair

Generic name: Montelukast

Montelukast tablets or chewable tablets

What are montelukast tablets or chewable tablets?

MONTELUKAST (Singulair®) helps to reduce asthma symptoms (coughing, wheezing, shortness of breath, or chest tightness) and control your asthma. It does not provide instant relief and cannot be used to treat a sudden asthma attack. It works only when used on a regular basis to help reduce inflammation and prevent asthma attacks. Montelukast is effective in adults and children. This drug is also helpful in improving seasonal allergies, like hay fever. Generic montelukast tablets or chewable tablets are not yet 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:

  • an acute asthma attack
  • are on corticosteroid therapy, like prednisone or inhalers
  • liver disease, like hepatitis
  • phenylketonuria
  • an unusual or allergic reaction to montelukast, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding

How should I use this medicine?

Take montelukast by mouth. You may take your tablets with food. Take montelukast every day at roughly the same time, even on days when you are not having asthma or allergy symptoms. Follow the directions on the prescription label. Do not take your medicine more often than directed.

Chewable tablets: If you are taking the chewable tablets, chew them well before swallowing with water. You may take your tablets with food. Take montelukast every day at roughly the same time, even on days when you are not having asthma or allergy symptoms. Follow the directions on the prescription label. 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. Montelukast chewable tablets are normally prescribed in children 2 years of age or older.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for the next dose, skip the previous dose. Do not use double or extra doses.

What drug(s) may interact with montelukast?

  • carbamazepine
  • cerivastatin
  • paclitaxel
  • phenobarbital
  • phenytoin
  • repaglinide
  • rifabutin
  • rifampin
  • rosiglitazone
  • troglitazone

Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines. 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 using montelukast?

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

Rare or uncommon:

  • a feeling of pins and needles or numbness of arms and legs
  • dark brown or yellow urine
  • diarrhea
  • easy bruising or bleeding
  • edema or swelling of the legs or ankles
  • fatigue or weakness
  • fever
  • flu-like illness
  • muscle aches or cramps
  • seizure or convulsion
  • skin rash and itching
  • severe stomach pain
  • swelling of the face, lips, tongue, and/or throat, which may cause difficulty in breathing or swallowing
  • vomiting
  • wheezing or continued coughing
  • yellowing of the eyes or skin

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

  • cough
  • difficulty sleeping
  • dizziness
  • drowsiness
  • headache
  • heartburn
  • hoarseness or sore throat
  • indigestion or stomach upset
  • muscle aches or cramps
  • nausea
  • runny nose
  • unusual dreams

What should I watch for while taking montelukast?

Montelukast is only used to help prevent asthma attacks; it is not used as a “quick-relief” medicine to treat an asthma attack. Therefore, you should always have your “quick-relief” medicine with you to treat an asthma attack. Talk with your prescriber about what you should do if you have an acute asthma attack.

Tell your prescriber or health care professional if your symptoms do not improve or if your asthma gets worse. If you find that your medicines become less effective in treating your asthma, you should contact your health care professional as soon as possible.

Do not to stop taking or decrease the use of your other asthma treatments, including steroids, when starting montelukast unless otherwise directed by their health care prescriber. Follow your prescriber’s directions exactly.

Montelukast works best if you use it regularly even when you do not have asthma symptoms. Do not stop using your medication without your prescriber’s advice.

If you are going to have surgery, tell your health care professional that you take montelukast.

Where can I keep my medicine?

Keep out of the reach of children.

Store at room temperature, between 15.30 degrees C (59.86 degrees F); do not freeze. Protect from light and moisture. Throw away any unused medicine after the expiration date.

Singulair
Singulair 30 pills x 10 mg $141.32
Singulair 60 pills x 10 mg $243.34
Singulair 90 pills x 10 mg $315.38
Singulair 30 pills x 5 mg $98.42
Singulair 60 pills x 5 mg $177.77
Singulair 90 pills x 5 mg $240.63
Singulair 30 pills x 4 mg $58.69
Singulair 60 pills x 4 mg $105.38
Singulair 90 pills x 4 mg $142.02


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