Package	Price	Per Item	Savings	Order
	Diamox 60 pills x 250 mg	$44.7	$0.75	$0
	Diamox 90 pills x 250 mg	$56.67	$0.63	$11

Diamox
	Diamox (Acetazolamide) is used to treat glaucoma and to treat and to prevent acute mountain sickness (altitude sickness).

Diamox

Generic name: Acetazolamide

What are acetazolamide tablets?

ACETAZOLAMIDE (Diamox®) helps to treat glaucoma, certain types of epilepsy or seizure disorders. It can also help mountain climbers who get altitude or mountain sickness. Generic acetazolamide 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:

• Addison’s disease (underactive adrenal gland)
• blood disorders or disease
• kidney disease
• liver disease
• low levels of sodium or potassium in the blood
• lung disease
• an unusual or allergic reaction to acetazolamide, sulfonamides, thiazide diuretics, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take acetazolamide tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Take acetazolamide with food if it upsets your stomach. Take your doses at regular intervals. Do not take your medicine more often than directed. If you are taking acetazolamide for mountain sickness, take the first dose 24 to 48 hours before you start the climb. Continue to take it while at high altitude.

If you are unable to swallow the tablets, a liquid can be made by softening (or crushing) a tablet in 2 teaspoonfuls of water and adding 2 teaspoonfuls of honey or syrup. This liquid should be made just before the dose is taken.

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 acetazolamide?

• amphotericin B
• aspirin and aspirin-like medicines
• barbiturate medicines for inducing sleep or treating seizures (convulsions)
• carbamazepine
• ciprofloxacin
• dextroamphetamine
• ephedrine
• lithium
• mecamylamine
• medicines for movement abnormalities as in Parkinson’s disease, or for gastrointestinal problems
• methenamine
• mexiletine
• phenytoin
• quinidine
• steroid medicines such as prednisone or cortisone
• water pills

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 acetazolamide?

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

• blood in urine, pain or difficulty passing urine
• black tarry stools
• confusion or mental depression
• dark yellow or brown urine, pale stools, yellowing of the eyes or skin
• difficulty breathing, shortness of breath
• dry mouth or increased thirst
• fatigue or severe lack of energy
• fever, sore throat
• lower back pain
• muscle weakness
• ringing in the ears
• seizures (convulsions)
• skin rash, itching
• unusual bleeding or bruising
• unusual tiredness

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

• changes in taste or smell (metallic taste in mouth, loss of taste and smell)
• diarrhea
• drowsiness
• headache
• increased sensitivity of eyes to light
• loss of appetite
• nausea, vomiting
• numbness, tingling, or burning in the hands, fingers, feet, toes, mouth, lips, tongue, or anus
• passing urine more often
• weight loss

What should I watch for while taking acetazolamide?

Ask your prescriber or health care professional about your potassium level. It is important not to have too little or too much potassium. You may need to take a potassium supplement or eat foods that are high in potassium if acetazolamide is making your body lose too much potassium.

Do not stop taking acetazolamide suddenly if you are taking it to prevent seizures. Your prescriber or health care professional may want you to reduce your dose gradually.

You may get drowsy; until you know how acetazolamide affects you, do not drive, use machinery, or do anything that needs mental alertness.

Drink several glasses of water a day. This will help to reduce possible kidney problems.

If you are diabetic, monitor blood and urine sugar and ketones regularly. Acetazolamide can increase sugar levels. Check with your prescriber or health care professional if you notice any changes.

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 (50 and 86 degrees F). Throw away any unused medicine after the expiration date.

Diamox
		Diamox 60 pills x 250 mg	$44.7
		Diamox 90 pills x 250 mg	$56.67

	Package	Price	Per Item	Savings	Order
	Lanoxin 60 pills x 0.25 mg	$49.67	$0.83	$0
	Lanoxin 90 pills x 0.25 mg	$61.82	$0.69	$13

Lanoxin
	Lanoxin (Digoxin) is used for treating heart failure and slowing the heart rate.

Drug Name

Lanoxin (Digoxin)

Drug Uses

Lanoxin is used for treating heart failure and slowing the heart rate in patients with chronic atrial fibrillation, a type of abnormal heart rhythm. It may also be used for certain conditions as determined by your doctor.

How to use

Use Lanoxin as directed by your doctor.

• Lanoxin may be taken with or without food.
• Using Lanoxin at the same time each day will help you to remember.

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

Drug Class and Mechanism

Lanoxin is a digitalis glycoside. It works by increasing the force of contraction of the heart and slowing heart rate.

Missed Dose

If you miss a dose of Lanoxin , 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 at the room temperature away from moisture and sunlight. Keep out of the reach of children.

Warnings/Precautions

Do not use Lanoxin if:

• you are allergic to any ingredient in Lanoxin or other digitalis medicines;
• you have Beriberi heart disease;
• you have certain types of heart rhythm problems, such as ventricular fibrillation.

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

Important:

• Tell your doctor or dentist that you take Lanoxin before you receive any medical or dental care, emergency care, or surgery.
• Lab tests, including electrocardiogram (ECG), electrolytes, and blood digoxin levels, may be performed while you use Lanoxin . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use Lanoxin with caution in the elderly; they may be more sensitive to its effects.
• Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Lanoxin while you are pregnant. Lanoxin is found in breast milk. If you are or will be breast-feeding while you use Lanoxin, check with your doctor. Discuss any possible risks to your baby.

Possible Side Effects

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

• diarrhea; fast, slow, or irregular heartbeat; loss of appetite; nausea; vomiting; weakness.
• 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); heart disturbances.

More Information

Lanoxin is to be used only by the patient for whom it is prescribed. Do not share it with other people.

Lanoxin
		Lanoxin 60 pills x 0.25 mg	$49.67
		Lanoxin 90 pills x 0.25 mg	$61.82

	Package	Price	Per Item	Savings	Order
	Hydrea 30 pills x 500 mg	$89.69	$2.99	$0
	Hydrea 60 pills x 500 mg	$154.8	$2.58	$25
	Hydrea 90 pills x 500 mg	$200.34	$2.22	$69

Hydrea
	Hydrea (Hydroxyurea) is used for treating skin cancer, cancer of the ovary, or chronic myelocytic leukemia that is recurrent, has spread, or cannot be helped with surgery.

Hydrea

Generic name: Hydroxyurea

Hydroxyurea capsules

What are hydroxyurea capsules?

HYDROXYUREA (Droxia®, Hydrea®) is used to treat sickle cell disease or certain types of cancer. Hydroxyurea is used for treating cancers of the blood, skin, ovary and head and neck. Hydroxyurea is also used to decrease the painful episodes associated with sickle cell disease. Hydroxyurea does not cure sickle cell disease, but may help to control the symptoms when used on a regular basis. Generic hydroxyurea capsules 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:

• bleeding problems
• blood disorders
• dental disease
• having intramuscular injections
• infection (especially virus infection such as chickenpox or herpes)
• kidney disease
• an unusual or allergic reaction to hydroxyurea, other chemotherapy, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take hydroxyurea capsules by mouth. Follow the directions on the prescription label. Swallow the capsules with a drink of water. Do not take your medicine more often than directed. Finish the full course prescribed by your doctor or health care professional, even if the capsules make you feel unwell. Do not stop taking except on your prescriber’s advice. If you have difficulty swallowing the capsule, carefully open it and empty the contents into a glass of water. Drink at once, some ingredients may not dissolve, but float on the surface; this does not matter. Make sure to drink all of the water to get the entire dose. Rinse and wash the glass thoroughly after using.

Hydroxyurea is a medicine that must be handled with care. People who are not taking hydroxyurea should not be exposed to the powder in the open capsules. Wear disposable gloves when handling bottles or capsule of hydroxyurea. Wash your hands before and after handling the hydroxyurea bottle or capsules. If the powder from the capsule is spilled, it should be wiped up immediately with a damp towel. The towel should then be put in a closed container such as a plastic bag and thrown away.

What if I miss a dose?

If you miss a dose, skip that dose unless you remember within a few hours, or your prescriber or health care professional tells you otherwise. Do not take double or extra doses. If you vomit after taking a dose, call your prescriber or health care professional for advice.

What drug(s) may interact with hydroxyurea?

• didanosine, ddI
• medicines that affect your blood such as cilostazol or warfarin,
• other chemotherapy agents may increase the side effects seen with hydroxyurea
• stavudine, d4T
• vaccines

Talk to your prescriber or health care professional before taking any of these medicines:

• aspirin
• acetaminophen
• ibuprofen
• naproxen
• ketoprofen

Tell your prescriber or other health care professional about all other medicines you are taking including nonprescription 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 before stopping or starting any of your medications.

What side effects may I notice from taking hydroxyurea?

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

.low blood counts - hydroxyurea may decrease the number of white blood cells, red blood cells and platelets. You may be at increased risk for infections and bleeding.

• signs of infection - fever or chills, cough, sore throat, pain or difficulty passing urine
• signs of decreased platelets or bleeding - bruising, pinpoint red spots on the skin, black, tarry stools, blood in the urine
• signs of decreased red blood cells - unusual weakness or tiredness, fainting spells, lightheadedness
• burning, redness or pain at the site of radiation therapy
• lower back pain
• sore mouth or lips (ulcers)
• vomiting

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

• constipation or diarrhea
• loss of appetite
• nausea
• red face
• skin rash, itching

What should I watch for while taking hydroxyurea?

Visit your prescriber or health care professional for checks on your progress. You will need to have regular blood checks. The side effects of hydroxyurea can continue after you finish your treatment; report side effects promptly.

Hydroxyurea may make you feel generally unwell. Report any side effects as above, but continue your course of medicine even though you feel ill, unless your prescriber or health care professional tells you to stop.

When given alone or with other chemotherapy agents, hydroxyurea may decrease your body’s ability to fight infections or increase your risk to bruise or bleed. Call your prescriber or health care professional if you have a fever, chills, sore throat or other symptoms of a cold or flu. Do not treat these symptoms yourself. Try to avoid being around people who are sick. Call your prescriber or health care professional if you notice any unusual bleeding. Be careful not to cut, bruise or injure yourself because you may get an infection and bleed more than usual.

Hydroxyurea may harm your unborn baby. You should contact your prescriber immediately if you believe or suspect you or your partner has become pregnant while you are taking hydroxyrea. Both men and women must use effective birth control continuously while taking hydroxyurea. It is recommended that you use 2 reliable forms of contraception together.

Avoid taking aspirin, acetaminophen (Tylenol®), ibuprofen (Advil®), naproxen (Aleve®), or ketoprofen (Orudis® KT) products as these may hide a fever, unless instructed to by your prescriber or health care professional.

Be careful brushing and flossing your teeth or using a toothpick while receiving hydroxyurea because you may get an infection or bleed more easily. If you have any dental work done, tell your dentist you are receiving hydroxyurea.

Drink several glasses of water a day. This will help to reduce possible kidney problems.

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

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, approximately 25 degrees C (77 degrees F). Throw away any unused medicine after the expiration date. Contact your health care provider for instructions on how to throw away expired capsules.

Hydrea
		Hydrea 30 pills x 500 mg	$89.69
		Hydrea 60 pills x 500 mg	$154.8
		Hydrea 90 pills x 500 mg	$200.34

	Package	Price	Per Item	Savings	Order
	Tamiflu 30 pills x 75 mg	$302.33	$10.08	$32
	x	$0	$0	$0

Tamiflu
	Tamiflu is an active component used for preventing the flu. It is also used for treating the flu in patients within 2 days of the onset of flu symptoms.

Tamiflu

Generic name: Oseltamivir

Oseltamivir capsules

What are oseltamivir capsules?

OSELTAMIVIR (Tamiflu® is a drug used to treat infections caused by two of the most common flu viruses. Oseltamivir may decrease the length of time you experience symptoms of the flu by 1.2 days. Oseltamivir may also help to reduce the risk of spreading the flu to others. Generic oseltamivir capsules 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 the following conditions:

• decreased kidney function
• heart disease
• liver disease
• lung disease
• an unusual or allergic reaction to oseltamivir, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Oseltamivir capsules are taken by mouth. You may take oseltamivir with or without food. If oseltamivir upsets your stomach, take it with food. To treat the flu, oseltamivir is usually given two times per day for 5 days. Follow the instructions given to you by your prescriber or health care professional.

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 remember. If it is almost time for your next dose (within 2 hours), take only that dose and continue with your regular schedule, spacing doses evenly. Do not take double or extra doses. If you have missed several doses, call your prescriber or health care provider.

What drug(s) may interact with oseltamivir?

There are no known drug interactions with oseltamivir.

Tell your prescriber or health care professional about all other medicines that 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 before starting or stopping any of your medicines.

What side effects may I notice from using oseltamivir?

Side effects due to oseltamivir are uncommon and are not usually severe.

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

• change in mood or behavior, especially if unusual or if the behavior may cause self-injury
• difficulty breathing or shortness of breath
• infection and inflammation of the sinuses (nose) and chest
• skin rash

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

• coughing
• difficulty sleeping
• dizziness
• headache
• nausea and vomiting

What should I watch for while taking oseltamivir?

Treatment with oseltamivir should be started within 2 days of the beginning of flu symptoms to be effective. Finish the whole course of treatment even if you start to feel better sooner. The entire treatment is needed to make sure the infection is totally treated. Do not share oseltamivir with anyone, even if they have the same symptoms.

Oseltamivir is not a substitute for the flu shot. You should continue receiving an annual flu shot based upon the advice of your primary health care provider.

Where can I keep my medicine?

Keep out of the reach of children.

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

Tamiflu
		Tamiflu 30 pills x 75 mg	$302.33
		x	$0