Package	Price	Per Item	Savings	Order
	Ponstel 60 pills x 500 mg	$56.96	$0.95	$0
	Ponstel 90 pills x 500 mg	$71.53	$0.8	$14
	Ponstel 90 pills x 250 mg	$51.53	$0.57	$0

Ponstel
	Ponstel (Mefenamic Acid) is indicated for treating the menstrual pain.

Ponstel

Generic name: Meclofenamate

Meclofenamate, mefenamic acid capsules

What are meclofenamate or mefenamic acid capsules?

MECLOFENAMATE (meclofenamate sodium) and MEFENAMIC ACID (Ponstel®) are nonsteroidal anti-inflammatory drugs (NSAIDs). Meclofenamate helps relieve inflammation and pain associated with rheumatoid arthritis and osteoarthritis. Both drugs help relieve mild to moderate pain, including menstrual cramps or premenstrual discomfort. Generic meclofenamate capsules are available, but generic mefenamic acid 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 these conditions:

• asthma, especially aspirin-sensitive asthma
• bleeding problems or taking medicines that make you bleed easily such as anticoagulants (’blood thinners’)
• cigarette smoker
• coronary artery bypass graft (CABG) surgery within the past 2 weeks
• dental disease
• diabetes mellitus
• drink more than 3 alcohol-containing beverages a day
• heart or circulation problems like angina, high blood pressure, heart failure, heart rhythm problems, history of heart attack, history of blood clots, or leg edema (fluid retention)
• kidney disease
• liver disease
• lost a lot of fluid due to continued vomiting or diarrhea
• stomach ulcers or pain
• history of stroke
• systemic lupus erythematosus
• ulcerative colitis
• an unusual or allergic reaction to mefenamic acid, meclofenamate, aspirin, other salicylates, other NSAIDs, foods, dyes or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take meclofenamate or mefenamic capsules by mouth. Follow the directions on the prescription label. Swallow capsules whole with a full glass of water; take capsules in an upright or sitting position. Taking a sip of water first, before taking the capsules, may help you swallow them. If possible take bedtime doses at least 10 minutes before lying down. You can take meclofenamate or mefenamic acid with food to prevent stomach upset. 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 other medicines can interact with meclofenamate or mefenamic acid?

• alcohol
• alendronate
• anti-inflammatory drugs (other NSAIDs, prednisone)
• aspirin and aspirin-like medicines
• cidofovir
• cyclosporine
• drospirenone; ethinyl estradiol (Yasmin®)
• entecavir
• herbal products that contain feverfew, garlic, ginger, or ginkgo biloba
• lithium
• medicines for high blood pressure
• medicines that affect platelets
• medicines that treat or prevent blood clots such as warfarin and other ‘blood thinners’
• methotrexate
• pemetrexed
• water pills (diuretics)

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 meclofenamate or mefenamic acid?

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

• signs of bleeding - black tarry stools, blood in the urine, unusual tiredness or weakness, or vomiting blood or vomit that looks like coffee grounds
• signs of an allergic reaction - difficulty breathing, wheezing, skin rash, redness, blistering or peeling skin, hives, or itching, swelling of eyelids, throat, lips
• blurred vision
• change in the amount of urine passed
• difficulty swallowing, severe heartburn or burning, pain in throat
• pain or difficulty passing urine
• stomach pain or cramps
• swelling of feet or ankles

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

• diarrhea or constipation
• dizziness, drowsiness
• gas or heartburn
• headache
• nausea, vomiting

What do I need to watch for while I take meclofenamate or mefenamic acid?

Let your prescriber or health care professional know if your pain continues. Do not take your capsules with other pain-killers without advice. If you get flu-like symptoms (fever, chills, muscle aches and pains), call your prescriber or health care professional; do not treat yourself.

To reduce unpleasant effects on your throat and stomach, take meclofenamate or mefenamic acid with a full glass of water and never just before lying down. If you notice black, tarry stools or experience severe stomach pain and/or vomit blood or what looks like coffee grounds, notify your health care prescriber immediately.

If you are taking medicines that affect the clotting of your blood, such as aspirin or blood thinners such as Coumadin®, talk to your health care provider or prescriber before taking this medicine.

You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how meclofenamate or mefenamic acid affects you. Do not sit or stand up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

Do not smoke cigarettes or drink alcohol; these increase irritation to your stomach and can make it more susceptible to damage from this medicine.

If you are going to have surgery, tell your prescriber or health care professional that you are taking this medicine. Problems can arise if you need dental work, and in the day to day care of your teeth. Try to avoid damage to your teeth and gums when you brush or floss your teeth.

It is especially important not to use meclofenamate or mefenamic acid during the last 3 months of pregnancy unless specifically directed to do so by your health care provider. Meclofenamate or mefenamic acid may cause problems in the unborn child or complications during delivery.

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). Keep container tightly closed. Protect meclofenamate sodium capsules from light. Throw away any unused medicine after the expiration date.

Ponstel
		Ponstel 60 pills x 500 mg	$56.96
		Ponstel 90 pills x 500 mg	$71.53
		Ponstel 90 pills x 250 mg	$51.53

	Package	Price	Per Item	Savings	Order
	Artane 60 pills x 2 mg	$41.39	$0.69	$0
	Artane 90 pills x 2 mg	$47.7	$0.53	$15

Artane
	Artane (Trihexyphenidyl) is used to treat the stiffness, tremors, spasms, and poor muscle control of Parkinson's disease.

Drug Name

Artane (Trihexyphenidyl)

Drug Uses

Artane alters unusual nerve impulses and relaxes stiff muscles.

How to use

• Use Artane as directed by your doctor.
• Take Artane by mouth before or after meals.
• If Artane tends to dry your mouth excessively, it may be better to take it before meals, unless it causes nausea. If taken after meals, thirst can be improved by sucking hard sugarless candy, chewing gum, or drinking water.
• Ask your health care provider any questions you may have about how to use Artane.

Drug Class and Mechanism

Artane is used to treat the stiffness, tremors, spasms, and poor muscle control of Parkinson’s disease. It is also used to treat and prevent the same muscular conditions when they are caused by drugs such as chlorpromazine (Thorazine), fluphenazine (Prolixin), perphenazine (Trilafon), haloperidol (Haldol), thiothixene (Navane), and others.

Missed Dose

If you miss a dose of Artane 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.

Storage

Store Artane at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep in a tight, light-resistant container. Keep Artane out of the reach of children and away from pets.

Warnings/Precautions

Do not use Artane if:

• you are allergic to any ingredient in Artane.
• Contact your doctor or health care provider right away if any of these apply to you.

Important:

• Artane may cause dizziness, drowsiness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Artane with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Artane may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
• Do not become overheated in hot weather or while you are being active; heatstroke may occur.
• Lab tests, including eye exams, may be performed while you use Artane. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Artane while you are pregnant. It is not known if Artane is found in breast milk. If you are or will be breast-feeding while you use Artane, 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:

• blurred vision; constipation; dizziness; drowsiness; dry mouth; headache; increased sensitivity of the eyes to light; lightheadedness; loss of appetite; nausea; nervousness; trembling of the hands; 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); agitation; chest pain; confusion; delusions; difficult swallowing; difficult urination; facial pain or swelling; fast or pounding heartbeat; fever or chills; hallucinations; mood or mental changes; severe constipation; swollen throat glands; uncontrolled movements.

More Information

Artane 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.

Artane
		Artane 60 pills x 2 mg	$41.39
		Artane 90 pills x 2 mg	$47.7

	Package	Price	Per Item	Savings	Order
	Probalan 30 pills x 500 mg	$48.43	$1.62	$0
	Probalan 60 pills x 500 mg	$80.7	$1.35	$17
	Probalan 90 pills x 500 mg	$101.39	$1.13	$45

Probalan
	Probalan (Probenecid) is used in the treatment of chronic gout or gouty arthritis.

Drug Name

Probalan (Probenecid)

Drug Uses

Probalan is used in the treatment of chronic gout or gouty arthritis. These conditions are caused by too much uric acid in the blood.

How to use

Use Probalan as directed by your doctor.

• Take Probalan tablets by mouth.
• Swallow the tablets with a drink of water.
• Take your doses at regular intervals.
• Ask your health care provider any questions you may have about how to use Probalan.

Drug Class and Mechanism

Probalan works by removing the extra uric acid from the body. Probalan does not cure gout, but after you have been taking it for a few months it will help prevent gout attacks. Probalan will help prevent gout attacks only as long as you continue to take it.

Probalan is also used to prevent or treat other medical problems that may occur if too much uric acid is present in the body.

Probalan is sometimes used with certain kinds of antibiotics to make them more effective in the treatment of infections.

Missed Dose

If you miss a dose of Probalan, 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 Probalan at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep Probalan out of the reach of children and away from pets.

Warnings/Precautions

Do not use Probalan if:

• you are allergic to any ingredient in Probalan;
• you have blood problems or kidney stones caused by uric acid;
• the patient is a child younger than 2 years of age;
• you are taking salicylates (e.g., aspirin).

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

Important :

• Probalan may cause dizziness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to Probalan. Using Probalan alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
• Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using Probalan.
• Diabetes patients - Probalan may affect your blood sugar. Check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine.
• Probalan may interfere with some lab tests (e.g., blood or hemoglobin urine tests, theophylline levels). Make sure your doctor and lab personnel know you are using Probalan.
• Lab tests, including tests for sugar in the urine, may be required to monitor your progress. Be sure to keep all doctor and lab appointments.
• Use of Probalan is not recommended in children younger than 2 years of age. Safety and effectiveness in this age group have not been confirmed.
• Pregnancy and breast-feeding: If you become pregnant while taking Probalan, discuss with your doctor the benefits and risks of using Probalan during pregnancy. Probalan is excreted in breast milk. If you are or will be breast-feeding while you are using Probalan, check with your doctor or pharmacist to discuss the risks to your baby.

Possible Side Effects

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

• dizziness; flushing; hair loss; headache; loss of appetite; nausea; sore gums; vomiting.

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); blood in the urine; chills; dark urine; decreased or increased urination; fever; lower back, lower stomach, genital, or inner thigh pain; persistent sore throat; severe or persistent nausea, vomiting, or stomach pain; unusual bleeding or bruising; unusual tiredness or weakness; worsening gout; yellowing of the eyes or skin.

More Information

Probalan 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.

Probalan
		Probalan 30 pills x 500 mg	$48.43
		Probalan 60 pills x 500 mg	$80.7
		Probalan 90 pills x 500 mg	$101.39

	Package	Price	Per Item	Savings	Order
	Nimotop 30 pills x 30 mg	$46.99	$1.57	$0
	Nimotop 60 pills x 30 mg	$81.09	$1.35	$13
	Nimotop 90 pills x 30 mg	$104.94	$1.17	$36

Nimotop
	Nimotop (Nimodipine) is used to improve symptoms caused by spasms as a result of a brain hemorrhage (ruptured blood vessels).

Nimotop

Generic name: Nimodipine

Nimodipine capsules

What are nimodipine capsules?

NIMODIPINE (Nimotop®) is a calcium-channel blocker. It affects the flow of calcium in and out of certain cells in your body and relaxes blood vessels. Nimodipine is used to treat subarachnoid hemorrhage, a condition in which severe headaches and stiff neck are caused by bleeding into the space around the brain. Generic nimodipine 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 these conditions:

• heart problems, slow heart rate
• liver disease
• low blood pressure
• previous heart attack
• an unusual or allergic reaction to nimodipine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take nimodipine capsules by mouth. Follow the directions on the prescription label. Swallow the capsules with a drink of water. Avoid taking nimodipine with grapefruit juice or grapefruit. Take your doses at regular intervals. Do not take your medicine more often than directed. Continue to take your medicine even if you feel better. Do not stop taking except on your prescriber’s advice.

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 nimodipine?

Do not take Nimodipine with any of the following:

• grapefruit juice

Nimodipine may also interact with the following medications:

• antiinflammatory drugs (NSAIDs, such as ibuprofen)
• barbiturates such as phenobarbital
• bosentan
• calcium salts (intravenous)
• cimetidine
• herbal or dietary supplements such as gingko biloba, ginseng, hawthorn, ma huang (ephedra), melatonin, St. John’s wort, went yeast
• imatinib, STI-571
• local anesthetics or general anesthetics
• medicines for fungal infections (fluconazole, itraconazole, ketoconazole, voriconazole)
• medicines for high blood pressure
• medicines for HIV infection or AIDS
• medicines for prostate problems
• medicines for seizures (carbamazepine, phenobarbital, phenytoin, primidone)
• rifampin, rifapentine, or rifabutin
• some antibiotics (clarithromycin, erythromycin, telithromycin, troleandomycin)
• some medicines for heart-rhythm problems (amiodarone, diltiazem, verapamil)
• some medicines for depression or mental problems (fluoxetine, fluvoxamine, nefazodone)
• valproic acid
• water pills (diuretics)
• yohimbine
• zafirlukast
• zileuton

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 nimodipine?

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

• difficulty breathing
• dizziness or drowsiness
• irregular or fast heartbeats (palpitations)
• lightheadedness or fainting
• slow heartbeat
• swelling of the legs or ankles
• unusual bleeding or bruising, red spots on skin
• unusual weakness or tiredness

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

• flushing
• headache
• nausea
• sweating

What should I watch for while taking nimodipine?

Visit your prescriber or health care professional for regular checks on your progress.

Alcohol can increase the chance of getting low blood pressure. Avoid alcoholic drinks while you are taking nimodipine.

Where can I keep my medicine?

Keep out of 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); do not freeze. Protect from light. Keep foil packaged capsules in their original foil until needed. Throw away any unused medicine after the expiration date.

Nimotop
		Nimotop 30 pills x 30 mg	$46.99
		Nimotop 60 pills x 30 mg	$81.09
		Nimotop 90 pills x 30 mg	$104.94