Package	Price	Per Item	Savings	Order
	Tegretol 30 pills x 400 mg	$59.97	$2	$0
	Tegretol 60 pills x 400 mg	$107.96	$1.8	$12
	Tegretol 90 pills x 400 mg	$153.5	$1.7	$27
	Tegretol 60 pills x 200 mg	$77.4	$1.29	$0
	Tegretol 90 pills x 200 mg	$97.3	$1.08	$18
	Tegretol 60 pills x 100 mg	$48.42	$0.81	$0
	Tegretol 90 pills x 100 mg	$61.82	$0.69	$11

Tegretol
	Tegretol (Carbamazepine) is used for controlling certain types of epileptic seizures and treats severe pain of the jaw or cheek caused by a facial nerve problem (trigeminal neuralgia).

Tegretol

Generic name: Carbamazepine

Carbamazepine extended-release tablets or capsules

What are carbamazepine extended-release tablets or capsules?

CARBAMAZEPINE (Carbatrol®, Tegretol®-XR) can help with seizure (convulsion) control in certain types of epilepsy. Carbamazepine also treats nerve-related pain such as trigeminal neuralgia, or the pain associated with shingles. This medication is not for common aches and pains. Carbamazepine (example, Equetro.) is used to control certain mood problems, such as bipolar illness. Generic extended-release carbamazepine tablets or 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:

• frequently drink alcohol containing beverages
• anemia or other blood disorders or disease
• depression
• glaucoma
• heart disease
• irregular heartbeat
• kidney disease
• liver disease
• low sodium level in the blood
• psychotic disorders
• seizures (convulsions)
• suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
• an unusual or allergic reaction to carbamazepine, tricyclic antidepressants, phenytoin, phenobarbital or other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take carbamazepine tablets or capsules by mouth. Follow the directions on the prescription label. Take your doses at regular intervals. Do not take your medicine more often than directed.

Tegretol®-XR tablets must be swallowed whole and should not be cut, crushed or chewed.

Carbatrol® and Equetro. capsules can be swallowed whole or they can be opened and the beads sprinkled over food such as applesauce or other similar food product. The capsules or the beads inside the capsules should not be crushed or chewed.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed. Carbamazepine is often prescribed to children to treat seizures.

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 carbamazepine?

Carbamazepine can interact with many different types of medications. You should check with your prescriber or pharmacist before taking other medications with carbamazepine. The following list includes many of the types of medications that may interact:

• barbiturate medicines for inducing sleep or treating seizures (convulsions), like phenobarbital
• bosentan
• cancer-treating medications
• charcoal
• cefixime
• cimetidine
• clarithromycin
• colestipol
• cyclosporine
• danazol
• doxercalciferol
• doxycycline
• erythromycin
• female hormones, including estrogens and birth control pills
• grapefruit juice
• herbal medicines like St. John’s wort
• influenza virus vaccine
• isoniazid, INH
• levothyroxine and other thyroid hormones
• lithium and other medicines to treat mood problems or psychotic disturbances
• medicines for angina or high blood pressure
• medicines for rheumatoid or other inflammatory arthritis conditions
• medicines for depression or anxiety
• medicines for sleep
• medicines to treat fungal infections, like fluconazole, itraconazole or ketoconazole
• medicines used to treat HIV infection or AIDS
• metronidazole
• omeprazole
• paricalcitol
• propoxyphene
• quinidine
• rifampin
• rifabutin
• riluzole
• seizure (convulsion) or epilepsy medicine
• sevelamer
• sirolimus
• steroid medicines such as prednisone or cortisone
• tacrolimus
• tamoxifen
• terfenadine
• theophylline
• toremifene
• tramadol
• troleandomycin
• warfarin
• zafirlukast

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 taking carbamazepine?

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

Less common:

• blurred or double vision, uncontrollable eye movements
• chest pain or tightness
• dark yellow or brown urine
• difficulty breathing or shortness of breath
• fainting spells
• fast or irregular heartbeat (palpitations)
• fever or chills, sore throat
• increased thirst
• mouth ulcers
• pain or difficulty passing urine
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• ringing in the ears
• seizures (convulsions)
• shortness of breath, wheezing
• skin rash, hives, itching
• sore throat
• stomach pain
• swollen joints or muscle/joint aches and pains
• unusual bleeding or bruising
• unusual swelling
• vomiting
• yellowing of the eyes or skin

More common:

• confusion
• lightheadedness
• mood changes, nervousness, or hostility
• 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):

• clumsiness or unsteadiness
• diarrhea or constipation
• mild dizziness or drowsiness
• headache
• increased sensitivity to the sun
• increased sweating
• nausea

What should I watch for while taking carbamazepine?

Visit your prescriber or health care professional for a regular check on your progress. Report any unusual side effects to your prescriber promptly.

Do not change brands or dosage forms of carbamazepine without discussing the change with your prescriber or healthcare professional.

If you are taking carbamazepine for epilepsy (seizures) do not stop taking it suddenly. This increases the risk of seizures. Wear a Medic Alert bracelet or necklace. Carry an identification card with information about your condition, medications, and prescriber or health care professional.

Carbamazepine is available by many different branded names, such as Carbatrol®, Epitol®, Equetro., or Tegretol®. The different brands may be used for different illnesses, such as seizures or manic-depression. You should not take more than one brand name of carbamazepine at one time. If you do so, you could become seriously ill. If you are not sure if you are taking more than one brand, ask for health care provider immediately.

You may get drowsy, dizzy, or have blurred vision. Do not drive, use machinery, or do anything that needs mental alertness until you know how carbamazepine affects you. To reduce dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can increase drowsiness and dizziness. Avoid alcoholic drinks.

If you are female and are taking birth control pills (contraceptive pills) or other hormonal birth control methods (like injections), you should know that the birth control may not work as well while you are taking carbamazepine. You may need to talk to your prescriber about effective ways to prevent pregnancy. Let your prescriber know if you experience any unusual menstrual-type bleeding or spotting or if you think you might be pregnant while on this medicine.

Carbamazepine may make your skin more sensitive to the sun or ultraviolet light. Keep out of the sun, or wear protective clothing outdoors and use a sunscreen (at least SPF 15). Do not use sun lamps or sun tanning beds or booths.

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

Where can I keep my medicine?

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

Store at room temperature below 30 degrees C (86 degrees F). Keep container tightly closed. Protect from moisture. Throw away any unused medicine after the expiration date.

Tegretol
		Tegretol 30 pills x 400 mg	$59.97
		Tegretol 60 pills x 400 mg	$107.96
		Tegretol 90 pills x 400 mg	$153.5
		Tegretol 60 pills x 200 mg	$77.4
		Tegretol 90 pills x 200 mg	$97.3
		Tegretol 60 pills x 100 mg	$48.42
		Tegretol 90 pills x 100 mg	$61.82

	Package	Price	Per Item	Savings	Order
	Feldene 60 caps x 20 mg	$69.54	$1.16	$0
	Feldene 90 caps x 20 mg	$80.13	$0.89	$24

Feldene
	Feldene (Piroxicam) is used for the treatment of inflammation and pain caused by rheumatoid arthritis and osteoarthritis.

Feldene

Generic name: Piroxicam

Piroxicam capsules

What are piroxicam capsules?

PIROXICAM (Feldene®) is a nonsteroidal anti-inflammatory drug (NSAID). It helps relieves pain and inflammation associated with rheumatoid arthritis and osteoarthritis. Generic piroxicam 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:

• anemia
• asthma, especially aspirin sensitive asthma
• bleeding problems or taking medicines that make you bleed more easily such as anticoagulants (’blood thinners’)
• cigarette smoker
• coronary artery bypass graft (CABG) surgery within the past 2 weeks
• diabetes
• 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
• stomach or duodenal ulcers
• history of stroke
• systemic lupus erythematosus
• ulcerative colitis
• an unusual or allergic reaction to piroxicam, other NSAIDs, aspirin or other salicylates, other medicines, foods, dyes or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take piroxicam 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 piroxicam with food to prevent stomach upset. Piroxicam is usually taken once a day. 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 piroxicam?

• alcohol
• anti-inflammatory drugs (such as other NSAIDs or prednisone)
• aspirin and aspirin-like medicines
• cidofovir
• cyclosporine
• 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 piroxicam?

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

• signs of bleeding - bruising, red spots on the skin, black tarry stools, blood in the urine, unusual tiredness or weakness, vomiting blood or vomit that looks like coffee grounds
• signs of an allergic reaction - difficulty breathing or 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
• 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):

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

What should I need to watch for while I taking piroxicam?

It can take 7 to 12 days of treatment with piroxicam before the full effects are felt. Let your prescriber or health care professional know if your pain continues after 2 weeks. Do not take other pain-killers with piroxicam 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 piroxicam 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 piroxicam.

You may get dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how piroxicam 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 piroxicam.

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 piroxicam during the last 3 months of pregnancy unless specifically directed to do so by your health care provider. Piroxicam 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 15.30 degrees C (59.86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Feldene
		Feldene 60 caps x 20 mg	$69.54
		Feldene 90 caps x 20 mg	$80.13

	Package	Price	Per Item	Savings	Order
	Imitrex 30 pills x 50 mg	$461.31	$15.38	$0
	Imitrex 60 pills x 50 mg	$796.13	$13.27	$127
	Imitrex 90 pills x 50 mg	$1030.32	$11.45	$354

Imitrex
	Imitrex (Sumatriptan) is an antimigraine medicine.

Imitrex

Generic name: Sumatriptan

Sumatriptan tablets

What are sumatriptan tablets?

SUMATRIPTAN (Imitrex®) helps to relieve a migraine attack that starts with or without aura (a peculiar feeling or visual disturbance that warns you of an attack). Sumatriptan is not used to prevent migraine attacks. Generic sumatriptan 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:

• bowel disease or colitis
• diabetes
• family history of heart disease
• fast or irregular heart beat
• headaches that are different from your usual migraine
• heart or blood vessel disease, angina (chest pain), or previous heart attack
• high blood pressure
• high cholesterol
• history of stroke, transient ischemic attacks (TIAs or “mini-strokes”), or intracranial bleeding
• postmenopausal or surgical removal of uterus and ovaries
• liver disease
• overweight
• poor circulation
• Raynaud’s disease
• seizure disorder
• shortness of breath
• tobacco smoker
• an unusual or allergic reaction to sumatriptan, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take sumatriptan tablets by mouth. Follow the directions on the prescription label. Sumatriptan is taken at the first symptoms of a migraine attack; it is not for everyday use. Swallow the tablets with a drink of water. If your migraine headache returns after one dose, you can take another dose as directed. You must leave at least 2 hours between doses, and do not take more than 100 mg as a single dose. Do not take more than 200 mg total in any 24 hour period. If there is no improvement at all after the first dose, do not take a second dose without talking to your prescriber or health care professional. 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?

This does not apply, sumatriptan is not for regular use.

What drug(s) may interact with sumatriptan?

Do not take sumatriptan with any of the following medicines:

• amphetamine or cocaine

.dihydroergotamine, ergotamine, eroloid mesylates, methysergide, or ergot-type medication - do not take within 24 hours of taking sumatriptan.

.almotriptan, eletriptan, naratriptan, rizatriptan, zolmitriptan - do not take within 24 hours of taking sumatriptan.

• medicines for weight loss such as dexfenfluramine, dextroamphetamine, fenfluramine, or sibutramine

.monoamine oxidase inhibitors (MAOIs) such as phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), and selegiline (Carbex®, Eldepryl®) - do not take sumatriptan within 2 weeks of stopping MAOI therapy.

Check with your doctor or pharmacist if you take any of these medications:

• cough syrup or other products containing dextromethorphan
• feverfew
• lithium
• medicines for mental depression, anxiety or mood problems such as buspirone, citalopram, fluoxetine, fluvoxamine, mirtazapine, nefazodone, paroxetine, sertraline, trazodone, tricyclic antidepressants, or venlafaxine
• meperidine
• propranolol
• St. John’s wort
• tryptophan

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 sumatriptan?

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

Rare or uncommon:

• chest or throat pain, tightness
• dizziness or faintness
• fast, slow, or irregular heart beat
• feeling of chest heaviness or pressure
• increased or decreased blood pressure
• loss of vision or vision changes
• palpitations
• seizures (convulsions)
• severe stomach pain and cramping, bloody diarrhea
• shortness of breath, wheezing, or difficulty breathing
• tingling, pain, or numbness in the face, hands or feet
• unusual reaction or swelling of the skin, eyelids, face, or lips

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

• change in taste
• diarrhea
• drowsiness
• feeling warm, flushing, or redness of the face
• muscle pain or cramps
• nausea, vomiting, or stomach upset
• tiredness or weakness

What should I watch for while taking sumatriptan?

Only take sumatriptan tablets for a migraine headache. Take it if you get warning symptoms or at the start of a migraine attack. Sumatriptan is not for regular use to prevent migraine attacks.

Do not take migraine products that contain ergotamine while you are taking sumatriptan; this combination can affect your heart.

You may get drowsy, dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how sumatriptan affects you. To reduce dizzy or fainting spells, do not sit or stand up quickly, especially if you are an older patient. Alcohol can increase drowsiness, dizziness and flushing. Avoid alcoholic drinks.

Smoking cigarettes may increase the risk of heart-related side effects from using sumatriptan.

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.

Imitrex
		Imitrex 30 pills x 50 mg	$461.31
		Imitrex 60 pills x 50 mg	$796.13
		Imitrex 90 pills x 50 mg	$1030.32

	Package	Price	Per Item	Savings	Order
	Zanaflex 30 pills x 4 mg	$99.94	$3.33	$0
	Zanaflex 60 pills x 4 mg	$172.49	$2.88	$28
	Zanaflex 90 pills x 4 mg	$223.23	$2.48	$77
	Zanaflex 30 pills x 2 mg	$51.26	$1.71	$0
	Zanaflex 60 pills x 2 mg	$88.46	$1.47	$15
	Zanaflex 90 pills x 2 mg	$114.48	$1.27	$40

Zanaflex
	Zanaflex (Tizanidine-Oral) is a muscle relaxant is used to help relax certain muscles in your body.

Zanaflex

Generic name: Tizanidine

Tizanidine tablets or capsules

What are tizanidine tablets or capsules?

TIZANIDINE (Zanaflex®) is a drug used to relax certain muscles. It can help to relieve, but not cure muscle spasms (or muscle tightening) caused by medical problems such as multiple sclerosis or injuries to the brain or spine. Generic tizanidine tablets or 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:

• heart or blood vessel disease
• kidney disease
• liver disease
• low blood pressure
• mental disorder
• an unusual or allergic reaction to tizanidine, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I take this medicine?

Take tizanidine tablets or capsules by mouth. Follow the directions on the prescription label. Swallow the tablets or capsules with a drink of water. Do not take with food until you have talked with your health care provider. Food can change the amount of tizanidine absorbed by the body. This can cause tizanidine not to work for you or to cause more side effects. Take your doses at regular intervals. Do not take your medicine more often than directed. Check with your prescriber or health care professional before stopping your medicine; gradual dosage reduction may be needed.

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

Older patients (age > 65 years) may have a stronger reaction to this medicine and may need smaller doses.

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 tizanidine?

• acetaminophen
• alcohol
• antihistamine medicines for colds, hay fever, or allergies
• baclofen
• benzodiazepine or sedative medicines for treating anxiety or to induce sleep
• barbiturate medicines for inducing sleep or treating seizures (convulsions)
• birth control pills
• medicines for high blood pressure
• medicines for mental depression or other mental disorders
• medicines for pain such codeine, morphine, hydrocodone and others
• phenytoin or fosphenytoin
• rofecoxib

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 tizanidine?

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

• confusion
• dizziness or fainting spells
• excitability, nervousness
• low blood pressure
• nausea or vomiting
• slow or irregular heartbeat, palpitations, or chest pain
• stomach pain
• unusual or persistent rash
• unusual tiredness or weakness
• yellowing of the skin or eyes

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

• blurred vision
• constipation
• drowsiness
• dry mouth
• tiredness or weakness

What should I watch for while taking tizanidine?

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

Do not suddenly stop taking tizanidine. Ask your prescriber or health care professional for advice on how to gradually reduce the dose of your medicine, before stopping completely.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how tizanidine affects you. To avoid dizzy or fainting spells, do not stand or sit up quickly, especially if you are an older person. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.

Do not treat yourself for coughs, colds or allergies without asking your prescriber or health care professional for advice. Some ingredients (antihistamines) can cause drowsiness which may be additive with tizanidine.

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

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 15.30 degrees C (59.86 degrees F). Protect from light. Keep container tightly closed. Throw away any unused medicine after the expiration date.

Zanaflex
		Zanaflex 30 pills x 4 mg	$99.94
		Zanaflex 60 pills x 4 mg	$172.49
		Zanaflex 90 pills x 4 mg	$223.23
		Zanaflex 30 pills x 2 mg	$51.26
		Zanaflex 60 pills x 2 mg	$88.46
		Zanaflex 90 pills x 2 mg	$114.48