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Buy Duromine 40mg australia, duromine 40mg online. Duromine is used to reduce body weight in obese or overweight patients. Your doctor will assess whether Duromine is suitable for you. Duromine 40 mg works by directly affecting the area of the brain that controls your appetite making you feel less hungry.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Duromine 40 mg should be used as a part of an overall weight management plan which should include a medically controlled diet and exercise program.
Duromine is available only with a doctor’s prescription.
Your doctor may prescribe Duromine 40 mg for another purpose. If you are not sure why you are taking this medicine ask your doctor.
Before you take Duromine
When you must not take it
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Do not take Duromine if you have an allergy to:
any medicine containing phentermine
Some of the symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue, or other parts of the body
rash, itching or hives on the skin
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Safety and effectiveness in children younger than 12 years have not been established.
Do not take this medicine if you have any of the following medical conditions:
very high blood pressure
high blood pressure in the lung
problems with the valves in your heart
disease related to blood vessels in the brain
severe heart disease including changes in the rhythm or rate of the heart beat
narrowing of the blood vessels due to thickening or hardening of the blood vessel wall
overactive thyroid gland
psychiatric illness including anorexia nervosa (loss of appetite) and depression
glaucoma (high pressure in the eye)
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Do not use this medicine:
if you are currently taking, or have taken within the last 14 days, antidepressant medicines from the mono-amine oxidase inhibitor (MAOI) class such as phenelzine (eg Nardil) or tranylcypromine (eg Parnate).
if you have previously misused drugs or alcohol
Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any medicines, foods, preservatives or dyes.
Tell your doctor or pharmacist if you are pregnant or plan to become pregnant or are breast-feeding.
Your doctor or pharmacist can discuss with you the risks and benefits involved.
Taking other medicines
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Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Duromine 40 mg may interfere with each other. These include:
any medicines for weight reduction
any medicines for depression or obsessive compulsive disorder such as fluoxetine (eg Prozac, Erocap, Lovan, Zactin); sertraline (eg, Zoloft); paroxetine (eg Aropax); clomipramine (eg Anafranil, Placil)
ergot-like medicines for migraine such as ergotamine (eg Cafergot, Ergodryl, Migral)
any cough and cold remedies containing pseudoephedrine, phenylpropanolamine or phenylephrine
thyroid hormones
any medication for mental illness
medicines for lowering high blood pressure including clonidine, methyldopa or guanethidine.
These medicines may be affected by Duromine 40 mg or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
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How to take Duromine
Carefully follow all directions given to you by your doctor or pharmacist and never change the dose yourself.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the box, ask your doctor or pharmacist for help.
How much to take
In adults and adolescents over 12 years, the usual dose of Duromine is one capsule every day. However, your doctor will prescribe the right dose for you.
Increasing the dose may not necessarily make you lose more weight or make you lose weight faster. However you will most likely experience more side effects. Your doctor will tell you how long you are to take Duromine for.
How to take it
Swallow the capsules whole with plenty of water. Do not chew or open the capsules.
When to take it
Take Duromine first thing in the morning, at breakfast time so that it does not keep you awake at night.
Taking it at the same time each day will have the best effect. It will also help you remember when to take it.
It does not matter if you take this medicine before or after food.
Duromine 40 mg is not recommended for elderly patients or for children younger than twelve years.
How long to take it
Take this medicine as long as your doctor tells you to.
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If you forget to take it
If you forget to take your Duromine dose at breakfast take it no later than lunchtime. Alternatively, skip the dose you missed and take your next dose at the normal time on the next day. If you take Duromine any later than lunch-time you may have trouble sleeping at night.
Never take a double dose to make up for a dose you have missed.
If you have trouble remembering when to take your medicine, ask your pharmacist for some hints.
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If you take too much Duromine
Immediately telephone your doctor or the Poisons Information Centre (Australia: telephone 13 11 26; New Zealand: 0800 POISON or 0800 764 766) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Duromine. Do this even if there are not signs of discomfort or poisoning.
You may need urgent attention.
While you are using Duromine
If you are about to be started on any new medicine remind your doctor and pharmacist that you are taking Duromine.
Tell any other doctors, dentists and pharmacists who treat you that you are taking this medicine.
If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine.
It may interfere with the results of some tests.
Keep all of your doctor’s appointments so that your progress can be checked.
Tell your doctor immediately if you experience sudden or rapid weight loss, difficulty breathing, chest pain, fainting, and swelling of the lower limbs and if you cannot exercise as much as you usually can.
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Things you must not do
Do not take Duromine to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as you.
Things to be careful of
Be careful driving or operating machinery until you know how Duromine affects you.
DO NOT drink alcohol whilst taking Duromine.
Check with your doctor or pharmacist before you start to take any cough or cold medication.
Side Effects
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Tell your doctor or pharmacist as soon as possible if you do not feel well while taking Duromine.
This medicine helps most people with a weight problem but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.
Do not be alarmed by the following lists of side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor immediately or go to Accident and Emergency at your nearest hospital if you experience:
heart attack
stroke
angina
myocardial infarction
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation. These side effects are rare.
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Tell your doctor or pharmacist if you notice any of the following and they worry you:
feeling more awake than usual
trouble sleeping
your heart seems to beat faster and harder
your blood pressure may be raised slightly
irregular heart beats
chest pain
feeling restless
feelings of extreme happiness followed by depression and tiredness
nervousness
tremor (shaking)
headache
dizziness
nausea
vomiting
diarrhoea or constipation
stomach cramps
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Tell your doctor as soon as possible if you notice any of the following:
sudden or rapid weight loss
difficulty breathing
chest pain
fainting
swelling of the lower limbs
or if you cannot exercise as much as you usually can
dry mouth or an unpleasant taste in your mouth
difficulty passing urine
skin rashes
impotence
changes in sexual drive
swelling of the face
Tell your doctor or pharmacist if you notice anything that is making you feel unwell.
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It contains the active ingredient oxycodone hydrochloride.
Oxycodone hydrochloride belongs to a class of drugs known as opioid analgesics.
As with all strong painkillers, your body may become used to you taking Oxycodone Sandoz tablets. Taking it may result in physical dependence. Physical dependence means that you may experience withdrawal symptoms if you stop taking Oxycodone Sandoz suddenly, so it is important to take it exactly as directed by your doctor.
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BEFORE YOU TAKE OXYCODONE SANDOZ
Long-term use of oxycodone tablets may result in a decrease in sex hormone levels which may affect sperm production in men and the menstrual cycles in females. Talk to your doctor if you have concerns.
When you must not take it
Do not take this medicine if you have an allergy to:
- oxycodone hydrochloride, or to any of the other ingredients listed at the end of this leaflet under Product Description
- any other similar medicines known as opioid analgesics, e.g. morphine or codeine.
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Some of the symptoms of an allergic reaction may include:
- shortness of breath
- wheezing or difficulty breathing
- swelling of the face, lips, tongue or other parts of the body
- rash, itching or hives on the skin.
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Do not take this medicine if you have or have had any of the following medical conditions:
- suffer from shallow breathing or have any breathing problems such as acute asthma, respiratory depression (breathing slows or weakens) or other obstructive airways disease
- severe drowsiness or have a reduced level of consciousness
- irregular or rapid heartbeats or changes in the way the heart beats
- heart problems or heart disease including if due to long term lung disease
- fits, convulsions or seizures
- head injury, brain tumour, severe headaches or have raised pressure within the head, brain or spinal cord
- severe abdominal pain with bloating, cramps, vomiting or constipation
- a condition where your stomach empties more slowly than it should or any condition that obstructs the stomach/bowel or affects bowel transit (movement of food or ingested material along the bowel)
- have swallowing difficulties of narrowing of the oesophagus
- severe liver or kidney disease
- severe depression
- a condition where you have high levels of carbon dioxide in your blood.
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Do not take this medicine if:
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- you have just drunk a large amount of alcohol, regularly drink large amounts of alcohol or have confusion and shaking due to stopping drinking alcohol
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Do not take this medicine after the expiry date printed on the pack or if the packaging is torn or shows signs of tampering. If it has expired or is damaged, return it to your pharmacist for disposal.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you have allergies to any other medicines, foods, preservatives or dyes.
Tell your doctor if you have or have had any of the following medical conditions:
- have sleep apnoea (temporarily stopping breathing while you sleep)
- low blood pressure including from having low blood volume
- chronic lung, liver or kidney disease
- stomach pains or constipation or inflammatory bowel disease or recent abdominal surgery
- diverticulitis (inflammation of bowel wall)
- increased prostrate size or difficulty passing urine
- narrowing of the urinary tract
- problems or recent surgery of your gall bladder or bile duct
- inflammation of the pancreas
- disorientation, hallucination, dizziness standing up or severe headaches
- adrenal glands not working properly
- under-active thyroid gland
- oesophageal, stomach or intestinal disorders (including cancer in these areas) resulting in narrowing of the oesophagus, stomach or intestines
- severe mental condition involving losing contact with reality, hearing voices or an inability to think clearly
- an addiction or history of abuse of alcohol, opioids or other drugs.
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Pregnancy and breastfeeding
Do not take this medicine if you are pregnant or intend to become pregnant whilst taking this medicine.
It may affect your developing baby if you take it during pregnancy. Like most medicines of this kind, Oxycodone Sandoz tablets are not recommended to be taken during pregnancy. Your doctor will discuss the risks of taking it if you are pregnant.
This medicine is not recommended to be taken during labour.
Oxycodone given to the mother during labour can cause breathing problems in the newborn.
Tell your doctor if you are breastfeeding or plan to breastfeed.
Oxycodone can pass into the breastmilk and can affect the baby. Your doctor can discuss with you the risks and benefits involved.
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Addiction
You can be addicted to Oxycodone Sandoz even if you take it exactly as prescribed. Oxycodone Sandoz may become habit forming causing mental and physical dependence. If abused it may become less able to reduce pain.
Dependence
As with all other opioid containing products, your body may become used to you taking Oxycodone Sandoz. Taking it may result in physical dependence. Physical dependence means that you may experience withdrawal symptoms if you stop taking Oxycodone Sandoz suddenly, so it is important to take it exactly as directed by your doctor.
Tolerance
Tolerance to Oxycodone Sandoz may develop, which means that the effect of the medicine may decrease. If this happens, more may be needed to maintain the same effect.
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Withdrawal
Continue taking your medicine for as long as your doctor tells you. If you stop having this medicine suddenly, your pain may worsen and you may experience some of all of the following symptoms:
- nervousness, restlessness, agitation, trouble sleeping or anxiety
- body aches, weakness or stomach cramps
- loss of appetite, nausea, vomiting or diarrhoea
- increased heart rate, breathing rate or pupil size
- watery eyes, runny nose, chills or yawning
- increased sweating.
Oxycodone Sandoz contains lactose. If you have been told by your doctor that you have intolerance to some sugars, tell your doctor before taking it.
If you have not told your doctor about any of the above, tell him/her before you start taking Oxycodone Sandoz.
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Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any that you get without a prescription from your pharmacy, supermarket or health food shop.
Some medicines and Oxycodone Sandoz may interfere with each other. These include:
- medication for depression, psychiatric or mental disorders.
- medicines to treat depression belonging to a group called monoamine oxidase inhibitors must be stopped 14 days before Oxycodone Sandoz tablets are taken.
- antidepressants e.g. fluoxetine, paroxetine
- quinidine and other medicines to treat the heart
- cimetidine, a medicine to treat stomach ulcers or heartburn
- ketoconazole, a medicine to treat fungal infections
- ritonavir, an antiviral medication
- macrolide antibiotics, e.g. clarithromycin, rifampin
- medicines used to treat convulsions e.g. carbamazepine, phenytoin
- medicine to treat HIV infection and AIDs e.g. ritonavir
- St. John’s wort (a herbal preparation)
- alcohol
- grapefruit and grapefruit juice
- medicines to thin the blood e.g. coumarin derivatives such as warfarin
- medicines to treat epilepsy, pain and anxiety e.g. gabapentin and pregabalin.
These medicines or alcohol may be affected by Oxycodone Sandoz or may affect how well it works. They may increase the side effects of Oxycodone Sandoz. You may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking this medicine.
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HOW TO TAKE OXYCODONE SANDOZ
Follow all directions given to you by your doctor or pharmacist carefully. They may differ from the information contained in this leaflet.
If you do not understand the instructions, ask your doctor or pharmacist for help.
How much to take
Your doctor will tell you exactly how much to take.
Follow the instructions given to you by your doctor and pharmacist exactly.
How to take it
Swallow Oxycodone Sandoz tablets whole with a full glass of water or other fluid.
Oxycodone Sandoz tablets should be taken one tablet at a time with enough water to ensure complete swallowing immediately after placing it in the mouth.
Do not pre-soak, lick or wet the tablet before placing in your mouth.
Do not break, chew, crush or dissolve the tablets. This medicine was designed to work properly only if swallowed whole. They may release all their contents at once if broken, chewed, crushed or dissolved, resulting in a risk of overdose or even death.
If you have trouble swallowing your tablets whole, talk to your doctor.
You must only take Oxycodone Sandoz tablets by the mouth. Taking this medicine in a manner other than prescribed by your doctor can be harmful to your health.
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When to take Oxycodone Sandoz
Take this medicine as directed by your doctor.
This medicine should be taken every twelve hours.
Take your tablets at the times you have been told. If, however, you begin to experience pain (breakthrough pain), and you are taking your Oxycodone Sandoz tablets as prescribed, contact your doctor, as your dosage may have to be reviewed.
This medicine must be taken regularly to control the pain. Taking this medicine at regular time intervals means that the onset of pain is prevented. This medicine should not be taken when you feel you need it, as this will cause some pain to be experienced.
Do not take any alcohol while you are being treated with Oxycodone Sandoz.
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How long to take Oxycodone Sandoz
Continue taking your medicine for as long as your doctor recommends.
If you stop taking this medicine suddenly, your pain may worsen and you may experience withdrawal symptoms such as:
- body aches
- loss of appetite, nausea, stomach cramps or diarrhoea
- fast heart rate
- sneezing or runny nose
- chills, tremors, shivering or fever
- trouble sleeping
- increased sweating and yawning
- weakness
- nervousness or restlessness.
If you forget to take it
If you forget to take a dose, contact your doctor or pharmacist for advice.
Do not take a double dose to make up for the dose that you missed. This may increase the chance of you getting an unwanted side effect.
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If you take too much (overdose)
If you or someone else receive too much (overdose), and experience one or more symptoms below, call triple zero (000) for an ambulance. Keep the person awake by talking to them or gently shaking them every now and then. You should follow the steps even if someone other than you have accidentally used Oxycodone Sandoz that was prescribed for you. If someone takes an overdose, they may experience one or more of the following symptoms:
- slow, unusual or difficult breathing
- drowsiness, dizziness or unconsciousness
- slow or weak heartbeat
- nausea or vomiting
- convulsions of fits
If you or someone else may have taken too much Oxycodone Sandoz, you should immediately telephone your doctor or the Poisons Information Centre (telephone Australia 13 11 26 or New Zealand 0800 POISON or 0800 764766) for advice, or go to Accident and Emergency at the nearest hospital, if you think that you or anyone else may have taken too much Oxycodone Sandoz. Do this even if there are no signs of discomfort or poisoning.
When seeking medical attention, take this leaflet and any remaining tablets with you to show the doctor. Also tell them about any other medicines or alcohol which have been taken.
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WHILE YOU ARE TAKING OXYCODONE SANDOZ
Things you must do
Take this medicine exactly as your doctor has prescribed.
Before you start on a new medicine, remind your doctor and pharmacist that you are taking Oxycodone Sandoz.
Visit your doctor regularly for a check-up, and always discuss any problems or difficulties during or after taking this medicine.
Tell your doctor if your pain is getting worse, or if you are having more frequent breakthrough pain.
Tolerance to oxycodone may develop which means that the effect of the medicine may decrease. If this happens, your doctor may review your dose so that you get adequate pain relief.
Keep enough of this medicine with you to last over weekends and holidays.
Tell any other doctors, dentists, and pharmacists who treat you that you are taking this medicine.
If you are going to have surgery, tell the surgeon or anaesthetist that you are taking this medicine. It may affect other medicines used during surgery.
If you become pregnant while taking this medicine, tell your doctor immediately.
Things you must not do
Do not give this medicine to anyone else, even if they have the same condition as you.
Do not use this medicine to treat other complaints unless your doctor tells you.
Drinking alcohol whilst taking Oxycodone Sandoz tablets may make you feel more sleepy and increase the risk of serious side effects, such as shallow breathing with the risk of stopping breathing and loss of consciousness.
Do not stop taking this medicine, exceed the dose recommended or change dosage, without checking with your doctor. Over time your body may become used to you taking oxycodone so if you stop taking it suddenly, your pain may worsen and you may have unwanted side effects such as withdrawal symptoms. This is called physical dependence. BUY OXYCODONE SANDOZ 80MG AUSTRALIA
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This medicine should be taken strictly according to your doctor’s instructions.
Things to be careful of
Do not drive or operate machinery until you know how Oxycodone Sandoz affects you. Oxycodone may cause drowsiness, dizziness, hallucinations, disorientation, blurred vision or other vision problems or may affect alertness. Discuss these aspects and any impact on your driving or operating machinery with your doctor.
Make sure you know how you react to this medicine before you drive a car, operate machinery, or do anything else that could be dangerous if you are drowsy, dizzy or not alert.
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Be careful if you are elderly, unwell or taking other medicines. Some people may experience side effects such as drowsiness, confusion, dizziness and unsteadiness, which may increase the risk of a fall.
If you feel light-headed, dizzy or faint when getting out of bed or standing up, get up slowly. Standing up slowly will help your body get used to the change in position and blood pressure. If this problem continues or gets worse, talk to your doctor.
Tell your doctor if you suffer from nausea or vomiting when taking Oxycodone Sandoz. If you vomit two to three hours after your dose, your pain may come back, as you will not have absorbed your medicine. If this happens, speak to your doctor. Your doctor may prescribe some medicine to help you stop vomiting.
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Tell your doctor if you are pregnant or plan to become pregnant. Alprazolam may harm an unborn baby. Avoid taking this medicine during the first trimester of pregnancy.
If you use alprazolam while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.
You should not breastfeed while using alprazolam.
Alprazolam is not approved for use by anyone younger than 18 years old.
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How should I take
Follow the directions on your prescription label and read all medication guides. Your doctor may occasionally change your dose. Never use alprazolam in larger amounts, or for longer than prescribed. Tell your doctor if you feel an increased urge to use more of this medicine.
Never share this medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away this medicine is against the law.
Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).
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Swallow the extended-release tablet whole and do not crush, chew, or break it.
Do not swallow the orally disintegrating tablet whole. Allow it to dissolve in your mouth without chewing.
Alprazolam is usually taken for no longer than 4 months to treat anxiety disorder, and for no longer than 10 weeks to treat panic disorder. Follow your doctor’s dosing instructions very carefully.
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Call your doctor if your symptoms do not improve, or if they get worse.
If you use this medicine long-term, you may need frequent medical tests.
Do not stop using alprazolam suddenly, or you could have unpleasant withdrawal symptoms. Follow your doctor’s instructions about tapering your dose.
Store at room temperature away from moisture, heat, and light. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.
Throw away any alprazolam liquid not used within 90 days.
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What happens if I miss a dose?
Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not take two doses at one time.
What happens if I overdose ?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of alprazolam can be fatal.
Overdose symptoms may include extreme drowsiness, confusion, muscle weakness, loss of balance or coordination, feeling light-headed, and fainting.
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What should I avoid while taking alprazolam?
Avoid drinking alcohol. Dangerous side effects or death could occur.
Avoid driving or hazardous activity until you know how this medicine will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.
Grapefruit may interact with alprazolam and lead to unwanted side effects. Avoid the use of grapefruit products.
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What are the possible side effects of alprazolam Australia?
Alprazolam can slow or stop your breathing, especially if you have recently used an opioid medication, alcohol, or other drugs that can slow your breathing. A person caring for you should seek emergency medical attention if you have weak or shallow breathing, if you are hard to wake up, or if you stop breathing.
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Call your doctor at once if you have:
- weak or shallow breathing;
- a light-headed feeling, like you might pass out;
- a seizure;
- hallucinations, risk-taking behavior;
- increased energy, decreased need for sleep;
- racing thoughts, being agitated or talkative;
- double vision; or
- jaundice (yellowing of the skin or eyes).
The sedative effects of alprazolam may last longer in older adults. Accidental falls are common in elderly patients who take benzodiazepines, and use caution to avoid falling or accidental injury.
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Common side effects may include:
- drowsiness; or
- feeling light-headed.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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What other drugs will affect alprazolam ?
Sometimes it is not safe to use certain medications at the same time and Some drugs can affect your blood levels of other drugs you take and which may increase side effects or make the medications less effective.
Taking alprazolam with other drugs that make you sleepy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, prescription cough medicine and or medicine for depression or seizures.
Many drugs can affect alprazolam. This includes prescription and over-the-counter medicines and vitamins, and herbal products. Not all possible interactions are listed here. Tell your doctor about all your current medicines and any medicine you start or stop using.
Where can I get more information?
Your pharmacist can provide more information about alprazolam.
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All medicines have benefits and risks. Your doctor has weighed the risks of you taking Kalma against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, talk to your doctor or pharmacist.
Keep this leaflet with your medicine. You may need to read it again.
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Kalma is used for the short-term treatment of anxiety. Anxiety or tension associated with the normal stress of everyday life usually does not require treatment with medicines.
Kalma is also used to treat panic attacks.
Ask your doctor if you have any questions about why Kalma has been prescribed for you.
Your doctor, however, may have prescribed Kalma for another reason.
Kalma belongs to a group of medicines called benzodiazepines. These medicines are thought to work by their action on brain chemicals.
In general, benzodiazepines such as Kalma are taken for short periods only (for example 2 to 4 weeks). Continuous long term use is not recommended unless advised by your doctor. The use of benzodiazepines may lead to dependence on the medicine.
Kalma is not recommended for use in children, as its safety and effectiveness in children have not been established.
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When you must not take it
Do not take Kalma if you are allergic to:
- medicines containing alprazolam
- any other benzodiazepine medicine
- any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include skin rash, itching or hives, swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing, wheezing or shortness of breath.
Do not take Kalma if you have:
- severe and chronic lung disease
- myasthenia gravis, a condition where there is severe muscle weakness.
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Do not take Kalma if the expiry date (Exp.) printed on the pack has passed.
Do not take Kalma if the packaging shows signs of tampering or the tablets do not look quite right.
Kalma passes into the breast milk and may cause drowsiness, weight loss and feeding difficulties in the infant.
Do not take Kalma if the expiry date (EXP.) printed on the pack has passed.
If you are not sure whether you should start taking this medicine, talk to your doctor.
Before you start to take it
Tell your doctor if you are allergic to any other medicines, foods, dyes or preservatives.
Tell your doctor if you are pregnant or plan to become pregnant.
Your baby may absorb this medicine in the womb and develop muscle weakness or breathing problems. Your doctor will discuss the risks and benefits of taking Kalma during pregnancy.
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Tell your doctor if you have, any medical conditions, especially the following:
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- depression, psychosis or schizophrenia
- epilepsy (fits or convulsions)
- drug or alcohol dependence.
Your doctor may want to take special care if you have any of these conditions.
Tell your doctor if you plan to have surgery.
If you have not told your doctor about any of the above, tell them before you start taking Kalma.
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Taking other medicines
Tell your doctor if you are taking any other medicines, including any that you buy without a prescription from a pharmacy, supermarket or health food shop.
Some medicines may be affected by Kalma, or may affect how well it works. These include:
- other sleeping tablets, sedatives or tranquillisers
- muscle relaxants
- medicines for depression such as tricyclic antidepressants, monoamine oxidase inhibitors
- lithium, a medicine used to treat mood swings and some types of depression
- medicines used to treat mental illness
- medicines used to treat epilepsy such as barbiturates
- antihistamines, medicines for allergies, hay fever or colds
- some pain relievers such as codeine and morphine
- anticholinergics, medicines for travel sickness, stomach cramps or Parkinson`s Disease
- disulfiram, medicine used in the treatment of alcohol dependence
- cimetidine, a medicine commonly used to treat reflux and ulcers
- some antibiotics such as erthromycin
- oral contraceptives (birth control pill).
Your doctor can tell you what to do if you are taking any of these medicines.
If you are not sure whether you are taking any of these medicines, check with your doctor or pharmacist.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking Kalma.
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How to take Kalma
Follow all directions given to you by your doctor and pharmacist carefully.
They may differ from the information contained in this leaflet.
If you do not understand the instructions on the bottle, ask your doctor or pharmacist.
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How much to take
The dose varies from patient to patient.
Take Kalma exactly as directed by your doctor.
Your doctor will tell you how much to take.
The usual starting dose ranges from 0.5 mg to 1.5 mg a day. Your doctor may gradually increase your dose, depending on how severe your symptoms are, how you respond to this medicine and whether you are taking other medicines.
Elderly patients and people with liver or kidney problems may need smaller doses.
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How to take Kalma
Swallow the tablets with a glass of water.
Kalma 0.25 mg, 0.5 mg and 1 mg tablets can be divided in half along the scoreline if your doctor has prescribed half a tablet. Kalma 2 tablets can also be quartered.
When to take Kalma
Kalma is usually taken as divided doses throughout the day.
Kalma can be taken with or without food.
However, taking the tablets immediately after food may reduce the sleepiness or drowsiness you may experience with Kalma.
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Do not take a double dose to make up for the dose you missed.
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How long to take Kalma for
Keep taking Kalma for as long as your doctor recommends.
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Do not stop taking Kalma, without checking with your doctor.
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If you take too much Kalma (overdose)
Immediately telephone your doctor, or the Poisons Information Centre (telephone 13 11 26), or go to Accident and Emergency at the nearest hospital, if you think you or anyone else may have taken too much Kalma. Do this even if there are no signs of discomfort or poisoning.
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Things you must do
Before starting any new medicine, tell your doctor or pharmacist that you are taking Kalma.
Tell all the doctors, dentists and pharmacists who are treating you that you are taking Kalma.
If you become pregnant while taking Kalma, tell your doctor.
If you plan to have surgery, including dental surgery, tell your doctor or dentist that you are taking Kalma.
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Tell your doctor if, for any reason, you have not taken your medicine exactly as prescribed.
Otherwise your doctor may think that it was not effective and change your treatment unnecessarily.
Visit your doctor regularly so they can check on your progress and determine whether you need to keep taking Kalma.
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If you have to have any clinical tests such as an EEG (electroencephalogram), tell your doctor that you are taking Kalma.
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Do not drive or operate machinery until you know how Kalma affects you.
Kalma may cause drowsiness, dizziness or lightheadedness in some people. If any of these occur, do not drive, operate machinery or do anything else that could be dangerous.
Do not take Kalma for longer than your doctor has prescribed.
Do not stop taking Kalma, or change the dose, without checking with your doctor.
Stopping Kalma suddenly may make your condition worse and cause other unwanted effects such as trouble sleeping, irritability and nervousness. Your doctor may want you to gradually reduce the amount of Kalma you are taking before stopping completely.
Do not suddenly stop taking Kalma if you suffer from epilepsy.
Stopping this medicine suddenly may make your epilepsy worse.
Do not use Kalma to treat any other conditions unless your doctor tells you to.
Do not give Kalma to anyone else, even if they have the same condition as you.
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Be careful when drinking alcohol while taking Kalma.
Your doctor may suggest you avoid alcohol or reduce the amount of alcohol you drink while you are taking Kalma. Combining Kalma and alcohol can make you more sleepy, dizzy or lightheaded. Also, your tolerance to alcohol may be lower than usual.
Be careful if you are elderly, unwell or taking other medicines.
Some people may experience side effects such as drowsiness, confusion, dizziness and unsteadiness, which may increase the risk of a fall.
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This medicine helps most people with anxiety or panic attacks, but it may have unwanted side effects in a few people.
All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.
If you are over 65 years of age you may have an increased chance of getting side effects.
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Do not be alarmed by this list of possible side effects.
You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor immediately or go to Accident and Emergency at the nearest hospital if you notice any of the following:
- an unusual feeling of anger, excitement or overactivity
- yellowing of the eyes or skin (jaundice)
- muscle weakness
- memory loss
- allergic reactions such as swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing; skin rash, hives or itching.
The above list includes serious side effects which may require medical attention. Serious side effects are rare.
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Tell your doctor if you notice any of the following and they worry you:
- drowsiness, tiredness
- dizziness, lightheadedness, confusion
- unsteadiness, clumsiness
- anxiety, irritability and sleep problems
- depression
- slurred speech
- blurred vision
- headache
- increase or decrease in weight
- stomach upsets
- changes in sex drive.
The above list includes the more common or mild side effects of Kalma. They are usually short-lived.
Tell your doctor if you notice anything that is making you feel unwell.
Other side effects not listed above may also occur in some patients.
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Storage
Keep Kalma where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
Keep your tablets in the bottle until it is time to take them.
Keep your tablets in a cool dry place where the temperature stays below 30 degrees C.
Do not store Kalma or any other medicine in the bathroom or near a sink.
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Heat and dampness can destroy some medicines.
Disposal
If your doctor tells you to stop taking Kalma, or your tablets have passed their expiry date, ask your pharmacist what to do with any that are left over.
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What it looks like
Kalma comes in 4 strengths:
- Kalma 0.25 – white, oval, scored tablet, marked AL?0.25 and G
- Kalma 0.5 – pale pink, oval, scored tablet, marked AL?0.5 and G
- Kalma 1 – pale blue, oval, scored tablet, marked AL?1.0 and G
- Kalma 2 – white, oblong, triple scored tablet, marked ?A?L? and ?G?2?.
Each pack contains 50 tablets.
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Ingredients
The active ingredient in Kalma is alprazolam. Each Kalma tablet contains 0.25 mg, 0.5 mg, 1 mg or 2 mg of alprazolam.
The tablets also contain the following inactive ingredients:
- lactose
- sodium benzoate (211)
- maize starch
- magnesium stearate
- sodium starch glycollate
- microcrystalline cellulose
- colloidal anhydrous silica
- povidone
- docusate sodium
- indigo carmine CI 73015 (132)
- (Kalma 0.5 mg and Kalma 1 mg only)
- erythrosine CI 45430 (127)
- (Kalma 0.5 mg only).
The tablets are gluten free.
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