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*Keep this leaflet. You may need to read it again.
Do not take OxyContin tablets if you:
*are allergic (hypersensitive) to oxycodone, or any of the other ingredients
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*have an under-active thyroid gland (hypothyroidism), as you may need a
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*have my xoedema (a thyroid disorder with dryness, coldness and swelling
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* have a head injury, severe headache or feel sick as this may indicate that
the pressure in your skull is increased
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Always take these tablets exactly as your doctor has told you. The label on
your medicine will tell you how many tablets to take and how often.
Adults (over 18 years of age)
The usual starting dose is one 10 mg tablet every 12 hours. However, your
doctor will prescribe the dose required to treat your pain. If you find that you
are still in pain whilst taking these tablets discuss this with your doctor.
Do not exceed the dose recommended by your doctor.
You should check with your doctor or pharmacist if you are not sure.
Swallow your tablets whole with water.
Do not crush, dissolve or chew them.
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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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- myasthenia gravis (severe muscle weakness)
- liver or kidney problems
- lung problems
- a blood disorder – low red blood cell, white blood cell or platelet count
- glaucoma (increased eye pressure)
- 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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If you forget to take Kalma
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take the missed dose as soon as you remember, and then go back to taking your tablets as you would normally. buy kalma Mylan Xanax Australia
Do not take a double dose to make up for the dose you missed.
If you are not sure what to do, ask your doctor or pharmacist.
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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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If you take too much Kalma, you may feel drowsy, tired, confused, dizzy, have difficulty breathing, feel weak or become unconscious.
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While you are taking Kalma
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.
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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.
If you have to have any clinical tests such as an EEG (electroencephalogram), tell your doctor that you are taking Kalma.
Kalma may affect the results of some tests.
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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.
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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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Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Kalma.
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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After taking Kalma
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.
Do not leave Kalma in the car or on window sills.
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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It is dangerous to purchase alprazolam on the Internet or outside the United States. The sale and distribution of medicines outside the U.S. does not comply with safe-use regulations of the Food and Drug Administration (FDA). These medications may contain dangerous ingredients, or may not be distributed by a licensed pharmacy.
Alprazolam may also be used for purposes not listed in this medication guide.
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What should I discuss with my healthcare provider before taking alprazolam?
You should not take alprazolam if:
- you also take itraconazole or ketoconazole (antifungal medicines); or
- you have a history of allergic reaction to any benzodiazepine (alprazolam, diazepam, lorazepam, Ativan, Klonopin, Restoril, Tranxene, Valium, Versed, Xanax, and others).
Tell your doctor if you have ever had:
- breathing problems such as COPD (chronic obstructive pulmonary disease) or sleep apnea (breathing that stops during sleep);
- drug or alcohol addiction;
- depression, mood problems, or suicidal thoughts or behavior; or
- kidney or liver disease (especially alcoholic liver disease).
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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.
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.
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.
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.
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. Buy kalma xanax Australia | mylan kalma
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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:
- hypotension (low blood pressure)
- myasthenia gravis (severe muscle weakness)
- liver or kidney problems
- lung problems
- a blood disorder – low red blood cell, white blood cell or platelet count
- glaucoma (increased eye pressure)
- 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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If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Buy kalma xanax Australia | mylan kalma
Otherwise, take the missed dose as soon as you remember, and then go back to taking your tablets as you would normally.
Do not take a double dose to make up for the dose you missed.
If you are not sure what to do, ask your doctor or pharmacist.
If you have any questions about this, check with your doctor or pharmacist.
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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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If you take too much Kalma, you may feel drowsy, tired, confused, dizzy, have difficulty breathing, feel weak or become unconscious.
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While you are taking Kalma
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.
If you have to have any clinical tests such as an EEG (electroencephalogram), tell your doctor that you are taking Kalma.
Kalma may affect the results of some tests.
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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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Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Kalma.
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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After taking Kalma
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.
Do not leave Kalma in the car or on window sills.
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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Lorazepam, sold under the brand name Ativan among others, is a benzodiazepine medication.[3] It is used to treat anxiety disorders, trouble sleeping, severe agitation, active seizures including status epilepticus, alcohol withdrawal, and chemotherapy-induced nausea and vomiting.[3] It is also used during surgery to interfere with memory formation and to sedate those who are being mechanically ventilated.[3][7] It is also used, along with other treatments, for acute coronary syndrome due to cocaine use.[3] It can be given by mouth or as an injection into a muscle or vein.[3] When given by injection onset of effects is between one and thirty minutes and effects last for up buy ativan lorazepam australia to a day.[3]
Common side effects include weakness, sleepiness, low blood pressure, and a decreased effort to breathe.[3] When given intravenously the person should be closely monitored.[3] Among those who are depressed there may be an increased risk of suicide.[3][8] With long-term use, larger doses may be required for the same effect.[3] Physical dependence and psychological dependence may also occur.[3] If stopped suddenly after long-term use, benzodiazepine withdrawal syndrome may occur.[3] Older people more often develop adverse effects.[9] In this age group lorazepam is associated with falls and hip fractures.[10] Due to these concerns, lorazepam use is generally only recommended for up to two to four weeks.[11]
Lorazepam was initially patented in 1963 and went on sale in the United States in 1977.[12][13] It is on the World Health Organization’s List of Essential Medicines.[14] It is available as a generic medication.[3] In 2018, it was the 58th most commonly prescribed medication in the United States, with more than 13 million prescriptions buy ativan lorazepam australia
Medical uses
Anxiety
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Lorazepam is used in the short-term management of severe anxiety. In the US, the FDA advises against use of benzodiazepines such as lorazepam for longer than four weeks. [11][17] It is fast acting, and useful in treating fast onset panic anxiety. [18]
Lorazepam can effectively reduce agitation and induce sleep, and the duration of effects from a single dose makes it an appropriate choice for the short-term treatment of insomnia, especially in the presence of severe anxiety or night terrors. It has a fairly short duration of action. [19]
Withdrawal symptoms, including rebound insomnia and rebound anxiety, may occur after seven days’ use of lorazepam. [20]
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Intravenous diazepam or lorazepam are first-line treatments for convulsive status epilepticus. [21] Lorazepam is more effective than diazepam and intravenous phenytoin in the treatment of status epilepticus and has a lower risk of continuing seizures that might require additional medication. [22] However, phenobarbital has a superior success rate compared to lorazepam and other drugs, at least in the elderly. [23][24]
Lorazepam’s anticonvulsant properties and pharmacokinetic profile make intravenous use reliable for terminating acute seizures, but induce prolonged sedation. Oral benzodiazepines, including lorazepam, are occasionally used as long-term prophylactic treatment of resistant absence seizures; because of gradual tolerance to their anti-seizure effects, benzodiazepines such as lorazepam are not considered first-line therapies. [25]
Lorazepam’s anticonvulsant and CNS depressant properties are useful for the treatment and prevention of alcohol withdrawal syndrome. In this setting, impaired liver function is not a hazard with lorazepam, since lorazepam does not require oxidation, in the liver or otherwise, for its metabolism. [26][27]
Sedation
Lorazepam is sometimes used for individuals receiving mechanical ventilation. However, in critically ill people, propofol has been found to be superior to lorazepam both in effectiveness and overall cost; as a result, the use of propofol for this indication is now encouraged, whereas the use of lorazepam is discouraged. [28]
Its relative effectiveness in preventing new memory formation, [29] along with its ability to reduce agitation and anxiety, makes lorazepam useful as premedication. It is given before a general anesthetic to reduce the amount of anesthetic required, or before unpleasant awake procedures, such as in dentistry or endoscopies, to reduce anxiety, to increase compliance, and to induce amnesia for the procedure. Lorazepam by mouth is given 90 to 120 minutes before procedures, and intravenous lorazepam as late as 10 minutes before procedures. [30][31][32] Lorazepam is sometimes used as an alternative to midazolam in palliative sedation. [33] In intensive care units lorazepam is sometimes used to produce anxiolysis, hypnosis, and amnesia
Results
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Drowsiness, dizziness, loss of coordination, headache, nausea, blurred vision, change in sexual interest/ability, constipation, heartburn, or change in appetite may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
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Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if you have any unlikely but serious side effects, including: mental/mood changes (such as hallucinations, depression, thoughts of suicide), slurred speech or difficulty talking, vision changes, unusual weakness, trouble walking, memory problems, signs of infection (such as fever, persistent sore throat).
Get medical help right away if you have any rare but very serious side effects, including: yellowing eyes or skin, seizures, slow/shallow breathing.
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A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/ tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
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Buy Valium roche 10mg online Australia – Diazepam 10mg Australia . Valium is used for anxiety. Anxiety or tension associated with the normal stress of everyday life usually does not require treatment with medicines.
Valium is used to relax muscles.
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In general, benzodiazepines such as Valium should be taken for short periods only (around 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.
This medicine is available only with a doctor’s prescription.
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Do not take Valium if:
1. you have had an allergic reaction to Valium, any other benzodiazepine medicine or any ingredients listed at the end of this leaflet
2. you have severe and chronic lung disease
3. you have severe liver disease
4. you have temporary stops in breathing during sleep
5. you suffer from severe muscle weakness
6. you have drug or alcohol addiction
7. the packaging is torn or shows signs of tampering
8. the expiry date (EXP) printed on the pack has passed.
If you take this medicine after the expiry date has passed, it may not work as well.
If you are not sure whether you should be taking Valium, talk to your doctor.
Do not give Valium to children less than six months old.
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Before you start to take it:
Your doctor must know about all the following before you start to take Valium.
1) if you are pregnant or plan to become pregnant
It is not known whether Diazepam is harmful to an unborn baby when taken by a pregnant woman. If there is a need to take Valium when you are pregnant your doctor will discuss the risks and benefits to you and the unborn baby.
2) if you are breastfeeding or plan to breastfeed
Diazepam may pass into the breast milk and cause drowsiness and/or feeding difficulties in the baby. Valium is not recommended for use while breastfeeding.
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Taking other medicines
Tell your doctor if you are taking any other medicines including any that you have bought without a prescription from a pharmacy, supermarket or healthfood shop.
Some medicines may interfere with Valium. These medicines include:
other sleeping tablets, sedatives or tranquillisers
pain relievers
muscle relaxants
cimetidine and omeprazole- a medicine used to treat ulcers
disulfiram – a medicine used in alcohol abuse
cisapride-a medicine used to treat gastric reflux
ketoconazole- a medicine used to treat fungal infections
How much to take
Take Valium exactly as your doctor has prescribed.
Your doctor will tell you how many Valium tablets to take each day.
The dose varies from person to person depending on age and the condition being treated. The usual adult dose is between 5 and 40 mg daily. Children, elderly and very ill patients may need to take less.
How to take it
Tablets should be swallowed whole with a glass of water.
When to take it
Valium can be taken up to three times a day. Your doctor will tell you how much you need to take. The tablets can be taken with or without food.
How long to take Valium
Diazepam should be taken for short periods only (for example, 2-4 weeks). Continuous long term use is not recommended unless advised by your doctor. The use of benzodiazepines may lead to dependence on the
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Continue taking Valium until your doctor tells you to stop.
If you forget to take Valium
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember and then go back to taking it as you would normally.
Do not take a double a dose to make up for one you have missed.
If you are not sure whether to skip the dose, talk to your doctor or pharmacist.
In case of an overdose
If you think that you or anyone else may have taken too much Valium, immediately telephone your doctor or Poisons Information Centre (telephone 13 11 26) for advice or go to Accident and Emergency at your nearest hospital, Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
Keep telephone numbers for these places handy.
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