Myleran

Generic Name: busulfan (bue SUL fan)

Brand Names: Busulfex, Myleran

What is Myleran (busulfan)?

Busulfan is a cancer medication that interferes with the growth and spread of cancer cells in the body.

Busulfan is used to treat the symptoms of chronic myelogenous leukemia (a type of blood cancer). Busulfan is not a cure for leukemia.

Busulfan may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Myleran (busulfan)?

You should not use busulfan if you are allergic to it. Do not use busulfan without telling your doctor if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

Before you receive busulfan, tell your doctor if you have a weak immune system, a seizure disorder, a history of head injury or breathing problems, or if you have recently received other cancer medications or radiation treatment.

Busulfan can lower blood cells that help your body fight infections. Your blood will need to be tested on a weekly or monthly basis. Your liver function may also need to be tested on a regular basis. Busulfan can have long-lasting effects on your body. Do not miss any follow-up visits to your doctor for blood or urine tests.

Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding (nosebleeds, bleeding gums), weight loss, mouth sores, or unusual weakness.

Some people treated with busulfan have developed new forms of cancer. Talk to your doctor about your specific risks and benefits of using this medication.

What should I discuss with my healthcare provider before using Myleran (busulfan)?

You should not use busulfan if you are allergic to it.

To make sure you can safely take busulfan, tell your doctor if you have any of these other conditions:

• 
  

  a weak immune system (bone marrow depression) caused by other cancer medications or radiation treatment;

  
  


• 
  

  epilepsy or other seizure disorder;

  
  


• 
  

  history of head injury; or

  
  


• 
  

  a history of lung or breathing problems.

  
  

FDA pregnancy category D. Do not use busulfan if you are pregnant. It could harm the unborn baby. Use effective birth control, and tell your doctor if you become pregnant during treatment.

This medication may affect fertility (your ability to have children), whether you are a man or a woman.

It is not known whether busulfan passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Some people treated with busulfan have developed new forms of cancer. Talk to your doctor about your specific risks and benefits of using this medication.

How should I use Myleran (busulfan)?

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Take the busulfan tablet with a full glass of water.

Busulfan injection is given through a needle placed into a vein in your upper chest (central IV). You will receive this injection in a clinic or hospital setting. You will also receive other medications to help prevent certain side effects of busulfan.

Busulfan injection is usually given every 6 hours for 4 days in a row. The medicine must be given slowly through the IV, and each infusion can take at least 2 hours to complete.

Busulfan can lower blood cells that help your body fight infections. This can make it easier for you to bleed from an injury or get sick from being around others who are ill.

To be sure your blood cells do not get too low, your blood will need to be tested on a weekly or monthly basis. Your liver function may also need to be tested on a regular basis. Busulfan can have long-lasting effects on your body. Do not miss any follow-up visits to your doctor for blood or urine tests.

Contact your doctor at once if you develop signs of infection such as fever, chills, sore throat, flu symptoms, easy bruising or bleeding (nosebleeds, bleeding gums), weight loss, mouth sores, or unusual weakness.

Store busulfan tablets at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

Since busulfan injection is given by a healthcare professional, you are not likely to miss a dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include nausea, vomiting, diarrhea, fever, flu symptoms, mouth sores, easy bruising or bleeding (nosebleeds, bleeding gums), pale skin, feeling tired or short of breath, rapid heart rate.

What should I avoid while using Myleran (busulfan)?

Avoid being near people who are sick or have infections. Tell your doctor at once if you develop signs of infection.

Do not receive a "live" vaccine while using busulfan, and avoid coming into contact with anyone who has recently received a live vaccine. There is a chance that the virus could be passed on to you. Live vaccines include measles, mumps, rubella (MMR), Bacillus Calmette-Guérin (BCG), oral polio, rotavirus, smallpox, typhoid, yellow fever, varicella (chickenpox), H1N1 influenza, and nasal flu vaccine.

Myleran (busulfan) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

• 
  

  pale skin, feeling light-headed or short of breath, trouble concentrating;

  
  


• 
  

  easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;

  
  


• 
  

  signs of infection such as fever, chills, sore throat, flu symptoms, loss of appetite, weight loss, unusual weakness, mouth and throat ulcers, rapid and shallow breathing;

  
  


• 
  

  weight gain, stomach swelling or tenderness, jaundice (yellowing of the skin or eyes);

  
  


• 
  

  coughing up blood;

  
  


• 
  

  stomach pain, vomiting, sharp chest pain, trouble breathing;

  
  


• 
  

  lower back pain, blood in your urine, urinating less than usual or not at all;

  
  


• 
  

  confusion, jerking muscle movements, muscle tightness or contraction, overactive reflexes, muscle weakness or limp feeling, leg discomfort, numbness or tingly feeling around your mouth;

  
  


• 
  

  fast, slow, or uneven heart rate;

  
  


• 
  

  weak pulse, feeling short of breath, confusion, fainting;

  
  


• 
  

  seizure (convulsions); or

  
  


• 
  

  persistent cough, congestion, low fever, feeling short of breath (these symptoms may occur several months or years after using busulfan).

  
  

Less serious side effects may include:

• 
  

  headache;

  
  


• 
  

  diarrhea, constipation, nausea, upset stomach;

  
  


• 
  

  flushing (warmth, redness, or tingly feeling);

  
  


• 
  

  swelling or irritation around the IV needle;

  
  


• 
  

  missed menstrual periods; or

  
  


• 
  

  hair loss, darkened skin color.

  
  

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 Myleran (busulfan)?

Tell your doctor about all other medications you use, especially:

• 
  

  acetaminophen (Tylenol, others);

  
  


• 
  

  itraconazole (Sporanox); or

  
  


• 
  

  phenytoin (Dilantin).

  
  

This list is not complete and other drugs may interact with busulfan. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Myleran resources

• Myleran Side Effects (in more detail)
• Myleran Use in Pregnancy & Breastfeeding
• Myleran Drug Interactions
• Myleran Support Group
• 1 Review for Myleran - Add your own review/rating

• Myleran Prescribing Information (FDA)


• Myleran MedFacts Consumer Leaflet (Wolters Kluwer)


• Busulfan Professional Patient Advice (Wolters Kluwer)


• Busulfan Monograph (AHFS DI)


• Busulfan MedFacts Consumer Leaflet (Wolters Kluwer)


• busulfan Intravenous Advanced Consumer (Micromedex) - Includes Dosage Information


• Busulfex Prescribing Information (FDA)

Compare Myleran with other medications

• Bone Marrow Transplantation
• Chronic Myelogenous Leukemia
• Thrombocythemia

Where can I get more information?

• Your pharmacist can provide more information about busulfan.

See also: Myleran side effects (in more detail)

Mylanta

Pronunciation: KAL-see-um KAR-boh-nate/mag-NEE-zee-um KAR-boh-nate
Generic Name: Calcium Carbonate/Magnesium Carbonate
Brand Name: Mylanta

Mylanta is used for:

Treating acid indigestion, heartburn, and sour stomach. It may also be used for other conditions as determined by your doctor.

Mylanta is an antacid. It works by neutralizing the acid in the stomach.

Do NOT use Mylanta if:

• you are allergic to any ingredient in Mylanta


• you have an increased calcium level in your blood

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

Before using Mylanta:

Some medical conditions may interact with Mylanta. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding


• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement


• if you have allergies to medicines, foods, or other substances


• if you have appendicitis, a history of kidney conditions, colon or intestinal blockage, parathyroid hormone (PTH) deficiency, or sarcoidosis

Some MEDICINES MAY INTERACT with Mylanta. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Anticoagulants (eg, warfarin) because the risk of their side effects may be increased by Mylanta


• Azole antifungals (eg, ketoconazole), bisphosphonates (eg, alendronate), cation exchange resins (eg, sodium polystyrene sulfonate), cephalosporins (eg, cephalexin), mycophenolate, penicillamine, quinolone antibiotics (eg, ciprofloxacin), or tetracyclines (eg, doxycycline) because their effectiveness may be decreased by Mylanta

This may not be a complete list of all interactions that may occur. Ask your health care provider if Mylanta may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Mylanta:

Use Mylanta as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Mylanta by mouth with or without food. Follow with a full glass (8 oz/240 mL) of water or other liquid.


• If you miss a dose of Mylanta, take it as soon as you remember. Continue to take it as directed by your doctor or on the package label.

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

Important safety information:

• Do NOT take more than the recommended dose or use the maximum dose for more than 2 weeks without checking with your doctor.


• If your symptoms do not get better within 2 weeks or if they get worse, check with your doctor.


• PREGNANCY and BREAST-FEEDING: It is not known if Mylanta can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Mylanta while you are pregnant. It is not known if Mylanta is found in breast milk. If you are or will be breast-feeding while you use Mylanta, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Mylanta:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea; stomach upset.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); loss of appetite; muscle weakness; nausea; slow reflexes; vomiting.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Mylanta side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include diarrhea; stomach cramps.

Proper storage of Mylanta:

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

General information:

• If you have any questions about Mylanta, please talk with your doctor, pharmacist, or other health care provider.


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


• If your symptoms do not improve or if they become worse, check with your doctor.


• Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Mylanta. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: February 1, 2012

Database Edition 12.1.1.002

Copyright © 2012 Wolters Kluwer Health, Inc.

More Mylanta resources

• Mylanta Side Effects (in more detail)
• Mylanta Use in Pregnancy & Breastfeeding
• Mylanta Drug Interactions
• Mylanta Support Group
• 1 Review for Mylanta - Add your own review/rating

Compare Mylanta with other medications

• GERD
• Hyperphosphatemia of Renal Failure
• Indigestion
• Peptic Ulcer

Mytelase Chloride

Generic Name: ambenonium (am ben OH nee um)

Brand Names: Mytelase Chloride

What is Mytelase Chloride (ambenonium)?

Ambenonium affects chemicals in the body that are involved in the communication between nerve impulses and muscle movement.

Ambenonium is used to treat the symptoms of myasthenia gravis.

Ambenonium may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Mytelase Chloride (ambenonium)?

You should not use this medication if you are allergic to ambenonium, or if you are using certain medications.

Be sure your doctor knows if you use: mecamylamine, (Inversine), atropine (Atreza, Donnatal, Sal-Tropine, Lomotil, Lomocot, and others), blood pressure medications, or a diuretic (water pill).

Before using ambenonium, tell your doctor if you have asthma, Parkinson's disease, or a bladder or bowel obstruction.

Your doctor may occasionally change your dose to make sure you get the best results. You may be asked to keep a daily record of when you took each dose and how long the effects lasted. This will help your doctor determine if your dose needs to be adjusted.

What should I discuss with my health care provider before taking Mytelase Chloride (ambenonium)?

You should not use this medication if you are allergic to ambenonium, or if you are using certain medications. Be sure your doctor knows if you use:

• 
  

  mecamylamine, (Inversine);

  
  


• 
  

  atropine (Atreza, Donnatal, Sal-Tropine, Lomotil, Lomocot, and others);

  
  


• 
  

  blood pressure medications; or

  
  


• 
  

  a diuretic (water pill).

  
  

To make sure you can safely take ambenonium, tell your doctor if you have any of these other conditions:

• 
  

  asthma;

  
  


• 
  

  Parkinson's disease; or

  
  


• 
  

  a bladder or bowel obstruction.

  
  

It is not known whether ambenonium will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It is not known whether ambenonium passes into breast milk or if it could harm a nursing baby. You should not breast-feed while you are using ambenonium.

How should I take Mytelase Chloride (ambenonium)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Ambenonium is usually taken every 3 to 4 hours during the day. Follow your doctor's instructions.

Your doctor may occasionally change your dose to make sure you get the best results. You may be asked to keep a daily record of when you took each dose and how long the effects lasted. This will help your doctor determine if your dose needs to be adjusted.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include severe diarrhea, muscle twitching, anxiety, sweating, and cough or breathing problems.

What should I avoid while taking Mytelase Chloride (ambenonium)?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Mytelase Chloride (ambenonium) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

• 
  

  severe diarrhea;

  
  


• 
  

  muscle twitching; or

  
  


• 
  

  cough with sputum (mucus).

  
  

Less serious side effects may include:

• 
  

  sweating or urinating more than usual;

  
  


• 
  

  drooling, watery eyes;

  
  


• 
  

  warmth or tingly feeling;

  
  


• 
  

  nausea, vomiting, stomach pain;

  
  


• 
  

  blurred vision;

  
  


• 
  

  anxiety;

  
  


• 
  

  dizziness, spinning feeling; or

  
  


• 
  

  muscle cramps.

  
  

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 Mytelase Chloride (ambenonium)?

Tell your doctor about all other medicines you use, especially:

• 
  

  atropine (Atreza, Sal-Tropine), belladonna (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm Scop);

  
  


• 
  

  bronchodilators such as ipratropium (Atrovent) or tiotropium (Spiriva);

  
  


• 
  

  bladder or urinary medicines such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare);

  
  


• 
  

  irritable bowel medicines such as dicyclomine (Bentyl), hyoscyamine (Hyomax), or propantheline (Pro Banthine); or

  
  


• 
  

  ulcer medications such as glycopyrrolate (Robinul) or mepenzolate (Cantil).

  
  

This list is not complete and other drugs may interact with ambenonium. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Mytelase Chloride resources

• Mytelase Chloride Use in Pregnancy & Breastfeeding
• Mytelase Chloride Drug Interactions
• Mytelase Chloride Support Group
• 0 Reviews for Mytelase Chloride - Add your own review/rating

• Ambenonium MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Mytelase Chloride with other medications

• Myasthenia Gravis

Where can I get more information?

• Your pharmacist can provide more information about ambenonium.

Mylotarg

Generic Name: gemtuzumab (Intravenous route)

jem-TOOZ-oo-mab oh-zoe-ga-MYE-sin

Intravenous route(Powder for Solution)

Should only be used as single agent chemotherapy and not in combination chemotherapy regimens outside clinical trials. Severe myelosuppression occurs when gemtuzumab is used at recommended doses. Severe hypersensitivity reactions (including anaphylaxis), and other infusion-related reactions which may include severe pulmonary events have occurred with therapy. Some of these hypersensitivity reactions have been fatal. Patients with high peripheral blast counts may be at greater risk for pulmonary events and tumor lysis syndrome; physicians should consider leukoreduction with hydroxyurea or leukapheresis to reduce the peripheral white count to below 30,000/ microliters prior to administration of gemtuzumab. Hepatotoxicity, including severe hepatic veno-occlusive disease (VOD), has been reported with therapy. Physicians should monitor their patients carefully for symptoms of hepatotoxicity, particularly VOD .

Commonly used brand name(s):

In the U.S.

• Mylotarg

Available Dosage Forms:

• Powder for Solution

Therapeutic Class: Antineoplastic Agent

Pharmacologic Class: Monoclonal Antibody

Uses For Mylotarg

Gemtuzumab injection is a monoclonal antibody that is used to treat a type of cancer called acute myeloid leukemia (AML) in patients 60 years of age or older. It is used when other cancer treatments have not worked very well for these patients. Gemtuzumab interferes with the growth of leukemia cells, which are then destroyed by the body.

This medicine was to be administered only by or under the immediate supervision of your doctor.

Products containing gemtuzumab were withdrawn from the U.S. market by Pfizer Inc. on October 15, 2010.

Before Using Mylotarg

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of gemtuzumab injection in the pediatric population. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of gemtuzumab injection in the elderly.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	D	Studies in pregnant women have demonstrated a risk to the fetus. However, the benefits of therapy in a life threatening situation or a serious disease, may outweigh the potential risk.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Breathing problems or


• Hypotension (low blood pressure) or


• Kidney disease or


• Liver disease or


• Lung disease or


• Neutropenia (low white blood cell count) or


• Thrombocytopenia (low platelet count)—Use with caution. May make these conditions worse.

• Chickenpox, or recent exposure, or


• Herpes zoster (shingles)—Risk of severe infection affecting other parts of the body.

• High white blood cell counts or


• Stem-cell transplant, history of—Use with caution. May increase risk for more serious side effects.

• Infection—May decrease your body's ability to fight an infection.

Proper Use of Mylotarg

Medicines used to treat cancer are very strong and can have many side effects. Before receiving this medicine, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor while you are receiving this medicine.

A doctor or nurse will give you this medicine in a hospital or cancer treatment center. This medicine is given through a needle placed in one of your veins. The medicine must be injected slowly, so your IV tube will need to stay in place for about 2 hours.

This medicine consists of two doses, usually given 14 days apart. You may also receive a medicine to prevent allergic reactions (such as diphenhydramine, methylprednisolone, or Benadryl®) before you receive this medicine.

Your doctor may want you to drink extra fluids so you will pass more urine while you are using this medicine. This will keep your kidneys working well and help prevent kidney problems. Talk to your doctor if you have questions about this.

Precautions While Using Mylotarg

It is very important that your doctor check your progress at regular visits to make sure this medicine is working properly. Blood tests are needed to check for any unwanted effects.

Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away.

While you are being treated with gemtuzumab, and after you stop treatment with it, do not have any immunizations (vaccinations) without your doctor's approval. Gemtuzumab may lower your body's resistance and there is a chance you might get the infection the immunization is meant to prevent. In addition, other persons living in your household should not take oral polio vaccine since there is a chance they could pass the polio virus on to you. Also, avoid persons who have taken oral polio vaccine within the last several months. Do not get close to them, and do not stay in the same room with them for very long. If you cannot take these precautions, you should consider wearing a protective face mask that covers the nose and mouth.

Gemtuzumab can temporarily lower the number of white blood cells in your blood, increasing the chance of getting an infection. It can also lower the number of platelets, which are necessary for proper blood clotting. If this occurs, there are certain precautions you can take, especially when your blood count is low, to reduce the risk of infection or bleeding:

• If you can, avoid people with infections. Check with your doctor immediately if you think you are getting an infection or if you get a fever or chills, cough or hoarseness, lower back or side pain, or painful or difficult urination.


• Check with your doctor immediately if you notice any unusual bleeding or bruising; black, tarry stools; blood in the urine or stools; or pinpoint red spots on your skin.


• Be careful when using a regular toothbrush, dental floss, or toothpick. Your medical doctor, dentist, or nurse may recommend other ways to clean your teeth and gums. Check with your medical doctor before having any dental work done.


• Do not touch your eyes or the inside of your nose unless you have just washed your hands and have not touched anything else in the meantime.


• Be careful not to cut yourself when you are using sharp objects such as a safety razor or fingernail or toenail cutters.


• Avoid contact sports or other situations where bruising or injury could occur.

This medicine may cause serious types of allergic reactions, including anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor or nurse right away if you have blue lips, fingernails, or skin; difficult or fast breathing; dizziness, fainting, or lightheadedness; fever or chills; rash; trouble breathing or swallowing; or any swelling of your hands, face, or mouth after receiving this medicine.

Check with your doctor immediately if you have any symptoms of liver problems including skin and eyes turning yellow, dark brown-colored urine, right-sided abdominal or stomach pain, fever, or severe tiredness.

This medicine may cause a serious type of reaction called tumor lysis syndrome. Your doctor may give you a medicine to help prevent this. Call your doctor right away if you have a decrease or change in urine amount; joint pain, stiffness, or swelling; lower back, side, or stomach pain; a rapid weight gain; swelling of the feet or lower legs; or unusual tiredness or weakness.

Mylotarg Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common

• Black, tarry stools


• bloating or swelling of the face, arms, hands, lower legs, or feet


• blood in the stools or urine


• bluish color of the fingernails, lips, skin, palms, or nailbeds


• blurred vision


• burning or stinging of the skin


• chest pain


• chills


• confusion


• convulsions (seizures)


• cough or hoarseness


• cracked lips


• decrease or increase in urine


• diarrhea


• difficulty with swallowing


• dizziness


• dry mouth


• excessive sweating


• fainting


• fast or slow heartbeat


• fever


• flushed, dry skin


• fruit-like breath odor


• headache, sudden and severe


• heavy, nonmenstrual vaginal bleeding


• inability to speak


• increased thirst or hunger


• irregular heartbeat


• large, flat, blue, or purplish patches in the skin


• lightheadedness


• lower back, joint, or side pain


• loss of appetite


• mood changes


• muscle pain or cramps


• muscle trembling or twitching


• nausea or vomiting


• numbness or tingling in the hands, feet, or lips


• pain, difficulty, or burning while urinating


• painful cold sores or blisters on the lips, nose, eyes, or genitals


• pale skin


• palpitations


• persistent bleeding or oozing from puncture sites, mouth, or nose


• pinpoint red spots on the skin


• pounding in the ears


• rapid, shallow breathing


• rapid weight gain


• red or purplish patches or spots on the skin


• severe or continuing dull nervousness


• shortness of breath


• slurred speech


• small red or purple spots on the skin


• sneezing


• sore throat


• sores, ulcers, or white spots on the lips, tongue, or inside the mouth


• stomachache


• sweating


• swelling or inflammation of the mouth, face, fingers, feet, or lower legs


• swollen glands


• temporary blindness


• tightness in the chest


• tingling of the hands or feet


• troubled breathing, exertional


• unexplained nosebleeds


• unusual bleeding or bruising


• unusual tiredness or weakness


• unusual weight gain or loss


• weakness in the arm or leg on one side of the body, sudden and severe


• wheezing


• yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Acid or sour stomach


• belching


• difficulty with moving


• dry, red, hot, or irritated skin


• full or bloated feeling or pressure in the stomach


• heartburn


• indigestion


• lack or loss of strength


• muscle pain or stiffness


• pain, swelling, or redness in the joints


• runny, stuffy nose


• stomach discomfort upset


• swelling of the abdominal or stomach area


• trouble with sleeping

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Mylotarg side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More Mylotarg resources

• Mylotarg Side Effects (in more detail)
• Mylotarg Use in Pregnancy & Breastfeeding
• Mylotarg Drug Interactions
• Mylotarg Support Group
• 0 Reviews for Mylotarg - Add your own review/rating

• Mylotarg Prescribing Information (FDA)


• Mylotarg Concise Consumer Information (Cerner Multum)


• Mylotarg Monograph (AHFS DI)


• Mylotarg MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Mylotarg with other medications

• Acute Myeloid Leukemia

MyHist-PD

Generic Name: chlorpheniramine, pyrilamine, and phenylephrine (KLOR fe NEER a meen, pir IL a meen, FEN il EFF rin)

Brand Names: AllerTan, Chlorex-A 12, Conal, MyHist-PD, Nalex A 12, Phena-Plus, Phena-S, Poly Hist PD, R-Tannate, Ru-Hist Forte, Tri-Hist Pediatric, Triotann-S Pediatric, Triple Tannate Pediatric, Triplex AD

What is chlorpheniramine, phenylephrine, and pyrilamine?

Chlorpheniramine and pyrilamine are antihistamines that reduce the effects of natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

The combination of chlorpheniramine, phenylephrine, and pyrilamine is used to treat runny or stuffy nose, sneezing, itching, watery eyes, and sinus congestion caused by allergies, the common cold, or the flu.

Chlorpheniramine, phenylephrine, and pyrilamine may also be used for purposes not listed in this medication guide.

What is the most important information I should know about chlorpheniramine, phenylephrine, and pyrilamine?

Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Ask a doctor or pharmacist before using any other cold, cough, allergy, or pain medicine. Antihistamines and decongestants are contained in many combination medicines. Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains an antihistamine or decongestant. This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Drinking alcohol can increase drowsiness caused by chlorpheniramine, phenylephrine, and pyrilamine. Before using chlorpheniramine, phenylephrine, and pyrilamine, tell your doctor if you regularly use other medicines that make you sleepy (such as sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by chlorpheniramine and pyrilamine.

What should I discuss with my healthcare provider before taking chlorpheniramine, phenylephrine, and pyrilamine?

Do not use this medicine if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 14 days. A dangerous drug interaction could occur, leading to serious side effects. You should not use this medication if you are allergic to chlorpheniramine, phenylephrine, pyrilamine, or to other decongestants, or if you have:

• 
  

  severe or uncontrolled high blood pressure;

  
  


• 
  

  severe coronary artery disease;

  
  


• 
  

  diabetes;

  
  


• 
  

  overactive thyroid; or

  
  


• 
  

  asthma, pneumonia, or other breathing problems.

  
  

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:

• liver disease;


• kidney disease;


• 
  

  heart disease or high blood pressure;

  
  


• 
  

  glaucoma;

  
  


• 
  

  enlarged prostate;

  
  


• 
  

  bladder obstruction or other urination problems; or

  
  


• 
  

  a blockage in your digestive tract (stomach or intestines).

  
  

FDA pregnancy category C. It is not known whether chlorpheniramine, phenylephrine, and pyrilamine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Chlorpheniramine, phenylephrine, and pyrilamine can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using chlorpheniramine, phenylephrine, and pyrilamine.

How should I take chlorpheniramine, phenylephrine, and pyrilamine?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Cough or cold medicine is usually taken only for a short time until your symptoms clear up.

Do not give this medication to a child younger than 4 years old. Always ask a doctor before giving a cough or cold medicine to a child. Death can occur from the misuse of cough and cold medicines in very young children. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. Breaking or crushing the pill may cause too much of the drug to be released at one time.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Shake the oral suspension (liquid) well just before you measure a dose. Store at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include dry mouth, dilated pupils, nausea, vomiting, and warmth, redness, or tingly feeling under your skin.

What should I avoid while taking chlorpheniramine, phenylephrine, and pyrilamine?

Ask a doctor or pharmacist before using any other cold, cough, allergy, or pain medicine. Antihistamines and decongestants are contained in many combination medicines. Taking certain products together can cause you to get too much of a certain drug. Check the label to see if a medicine contains an antihistamine or decongestant. This medication may cause blurred vision and may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Drinking alcohol can increase certain side effects of this medication.

Avoid taking this medication if you also take diet pills, caffeine pills, or other stimulants (such as ADHD medications). Taking a stimulant together with a decongestant can increase your risk of unpleasant side effects.

Chlorpheniramine, phenylephrine, and pyrilamine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using this medication and call your doctor at once if you have a serious side effect such as:

• 
  

  severe dizziness, anxiety, restless feeling, or nervousness;

  
  


• 
  

  fast, pounding, or uneven heartbeats;

  
  


• 
  

  confusion, hallucinations, unusual thoughts or behavior;

  
  


• 
  

  feeling like you might pass out;

  
  


• 
  

  urinating less than usual or not at all;

  
  


• 
  

  easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms;

  
  


• 
  

  increased blood pressure (severe headache, blurred vision, trouble concentrating, chest pain, numbness, seizure); or

  
  


• 
  

  nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

  
  

Less serious side effects may include:

• 
  

  upset stomach, constipation;

  
  


• 
  

  dry mouth;

  
  


• 
  

  blurred vision;

  
  


• 
  

  dizziness, drowsiness;

  
  


• 
  

  problems with memory;

  
  


• 
  

  sleep problems (insomnia); or

  
  


• 
  

  feeling restless or excited (especially in children).

  
  

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 chlorpheniramine, phenylephrine, and pyrilamine?

Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by chlorpheniramine or pyrilamine. Tell your doctor if you regularly use any of these medicines, or any other cough and cold medications.

Tell your doctor about all other medications you use, especially:

• 
  

  digoxin (Lanoxin);

  
  


• 
  

  blood pressure medication;

  
  


• 
  

  an antidepressant;

  
  


• 
  

  a barbiturate such as phenobarbital (Solfoton) and others;

  
  


• 
  

  a diuretic (water pill);

  
  


• 
  

  medication to treat irritable bowel syndrome;

  
  


• 
  

  bladder or urinary medications such as oxybutynin (Ditropan, Oxytrol) or tolterodine (Detrol);

  
  


• 
  

  aspirin or salicylates (such as Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others); or

  
  


• 
  

  a beta-blocker such as atenolol (Tenormin), carteolol (Cartrol), metoprolol (Lopressor, Toprol), nadolol (Corgard), propranolol (Inderal), sotalol (Betapace), timolol (Blocadren), and others.

  
  

This list is not complete and there may be other drugs that can interact with chlorpheniramine, phenylephrine, and pyrilamine. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

More MyHist-PD resources

• MyHist-PD Side Effects (in more detail)
• MyHist-PD Use in Pregnancy & Breastfeeding
• MyHist-PD Drug Interactions
• MyHist-PD Support Group
• 0 Reviews for MyHist-PD - Add your own review/rating

• Chlorpheniramine/Phenylephrine/Pyrilamine MedFacts Consumer Leaflet (Wolters Kluwer)


• AllerTan Suspension MedFacts Consumer Leaflet (Wolters Kluwer)


• Phena-S Liquid MedFacts Consumer Leaflet (Wolters Kluwer)


• Poly Hist PD Prescribing Information (FDA)


• Ru-Hist Forte Controlled-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)

Compare MyHist-PD with other medications

• Cold Symptoms
• Hay Fever

Where can I get more information?

• Your pharmacist can provide more information about chlorpheniramine, phenylephrine, and pyrilamine.

See also: MyHist-PD side effects (in more detail)

Myozyme injection

Generic Name: alglucosidase alfa (injection) (AL gloo KOE si dase AL fa)

Brand Names: Lumizyme, Myozyme

What is alglucosidase alfa?

Alglucosidase alfa contains an enzyme that naturally occurs in the body in healthy people. Some people lack this enzyme because of a genetic disorder. Alglucosidase alfa helps replace this missing enzyme in such people.

Alglucosidase alfa is used to treat a glycogen storage disorder called Pompe disease, (also called GAA deficiency) in adults and children who are at least 8 years old.

Alglucosidase alfa may also be used for purposes not listed in this medication guide.

What is the most important information I should know about alglucosidase alfa?

Alglucosidase alfa is available only under a special program called ACE. Under this program, only registered doctors and pharmacists can prescribe and dispense alglucosidase alfa. You must be registered in the program and sign documents stating that you understand the risks of using this medication and the possibility of severe allergic reaction. Ask your doctor or call the drug maker if you have questions about the program or the written requirements.

Before receiving this medication, tell your doctor if you have heart disease, lung disease or a breathing disorder, or if you are allergic to mice, hamsters, or drug products made with "murine" proteins.

Before each injection, tell your doctor if you have recently been sick with a cold, flu, or other illness. Some people receiving an injection of alglucosidase alfa have had a reaction to the infusion. This type of reaction can occur when the medicine is injected into the vein, or as long as 3 hours after the injection.

Tell your caregivers or get emergency medical help right away if you have any signs of a severe allergic reaction, such as feeling restless, nervous, dizzy, numb, tingly, hot or cold, sweaty, nauseated, or lightheaded, or if you have trouble breathing, chest pain or tightness, fast or slow heart rate, hives, severe skin rash, seizure (convulsions), or swelling of your face, lips, tongue, or throat.

What should I discuss with my health care provider before receiving alglucosidase alfa?

You should not receive alglucosidase alfa if you are allergic to it.

If you have any of these other conditions, you may need a dose adjustment or special tests:

• 
  

  heart disease;

  
  


• 
  

  lung disease or breathing disorder;

  
  


• 
  

  if you are allergic to mice, hamsters, or drug products made with "murine" proteins.

  
  

FDA pregnancy category B. Alglucosidase alfa is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether alglucosidase alfa passes into breast milk or if it could harm a nursing baby. Do not receive this medication without telling your doctor if you are breast-feeding a baby.

Your name may be listed on the Pompe Registry. This is to track the progress of your disease and the outcome of your treatment with alglucosidase alfa.

How is alglucosidase alfa given?

Alglucosidase alfa is injected into a vein through an IV using an infusion pump. You will receive this injection in a clinic or hospital setting. Alglucosidase alfa must be given slowly, and the IV infusion can take up to 4 hours to complete.

This medication is usually given once every 2 weeks.

Before each injection, tell your doctor if you have recently been sick with a cold, flu, or other illness.

To be sure this medicine is helping your condition and is not causing harmful effects, your blood will need to be tested every 3 months for 2 years and then once every year after that. Visit your doctor regularly.

Alglucosidase alfa is available only under a special program called ACE. Under this program, only registered doctors and pharmacists can prescribe and dispense alglucosidase alfa. You must be registered in the program and sign documents stating that you understand the risks of using this medication and the possibility of severe allergic reaction. Ask your doctor or call the drug maker if you have questions about the program or the written requirements.

What happens if I miss a dose?

Call your doctor for instructions if you miss an appointment for your alglucosidase alfa injection.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while receiving alglucosidase alfa?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Alglucosidase alfa side effects

Some people receiving an injection of alglucosidase alfa have had a reaction to the infusion. This type of reaction can occur when the medicine is injected into the vein, or as long as 3 hours after the injection. Tell your caregivers or get emergency medical help right away if you have any of these signs of a severe allergic reaction:

• 
  

  feeling like you might pass out, even while lying down;

  
  


• 
  

  feeling restless, nervous, dizzy, or nauseated;

  
  


• 
  

  pale skin, redness under your skin, sweating, feeling hot or cold;

  
  


• 
  

  fast or slow heart rate;

  
  


• 
  

  pain or tightness in your chest or throat;

  
  


• 
  

  wheezing, trouble breathing;

  
  


• 
  

  cold hands, blue lips;

  
  


• 
  

  back pain;

  
  


• 
  

  numbness, warmth, redness, or tingly feeling;

  
  


• 
  

  seizure (convulsions);

  
  


• 
  

  hives, severe skin rash; or

  
  


• 
  

  swelling of your face, lips, tongue, or throat.

  
  

Call your doctor at once if you have a serious side effect such as:

• 
  

  pain or fullness in your ear, problems with hearing;

  
  


• 
  

  skin ulcers;

  
  


• 
  

  fast, slow, or uneven heartbeats;

  
  


• 
  

  weak pulse, fainting, slow breathing (breathing may stop); or

  
  


• 
  

  chest pain or heavy feeling, pain spreading to the arm or shoulder, sweating, general ill feeling.

  
  

Less serious side effects may include:

• 
  

  mild skin rash or itching;

  
  


• 
  

  diarrhea, constipation, upset stomach, vomiting;

  
  


• 
  

  sore throat, neck pain;

  
  


• 
  

  pain or swelling in your arms or legs; or

  
  


• 
  

  pain, swelling, burning, or irritation around the IV needle.

  
  

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 alglucosidase alfa?

There may be other drugs that can interact with alglucosidase alfa. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Myozyme resources

• Myozyme Side Effects (in more detail)
• Myozyme Use in Pregnancy & Breastfeeding
• Myozyme Support Group
• 0 Reviews for Myozyme - Add your own review/rating

Compare Myozyme with other medications

• Pompe disease

Where can I get more information?

• Your doctor or pharmacist can provide more information about alglucosidase alfa.

See also: Myozyme side effects (in more detail)

Myferon 150 Forte

Generic Name: multivitamin with iron (MUL tee VYE ta mins with i ron)

Brand Names:

What is Myferon 150 Forte (multivitamin with iron)?

Multivitamin are a combination of many different vitamins that are normally found in foods and other natural sources.

Iron is normally found in foods like red meat. In the body, iron becomes a part of your hemoglobin (HEEM o glo bin) and myoglobin (MY o glo bin). Hemoglobin carries oxygen through your blood to tissues and organs. Myoglobin helps your muscle cells store oxygen.

Multivitamin and iron are used to provide vitamins and iron that are not taken in through the diet. They are also used to treat iron or vitamin deficiencies caused by illness, pregnancy, poor nutrition, digestive disorders, and many other conditions.

Multivitamin and iron may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Myferon 150 Forte (multivitamin with iron)?

Never take more than the recommended dose of a multivitamin. Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects. Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects. Iron and other minerals contained in a multivitamin can also cause serious overdose symptoms if you take too much.

Overdose symptoms may include severe stomach pain, vomiting, bloody diarrhea, coughing up blood, constipation, loss of appetite, hair loss, peeling skin, warmth or tingly feeling, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine or stools, black and tarry stools, pale skin, easy bruising or bleeding, weakness, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin with iron.

What should I discuss with my healthcare provider before taking Myferon 150 Forte (multivitamin with iron)?

Iron and certain vitamins can cause serious or life-threatening side effects if taken in large doses. Do not take more of this medication than directed on the label or prescribed by your doctor.

If you have any medical conditions, ask your doctor before taking a multivitamin with iron. If you have certain conditions, you may need a certain vitamin formulation or special tests while taking this product.

Do not take multivitamin with iron without telling your doctor if you are pregnant or plan to become pregnant. Some vitamins and minerals can harm an unborn baby if taken in large doses. You may need to use a prenatal vitamin specially formulated for pregnant women. Multivitamin can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Myferon 150 Forte (multivitamin with iron)?

Use this medication as directed on the label, or as your doctor has prescribed. Do not use the medication in larger amounts or for longer than recommended.

Never take more than the recommended dose of multivitamin with iron. Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Many multivitamin products also contain minerals such as calcium, magnesium, potassium, and zinc. Minerals (especially taken in large doses) can cause side effects such as tooth staining, increased urination, stomach bleeding, uneven heart rate, confusion, and muscle weakness or limp feeling. Read the label of any multivitamin product you take to make sure you are aware of what it contains.

Take your multivitamin with a full glass of water. You may take the multivitamin with food if it upsets your stomach.

The chewable tablet must be chewed or allowed to dissolve in the mouth before swallowing.

Measure the liquid form of this multivitamin using a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Liquid multivitamin may sometimes be mixed with water, fruit juice, or infant formula (but not milk or other dairy products). Follow the directions on the medicine label.

Do not crush, chew, break, or open an extended-release tablet or capsule. Swallow the pill whole. Breaking or opening the pill may cause too much of the drug to be released at one time.

It is important to take multivitamin with iron regularly to get the most benefit.

Store this medication at room temperature away from moisture and heat. Keep the liquid medicine from freezing.

Store multivitamin in their original container. Storing multivitamin in a glass container can ruin the medication.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of vitamins A, D, E, or K can cause serious or life-threatening side effects. Iron and other minerals contained in a multivitamin can also cause serious overdose symptoms.

Overdose symptoms may include severe stomach pain, vomiting, bloody diarrhea, coughing up blood, constipation, loss of appetite, hair loss, peeling skin, warmth or tingly feeling, changes in menstrual periods, weight loss, severe headache, muscle or joint pain, severe back pain, blood in your urine or stools, black and tarry stools, pale skin, easy bruising or bleeding, weakness, shallow breathing, weak and rapid pulse, pale skin, blue lips, and seizure (convulsions).

What should I avoid while taking Myferon 150 Forte (multivitamin with iron)?

Avoid taking any other multivitamin product within 2 hours before or after you take multivitamin with iron. Taking similar vitamin products together at the same time can result in a vitamin overdose or serious side effects.

Avoid the regular use of salt substitutes in your diet if your multivitamin contains potassium. If you are on a low-salt diet, ask your doctor before taking a vitamin or mineral supplement.

Avoid taking an antibiotic medicine within 2 hours before or after you take multivitamin with iron. This is especially important if you are taking an antibiotic such as ciprofloxacin (Cipro), demeclocycline (Declomycin), doxycycline (Adoxa, Doryx, Oracea, Vibramycin), levofloxacin (Levaquin), lomefloxacin (Maxaquin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), norfloxacin (Noroxin), ofloxacin (Floxin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap).

Certain foods can also make it harder for your body to absorb iron. Avoid taking this multivitamin within 1 hour before or 2 hours after eating fish, meat, liver, and whole grain or "fortified" breads or cereals.

Do not take this medication with milk, other dairy products, calcium supplements, or antacids that contain calcium. Calcium may make it harder for your body to absorb certain ingredients of the multivitamin.

Myferon 150 Forte (multivitamin with iron) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor if you have serious side effects such as:

• 
  

  bright red blood in your stools; or

  
  


• 
  

  pain in your chest or throat when swallowing a ferrous fumarate tablet.

  
  

When taken as directed, multivitamin are not expected to cause serious side effects. Less serious side effects may include:

• 
  

  constipation, diarrhea;

  
  


• 
  

  nausea, vomiting, heartburn;

  
  


• 
  

  stomach pain, upset stomach;

  
  


• 
  

  black or dark-colored stools or urine;

  
  


• 
  

  temporary staining of the teeth;

  
  


• 
  

  headache; or

  
  


• 
  

  unusual or unpleasant taste in your mouth.

  
  

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 Myferon 150 Forte (multivitamin with iron)?

Vitamin and mineral supplements can interact with certain medications, or affect how medications work in your body. Before taking multivitamin with iron, tell your doctor if you also use:

• 
  

  acetohydroxamic acid (Lithostat);

  
  


• 
  

  cimetidine (Tagamet);

  
  


• 
  

  deferoxamine (Desferal);

  
  


• 
  

  etidronate (Didronel);

  
  


• 
  

  diuretics (water pills);

  
  


• 
  

  heart or blood pressure medications;

  
  


• 
  

  tretinoin (Vesanoid);

  
  


• 
  

  isotretinoin (Accutane, Amnesteen, Clavaris, Sotret);

  
  


• 
  

  dimercaprol (an injection used to treat poisoning by arsenic, lead, or mercury);

  
  


• 
  

  penicillamine (Cuprimine);

  
  


• 
  

  pancrelipase (Cotazym, Creon, Ilozyme, Pancrease, Ultrase);

  
  


• 
  

  trimethoprim and sulfamethoxazole (Cotrim, Bactrim, Septra, TMP/SMX); or

  
  


• 
  

  an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), and others.

  
  

This list is not complete and there may be other medications that can interact with or be affected by multivitamin with iron. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

More Myferon 150 Forte resources

• Myferon 150 Forte Side Effects (in more detail)
• Myferon 150 Forte Use in Pregnancy & Breastfeeding
• Myferon 150 Forte Drug Interactions
• Myferon 150 Forte Support Group
• 0 Reviews for Myferon50 Forte - Add your own review/rating

• Multivitamin with Iron Suspension MedFacts Consumer Leaflet (Wolters Kluwer)


• Anemagen MedFacts Consumer Leaflet (Wolters Kluwer)


• BiferaRx MedFacts Consumer Leaflet (Wolters Kluwer)


• Chromagen Forte MedFacts Consumer Leaflet (Wolters Kluwer)


• Ferocon MedFacts Consumer Leaflet (Wolters Kluwer)


• Ferotrin Prescribing Information (FDA)


• Ferralet 90 Prescribing Information (FDA)


• Ferralet 90 MedFacts Consumer Leaflet (Wolters Kluwer)


• Ferrex 150 Forte Prescribing Information (FDA)


• Ferrex 150 Forte Plus Prescribing Information (FDA)


• Ferrex 150 Forte Plus MedFacts Consumer Leaflet (Wolters Kluwer)


• Ferrex 28 Prescribing Information (FDA)


• FerroGels Forte MedFacts Consumer Leaflet (Wolters Kluwer)


• FerroGels Forte Prescribing Information (FDA)


• FoliTab 500 MedFacts Consumer Leaflet (Wolters Kluwer)


• Fumatinic MedFacts Consumer Leaflet (Wolters Kluwer)


• Hematogen Forte Prescribing Information (FDA)


• Integra MedFacts Consumer Leaflet (Wolters Kluwer)


• Integra F MedFacts Consumer Leaflet (Wolters Kluwer)


• Integra F Prescribing Information (FDA)


• Integra Plus MedFacts Consumer Leaflet (Wolters Kluwer)


• Integra Plus Prescribing Information (FDA)


• Irospan 24/6 MedFacts Consumer Leaflet (Wolters Kluwer)


• Irospan 24/6 Prescribing Information (FDA)


• NovaFerrum Prescribing Information (FDA)


• NovaFerrum MedFacts Consumer Leaflet (Wolters Kluwer)


• Proferrin-Forte MedFacts Consumer Leaflet (Wolters Kluwer)


• Tricon Prescribing Information (FDA)

Compare Myferon 150 Forte with other medications

• Anemia
• Vitamin/Mineral Supplementation and Deficiency

Where can I get more information?

• Your pharmacist can provide more information about multivitamin with iron.

See also: Myferon50 Forte side effects (in more detail)