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Levofloxacin is used for:

Treating infections caused by certain bacteria. It may also be used to prevent or slow anthrax after exposure.

Levofloxacin is a quinolone antibiotic. It works by killing sensitive bacteria.

Do NOT use Levofloxacin if:

• you are allergic to any ingredient in Levofloxacin or any other quinolone antibiotic (eg, ciprofloxacin)
• you have a certain type of irregular heartbeat (QT prolongation; long QT syndrome) or low blood potassium levels
• you are taking cisapride or certain antiarrhythmics (eg, amiodarone, procainamide, quinidine, sotalol)

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

Before using Levofloxacin :

Some medical conditions may interact with Levofloxacin. Tell your health care provider 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 or a family member have a history of fast, slow, or irregular heartbeat; chest pain; angina; or heart attack
• if you have other heart problems (eg, heart failure, enlarged heart), diabetes, kidney problems, tendon problems (eg, inflammation), or Alzheimer disease
• if you have narrowed or hardened blood vessels in the brain, increased pressure in the brain, nervous system problems, or a history of seizures (eg, epilepsy)
• if you sunburn easily or you will be in the sun for a prolonged period of time

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

• Antiarrhythmics (eg, amiodarone, sotalol, procainamide, quinidine), arsenic, astemizolecisapride, dofetilide, droperidol, haloperidol, imidazoles (eg, ketoconazole), macrolides (eg, erythromycin), methadone, paliperidone, phenothiazines (eg, chlorpromazine), pimozide, ranolazine, serotonin receptor antagonists (eg, dolasetron), telithromycin, terfenadine, or ziprasidone because the risk of serious heart problems, including irregular heartbeat, may be increased
• Insulin or oral diabetes medicines (eg, glyburide) because the risk of high or low blood sugar may be increased
• Corticosteroids (eg, prednisone) because the risk of tendon problems may be increased
• Anticoagulants (eg, warfarin) because the risk of bleeding may be increased
• Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) or theophylline because the risk of serious side effects, including seizures, may be increased
• Serotonin norepinephrine reuptake inhibitors (SNRIs) (eg, duloxetine) because the risk of their side effects may be increased by Levofloxacin

This may not be a complete list of all interactions that may occur. Ask your health care provider if Levofloxacin 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 Levofloxacin :

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

• An extra patient leaflet is available with Levofloxacin. Talk to your pharmacist if you have questions about this information.
• Drinking extra fluids while you are taking Levofloxacin is recommended. Check with your doctor for instructions.
• Levofloxacin is usually given as an injection at your doctor’s office, hospital, or clinic. If you will be using Levofloxacin at home, a health care provider will teach you how to use it. Be sure you understand how to use Levofloxacin. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
• Do not use Levofloxacin if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
• Levofloxacin works best if it is used at the same time each day.
• To clear up your infection completely, use Levofloxacin for the full course of treatment. Keep using it even if you feel better in a few days.
• Do not miss any doses of Levofloxacin. If you miss a dose of Levofloxacin , use it as soon as you remember. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

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

Important safety information:

• Levofloxacin may cause dizziness or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Levofloxacin with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• Levofloxacin only works against bacteria; it does not treat viral infections (eg, the common cold).
• Be sure to use Levofloxacin for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Long-term or repeated use of Levofloxacin may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• Tendon problems have been reported with Levofloxacin. Some of these problems have been severe. Contact your doctor right away if you develop pain or swelling of a joint or tendon.
• Levofloxacin may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Levofloxacin. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
• If you are scheduled to receive a typhoid vaccine while you are taking Levofloxacin , talk with your doctor. Levofloxacin may decrease the effectiveness of the vaccine.
• Diabetes patients – Levofloxacin may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
• Levofloxacin may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Levofloxacin.
• Lab tests, including liver function, kidney function, and complete blood counts, may be performed while you use Levofloxacin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use Levofloxacin with caution in the ELDERLY; they may be more sensitive to its effects, especially tendon problems and irregular heartbeat.
• Levofloxacin should not be used in CHILDREN younger than 18 years old; safety and effectiveness in these children have not been confirmed. Children may also be more sensitive to joint and tendon problems.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Levofloxacin while you are pregnant. Levofloxacin is found in breast milk. Do not breast-feed while taking Levofloxacin.

Possible side effects of Levofloxacin :

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:

Diarrhea; dizziness; gas; lightheadedness; nausea; stomach pain.

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); bloody stools; chest pain; confusion; dark urine; decreased or painful urination; fainting; fast or irregular heartbeat; fever, chills, or sore throat; hallucinations; hoarseness; joint or muscle pain or weakness; mental or mood changes (eg, depression, anxiety, paranoia); new or worsening nightmares, restlessness, or trouble sleeping; red, swollen, blistered, or peeling skin; seizures; severe diarrhea; severe or persistent dizziness, lightheadedness, tiredness, or weakness; severe sunburn; shortness of breath; stomach pain/cramps; suicidal thoughts or actions; symptoms of high or low blood sugar (eg, increased thirst, hunger, or urination; fast breathing; flushing; dizziness; fainting; increased sweating; vision changes); symptoms of nerve problems (eg, unusual pain, burning, tingling, or numbness; changes in perception or heat or cold; decreased sensation of touch); tremors; unusual bruising or bleeding; vaginal discharge, irritation, or odor; wheezing; yellowing of the skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Erythromycin is used for:

Treating infections caused by certain bacteria. It is also used to prevent bacterial endocarditis and attacks of rheumatic fever. It may also be used for other conditions as determined by your doctor.

Erythromycin is a macrolide antibiotic. Macrolide antibiotics slow the growth of, or sometimes kill, sensitive bacteria by reducing the production of important proteins needed by the bacteria to survive.

Do NOT use Erythromycin if:

• you are allergic to any ingredient in Erythromycin
• you are taking astemizole, cisapride, cyclosporine, diltiazem, dofetilide, ergot alkaloids (eg, ergotamine), HIV protease inhibitors (eg, ritonavir), imidazoles (eg, ketoconazole), pimozide, QT prolonging agents (eg, quinidine, sotalol), quinolones (eg, ciprofloxacin), streptogramins (eg, quinupristin/dalfopristin), sumatriptan, terfenadine, or verapamil

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

Before using Erythromycin :

Some medical conditions may interact with Erythromycin. 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 diarrhea or a stomach or intestinal infection
• if you have a history of kidney or liver disease, heart problems, fast or irregular heartbeat, myasthenia gravis, or the blood disorder porphyria

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

• Efavirenz or rifampin because they may decrease Erythromycin ’s effectiveness
• Arsenic, cimetidine,diltiazem,dofetilide,HIV protease inhibitors (eg, ritonavir), imidazoles (eg, ketoconazole), pimozide,QT-prolonging agents (eg, quinidine, sotalol), quinolones (eg, ciprofloxacin), streptogramins (eg, quinupristin/dalfopristin ), or verapamil because side effects, such as heart toxicity or irregular heartbeat, may occur
• Anticoagulants (eg, warfarin), aldosterone blockers (eg, spironolactone), alfentanil, arsenic, astemizole, benzodiazepines (eg, alprazolam), bromocriptine, buspirone, carbamazepine, cilostazol, cisapride, clozapine, corticosteroids (eg, hydrocortisone), cyclosporine, digitoxin, digoxin, disopyramide, ergot alkaloids (eg, ergotamine), felodipine, H₁ antagonists (eg, diphenhydramine), HMG-CoA reductase inhibitors (eg, lovastatin), imatinib, macrolide immunosuppressants (eg, tacrolimus), meglitinide antidiabetics (eg, repaglinide), midazolam, phosphodiesterase type 5 inhibitors (eg, sildenafil), pimozide, QT-prolonging agents (eg, quinidine, sotalol), quinolones (eg, ciprofloxacin), rifampin, serotonin reuptake inhibitors (eg, fluoxetine), sumatriptan, theophyllines, tricyclic antidepressants (eg, amitriptyline), valproic acid, or vinca alkaloids (eg, vincristine) because the risk of their side effects may increased by Erythromycin

This may not be a complete list of all interactions that may occur. Ask your health care provider if Erythromycin 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 Erythromycin :

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

• Take Erythromycin by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
• Swallow Erythromycin whole. Do not break, crush, or chew before swallowing.
• Do not eat grapefruit or drink grapefruit juice while you use Erythromycin.
• Erythromycin works best if taken at the same times each day.
• To clear up your infection completely, take Erythromycin for the full course of treatment. Keep taking it even if you feel better in a few days.
• If you miss a dose of Erythromycin , take it as soon as possible. If it is almost time for the next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

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

Important safety information:

• Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• Erythromycin only works against bacteria; it does not treat viral infections (eg, the common cold).
• Be sure to use Erythromycin for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Long-term or repeated use of Erythromycin may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• Lab tests, including liver function, kidney function, and complete blood cell counts, may be performed while you use Erythromycin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Erythromycin while you are pregnant. Erythromycin is found in breast milk. If you are or will be breast-feeding while you use Erythromycin , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Erythromycin :

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:

Diarrhea; loss of appetite; nausea; stomach pain; vomiting.

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); bloody stools; hearing changes; irregular heartbeat; red, swollen, or blistered skin; severe diarrhea; severe stomach pain or cramps; yellowing of skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Ofloxacin is used for:

Treating mild to moderate infections caused by certain bacteria.

Ofloxacin is a fluoroquinolone antibiotic. It kills sensitive bacteria by stopping the production of essential proteins needed by the bacteria to survive.

Do NOT use Ofloxacin if:

• you are allergic to any ingredient in Ofloxacin
• you are allergic to any other fluoroquinolone antibiotic (eg, ciprofloxacin)
• you are taking nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen) or typhoid oral vaccine

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

Before using Ofloxacin :

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

• if you are pregnant, plan 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 diabetes
• if you have heart problems, including irregular heartbeat; liver or kidney disease; or low potassium levels
• if you have Alzheimer disease, hardening in the arteries in the brain, seizures, increased pressure on the brain, or another central nervous system disorder
• if you have tendonitis
• if your skin is sensitive to sunlight

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

• Foscarnet, NSAIDs (eg, ibuprofen), or tramadol because the risk of seizures may be increased
• Anticoagulants (eg, warfarin), procainamide, or theophylline because the side effects of these medicines may be increased
• Live typhoid vaccine because the effectiveness of the vaccine may be decreased
• Aluminum salts (eg, aluminum hydroxide), iron salts (oral) (eg, ferrous sulfate), or magnesium salts (eg, magnesium hydroxide) because the effectiveness of Ofloxacin is decreased. Take ofloxacin 2 hours before or 2 hours after these medicines to offset this effect.

This may not be a complete list of all interactions that may occur. Ask your health care provider if Ofloxacin 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 Ofloxacin :

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

• Ofloxacin may be taken with food or on an empty stomach.
• Drink a full glass of water with each dose. Drink several glasses of water daily, unless otherwise instructed by your doctor.
• Do not drink milk or eat dairy products, or take antacids, sucralfate, or vitamins within 2 hours before or after taking Ofloxacin.
• Ofloxacin works best if it is taken at the same time each day.
• If you miss a dose, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

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

Important safety information:

• Ofloxacin may cause dizziness, drowsiness, or lightheadedness. Use caution when driving or performing other tasks requiring alertness, coordination, or physical dexterity.
• Ofloxacin may cause increased sensitivity to sunlight. Avoid prolonged exposure to the sun or other ultraviolet (UV) light (eg, tanning beds). Use sunscreens and wear protective clothing if you must be outside for a prolonged period of time.
• Diabetic patients should monitor their blood sugar regularly while taking Ofloxacin with an antidiabetic medicine. Talk with your doctor at once if a reaction caused by low blood sugar occurs.
• Notify your dentist or doctor that you are taking Ofloxacin before you have any dental work or surgery.
• Long-term or repeated use of Ofloxacin may cause a second infection. You may need to start another medication to treat the second infection. Contact your doctor if signs of a second infection occur.
• If you experience pain or inflammation, or rupture a tendon during or shortly after taking ofloxacin, contact your health care provider immediately.
• If severe diarrhea, stomach cramps/pain, or bloody stools occur, contact your doctor at once. This could be a sign of a serious side effect that needs immediate medical attention. Do not treat diarrhea without consulting your doctor.
• It is important to use Ofloxacin for the full course of treatment. Failure to do so may decrease the effectiveness of this treatment and may increase the risk that the bacteria will no longer be sensitive to Ofloxacin and it will not be able to be treated by this or certain other antibacterial medicines in the future.
• LAB TESTS, such as kidney function tests, may be needed to monitor your condition. Be sure to keep all lab appointments.
• Ofloxacin is not recommended for use in CHILDREN younger than 18 years of age; safety and effectiveness in this age group have not been confirmed.
• PREGNANCY and BREAST-FEEDING: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Ofloxacin during pregnancy. Ofloxacin is excreted in breast milk. Do not breast-feed while taking Ofloxacin.

Possible side effects of Ofloxacin :

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:

Diarrhea; dizziness; headache; loss of appetite; nausea; nervousness; sensitivity to sunlight; trouble sleeping; vomiting.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); agitation; anxiety; bizarre behavior; bloody stools; confusion; convulsions; dark urine; depression; diarrhea (severe or continuing); difficulty swallowing; excessive urination, thirst, or hunger; fatigue; fever; hallucinations; hoarseness; increased pressure within the head; joint or muscle pain or swelling; lightheadedness; loss of consciousness; nervousness; nightmares; pale stools; paranoia; rapid heartbeat; rash, skin burning, redness, swelling, blisters, itching, or skin inflammation; restlessness; seizures; shock (pale skin); sleeplessness; stomach pain/cramps; suicidal thoughts; tendon pain, inflammation, or swelling; tightness of the throat; tingling; tremors; urination problems; vaginal irritation or discharge; yellowing of skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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What is metronidazole?

• Metronidazole is an antibiotic. It fights bacteria in your body.
• Metronidazole is used to treat infections such as abdominal infections, skin and tissue infections, bone and joint infections, gynecologic infections, and respiratory tract infections.
• Metronidazole may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about metronidazole?

• Take all of the metronidazole that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.
• Do not drink alcohol while taking metronidazole. Flushing, fast heartbeats, nausea, and vomiting may occur when alcohol is ingested during metronidazole therapy.

What should I discuss with my doctor before taking metronidazole?

• Before taking this medication, tell your doctor if you have
  • liver disease,
  • a stomach or intestinal disease, or
  • epilepsy or another seizure disorder.
• You may not be able to take metronidazole, or you may require a lower dose or special monitoring during your therapy if you have any of these conditions.
• Metronidazole is in the FDA pregnancy category B. This means that it is not likely to harm an unborn baby. Do not, however, take metronidazole without first talking to your doctor if you are pregnant.
• Metronidazole passes into breast milk and may affect a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

How should I take metronidazole?

• Take metronidazole exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.
• Take each dose with a full glass (8 ounces) of water.
• Take all of the metronidazole that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated.
• Store metronidazole at room temperature away from moisture and heat.
• Use injectable metronidazole exactly as directed by your doctor. If you do not understand the instructions, ask your pharmacist, nurse, or doctor to explain them to you.

What happens if I miss a dose?

• Take the missed dose as soon as you remember. Take the rest of the day’s doses at evenly spaced intervals unless otherwise directed by your doctor.

What happens if I overdose?

• Seek emergency medical attention.
• Symptoms of a metronidazole overdose include nausea, vomiting, dizziness, loss of coordination, numbness and tingling, and seizures.

What should I avoid while taking metronidazole?

• Do not drink alcohol while taking metronidazole. Flushing, fast heartbeats, nausea, and vomiting may occur when alcohol is ingested during metronidazole therapy.
• Be aware of the alcohol content of other products such as cough and cold medicines. Alcohol in these products can also cause a reaction.

What are the possible side effects of metronidazole?

• If you experience any of the following serious side effects, stop taking metronidazole and seek emergency medical attention:
  • an allergic reaction (swelling of your lips, tongue, or face; shortness of breath; closing of your throat; or hives);
  • seizures;
  • numbness or tingling;
  • dizziness or loss of coordination; or
  • severe diarrhea.
• Other, less serious side effects may be more likely to occur. Continue to take metronidazole and talk to your doctor if you experience
  • darkening of your urine;
  • nausea, vomiting, or loss of appetite;
  • an unpleasant metallic taste in your mouth;
  • constipation or mild diarrhea;
  • headache; or
  • swollen or sore tongue.
• Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What drug(s) may interact with metronidazole?

• alcohol or alcohol-containing beverages or medicines
• amprenavir
• barbiturate medicines for inducing sleep or treating seizures (convulsions)
• carbamazepine
• cimetidine
• disulfiram
• fluorouracil
• lithium
• methadone
• phenytoin
• ramelteon
• sirolimus
• tacrolimus
• warfarin

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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What is/are Erythromycin?

ERYTHROMYCIN is a macrolide antibiotic. It stops the growth of some bacteria. It treats many kinds of infection, including pneumonia, skin infections, some sexually transmitted diseases, and Legionnaire’s disease. This medicine also treats severe acne, and prevents heart problems in patients with rheumatic fever. This medicine will not work for colds, flu, or other viral infections. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine?

They need to know if you have any of these conditions:

• liver disease
• myasthenia gravis
• an unusual or allergic reaction to erythromycin, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medicine by mouth with glass of water. Follow the directions on the prescription label. Take this medicine on an empty stomach, at least 30 minutes before or 2 hours after food. If this medicine upsets your stomach, take with food or milk. Take your medicine at regular intervals. Do not take your medicine more often than directed. Do not skip doses or stop your medicine early even if you feel better. Do not stop taking except on your doctor’s advice.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following:

• chloroquine
• cisapride
• droperidol
• eplerenone
• ergotamine and dihydroergotamine
• methadone
• other antibiotics, like grepafloxacin or sparfloxacin
• sirolimus
• some medicines for cholesterol like atorvastatin, cerivastatin, lovastatin, and simvastatin
• some medicines for heart rhythm problems
• some medicines for psychotic disturbances
• vinblastine
• red yeast rice

This medicine may also interact with the following:

• alfentanil
• bromocriptine
• carbamazepine
• cyclosporine
• digoxin
• some medicines for anxiety or difficulty sleeping
• phenytoin
• terfenadine
• theophylline
• valproate
• warfarin

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine?

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

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• dark urine
• difficulty breathing
• hearing loss
• irregular heartbeat or chest pain
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• severe or watery diarrhea
• unusually weak or tired
• yellowing of eyes or skin

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

• diarrhea
• loss of appetite
• nausea, vomiting
• stomach pain

This list may not describe all possible side effects.

What should I watch for while using this medicine?

Tell your doctor or health care professional if your symptoms do not improve or if they get worse.

Do not treat diarrhea with over the counter products. Contact your doctor if you have diarrhea that lasts more than 2 days or if it is severe and watery.

Where should I keep this medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep container tightly closed. Throw away any unused medicine after the expiration date.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Clindamycin is used for:

Treating serious infections caused by certain bacteria. It is not used to treat meningitis.

Clindamycin is a lincomycin antibiotic. Clindamycin kills sensitive bacteria by stopping the production of essential proteins needed by the bacteria to survive.

Do NOT use Clindamycin if:

• you are allergic to any ingredient in Clindamycin or to lincomycin
• you have antibiotic-associated colitis, Crohn disease, ulcerative colitis, or meningitis

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

Before using Clindamycin :

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

• if you are pregnant, plan 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 diarrhea, a gastrointestinal (bowel) disease, liver disease, or are allergic to tartrazine

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

• Nondepolarizing muscle relaxants (eg, vecuronium) or succinylcholine because the actions and side effects of these medicines may be increased
• Erythromycin because the effectiveness of Clindamycin may be decreased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Clindamycin 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 Clindamycin :

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

• Clindamycin may be taken with or without food.
• Clindamycin should be taken with a full glass of water (8 oz/240 mL).
• Clindamycin works best if it is taken at the same time each day.
• To clear up your infection completely, continue using Clindamycin for the full course of treatment even if you feel better in a few days.
• If you miss a dose of Clindamycin , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

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

Important safety information:

• If severe diarrhea, stomach pain/cramps, or bloody stools occur, contact your doctor at once. This could be a symptom of a serious side effect requiring immediate medical attention. Do not treat diarrhea without consulting with your doctor.
• Clindamycin is effective only against bacteria. It is not effective for treating viral infections (eg, the common cold).
• It is important to use Clindamycin for the full course of treatment. Failure to do so may decrease the effectiveness of this treatment and may increase the risk that the bacteria will no longer be sensitive to Clindamycin and will not be able to be treated by this or certain other antibiotics in the future.
• Long-term or repeated use of Clindamycin may cause a second infection. You may need to start another medication to treat the second infection. Contact your doctor if you suspect a second infection.
• Some of these products contain the dye tartrazine (FD&C Yellow No. 5), which can cause allergic reactions in certain patients. If you have previously had allergic reactions to the dye tartrazine, contact your pharmacist to determine if the product you are taking contains the dye tartrazine.
• LAB TESTS, such as liver function, kidney function, or complete blood counts, may be performed to monitor progress. Be sure to keep all doctor and lab appointments.
• Use Clindamycin with caution in the ELDERLY because they may be more sensitive to its effects, especially diarrhea. Monitor carefully for changes in bowel frequency.
• When Clindamycin is administered to CHILDREN (birth to 16 years) appropriate monitoring of organ system functions is recommended.
• PREGNANCY and BREAST-FEEDING: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Clindamycin during pregnancy. Clindamycin is excreted in breast milk. If you are or will be breast-feeding while you are using Clindamycin , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Clindamycin :

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:

Infrequent urination; mild diarrhea; nausea; vomiting.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); severe or continuing diarrhea; severe stomach cramps/pain; stools/diarrhea with mucus or blood; yellowing of skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Montelukast is used for:

Prevention and long-term treatment of asthma. It is also used to relieve allergy symptoms. It may also be used for other conditions as determined by your doctor.

Montelukast is a leukotriene receptor antagonist. It works by blocking a substance called leukotriene, which helps to decrease certain asthma and allergy symptoms.

Do NOT use Montelukast if:

• you are allergic to any ingredient in Montelukast

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

Before using Montelukast :

Some medical conditions may interact with Montelukast. 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 liver problems

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

• Certain anticonvulsants (eg, phenobarbital) or rifampin because they may decrease Montelukast ’s effectiveness

This may not be a complete list of all interactions that may occur. Ask your health care provider if Montelukast 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 Montelukast :

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

• An extra patient leaflet is available with Montelukast. Talk to your pharmacist if you have questions about this information.
• Montelukast may be taken with or without food.
• Continue to use Montelukast even if you feel well. Do not miss any doses.
• If you miss a dose of Montelukast , take it as soon as possible. If it is almost time for your next dose, skip the missed dose. Go back to your regular dosing schedule. Do not take 2 doses at once.

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

Important safety information:

• Montelukast may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Montelukast with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
• Montelukast will not stop an asthma attack once one has started. Be sure you always carry appropriate medicine (eg, bronchodilator inhalers) with you in case of an asthma attack.
• Contact your doctor promptly if your short-acting inhaler use increases or if use exceeds the 24-hour maximum prescribed by your doctor. Contact your doctor if your asthma worsens.
• Do not decrease your dose or stop using Montelukast or other asthma medicines without first checking with your doctor.
• If your asthma is sensitive to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), continue to avoid those medicines as directed by your doctor.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor right away. You will need to discuss the benefits and risks of using Montelukast while you are pregnant. It is not known if Montelukast is found in breast milk. If you are or will be breast-feeding while you are using Montelukast , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Montelukast :

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:

Cough; dizziness; headache; indigestion; nausea; stomach upset or pain; stuffy nose; tiredness; trouble sleeping; weakness.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); aggressive behavior; agitation; dark urine; fever; flu-like symptoms; hallucinations; irregular heartbeat; new or worsening wheezing or other breathing problems; numbness or tingling of hands or feet; seizures; severe or persistent stomach pain; severe sinus inflammation; swelling; unusual bruising or bleeding; upper respiratory tract infection; yellowing of the skin or eyes.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Cefaclor is used for:

Treating infections caused by certain bacteria.

Cefaclor is a cephalosporin antibiotic. It kills sensitive bacteria by interfering with formation of the bacteria’s cell wall while it is growing. This weakens the cell wall and it ruptures, resulting in the death of the bacteria.

Do NOT use Cefaclor if:

• you are allergic to any ingredient in Cefaclor or any other cephalosporin antibiotic (eg, cephalexin)

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

Before using Cefaclor :

Some medical conditions may interact with Cefaclor. 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 diarrhea, a stomach infection, or a blood clotting disorder
• if you have phenylketonuria
• if you have had a severe allergic reaction (eg, a severe rash, hives, breathing difficulties, dizziness) to a penicillin antibiotic (eg, amoxicillin) or other beta-lactam antibiotic (eg, imipenem)

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

• Probenecid because it may increase the actions and side effects of Cefaclor
• Oral anticoagulants (eg, warfarin) because side effects, including risk of bleeding, may be increased by Cefaclor

This may not be a complete list of all interactions that may occur. Ask your health care provider if Cefaclor 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 Cefaclor:

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

• Cefaclor may be taken with or without food.
• Chew thoroughly before swallowing.
• To clear up your infection completely, continue using Cefaclor for the full course of treatment, even if you feel better in a few days.
• Cefaclor works best if it is taken at the same time(s) each day.
• If you miss a dose of Cefaclor , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

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

Important safety information:

• Cefaclor is effective only against bacteria. It is not effective for treating viral infections (eg, the common cold)
• Long-term or repeated use of Cefaclor may cause a second infection. Your doctor may want to change your medicine to treat the second infection. Contact your doctor if signs of a second infection occur.
• It is important to use Cefaclor for the full course of treatment. Failure to do so may decrease the effectiveness of this treatment and may increase the risk that the bacteria will no longer be sensitive to Cefaclor and it will not be able to be treated by this or certain other antibiotics in the future.
• If severe diarrhea, stomach pain/cramps, or bloody stools occurs, contact your doctor immediately. This could be a symptom of a serious side effect requiring immediate medical attention. Do not treat diarrhea without consulting your doctor.
• It is important to use Cefaclor for the full course of treatment. Failure to do so may decrease the effectiveness of this treatment and may increase the risk that the bacteria will no longer be sensitive to Cefaclor and it will not be able to be treated by this or certain other antibiotics in the future.
• Phenylketonuria patients – Cefaclor contains phenylalanine.
• Diabetes patients – Cefaclor may cause false test results with some urine glucose tests. Check with your doctor before you adjust the dose of your diabetes medicine or change your diet.
• Use Cefaclor with caution in the ELDERLY since they may be more sensitive to its effects.
• PREGNANCY AND BREAST-FEEDING: If you plan on becoming pregnant, discuss with your doctor the benefits and risks of using Cefaclor during pregnancy. Cefaclor is excreted in breast milk. If you are or will be breast-feeding while you are using Cefaclor , check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Cefaclor :

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:

Headache; mild diarrhea; nausea; sinus infection; tiredness; vomiting.

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

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue; itching); bloody stools; fever; seizures; severe diarrhea; stomach cramps/pain; urge to have a bowel movement; vaginal irritation or discharge.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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Clarithromycin is used for:

Treating infections caused by certain bacteria.

Clarithromycin is a macrolide antibiotic. It works by stopping the growth of or killing sensitive bacteria by reducing the production of important proteins needed by the bacteria to survive.

Do NOT use Clarithromycin if:

• you are allergic to any ingredient in Clarithromycin or any other macrolide (eg, erythromycin)
• you are taking cisapride, cyclosporine, dofetilide, eletriptan, ergot alkaloids (eg, ergotamine, dihydroergotamine), H₁ antagonists (eg, terfenadine, astemizole), pimozide, QT-prolonging agents (eg, quinidine, sotalol, thioridazine), quinolones (eg, ciprofloxacin), or sumatriptan

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

Before using Clarithromycin :

Some medical conditions may interact with Clarithromycin. 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 diarrhea, a stomach infection, a blood disorder, severe kidney problems, or liver problems

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

• Rifampin because it may decrease Clarithromycin ’s effectiveness
• Dofetilide, macrolides and ketolides (eg, erythromycin, azithromycin), pimozide, QT-prolonging agents (eg, quinidine, sotalol, thioridazine), quinolones (eg, ciprofloxacin), or streptogramins (eg, mikamycin) because serious, possibly life-threatening side effects on the heart or irregular heartbeat may occur
• Anticoagulants (eg, warfarin), aldosterone blockers (eg, spironolactone), benzodiazepines (eg, alprazolam), buspirone, carbamazepine, cilostazol, cisapride, colchicine, corticosteroids (eg, hydrocortisone), cyclosporine, digoxin, disopyramide, eletriptan, ergot alkaloids (eg, ergotamine, dihydroergotamine), H₁ antagonists (eg, terfenadine, astemizole), HMG-CoA reductase inhibitors (eg, simvastatin), imatinib, macrolide immunosuppressants (eg, tacrolimus), macrolides and ketolides (eg, erythromycin, azithromycin), phosphodiesterase type-5 inhibitors (eg, sildenafil), rifampin, sumatriptan, theophyllines, or verapamil because the actions and side effects of these medicines may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if Clarithromycin 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 Clarithromycin :

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

• Take Clarithromycin by mouth with or without food.
• Clarithromycin works best if it is taken at the same time each day.
• Continue to take Clarithromycin even if you feel well. Do not miss any doses.
• Do not miss any doses. If you miss a dose of Clarithromycin , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

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

Important safety information:

• Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• Clarithromycin only works against bacteria; it does not treat viral infections (eg, the common cold).
• Long-term or repeated use of Clarithromycin may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• Be sure to use Clarithromycin for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Lab tests, including complete blood counts, may be performed while you use Clarithromycin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Clarithromycin should not be used in CHILDREN younger than 6 months old; safety and effectiveness in these children have not been confirmed.
• PREGNANCY and BREAST-FEEDING: This medicine has been shown to cause harm to the fetus. Clarithromycin is not recommended for use during pregnancy except when no other antibiotics can be used. If you think you may be pregnant, contact your doctor. You will need to discuss the benefits and risks of using Clarithromycin while you are pregnant. It is not known if Clarithromycin is found in breast milk. If you are or will be breast-feeding while you use Clarithromycin , check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Clarithromycin :

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:

Abnormal taste; diarrhea; headache; indigestion; nausea; stomach discomfort; vomiting.

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); bloody stools; confusion; decreased urination; depression; emotional or mood changes; hallucinations; nightmares; severe diarrhea; severe stomach pain/cramps; trouble sleeping.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.

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