Zegerid

Generic Name: omeprazole and sodium bicarbonate (oh ME pray zol and SO dee um by KAR bon ate)

Brand Names: Zegerid

What is omeprazole and sodium bicarbonate?

Omeprazole is a proton pump inhibitor that decreases the amount of acid your stomach produces. Sodium bicarbonate is an antacid that raises the pH in your stomach to keep the omeprazole from breaking down in stomach acid.

Omeprazole and sodium bicarbonate is used to treat ulcers, gastroesophageal reflux disease (GERD), and other conditions involving excessive stomach acid production.

Omeprazole and sodium bicarbonate is not for immediate relief of heartburn symptoms.

Omeprazole and sodium bicarbonate may also be used for purposes not listed in this medication guide.

What is the most important information I should know about omeprazole and sodium bicarbonate?

Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, and a general ill feeling.

Omeprazole and sodium bicarbonate is not for immediate relief of heartburn symptoms.

Omeprazole and sodium bicarbonate can change the way your body absorbs or eliminates certain other drugs. Tell your doctor about all the prescription and over-the-counter medications you use.

This medication contains sodium bicarbonate, a form of salt. If you are on a low-salt or low-sodium diet, you may not be able to use omeprazole and sodium bicarbonate. Talk with your doctor.

Take this medicine on an empty stomach, at least 1 hour before eating a meal. If this medicine is given to a person who is fed through a nasogastric (NG) tube, the feeding should be stopped at least 3 hours before giving the medicine. Do not restart nasogastric feeding for at least 1 hour after giving omeprazole and sodium bicarbonate.

Take the capsule or powder for oral suspension only with water. Do not use any other type of liquid or food.

The 20-mg and the 40-mg forms of this medicine contain the same strength of sodium bicarbonate. Do not use two 20-mg capsules to equal one 40-mg capsule. Do not use two 20-mg powder packets to equal one 40-mg powder packet. If you do not use the exact capsule or powder packet your doctor has prescribed, you may receive too much sodium bicarbonate.

What should I discuss with my health care provider before taking omeprazole and sodium bicarbonate?

Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, and a general ill feeling.

This medication contains sodium bicarbonate, a form of salt. Each capsule contains the equivalent of 300 mg of sodium. Each packet of powder contains the equivalent of 460 mg of sodium. If you are on a low-salt or low-sodium diet, you may not be able to use omeprazole and sodium bicarbonate. Talk with your doctor.

To make sure you can safely take omeprazole and sodium bicarbonate, tell your doctor if you have any of these other conditions:

• 
  

  metabolic or respiratory alkalosis (usually after prolonged illness); or

  
  


• 
  

  low levels of calcium, magnesium, or potassium levels in your blood.

  
  

Taking a proton pump inhibitor such as omeprazole may increase your risk of bone fracture in the hip, wrist, or spine. This effect has occurred mostly in people who have taken the medication long term or at high doses, and in those who are age 50 and older. It is not clear whether omeprazole is the actual cause of an increased risk of fracture. Before you take this medication, tell your doctor if you have osteoporosis or osteopenia (low bone mineral density). FDA pregnancy category C. It is not known whether omeprazole and sodium bicarbonate will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Omeprazole 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 omeprazole and sodium bicarbonate?

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.

Take this medicine on an empty stomach, at least 1 hour before eating a meal. If this medicine is given to a person who is fed through a nasogastric (NG) tube, the feeding should be stopped at least 3 hours before giving the medicine. Do not restart nasogastric feeding for at least 1 hour after giving omeprazole and sodium bicarbonate. Take the omeprazole and sodium bicarbonate capsule with a full glass of water. Do not use any other type of liquid or food. Do not open the capsule or empty the medicine powder from it. Swallow the capsule whole.

To use the powder form of this medicine, open a packet and pour all of the powder into a small cup with 1 or 2 tablespoons of water. Do not use any other type of liquid. Stir the mixture and drink it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.

The 20-mg and the 40-mg forms of this medicine contain the same strength of sodium bicarbonate. Do not use two 20-mg capsules to equal one 40-mg capsule. Do not use two 20-mg powder packets to equal one 40-mg powder packet. If you do not use the exact capsule or powder packet your doctor has prescribed, you may receive too much sodium bicarbonate. 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 confusion, drowsiness, blurred vision, fast heartbeat, sweating, dry mouth, nausea or vomiting.

What should I avoid while taking omeprazole and sodium bicarbonate?

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

Omeprazole and sodium bicarbonate 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 at once if you have any of these serious side effects:

• 
  

  easy bruising or bleeding, unusual weakness;

  
  


• 
  

  fast or slow heartbeats; or

  
  


• 
  

  low magnesium (dizziness, confusion, fast or uneven heart rate, jerking muscle movements, jittery feeling, muscle cramps, muscle weakness or limp feeling, cough or choking feeling, seizure).

  
  

Less serious side effects may include:

• 
  

  headache;

  
  


• 
  

  nausea, stomach pain;

  
  


• 
  

  diarrhea or constipation;

  
  


• 
  

  white patches or sores inside your mouth or on your lips; or

  
  


• 
  

  mild fever.

  
  

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 omeprazole and sodium bicarbonate?

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

• 
  

  ampicillin (Principen, Unasyn);

  
  


• 
  

  atazanavir (Reyataz);

  
  


• 
  

  cilostazol (Pletal);

  
  


• 
  

  clarithromycin (Biaxin);

  
  


• 
  

  clopidogrel (Plavix);

  
  


• 
  

  cyclosporine (Neoral, Sandimmune, Gengraf);

  
  


• 
  

  diazepam (Valium) or similar sedatives;

  
  


• 
  

  digoxin (Lanoxin, Lanoxicaps);

  
  


• 
  

  disulfiram (Antabuse);

  
  


• 
  

  a diuretic (water pill);

  
  


• 
  

  iron supplements;

  
  


• 
  

  ketoconazole (Nizoral);

  
  


• 
  

  phenytoin (Dilantin);

  
  


• 
  

  tacrolimus (Prograf); or

  
  


• 
  

  warfarin (Coumadin, Jantoven).

  
  

This list is not complete and other drugs may interact with omeprazole and sodium bicarbonate. 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 Zegerid resources

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

• Zegerid Prescribing Information (FDA)


• Zegerid Advanced Consumer (Micromedex) - Includes Dosage Information


• Zegerid MedFacts Consumer Leaflet (Wolters Kluwer)


• Zegerid Consumer Overview


• Zegerid OTC Consumer Overview


• Zegerid OTC MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Zegerid with other medications

• Duodenal Ulcer
• Erosive Esophagitis
• Gastrointestinal Hemorrhage
• GERD
• Stomach Ulcer

Where can I get more information?

• Your pharmacist can provide more information about omeprazole and sodium bicarbonate.

See also: Zegerid side effects (in more detail)

Bigeloil

Dosage Form: FOR ANIMAL USE ONLY
Bigeloil®

The Professional Liniment

Can be used before, during and after competition

Can also be used on dogs

Indications

For temporary relief of minor pain and swelling from sprains, strains, bruises, arthritis, overworked muscles and minor wounds.

Directions for Use

Rub onto sore area 2 to 3 times a day. For faster relief, rub with hair and wrap or blanket, especially overnight. Body Wash: mix 2 to 4 oz. with 1 gal. water, apply with sponge, avoid eyes. Brace: mix 2 to 3 oz. with 1 quart water, apply with sponge to warm horse up before workout, avoid eyes and saddle area. Arthritis: rub onto knees, hocks and fetlocks before workout, apply again at night and lightly wrap. Antiseptic: for minor wounds and skin irritations, apply full strength without rubbing.

Caution: Avoid contact with eyes and mucous membranes. Stop using if skin irritation develops or symptoms persist for more than 10 days. For severe injuries consult a veterinarian. For external use only. Keep out of reach of children.

Warning

Flammable. Keep away from fire, sparks and heated surfaces. Store at room temperature. For animal use only.

Active Ingredients

Menthol 1.25% W/W.

Other Ingredients

Alcohol, D&C Green #5, FD&C Yellow #5, Fragrance, Juniperberry Oil, Methyl Salicylate, Salicylic Acid, Thymol and Purified Water.

Distributed by:

W. F. Young, Inc.

302 Benton Drive

E. Longmeadow, MA 01028 USA

© WFY

www.absorbine.com

RM 342328-3

PRINCIPAL DISPLAY PANEL - 473 mL Bottle Label

Bigeloil®

THE PROFESSIONAL'S LINIMENT

• Reduces Pain & Swelling of Sore

Muscles, Joints, Legs & Arthritis

• Excellent Under Wraps

TOPICAL PAIN

RELIEF LIQUID

16 fl oz. (473 mL)

Bigeloil  menthol  liquid

Product Information Product Type OTC ANIMAL DRUG NDC Product Code (Source) 11444-130 Route of Administration TOPICAL DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength Menthol (Menthol) Menthol 1.25 g  in 115 mL

Inactive Ingredients Ingredient Name Strength Alcohol   D&C Green NO. 5   FD&C Yellow NO. 5   Methyl Salicylate   Salicylic Acid   Thymol   Water

Product Characteristics Color      Score      Shape Size Flavor Imprint Code Contains

Packaging # NDC Package Description Multilevel Packaging 1 11444-130-01 473 mL In 1 BOTTLE, PLASTIC None 2 11444-130-02 946 mL In 1 BOTTLE, PLASTIC None 3 11444-130-03 3785 mL In 1 BOTTLE, PLASTIC None

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Unapproved drug other		01/01/1997

Labeler - W. F. Young, Inc. (001114669)

Revised: 05/2010W. F. Young, Inc.

Artelac

Artelac may be available in the countries listed below.

UK matches:

• Artelac 10ml hypromellose 0.32% with preservative (SPC)
• Artelac SDU preservative free hypromellose 0.32% (SPC)

Ingredient matches for Artelac

Hypromellose

Hypromellose is reported as an ingredient of Artelac in the following countries:

• Argentina


• Austria


• Belgium


• Bulgaria


• Denmark


• Estonia


• Finland


• France


• Germany


• Iceland


• Ireland


• Latvia


• Lithuania


• Luxembourg


• Norway


• Peru


• Poland


• Portugal


• Slovenia


• Sweden


• United Kingdom

Hypromellose phthalate (a derivative of Hypromellose) is reported as an ingredient of Artelac in the following countries:

• Taiwan

International Drug Name Search

Glossary

SPC	Summary of Product Characteristics (UK)

Click for further information on drug naming conventions and International Nonproprietary Names.

Bislan

Bislan may be available in the countries listed below.

Ingredient matches for Bislan

Bromhexine

Bromhexine hydrochloride (a derivative of Bromhexine) is reported as an ingredient of Bislan in the following countries:

• Singapore

International Drug Name Search

Treosulfan

UK matches:

• Treosulfan Capsules 250 mg (Medac UK) (SPC)
• Treosulfan Injection (medac UK) (SPC)

Scheme

Rec.INN

ATC (Anatomical Therapeutic Chemical Classification)

L01AB02

CAS registry number (Chemical Abstracts Service)

0000299-75-2

Chemical Formula

C6-H14-O8-S2

Molecular Weight

278

Therapeutic Category

Antineoplastic agent, alkylating agent

Chemical Name

1,2,3,4-Butanetetrol, 1,4-dimethanesulfonate, [S-(R*,R*)]-

Foreign Names

• Treosulfanum (Latin)
• Treosulfan (German)
• Tréosulfan (French)
• Treosulfano (Spanish)

Generic Names

• Treosulfan (OS: BAN)
• Dihydroxybusulfan (IS)

Brand Names

• Ovastat
  Medac, Germany



• Treosulfan Medac
  Meda, Iceland; Medac, Denmark



• Treosulfan
  Medac, United Kingdom

International Drug Name Search

Glossary

BAN	British Approved Name
IS	Inofficial Synonym
OS	Official Synonym
Rec.INN	Recommended International Nonproprietary Name (World Health Organization)
SPC	Summary of Product Characteristics (UK)

Click for further information on drug naming conventions and International Nonproprietary Names.

Doxazosin Heumann

Doxazosin Heumann may be available in the countries listed below.

Ingredient matches for Doxazosin Heumann

Doxazosin

Doxazosin mesilate (a derivative of Doxazosin) is reported as an ingredient of Doxazosin Heumann in the following countries:

• Germany

International Drug Name Search

Biospec DMX Elixir

Pronunciation: DEX-troe-meth-OR-fan/gwye-FEN-e-sin
Generic Name: Dextromethorphan/Guaifenesin
Brand Name: Examples include Biospec DMX and Robitussin DM

Biospec DMX Elixir is used for:

Temporarily relieving cough due to the common cold, upper respiratory tract infections, sinus inflammation, sore throat, or bronchitis.

Biospec DMX Elixir is a combination of an expectorant (guaifenesin) and a cough suppressant (dextromethorphan). It works by loosening mucus and lung secretions in the chest and making coughs more productive.

Do NOT use Biospec DMX Elixir if:

• you are allergic to any ingredient in Biospec DMX Elixir


• you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, selegiline) within the last 14 days


• you are taking a selective serotonin reuptake inhibitor (SSRI) (eg, fluoxetine)

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

Before using Biospec DMX Elixir:

Some medical conditions may interact with Biospec DMX Elixir. 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 have chronic cough, chronic bronchitis, or any breathing problems, such as asthma, emphysema, or chronic obstructive pulmonary disease (COPD)

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

• MAOIs (eg, selegiline) and SSRIs (eg, fluoxetine) because the risk of toxic side effects may be increased by Biospec DMX Elixir

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

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

• Take Biospec DMX Elixir by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.


• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure this dose.


• To help Biospec DMX Elixir work, drink plenty of extra fluids while taking Biospec DMX Elixir, unless your health care provider instructed otherwise.


• If you miss a dose of Biospec DMX Elixir and you are taking it regularly, 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.

Ask your health care provider any questions you may have about how to use Biospec DMX Elixir.

Important safety information:

• Biospec DMX Elixir may cause drowsiness, dizziness, blurred vision, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use Biospec DMX Elixir with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.


• If your cough lasts for more than 1 week or comes back, or if you also have a fever, rash, or persistent headache, contact your health care provider. A persistent cough could be a sign of a serious condition.


• Biospec DMX Elixir has dextromethorphan in it. Before you start any new medicine, check the label to see if it has dextromethorphan in it too. If it does or if you are not sure, check with your doctor or pharmacist.


• Diabetes patients - Some brands of Biospec DMX Elixir may contain sugar. This may affect your blood sugar level. Read the label carefully before using Biospec DMX Elixir.


• Biospec DMX Elixir should not be used in CHILDREN younger than 2 years old; safety and effectiveness in these children have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Biospec DMX Elixir while you are pregnant. It is not known if Biospec DMX Elixir is found in breast milk. Do not breast-feed while taking Biospec DMX Elixir.

Possible side effects of Biospec DMX Elixir:

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:

Dizziness; drowsiness; 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).

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: Biospec DMX 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 confusion; excitement; hallucinations; slowed breathing.

Proper storage of Biospec DMX Elixir:

Store Biospec DMX Elixir at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), away from heat, moisture, and light. Do not store in the bathroom. Keep Biospec DMX Elixir out of the reach of children and away from pets.

General information:

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


• Biospec DMX Elixir 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 Biospec DMX Elixir. 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 Biospec DMX resources

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

Compare Biospec DMX with other medications

• Cough
• Expectoration