Aciphex

Aciphex decreases the amount of acid produced in the stomach.

Aciphex is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome. Aciphex is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).

Aciphex may also be given with an antibiotic to prevent gastric ulcer caused by infection with helicobacter pylori (H. pylori).

Aciphex may also be used for purposes other than those listed in this medication guide.

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

You should not use Aciphex if you are allergic to rabeprazole or to similar medicines such as lansoprazole (Prevacid), esomeprazole (Nexium), omeprazole (Prilosec, Zegerid), or pantoprazole (Protonix).

Some conditions are treated with a combination of Aciphex and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.

Take Aciphex for the entire length of time prescribed by your doctor. Your symptoms may get better before your treatment is completed.

What should I discuss with my healthcare provider before taking Aciphex?

You should not use Aciphex if you are allergic to rabeprazole or to similar medicines such as lansoprazole (Prevacid), esomeprazole (Nexium), omeprazole (Prilosec, Zegerid), or pantoprazole (Protonix).

Before taking Aciphex, tell your doctor if you are allergic to any drugs or if you have severe liver disease. You may need a dose adjustment or special tests to safely take Aciphex.

Some conditions are treated with a combination of Aciphex and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Aciphex 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.

How should I take Aciphex?

Take Aciphex exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Aciphex is usually given for 4 to 8 weeks only. Your doctor may recommend a second course of treatment if you need additional healing time.

When treating H. pylori infection, Aciphex may be needed for only 7 days. Follow your doctor's instructions.

Take this medicine with a full glass (8 ounces) of water.

Aciphex may be taken with or without food.

Do not crush, break, or chew a Aciphex tablet. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or crushing the pill would cause too much of the drug to be released at one time. Take Aciphex for the entire length of time prescribed by your doctor. Your symptoms may get better before your treatment is completed. Store Aciphex at room temperature away from moisture and heat.

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, wait until then to take the medicine and skip the missed dose. 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.

Symptoms of a Aciphex overdose are not known.

What should I avoid while taking Aciphex?

Follow your doctor's instructions about any restrictions on food, beverages, or activity while you are using Aciphex.

Aciphex 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.

Less serious side effects may include:

• headache;

• upset stomach or diarrhea;

• insomnia or nervousness; or

• a rash or itching.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Aciphex?

The following drugs can interact with Aciphex. Tell your doctor if you are using any of these:

• a blood thinner such as warfarin (Coumadin);

• ketoconazole (Nizoral); or

• cyclosporine (Sandimmune, Neoral).

This list is not complete and there may be other drugs that can interact with Aciphex. 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.

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Aceon

Aceon is in a group of drugs called ACE inhibitors. ACE stands for angiotensin converting enzyme.

Aceon is used to treat high blood pressure (hypertension) and to prevent heart attack in people with coronary artery disease.

Aceon may also be used for purposes other than those listed in this medication guide.

Important information about Aceon

Do not use Aceon without telling your doctor if you are pregnant or planning a pregnancy. Aceon could cause birth defects in the baby if you take the medication during pregnancy. Use an effective form of birth control. Stop using Aceon and tell your doctor right away if you become pregnant during treatment. Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of perindopril. Do not use salt substitutes or potassium supplements while taking perindopril, unless your doctor has told you to.

Vomiting, diarrhea, or heavy sweating can cause you to become dehydrated. This can lead to very low blood pressure, electrolyte disorders, or kidney failure while you are taking Aceon. Drink plenty of water each day while you are taking Aceon.

Before taking Aceon

Do not use this medication if you are allergic to Aceon or to any other ACE inhibitor, such as benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik).

Before using Aceon, tell your doctor if you are allergic to any drugs, or if you have:

• kidney disease (or if you are on dialysis);

• liver disease;

• heart disease or congestive heart failure;

• diabetes; or

• a connective tissue disease such as Marfan syndrome, Sjogrens syndrome, lupus, scleroderma, or rheumatoid arthritis.

If you have any of these conditions, you may not be able to use Aceon, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category D. Do not use Aceon without telling your doctor if you are pregnant or planning a pregnancy. Aceon could cause birth defects in the baby if you take the medication during pregnancy. Use an effective form of birth control. Stop using this medication and tell your doctor right away if you become pregnant during treatment. It is not known whether Aceon 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.

How should I take Aceon?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Take each dose with a full glass of water.

Aceon can be taken with or without food.

Vomiting, diarrhea, or heavy sweating can cause you to become dehydrated. This can lead to very low blood pressure, electrolyte disorders, or kidney failure while you are taking Aceon. Drink plenty of water each day while you are taking this medication.

To be sure this medication is helping your condition, your blood pressure will need to be checked on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled visits to your doctor.

If you need to have any type of surgery, tell the surgeon ahead of time that you are taking Aceon. You may need to stop using the medicine for a short time.

If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

Store Aceon at room temperature away from moisture and heat.

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. Symptoms of a Aceon overdose may include feeling extremely dizzy or light-headed, or fainting.

What should I avoid while taking Aceon?

Avoid drinking alcohol. It can further lower your blood pressure and may increase some of the side effects of Aceon. Do not use salt substitutes or potassium supplements while taking Aceon, unless your doctor has told you to.

Aceon side effects

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

• feeling light-headed, fainting;

• urinating more or less than usual, or not at all;

• fever, chills, body aches, flu symptoms;

• pale skin, easy bruising or bleeding;

• tired feeling, muscle weakness, and pounding or uneven heartbeats;

• swelling, rapid weight gain;

• chest pain; or

• jaundice (yellowing of the skin or eyes).

Less serious side effects may be more likely to occur, such as:

• cough, stuffy nose;

• muscle or joint pain;

• dizziness, drowsiness, headache;

• sleep problems (insomnia);

• diarrhea, upset stomach; or

• mild skin itching or rash.

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 other drugs will affect Aceon?

Before taking Aceon, tell your doctor if you are taking any of the following drugs:

• lithium (Lithobid, Eskalith);

• a potassium supplement such as K-Dur, Klor-Con;

• salt substitutes that contain potassium; or

• a diuretic (water pill).

If you are using any of these drugs, you may not be able to use Aceon or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect Aceon. 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.

Where can I get more information?

• Your pharmacist has information about Aceon written for health professionals that you may read.

What does my medication look like?

Perindopril is available with a prescription under the brand name Aceon. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• Aceon 2 mg oblong, white tablets

• Aceon 4 mg oblong, pink tablets

• Aceon 8 mg oblong, salmon-colored tablets

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Accutane

Accutane (Isotretinoin), an extremely powerful and potent acne-controlling medicine, is used in the treatment of moderate to severe acne that has failed other therapy.
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