WARNING You should call your doctor immediately if you develop any side effect while taking a drug. If you do develop side effects it is vitally important that you speak to your doctor before you stop taking your pills. Remember that this list of side effects isnít complete - you can develop virtually any side effect with virtually any drug - and remember too that some of these side effects are quite uncommon and many patients can take a drug without getting any side effects. Always follow your doctorís advice about how and when to take a drug - and if you are in any doubt at all then ask for a second opinion. The fact that one drug may be accompanied by a long list of possible side effects does not mean that it is necessarily more or less dangerous or more or less likely to produce problems than a drug which has a shorter list of possible side effects.



DAKTACORT

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the topical treatment of inflamed dermatoses where infection by susceptible organisms and inflammation coexist e.g. intertrigo and infected eczema. For moist or dry eczema or dermatitis including atopic eczema, primary irritant or contact allergic eczema or seborrhoeic eczema including that associated with acne. Also for intertriginous eczema including inframammary intertrigo, perianal and genital dermatitis.

HOW IT IS PRESCRIBED: The cream or ointment should usually be applied topically to the affected area two or three times daily.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Local sensitivity reactions.


DAONIL

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the oral treatment of patients with non-insulin dependent diabetes who respond inadequately to dietary measure alone.

HOW IT IS PRESCRIBED: Usually with treatment of previously untreated diabetics stabilisation can be started with one 5 mg tablet of Daonil daily. The dose should be taken by mouth, with or immediately after breakfast or the first main meal. Where control is satisfactory, one tablet is continued as the maintenance dose. If control is unsatisfactory, the dose can be adjusted.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Mild gastro-intestinal or allergic skin reactions; cross sensitivity to sulphonamides or their derivatives may occur; transient visual disturbances may occur at the start of treatment; reversible leucopenia and thrombocytopenia; agranulocytosis, pancytopenia and haemolytic anaemia; disturbances of liver function and cholestatic jaundice. Hypoglycaemic symptoms have occasionally been reported when the dose has been administered without due regard to the patientís dietary habits.


DEXFENFLURAMINE

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: To help weight loss in severe obesity.

HOW IT IS PRESCRIBED: Usually twice a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Dry mouth, nausea, constipation, diarrhoea, drowsiness, dizziness, urinary frequency, headache, mood disturbances, weakness, insomnia, symptoms of depression, nervousness and conjunctivitis.


DHC CONTINUS TABLETS

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of chronic severe pain.

HOW IT IS PRESCRIBED: Depending on the strength of the tablet, one or two tablets, 12-hourly.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Constipation, nausea, vomiting, headache, vertigo and urinary retention.


DIAMICRON

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of maturity onset diabetes mellitus.

HOW IT IS PRESCRIBED: The dose should be adjusted according to the individual patient's response, commencing with one half to one tablet and increasing until adequate control is achieved.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Hypoglycaemia; abnormalities of hepatic function, hepatic failure, hepatitis, and jaundice; nausea, dyspepsia, diarrhoea and constipation, (this type of adverse reaction can be avoided if Diamicron is taken during a meal); skin reactions including rash, pruritus, erythema, bullous eruption; blood dyscrasia including anaemia, leucopenia, thrombocytopenia and granulocytopenia.


DIAZEPAM

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: Commonly used in the short-term (two-four weeks) symptomatic treatment of anxiety that is severe, disabling or subjecting the individual to unacceptable distress, occurring alone or in association with insomnia or short-term psychosomatic, organic or psychotic illness. And short-term (two-four weeks) treatment of conditions where anxiety may be a precipitating or aggravating factor, e.g. tension headaches or migraine attacks.

HOW IT IS PRESCRIBED: The usual dose is 2 mg three times daily. the maximum dose is up to 30 mg daily in divided doses. For insomnia associated with anxiety, 5 mg to 15 mg before retiring. The lowest dose which can control symptoms should be used. Treatment should not be continued at the full dose beyond four weeks. Long-term chronic use is not recommended. Treatment should always be tapered off gradually. Patients who have taken benzodiazepines for a prolonged time may require a longer period during which doses are reduced. Specialist help may be appropriate. When given to elderly or debilitated patients doses should not exceed half those normally recommended.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Like all medicaments of this type, diazepam may modify patients' performance at skilled tasks (driving, operating machinery, etc.) to a varying degree depending on dosage, administration and individual susceptibility; alcohol may intensify any impairment and should, therefore, be avoided during treatment; diazepam should not be used alone to treat depression or anxiety.


DICLOFENAC

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of all grades of pain and inflammation in a wide range of conditions, including arthritic conditions rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gout; acute musculo-skeletal disorders such as periarthritis (e.g. frozen shoulder), tendinitis, tenosynovitis, bursitis; other painful conditions resulting from trauma, including fracture, low back pain, sprains, strains, dislocations, orthopaedic, dental and other minor surgery.

HOW IT IS PRESCRIBED: More suitable for short-term use in acute conditions for which treatment is required for no more than three months. There is no information on the use of diclofenac for more than three months. Usually taken two or three times a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Epigastric pain, other gastro-intestinal disorders (e.g. nausea, vomiting, diarrhoea, abdominal cramps, dyspepsia, flatulence, anorexia); gastro-intestinal bleeding, peptic ulcer (with or without bleeding or perforation), bloody diarrhoea; lower gut disorders (e.g. non-specific haemorrhagic colitis and exacerbations of ulcerative colitis or crohn's proctocolitis), pancreatitis, aphthous stomatitis, glossitis, oesophageal lesions, constipation; headache, dizziness, or vertigo; drowsiness, tiredness; disturbances of sensation, paraesthesia, memory disturbance, disorientation, disturbance of vision (blurred vision, diplopia), impaired hearing, tinnitus, insomnia, irritability, convulsions, depression, anxiety, nightmares, tremor, psychotic reactions; taste alteration disorders; rashes or skin eruptions, urticaria; bullous eruptions, eczema, erythema multiforme, Stevens-Johnson Syndrome, Lyell's Syndrome, (acute toxic epidermolysis), erythroderma (exfoliative dermatitis), loss of hair, photosensitivity reactions, purpura including allergic purpura; acute renal insufficiency, urinary abnormalities (e.g. haematuria, proteinuria), interstitial nephritis, nephrotic syndrome, papillary necrosis; liver problems including hepatitis (in isolated cases fulminant) with or without jaundice; thrombocytopenia, leucopenia, agranulocytosis, haemolytic anaemia, aplastic anaemia; oedema, hypersensitivity reactions (e.g. bronchospasm, anaphylactic/anaphylactoid systemic reactions including hypotension); impotence, palpitation, chest pain, hypertension.


DIFLUNISAL

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of pain

HOW IT IS PRESCRIBED: Usually two or three times a day

POSSIBLE SIDE EFFECTS MAY INCLUDE: Gastro-intestinal pain, dyspepsia, diarrhoea, nausea, rash, headache, vomiting, constipation, flatulence, dizziness, somnolence, insomnia, tinnitus, fatigue, peptic ulcer, gastro-intestinal bleeding, anorexia, jaundice, liver problems, gastritis, pruritus, sweating, kidney problems, vertigo, lightheadedness, nervousness, depression, hallucinations, confusion, blood problems, blurred vision.


DIGOXIN

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of heart failure.

HOW IT IS PRESCRIBED: Dosage tailored for each patient's needs.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Anorexia, nausea, vomiting, diarrhoea, breast enlargement in men, weakness, apathy, fatigue, malaise, headache, visual disturbances, depression, psychosis, skin rashes, heart irregularities.


DILTIAZEM

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the management of angina pectoris.

HOW IT IS PRESCRIBED: Usually three times a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Nausea, headache, skin rashes, oedema of the ankles, flushing, bradycardia.


DILZEM

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the management of angina pectoris and treatment of mild to moderate hypertension.

HOW IT IS PRESCRIBED: Usually twice a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Nausea, headache, skin rashes, oedema of the legs, flushing, bradycardia; anorexia.


DISTALGESIC

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of mild to moderate pain.

HOW IT IS PRESCRIBED: Usually two tablets three or four times daily. Patients should not normally exceed the recommended dose. Fatalities within the first hour of overdosage are not uncommon and can occur within 15 minutes. Some deaths have occurred as a consequence of the accidental ingestion of excessive quantities of this drug alone, or in combination with other drugs.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Dizziness, sedation, nausea and vomiting; constipation, abdominal pain, rashes, light-headedness, headache, weakness, euphoria, dysphoria, hallucinations and minor visual disturbances. Distalgesic is not suitable for patients who are suicidal or addiction-prone. When taken in higer than recommended doses over long periods of time the drug can produce drug dependence.


DOLOBID

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of pain.

HOW IT IS PRESCRIBED: Usually two or three times a day

POSSIBLE SIDE EFFECTS MAY INCLUDE: Gastro-intestinal pain, dyspepsia, diarrhoea, nausea, rash, headache, vomiting, constipation, flatulence, dizziness, somnolence, insomnia, tinnitus, fatigue, peptic ulcer, gastro-intestinal bleeding, anorexia, jaundice, liver problems, gastritis, pruritus, sweating, kidney problems, vertigo, lightheadedness, nervousness, depression, hallucinations, confusion, blood problems, blurred vision.


DOTHIEPIN

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of symptoms of depressive illness, especially where an anti-anxiety effect is required.

HOW IT IS PRESCRIBED: Divided doses or a single dose at night. A daily dose given as a single night-time dose is sometimes more effective and even better tolerated than the conventional divided day-time dosage. There is evidence that this single night-time dose improves the sleep pattern of the depressed patient.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Atropine-like side-effects including dry mouth, disturbances of accommodation, tachycardia, constipation and hesitancy of micturition; drowsiness, sweating, postural hypotension, tremor and skin rashes; interference with sexual function; depression of the bone marrow, agranulocytosis, hepatitis (including altered liver function), cholestatic jaundice, hypomania and convulsions; psychotic manifestations, including mania and paranoid delusions may be exacerbated during treatment with tricyclic antidepressants. Withdrawal symptoms may occur on abrupt cessation of tricyclic therapy and include insomnia, irritability and excessive perspiration. Similar symptoms in newborn babies whose mothers received tricyclic antidepressants during the third trimester have also been reported. Cardiac arrhythmias and severe hypotension are likely to occur with high dosage or in deliberate overdosage. They may also occur in patients with pre-existing heart disease taking normal dosage. Patients likely to drive vehicles or operate machinery should be warned that the drug may impair altertness. It is recommended that antidepressants should be withdrawn gradually. The elderly are particularly likely to experience adverse reactions to antidepressants, especialy agitation, confusion and postural hypotension.


DOXAZOSIN

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of high blood pressure.

HOW IT IS PRESCRIBED: Once a day.

POSSIBLE SIDE EFFECTS INCLUDE: Dizziness, vertigo, fatigue, headache, asthenia, fatigue and oedema.


DYAZIDE

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of mild to moderate hypertension, alone or in combination with other anti-hypertensive drugs. It is also used to control oedema in cardiac failure, cirrhosis of the liver or the nephrotic syndrome and in that associated with corticosteroid treatment.

HOW IT IS PRESCRIBED: Dependent on the reason itís taken. For hypertension initially one tablet a day after the morning meal, thereafter adjusted to the patient's needs. In oedema the usual starting dose is one tablet twice a day after meals. The maintenance dosage is usually one tablet a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Nausea, vomiting, diarrhoea, muscle cramps, weakness, dizziness, headache, dry mouth, thirst, undesirable decreases in blood pressure and rash; photosensitivity; anaphylaxis.


DYSPAMET

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of ulcers in the stomach and duodenum.

HOW IT IS PRESCRIBED: Usually once or twice a day for at least a month.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Diarrhoea, dizziness, rash, tiredness, swollen breasts in men, liver damage.





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