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.



PAVACOL-D

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the symptomatic treatment of dry troublesome coughs.

HOW IT IS PRESCRIBED: For adults usually one or two 5 ml spoonfuls as required. The dosage varies for chidren according to their age.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Nausea, drowsiness and constipation. Cough supressants may cause sputum retention which can be harmful in patients with chronic bronchitis and bronchiectasis.


PHYLLOCONTIN CONTINUS

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment and prophylaxis of bronchospasm associated with asthma, emphysema and chronic bronchitis. Also indicated in adults for the treatment of cardiac asthma and left ventricular or congestive cardiac failure.

HOW IT IS PRESCRIBED: Usually every 12 hours; dosage is tailored according to patientís needs.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Nausea, gastric irritation, headache, palpitations, central nervous system stimulation.


PINDOLOL

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

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

POSSIBLE SIDE EFFECTS MAY INCLUDE: Depression, diarrhoea, headaches, sleep disturbance, epigastric pain, fatigue, dizziness, low blood pressure, allergic skin reactions, tremors, muscle cramps.


PIROXICAM

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For a variety of conditions requiring anti-inflammatory and/or analgesic activity, such as rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gout, acute musculoskeletal disorders and juvenile chronic arthritis.

HOW IT IS PRESCRIBED: Available as capsules, dispersible tablets, suppositories and intramuscular injection.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Stomatitis, anorexia, epigastric distress, nausea, constipation, abdominal discomfort, flatulence, diarrhoea, abdominal pain and indigestion; peptic uleration, perforation and gastro-intestinal bleeding, in rare cases fatal. Ano-rectal reactions to suppositories have presented as local pain, burning, pruritus, tenesmus. Oedema, mainly of the ankle; possibility of precipitating congestive cardiac failure in elderly patients or those with compromised cardiac function; dizziness, headache, somnolence, insomnia, depression, nervousness, hallucinations, mood alterations, dream abnormalities, mental confusion, paraesthesias and vertigo; rash and pruritus; onycholysis and alopecia; photosensitivity reactions; toxic epidermal necrolysis (Lyell's Disease) and Stevens-Johnson Syndrome; vesiculo-bullous reactions; hypersensitivity reactions such as anaphylaxis, bronchospasm, urticaria/angioneurotic oedema, vasculitis and serum sickness; anaemia, thrombocytopenia, non-thrombocytopenic purpura (Henoch-Schoenlein), leucopenia and eosinophilia; aplastic anaemia, haemolytic anaemia and epistaxis; severe hepatic reactions, including jaundice and cases of fatal hepatitis; palpitations and dyspnoea; metabolic abnormalities such as hypoglycaemia, hyperglycaemia, weight increase or decrease; swollen eyes, blurred vision and eye irritations; malaise, tinnitus.


PLENDIL

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the managementhigh blood pressure.

HOW IT IS PRESCRIBED: Once a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Dizziness, fatigue, headache, ankle swelling, flushing, rash, palpitations, gingival enlargement.


PONSTAN

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the management of pain, heavy menstrual bleeding and painful periods.

HOW IT IS PRESCRIBED: Usually three times a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Diarrhoea; skin rash; gastrointestinal bleeding, ulceration and performatoin; kidney problems; blood problems; bronchospasm in patients suffering from, or with a previous history of bronchial asthma or allergic disease; liver problems; nausea, vomiting, abdominal pain, headache, facial oedema, anaphylaxis, drowsiness,dizziness.


PREDNESOL TABLETS

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of bronchial asthma, severe hypersensitivity reactions, anaphylaxis; rheumatoid arthritis, systemic lupus erythematosus, dermatomyositis, mixed connective tissue disease (excluding systemic sclerosis), polyarteritis nodosa; inflammatory skin disorders, including pemphigus vulgaris, bullous pemphigoid and pyoderma gangrenosum; minimal change nephrotic syndrome, acute interstitial nephritis; ulcerative colitis, Crohn's disease; sarcoidosis;rheumatic anaemia (autoimmune), acute and lymphatic leukaemia, malignant lymphoma, multiple myeloma, idiopathic thrombocytopenic purpura.

HOW IT IS PRESCRIBED: Varies greatly with condition and indviidual patient.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Weight gain, hirsutism, increased appetite, increased susceptibility and severity of infections; osteoporosis, fractures, glaucoma; duspepsia, peptic ulceration, acute pnacreatitis, striae, acne.


PREMPAK-C

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: Menopausal and postmenopausal oestrogen therapy in women with an intact uterus; for sweating and hot flushes; atrophic vaginitis, atrophic urethritis and prophylaxis of osteoporosis in women at risk of developing fractures.

HOW IT IS PRESCRIBED: For maintenance, the lowest effective dose.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Breakthrough bleeding, spotting, change in menstrual flow, dysmenorrhoea, premenstrual-like syndrome, amenhorrhoea, increase in size of uterine fibromyomata, vaginal candidiasis, change in cervical erosion and in degree of cervical secretion, cystisis-like syndrome; tender, enlarged breasts, breast secretions; nausea, vomiting, abdominal cramps, bloating, cholestatic jaundice; chloasma or melasma which may persist when drug is discontinued, erythema multiforme, erythema nodosum, haemorrhagic eruption, loss of scalp hair, hirsutism; steepening of corneal curvature, intolerance to contact lenses; headaches, migraine, dizziness, mental depression, chorea; increase or decrease in weight, reduced carbohydrate tolerance, aggravation of porphyria, oedema, changes in libido, leg cramps.


PREPULSID

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of dyspepsia, epigastric pain, bloating, heartburn, etc.

HOW IT IS PRESCRIBED: Usually three times a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Abdominal cramps, diarrhoea, headaches, lightheadedness.


PRESCAL

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

HOW IT IS PRESCRIBED: Usually twice a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Dizziness, flushing, headache, tachycardia, palpitations, weight gain, fatigue, abdominal discomfort, skin rash.


PRIADEL

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of mania, hypomania and some depression.

HOW IT IS PRESCRIBED: Usually once or twice a day.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Anorexia, diarrhoea, vomiting, muscle weakness, lack of coordination, drowsiness, lethargy, giddiness, tinnitus, blurred vision, tremor, muscle twitching.


PROCHLORPERAZINE

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of anxiety, vertigo, nausea, vomiting.

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

POSSIBLE SIDE EFFECTS MAY INCLUDE: Jaundice, low blood pressure, cardiac arrhythmias, respiratory depression, skin rashes.


PROFLEX CREAM

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the treatment of rheumatic and muscular pain, backache, sprains and strains.

HOW IT IS PRESCRIBED: Normally used as cream on the affected area.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Slight erythema and occasional tingling at the site of application.


PROPRANOLOL

POSSIBLE REASONS TO TAKE IT MAY INCLUDE:

For the control of hypertension, the management of angina pectoris; the long-term prophylaxis against reinfarction after recovery from acute myocardial infarction; the control of most forms of cardiac arrythmia; the prophylaxis of migraine; the management of essential tremor, relief of situational anxiety and generalised anxiety symptoms, particularly those of somatic type; prophylaxis of upper gastro-intestinal bleeding in patients with portal hypertension and oesophageal varices; the adjunctive management of thyrotoxicosis and thyrotoxic crisis.

HOW IT IS PRESCRIBED: Usually two, three or four times a day. The dosage depends upon the disorder being treated.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Bradycardia, heart failure deterioration, postural hypotension which may be associated with syncope, cold extremeties; confusion, dizziness, mood changes, nightmares, psychoses and hallucinations, sleep disturbances, hypoglycaemia in children, gastro-intestinal disturbance, purpura, thrombocytopenia, alopecia, dry eyes, psoriasiform skin reactions, exacerbation of psoriasis, skin rashes, paraesthesia; bronchospasm may occur in patients with bronchial asthma or a history of asthmatic complaints, sometimes with fatal outcome; visual disturbances, fatigue and/or lassitude (often transient). Cessation of therapy should be gradual.


PROTHIADEN

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 alertness. It is recommended that antidepressants should be withdrawn gradually. The elderly are particularly likely to experience adverse reactions to antidepressants, especially agitation, confusion and postural hypotension.


PROZAC

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: Prozac is indicated for the treatment of the symptoms of depressive illness, especially where sedation is not required. It is also used in the treatment of bulimia nervosa.

HOW IT IS PRESCRIBED: For depression in adults a dose of 20 mg/ day is recommended. The use of Prozac in children is not recommended, as safety and efficacy have not been established.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Angioneurotic oedema, urticaria and other allergic reactions; asthenia, fever, nausea, diarrhoea, dry mouth, appetite loss dyspepsia, vomiting; abnormal liver function tests; headache, nervousness, insomnia, drowsiness, anxiety, tremor, dizziness, fatigue, decreased libido, seizures; hypomania or mania occurred in approximately one per cent of fluoxetine-treated trial patients; dyskinesia, movement disorders developing in patients with risk factors and worsening of pre-existing movement disorders, neuroleptic malignant syndrome-like events; pharyngitis, dyspnoea; pulmonary events, dyspnoea may be the only preceding symptom; rash and/or urticaria; serious systemic reactions, possibly related to vasculitis, have developed in patients with rash, and death has been reported; excessive sweating, serum sickness and anaphylactoid reactions; hair loss, usually reversible; sexual dysfunction (delayed or inhibited orgasm).





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