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.



VALIUM ROCHE

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: Commonly used in the short-term (two to four weeks) symptomatic treatment of anxiety that is severe, disabling or subjecting the individual to unacceptable distress, occuring alone or in association with insomnia or short-term psychosomatic, organic or psychotic illness. Also for short-term (two to 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 5-15 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, Valium Roche 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. Valium Roche should not be used alone to treat depression or anxiety associated with depression, since suicide may be precipitated in such patients. Amnesia may occur. In cases of bereavement, psychological adjustments may be inhibited by benzodiazepines. The dependence potential of the benzodiazepines increases when high doses are used, especially when given over long perods. This is particularly so in patients with a history of alcoholism or drug abuse or in patients with marked personality disorders. Treatment should be withdrawn gradually. Symptoms such as depression, nervousness, rebound insomnia, irritability, sweating, and diarrhoea have been reported folowing abrupt cessation of treatment in patients receiving even normal therapeutic doses for short perods of time. Withdrawal following excessive dosages may produce confusional states, psychotic manifestations and convulsions. Abnormal psychological reactions to benzodiazepines have been reported. Behavioural effects include paradoxical aggressive outbursts, excitement, confusion, and the uncovering of depression with suicidal tendenceies. Extreme caution should therefore be used in prescribing benzodiazepines to patients with personality disorders. In patients with myasthenia gravis, who are prescribed Valium Roche, care should be taken on account of pre-existing muscle weakness. Common adverse effects inlcude drowsiness, sedation, unsteadiness and ataxia, these are dose related and may persist into the following day, even after a single dose. Other adverse effects include headache, vertigo, hypotension, gasto-intestinal upsets, skin rashes, visual disturbances, changes in libido, urinary retention, blood dyscrasias and jaundice. Little is known regarding the efficacy or safety of benzodiazepines in long-term use.


VENTOLIN

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

HOW IT IS PRESCRIBED: Available to be used as tablets, capsules, syrup, inhaler etc.

POSSIBLE SIDE EFFECTS MAY INCLUDE: Fine muscle tremor, headache, increase in heart rate; muscle cramps, hypersensitivity reactions.


VERAPAMIL

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

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

POSSIBLE SIDE EFFECTS MAY INCLUDE: Constipation, flushing, headaches, nausea, vomiting.


VISKEN

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, nausea, headaches, sleep disturbance, epigastric pain, fatigue, dizziness, low blood pressure, allergic skin reactions, muscle cramps, tremors.


VOLTAROL

POSSIBLE REASONS TO TAKE IT MAY INCLUDE: For the relief of all grades of pain and inflammation in a wide range of conditions, including: arthritic conditions: rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gout; acute musculoskeletal 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 Voltarol 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 ofvision (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.





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