Halog Ointment

Generic Name: halcinonide (Topical application route)

hal-SIN-oh-nide

Commonly used brand name(s)

In the U.S.

• Halog

In Canada

• Halog Cream


• Halog Ointment


• Halog Solution

Available Dosage Forms:

• Solution


• Cream


• Ointment

Therapeutic Class: Corticosteroid, Strong

Pharmacologic Class: Adrenal Glucocorticoid

Uses For Halog Ointment

Halcinonide topical is used to help relieve redness, itching, swelling, or other discomfort caused by skin conditions. This medicine is a corticosteroid (cortisone-like medicine or steroid).

This medicine is available only with your doctor's prescription.

Before Using Halog Ointment

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of halcinonide topical in the pediatric population. However, because of this medicine's toxicity, it should be used with caution. Children may absorb large amounts through the skin, which can cause serious side effects. If your child is using this medicine, follow your doctor's instructions very carefully.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of halcinonide topical in the elderly.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

• Cushing's syndrome (adrenal gland disorder) or


• Diabetes or


• Hyperglycemia (high blood sugar) or


• Intracranial hypertension (increased pressure in the head)—Use with caution. May make these conditions worse.

• Infection of the skin at or near the place of application or


• Large sores, broken skin, or severe skin injury at the place of application—The chance of side effects may be increased.

Proper Use of halcinonide

This section provides information on the proper use of a number of products that contain halcinonide. It may not be specific to Halog Ointment. Please read with care.

It is very important that you use this medicine only as directed by your doctor. Do not use more of it, do not use it more often, and do not use it for a longer time than your doctor ordered. To do so may cause unwanted side effects or skin irritation.

This medicine is for use on the skin only. Do not get it in your eyes, nose, mouth, or vagina. Do not use it on skin areas that have cuts, scrapes, or burns. If it does get on these areas, rinse it off right away with water.

This medicine should only be used for skin conditions that your doctor is treating. Check with your doctor before using it for other conditions, especially if you think that a skin infection may be present. This medicine should not be used to treat certain kinds of skin infections or conditions, such as severe burns.

To use:

• Wash your hands with soap and water before and after using this medicine.


• Apply a thin layer of this medicine to the affected area of the skin. Rub it in gently.


• Do not bandage or otherwise wrap the skin being treated unless directed to do so by your doctor.


• If the medicine is applied to the diaper area of an infant, do not use tight-fitting diapers or plastic pants unless directed to do so by your doctor.


• If your doctor ordered an occlusive dressing or airtight covering to be applied over the medicine, make sure you know how to apply it. Occlusive dressings increase the amount of medicine absorbed through your skin, so use them only as directed. If you have any questions about this, check with your doctor.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For topical dosage forms (cream and ointment):
  
  • For redness, itching, and swelling of the skin:
    
    • Adults—Apply to the affected area of the skin two to three times per day.
    
    
    • Children—Apply to the affected area of the skin two to three times per day.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Precautions While Using Halog Ointment

It is very important that your doctor check the progress of you or your child at regular visits for any unwanted effects that may be caused by this medicine.

If your or your child's symptoms do not improve within a few days, or if they become worse, check with your doctor.

Using too much of this medicine or using it for a long time may increase your risk of having adrenal gland problems. The risk is greater for children and patients who use large amounts for a long time. Talk to your doctor right away if you or your child have more than one of these symptoms while you are using this medicine: blurred vision; dizziness or fainting; a fast, irregular, or pounding heartbeat; increased thirst or urination; irritability; or unusual tiredness or weakness.

Stop using this medicine and check with your doctor right away if you or your child have a skin rash, burning, stinging, swelling, or irritation on the skin.

Do not use cosmetics or other skin care products on the treated areas.

Halog Ointment Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

• Blistering, burning, crusting, dryness, or flaking of the skin


• irritation


• itching, scaling, severe redness, soreness, or swelling of the skin


• redness and scaling around the mouth


• thinning of the skin with easy bruising, especially when used on the face or where the skin folds together (e.g. between the fingers)

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Incidence not known

• Acne or pimples


• burning and itching of the skin with pinhead-sized red blisters


• burning, itching, and pain in hairy areas, or pus at the root of the hair


• increased hair growth on the forehead, back, arms, and legs


• lightening of normal skin color


• lightening of treated areas of dark skin


• reddish purple lines on the arms, face, legs, trunk, or groin


• softening of the skin

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: Halog side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

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More Halog Ointment resources

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

Compare Halog Ointment with other medications

• Atopic Dermatitis
• Dermatitis
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• Psoriasis

Hespan

Pronunciation: HET-uh-starch
Generic Name: Hetastarch in Sodium Chloride
Brand Name: Hespan

Hespan is used for:

Increasing plasma volume during shock caused by bleeding, burns, surgery, or other trauma. It is not a substitute for blood or plasma. It may also be used for other conditions as determined by your doctor.

Hespan is a synthetic plasma expander. It works by producing expansion of plasma blood volume.

Do NOT use Hespan if:

• you are allergic to any ingredient in Hespan or to hydroxyethyl starch


• you have bleeding disorders or conditions in which volume overload may occur (eg, heart failure; kidney disease with urination problems [eg, inability, infrequency] not related to hypovolemia)

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

Before using Hespan:

Some medical conditions may interact with Hespan. Tell your doctor or pharmacist 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 (especially to corn)


• if you have heart disease, kidney problems, or a history of liver disease


• if you have high blood sodium levels or blood volume levels


• if you have risk factors for congestive heart failure or fluid in the lungs

Some MEDICINES MAY INTERACT with Hespan. However, no specific interactions with Hespan are known at this time.

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

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

• Hespan is usually administered as an injection at your doctor's office, hospital, or clinic. If you are using Hespan at home, carefully follow the injection procedures taught to you by your health care provider.


• If Hespan contains particles or is discolored, or if the vial is cracked or damaged in any way, do not use it.


• When smaller doses are required, the unused portion should be discarded.


• Keep this product, as well as syringes and needles, out of the reach of children and away from pets. Do not reuse needles, syringes, or other materials. Dispose of properly after use. Ask your doctor or pharmacist to explain local regulations for proper disposal.


• If you miss a dose of Hespan, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Hespan.

Important safety information:

• Hespan may reduce the number of clot-forming cells (platelets) in your blood. To prevent bleeding, avoid situations in which bruising or injury may occur. Report any unusual bleeding, bruising, blood in stools, or dark, tarry stools to your doctor.


• Additional monitoring of your dose or condition may be needed if you are taking anticoagulants (eg, warfarin), corticosteroids (eg, prednisone), or corticotropin.


• LAB TESTS, including complete blood cell counts, may be performed to monitor your progress or to check for side effects. Be sure to keep all doctor and lab appointments.


• Use Hespan with extreme caution in CHILDREN. Safety and effectiveness have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant while taking Hespan, discuss with your doctor the benefits and risks of using Hespan during pregnancy. It is unknown if Hespan is excreted in breast milk. If you are or will be breast-feeding while you are using Hespan, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects of Hespan:

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:

Coughing; flu-like symptoms (chills, headache, mild fever); flushing; lightheadedness; muscle pains; restlessness; sneezing; swelling of ankles or feet; swollen glands in the jaw area; vomiting.

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); fast or irregular heartbeat; unusual bleeding or bruising.

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: Hespan 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.

Proper storage of Hespan:

Hespan is usually handled and stored by a health care provider. If you are using Hespan at home, store Hespan as directed by your pharmacist or health care provider. Keep Hespan out of the reach of children and away from pets.

General information:

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


• Hespan 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 Hespan. 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 Hespan resources

• Hespan Side Effects (in more detail)
• Hespan Use in Pregnancy & Breastfeeding
• Hespan Support Group
• 0 Reviews for Hespan - Add your own review/rating

• Hespan Prescribing Information (FDA)


• Hespan Concise Consumer Information (Cerner Multum)


• Hetastarch Prescribing Information (FDA)


• Hetastarch Monograph (AHFS DI)

Compare Hespan with other medications

• Blood Disorders

Hexachlorophene

Pronunciation: hex-a-KLOR-oh-feen
Generic Name: Hexachlorophene
Brand Name: pHisoHex

Hexachlorophene is used for:

Cleansing skin and preventing the spread of infection. It may also be used for other conditions as determined by your doctor.

Hexachlorophene is a topical antibacterial cleanser. It works like a detergent to cleanse skin and prevents the growth of certain bacteria.

Do NOT use Hexachlorophene if:

• you are allergic to any ingredient in Hexachlorophene or to similar medicines


• you have burns or have lost several layers of skin


• you will be using it as part of a bandage, wet pack, or lotion


• you will be using it on any mucous membrane (eg, mouth, nose, eyes, vagina)


• you will be using it routinely for bathing the whole body to prevent infection

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

Before using Hexachlorophene:

Some medical conditions may interact with Hexachlorophene. Tell your doctor or pharmacist 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 skin lesions

Some MEDICINES MAY INTERACT with Hexachlorophene. Because little, if any, of Hexachlorophene is absorbed into the blood, the risk of it interacting with another medicine is low.

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

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

• Hexachlorophene is for topical use only.


• To use, wet hands with water. Place 1 teaspoon of Hexachlorophene into your palm and work up a lather with water. Apply to the area to be cleansed.


• Rinse thoroughly after use, especially sensitive areas such as the genitals.


• If you miss an application of Hexachlorophene and you are using it regularly, resume your regular schedule as soon as possible.

Ask your health care provider any questions you may have about how to use Hexachlorophene.

Important safety information:

• Do not apply Hexachlorophene to skin that is burned, broken, or has any kind of rash or sores. Doing so increases the risk of toxicity from the medicine, which may result in irritability or seizures.


• Using soaps or other products that contain alcohol may decrease the antibacterial effectiveness of Hexachlorophene.


• Hexachlorophene may be harmful if swallowed. If you may have taken Hexachlorophene by mouth, contact your local poison control center or emergency room immediately.


• Do not allow this product to come into contact with the eyes. If this occurs, rinse thoroughly with water.


• Long-term or repeated use of Hexachlorophene may cause a second infection. Your doctor may want to change your medicine to treat the second infection. Contact your doctor if signs of a second infection occur.


• Hexachlorophene may cause increased sensitivity to the sun. Avoid exposure to the sun, sunlamps, or tanning booths until you know how you react to Hexachlorophene. Use a sunscreen or wear protective clothing if you must be outside for a prolonged period.


• Hexachlorophene is not recommended for use in INFANTS. Safety and effectiveness have not been confirmed.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, discuss with your doctor the benefits and risks of using Hexachlorophene during pregnancy. It is unknown if Hexachlorophene is excreted in breast milk. If you are or will be breast-feeding while you are using Hexachlorophene, check with your doctor or pharmacist to discuss the risk to your baby.

Possible side effects of Hexachlorophene:

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:

Dryness; mild scaling; skin redness; skin sensitivity to light; swelling of the skin.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); irritable behavior; seizures.

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: Hexachlorophene 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 of ingestion may include cold, clammy skin; diarrhea; loss of appetite; seizures; stomach cramps; vomiting.

Proper storage of Hexachlorophene:

Store Hexachlorophene at 77 degrees F (25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Do not store in metal containers. Keep Hexachlorophene out of the reach of children and away from pets.

General information:

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


• Hexachlorophene 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 Hexachlorophene. 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 Hexachlorophene resources

• Hexachlorophene Side Effects (in more detail)
• Hexachlorophene Use in Pregnancy & Breastfeeding
• Hexachlorophene Drug Interactions
• Hexachlorophene Support Group
• 0 Reviews · Be the first to review/rate this drug

• Phisohex Advanced Consumer (Micromedex) - Includes Dosage Information


• Phisohex Prescribing Information (FDA)


• pHisoHex Monograph (AHFS DI)

Heparin

Pronunciation: HEP-a-rin
Generic Name: Heparin
Brand Name: Generic only. No brands available.

Heparin is used for:

Preventing harmful blood clots.

Heparin is an anticoagulant. It works by blocking reactions in the body that lead to blood clots.

Do NOT use Heparin if:

• you are allergic to any ingredient in Heparin


• you have uncontrolled high blood pressure


• you have uncontrolled bleeding or low blood platelet counts

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

Before using Heparin:

Some medical conditions may interact with Heparin. Tell your doctor or pharmacist 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 a catheter, a blood disorder (eg, hemophilia), liver or kidney problems, a puncture of the spinal cord, or von Willebrand disease


• if you have recently had brain, eye, or spinal surgery, or recently had an injury


• if you have heart problems, high blood pressure, menstrual problems, or a history of ulcers or other stomach problems


• if you have a fever or infection, or a history of blood conditions or brain hemorrhage

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

• Antihistamines (eg, diphenhydramine), digitalis (eg, digoxin), nicotine, or tetracyclines (eg, doxycycline) because they may decrease Heparin's effectiveness


• Dipyridamole, hydroxychloroquine, injectable cephalosporins (eg, cefuroxime), injectable penicillins (eg, penicillin), nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen), or salicylates (eg, aspirin) because the risk of bleeding may be increased


• Sulfonylureas (eg, glyburide) because side effects, such as low blood sugar, may occur

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

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

• Heparin is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Heparin at home, a health care provider will teach you how to use it. Be sure you understand how to use Heparin. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.


• Do not use Heparin if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.


• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.


• If you miss a dose of Heparin, contact your doctor.

Ask your health care provider any questions you may have about how to use Heparin.

Important safety information:

• Additional monitoring of your dose or conditions may be needed if you are taking dicumarol or warfarin.


• Heparin may reduce the number of clot-forming cells (platelets) in your blood. Avoid activities that may cause bruising or injury. Tell your doctor if you have unusual bruising or bleeding. Tell your doctor if you have dark, tarry, or bloody stools.


• Heparin-induced thrombocytopenia (HIT) and Heparin-induced thrombocytopenia and thrombosis (HITT) are serious side effects that may occur with the use of Heparin. They may also occur for up to several weeks after you stop taking Heparin. Contact your doctor right away if you develop calf or leg pain, tenderness, or swelling; chest pain; confusion; coughing up blood; lower back pain; numbness or color change of the skin, fingers, or toes; one-sided numbness or weakness; shortness of breath; slurred speech; sudden severe headache; or vision problems.


• Tell your doctor or dentist that you use Heparin before you receive any medical or dental care, emergency care, or surgery.


• Lab tests, including platelet counts, may be performed while you use Heparin. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.


• Use Heparin with caution in the ELDERLY; they may be more sensitive to its effects, especially bleeding.


• Heparin may have benzyl alcohol in it. Do not use products that contain benzyl alcohol in NEWBORNS or INFANTS. Serious and sometimes fatal nervous system problems and other side effects may occur. Discuss any questions or concerns with your doctor.


• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Heparin while you are pregnant. Heparin is not found in breast milk. If you are or will be breast-feeding while you are using Heparin, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of Heparin:

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:

Irritation or mild pain at the injection site.

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); black, tarry, or bloody stools; bleeding from gums when brushing or flossing teeth; blood in the urine; calf or leg pain, tenderness, or swelling; chest pain; confusion; coughing up blood; excessive bleeding from cuts; fever or chills; increased menstrual bleeding; lower back pain; nosebleeds; numbness or color change of the skin, fingers, or toes; one-sided numbness or weakness; severe headache or dizziness; severe or persistent pain, swelling, or redness at the injection site; shortness of breath; slurred speech; stomach pain or swelling; unexplained vaginal bleeding; unusual bruising; vision problems; vomit that looks like coffee grounds.

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.

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 blood in urine; nosebleeds; stomach pain or swelling; tarry stools; unexplained bleeding and bruising; vomiting blood.

Proper storage of Heparin:

Store Heparin at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Keep Heparin out of the reach of children and away from pets.

General information:

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


• Heparin 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 Heparin. 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 Heparin resources

• Heparin Use in Pregnancy & Breastfeeding
• Heparin Drug Interactions
• Heparin Support Group
• 0 Reviews for Heparin - Add your own review/rating

• Heparin Prescribing Information (FDA)


• Heparin Professional Patient Advice (Wolters Kluwer)


• heparin Concise Consumer Information (Cerner Multum)


• heparin Intravenous, Subcutaneous Advanced Consumer (Micromedex) - Includes Dosage Information


• Heparin Sodium Monograph (AHFS DI)

Compare Heparin with other medications

• Angina
• Anticoagulation During Pregnancy
• Antiphospholipid Syndrome
• Deep Vein Thrombosis
• Deep Vein Thrombosis, Prophylaxis
• Heart Attack
• Pulmonary Embolism
• Thrombotic/Thromboembolic Disorder

hypromellose Ophthalmic

hye-PROE-me-lose

Commonly used brand name(s)

In the U.S.

• Genteal


• Genteal Mild


• Gonak


• Goniosoft


• Goniovisc


• Isopto Tears


• Nature's Tears


• Tearisol


• Tears Again Mc

Available Dosage Forms:

• Solution


• Gel/Jelly

Therapeutic Class: Surgical Aid, Ocular

Uses For hypromellose

Hydroxypropyl methylcellulose belongs to the group of medicines known as artificial tears. It is used to relieve dryness and irritation caused by reduced tear flow. It helps prevent damage to the eye in certain eye diseases. Hydroxypropyl methylcellulose may also be used to moisten hard contact lenses and artificial eyes. In addition, it may be used in certain eye examinations.

Some of these preparations are available only with your doctor's prescription.

Before Using hypromellose

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For hypromellose, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to hypromellose or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Although there is no specific information comparing use of hydroxypropyl methylcellulose in children with use in other age groups, hypromellose is not expected to cause different side effects or problems in children than it does in adults.

Geriatric

Many medicine have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of hydroxypropyl methylcellulose in the elderly with use in other age groups, hypromellose is not expected to cause different side effects or problems in older people than it does in younger adults.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of hypromellose

To use:

• First, wash your hands. Then tilt the head back and pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close the eyes. Do not blink. Keep the eyes closed for 1 or 2 minutes to allow the medicine to be absorbed.


• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). Also, keep the container tightly closed.

For patients wearing hard contact lenses:

• Take care not to float the lens from your eye when applying hypromellose. If you have any questions about this, check with your health care professional.

Dosing

The dose of hypromellose will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of hypromellose. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For dry eyes:
  
  • For ophthalmic solution (eye drops) dosage form:
    
    • Adults and children—Use 1 drop three or four times a day.
    
    
  
  

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using hypromellose

If you experience eye pain, changes in vision, continued redness or irritation of the eye, or if your symptoms continue for more than 3 days or become worse, check with your doctor.

hypromellose Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• Eye irritation not present before use of hypromellose

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common - more common with 1% solution

• Blurred vision


• matting or stickiness of eyelashes

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

hepatitis A pediatric vaccine

Generic Name: hepatitis A pediatric vaccine (HEP a TYE tis)

Brand Names: Havrix Pediatric, Vaqta Pediatric

What is hepatitis A pediatric vaccine?

Hepatitis is a serious disease caused by a virus. Hepatitis A is spread through contact with the stool (bowel movements) of a person infected with the hepatitis A virus. This usually occurs by eating food or drinking water that has become contaminated as a result of handling by an infected person.

Hepatitis causes inflammation of the liver, vomiting, and jaundice (yellowing of the skin or eyes). Hepatitis can lead to liver cancer, cirrhosis, or death.

The hepatitis A pediatric vaccine is used to help prevent this disease in children. The vaccine works by exposing your child to a small amount of the virus, which causes the body to develop immunity to the disease. This vaccine will not treat an active infection that has already developed in the body.

Vaccination with hepatitis A pediatric vaccine is recommended for all children between the ages of 12 months and 23 months, and in children and adults who travel in certain areas of the world where hepatitis A is a common disease.

Other risk factors for hepatitis in children include: receiving treatment for hemophilia or other bleeding disorders, or being in an area where there has been an outbreak of hepatitis A.

Like any vaccine, the hepatitis A pediatric vaccine may not provide protection from disease in every person.

What is the most important information I should know about this vaccine?

Hepatitis A pediatric vaccine will not protect your child against infection with hepatitis B, C, and E, or other viruses that affect the liver. It may also not protect a child from hepatitis A if the child is already infected with the virus, even if the child does not yet show symptoms.

The hepatitis A pediatric vaccine is given in a series of 2 shots. The first shot is usually given when the child is between 12 and 23 months old. The booster shot is then given 6 months later. Your child's individual booster schedule may be different from these guidelines. Follow your doctor's instructions or the schedule recommended by the health department of the state you live in.

Vaccination with hepatitis A vaccine is recommended for all children between the ages of 12 months and 23 months, and in children who travel in certain areas of the world where hepatitis A is a common disease.

Other risk factors for hepatitis in children include: receiving treatment for hemophilia or other bleeding disorders, or being in an area where there has been an outbreak of hepatitis A.

Be sure your child receives all recommended doses of this vaccine. If your child does not receive the full series of vaccines, he or she may not be fully protected against the disease.

Your child can still receive a vaccine if he or she has a cold or fever. In the case of a more severe illness with a fever or any type of infection, wait until the child gets better before receiving this vaccine.

Your child should not receive a booster vaccine if he or she had a life-threatening allergic reaction after the first shot.

Keep track of any and all side effects your child has after receiving this vaccine. When the child receives a booster dose, you will need to tell the doctor if the previous shots caused any side effects.

Becoming infected with hepatitis A is much more dangerous to your child's health than receiving the vaccine to protect against it. Like any medicine, this vaccine can cause side effects, but the risk of serious side effects is extremely low.

What should I discuss with my healthcare provider before receiving this vaccine?

Hepatitis A pediatric vaccine will not protect your child against infection with hepatitis B, C, and E, or other viruses that affect the liver. It may also not protect against hepatitis A if the child is already infected with the virus, even if he or she does not yet show symptoms.

Your child should not receive this vaccine if he or she has ever had a life-threatening allergic reaction to any vaccine containing hepatitis A, or if the child has received cancer chemotherapy or radiation treatment in the past 3 months.

Before receiving this vaccine, tell the doctor if your child has:

• 
  

  a bleeding or blood clotting disorder such as hemophilia or easy bruising;

  
  


• 
  

  a history of seizures;

  
  


• 
  

  a neurologic disorder or disease affecting the brain;

  
  


• 
  

  an allergy to latex rubber;

  
  


• 
  

  a weak immune system caused by disease, bone marrow transplant, or by using certain medicines or receiving cancer treatments; or

  
  


• 
  

  if the child is taking a blood thinner such as warfarin (Coumadin).

  
  

Your child can still receive a vaccine if he or she has a cold or fever. In the case of a more severe illness with a fever or any type of infection, wait until the child gets better before receiving this vaccine.

How is this vaccine given?

This vaccine is given as an injection (shot) into a muscle. Your child will receive this injection in a doctor's office or other clinic setting.

The hepatitis A pediatric vaccine is given in a series of 2 shots. The first shot is usually given when the child is between 12 and 23 months old. The booster shot is then given 6 months later. Your child's individual booster schedule may be different from these guidelines. Follow your doctor's instructions or the schedule recommended by the health department of the state you live in.

To prevent hepatitis A while traveling, the child should receive this vaccine at least 2 weeks before the trip. Your child's doctor will determine the best dosing schedule for your situation.

Your doctor may recommend treating fever and pain with an aspirin-free pain reliever such as acetaminophen (Tylenol) or ibuprofen (Motrin, Advil, and others) when the shot is given and for the next 24 hours. Follow the label directions or your doctor's instructions about how much of this medicine to give your child.

It is especially important to prevent fever from occurring in a child who has a seizure disorder such as epilepsy.

What happens if I miss a dose?

Contact your doctor if you will miss a booster dose or if you get behind schedule. The next dose should be given as soon as possible. There is no need to start over.

Be sure your child receives all recommended doses of this vaccine. If your child does not receive the full series of vaccines, he or she may not be fully protected against the disease.

What happens if I overdose?

An overdose of this vaccine is unlikely to occur.

What should I avoid before or after receiving this vaccine?

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

Hepatitis A pediatric vaccine side effects

Your child should not receive a booster vaccine if he or she had a life-threatening allergic reaction after the first shot. Keep track of any and all side effects your child has after receiving this vaccine. When the child receives a booster dose, you will need to tell the doctor if the previous shots caused any side effects.

Becoming infected with hepatitis A is much more dangerous to your child's health than receiving the vaccine to protect against it. Like any medicine, this vaccine can cause side effects, but the risk of serious side effects is extremely low.

Get emergency medical help if your child has 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 the child has any of these serious side effects:

• 
  

  extreme drowsiness, fainting;

  
  


• 
  

  fussiness, irritability, crying for an hour or longer;

  
  


• 
  

  seizure (black-out or convulsions); or

  
  


• 
  

  high fever (within a few hours or a few days after the vaccine).

  
  

Less serious side effects include:

• 
  

  mild fever;

  
  


• 
  

  mild fussiness or crying;

  
  


• 
  

  headache;

  
  


• 
  

  dizziness, tired feeling;

  
  


• 
  

  nausea, vomiting, stomach pain, diarrhea, loss of appetite;

  
  


• 
  

  joint pain;

  
  


• 
  

  sore throat; or

  
  


• 
  

  swelling, redness, or a hard lump where the shot was given.

  
  

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 vaccine side effects to the US Department of Health and Human Services at 1-800-822-7967.

Hepatitis A pediatric vaccine Dosing Information

Usual Pediatric Dose for Hepatitis A Prophylaxis:

1 years to 18 years:
hepatitis A pediatric vaccine 720 units/0.5 mL intramuscular suspension:
720 units/0.5 mL intramuscularly followed by 720 units/0.5 mL intramuscularly given anytime between 6 to 12 months after primary course.

-OR-

hepatitis A pediatric vaccine 25 units/0.5 mL intramuscular suspension:
25 units/0.5 mL intramuscularly followed by 25 units/0.5 mL intramuscularly given anytime between 6 to 12 months after primary course.

What other drugs will affect hepatitis A pediatric vaccine?

Before receiving this vaccine, tell the doctor about all other vaccines your child has recently received.

Also tell the doctor if your child has received drugs or treatments in the past 2 weeks that can weaken the immune system, including:

• 
  

  an oral, nasal, inhaled, or injectable steroid medicine;

  
  


• 
  

  medications to treat psoriasis, rheumatoid arthritis, or other autoimmune disorders, such as azathioprine (Imuran), efalizumab (Raptiva), etanercept (Enbrel), leflunomide (Arava), and others; or

  
  


• 
  

  medicines to treat or prevent organ transplant rejection, such as basiliximab (Simulect), cyclosporine (Sandimmune, Neoral, Gengraf), muromonab-CD3 (Orthoclone), mycophenolate mofetil (CellCept), sirolimus (Rapamune), or tacrolimus (Prograf).

  
  

If your child is using any of these medications, he or she may not be able to receive the vaccine, or may need to wait until the other treatments are finished.

This list is not complete and other drugs may interact with this vaccine. Tell your doctor about all medications your child receives. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More hepatitis A pediatric vaccine resources

• Hepatitis A pediatric vaccine Drug Interactions
• Hepatitis A pediatric vaccine Support Group
• 0 Reviews for Hepatitis A pediatric vaccine - Add your own review/rating

• Havrix Pediatric Advanced Consumer (Micromedex) - Includes Dosage Information

Compare hepatitis A pediatric vaccine with other medications

• Hepatitis A Prophylaxis

Where can I get more information?

• Your doctor or pharmacist can provide more information about this vaccine. Additional information is available from your local health department or the Centers for Disease Control and Prevention.

Hair Regrowth Treatment for Men

Generic Name: minoxidil

Dosage Form: solution
CVS Pharmacy, Inc. Hair Regrowth Treatment for Men Drug Facts

Active ingredient

Minoxidil 5% w/v

Purpose

Hair Regrowth Treatment for Men

Uses

to regrow hair on the top of the scalp (vertex only, see pictures on side of carton)

Warnings

For external use only. For use by men only.

Flammable: Keep away from fire or flame

Do not use if

• you are a woman


• your amount of hair loss is different than that shown on the side of this carton or your hair loss is on the front of the scalp. Minoxidil topical solution 5% is not intended for frontal baldness or receding hairline.


• you have no family history of hair loss


• your hair loss is sudden and/or patchy


• you do not know the reason for your hair loss


• you are under 18 years of age. Do not use on babies and children.


• your scalp is red, inflamed, infected, irritated, or painful


• you use other medicines on the scalp

Ask a doctor before use if you have

heart disease

When using this product

• do not apply on other parts of the body


• avoid contact with the eyes. In case of accidental contact, rinse eyes with large amounts of cool tap water.


• some people have experienced changes in hair color and/or texture


• it takes time to regrow hair. Results may occur at 2 months with twice a day usage. For some men, you may need to use this product for at least 4 months before you see results.


• the amount of hair regrowth is different for each person. This product will not work for all men.

Stop use and ask a doctor if

• chest pain, rapid heartbeat, faintness, or dizziness occurs


• sudden, unexplained weight gain occurs


• your hands or feet swell


• scalp irritation or redness occurs


• unwanted facial hair growth occurs


• you do not see hair regrowth in 4 months

May be harmful if used when pregnant or breast-feeding.

Keep out of reach of children.

If swallowed, get medical help or contact a Poison Control Center right away.

Directions

• apply one mL with dropper 2 times a day directly onto the scalp in the hair loss area


• using more or more often will not improve results


• continued use is necessary to increase and keep your hair regrowth, or hair loss will begin again

Other information

• see hair loss pictures on side of this carton


• before use, read all information on carton and enclosed leaflet


• keep the carton. It contains important information.


• hair regrowth has not been shown to last longer than 48 weeks in large clinical trials with continuous treatment with minoxidil topical solution 5% for men


• in clinical studies with mostly white men aged 18-49 years with moderate degrees of hair loss, minoxidil topical solution 5% for men provided more hair regrowth than minoxidil topical solution 2%


• store at 20° to 25°C (68° to 77°F). Keep tightly closed.

Inactive ingredients

alcohol (30% v/v), propylene glycol (50% v/v), purified water

Questions or comments?

1-800-719-9260

Principal Display Panel

Hair Regrowth Treatment for Men

Minoxidil Topical Solution USP 5%

Hair Regrowth Treatment

Extra Strength

Clinically Proven to Help Regrow Hair

Revitalizes Hair Follicles

Not For Use By Women

Compare to Men’s Rogaine® Extra Strength active ingredient

# Month Supply

Hair Regrowth Treatment for Men Carton

Hair Regrowth Treatment for Men  minoxidil  solution

Product Information Product Type HUMAN OTC DRUG NDC Product Code (Source) 59779-380 Route of Administration TOPICAL DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength MINOXIDIL (MINOXIDIL) MINOXIDIL 5 g  in 100 mL

Inactive Ingredients Ingredient Name Strength No Inactive Ingredients Found

Product Characteristics Color      Score      Shape Size Flavor Imprint Code Contains

Packaging # NDC Package Description Multilevel Packaging 1 59779-380-16 1 BOTTLE In 1 CARTON contains a BOTTLE 1 60 mL In 1 BOTTLE This package is contained within the CARTON (59779-380-16) 2 59779-380-30 3 BOTTLE In 1 CARTON contains a BOTTLE 2 60 mL In 1 BOTTLE This package is contained within the CARTON (59779-380-30)

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
ANDA	ANDA075598	07/18/2005

Labeler - CVS Pharmacy (062312574)

Revised: 07/2009CVS Pharmacy

More Hair Regrowth Treatment for Men resources

• Hair Regrowth Treatment for Men Use in Pregnancy & Breastfeeding
• Hair Regrowth Treatment for Men Drug Interactions
• Hair Regrowth Treatment for Men Support Group
• 7 Reviews for Hair Regrowth Treatment for Men - Add your own review/rating

Compare Hair Regrowth Treatment for Men with other medications

• Alopecia

hepatitis a vaccine Intramuscular

hep-a-TYE-tis A VAX-een, in-AK-ti-vay-ted

Commonly used brand name(s)

In the U.S.

• Havrix


• Havrix Pediatric


• Vaqta


• Vaqta Pediatric

Available Dosage Forms:

• Suspension


• Solution


• Injectable

Therapeutic Class: Vaccine

Uses For hepatitis a vaccine

Hepatitis A vaccine is used to prevent infection caused by the hepatitis A virus (HAV). The vaccine works by causing your body to produce its own protection (antibodies) against the disease.

Hepatitis A is a serious disease of the liver that can cause death. It is caused by the hepatitis A virus (HAV), and is spread most often through infected food or water. Hepatitis A may also be spread by close person-to-person contact with infected persons (such as between persons living in the same household). Although some infected persons do not appear to be sick, they are still able to spread the virus to others.

Hepatitis A is less common in the U.S. and other areas of the world that have a higher level of sanitation and good water and sewage (waste) systems. However, it is a significant health problem in parts of the world that do not have such systems. If you are traveling to certain countries or remote (out-of-the-way) areas, hepatitis A vaccine will help protect you from hepatitis A disease.

It is recommended that adults and children 12 months of age and older to be vaccinated with hepatitis A vaccine when traveling to the following parts of the world:

• Africa.


• Asia (except Japan).


• Parts of the Caribbean.


• Central and South America.


• Eastern Europe.


• The Mediterranean basin.


• The Middle East.


• Mexico.

Immunization against hepatitis A disease is also recommended for adults and children 12 months of age and older who live in areas that have a high rate of hepatitis A disease or who may be at increased risk of infection from hepatitis A virus. These persons include:

• Military personnel.


• Persons living in or moving to areas that have a high rate of HAV infection.


• Persons who may be exposed to the hepatitis A virus repeatedly due to a high rate of hepatitis A disease, such as Alaskan Eskimos and Native Americans.


• Persons engaging in high-risk sexual activity, such as homosexual and bisexual males.


• Persons who use illegal injection drugs.


• Persons living in a community experiencing an outbreak of hepatitis A.


• Persons working in facilities for the mentally retarded.


• Employees of child day-care centers.


• Persons who work with hepatitis A virus in the laboratory.


• Persons who handle primate animals.


• Persons with hemophilia.


• Food handlers.


• Persons with chronic liver disease.

This vaccine is to be given only by or under the supervision of a doctor.

Before Using hepatitis a vaccine

In deciding to use a vaccine, the risks of taking the vaccine must be weighed against the good it will do. This is a decision you and your doctor will make. For this vaccine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to hepatitis a vaccine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of hepatitis A vaccine in children. However, safety and efficacy have not been established in infants younger than 12 months of age.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of hepatitis A vaccine in the elderly.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this vaccine. Make sure you tell your doctor if you have any other medical problems, especially:

• Allergy to neomycin—Should not be used in patients with this condition.

• Bleeding problems (e.g., hemophilia)—Use with caution. May have an increased risk of bleeding at the injection site.

• Liver disease or


• Weak immune system from a disease or medicine—May not work as well in patients with these conditions.

• Severe illness with fever—Your dose may need to be given at a later time.

Proper Use of hepatitis a vaccine

A nurse or other trained health professional will give you or your child this vaccine. This vaccine is given as a shot into one of your muscles.

This vaccine is usually given as 2 doses. After the first dose, the Havrix® booster dose is given anytime between 6 to 12 months later, while the Vaqta® booster dose is given anytime between 6 to 18 months later, unless your doctor tells you otherwise.

Precautions While Using hepatitis a vaccine

It is very important that you or your child return to your doctor’s office at the right time for the second dose. Be sure to notify your doctor of any unwanted effects that occur after you or your child receive this vaccine.

This vaccine may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Tell your doctor right away if you or your child have a rash, itching, swelling of the tongue and throat, or trouble breathing after you get the injection.

Tell your doctor if you or your child are allergic to latex. The needle cover and the rubber plunger of the prefilled syringe contain dry natural latex rubber, which may cause an allergic reaction in people with a latex allergy.

This vaccine may not protect you against hepatitis A infection if you are already infected with the virus at the time you receive the shot.

hepatitis a vaccine Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common

• Fever more than 99.5 degrees F


• general feeling of discomfort or illness


• unusual tiredness or weakness

Rare

• Body aches or pain


• chills


• congestion


• cough


• difficulty with breathing or swallowing


• dryness or soreness of the throat


• ear congestion


• headache


• hives


• hoarseness


• itching, especially of the feet or hands


• loss of voice


• nasal congestion


• reddening of the skin, especially around the ears


• runny nose


• shortness of breath


• sneezing


• sore throat


• swelling of the eyes, face, or inside of the nose


• swollen, painful, or tender lymph glands in the neck, armpit, or groin


• tender, swollen glands in the neck


• tightness in the chest


• unusual tiredness or weakness (sudden and severe)


• voice changes


• wheezing

Incidence not known

• Abdominal or stomach pain


• agitation


• back pain


• black, tarry stools


• bleeding gums


• blistering, peeling, or loosening of the skin


• blood in the urine or stools


• blurred vision


• burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings in the hands, arms, feet, or legs


• clay-colored stools


• coma


• confusion


• dark urine


• diarrhea


• difficulty controlling your bladder or bowels


• difficulty with walking


• dizziness


• drowsiness


• fainting


• fast heartbeat


• feeling of discomfort


• feeling sad or depressed


• flu-like symptoms


• forgetful


• hallucinations


• inability to move the arms and legs


• increased sweating


• inflammation of the joints


• joint or muscle pain


• large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs


• loss of appetite


• muscle aches or cramps


• nausea


• pinpoint red spots on the skin


• puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue


• rash


• red, irritated eyes


• seizures


• sensation of pins and needles


• shakiness and unsteady walk


• slurred speech


• sores, ulcers, or white spots in the mouth or on the lips


• stabbing pain


• stiff neck


• sudden numbness and weakness in the arms and legs


• swollen lymph glands


• unpleasant breath odor


• unsteadiness, trembling, or other problems with muscle control or coordination


• unusual bleeding or bruising


• vomiting of blood


• yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Pain, redness, swelling, or lumps at the injection site


• weight loss

Less common

• Arm pain


• bleeding between periods


• change in the amount of bleeding during periods


• change in the pattern of monthly periods


• lack or loss of strength


• tenderness or warmth at the injection site


• unusual stopping of menstrual bleeding

Rare

• Change in color vision


• change in taste


• collection of blood under the skin


• deep, dark purple bruise


• difficulty seeing at night


• difficulty with moving


• dizziness or lightheadedness


• excessive muscle tone


• feeling of constant movement of self or surroundings


• increased sensitivity of the eyes to sunlight


• loss of taste


• muscle tension or tightness


• sensation of spinning


• sleeplessness


• trouble with sleeping


• unable to sleep


• welts

Incidence not known

• Bleeding, blistering, burning, coldness, discoloration of the skin, feeling of pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash, redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration, or warmth at the injection site


• sleepiness or unusual drowsiness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

hepatitis b vaccine recombinant Intramuscular

hep-a-TYE-tis B VAX-een re-KOM-bin-ant

Commonly used brand name(s)

In the U.S.

• Engerix-B


• Engerix-B Pediatric


• Recombivax HB


• Recombivax HB Pediatric/Adolescent

Available Dosage Forms:

• Suspension

Therapeutic Class: Vaccine

Uses For hepatitis b vaccine recombinant

Hepatitis B vaccine recombinant is used to prevent infection by the hepatitis B virus. The vaccine works by causing your body to produce its own protection (antibodies) against the disease.

Hepatitis B vaccine recombinant is made without any human blood or blood products or any other substances of human origin. It cannot give you the hepatitis B virus (HBV) or the human immunodeficiency virus (HIV).

HBV infection is a major cause of serious liver diseases, such as hepatitis and cirrhosis, and a type of liver cancer called primary hepatocellular carcinoma.

Pregnant women who have hepatitis B infection or are carriers of hepatitis B virus can give the disease to their babies when they are born. These babies often suffer serious long-term illnesses from the disease.

Immunization against hepatitis B disease is recommended for all newborn babies, infants, children, and adolescents up to 19 years of age. It is also recommended for adults who live in areas that have a high rate of hepatitis B disease or who may be at increased risk of infection from hepatitis B virus. These adults include:

• Sexually active homosexual and bisexual males, including those with HIV infection.


• Sexually active heterosexual persons with multiple partners.


• Persons who may be exposed to the virus by means of blood, blood products, or human bites, such as health care workers, employees in medical facilities, patients and staff of live-in facilities and daycare programs for the developmentally disabled, morticians and embalmers, police and fire department personnel, and military personnel.


• Persons who have kidney disease or who undergo blood dialysis for kidney disease.


• Persons with blood clotting disorders who receive transfusions of clotting-factor concentrates.


• Household and sexual contacts of HBV carriers.


• Persons in areas with high risk of HBV infection [in the population], such as Alaskan Eskimos, Pacific Islanders, Haitian and Indochinese immigrants, and refugees from areas that have a high rate of hepatitis B disease; persons accepting orphans or adoptees from these areas; and travelers to these areas.


• Persons who use illegal injection drugs.


• Prisoners.

This vaccine is available only from your doctor or other authorized health care professional.

Before Using hepatitis b vaccine recombinant

In deciding to use a vaccine, the risks of taking the vaccine must be weighed against the good it will do. This is a decision you and your doctor will make. For this vaccine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to hepatitis b vaccine recombinant or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of hepatitis B vaccine recombinant in children.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of hepatitis B vaccine recombinant in the elderly.

Pregnancy

	Pregnancy Category	Explanation
All Trimesters	C	Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding

Studies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of this vaccine. Make sure you tell your doctor if you have any other medical problems, especially:

• Allergy to yeast—Should not be used in patients with this condition.

• Bleeding problems (e.g., hemophilia)—Use with caution. May have an increased risk of bleeding at the injection site.

• Multiple sclerosis—Use with caution. May make this condition worse.

• Severe illness with a fever—Your dose may need to be given at a later time.

• Weak immune system from a disease or medicine—May not work as well in patients with this condition.

Proper Use of hepatitis b vaccine recombinant

A nurse or other trained health professional will give you this vaccine. This vaccine is given as a shot into one of your muscles. If you have bleeding problems such as hemophilia, the vaccine may be given as a shot under your skin.

This vaccine is usually given as 3 doses. After the first dose, two more doses are given 1 month and 6 months after the first dose, unless your doctor tells you otherwise.

Precautions While Using hepatitis b vaccine recombinant

It is very important that you or your child return to your doctor’s office at the right time for the second and third dose. Be sure to notify your doctor of any unwanted effects that occur after you or your child receive this vaccine.

This vaccine may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Tell your doctor right away if you or your child have a rash, itching, swelling of the tongue and throat, or trouble breathing after you get the injection.

Tell your doctor if you or your child are allergic to latex. The needle cover and the rubber plunger of the prefilled syringe contain dry natural latex rubber, which may cause an allergic reaction in people with a latex allergy.

This vaccine may not protect you against hepatitis B infection if you are already infected with the virus at the time you receive the shot.

hepatitis b vaccine recombinant Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common

• Fever of 37.7 degrees C (100 degrees F) or higher

Rare

• Aches or pain in the joints, fever, or skin rash or welts (may occur days or weeks after receiving the vaccine)


• blurred vision or other vision changes


• confusion


• difficulty with breathing or swallowing


• dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position


• hives


• itching, especially of the feet or hands


• muscle weakness


• numbness or tingling of the arms and legs


• reddening of the skin, especially around the ears


• sweating


• swelling of the eyes, face, or inside of the nose


• unusual tiredness or weakness (sudden and severe)

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Dizziness


• headache


• soreness at the injection site

Less common

• Hard lump, redness, swelling, pain, itching, purple spot, tenderness, or warmth at the injection site


• unusual tiredness or weakness

Rare

• Aches or pain in the muscles


• agitation


• back pain or stiffness or pain in neck or shoulder


• chills


• constipation


• diarrhea


• difficulty with moving


• feeling of warmth


• general feeling of discomfort or illness


• headache (mild), sore throat, runny nose, or fever (mild)


• increased sweating


• itching


• lack of appetite or decreased appetite


• nausea or vomiting


• redness of the face, neck, arms, and occasionally, upper chest


• sleepiness or unusual drowsiness


• sleeplessness


• stomach cramps or pain


• sudden redness of skin


• swelling of glands in the armpit or neck


• trouble with sleeping


• unable to sleep


• welts


• weight loss

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: hepatitis b vaccine recombinant Intramuscular side effects (in more detail)

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More hepatitis b vaccine recombinant Intramuscular resources

• Hepatitis b vaccine recombinant Intramuscular Side Effects (in more detail)
• Hepatitis b vaccine recombinant Intramuscular Use in Pregnancy & Breastfeeding
• Hepatitis b vaccine recombinant Intramuscular Drug Interactions
• Hepatitis b vaccine recombinant Intramuscular Support Group
• 0 Reviews for Hepatitis b vaccine recombinant Intramuscular - Add your own review/rating

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