Livial (Tibolone)

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What is the uses of Generic Livial (Tibolone)?

Relieving the symptoms of oestrogen deficiency (eg hot flushes, decreased sex drive, depression) in women who have gone through the menopause.Prevention of osteoporosis in women who have gone through the menopause and are at high risk of fractures, but cannot take other medicines used to prevent osteoporosis.

Warning!

Women taking any form of HRT should have regular medical and gynaecological check-ups. Your need for continued HRT should be reviewed with your doctor at least once a year. It is important to be aware that all women using HRT have an increased risk of being diagnosed with breast cancer compared with women who don't use HRT. This risk needs to be weighed against the personal benefits to you of taking HRT.

There is more detailed information about the risks and benefits associated with HRT in the factsheet about the menopause linked above. You should discuss these with your doctor before starting HRT. Women on HRT should have regular breast examinations and mammograms and should examine their own breasts regularly.

The risk is higher if you have existing risk factors (eg personal or family history, smoking, obesity, certain blood disorders - see cautions below) and needs to be weighed against the personal benefits to you of taking HRT. There is more detailed information about the risks and benefits associated with HRT in the factsheet about the menopause linked above. Discuss these with your doctor before starting treatment. It is not currently known if tibolone carries the same risk of blood clots as other forms of HRT. However it is associated with a slightly increased risk of stroke.

Missing a dose may increase the chance of this. If you are still experiencing any bleeding after six months of taking this medicine, or if breakthrough bleeding or spotting starts after this time, or after you have stopped taking this medicine, you should consult your doctor so that it can be investigated.

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This is because HRT, including tibolone, has been associated with a slightly increased risk of endometrial cancer. This risk needs to be weighed against the personal benefits to you of taking HRT and you should discuss this with your doctor before you start treatment.Stop taking this medicine and inform your doctor immediately if you experience any of the following symptoms while taking this medicine A woman is considered fertile for two years after her last menstrual period if she is under 50, or for one year if over 50. HRT does not provide contraception for women who fall within this group. If a potentially fertile women is taking HRT but also requires contraception, a non-hormonal method (eg condoms or contraceptive foam) should be used.

Use with caution in

Close family history of breast cancer (eg mother, sister or grandmother has had the disease)History of benign breast lumps (fibrocystic breast disease) History of fibroids in the womb History of endometriosis History of overgrowth of the lining of the womb (endometrial hyperplasia) Personal or family history of blood clots in the veins (venous thromboembolism, eg deep vein thrombosis or pulmonary embolism)Blood disorders that increase the risk of blood clots in the veins, eg antiphospholipid syndrome, factor V Leiden Women taking medicines to prevent blood clots (anticoagulants), usually of the face, during pregnancy or previous use of hormone preparations such as contraceptive pills (chloasma). Women with a tendency to this condition should minimise their exposure to the sun or UV light while taking HRT.Not to be used in Pregnancy

Breastfeeding 

Known, suspected or past history of breast cancer Known or suspected cancer in which growth of the cancer is stimulated by oestrogen, eg cancer of the lining of the womb (endometrial cancer) Untreated overgrowth of the lining of the womb (endometrial hyperplasia)Vaginal bleeding of unknown cause Women with a blood clot in a vein of the leg (deep vein thrombosis) or in the lungs (pulmonary embolism),

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an allergy.If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

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Side effects

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with this medicine. Because a side effect is stated here,it does not mean that all people using this medicine will experience that or any side effect.Vaginal bleeding or spotting Vaginal discharge Vaginal thrushVaginal itchingBreast painDisturbances of the gut such as diarrhoea, constipation, nausea, vomiting or abdominal pain Rash or itching Seborrhoeic dermatitis Abnormal hair growth

For more information about any other possible risks associated with this medicine, please read the information provided with the medicine or consult your doctor or pharmacist.

How can this medicine affect other medicines?

It is important to tell your doctor or pharmacist what medicines you are already taking, including those bought without a prescription and herbal medicines, before you start treatment with this medicine. Similarly, check with your doctor or pharmacist before taking any new medicines while taking this one, to ensure that the combination is safe.

The following medicines may potentially reduce the blood levels and effect of this medicine, which could result in recurrence of symptoms or irregular bleeding: antiepileptic medicines such as carbamazepine, phenytoin, phenobarbital and primidone barbiturates such as amobarbital rifamycin antibiotics such as rifabutin and rifampicin.

Some women with diabetes may need small adjustments in their dose of insulin or antidiabetic tablets while taking this medicine. You should monitor your blood sugar and seek advice from your doctor or pharmacist if your blood sugar control seems to be altered after starting this medicine.

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HCg Ovidac 5000 Iu injection is given into the muscle or under the skin. Women also use this injection at home, but they must be aware about How to inject?, where to inject? Or why to inject?. It can harm both the child as well as the mother, if it is not injected properly. During the certain problems, which include heart disease, kidney disease, cancer, migraine, thyroid, premature puberty, thyroid, undiagnosed uterus bleeding and cancer, epilepsy and an ovarian cyst, should not receive HCG.

HCG Ovidac Injection is used to maintain the normal HCG levels during the pregnancy. It also helps in the development of a baby. According to the last mensuration period(LMP), it is estimated that the level increases in the first 14-16 weeks. Tests that are performed earlier in the pregnancy gives the more appropriate information about the child and mother. Doctor prescribes a number of tests to confirm whether there are molar pregnancy or not, usually after the miscarriage. Following are the two types of levels:

Low level: It is easy to determine the low level by its symptoms, such as a miscalculation of dating, possible miscarriage or be lighted ovum and ectopic pregnancy.

High Level: It is easy to determine the high level due to its symptoms, such as molar pregnancy, miscalculation of dating and multiple pregnancy.

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Vitamin b12 Injection

Vitamin b12 Injection

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Vitamin B 12 Injectable Information

Vitamin B 12 Injectable is a form of the B 12 vitamin that is synthetically made. This vitamin is vital for the organism’s cell reproduction, growth, tissue and protein synthesis and blood formation. This drug is regularly prescribed in the treatment of malabsorbtion of this vitamin, vitamin B 12 deficiency, Pernicious Anemia, etc.

Vitamin B 12 Injectable Indications

Vitamin B 12 Injectable is a popular synthetic form of this vitamin, that is mainly prescribed in order to treat various forms of B 12 deficiency. However, this medicine might also serve some other purposes that have not been listed here.

Vitamin B 12 Injectable Warnings

In order to effectively treat Pernicious Anemia, this medicine should be taken in on a regular basis for the rest of the patient’s life. If the patient stops taking this medicine he might suffer from irreversible and severe damage to the body’s spinal cord’s nerves. A treatment with Vitamin B 12 Injectable cannot be replaced by a therapy with folic acid (because this substance is able to prevent anemia, but is cannot stop the disease from gradually damaging the patient’s spinal cord).

Before you take this drug, you should alert your personal healthcare provider if you are suffering from Leber's disease. Patients who have this medical disorder and who start a treatment with Vitamin B 12 Injectable could experience severe damaging of the optic nerve which could trigger permanent blindness.

Vitamin B 12 Injectable is a category C FDA pregnancy drug. Therefore, it has not been clearly determined whether a treatment with this medicine during pregnancy could harm the growing fetus or not. If you are pregnant, or if you are planning to become pregnant soon, you should ask your personal physician if it is safe to start a treatment with this drug. It has been established that some of this medicine’s ingredients are able to pass into breast milk. Although vitamin B 12 is essential for both a nursing child and for the mother, you should ask your personal physician if you may start taking this medicine if you are currently breastfeeding an infant.

Vitamin B 12 Injectable Intake Guidelines

Ask your doctor how and when you should take Vitamin B 12 Injectable in order to get the best results from your treatment. You must not disobey any of the instructions that your doctor has given you. If you fail to understand any of them, you should address a pharmacist, a doctor or a nurse. This drug is usually administered only once per month.

This medicine should be stored away from heat moisture and direct sunlight. Do not keep it in the bathroom or anywhere near the kitchen sink. Vitamin B 12 Injectable should be kept in a place that is far from the reach of pets and children in order to avoid unwanted (and possibly dangerous) accidents such as poisoning.

Vitamin B 12 Injectable Dosage

Ask your physician to tell you the dose of Vitamin B 12 Injectable that works best for you. Do not make any adjustments to the dose that your personal physician has prescribed you without his or her consent. You must not take extra doses of this drug without your doctor’s consent. The correct dosage of this medicine can vary from one patient to another, as it depends on the severity of the disorder, the patient’s age, sex, general heath condition, etc.

Vitamin B 12 Injectable Overdose

If you suspect that you could be suffering from an overdose with Vitamin B 12 Injectable, you are probably in need of medical attention as soon as possible. Contact your local poison control center immediately. Alert your personal doctor as soon as you can. We have no information regarding the possible symptoms that could be triggered by an overdose with this drug. However, Vitamin B 12 Injectable overdose should not cause any life threatening symptoms.

Vitamin B 12 Injectable Missed Dose

In order to get the best results from you treatment with Vitamin B 12 Injectable, you should take this drug on a regular basis. If you happen to forget to take one of your doses of this drug, you must ask your physician for further instructions. Do not use extra doses of this medicine (Vitamin B 12 Injectable) without your physician’s approval.

Vitamin B-12 Injectable Side Effects

You should stop your treatment with Vitamin B 12 Injectable and alert your physician as soon as possible if you experience any of these severe side effects:

• allergic reaction (throat closing; difficulty breathing; swelling of your tongue, lips, or face; sometimes even hives);
• breathing difficulties, chest pain;
• abnormal redness, warmth, or pain in a leg or arm.

You may continue your treatment with Vitamin B 12 Injectable, but you should inform your physician if you experience any of these less severe side effects:

• diarrhea or upset stomach;
• headache;
• fever;
• tingling or numbness;
• rash or itching;
• dizziness;
• felling of swelling.

Some other side effects that have not been mentioned here could also be triggered by a prolonged treatment with Vitamin B 12 Injectable. You should alert your personal physician as soon as possible if you feel anything abnormal, unusual or bothersome while you are being treated with this medicine (Vitamin B 12 Injectable).

Vitamin B 12 Injectable Drug Reactions

While you are being treated with Vitamin B 12 Injectable, you should avoid taking the following medicines:

• antibiotics, pyrimethamine (Daraprim) or methotrexate (Rheumatrex).
• colchicine.

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In some countries VITAMIN B12 INJECTABLE may also be known as: Cyanocobalamin, Lipotropics Injection

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Proficent (HCG) Information  

HCG is a hormone that is naturally produced by the female placenta during a normal pregnancy. This medicine’s action is highly similar to luteinizing hormone (LH), because this hormone is known to be able to cause ovulation. If it is combined with other medicines and drugs, HCG Pregnyl is highly effective in helping female patients become pregnant. This drug can also help males patients that are suffering from fertility issues (a treatment with this medicine usually enables such cases to produce a higher amount of testosterone).

HCG Pregnyl is a popular medicine that is regularly prescribed to female patients as part of a regimen that is supposed to induce:

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- Ovulation induction in subfertility that is usually triggered by impaired follicle-ripening or by anovulation. - Luteal phase support.
- Follicle preparation for puncture in controlled ovarian hyperstimulation programs (this usually occurs in the case of medically assisted reproductive methods and techniques).

HCG Pregnyl is a medicine that is regularly prescribed to male patients because of its ability to induce

- Hypogonadotrophic hypogonadism. - Some patients who were suffering from idiopathic dysspermias have positively responded to a treatment with this medicine. - Delayed puberty which is regularly associated with an insufficient function of the gonadotrophic pituitary glands. - Cryptorchidism, (not the one that is triggered by an abnormal anatomical obstruction).

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HCG Pregnyl Indications

HCG Pregnyl is a popular medicine that helps both male and female patients deal with infertility. However, this medicine can also be used for some other purposes (to treat or to prevent some other medical conditions) that have not been listed here.

HCG Pregnyl Warnings

In the case of female patients who want to be treated with HCG Pregnyl:

- Since infertile female patients who undergo medically assisted reproduction (especially those who need in vitro fertilization), are known to often be suffering from tubal abnormalities, after a treatment with this drug they might experience much more ectopic pregnancies. This is why early ultrasound confirmation at the beginning of a pregnancy (to see whether the pregnancy is intrauterine or not) is crucial. - Pregnancies who have occurred after a treatment with this medicine are submitted to a higher risk of multiplets. - Female patients who have thrombosis, severe obesity or thrombophilia should not be prescribed this medicine as they have a higher risk of arterial or venous thromboembolic events after or during a treatment with HCG Pregnyl.
- Female patients who have been treated with this medicine are usually more prone to pregnancy losses.

In the case of male patients: A prolonged treatment with HCG Pregnyl is known to regularly lead to increased production of androgen. Therefore:

- Patients who are suffering from overt or latent cardiac failure, hypertension, renal dysfunction, migraine or Epilepsy might not be allowed to start using this medicine or might have to be prescribed a lower dose of HCG Pregnyl. - This medicine should be used with extreme cautious in the case of prepubertal teenagers in order to reduce the risk of experiencing precocious sexual development or premature epiphyseal closure. This type of patients’ skeletal maturation should be closely and regularly monitored.

HCG Pregnyl Intake guidelines

Ask your physician how and when to take this medicine. You should not disobey any of your physician’s indications. You can also consult the drug’s label for further instructions. If you have any other questions, you should refer to a doctor, a pharmacist or a nurse. HCG Pregnyl should be stored in the refrigerator, at a temperature that is between 2°-8°C. Keep this medicine away from direct sunlight. Store it in a place that is far from the reach of pets and children in order to avoid unwanted accidents such as poisoning.

HCG Pregnyl Dosage

Dosage in the case of female patients: They should be administered one injection of 5 000-10 000 I.U. of this medicine. Dosage in the case of male patients: They should be administered an injection of 1000-2000 I.U. of medicine, from 2 to 3 times each week. It is best that each dose of HCG Pregnyl should be administered by an authorized medical healthcare provider.

HCG Pregnyl Overdose

This medicine’s acute toxicity is very low. The average symptoms of an overdose with HCG Pregnyl are not known in the case of human patients.

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HCG Pregnyl Missed Dose

Ask your personal physician what to do in case you miss one of your prescribed doses of HCG Pregnyl.

HCG Pregnyl Side effects

A prolonged treatment with this medicine is known to trigger several reactions at the injection site (like pain, bruising, redness, itching and swelling). Some patients who had been treated with HCG Pregnyl have experienced some allergic reactions to this medicine that were manifesting as rash, pain or swelling at the injection site. HCG Pregnyl’s rare side effects are known to include fever or rash.

Female patients who have been treated with this product have experienced unpleasant ovarian hyperstimulation syndrome. In the case of male patients who have received HCG Pregnyl, sodium and water retention is occasionally experienced, especially after the patient has been administered a high dose of this medicine (this condition is probably triggered by an excessive androgen production). In some cases, a treatment with HCG Pregnyl may sometimes cause gynaecomastia.

HCG Pregnyl Drug Reactions

You should ask your personal physician if it is safe to start taking other medicines while being treated with HCG Pregnyl.

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HCg Ovidac 5000 Iu injection is given into the muscle or under the skin. Women also use this injection at home, but they must be aware about How to inject?, where to inject? Or why to inject?. It can harm both the child as well as the mother, if it is not injected properly. During the certain problems, which include heart disease, kidney disease, cancer, migraine, thyroid, premature puberty, thyroid, undiagnosed uterus bleeding and cancer, epilepsy and an ovarian cyst, should not receive HCG.

HCG Ovidac Injection is used to maintain the normal HCG levels during the pregnancy. It also helps in the development of a baby. According to the last mensuration period(LMP), it is estimated that the level increases in the first 14-16 weeks. Tests that are performed earlier in the pregnancy gives the more appropriate information about the child and mother. Doctor prescribes a number of tests to confirm whether there are molar pregnancy or not, usually after the miscarriage. Following are the two types of levels:

Low level: It is easy to determine the low level by its symptoms, such as a miscalculation of dating, possible miscarriage or be lighted ovum and ectopic pregnancy.

High Level: It is easy to determine the high level due to its symptoms, such as molar pregnancy, miscalculation of dating and multiple pregnancy.

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