MORPHINE/DEXTROSE-PREMIX (Injection)
Dextrose (DEX-trose), Morphine (MOR-feen)

Treats moderate to severe pain. Belongs to a group of drugs called narcotic analgesics.

Brand Name(s):
There may be other brand names for this medicine.

When This Medicine Should Not Be Used:
You should not use this medicine if you have ever had an allergic reaction to morphine or to related narcotic pain-killers. You should not use morphine if you have asthma.

How to Use This Medicine:
Injectable

• Your doctor will prescribe your exact dose and tell you how often it should be given. This medicine may be given through a needle (a shot) or a catheter (a small tube). It may be given under your skin, into a muscle, into a vein, or into your back.
• A nurse or other trained health professional will give you this medicine.
• You may be taught how to give your medicine at home. Make sure you understand all instructions before giving yourself an injection. Do not use more medicine or use it more often than your doctor tells you to.
• To avoid dizziness from this medicine, get up slowly from a sitting or lying position.

If a dose is missed:

• Use your medicine as soon as you remember that you have missed your dose.
• If it is almost time for your next dose, wait until then to use your medicine and skip the missed dose.
• You should not use two doses at the same time.

How to Store and Dispose of This Medicine:

• Store your medicine at room temperature, away from heat and light. Throw away any unused medicine if the expiration date has passed.
• Keep all medicine out of the reach of children.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you have taken an MAO inhibitor (Nardil®, Parnate®, Marplan®, Eldepryl®) within the last 14 days before using morphine.
• Morphine may interact with many other drugs. Be sure your doctor knows of all other medicines you are taking.
• Avoid drinking alcohol while using morphine.

Warnings While Using This Medicine:

• If you are pregnant or breastfeeding, talk to your doctor before taking this medicine.
• Before using this medicine, make sure your doctor knows if you have a seizure disorder (epilepsy), asthma, liver, heart, kidney, gallbladder, lung, or inflammatory bowel disease, a bleeding disorder, or an enlarged prostate.
• This medicine may be habit-forming. You should not use more than your doctor ordered, or use it for longer periods of time than prescribed.
• Talk to your doctor before you stop using this medicine. You may need to use smaller and smaller amounts before stopping completely.
• This medicine may make you drowsy or dizzy. Avoid driving or using machinery.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Shortness of breath, trouble breathing
• Skin rash, itching, or hives
• Slow heartbeat
• Trouble going to the bathroom (urinating)
• Swelling in the legs, ankles, or feet
• Pain, burning, or swelling where the IV is given

If you notice these less serious side effects, talk with your doctor:

• Drowsiness, dizziness, or confusion
• Nausea and vomiting
• Constipation
• Sweating

If you notice other side effects that you think are caused by this medicine, tell your doctor.

Copyright© 1974-2006 Thomson MICROMEDEX. All rights reserved.

ACETAMINOPHEN (By mouth)
Acetaminophen (a-seet-a-MIN-oh-fen)

Treats minor pain and reduces fever.

Brand Name(s):Silapap Infant's, Silapap Children's, Tylenol, Tylenol Children's, Tylenol Extra Strength, Tylenol Infants' Original, Tylenol Infants', Tylenol Arthritis, Tylenol Junior Strength, T-Painol, Q-Pap, Cetafen, Dolono, Tycolene, APAP
There may be other brand names for this medicine.

When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to acetaminophen.

How to Use This Medicine:
Tablet, Capsule, Liquid, Chewable Tablet, Long Acting Tablet

• Your doctor will tell you how much of this medicine to take and how often. Do not take more medicine or take it more often than your doctor tells you to. It is not safe to take more than 4 grams (4,000 milligrams) of acetaminophen in one day (24 hours).
• If you are taking this medicine without the advice of your doctor, follow the label directions on the medicine package. Do not take this medicine longer than 10 days in a row, unless your doctor tells you otherwise.
• You may take this medicine with or without food.
• The chewable tablet should be chewed or crushed before you swallow it.
• Shake the oral liquid well just before each use. Measure the liquid with a marked measuring spoon or medicine cup.
• Do not crush, chew, or break the extended-release tablet. Swallow it whole.
• Drink a full glass of water when taking this medicine.

If a dose is missed:

• If you are taking this medicine on a regular schedule and you miss a dose or forget to take your medicine, take it as soon as you can. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose.
• Do not use extra medicine to make up for a missed dose.

How to Store and Dispose of This Medicine:

• Store the medicine at room temperature in a closed container, away from heat, moisture, and direct light. Do not freeze.
• Keep all medicine out of the reach of children, and never share your medicine with anyone.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Do not drink alcohol while you are using this medicine. Acetaminophen can damage your liver and drinking alcohol can increase this risk. If you regularly drink 3 or more alcoholic drinks every day, do not take acetaminophen without asking your doctor.
• Do not also use other medicines that contain acetaminophen, or you may be getting more than a safe amount of this medicine.
• Many combination medicines contain acetaminophen, including products with brand names such as Alka-Seltzer Plus®, Comtrex®, Drixoral®, Excedrin Migraine®, Midol®, Sinutab®, Sudafed®, Theraflu®, and Vanquish®. Carefully check the labels of all other medicines you are using to be sure they do not contain acetaminophen.

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breastfeeding, or if you have liver or kidney disease.
• Tell your doctor if your symptoms do not improve, or if you develop new symptoms such as redness or swelling. If you have been using this medicine for a fever and the fever lasts longer than 3 days, stop using the medicine and call your doctor.
• Make sure any doctor or dentist who treats you knows that you are using this medicine. Acetaminophen may affect the results of certain laboratory tests.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in face or hands, swelling or tingling in the mouth or throat, tightness in chest, trouble breathing
• Blood in stools or black, tarry stools
• Dark-colored urine or pale stools
• Lightheadedness, fainting, weakness, sweating
• Nausea, vomiting, loss of appetite, severe stomach pain
• Unusual bleeding or bruising
• Vomiting blood or material that looks like coffee grounds
• Yellow skin or eyes

If you notice other side effects that you think are caused by this medicine, tell your doctor.

Copyright© 1974-2006 Thomson MICROMEDEX. All rights reserved.

MINOCYCLINE (By mouth)
Minocycline (mi-noe-SYE-kleen)

Treats infections. This medicine is a tetracycline antibiotic.

Brand Name(s):Dynacin, Myrac, Minocin
There may be other brand names for this medicine.

When This Medicine Should Not Be Used:
You should not use minocycline if you have ever had an allergic reaction to any tetracycline antibiotic (such as doxycycline, tetracycline). Do not give this medicine to children under 8 years old because it can permanently change tooth color. You should not use this medicine if you are pregnant or breastfeeding.

How to Use This Medicine:
Capsule, Liquid, Tablet

• Your doctor will tell you how much of this medicine to take and how often. Do not take more medicine or take it more often than your doctor tells you to.
• Swallow the medicine with a full glass of water. You may take the medicine with food if it upsets your stomach.
• Swallow the extended-release capsule whole. Do not break, crush, chew, or open it.
• Shake the oral liquid well just before each use. Measure the medicine with a marked measuring spoon or medicine cup.
• Keep using this medicine for the full treatment time, even if you feel better after the first few doses. Your infection may not clear up if you stop using the medicine too soon.

If a dose is missed:

• If you miss a dose or forget to take your medicine, take it as soon as you can. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not use extra medicine to make up for a missed dose.

How to Store and Dispose of This Medicine:

• Store the medicine at room temperature in a closed container, away from heat, moisture, and direct light. Do not freeze the oral liquid.
• Ask your pharmacist, doctor, or health caregiver about the best way to dispose of any outdated medicine or medicine no longer needed.
• Keep all medicine out of the reach of children and never share your medicine with anyone.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are also using penicillin, antacids (such as Maalox®, Mylanta®), a blood thinner (Coumadin®), or multivitamins or mineral supplements that contain calcium, magnesium, or iron.
• Birth control pills, may not work while you are using minocycline. To keep from getting pregnant, use another form of birth control such as condoms, a diaphragm, or contraceptive foam or jelly.

Warnings While Using This Medicine:

• Make sure your doctor knows if you have kidney disease, liver disease, or asthma, or if you are allergic to sulfites.
• This medicine may make you dizzy or drowsy. Avoid driving, using machines, or doing anything else that could be dangerous if you are not alert.
• This medicine may make your skin more sensitive to sunlight. Use a sunscreen when you are outdoors. Avoid sunlamps and tanning beds.
• Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery. This medicine may affect the results of certain medical tests.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in face or hands, swelling or tingling in the mouth or throat, tightness in chest, trouble breathing
• Dark-colored urine or pale stools
• Decrease in how much or how often you urinate
• Headache, blurred vision
• Nausea, vomiting, loss of appetite, pain in the upper stomach
• Trouble swallowing
• Unusual bleeding or bruising
• Yellow skin or eyes

If you notice these less serious side effects, talk with your doctor:

• Change in skin color
• Diarrhea, nausea, vomiting, loss of appetite
• Mild skin rash

If you notice other side effects that you think are caused by this medicine, tell your doctor.

Copyright© 1974-2006 Thomson MICROMEDEX. All rights reserved.

WARFARIN (Injection)
Warfarin (WAR-far-in)

Helps to prevent new blood clots from forming, and helps to keep existing blood clots from getting worse. This medicine is a blood thinner (anticoagulant).

Brand Name(s):Coumadin
There may be other brand names for this medicine.

When This Medicine Should Not Be Used:
You should not use this medicine if you are allergic to warfarin, or if you are pregnant. You should not use this medicine if you have certain heart problems, or if you have a condition that may cause uncontrolled bleeding (such as blood clotting problems or a stomach ulcer). You should not use this medicine if you have recently had surgery or certain types of injury (trauma). Drug: General, Warn, Stop before surgery Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before having surgery or medical tests.

How to Use This Medicine:
Injectable

• A nurse or other trained health professional will give you this medicine.This medicine may be given as a shot into a vein.

If a dose is missed:

• This medicine needs to be given on a fixed schedule. If you miss a dose, call your doctor or pharmacist for instructions.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• There are many other medicines that you should not use while you are using warfarin. These include many herbs, supplements, and over-the-counter (nonprescription) medicines. Ask your doctor before you use any other medicine, especially products that contain nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin, ibuprofen, naproxen, Motrin®, Advil®, or Aleve®. Carefully check the labels of all other medicines you are using to be sure they do not contain NSAIDs.
• Do not drink alcohol while you are using this medicine.
• Carefully follow your doctor's instructions about any special diet. This medicine works best when you eat about the same amount of vitamin K in your food every day. Avoid big changes in how much vitamin K you eat. Some foods that have a high amount of vitamin K are broccoli, brussels sprouts, cabbage, and green leafy vegetables such as spinach and salad greens.

Warnings While Using This Medicine:

• Using this medicine while you are pregnant can harm your unborn baby. Use an effective form of birth control to keep from getting pregnant. If you think you have become pregnant while using the medicine, tell your doctor right away.
• Make sure your doctor knows if you are breast feeding, or if you have a stomach ulcer, heart problems, liver disease, kidney disease, or high blood pressure. Tell your doctor if you have had any recent illnesses or infections. Make sure your doctor knows if you have a history of blood or circulation problems, diabetes, or any other medical problems.
• Tell your doctor if you are using medicine for your blood sugar, such as chlorpropamide (Diabinese®) or tolbutamide. Also tell your doctor if you are using an anticonvulsant such as phenytoin (Dilantin®) or phenobarbital. Your doctor may need to change your dosage of these medicines while you are on warfarin.
• Your doctor will need to check your blood at regular visits while you are using this medicine. Be sure to keep all appointments.
• You may bleed and bruise more easily while you are using this medicine. Stay away from rough sports or other situations where you could be bruised, cut, or injured. Brush and floss your teeth gently. Be careful when using sharp objects, including razors and fingernail clippers.
• Carry an ID card or wear a medical alert bracelet so that during an emergency, health caregivers will know that you are using warfarin.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
• Numbness, tingling, or weakness anywhere in your body, or problems with movement, swallowing, or speech.
• Dizziness, lightheadedness. or trouble thinking clearly.
• Purple discoloration of your toes or feet, or new pain in a leg, foot, or your toes.
• Skin changes or rash, or yellowing of your skin or the whites of your eyes.
• Signs of illness or infection, such as fever, chills, sore throat, cough.
• Sudden or severe headache, or new pain in your abdomen (belly), flank (sides), or back.
• Swelling in your hands, ankles, or feet.
• Unusual bleeding or bruising. This includes bleeding from your gums, coughing up blood, or stools that are bloody, dark, or tarry. Also call for heavy menstrual bleeding, heavy nosebleeds, or bleeding from cuts or wounds that does not stop after holding direct pressure for 10 minutes.
• Urine that is red, pink, or dark, trouble urinating, or a decrease in how much or how often you urinate.

If you notice these less serious side effects, talk with your doctor:

• Nausea, or vomiting.
• Diarrhea.
• Muscle or joint pain.

If you notice other side effects that you think are caused by this medicine, tell your doctor.

Copyright© 1974-2006 Thomson MICROMEDEX. All rights reserved.

DICLOXACILLIN (By mouth)
Dicloxacillin Sodium (dye-klox-a-SIL-in SOE-dee-um)

Treat infections. Belong to a class of drugs called penicillin antibiotics.

Brand Name(s):Dynapen
There may be other brand names for this medicine.

When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to any type of penicillin. Tell your doctor about any allergies that you have.

How to Use This Medicine:
Capsule, Liquid

• Your doctor will tell you how much of this medicine to use and how often. Do not use more medicine or use it more often than your doctor tells you to.
• This medicine is best taken on an empty stomach, 1 hour before or 2 hours after meals. Take with a full glass of water.
• Keep using this medicine for the full treatment time, even if you feel better after the first few doses. Your infection may not clear up if you stop using the medicine too soon.
• Shake the oral liquid well before using. Measure the oral liquid medicine with a marked measuring spoon, oral syringe, or medicine cup.

If a dose is missed:

• Take the missed dose as soon as possible.
• Take the rest of the doses for the day at regularly spaced times.
• Do not take two doses at the same time.

How to Store and Dispose of This Medicine:

• Store at room temperature away from heat, moisture, and direct light. Store the oral liquid in the refrigerator. Throw unused medicine away after 14 days. Do not freeze.
• Keep all medicine away from children and never share your medicine with anyone.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are using a blood thinner such as warfarin (Coumadin®) or any other antibiotic (such as gentamicin, tobramycin, Garamycin®.
• Birth control pills may not work while you are using dicloxacillin. To keep from getting pregnant, use another form of birth control. Other forms include condoms, a diaphragm, or contraceptive foam or jelly.

Warnings While Using This Medicine:

• If you are pregnant or breast feeding, talk with your doctor before taking this medicine.
• Make sure your doctor knows if you have ever had an allergic reaction to any cephalosporin antibiotic such as Keflex® or Ceclor® before you take this medicine.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
• Shortness of breath or trouble breathing
• Severe diarrhea (watery, possibly with blood)

If you notice these less serious side effects, talk with your doctor:

• Nausea or vomiting
• Vaginal itching or discharge

If you notice other side effects that you think are caused by this medicine, tell your doctor.

Copyright© 1974-2006 Thomson MICROMEDEX. All rights reserved.