ciclesonide nasal

ciclesonide (nasal)
Pronunciation: sik le SON ide Brand: Omnaris What is the most important information I should know about ciclesonide? • You should not use this medication if you are allergic to ciclesonide. • Before using ciclesonide, tell your doctor if you are allergic to any drugs, or if you have asthma, glaucoma, tuberculosis or other infection of the lungs, an open sore inside your nose, or a recent nose injury or surgery. Tell your doctor if you are or have been using any other steroid medications: oral, inhaled, or injected. • Ciclesonide nasal comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. • Call your doctor if your nasal allergy symptoms get worse, or if they do not improve after using this medication for 2 weeks. It may take up to 5 weeks for your symptoms to improve if you use this medicine only during certain times of the year. • If you stopped using another steroid medication when you started using ciclesonide, you may have steroid withdrawal symptoms. These symptoms include joint or muscle pain, depression, and weakness. Do not stop using any steroid medication without first talking to your doctor. You may need to use less and less before you stop the medication completely. • Although it is not likely that your body will absorb enough of this medication to cause serious side effects, tell your doctor if you have any steroid-related symptoms such as irregular menstrual periods, acne, increased hair growth, swelling, rapid weight gain, roundness of the face, increased sweating, or unusual thoughts or behavior. • Call your doctor as soon as possible if you have sores or white patches inside or around your nostrils, or if you have any vision problems, such as tunnel vision. • Less serious side effects are more likely, and you may have none at all. Talk to your doctor about any side effect that seems unusual or is especially bothersome. • Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication. What is ciclesonide? • Ciclesonide is a corticosteroid. It prevents the release of substances in the body that cause inflammation. • Ciclesonide is used to treat nasal symptoms of seasonal allergies and hay fever, such as sneezing, itching, and runny or stuffy nose. • Ciclesonide may also be used for other purposes not listed in this medication guide. What should I discuss with my health care provider before using ciclesonide? • You should not use this medication if you are allergic to ciclesonide. • Before using ciclesonide nasal, tell your doctor if you are allergic to any drugs, or if you have: · asthma; · glaucoma; · tuberculosis or other infection of the lungs; · a sore inside your nose that has not yet healed; · a recent nose injury or surgery; or · if you are or have been using an oral, inhaled, or injected steroid such as cortisone, methylprednisolone, prednisone, beclomethasone (Beclovent), flunisolide (AeroBid), fluticasone (Advair, Flovent), triamcinolone (Azmacort), and others. • If you have any of these conditions, you may need a dose adjustment or special tests to safely use this medication. • FDA pregnancy category C. This ciclesonide nasal may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. • It is not known whether ciclesonide nasal passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. • Long-term use of steroid medication can slow a child's growth. Tell your doctor if the child using this medication is not growing or gaining weight properly. How should I use ciclesonide nasal? • Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label. • Ciclesonide nasal spray is most often used once daily as 2 sprays into each nostril. Follow your doctor's instructions. • This medication comes with patient instructions for safe and effective use. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. • If needed, blow your nose to clear your nostrils just before using ciclesonide nasal. • Shake the ciclesonide nasal spray bottle gently before each use. • If you are using the nasal spray bottle for the first time, you must prime the bottle by pumping 8 sprays into the air, away from your face. If you have not used the bottle for longer than 4 days in a row, prime the pump with 1 priming spray. • Call your doctor if your nasal allergy symptoms get worse, or if they do not improve after using this medication for 2 weeks. It may take up to 5 weeks for your symptoms to improve if you use this medicine only during certain times of the year. • If you stopped using another steroid medication when you started using ciclesonide, you may have steroid withdrawal symptoms. These symptoms include joint or muscle pain, depression, and weakness. Do not stop using any steroid medication without first talking to your doctor. You may need to use less and less before you stop the medication completely. • Store ciclesonide nasal at room temperature with the bottle upright, away from moisture and heat. Do not allow the medicine to freeze. Keep the spray bottle clean and dry. • The ciclesonide bottle contains enough medicine for 120 sprays. Throw the bottle away after 120 sprays, or 4 months after removing the bottle from the foil pouch, whichever comes first. What happens if I miss a dose? • Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this medicine. An overdose of ciclesonide nasal spray is not expected to produce life-threatening symptoms. What should I avoid while using ciclesonide nasal? • Avoid getting this medication in your eyes. If this does happen, rinse thoroughly with water. • Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication. What are the possible side effects of ciclesonide nasal? • Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. • Although it is not likely that your body will absorb enough of this medication to cause serious side effects, tell your doctor if you have any of these steroid-related symptoms: · irregular menstrual periods; · acne or increased hair growth; · swelling, rapid weight gain, roundness of the face; · increased sweating; or · depression, anxiety, unusual thoughts or behavior. • Call your doctor as soon as possible if you have sores or white patches inside or around your nostrils, or if you have any vision problems, such as tunnel vision. • Less serious side effects may include: · headache; · nosebleed; · stuffy nose, sore throat; or · ear pain. • This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. What other drugs will affect ciclesonide nasal? • Before using this medication, tell your doctor if you are also taking ketoconazole (Nizoral). • There may be other drugs that can interact with ciclesonide nasal. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Where can I get more information? • Your pharmacist can provide more information about ciclesonide nasal.

ciclesonide

ciclesonide (inhalation)
Pronunciation: sye KLES oh nide Brand: Alvesco What is the most important information I should know about ciclesonide? • Do not use ciclesonide inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medicine to treat an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks. • Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking this medication, tell your doctor about any illness or infection you have had within the past several weeks. • You should not use this medication if you are allergic to ciclesonide. • Before using ciclesonide, tell your doctor if you have tuberculosis, an infection of your mouth or throat (such as oral thrush), glaucoma or history of cataracts, herpes infection of your eyes, or a personal or family history of osteoporosis. • If you also use a steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the steroid before stopping completely. • Call your doctor right away if you feel that ciclesonide inhalation makes your condition worse. • Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication. What is ciclesonide? • Ciclesonide is a corticosteroid. It prevents the release of substances in the body that cause inflammation. • Ciclesonide is used to prevent asthma attacks in adults and children 12 years and older. • Ciclesonide may also be used for other purposes not listed in this medication guide. What should I discuss with my health care provider before using ciclesonide? • Steroid medication can weaken your immune system, making it easier for you to get an infection. Steroids can also worsen an infection you already have, or reactivate an infection you recently had. Before taking this medication, tell your doctor about any illness or infection you have had within the past several weeks. • You should not use this medication if you are allergic to ciclesonide. • If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before using ciclesonide, tell your doctor if you have: · tuberculosis; · an infection of your mouth or throat (such as oral thrush); · glaucoma or history of cataracts; · herpes infection of your eyes; or · a personal or family history of osteoporosis. • FDA pregnancy category C. This ciclesonide inhalation may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. • It is not known whether ciclesonide inhalation passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. • Long-term use of steroid medication can slow a child's growth. Tell your doctor if the child using this medication is not growing or gaining weight properly. How should I use ciclesonide inhalation? • Use this medication exactly as it was prescribed for you. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Follow the instructions on your prescription label. • Do not use ciclesonide inhalation to treat an asthma attack that has already begun. It will not work fast enough. Use only a fast-acting inhalation medicine to treat an asthma attack. Talk with your doctor if any of your asthma medications do not seem to work as well in treating or preventing asthma attacks. • Ciclesonide inhalation comes with patient instructions for safe and effective use, and directions for priming the inhaler device. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions. • Ciclesonide inhalation is most often used once daily, in the morning or evening. Follow your doctor's instructions. Rinse your mouth after inhaling this medication. • The inhaler device must be primed before your first use or any time you have not used the inhaler for 10 days or longer. For instructions on how to prime the inhaler, refer to the patient instructions provided with your medication. • Your dosage needs may change if you have surgery, are ill, are under stress, or have recently had an asthma attack. Do not change your doses or medication schedule without advice from your doctor. • If you also use a steroid medication, do not stop using the steroid suddenly or you may have unpleasant withdrawal symptoms. Talk with your doctor about using less and less of the steroid before stopping completely. • It may take up to 4 weeks of using ciclesonide inhalation before your symptoms improve. For best results, keep using the medication as directed. Talk with your doctor if your symptoms do not improve after 4 weeks of treatment. • Call your doctor right away if you feel that ciclesonide inhalation makes your condition worse. • Asthma is usually treated with a combination of different drugs. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. • Store this medication at room temperature away from moisture and heat. Keep the medicine canister away from open flame or high heat, such as in a car on a hot day. The canister may explode if it gets too hot. What happens if I miss a dose? • Use the medication as soon as you remember the missed dose. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. Do not use extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this medicine. • An overdose of ciclesonide inhalation is not expected to produce life-threatening symptoms. However, long-term use of high steroid doses can lead to symptoms such as thinning skin, easy bruising, changes in the shape or location of body fat (especially in your face, neck, back, and waist), increased acne or facial hair, menstrual problems, impotence, or loss of interest in sex. What should I avoid while using ciclesonide inhalation? • Avoid being near people who are sick or have infections. Call your doctor for preventive treatment if you are exposed to chicken pox or measles. These conditions can be serious or even fatal in people who are using steroid medication. What are the possible side effects of ciclesonide inhalation? • Get emergency medical help if you have 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 you have any of these serious side effects: · wheezing, choking, or other breathing problems after using this medication; · sores or white patches in your mouth or throat; · vision problems, such as tunnel vision or blurred vision; or · worsening asthma symptoms. • Less serious side effects may include: · unpleasant taste in your mouth; · dry mouth, burning or irritation in your mouth; · white patches or sores inside your mouth; · runny or stuffy nose, sore throat; · hoarse voice; · mild itching or skin rash; · joint pain, back pain; or · headache. • This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. What other drugs will affect ciclesonide inhalation? • Tell your doctor about all other medications you use, especially: · conivaptan (Vaprisol); · an antibiotic such as clarithromycin (Biaxin), clotrimazole (Mycelex Troche), erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), itraconazole (Sporanox), ketoconazole (Nizoral), telithromycin (Ketek), troleandomycin (Tao), or voriconazole (Vfend); · HIV/AIDS medicine such as atazanavir (Reyataz), delavirdine (Rescriptor), indinavir (Crixivan), nelfinavir (Viracept), saquinavir (Invirase, Fortovase), or ritonavir (Norvir); or · an antidepressant such as nefazodone, paroxetine (Paxil), or sertraline (Zoloft). • There may be other drugs that can interact with ciclesonide inhalation. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Where can I get more information? • Your pharmacist can provide more information about ciclesonide inhalation.

Cialis

tadalafil
Pronunciation: ta DAL a fil Brand: Cialis What is the most important information I should know about tadalafil? • Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems. This includes nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, and others), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket). Nitrates are also found in some recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. • If you become dizzy or nauseated during sexual activity, or if you have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of tadalafil. • Do not take tadalafil more than once a day. Allow 24 hours to pass between doses. • Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. • Tadalafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking tadalafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether tadalafil is the actual cause of vision loss. • Stop using tadalafil and get emergency medical help if you have sudden vision loss. What is tadalafil? • Tadalafil relaxes muscles and increases blood flow to particular areas of the body. • Tadalafil is used to treat erectile dysfunction (impotence). • Tadalafil may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking tadalafil? • Do not take tadalafil if you are also using a nitrate drug for chest pain or heart problems, including nitroglycerin (Nitrostat, Nitrolingual, Nitro-Dur, Nitro-Bid, Minitran, Deponit, Transderm-Nitro), isosorbide dinitrate (Dilatrate-SR, Isordil, Sorbitrate), and isosorbide mononitrate (Imdur, ISMO, Monoket), or recreational drugs such as amyl nitrate or nitrite ("poppers"). Taking tadalafil with a nitrate medicine can cause a serious decrease in blood pressure, leading to fainting, stroke, or heart attack. • Before taking tadalafil, tell your doctor if you are allergic to any drugs, or if you have: · heart disease or heart rhythm problems; · a recent history a heart attack (within the past 90 days); · a recent history of stroke or congestive heart failure (within the past 6 months); · angina (chest pain); · high or low blood pressure; · liver disease; · kidney disease (or if you are on dialysis); · a blood cell disorder such as sickle cell anemia, multiple myeloma, or leukemia; · a bleeding disorder such as hemophilia; · a stomach ulcer; · retinitis pigmentosa (an inherited condition of the eye); · a physical deformity of the penis (such as Peyronie's disease); or · if you have been told you should not have sexual intercourse for health reasons. • If you have any of these conditions, you may need a dose adjustment or special tests to safely take tadalafil. • Tadalafil can decrease blood flow to the optic nerve of the eye, causing sudden vision loss. This has occurred in a small number of people taking tadalafil, most of whom also had heart disease, diabetes, high blood pressure, high cholesterol, or certain pre-existing eye problems, and in those who smoke or are over 50 years old. It is not clear whether tadalafil is the actual cause of vision loss. Stop using tadalafil and get emergency medical help if you have sudden vision loss. • FDA pregnancy category B: Although tadalafil is not for use in women, this medication is not expected to be harmful to an unborn baby. Do not use tadalafil without telling your doctor if you are pregnant or plan to become pregnant during treatment. • Although tadalafil is not for use in women, it is not known if tadalafil passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. How should I take tadalafil? • Take tadalafil exactly as it was prescribed for you. Do not take it in larger doses or for longer than recommended by your doctor. Taking this medication in larger doses will not make it more effective, and could cause dangerous side effects. • Tadalafil can be taken with or without food. • Tadalafil is usually taken only when needed, just before sexual activity. However, tadalafil may also be taken daily (at a lower dose), regardless of when sexual activity is planned. Follow your doctor's instructions. • Tadalafil can help achieve an erection when sexual stimulation occurs. An erection will not occur just by taking a pill. Follow your doctor's instructions. • Do not take tadalafil more than once a day. Allow 24 hours to pass between doses. If you take the medication daily, take it at the same time each day. • Contact your doctor or seek emergency medical attention if your erection is painful or lasts longer than 4 hours. A prolonged erection (priapism) can damage the penis. • Store this medication at room temperature away from moisture and heat. What happens if I miss a dose? • Since tadalafil is used as needed, you are not likely to be on a dosing schedule. • If you take tadalafil every day and you miss a dose, take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this medicine. • Overdose symptoms may include chest pain, nausea, irregular heartbeat, and feeling light-headed or fainting. What should I avoid while taking tadalafil? • Avoid drinking alcohol, which can increase some of the side effects of tadalafil. • Grapefruit and grapefruit juice may interact with tadalafil. Discuss the use of grapefruit products with your doctor. Do not increase or decrease the amount of grapefruit products in your diet without first talking to your doctor. • Avoid using other medicines to treat impotence, such as alprostadil (Caverject, Muse, Edex) or yohimbine (Yocon, Yodoxin, others), without first talking to your doctor. What are the possible side effects of tadalafil? • Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. • If you become dizzy or nauseated during sexual activity, or if you have pain, numbness, or tingling in your chest, arms, neck, or jaw, stop and call your doctor right away. You could be having a serious side effect of tadalafil. • Stop using tadalafil and call your doctor at once if you have any of these serious side effects: · sudden vision loss; · ringing in your ears, or sudden hearing loss; · chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling; · irregular heartbeat; · swelling in your hands, ankles, or feet; · shortness of breath; · seizure (convulsions); · vision changes; · feeling light-headed, fainting; or · penis erection that is painful or lasts 4 hours or longer. • Less serious side effects may include: · warmth or redness in your face, neck, or chest; · stuffy nose, sore throat; · headache; · diarrhea, upset stomach; or · muscle pain, back pain. • This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. What other drugs will affect tadalafil? • Before taking tadalafil, tell your doctor about all other medications you use for erectile dysfunction, or if you are using any of the following medications: · heart or blood pressure medications; · cimetidine (Tagamet, Tagamet HB); · erythromycin (E-Mycin, Eryc, Ery-Tab) or clarithromycin (Biaxin); · doxazosin (Cardura), prazosin (Minipress), terazosin (Hytrin); · HIV medicines such as amprenavir (Agenerase), tipranavir (Aptivus), darunavir (Prezista), efavirenz (Sustiva), nevirapine (Viramune), indinavir (Crixivan), saquinavir (Invirase, Fortovase), lopinavir/ritonavir (Kaletra), fosamprenavir (Lexiva), ritonavir (Norvir), atazanavir (Reyataz), or nelfinavir (Viracept); · itraconazole (Sporanox) or ketoconazole (Nizoral); · carbamazepine (Tegretol), phenobarbital (Luminal), or phenytoin (Dilantin); or · rifampin (Rifadin, Rimactane). • This list is not complete and there may be other drugs that can interact with tadalafil. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Where can I get more information? • Your pharmacist can provide more information about tadalafil.

chromium picolinate

chromium picolinate
Pronunciation: KROME ee um pi KOE li nate Brand: Cr-GTF, CRM What is the most important information I should know about chromium picolinate? • Not all uses for chromium picolinate have been approved by the FDA. Chromium picolinate should not be substituted for prescription medications. • Chromium picolinate is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination. • Use chromium picolinate as directed on the label, or as your doctor has prescribed. Do not use this product in larger amounts or for longer than recommended. • Your healthcare provider may occasionally change your dose to make sure you get the best results from chromium picolinate. The recommended dietary allowance of chromium increases with age. Follow your healthcare provider's instructions. • Your dose needs may change if you have an injury, illness, or infection, if you are pregnant, if you are under stress, or if you exercise more than usual. • Chromium picolinate is only part of a complete program of treatment that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely. • Tell your healthcare provider about all other medications you use, especially insulin or diabetes medications you take by mouth, steroid medications, nicotinic acid, stomach acid reducers, asthma or blood pressure medications, aspirin, or an NSAID (non-steroidal anti-inflammatory drug). What is chromium picolinate? • Chromium is a mineral found in certain foods. The body needs only trace amounts of chromium, and deficiency of this mineral in humans is rare. • Chromium picolinate works together with insulin produced by the pancreas to metabolize carbohydrates. • Chromium picolinate has been used in alternative medicine as an aid to lowering cholesterol or improving the body's use of glucose (sugar). It is also commonly touted as a weight-loss supplement that aids in reducing body fat and increasing lean muscle. • Not all uses for chromium picolinate have been approved by the FDA. Chromium picolinate should not be substituted for prescription medications. • Chromium picolinate is often sold as an herbal supplement. There are no regulated manufacturing standards in place for many herbal compounds and some marketed supplements have been found to be contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination. • Chromium picolinate may also be used for other purposes not listed in chromium picolinate guide. What should I discuss with my health care provider before taking chromium picolinate? • Before using chromium picolinate, talk to your doctor, pharmacist, herbalist, or other healthcare provider. You may not be able to use this product if you have: · liver disease; · diabetes; · cancer; or · a weak immune system. • Chromium picolinate may be harmful to an unborn baby. Do not use this product without talking to a healthcare provider if you are pregnant or plan to become pregnant during treatment. • Chromium picolinate may pass into breast milk and may harm a nursing baby. Ask your healthcare provider before using this product if you are breast-feeding a baby. • Do not give any herbal/health supplement to a child without the advice of a doctor. How should I take chromium picolinate? • When considering the use of herbal supplements, seek the advice of your doctor. You may also consider consulting a practitioner who is trained in the use of herbal/health supplements. • If you choose to take chromium picolinate, use it as directed on the package or as directed by your doctor, pharmacist, or other healthcare provider. Do not use more of this product than is recommended on the label. • Your healthcare provider may occasionally change your dose to make sure you get the best results from chromium picolinate. The recommended dietary allowance of chromium increases with age. Follow your healthcare provider's instructions. You may also consult the National Academy of Sciences "Dietary Reference Intake" or the U.S. Department of Agriculture's "Dietary Reference Intake" (formerly "Recommended Daily Allowances" or RDA) listings for more information. • Your dose needs may change if you have an injury, illness, or infection, if you are pregnant, if you are under stress, or if you exercise more than usual. • Chromium picolinate is only part of a complete program of treatment that may also include diet, exercise, and weight control. Follow your diet, medication, and exercise routines very closely. • Store chromium picolinate at room temperature away from moisture and heat. What happens if I miss a dose? • No information is available about missing a dose of chromium picolinate. Consult your doctor, pharmacist, or healthcare provider for instructions if you miss a dose. What happens if I overdose? • Seek emergency medical attention if you think you have used too much of this product. • An overdose of chromium picolinate is not expected to produce life-threatening symptoms. What should I avoid while taking chromium picolinate? • Avoid a diet that is high in sugar. It may interfere with the effectiveness of chromium picolinate. • Avoid using antacids without your healthcare provider's advice. Use only the specific type of antacid your healthcare provider recommends. Antacids contain different medicines and some types can make it harder for your body to absorb chromium picolinate. What are the possible side effects of chromium picolinate? • Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. • Less serious side effects are more likely to occur, and you may have none at all. • Tell your doctor, pharmacist, or healthcare provider about any unusual or bothersome side effect. What other drugs will affect chromium picolinate? • Do not take chromium picolinate without the advice of a doctor if you are using any of the following medications: · insulin or diabetes medications you take by mouth; · steroid medications (prednisolone and others); · nicotinic acid (niacin, Niaspan, Niacor, Advicor, and others); · stomach acid reducers such as cimetidine (Tagamet), ranitidine (Zantac), famotidine (Pepcid), or nizatidine (Axid); · proton-pump inhibitor acid reducers such as esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), or rabeprazole (Aciphex); · a beta-blocker such as acebutolol (Sectral), atenolol (Tenormin), betaxolol (Kerlone), bisoprolol (Zebeta, Ziac), carteolol (Cartrol), carvedilol (Coreg), esmolol (Brevibloc), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), nadolol (Corgard), penbutolol (Levatol), pindolol (Visken), propranolol (Inderal, InnoPran), sotalol (Betapace), or timolol (Blocadren); or · aspirin or an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), indomethacin (Indocin), piroxicam (Feldene), and others. • This list is not complete and there may be other drugs that can interact with chromium picolinate. Tell your healthcare provider about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your healthcare provider. Where can I get more information? • Your doctor, pharmacist, or healthcare provider may have more information about chromium picolinate. You may also consult the National Academy of Sciences "Dietary Reference Intake" or the U.S. Department of Agriculture's "Dietary Reference Intake" listings for more information.