GEODON® (ziprasidone HCl) Capsules GEODON® (ziprasidone mesylate) for Injection

GEODON 20 MG VIAL PFIZER US PHARM Approx. Price: $13.35 per 1Each

All Labeled Uses: Agitation associated with Schizophrenia, Manic Bipolar Disorder, Mixed Bipolar I Disorder, Schizophrenia
Unlabeled Uses: Bipolar Disorder, Depression Treatment Adjunct

Adult Min/Max Dose: 10.0mg/40.0mg
Common Dosages by Indication:

Schizophrenia

inject 0.5 milliliter (10 mg) by intramuscular route every 2 hours not to exceed 40 mg per day inject 20 mg by intramuscular route every 4 hours not to exceed 40 mg per day

Ziprasidone has been referred to as an atypical or second-generation antipsychotic agent.

Drug Alert

April 12, 2006: Off-Label Use of Atypical Antipsychotics Linked to Increased Mortality in Elderly

September 01, 2004:Ziprasidone Associated With Increased Risk of Hyperglycemia, Diabetes – 2

GARDASIL® (Quadrivalent Human Papillomavirus (Types 6, 11, 16, 18) Recombinant Vaccine)

GARDASIL VIAL MERCK & CO. Approx. Price: $156.75 per 0Milliliters

Dosage

GARDASIL should be administered intramuscularly as 3 separate 0.5-mL doses according to the following schedule:

First dose: at elected date
Second dose: 2 months after the first dose
Third dose: 6 months after the first dose

All Labeled Uses: Prevention of Cervical Cancer due to Human Papilloma Virus, Prevention of Genital Warts, Prevention of Vaginal Cancer due to Human Papilloma Virus, Prevention of Vulvar Cancer due to Human Papilloma Virus

Pediatric
Warning: SAFETY AND EFFICACY NOT ESTABLISHED IN PEDIATRICS < 9 YEARS.

The Advisory Committee on Immunization Practices (ACIP) voted Thursday to recommend that a newly licensed vaccine designed to protect against human papillomavirus virus (HPV) be routinely given to girls when they are 11-12 years old. The ACIP recommendation also allows for vaccination of girls beginning at nine years old as well as vaccination of girls and women 13-26 years old. HPV is the leading cause of cervical cancer in women;June 29, 2006

HPV Vaccine Information For Young Women

FOSAMAX® (alendronate sodium) Tablets and Oral solution

FOSAMAX 5 MG TABLET MERCK & CO. Approx. Price: $97.56 per 30Each

Adult Min/Max Dose: 4.9mg/40.0mg
Common Dosages by Indication:

Glucocorticoid Induced Osteoporosis	take 2 tablets (10 mg) by oral route once daily in the morning, at least 30 minutes before the first food, beverage, or medication of the day take 1 tablet (5 mg) by oral route once daily in the morning, at least 30 minutes before the first food, beverage, or medication of the day take 1 tablet (10 mg) by oral route once daily in the morning, at least 30 minutes before the first food, beverage, or medication of the day
Hypogonadal Osteoporosis in Males	take 1 tablet (10 mg) by oral route once daily in the morning, at least 30 minutes before the first food, beverage, or medication of the day take 1 tablet (70 mg) by oral route once weekly in the morning, at least 30 minutes before the first food, beverage, or medication of the day
Paget’s Disease of Bone	take 1 tablet (40 mg) by oral route once daily in the morning, at least 30 minutes before the first food, beverage, or medication of the day for 6 months
Post-Menopausal Osteoporosis	take 1 tablet (10 mg) by oral route once daily in the morning, at least 30 minutes before the first food, beverage, or medication of the day take 1 tablet (70 mg) by oral route once weekly in the morning, at least 30 minutes before the first food, beverage, or medication of the day
Post-Menopausal Osteoporosis Prevention	take 1 tablet (5 mg) by oral route once daily in the morning, at least 30 minutes before the first food, beverage, or medication of the day take 1 tablet (35 mg) by oral route once weekly in the morning, at least 30 minutes before the first food, beverage, or medication of the day

All Labeled Uses: Glucocorticoid Induced Osteoporosis, Hypogonadal Osteoporosis in Males, Paget’s Disease of Bone, Post-Menopausal Osteoporosis, Post-Menopausal Osteoporosis Prevention
Unlabeled Uses: Prevention of Glucocorticoid-Induced Osteoporosis

Alendronate sodium, a synthetic bisphosphonate analog of pyrophosphate, is a bone resorption inhibitor.

Related Drugs

• Actonel
• Actonel with Calcium
• Boniva
• Boniva Injection

Flomax® (tamsulosin hydrochloride) Capsules, 0.4 mg

FLOMAX 0.4 MG CAPSULE SA BOEHRINGER ING. Approx. Price: $377.0 per 100Each

Adult Min/Max Dose: 0.4mg/0.8mg;

DRUG NOT INDICATED IN WOMEN.

Common Dosages by Indication:
Benign Prostatic Hypertrophy;

Benign Prostatic Hypertrophy

take 1 capsule (0.4 mg) by oral route once daily 1/2 hour following the same meal each day take 2 capsules (0.8 mg) by oral route once daily 1/2 hour following the same meal each day

Flomax® (tamsulosin hydrochloride) capsules are indicated for the treatment of the signs and symptoms of benign prostatic hyperplasia (BPH). FLOMAX capsules are not indicated for the treatment of hypertension

Tamsulosin hydrochloride is an α₁-adrenergic blocking agent with selectivity for α_1A-adrenergic receptors, which are mainly located in nonvascular smooth muscle (e.g., prostate).

Related Drugs

• Cardura
• Hytrin
• Proscar
• Uroxatral

FLEXERIL® (cyclobenzaprine HCl) Tablets

FLEXERIL 5 MG TABLET STAT RX USA Approx. Price: $62.0 per 30Each

Adult Min/Max Dose: 5.0mg/40.0mg; For most patients, the recommended dose of FLEXERIL is 5 mg three times a day. Based on individual patient response, the dose may be increased to 10 mg three times a day. Use of FLEXERIL for periods longer than two or three weeks is not recommended. (see INDICATIONS AND USAGE).

All Labeled Uses: Muscle Spasm
Unlabeled Uses: Fibromyalgia

FLEXERIL is indicated as an adjunct to rest and physical therapy for relief of muscle spasm associated with acute, painful musculoskeletal conditions.

Label Warnings

Pediatric
Relative Contraindication: SAFETY & EFFICACY NOT ESTABLISHED IN PEDIATRICS LESS THAN 15 YRS
Lactation ; Precaution: EXERCISE CAUTION IN BREASTFEEDING. RELATED TRICYCLICS ARE EXCRETED.
Pregnancy ; Possibly Safe
Geriatric ; Contraindication: (SOM)(BEERS02)ANTICHOLINERGIC,SEDATION,WEAKNESS,COG.IMPAIR.,CV EFX

Adverse Effects; Most Frequent: Blurred Vision, Dizziness, Drowsy, Xerostomia

Drug-Disease Contraindication;

Most Significant
Chronic Heart Failure, Conduction Disorder of the Heart, Congenital Long QT Syndrome, Heart Block, Hyperthyroidism, Recovery Phase Following Myocardial Infarct, Torsades de Pointes
Significant
Prolonged QT Interval, Severe Hepatic Disease, Sinus Tachycardia
Possibly Significant
Glaucoma, Open Angle Glaucoma, Urinary Retention
Cyclobenzaprine is a centrally acting skeletal muscle relaxant.

Flagyl® (metronidazole) Tablets

FLAGYL 250 MG TABLET PHARMACIA/UPJHN Approx. Price: $326.58 per 100Each

Metronidazole is a synthetic, nitroimidazole-derivative antibacterial and antiprotozoal agent.

Brand names: Flagyl®, MetroCream®, MetroGel®, Metrolotion®, Metron™, Noritate™, Nydamax®, Rozex®, Vandazole™

Adult Min/Max Dose: 750.0mg/4000.0mg
Pediatric Min/Max Dose: 15.0mg/kg/50.1mg/kg

Symptomatic Trichomoniasis

Flagyl is indicated for the treatment of symptomatic trichomoniasis in females and males when the presence of thetrichomonad has been confirmed by appropriate laboratory procedures (wet smears and/or cultures).

Asymptomatic Trichomoniasis

Flagyl is indicated in the treatment of asymptomatic females when the organism is associated with endocervi-citis, cervicitis, or cervical erosion. Since there is evidence that presence of the trichomonad can interfere with accurate assessment of abnormal cytological smears, additional smears should be performed after eradication of the parasite.

Treatment of Asymptomatic Consorts.

T. vagi-nalis infection is a venereal disease. Therefore, asymptomatic sexual partners of treated patients should be treated simultaneously if the organism has been found to be present, in order to prevent reinfection of the partner.

Amebiasis

Flagyl is indicated in the treatment of acute intestinal amebiasis (amebic dysen-tery)and amebic liver abscess.

In amebic liver abscess, Flagyl therapy does not obviate the need for aspiration or drainage of pus.

Anaerobic Bacterial Infections

Flagyl is indicated in the treatment of serious infections caused by susceptible anaerobic bacteria.

Drug-Drug Interactions

Contraindicated Drug Combination:
Clearly contraindicated in all cases and should not be dispensed or administered to the same patient:
METRONIDAZOLE/DISULFIRAM - Adverse reaction of the former drug
MISC ANTIFUNGAL AGENTS/ASTEMIZOLE; TERFENADINE - Increased effect of the latter drug
METRONIDAZOLE; TINIDAZOLE/ETHYL ALCOHOL - Adverse reaction of the latter drug
METRONIDAZOLE; TINIDAZOLE/PROPYLENE GLYCOL - Adverse reaction of the latter drug
Severe Interaction:
Action is required to reduce the risk of severe adverse interaction.
METRONIDAZOLE/BUSULFAN - Increased effect of the latter drug
METRONIDAZOLE; TINIDAZOLE/FLUOROURACIL - Increased effect of the latter drug
METRONIDAZOLE; TINIDAZOLE/ANTICOAGULANTS - Increased effect of the latter drug
Moderate Interaction:
Assess the risk to the patient and take action as needed.
METRONIDAZOLE/BARBITURATES - Decreased effect of the former drug
Warnings

Lactation

Absolute Contraindication: USE NOT RECOMMENDED.CARCINOGENIC IN RAT STUDIES

Pregnancy

FDB Only When Necessary: FDA B;MFR CONTRAIND 1ST TRIMES FOR TRICHOMONAS BUT PROB SAFE PER META-ANALYSES

Geriatric

Precaution: MAY NEED TO ADJUST DOSE

Adverse Effects

Most Frequent: Diarrhea, Nausea
Less Frequent: Alcohol Intolerance, Peripheral Neuropathy
Rare: Acute Pancreatitis, Allergic Dermatitis, Allergic Reactions, Ataxia, Dysgeusia, Encephalopathy, Erythema, Leukopenia, Mood Changes, Pruritus of Skin, Seizure Disorder, Skin Rash, Thrombophlebitis, Unsteady Gait, Urine Discoloration, Urticaria, Vulvovaginal Candidiasis

Related Drugs

• MetroGel
• Metrogel Vaginal

Fioricet® (Butalbital, Acetaminophen, and Caffeine Tablets USP)

FIORICET TABLET PRESCRIPT PHARM Approx. Price: $7.79 per 20Each

Fioricet® (Butalbital, Acetaminophen, and Caffeine Tablets USP) is supplied in tablet form for oral administration.

Each tablet contains the following active ingredients:
butalbital USP . . . . . . . . . . . .50 mg
acetaminophen USP . . . . . . 325 mg
caffeine USP . . . . . . . . . . . . .40 mg

All Labeled Uses: Tension-Type Headache
Unlabeled Uses: Migraine