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Consequently doses are reduced and dosing interval increased in patients with renal impairment. A24 A Metoclopramide is ineffective in motion sickness, as hydrocodone no prescription no medical records it acts selectively on the chemoreceptor trigger zone. Metoclopramide is effective in treating vomiting associated with gastroduodenal, biliary and hepatic disease, and postoperative vomiting. A25 B Promethazine is an antihistamine, which leads to sedation and is therefore used in motion sickness when a sedative effect is desired. A26 A Metoclopramide is a dopamine receptor antagonist, which acts selectively on the chemoreceptor trigger hydrocodone fort myers oxycontin lawyers no prescription no medical records zone. A27 B Dulco-lax tablets containing bisacodyl, a stimulant laxative, must be swallowed whole with water and not chewed to decrease occurrence of abdominal cramps. A28 B Slow-K is a modified-release preparation containing potassium chloride. Patients taking Slow-K are advised to take the tablets in an upright position, while standing or sitting.

The tablets should be swallowed whole with plenty of hydrocodone no prescription no medical records water, to avoid gastrointestinal irritation. A29 A Zaditen syrup contains ketotifen, an antihistamine that may cause drowsiness. Patients are therefore advised not to drive or operate machinery. All patients taking metronidazole are advised to avoid alcohol as the combination of alcohol and metronidazole may lead to a disulfiram-like reaction. A31 E Flucloxacillin is a penicillin that must be taken either an hour before food or on an empty stomach for better absorption. Heparin, which has an hydrocodone no prescription no medical records anticoagulation action, may give rise to heparin- induced thrombocytopenia, which is an immune-mediated condition that usually develops 5-10 days after the administration of the drug. When heparin is used, a platelet count should hydrocodone no prescription no medical records be measured before treatment and if administration is repeated, platelet counts should be monitored regularly. Signs of thrombocytopenia include a reduction in platelet count. It may present with spontaneous haemorrhage and heparin should be stopped. Factor VIII is used in the treatment and prophylaxis of haemorrhage in patients with haemophilia.

A33 C Atomoxetine is used in attention deficit hyperactivity disorder (ADHD), which has been associated with a very rare occurrence of hepatic disorders that may present with abdominal pain, unexplained nausea, malaise, darkening of urine or jaundice.

Patients and carers are advised to recognise these symptoms and to seek prompt medical attention if they occur.

There have been reports of suicidal ideation occurring as a side-effect of atomoxetine therapy. Patients should be advised to report clinical worsening, suicidal thoughts or behaviour, irritability, agitation or depression since these may be signs of development of suicidal ideation. Unlike dexamfetamine, another drug that may be used in ADHD, atomoxetine does not cause tics as a side-effect. A34 C Aripiprazole is an atypical antipsychotic agent that is not associated with an impact on prolactin levels and is not associated with impotence as a side- effect. It may precipitate suicidal ideation as a side-effect.

A35 B Trastuzumab is licensed for the treatment of early breast cancer that overexpresses human epidermal growth factor receptor-2 (HER2).

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