FLUMETHASONE With CLIOQUINOL EAR DROPS

USES:
This medication is used to treat external ear infections or, when used in combination with oral antibiotics, to treat middle ear infections

HOW TO USE:
This drug is for use in the ear only. Learn proper ear cleaning and device usage techniques. Consult your doctor and pharmacist. Hold container in the hand for a few minutes if it has been refrigerated in order to warm it. To avoid contamination of the device do not touch the dropper tip or let it touch your ear or any other surface. For accuracy, have another person insert the drops for you if possible. To apply ear drops, wash hands first, then completely clean the ear canal. The usual dose is 2 to 3 drops twice daily or as directed by your doctor. Lie on your side or tilt the affected ear upward and place the prescribed number of drops into the ear. To help the drops roll into the ear (for adults) hold the earlobe up and back or (for children) hold the earlobe down and back. Keep the ear tilted for about two minutes so the medicine will be well absorbed or insert a soft cotton plug if so directed. Do not rinse the dropper. Replace cap after use. For best results, this medication must be used routinely as directed. Continue using it for the full time prescribed. Stopping this medication too soon may result in reinfection.

SIDE EFFECTS:
Stinging during use may occur. If this reaction persists or worsens, notify your doctor. Tell your doctor immediately if any of these serious side effects occur: rash, redness, itching, swelling, severe pain of the ear. Tell your doctor immediately if any of these unlikely but serious side effects occur: vision problems, headache, increased thirst, increased urination. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS:
Before using this drug, tell your doctor your medical history, including: any allergies (especially drug allergies), tuberculosis of the skin, syphilis skin infections, chickenpox, skin problems from vaccinations or viral infections. This product may cause staining of the: skin, nails, hair, fabrics. It is very unlikely, but possible, the flumethasone in this product will be absorbed into your bloodstream. Therefore, if this product is used over a long period (months), upon discontinuing the product additional corticosteroids may be needed during times of increased stress such as a serious infection, major surgery or serious injury. Tell your doctor of your flumethasone use if the stress situations mentioned above occur. This precaution should be observed for one year after stopping prolonged use of this product. Report promptly unusual weakness, weight loss, nausea/vomiting, fainting, or dizziness. This drug should not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. It is not known if this drug is excreted into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS:
Tell your doctor of all nonprescription and prescription medication you may use. The clioquinol in this product may interfere with certain thyroid tests. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE:
This medicine may be harmful if swallowed.

NOTES:
This medication has been prescribed for your current condition only. Do not use it later for another infection or give it to someone else. A different medication may be necessary in those cases.

MISSED DOSE:
If you miss a dose, use it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.

STORAGE:
Store at room temperature between 36 and 86 degrees F (2-30 degrees C) away from light and moisture.

SUMATRIPTAN - ORAL TABLET

USES:
This medication is used to treat migraine headache attacks once they occur. It is not effective in preventing migraines. This medication is not to be used for other types of headaches.

HOW TO USE:
One dose is taken by mouth at the first signs of a migraine attack. If you must take a second dose, do so exactly as instructed by your doctor. Do not take more than 200mg in a 24 hour period. Tablets are to be swallowed whole with a glass of water. Do not crush or chew them. If you have never taken this medication before and you have risk factors for heart disease (see Precautions), you may be advised to take the very first dose in your doctor's office in order to monitor for rare but serious heart problems (e.g., heart attack).

SIDE EFFECTS:
This medication may initially cause flushing, dizziness, weakness, nausea, drowsiness, stiffness, or feelings of tingling, heat, fatigue. If any of these effects continue or become bothersome, inform your doctor. Tell your doctor immediately if any of these unlikely but serious side effects occur: seizures. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS:
Before taking sumatriptan, tell your doctor or pharmacist if you are allergic to it; or to other "triptan" migraine drugs; or if you have any other allergies. Before using this medication, tell your doctor or pharmacist if you have risk factors for heart disease including: high cholesterol level, high blood pressure, diabetes, smoking history, family history of heart disease or stroke, obesity. Caution is also recommended in women after menopause or after removal of the ovaries, and men over 40 years old because of an increased risk for undiagnosed heart disease. Before using this medication, tell your doctor or pharmacist your medical history, especially of: certain blood circulation disorders (e.g., Raynaud's syndrome), heart disease, coronary artery disease, stroke, kidney disease, liver disease, seizures. There have been rare reports of those with sulfa drug allergies having allergic reactions to sumatriptan. Consult your doctor or pharmacist. Since this medication may cause drowsiness, use caution operating machinery or engaging in activities requiring alertness and avoid alcohol because it may increase drowsiness/dizziness effects. The manufacturer does not recommend use of sumatriptan in the elderly, because they may be more sensitive to its side effects. Sumatriptan should be used during pregnancy only when clearly needed. Discuss the risks and benefits with your doctor. This medication is excreted into breast milk. The effects on nursing infants are unknown at this time. Consult your doctor before breast-feeding.

DRUG INTERACTIONS:
Certain medications taken with this product could result in serious, even fatal, drug interactions. Do not take MAO inhibitors (e.g., furazolidone, linezolid, phenelzine, procarbazine, selegiline, tranylcypromine) for at least 2 weeks before or after taking this drug. Do not take other "triptan" migraine drugs (e.g., zolmitriptan, rizatriptan) or ergot-type drugs (e.g., dihydroergotamine, ergotamine, methysergide) within 24 hours of taking this medicine. Before using this medication, tell your doctor or pharmacist of all nonprescription and prescription products you may use, especially of: other drugs for prevention or treatment of headaches, "serotonin-type" medications (e.g., SSRI antidepressants such as fluvoxamine, sertraline), medication for weight control. It is recommended to avoid consumption of alcohol while taking this medication. Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE:
Symptoms of overdose may include tremor, chest pain, slowed breathing, and seizures.

NOTES:
This medication is used to relieve a migraine attack in progress. It is not effective in preventing migraine attacks.

MISSED DOSE:
Take this medication only when a migraine attack occurs as directed. This is not taken routinely. Never "double-up" the dose.

STORAGE:
this medication at 15 to 30 degrees C (59 to 86 degrees F) away from heat and light. Do not store in the bathroom. Keep this and all medications out of the reach of children.