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HIV/AIDS

INTRODUCTION ABOUT VALCYTE 450MG TABLET VALCYTE 450MG TABLET contains Valganciclovir which belongs to the group of medicines called Antiviral agents. It is used in adults (with acquired immunodeficiency syndrome) to manage cytomegalovirus (CMV) infection of the retina of the eye which generally cause vision problems and blindness. VALCYTE 450MG TABLET is also used in adults and children to manage cytomegalovirus (CMV) infection who are not infected with CMV or who had received an organ transplant from someone who earlier had CMV infection. VALCYTE 450MG TABLET is not recommended for use in patients allergic (hypersensitive) to Valganciclovir, and/or Ganciclovir. Before taking VALCYTE 450MG TABLET, inform your doctor if are undergoing radiotherapy/hemodialysis, and/or suffer from low red blood cell, white blood cell or platelets, kidney/liver problems. VALCYTE 450MG TABLET is not recommended for use in pregnant women unless it is clearly necessary since it may cause harm to the unborn baby. It is also not recommended for use in breastfeeding women. VALCYTE 450MG TABLET should be used with caution in children and adolescents (aged below 18 years) and is advised to be used with caution in elderly patients (aged 65 years and above) after consulting the doctor. The most common side effects of taking VALCYTE 450MG TABLET are oral thrush (fungal infection), headache, shortness of breath, abdominal pain, loss of appetite, nausea, vomiting, and/or diarrhea. Consult your doctor if any of these symptoms worsens. USES OF VALCYTE 450MG TABLET Manage cytomegalovirus (CMV) infection of the retina of the eye in adult patients with acquired immunodeficiency syndrome (AIDS). Prevents cytomegalovirus (CMV) infection who are not infected with CMV or in patients who had received an organ transplant from someone who earlier had CMV infection HOW VALCYTE 450MG TABLET WORKS VALCYTE 450MG TABLET works by managing the multiplication of virus in human cells by decreasing its growth which results in inhibition of production of new virus thus managing and managing the spread of infection to other parts of the body in affected individuals. DIRECTIONS FOR USE Take VALCYTE 450MG TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition. SIDE EFFECTS OF VALCYTE 450MG TABLET COMMON thrush & oral thrush (fungal infection) upper respiratory tract infection such as sinusitis, tonsillitis headache cough, shortness of breath abdominal pain, loss of appetite, nausea/vomiting, diarrhea, weight loss eczema (skin inflammation) tiredness, fever influenza signs of urine infection such as fever, passing urine more often, and/or pain (while passing urine) skin infection signs of mild allergic reaction such as red, itchy skin feeling depressed, anxious or confused trouble sleeping feeling numb/weak in hands/feet changes in sense of touch, tingling/tickling/pricking/burning sensation altered taste, chills eye inflammation/pain or sight problems ear pain signs of low blood pressure such as feeling dizzy/faint difficulty while swallowing constipation, wind, indigestion, stomach pain, swelling of abdomen mouth ulcers night sweats itching, rash hair loss back pain, muscle/joint pain, muscle spasms feeling dizzy, weak/generally unwell UNCOMMON feeling agitated tremor/shaking deafness irregular heartbeat red itchy welt, dry skin blood in urine chest pain RARE Stop taking VALCYTE 450MG TABLET and contact your doctor if you experience any of the following side effects: signs of allergic reaction (anaphylactic shock) such as raised, itchy skin rash, sudden swelling of throat, face, lips/mouth resulting in difficulty while swallowing/breathing, and/or sudden swelling of the hands, feet/ankles. signs of infection (due to low white blood cell count) such as sore throat, mouth ulcer, and/or fever signs of low red blood cell count such as shortness of breath, tiredness, palpitation, and/or pale skin signs of blood infection (sepsis) such as fever, chills, palpitation, confusion, and/or slurred speech signs of low platelet count such as bleeding/bruising, blood in urine/stools, and/or bleeding from gums severely low blood cell count pancreatitis (inflammation of pancreas) associated with severe stomach pain fits hallucinations abnormal thoughts/feelings, losing contact with reality failure of kidney function HOW TO MANAGE SIDE EFFECTS Constipation Try to eat high-fiber foods such as vegetables, cereals, fresh fruit, and drink plenty of water. Involve in regular exercise (such as going for a daily walk or run) and if this does not help, consult and inform your doctor for receiving alternate managements for constipation.

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Eye Care

Blink 7 EYE DROPS contains Hydroxypropyl methylcellulose, which belongs to the group of medicines called Demulcents. It is used to alleviate dry eye conditions by substituting tear fluid in affected individuals. It is also used to provide temporary relief from burning irritation from dryness of the eye. Blink 7 EYE DROPS is not recommended for use in patients allergic to hydroxypropyl methylcellulose. It is also not recommended for use if you are undergoing any surgery. Before administering Blink 7 EYE DROPS, inform your doctor if you wear contact lenses. Blink 7 EYE DROPS should be used with caution in pregnant and breastfeeding women. It should be used with caution in children and elderly patients. Consult your doctor before using. The most common side effects of administering Blink 7 EYE DROPS are eye irritation/redness, itchy eyes, blurred vision, and/or eye pain. Consult your doctor if any of these symptoms worsen. Uses Of Blink 7 EYE DROPS Alleviates dry eye conditions Provides temporary relief from burning sensation due to dryness of eye How Blink 7 EYE DROPS Works Blink 7 EYE DROPS is a hydrophilic polymer that works by crosslinking on the eye surface, resulting in increased tear clearance time and promoting eye lubrication, thus providing relief from symptoms associated with eye dryness in affected individuals. How to use Blink 7 EYE DROPS Use Blink 7 EYE DROPS as advised by your physician. It is for ophthalmic use only. Place the recommended number of gel drops inside the lower eyelid by squeezing the container. Do not use this product if its colour changes or becomes cloudy. Do not touch the container tip to avoid any contamination. Your doctor will decide the correct dose and duration for you depending upon your age, body weight, and disease condition. Side Effects Of Blink 7 EYE DROPS Common Eye irritation/redness Blurred vision Itchy eye Eye pain

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Eye Care

Gatipred belongs to a group of medications called ‘Antibiotics and Corticosteroids’ used to treat bacterial eye infections or eye discomfort, especially in patients who have undergone eye surgeries. It also decreases the risk of eye infections such as conjunctivitis (inflammation of the conjunctiva) and other inflammatory conditions of the eye (cornea, iris, and connective tissue) in postoperative patients. Gatipred is a combination of two medicines: Gatifloxacin and Prednisolone. Gatipred is an antibiotic that acts by interfering with the formation of essential proteins required for bacterial growth. Prednisolone is a steroid that reduces inflammation and symptoms associated with infection such as redness and irritation. It works by inhibiting the chemicals such as prostaglandins that cause inflammation. Gatipred is available for external use only. You should take this medicine as prescribed by your doctor. The common side-effects of Gatipred application site reactions such as redness, burning or stinging sensation, watery eyes, and blurred vision. These side-effects are mild and temporary. It may also cause inflammation of the cornea (clear outer layer of the eye), which is a serious side-effect and may cause vision problems. If any of these side-effects persist, consult your doctor immediately. Inform your doctor before using Gatipred if you have allergic reactions to medicines, tuberculosis, damaged cornea, ulcers in the eye, eye infection and producing pus, open lesions in the eye and glaucoma (a condition where the pressure inside the eye is increased). Pregnant and breastfeeding women should consult their doctor before starting Gatipred This medicine may cause temporary blurred vision; hence drive only when you are alert and have clear vision.

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General Medicine

Ondican 2 Injection is a brand of Ondansetron 2 mg/2 mL Injection, manufactured by American Remedies. Ondansetron is a 5-HT₃ receptor antagonist commonly used as an antiemetic to prevent and treat nausea and vomiting associated with various medical conditions. ________________________________________ ✅ Primary Uses Ondican 2 Injection is indicated for: • Chemotherapy-Induced Nausea and Vomiting (CINV): To prevent and treat nausea and vomiting caused by cancer chemotherapy. Radiotherapy-Induced Nausea and Vomiting (RINV): To prevent and treat nausea and vomiting associated with radiation therapy. Postoperative Nausea and Vomiting (PONV): To prevent and treat nausea and vomiting following surgical procedures. These indications are supported by clinical guidelines and pharmacological references. ________________________________________ ⚙️ Mechanism of Action Ondansetron works by blocking the action of serotonin, a natural substance that may cause nausea and vomiting. It specifically inhibits serotonin receptors in the chemoreceptor trigger zone (CTZ) in the brain, thereby preventing the sensation of nausea and the act of vomiting. ________________________________________ ⚠️ Precautions and Side Effects Precautions: • Allergy: Do not use if allergic to ondansetron or other 5-HT₃ receptor antagonists. • Cardiac Conditions: Use with caution in patients with a history of heart problems, as ondansetron may affect heart rhythm. • Pregnancy and Breastfeeding: Consult a healthcare provider before use during pregnancy or breastfeeding. Common Side Effects: • Headache • Constipation • DizzinessFatigue Serious Side Effects: • Allergic reactions (rash, itching, swelling) Severe dizziness or fainting • Irregular heartbeat Seek immediate medical attention if any serious side effects occur.

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General Medicine

Omeecan 40 is a brand of Omeprazole 40 mg Injection, manufactured by American Remedies. Omeprazole is a proton pump inhibitor (PPI) that reduces stomach acid production. The injection form is typically used in hospital settings when oral administration is not feasible. ________________________________________ ✅ Primary Uses Omeecan 40 Injection is indicated for: • Gastroesophageal Reflux Disease (GERD): To treat and manage acid reflux symptoms. • Peptic Ulcers: Including gastric and duodenal ulcers, to promote healing and alleviate symptoms. • Stress Ulcers: To prevent and treat ulcers in critically ill patients. • Zollinger-Ellison Syndrome: A condition characterized by excessive stomach acid production. • Helicobacter pylori Eradication: As part of combination therapy to eliminate H. pylori infection, which can cause ulcers. ________________________________________ ⚙️ Mechanism of Action Omeprazole works by irreversibly inhibiting the proton pump (H+/K+ ATPase enzyme) in the stomach lining, thereby reducing gastric acid secretion. This leads to increased gastric pH, promoting healing of acid-related conditions. ________________________________________ ⚠️ Precautions • Allergy: Do not use if allergic to omeprazole or other PPIs. • Drug Interactions: May interact with medications like clopidogrel, warfarin, and certain HIV medications. • Kidney and Liver Function: Use with caution in patients with impaired kidney or liver function. • Pregnancy and Breastfeeding: Consult a healthcare provider before use during pregnancy or breastfeeding. ________________________________________ 💊 Side Effects Common Side Effects: • Headache • Nausea

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General Medicine

Nor-ADR Injection is a brand of Noradrenaline (Norepinephrine) Bitartrate Injection, manufactured by American Remedies. It is primarily used in critical care settings to manage severe hypotension (low blood pressure) and shock. ________________________________________ ✅ Primary Uses Nor-ADR Injection is indicated for: • Septic Shock: A life-threatening condition caused by severe infection leading to dangerously low blood pressure. • Cardiogenic Shock: A state where the heart is unable to pump sufficient blood to meet the body's needs. Anaphylactic Shock: A severe allergic reaction causing a sudden drop in blood pressure. • Hypotension During Surgery or Trauma: To maintain adequate blood pressure during and after surgical procedures or traumatic events. • Cardiac Arrest: As an adjunct in the management of cardiac arrest to improve blood flow to vital organs. These indications are supported by clinical guidelines and pharmacological references. ________________________________________ ⚙️ Mechanism of Action Noradrenaline is a potent vasopressor that works by: Alpha-1 Adrenergic Receptor Activation: Causing vasoconstriction, which increases systemic vascular resistance and raises blood pressure. • Beta-1 Adrenergic Receptor Activation: Increasing heart rate and myocardial contractility, thereby enhancing cardiac output. This dual action helps restore blood pressure and improve perfusion to vital organs in shock states. ________________________________________ ⚠️ Precautions and Side Effects Precautions: • Administration: Should be administered intravenously under strict medical supervision, typically in an intensive care unit (ICU) setting. • Monitoring: Continuous monitoring of blood pressure and heart rate is essential during administration. • Contraindications: Should not be used in patients with mesenteric or peripheral vascular thrombosis unless absolutely necessary. Common Side Effects: • Hypertension (high blood pressure) • Headache Nausea • Anxiety • Dizziness Serious Side Effects: • Arrhythmias (irregular heartbeats) • Tissue necrosis at the injection site • Reduced renal perfusion leading to renal failure Immediate medical attention is required if any serious side effects occur.

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General Medicine

Mucanix Injection is a brand of Acetylcysteine Injection, manufactured by American Remedies. Acetylcysteine is a mucolytic agent that helps in thinning and loosening mucus in the airways, making it easier to cough up and clear the airways. ________________________________________ ✅ Primary Uses Mucanix Injection is primarily used for: • Respiratory Disorders: Conditions such as chronic bronchitis, asthma, and cystic fibrosis, where there is excessive mucus production. • Paracetamol (Acetaminophen) Overdose: As an antidote to prevent liver damage when administered within 8 hours of overdose. ________________________________________ ⚙️ Mechanism of Action Acetylcysteine works by: • Breaking down mucus: It reduces the viscosity of mucus, facilitating easier expectoration. • Restoring glutathione levels: In cases of paracetamol overdose, it replenishes glutathione, a vital antioxidant, aiding in detoxification and protecting the liver. ________________________________________ ⚠️ Precautions and Side Effects Precautions: • Allergy: Do not use if allergic to acetylcysteine or any of its components. • Asthma: Use with caution in patients with asthma; monitoring is required. • Pregnancy and Breastfeeding: Consult a doctor before use during pregnancy or breastfeeding. Common Side Effects: • Nausea • Vomiting • Rash • Fever • Headache Serious Side Effects: • Anaphylactic reactions (rare) • Hypotension • Tachycardia If you experience any of these serious side effects, seek immediate medical attention.

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Heart Disorder

Stukinase 1500000IU Injection is a medicine used to break down harmful blood clots that have formed in the blood vessels. It is used to treat patients who have suffered a recent heart attack. It is also used in treating conditions such as pulmonary embolism and stroke. Stukinase 1500000IU Injection is administered under the supervision of a doctor. Your doctor will decide the dose and duration of the medicine for you. The doctor may closely monitor your condition until you become stable. Use of this medicine may cause injection site bleeding, nausea, allergic reaction, and a decrease in blood pressure. It may increase your risk of bleeding also. Your doctor will explain the benefits and risks associated with this medicine before it is administered. You should continue all your other medicines that are advised by the doctor for your long-term treatment even after this injection.

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Kidney Disease Medicine

Renhold tablet is a nutrient supplement with an active ingredient called Alpha Ketoanalogue. It belongs to the class of medicine called amino acids. It is given along with a protein-restricted diet to delay the progression of chronic kidney disease (CKD). It reduces uraemic symptoms (caused by the accumulation of nitrogenous waste compounds normally eliminated by the kidneys), improves nutritional status, and reduces metabolic complications in CKD patients. It works by lowering urea levels in the bloodstream and slowing down the advancement of kidney disease, thereby delaying the need for long-term dialysis. Do not consume Renhold tablet if you are allergic to Alpha Ketoanalogue or any of its ingredients. Avoid consuming this medicine if you have hypercalcemia (high level of calcium) or abnormal heartbeats; because the administration of this medicine may cause increased calcium levels in the blood and irregular heartbeats. During treatment, your doctor may recommend periodic monitoring of your serum calcium levels. Notifying your doctor if you are pregnant and breastfeeding before taking this medicine.

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