USES: Penicillin G benzathine is an antibiotic used to treat a variety of bacterial infections.

HOW TO USE: This drug is administered by a doctor or nurse and is injected into a large muscle.
Antibiotics work best when the amount of medicine in your body is kept at a constant level. This is
done by scheduling the doses at evenly spaced intervals. If more than one dose is required make
sure you do not miss any doses. The number of doses depend on the type of infection. Continue
to receive this medication until the fully prescribed treatment program is finished even if
symptoms disappear after a few days. Stopping the medication too early may allow bacteria to
continue to grow resulting in a relapse of the infection.

SIDE EFFECTS: This medication may cause mild diarrhea, stomach upset, nausea, vomiting or
irritation at injection site during the first few days as your body adjusts to the medication. If these
symptoms persist or worsen, inform your doctor. Notify your doctor immediately if you develop:
watery diarrhea, stomach cramps, fever, unusual bleeding or bruising, yellowing of the eyes or
skin, unusual tiredness or weakness. Use of this medication for prolonged or repeated periods
may result in a secondary infection (e.g., oral, bladder or vaginal yeast infection). In the unlikely
event you have an allergic reaction to this drug, seek medical attention immediately. Symptoms of
an allergic reaction include: wheezing, difficulty breathing, skin rash, hives, itching. If you notice
other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Before using this drug tell your doctor your medical history especially: kidney
disease, stomach/intestine diseases, allergies to penicillins or other antibiotics. Tell your doctor if
you are pregnant before using this drug. This drug is excreted into breast milk. Consult your
doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all the medications you take (prescription and
nonprescription) especially probenecid, birth control pills, tetracyclines, certain live vaccines or
aminoglycosides (e.g., gentamicin). This drug may interfere with the effectiveness of birth control
pills. Discuss using other methods of birth control with your doctor. Do not start or stop any
medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency
room immediately. US residents can call the US national poison hotline at 1-800-222-1222.
Canadian residents should call their local poison control center directly. Symptoms of overdose
may include nausea, vomiting, and diarrhea.

NOTES: Certain urine glucose test results may be affected by this drug. Consult your doctor or
pharmacist.

MISSED DOSE: It is important you receive all scheduled doses. Consult your doctor if you miss
any.

STORAGE: Store this medication in a refrigerator between 36-46 degrees F (2-8 degrees C). Do
not freeze.

USES: Dexamethasone is a corticosteroid that reduces swelling and inflammation. It is used to

treat a variety of disorders such as skin diseases (e.g., dermatitis, keloids), allergic conditions,
breathing problems, cancer (e.g., leukemias, lymphomas), blood disorders (e.g., anemia),
digestive problems (e.g., colitis, enteritis), or arthritis.

HOW TO USE: Inject this medication into a vein (IV), into a muscle (IM), into a joint (intra-
articular), or into a skin wound as directed by your doctor. The dosage is based on your medical
condition and response to therapy. Do not stop using this medication without consulting your
doctor. Some conditions may become worse when the drug is abruptly stopped. Your dose may
need to be gradually decreased before stopping treatment. Before using, check this product
visually for particles or discoloration. If either is present, do not use the liquid. Learn how to store
and discard needles and medical supplies safely. Consult your pharmacist.

SIDE EFFECTS: Nausea, dizziness, increased appetite, weight gain, weakness, sleep problems,
or pain/redness/swelling at the injection site may occur. If any of these effects persist or worsen,
notify your doctor promptly. Tell your doctor immediately if any of these serious side effects occur:
swelling of the face/ankles/feet, muscle pain and weakness, severe headache, trouble breathing,
rash, wounds that won't heal. Tell your doctor immediately if any of these unlikely but serious side
effects occur: severe stomach pain, bloody or black stools, mental/mood changes, seizures,
increased thirst, increased urination, blurred vision, persistent sore throat or fever. An allergic
reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an
allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. Contact your
doctor if you experience any of the following signs of low steroid levels: unusual weakness,
weight loss, nausea, vomiting, fainting or dizziness. If you notice other effects not listed above,
contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: liver or kidney disease,
heart problems, stomach or intestinal problems (e.g., ulcers), high blood pressure, brittle bones
(osteoporosis), seizures, blood clots (thromboembolism), bleeding disorders (e.g., hemophilia),
recent infections, mental disorders (e.g., depression, schizophrenia), glandular diseases (e.g.,
thyroid, adrenal), diabetes, myasthenia gravis, herpes infections, eye problems, any allergies.
When used for extended periods and/or used in children, this drug can suppress your immune
system function. Tell your doctor if you experience any injuries and/or signs of infection (e.g.,
fever, sore throat, muscle aches, pain during urination) during treatment and within 12 months
after treatment with this drug. Consult your doctor or pharmacist for more details. Avoid contact
with people currently infected with the chicken pox or measles. Consult your doctor immediately if
you think you have been exposed to the chicken pox or measles virus. Do not have
vaccinations/immunizations/skin tests while you are taking this drug unless directed by your
doctor. If you have diabetes, this drug may increase your blood sugar levels. Test your blood for
sugar (glucose) frequently and contact your doctor if your levels are high; your dose of diabetes
medicine and your diet may need to be changed or adjusted. A preservative (benzyl alcohol)
which may be found in this product or in the liquid used to mix this product (diluent) can
infrequently cause serious problems (sometimes death), if given in large amounts (more than 100
mg/kg daily) to an infant during the first months of life (neonatal period). The risk is also greater
with low birth weight infants. Symptoms include sudden gasping, low blood pressure, or a very
slow heartbeat. Report these symptoms to the doctor immediately should they occur. If possible,
a preservative-free product should be used when treating neonates. Caution is advised when
using this drug in children because it can affect their growth (suppress growth hormone). This
medication should be used only when clearly needed during pregnancy. Discuss the risks and
benefits with your doctor. This medication passes into breast milk and has had undesirable
effects on nursing infants. Consult your doctor before breast- feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medication you
may use, especially: aspirin, certain anti-seizure drugs (e.g., phenobarbital, phenytoin),
ephedrine, rifampin, "blood thinners" (e.g., coumadin), "water pills" (diuretics such as furosemide
or hydrochlorothiazide). Do not start or stop any medicine without doctor or pharmacist approval.
Gentamycin

WARNING: This drug has caused kidney problems, nerve damage or permanent hearing loss,
even at usual doses. Hearing loss can occur even after the drug is stopped. If you already have
kidney problems or hearing difficulty, tell your doctor. Notify your doctor immediately if any of the
following occur: ringing in your ears, hearing loss, unusual change in amount of urine, dizziness,
numbness, skin tingling, muscle twitching or seizures. This drug may be stopped if you develop
kidney or hearing problems. Your doctor will monitor your progress to minimize the possibility of
these effects occurring and may run certain tests (e.g., hearing and/or kidney tests). Do not use
this medication with other drugs that can cause nerve, kidney or hearing problems. Other factors
that increase the risk of these side effects occurring include advanced age or dehydration
(unusual thirst).

USES: Gentamicin is an antibiotic used to treat a wide variety of bacterial infections.

HOW TO USE: Use this medication exactly as prescribed. Antibiotics work best when the amount
of medicine in your body is kept at a constant level. Do this by using the medication at evenly
spaced intervals throughout the day and night. Continue to use this medication until the full
prescribed amount is finished even if symptoms disappear after a few days. Stopping the
medication too early may allow bacteria to continue to grow resulting in a relapse of the infection.

SIDE EFFECTS: This medication may cause stomach upset, diarrhea, loss of appetite, nausea or
vomiting. If any of these effects persist or worsen, inform your doctor. Notify your doctor if you
develop: difficulty hearing, ringing in the ears, dizziness. 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: Tell your doctor your medical history, especially: kidney disease, vertigo,
hearing problems, vitamin/mineral (electrolyte) imbalances, myasthenia gravis, Parkinson's
disease, any allergies. Use of this medication for prolonged or repeated periods may result in a
secondary infection (e.g., oral, bladder or vaginal yeast infection). Elderly patients may be more
sensitive to the effects of gentamicin. Use cautiously. Gentamicin should be used only when
clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug is
excreted into breast milk. The effects on nursing infants are not known at this time. Consult your
doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all the medications you may use (both prescription
and nonprescription), especially: other antibiotics (penicillins and cephalosporins such as
cephalexin), diuretics ("water pills") such as furosemide or ethacrynic acid, other aminoglycoside
antibiotics (e.g., kanamycin, amikacin), anesthetics (e.g., succinylcholine, tubocurarine), any live
vaccines, anti-cancer medications. Do not start or stop any medicine without doctor or pharmacist
approval.