GENERIC NAME: DICLOFENAC - ORAL (dye-KLO-fen-ack)

BRAND NAME(S): Cataflam Medication Uses | How To Use | Side Effects | Precautions | Drug Interactions | Overdose | Notes | Missed Dose | Storage USES: This medication is a nonsteroidal anti-inflammatory drug that relieves pain and reduces inflammation (swelling). It is used to treat headaches, muscle aches, dental pain, menstrual cramps and athletic injuries. It is commonly used to treat pain, swelling and stiffness associated with arthritis. HOW TO USE: Take this medication with food, milk, or antacids to prevent stomach upset. This medication is most effective in relieving menstrual pain if taken at the earliest sign of pain. Take this medication with 6 to 8 ounces (180-240ml) of water. Do not lie down for at least 30 minutes after taking this drug. SIDE EFFECTS: Stomach upset is the most common side effect. Nausea, vomiting, bloating, gas, dizziness, drowsiness, blurred vision or loss of appetite may also occur. If any of these effects persist or worsen, notify your doctor. Inform your doctor promptly if you develop: ringing in ears/ loss of hearing, vision changes. If you notice any of the following unlikely but very serious side effects, stop taking this drug and consult your doctor or pharmacist immediately: black stools, persistent stomach/ abdominal pain, vomit that looks like coffee grounds. 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. 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, blood disorders, ulcers, heart disease, alcohol use, high blood pressure, eye disease, asthma, nasal polyps, any allergies - especially aspirin/NSAID allergy (e.g., ibuprofen, celecoxib). Use caution when performing tasks requiring alertness. Limit alcohol intake as it may intensify the drowsiness effect of this medication. This medicine may cause stomach bleeding. Daily use of alcohol, especially when combined with this medicine, may increase your risk for stomach bleeding. Check with your doctor or pharmacist for more information. Do not take aspirin without consulting your doctor. Check the ingredients of any nonprescription medication you may be taking since many cough-and-cold formulas contain aspirin. Infrequently, this medication may increase the skin's sensitivity to sunlight. If this happens to you, avoid prolonged sun exposure, wear protective clothing and use a sunscreen. Avoid sunlamps. Caution is advised when this drug is used in the elderly. Tell your doctor if you are pregnant before using this drug. Use of this drug in the last 6 months of pregnancy is not recommended. This drug is excreted into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription drugs you may use, especially of: "blood thinners" such as warfarin, other arthritis medication, water pills, lithium. 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 1-800222-1222 . Canadian residents should call their local poison control center directly. Symptoms of overdose may include severe stomach pain, coffee ground-like vomit, dark stool, ringing in the ears, change in amount of urine, unusually fast or slow heartbeat, muscle weakness, slow or shallow breathing, confusion, severe headache or loss of consciousness. NOTES: In arthritis, it may take up to two weeks before the full effects of this medicine are noted. For best results, this medication must be taken regularly as directed by your doctor. MISSED DOSE: If you miss a dose, take it as soon as remembered; do not take if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up. STORAGE: Store at room temperature away from moisture and sunlight. Do not store in the bathroom.
Trihemic is what is known as a multivitamin with iron. Primarily multivitamins are described as any preparation made from approved medication providing companies that contains more than just one single vitamin. Multivitamins can come in the form of tablets which are taken orally and/or using needles in an injection form. Possibly the most fundamental information that anyone who wants to take multivitamins with iron like Trihemic should be cognizant of is that multivitamins with iron should be prescribed by a medical doctor (MD) and under no circumstances should more multivitamin than what is prescribed should be taken. This is fatally true as an overdose of these drugs can lead to side effects. The drug should be kept out of reach of children and stored in a cool place as is with most drugs. It is a proven fact that overdose of multivitamins and other medications which are high in iron content is the leading cause poisoning in children below the age of six (6) years old. The Origin of Trihemic The Dosage Missing Your Daily Dosage Actions In Case Of an Overdose Prescription Drugs to Avoid When Taking The Side Effects Manufacturers Interaction of Trihemic with Nexium Other Information on Trihemic The Origin of Trihemic: The drug and other multivitamins with iron have their origin in food substances that contain vitamins essential to the human body for survival. Daily functions of the human body require vitamins and multivitamin substances found in the medication. Either the human body must extract these vitamins including iron from food or humans must take them in pure form via tablets. The multivitamins or better known as

combinations of vitamins including iron. Often called the iron drug Trihemic is available in oral tablets, gel capsules, soft tasting liquids, and with injections. The multivitamin with iron is used to treat various illnesses but is specifically designed to treat vitamin and iron shortages in the human body. Hence it is used to treat a lack of iron in the human body due to direct result of illness, female pregnancy, and lack of nutrition due to improper eating, a lower absorption rate of essential foods by the human body by the human stomach, and many other circumstances. It is also used for several other treatments other than mentioned above. Back To Top The Dosage for Trihemic: We review how someone should take the multivitamins with iron. Before taking the iron drug one should consult with a reputable healthcare provider to determine if you can take the drug. The main reason is because the vitamin with iron can and will affect other human medical conditions or have an adverse effect with other treatments. Before taking the iron supplement ensure that you advise your doctor of any major health problems or health conditions that you might have as well as the type and other medications that you might take. Multivitamins with iron are normally safe to be taken during female pregnancy and specifically during the breast-feeding process. The drug is also used as a prenatal iron multivitamin and in fact are very important for the health and development of the fetus and the child after birth. Despite large doses or an overdose of iron vitamins can and will be harmful to the human body. As with any drug especially prescription drugs such as Trihemic a medical doctor should approve the taking of an iron multivitamin and supplement during pregnancy and or female breast-feeding. Back To Top The dosage is actually one tablet and or dose daily. Each tablet contains 600 mg of Ascorbic Acid or Vitamin C, 25 mg of Cyanocobalamin or what is known as Vitamin B12, 1 mg of Folic Acid, 25.83 mg Alpha Tocopheryl Acid Succinate or Vitamin E and 350 mg of Ferrous Fumarate. This constitutes one dose 600 and is essential as an iron supplement. We implore you to take the multivitamin with iron exactly as prescribed by your physician. Normally Trihemic comes in tablet form and the directions for taking them orally are included in the box and on the bottle, however if you dont understand the directions for taking the drug consult a licensed pharmacist, registered nurse, or medical doctor to explain the prescribed dosage. Each dose of should be taken with a glass of water or a light fluid, never with alcohol. The multivitamin with iron can be taken with food to avoid an upset stomach. Rarely trihemic with iron will can be prescribed in liquid form. To ensure that you get the correct dosage in liquid form measure the liquid with a dose-measuring spoon or cup and never use a regular tablespoon or teaspoon to administer the drug. You can acquire a dosemeasuring device from your pharmacist. The drug should be stored at room temperature in a medicine cabinet and kept away from heat, moisture and more importantly kept far out of reach of children. Missing Your Daily Dosage of Trihemic: If a patient is prescribed the drug misses a daily dose then they are required not to try and take the skipped dose. This means if you miss a dose at your regular time but within the same 24 hrs you can take that dose of the drug. Do not take the dose if it is almost time for your regularly scheduled dose; so you will have to avoid the missed dose and stick to the regularly scheduled dosage. Under no circumstances should a double dosage be taken. If some one who lacks supervision takes a double dose you should contact a physician immediately and the center for poison control. Back To Top

Actions In Case Of an Overdose of Trihemic: If there is an overdose one must seek emergency medical attention immediately. The Center for Poison Control can be reached easily at 1-800-222-1222 . Or you can contact your Center for Poison Control. To identify if you have been poisoned by an overdose of trihemic the common symptoms are stomach nausea and constant vomiting, severe abdominal pain, constant diarrhea, lethargy feeling, extreme shock, delayed stools, and flushing change in color. Once these symptoms have been recognized contact the center for poison control and a physician. Back To Top Prescription Drugs to Avoid When Taking Trihemic: When taking the iron tablet there are really no foods and or beverage restrictions, however you are required to follow implicitly the instructions of physician. However it should not be taken with some other prescription drugs as this will lead to major side effects and in fact poisoning. When taking Trihemic avoid taking any prescription drug that contains tetracycline antibiotic, minocycline, doxycycline, demeclocycline, oxytetracycline or troleandomycin. Other prescription antibiotics that contain fluoroquinolone antibiotic, ciprofloxacin, enoxacin ofloxacin, norfloxacin, levofloxacin, lomefloxacin, grepafloxacin, sparfloxacin, or trovafloxacin, levodopa, levothyroxine, methyldopa or penicillamine. Taking other medication with these drugs might not specifically prevent you from taking it might simply require an adjustment in either the iron tablet dosage or the dosage of the other prescription drugs. Hence it becomes very necessary to consult your physician when taking Trihemic and tell your doctor what other prescription drugs you are taking. Back To Top The Side Effects of Trihemic: The known side effects include the following, respiratory and breathing difficulties, flushing in color and closing of the throat. In less sever cases the iron tablet have been known to cause swelling of the lips, swelling of the tongue and even the face and on rare occasions have been known to cause hives. Any person who experiences these side effects should stop taking the drug immediately and consult the Center for Poison control and there respective physician. Other known side effects which are much more experienced by those taking it may be stomach nausea, acute constipation, black colored stools, discolored urine and excessive diarrhea. It is recommended that when taking it is done so with food and beverages to reduce the occurrence of these side effects. There are other side effects but these are the most commonly documented ones. This means if you feel in any way different after taking it you must refrain from taking the drug and report this to your physician. Other side effects are at best unusual feelings and bothersome. Back To Top Manufacturers: Trihemic is manufactured by several companies and can be made in dosages that allow the drug to be sold as an over the counter drug or via prescription. As we had mentioned it is available mainly as a tablet or gel and hard capsule and not as liquid. In rare occasions the iron supplement sold in liquid form and in an injection form. The multivitamin drug is sold under many brand names and in several formulations. The dosage is dependent on the doctors prescription. Back To Top Interaction of Trihemic with Nexium: Due to documented interactions with Nexium we must refer to this minor drug and multivitamin with iron drug and esomeprazole will lead to serious problems. Realistically proton pump inhibitors, more commonly known as PPIs are defined as a group of prescription drugs whose main aim is to reduce excess gastric acid production. PPIs coupled with Trihemic may decrease or reduce the gastrointestinal absorption of needed iron, a human body process that is heavily dependent on the acidic environment of the stomach. The mechanism of this combination is a markedly increase in

gastric pH decreased gastric acidity caused by PPIs. The significance of the interaction of PPIs and the iron su8pplement is documented and has shown to lead to reduced or therapeutic responses to oral Trihemic should be considered. Back To Top Trihemic is the most popular multivitamin with iron on the pharmaceutical market. Constipation and black stool is not a side effect it is an indication that the anemic phase of the human body is over and that excess iron in the human body leads to black stool. This means that an overdose of the iron will lead to the stool being too hard and would lead to constipation. Black and hard stool is a common side effect of taking too much iron supplements. Back To Top Other Information: The drug as with all other medicines should be kept out of the reach of children, and no one should share the drugs with others, and should be used only for the indication prescribed. Learn more about the effects of drugs and hospital pharmacy online.. Back To Top