magnesium chloride

Generic Name: magnesium chloride (mag NEE see um KLOE ride)

Brand names: Mag 64, Mag-Delay, Mag-SR, Slow-Mag, Chloromag

What is magnesium chloride?

Magnesium is a mineral that occurs naturally in the body and is found in certain foods. Magnesium is important for many systems in the body especially the muscles, nerves, heart, and bones.

Magnesium chloride is used to treat or prevent magnesium deficiency (lack of natural magnesium in the body).

Magnesium chloride may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about magnesium chloride?

You should not use this medication if you are allergic to it, or if you have kidney disease, a stomach ulcer or disorder, or if you are dehydrated.

Before taking magnesium chloride, tell your doctor if you have any other medical conditions or any type of allergy.

Tell your doctor if you are pregnant or breast-feeding. It is not known whether magnesium chloride could harm an unborn baby, or if it passes into breast milk and could harm a nursing baby. Your dose needs may be different while you are pregnant or breast-feeding.

Avoid using antacids or laxatives without your doctor's advice. These medications may contain minerals and if you take certain products together you may get too much magnesium.

Tell your doctor about all other medications you use, especially antibiotics, ADHD medication, thyroid medication, or medication for osteoporosis or Paget's disease.

Magnesium chloride is only part of a complete program of treatment that may also includes a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor.

To be sure this medication is helping your condition and not causing harmful effects, your blood may need to be tested on a regular basis. Your kidney function may also need to be tested. Do not miss any follow-up visits to your doctor.

Call your doctor at once if you have signs of too much magnesium in your blood, such as depression, feeling tired or irritable, muscle cramps, or severe or ongoing diarrhea.

What should I discuss with my healthcare provider before taking magnesium chloride?

You should not use this medication if you are allergic to it, or if you have:

• kidney disease;


• 
  

  a stomach ulcer or disorder; or

  
  


• 
  

  if you are dehydrated.

  
  

Before taking magnesium chloride, tell your doctor if you have any other medical conditions or any type of allergy.

It is not known whether magnesium chloride is harmful to an unborn baby. Your dose needs may be different during pregnancy. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether magnesium chloride passes into breast milk or if it could harm a nursing baby. Your dose needs may be different while you are nursing. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take magnesium chloride?

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

Take this medication with a full glass of water. Magnesium chloride should be taken with food if it upsets your stomach or causes diarrhea. Follow your doctor's instructions. Do not crush, chew, or break an extended-release tablet. Swallow the pill whole. Breaking the pill may cause too much of the drug to be released at one time.

It is important to use magnesium chloride regularly to get the most benefit. Try to take your dose(s) at the same time each day.

Magnesium chloride is only part of a complete program of treatment that may also includes a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat to help control your condition.

To be sure this medication is helping your condition and not causing harmful effects, your blood may need to be tested on a regular basis. Your kidney function may also need to be tested. Do not miss any follow-up visits to your doctor.

Store magnesium chloride at room temperature away from moisture, heat, and light.

See also: Magnesium chloride dosage (in more detail)

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include thirst, confusion, severe drowsiness, slow heart rate, urinating less than usual or not at all, swelling, weight gain, feeling short of breath, or fainting.

What should I avoid while taking magnesium chloride?

Avoid using antacids or laxatives without your doctor's advice. Use only the specific type of antacid your doctor recommends. These medications may contain minerals and if you take certain products together you may get too much magnesium.

If you are taking a tetracycline antibiotic, avoid taking it within 2 hours before or 3 hours after you take magnesium chloride. Tetracycline antibiotics include doxycycline (Adoxa, Doryx, Oracea, Vibramycin), minocycline (Dynacin, Minocin, Solodyn, Vectrin), or tetracycline (Brodspec, Panmycin, Sumycin, Tetracap, and others).

Magnesium chloride side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; severe dizziness, difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have signs that you magnesium blood levels are too low, such as:

• 
  

  depression, feeling tired or irritable;

  
  


• 
  

  muscle cramps; or

  
  


• 
  

  severe or ongoing diarrhea.

  
  

Less serious side effects may include:

• 
  

  mild diarrhea;

  
  


• 
  

  nausea, stomach pain; or

  
  


• 
  

  upset stomach.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Magnesium chloride Dosing Information

Usual Adult Dose for Hypomagnesemia:

Mild hypomagnesemia:
If oral administration is tolerated, mild hypomagnesemia may be treated with Slow-Mag 1 tablet (535 mg magnesium chloride, 64 mg elemental magnesium) orally once a day.

Severe hypomagnesemia:
40 mEq (4 g magnesium chloride) in 5% dextrose or normal saline by IV infusion once over 3 hours.

Usual Adult Dose for Myocardial Infarction:

10 mEq in 5% dextrose or normal saline by IV infusion once within the first 24 hours of infarction.

Usual Pediatric Dose for Hypomagnesemia:

Neonatal:
Hypomagnesemia: IV: Magnesium chloride: 0.2 to 0.4 mEq/kg/dose every 8 to 12 hours for 2 to 3 doses
Daily maintenance magnesium: IV: Magnesium chloride: 0.25 to 0.5 mEq/kg/day

Children:
IM or IV: Magnesium chloride: 0.2 to 0.4 mEq/kg/dose every 4 to 6 hours for 3 to 4 doses; maximum single dose: 16 mEq
Oral: Note: Achieving optimal magnesium levels using oral therapy may be difficult due to the propensity for magnesium to cause diarrhea; IV replacement may be more appropriate particularly in situations of severe deficit: Magnesium chloride: 10 to 20 mg/kg elemental magnesium per dose up to 4 times/day

Daily maintenance magnesium: IV Magnesium chloride:
Infants and Children less than or equal to 45 kg: 0.25 to 0.5 mEq/kg/day
Adolescents greater than 45 kg and Adults: 0.2 to 0.5 mEq/kg/day or 3 to 10 mEq/1000 kcal/day (maximum: 8 to 20 mEq/day).

What other drugs will affect magnesium chloride?

Tell your doctor about all other medications you use, especially:

• 
  

  digoxin (Lanoxin, Lanoxicaps);

  
  


• 
  

  sodium polystyrene sulfonate (Kalexate, Kayexalate, Kionex);

  
  


• 
  

  an amphetamine such as ADHD medication (Adderall, Vyvanse, Dexedrine, and others);

  
  


• 
  

  an antibiotic such as ciprofloxacin (Cipro), ofloxacin (Floxin), norfloxacin (Noroxin), levofloxacin (Levaquin), and others;

  
  


• 
  

  medication for osteoporosis or Paget's disease, such as alendronate (Fosamax), ibandronate (Boniva), etidronate (Didronel), pamidronate (Aredia), or risedronate (Actonel); or

  
  


• 
  

  thyroid replacement medication such as levothyroxine (Synthroid, Levothroid, Unithroid).

  
  

This list is not complete and there may be other drugs that can interact with magnesium chloride. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

More magnesium chloride resources

• Magnesium chloride Side Effects (in more detail)
• Magnesium chloride Dosage
• Magnesium chloride Use in Pregnancy & Breastfeeding
• Magnesium chloride Drug Interactions
• Magnesium chloride Support Group
• 0 Reviews for Magnesium chloride - Add your own review/rating

• Magnesium Chloride Sustained-Release Tablets MedFacts Consumer Leaflet (Wolters Kluwer)


• Magnesium Chloride Professional Patient Advice (Wolters Kluwer)


• Chloromag Prescribing Information (FDA)

Compare magnesium chloride with other medications

• Heart Attack
• Hypomagnesemia

Where can I get more information?

• Your pharmacist can provide more information about magnesium chloride.

See also: magnesium chloride side effects (in more detail)

M2 Chromium

Generic Name: chromium supplement (Oral route, Parenteral route)

Commonly used brand name(s)

In the U.S.

• Amino-CR


• Chromacaps


• Chromate


• Chromax


• M2 Chromium


• Nia-Chrom

Available Dosage Forms:

• Tablet


• Capsule


• Capsule, Liquid Filled

Uses For M2 Chromium

Chromium supplements are used to prevent or treat chromium deficiency.

The body needs chromium for normal growth and health. For patients who are unable to get enough chromium in their regular diet or who have a need for more chromium, chromium supplements may be necessary. They are generally taken by mouth but some patients may have to receive them by injection. Chromium helps your body use sugar properly. It is also needed for the breakdown of proteins and fats.

Lack of chromium may lead to nerve problems and may decrease the body's ability to use sugar properly.

There is not enough evidence to show that taking chromium supplements improves the way your body uses sugar (glucose tolerance).

Injectable chromium is given by or under the supervision of a health care professional. Other forms are available without a prescription.

Importance of Diet

For good health, it is important that you eat a balanced and varied diet. Follow carefully any diet program your health care professional may recommend. For your specific dietary vitamin and/or mineral needs, ask your health care professional for a list of appropriate foods. If you think that you are not getting enough vitamins and/or minerals in your diet, you may choose to take a dietary supplement.

Chromium is found in various foods, including brewer's yeast, calf liver, American cheese, and wheat germ.

The daily amount of chromium needed is defined in several different ways.

• For U.S.—


• Recommended Dietary Allowances (RDAs) are the amount of vitamins and minerals needed to provide for adequate nutrition in most healthy persons. RDAs for a given nutrient may vary depending on a person's age, sex, and physical condition (e.g., pregnancy).


• Daily Values (DVs) are used on food and dietary supplement labels to indicate the percent of the recommended daily amount of each nutrient that a serving provides. DV replaces the previous designation of United States Recommended Daily Allowances (USRDAs).

• For Canada—


• Recommended Nutrient Intakes (RNIs) are used to determine the amounts of vitamins, minerals, and protein needed to provide adequate nutrition and lessen the risk of chronic disease.

Because a lack of chromium is rare, there is no RDA or RNI for it. Normal daily recommended intakes for chromium are generally defined as follows:

• Infants and children—
  
  • Birth to 3 years of age—10 to 80 micrograms (mcg) a day.
  
  
  • 4 to 6 years of age—30 to 120 mcg a day.
  
  
  • 7 to 10 years of age—50 to 200 mcg a day.
  
  


• Adolescents and adults—50 to 200 mcg a day.

Before Using M2 Chromium

If you are taking a dietary supplement without a prescription, carefully read and follow any precautions on the label. For these supplements, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Problems in children have not been reported with intake of normal daily recommended amounts.

Geriatric

Problems in older adults have not been reported with intake of normal daily recommended amounts.

Pregnancy

It is especially important that you are receiving enough vitamins and minerals when you become pregnant and that you continue to receive the right amount of vitamins and minerals throughout your pregnancy. The healthy growth and development of the fetus depend on a steady supply of nutrients from the mother. However, taking large amounts of a dietary supplement during pregnancy may be harmful to the mother and/or fetus and should be avoided.

Breast Feeding

It is important that you receive the right amounts of vitamins and minerals so that your baby will also get the vitamins and minerals needed to grow properly. However, taking large amounts of a dietary supplement while breast-feeding may be harmful to the mother and/or baby and should be avoided.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of dietary supplements in this class. Make sure you tell your doctor if you have any other medical problems, especially:

• Type 2 diabetes mellitus—Taking chromium supplements when you have a chromium deficiency may cause a change in the amount of insulin you need.

Proper Use of chromium supplement

This section provides information on the proper use of a number of products that contain chromium supplement. It may not be specific to M2 Chromium. Please read with care.

Dosing

The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage forms (capsules and tablets):
  
  • To prevent deficiency, the amount taken by mouth is based on normal daily recommended intakes:
    
    • Adults and teenagers—50 to 200 micrograms (mcg) per day.
    
    
    • Children 7 to 10 years age—50 to 200 mcg per day.
    
    
    • Children 4 to 6 years of age—30 to 120 mcg per day.
    
    
    • Children birth to 3 years of age—10 to 80 mcg per day.
    
    
  
  
  • To treat deficiency:
    
    • Adults, teenagers, and children—Treatment dose is determined by prescriber for each individual based on severity of deficiency.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

If you miss taking chromium supplements for one or more days there is no cause for concern, since it takes some time for your body to become seriously low in chromium. However, if your health care professional has recommended that you take chromium, try to remember to take it as directed every day.

Storage

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

M2 Chromium Side Effects

No side effects or overdoses have been reported for chromium. However, check with your health care professional if you notice any unusual effects while you are taking it.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More M2 Chromium resources

• M2 Chromium Side Effects (in more detail)
• M2 Chromium Use in Pregnancy & Breastfeeding
• M2 Chromium Drug Interactions
• M2 Chromium Support Group
• 4 Reviews for M2 Chromium - Add your own review/rating

Compare M2 Chromium with other medications

• Diabetes, Type 2
• Vitamin/Mineral Supplementation and Deficiency

Maxaquin

Generic Name: lomefloxacin (loe me FLOX a sin)

Brand Names: Maxaquin

What is Maxaquin (lomefloxacin)?

Lomefloxacin is an antibiotic in a class of drugs called fluoroquinolones. It fights bacteria in the body.

Lomefloxacin is used to treat various bacterial infections, such as bronchitis and urinary tract infections.

Lomefloxacin may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Maxaquin (lomefloxacin)?

Take all of the lomefloxacin that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated. Take lomefloxacin with a full glass of water (8 ounces). Drink several extra glasses of fluid each day to prevent lomefloxacin crystals from forming in the urine.

Lomefloxacin may make the skin more sensitive to sunlight, and a severe sunburn may result. Avoid exposure to both direct and indirect sunlight during therapy and for a few days after treatment ends. If you experience severe burning, redness, itching, swelling, or blistering, contact your doctor.

Do not take antacids that contain magnesium or aluminum (e.g., Tums or Rolaids), the ulcer medicine sucralfate (Carafate), or vitamin or mineral supplements that contain iron or zinc for a minimum of 2 hours before or 2 hours after a dose of lomefloxacin. Taking antacids, sucralfate, or vitamin or mineral supplements too close to a dose of lomefloxacin can greatly decrease the effects of the antibiotic.

What should I discuss with my healthcare provider before taking Maxaquin (lomefloxacin)?

Before taking lomefloxacin, tell your doctor if you have

• kidney disease; or


• 
  

  seizures or epilepsy.

  
  

You may not be able to take lomefloxacin, or you may require a dosage adjustment or special monitoring during treatment.

Lomefloxacin in the FDA pregnancy category C. This means that it is not known whether lomefloxacin will be harmful to an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant during treatment. It is not known whether lomefloxacin passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. Lomefloxacin is not approved for use by children younger than 12 years of age. Lomefloxacin may interfere with bone development.

How should I take Maxaquin (lomefloxacin)?

Take lomefloxacin exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Take lomefloxacin with a full glass of water (8 ounces). Drink several extra glasses of fluid each day to prevent lomefloxacin crystals from forming in the urine.

You can take lomefloxacin with or without food.

Lomefloxacin is usually taken once a day. Taking lomefloxacin in the evening may reduce the risk of increased skin sensitivity to sunlight. Follow your doctor's instructions.

Do not take antacids that contain magnesium or aluminum (e.g., Tums or Rolaids), the ulcer medicine sucralfate (Carafate), or vitamin or mineral supplements that contain iron or zinc for a minimum of 2 hours before or 2 hours after a dose of lomefloxacin. Taking antacids, sucralfate, or vitamin or mineral supplements too close to a dose of lomefloxacin can greatly decrease the effects of the antibiotic. Take all of the lomefloxacin that has been prescribed for you even if you begin to feel better. Your symptoms may start to improve before the infection is completely treated. Store this medication at room temperature away from moisture and heat.

See also: Maxaquin dosage (in more detail)

What happens if I miss a dose?

Take the missed dose up to 2 hours late. If more than 2 hours have passed since you missed the dose, skip it and take the next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.

What happens if I overdose?

Seek emergency medical attention.

The most common symptom of a lomefloxacin overdose is seizures.

What should I avoid while taking Maxaquin (lomefloxacin)?

Lomefloxacin may make the skin more sensitive to sunlight, and a severe sunburn may result. Avoid exposure to both direct and indirect sunlight during therapy and for a few days after treatment ends. If you experience severe burning, redness, itching, swelling, or blistering, contact your doctor.

Use caution when driving, operating machinery, or performing other hazardous activities. Lomefloxacin may cause dizziness. If you experience dizziness, avoid these activities.

Maxaquin (lomefloxacin) side effects

If you experience any of the following serious side effects, stop taking lomefloxacin and seek emergency medical attention or contact your doctor immediately:

• 
  

  an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives);

  
  


• 
  

  seizures;

  
  


• 
  

  confusion or hallucinations;

  
  


• 
  

  liver damage (yellowing of the skin or eyes, nausea, abdominal pain or discomfort, unusual bleeding or bruising, severe fatigue); or

  
  


• 
  

  muscle or joint pain.

  
  

If you experience any of the following less serious side effects, continue taking lomefloxacin and talk your doctor:

• 
  

  nausea, vomiting, or diarrhea;

  
  


• 
  

  headache, lightheadedness, or drowsiness;

  
  


• 
  

  ringing in the ears; or

  
  


• 
  

  increased sensitivity of the skin to sunlight.

  
  

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Maxaquin (lomefloxacin)?

Do not take antacids that contain magnesium or aluminum (e.g., Tums or Rolaids), the ulcer medicine sucralfate (Carafate), or vitamin or mineral supplements that contain iron or zinc for a minimum of 2 hours before or 2 hours after a dose of lomefloxacin. Taking antacids, sucralfate, or vitamin or mineral supplements too close to a dose of lomefloxacin can greatly decrease the effects of the antibiotic.

Before taking lomefloxacin, tell your doctor if you are taking any of the following drugs:

• 
  

  cimetidine (Tagamet, Tagamet HB);

  
  


• 
  

  probenecid (Benemid);

  
  


• 
  

  cyclosporine (Neoral, Sandimmune);

  
  


• 
  

  insulin or an oral diabetes medication such as glipizide (Glucotrol), glyburide (Micronase, Diabeta, Glynase), and others; or

  
  


• 
  

  a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen (Motrin, Advil, Nuprin, others), naproxen (Aleve, Naprosyn, Anaprox), ketoprofen (Orudis KT, Orudis, Oruvail), and others.

  
  

You may not be able to take lomefloxacin, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

Drugs other than those listed here may also interact with lomefloxacin. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

More Maxaquin resources

• Maxaquin Side Effects (in more detail)
• Maxaquin Dosage
• Maxaquin Use in Pregnancy & Breastfeeding
• Drug Images
• Maxaquin Drug Interactions
• Maxaquin Support Group
• 0 Reviews for Maxaquin - Add your own review/rating

• Maxaquin Prescribing Information (FDA)


• Maxaquin MedFacts Consumer Leaflet (Wolters Kluwer)

Compare Maxaquin with other medications

• Bladder Infection
• Bronchitis
• Prostatitis
• Salmonella Enteric Fever
• Salmonella Gastroenteritis
• Shigellosis
• Transurethral Prostatectomy
• Urinary Tract Infection

Where can I get more information?

• Your pharmacist has additional information about lomefloxacin written for health professionals that you may read.

What does my medication look like?

Lomefloxacin is available with a prescription under the brand name Maxaquin. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

• 
  

  Maxaquin 400 mg--oval, white, scored, film-coated tablets

  
  

See also: Maxaquin side effects (in more detail)

Malarone Pediatric

Generic Name: atovaquone and proguanil (a TOE va kwone and pro GWAHN il)

Brand Names: Malarone, Malarone Pediatric

What is Malarone Pediatric (atovaquone and proguanil)?

Atovaquone and proguanil are medications to treat malaria, a disease caused by parasites. These medicines work by interfering with the growth of parasites in the red blood cells of the human body.

Parasites that cause malaria typically enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia.

The combination of atovaquone and proguanil is used to treat or prevent malaria.

Atovaquone and proguanil may also be used for purposes not listed in this medication guide.

What is the most important information I should know about Malarone Pediatric (atovaquone and proguanil)?

You should not use this medication if you are allergic to atovaquone or proguanil. You should not use this medication to prevent malaria if you have severe kidney disease.

Before using this medication, tell your doctor if you have liver or kidney disease, severe complications from infection with malaria, or uncontrolled vomiting or diarrhea.

Take atovaquone and proguanil at the same time each day with food or a milky drink. If you vomit within 1 hour after taking this medication, take another dose. If your vomiting continues, call your doctor.

If you are taking this medicine to prevent malaria, start taking it 1 or 2 days before entering an area where malaria is common. Take the medication every day during your stay and for at least 7 days after you leave. If you stop taking the medicine early for any reason, contact a healthcare professional about another form of malaria prevention.

If you are taking this medicine to treat malaria, take the medication every day for 3 days in a row.

Take this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared.

In addition to taking atovaquone and proguanil, use protective clothing, insect repellents, and mosquito netting around your bed to further prevent mosquito bites that could cause malaria.

Contact your doctor as soon as possible if you have been exposed to malaria, or if you have a fever or other symptoms of illness during or after a stay in an area where malaria is common.

No medication is 100% effective in treating or preventing malaria. For best results, keep using the medication as directed. Talk with your doctor if you have fever, vomiting, or diarrhea during your treatment.

What should I discuss with my healthcare provider before taking Malarone Pediatric (atovaquone and proguanil)?

You should not use this medication if you are allergic to atovaquone or proguanil. You should not use this medication to prevent malaria if you have severe kidney disease.

To make sure you can safely take atovaquone and proguanil, tell your doctor if you have any of these other conditions:

• 
  

  kidney disease;

  
  


• 
  

  liver disease;

  
  


• 
  

  severe complications from malaria; or

  
  


• 
  

  uncontrolled vomiting or diarrhea.

  
  

FDA pregnancy category C. It is not known whether atovaquone and proguanil will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. Malaria is more likely to cause death in a pregnant woman. If you are pregnant, talk with your doctor about the risks of traveling to areas where malaria is common. Atovaquone and proguanil can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Atovaquone and proguanil should not be used to treat malaria in a child who weighs less than 11 pounds, and should not be used to prevent malaria in a child who weighs less than 24 pounds.

How should I take Malarone Pediatric (atovaquone and proguanil)?

Take exactly as prescribed by your doctor. Do not take in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Use atovaquone and proguanil regularly to best prevent malaria. If you stop using the medication early for any reason, talk to your doctor about other forms of malaria prevention.

Take atovaquone and proguanil at the same time each day with food or a milky drink. If you vomit within 1 hour after taking this medication, take another dose. If your vomiting continues, call your doctor.

If you are taking this medicine to prevent malaria:

• 
  

  Start taking the medicine 1 or 2 days before entering an area where malaria is common. Continue taking the medicine every day during your stay and for at least 7 days after you leave the area.

  
  


• 
  

  If you stop taking the medicine early for any reason, contact a healthcare professional about another form of malaria prevention.

  
  

If you are taking this medicine to treat malaria:

• 
  

  Take the medicine every day for 3 days in a row.

  
  


• 
  

  Take this medication for the full prescribed length of time. Your symptoms may improve before the infection is completely cleared.

  
  

In addition to taking atovaquone and proguanil, use protective clothing, insect repellents, and mosquito netting around your bed to further prevent mosquito bites that could cause malaria.

To be sure this medication is not causing harmful effects, your liver function will need to be checked with frequent blood tests. Visit your doctor regularly.

Contact your doctor as soon as possible if you have been exposed to malaria, or if you have fever or other symptoms of illness during or after a stay in an area where malaria is common.

No medication is 100% effective in treating or preventing malaria. For best results, keep using the medication as directed. Talk with your doctor if you have fever, vomiting, or diarrhea during your treatment.

Store at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include stomach discomfort, vomiting, mouth sores, hair loss, easy bruising or bleeding, and peeling of the skin on your hands or feet.

What should I avoid while taking Malarone Pediatric (atovaquone and proguanil)?

Follow your doctor's instructions about any restrictions on food, beverages, or activity.

Malarone Pediatric (atovaquone and proguanil) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have a serious side effect such as:

• 
  

  severe or uncontrolled vomiting or diarrhea;

  
  


• 
  

  fever, mouth sores;

  
  


• 
  

  problems with speech, balance, or walking;

  
  


• 
  

  severe skin rash;

  
  


• 
  

  nausea, stomach pain, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes); o

  
  


• 
  

  easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin.

  
  

Less serious side effects may include:

• 
  

  mild stomach pain or upset stomach;

  
  


• 
  

  mild diarrhea;

  
  


• 
  

  headache;

  
  


• 
  

  mild itching;

  
  


• 
  

  weakness; or

  
  


• 
  

  dizziness.

  
  

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect Malarone Pediatric (atovaquone and proguanil)?

Tell your doctor about all other medicines you use, especially:

• 
  

  a blood thinner such as warfarin (Coumadin);

  
  


• 
  

  rifabutin (Mycobutin);

  
  


• 
  

  rifampin (Rifadin, Rifater, Rifamate, Rimactane);

  
  


• 
  

  tetracycline (Brodspec, Panmycin, Sumycin, Tetracap); or

  
  


• 
  

  metoclopramide (Reglan).

  
  

This list is not complete and other drugs may interact with atovaquone and proguanil. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More Malarone Pediatric resources

• Malarone Pediatric Side Effects (in more detail)
• Malarone Pediatric Use in Pregnancy & Breastfeeding
• Drug Images
• Malarone Pediatric Drug Interactions
• Malarone Pediatric Support Group
• 0 Reviews for Malarone Pediatric - Add your own review/rating

• Malarone Pediatric Advanced Consumer (Micromedex) - Includes Dosage Information


• Malarone Prescribing Information (FDA)


• Malarone MedFacts Consumer Leaflet (Wolters Kluwer)


• Malarone Consumer Overview

Compare Malarone Pediatric with other medications

• Malaria
• Malaria Prevention

Where can I get more information?

• Your pharmacist can provide more information about atovaquone and proguanil.

See also: Malarone Pediatric side effects (in more detail)

malathion topical

Generic Name: malathion topical (MAL a THYE on TOP i kal)

Brand Names: Ovide

What is malathion?

Malathion is an anti-parasite medication.

Malathion is used to treat head lice.

Malathion may also be used for purposes not listed in this medication guide.

What is the most important information I should know about malathion?

Avoid getting this medication in your eyes. If this does happen, rinse with water. Do not use this medication on a child younger than 6 years old. Do not allow an older child to use malathion without supervision of an adult.

Malathion lotion is flammable. Do not use this medication near high heat or open flame. Do not use a curling iron, hair dryer, or other heat styler on treated hair. Warn children to stay away from open flames and electric heat sources while the hair is wet.

For the most complete treatment of lice or scabies and to prevent reinfection, you must treat your environment (clothing, bedding, pillows, furniture, hats, hair brushes and accessories, etc) at the same time you treat your scalp.

Avoid sexual or intimate contact with others until your lice or scabies infection has cleared up. Avoid sharing hair brushes, combs, hair accessories, hats, clothing, bed linens, and other articles of personal use. Lice and scabies infections are highly contagious.

What should I discuss with my healthcare provider before using malathion?

You should not use this medication if you are allergic to malathion. FDA pregnancy category B. Malathion topical is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether malathion topical passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby. Do not use this medication on a child younger than 6 years old. Do not allow an older child to use malathion without supervision of an adult.

How should I use malathion?

Do not take this medication by mouth. It is for use only on your scalp.

Use exactly as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended. Follow the directions on your prescription label.

Keep your eyes tightly closed while applying malathion topical.

Use malathion on scalp hair only. Apply to dry hair. Use just enough lotion to wet the hair and scalp, making sure you also cover the back of the head and neck.

Wash your hands after applying the medication.

Allow your hair to air dry and do not cover your head.

Shampoo your hair after 8 to 12 hours, making sure you also wash the back of your head and neck. Rinse hair thoroughly.

While your hair is slightly damp, use a nit comb to remove lice eggs from the hair. Work on only one section of hair at a time, combing through 1- to 2-inch strands from the scalp to the ends.

Rinse the nit comb often during use. Place removed nits into a sealed plastic bag and throw it into the trash to prevent re-infestation. Check the scalp again daily to make sure all nits have been removed.

If you feel severe scalp irritation when applying malathion, wash your hair and scalp right away. You may reapply the medicine at a later time, but if severe irritation occurs again call your doctor.

Malathion lotion is flammable. Do not use this medication near high heat or open flame. Do not use a curling iron, hair dryer, or other heat styler on treated hair. Warn children to stay away from open flames and electric heat sources while the hair is wet.

Do not smoke while applying malathion. Avoid being near a lighted cigarette while your hair is still wet with malathion.

Use a second application of malathion if you still see lice 7 to 9 days after your first treatment. If you still have lice after 2 treatments with malathion topical, call your doctor.

To prevent reinfection, wash all clothing, hats, bed clothes, bed linens, and towels in hot water and dry in high heat. Dry-clean any non-washable clothing. Hair brushes, combs, and hair accessories should be soaked in hot water for at least 10 minutes. For the most complete treatment of lice or scabies and to prevent reinfection, you must treat your environment (clothing, bedding, pillows, furniture, hats, hair brushes and accessories, etc) at the same time you treat your scalp. Store this medicine at room temperature away from moisture, high heat, open flame, or electric heat sources.

What happens if I miss a dose?

Since malathion topical is usually needed only once, you are not likely to be on a dosing schedule. Wait at least 7 days before using a second application.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Malathion topical can be harmful if swallowed.

What should I avoid while using malathion?

Avoid getting this medication in your eyes. If this does happen, rinse with water.

Do not use other medicated skin products unless your doctor has told you to.

Avoid sexual or intimate contact with others until your lice or scabies infection has cleared up. Avoid sharing hair brushes, combs, hair accessories, hats, clothing, bed linens, and other articles of personal use. Lice and scabies infections are highly contagious.

Malathion side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have severe stinging, burning, or irritation of your scalp that will not go away.

Less serious side effects may include mild stinging or scalp irritation.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect malathion?

It is not likely that other drugs you take orally or inject will have an effect on topically applied malathion. But many drugs can interact with each other. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.

More malathion topical resources

• Malathion topical Side Effects (in more detail)
• Malathion topical Use in Pregnancy & Breastfeeding
• Malathion topical Support Group
• 2 Reviews for Malathion - Add your own review/rating

Compare malathion topical with other medications

• Head Lice

Where can I get more information?

• Your pharmacist can provide more information about malathion.

See also: malathion side effects (in more detail)

Minims Chloramphenicol 0.5%

Generic Name: chloramphenicol (Ophthalmic route)

klor-am-FEN-i-kol

Commonly used brand name(s)

In the U.S.

• Ocu-Chlor

In Canada

• Ak-Chlor


• Chloromycetin


• Chloroptic


• Fenicol


• Isopto Fenicol


• Minims Chloramphenicol 0.5%


• Ophtho-Chloram


• Pentamycetin Ophthalmic Solution 0.25%


• Pentamycetin Ophthalmic Solution 0.5%


• Pms-Chloramphenicol


• Sopamycetin

Available Dosage Forms:

• Solution


• Ointment


• Powder for Solution

Therapeutic Class: Antibiotic

Chemical Class: Chloramphenicol (class)

Uses For Minims Chloramphenicol 0.5%

Chloramphenicol belongs to the family of medicines called antibiotics. Chloramphenicol ophthalmic preparations are used to treat infections of the eye. This medicine may be given alone or with other medicines that are taken by mouth for eye infections.

Chloramphenicol is available only with your doctor's prescription.

Before Using Minims Chloramphenicol 0.5%

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of this medicine in children with use in other age groups.

Geriatric

Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of this medicine in the elderly with use in other age groups.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Citalopram


• Voriconazole

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

• Ceftazidime


• Chlorpropamide


• Cyclosporine


• Dicumarol


• Fosphenytoin


• Phenytoin


• Rifampin


• Rifapentine


• Tacrolimus


• Tetanus Toxoid


• Tolbutamide

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Proper Use of chloramphenicol

This section provides information on the proper use of a number of products that contain chloramphenicol. It may not be specific to Minims Chloramphenicol 0.5%. Please read with care.

For patients using the eye drop form of chloramphenicol:

• Although the bottle may not be full, it contains exactly the amount of medicine your doctor ordered.


• To use:
  
  • First, wash your hands. Tilt the head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Drop the medicine into this space. Let go of the eyelid and gently close the eyes. Do not blink. Keep the eyes closed and apply pressure to the inner corner of the eye with your finger for 1 or 2 minutes to allow the medicine to come into contact with the infection.
  
  
  • If you think you did not get the drop of medicine into your eye properly, use another drop.
  
  
  • To keep the medicine as germ-free as possible, do not touch the applicator tip or dropper to any surface (including the eye). Also, keep the container tightly closed.
  
  

To use the eye ointment form of chloramphenicol:

• First, wash your hands. Tilt the head back and, pressing your finger gently on the skin just beneath the lower eyelid, pull the lower eyelid away from the eye to make a space. Squeeze a thin strip of ointment into this space. A 1-cm (approximately 1/3-inch) strip of ointment is usually enough, unless you have been told by your doctor to use a different amount. Let go of the eyelid and gently close the eyes. Keep the eyes closed for 1 or 2 minutes to allow the medicine to come into contact with the infection.


• To keep the medicine as germ-free as possible, do not touch the applicator tip to any surface (including the eye). After using chloramphenicol eye ointment, wipe the tip of the ointment tube with a clean tissue and keep the tube tightly closed.

To help clear up your infection completely, keep using this medicine for the full time of treatment, even if your symptoms begin to clear up after a few days. If you stop using this medicine too soon, your symptoms may return. Do not miss any doses.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For eye infection:
  
  • For ophthalmic ointment dosage form:
    
    • Adults and children—Use every three hours.
    
    
  
  
  • For ophthalmic solution (eye drops) dosage form:
    
    • Adults and children—One drop every one to four hours.
    
    
  
  

Missed Dose

If you miss a dose of this medicine, apply it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Precautions While Using Minims Chloramphenicol 0.5%

If your symptoms do not improve within a few days, or if they become worse, check with your doctor.

Minims Chloramphenicol 0.5% Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Rare - may also occur weeks or months after you stop using this medicine

• Pale skin


• sore throat and fever


• unusual bleeding or bruising


• unusual tiredness or weakness

Check with your doctor as soon as possible if any of the following side effects occur:

Less common

• Itching, redness, skin rash, swelling, or other sign of irritation not present before use of this medicine

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

• Burning or stinging

After application, eye ointments may be expected to cause your vision to blur for a few minutes.

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.

More Minims Chloramphenicol 0.5% resources

• Minims Chloramphenicol 0.5% Drug Interactions
• Minims Chloramphenicol 0.5% Support Group
• 0 Reviews for Minims Chloramphenicol 0.5% - Add your own review/rating

Compare Minims Chloramphenicol 0.5% with other medications

• Conjunctivitis, Bacterial

manganese supplement Oral, Parenteral

Commonly used brand name(s)

In the U.S.

• Mangimin

Available Dosage Forms:

• Tablet


• Capsule

Uses For manganese supplement

Manganese supplements are used to prevent or treat manganese deficiency.

The body needs manganese for normal growth and health. For patients who are unable to get enough manganese in their regular diet or who have a need for more manganese, manganese supplements may be necessary. Manganese helps your body break down fats, carbohydrates, and proteins. It does so as part of several enzymes.

Manganese deficiency has not been reported in humans. Lack of manganese in animals has been found to cause improper formation of bone and cartilage, may decrease the body's ability to use sugar properly, and may cause growth problems.

Injectable manganese supplements are given by or under the supervision of a health care professional.

Importance of Diet

For good health, it is important that you eat a balanced and varied diet. Follow carefully any diet program your health care professional may recommend. For your specific dietary vitamin and/or mineral needs, ask your health care professional for a list of appropriate foods. If you think that you are not getting enough vitamins and/or minerals in your diet, you may choose to take a dietary supplement.

Manganese is found in whole grains, cereal products, lettuce, dry beans, and peas.

The daily amount of manganese needed is defined in several different ways.

• For U.S.—


• Recommended Dietary Allowances (RDAs) are the amount of vitamins and minerals needed to provide for adequate nutrition in most healthy persons. RDAs for a given nutrient may vary depending on a person's age, sex, and physical condition (e.g., pregnancy).


• Daily Values (DVs) are used on food and dietary supplement labels to indicate the percent of the recommended daily amount of each nutrient that a serving provides. DV replaces the previous designation of United States Recommended Daily Allowances (USRDAs).

• For Canada—


• Recommended Nutrient Intakes (RNIs) are used to determine the amounts of vitamins, minerals, and protein needed to provide adequate nutrition and lessen the risk of chronic disease.

Because a lack of manganese is rare, there is no RDA or RNI for it. The following daily intakes are thought to be plenty for most individuals:

• Infants and children—
  
  • Birth to 3 years of age: 0.3 to 1.5 milligrams (mg).
  
  
  • 4 to 6 years of age: 1.5 to 2 mg.
  
  
  • 7 to 10 years of age: 2 to 3 mg.
  
  


• Adolescents and adults—2 to 5 mg.

Before Using manganese supplement

If you are taking a dietary supplement without a prescription, carefully read and follow any precautions on the label. For these supplements, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Problems in children have not been reported with intake of normal daily recommended amounts.

Geriatric

Problems in older adults have not been reported with intake of normal daily recommended amounts.

Pregnancy

It is especially important that you are receiving enough vitamins and minerals when you become pregnant and that you continue to receive the right amount of vitamins and minerals throughout your pregnancy. The healthy growth and development of the fetus depend on a steady supply of nutrients from the mother. However, taking large amounts of a dietary supplement in pregnancy may be harmful to the mother and/or fetus and should be avoided.

Breast Feeding

It is important that you receive the right amounts of vitamins and minerals so that your baby will also get the vitamins and minerals needed to grow properly. However, taking large amounts of a dietary supplement while breast-feeding may be harmful to the mother and/or baby and should be avoided.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of dietary supplements in this class. Make sure you tell your doctor if you have any other medical problems, especially:

• Biliary disease or


• Liver disease—Taking manganese supplements may cause high blood levels of manganese, and dosage of manganese may have to be changed.

Proper Use of manganese supplement

Dosing

The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For oral dosage form (as part of a multivitamin/mineral supplement):
  
  • To prevent deficiency, the amount taken by mouth is based on normal daily recommended intakes:
    
    • Adults and teenagers—2 to 5 milligrams (mg) per day.
    
    
    • Children 7 to 10 years of age—2 to 3 mg per day.
    
    
    • Children 4 to 6 years of age—1.5 to 2 mg per day.
    
    
    • Children birth to 3 years of age—0.3 to 1.5 mg per day.
    
    
  
  
  • To treat deficiency:
    
    • Adults, teenagers, and children—Treatment dose is determined by prescriber for each individual based on severity of deficiency.
    
    
  
  

Missed Dose

If you miss a dose of manganese supplement, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

If you miss taking manganese supplements for one or more days there is no cause for concern, since it takes some time for your body to become seriously low in manganese. However, if your health care professional has recommended that you take manganese, try to remember to take it as directed every day.

Storage

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

manganese supplement Side Effects

No side effects or toxic effects have been reported for manganese. However, check with your health care professional if you notice any unusual effects while you are taking it.

The information contained in the Thomson Reuters Micromedex products as delivered by Drugs.com is intended as an educational aid only. It is not intended as medical advice for individual conditions or treatment. It is not a substitute for a medical exam, nor does it replace the need for services provided by medical professionals. Talk to your doctor, nurse or pharmacist before taking any prescription or over the counter drugs (including any herbal medicines or supplements) or following any treatment or regimen. Only your doctor, nurse, or pharmacist can provide you with advice on what is safe and effective for you.

The use of the Thomson Reuters Healthcare products is at your sole risk. These products are provided "AS IS" and "as available" for use, without warranties of any kind, either express or implied. Thomson Reuters Healthcare and Drugs.com make no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the products. Additionally, THOMSON REUTERS HEALTHCARE MAKES NO REPRESENTATION OR WARRANTIES AS TO THE OPINIONS OR OTHER SERVICE OR DATA YOU MAY ACCESS, DOWNLOAD OR USE AS A RESULT OF USE OF THE THOMSON REUTERS HEALTHCARE PRODUCTS. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Thomson Reuters Healthcare does not assume any responsibility or risk for your use of the Thomson Reuters Healthcare products.