Reprexain

Generic name: Hydrocodone And Ibuprofen
Drug class: Narcotic analgesic combinations

Usage of Reprexain

Hydrocodone and ibuprofen combination is used to relieve acute pain severe enough to require opioid treatment and when other pain medicines did not work well enough or cannot be tolerated. This medicine should only be used for short periods of time, usually for a total of less than 10 days. This combination is not used for osteoarthritis or rheumatoid arthritis.

Hydrocodone is a narcotic analgesic that acts on the central nervous system to relieve pain. If hydrocodone is used for a long time, it may become habit-forming (causing mental or physical dependence). However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence (addiction) is not likely to occur when narcotics are used for this purpose. Physical dependence may lead to withdrawal side effects when you stop taking the medicine. Since hydrocodone and ibuprofen combination is only used for short-term (10 days or less) relief of pain, physical dependence will probably not occur.

Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used in this combination to relieve inflammation, swelling, and pain.

This medicine is available only under a restricted distribution program called the Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program.

Reprexain 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

Bloody stools

burning feeling in the chest or stomach

changes in facial skin color

cough

diarrhea

difficulty with swallowing

fast or irregular breathing

fever

frequent urge to urinate

heartburn

inability to urinate

irregular heartbeat

lightheadedness or dizziness

loss of bladder control

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

ringing or buzzing in the ears

tightness in the chest

trouble breathing

skin rash, hives, or itching

stomach pain

tenderness in the stomach

visual disturbances

yellow eyes or skin

Incidence not known

Agitation

confusion

darkening of the skin

difficulty swallowing

dizziness

fainting

fever

loss of appetite

mental depression

nausea

overactive reflexes

poor coordination

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

restlessness

shivering

talking or acting with excitement you cannot control

trembling or shaking

twitching

unusual tiredness or weakness

vomiting

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Blurred vision

cold or clammy skin

confusion

difficulty hearing or ringing or buzzing in the ears

dizziness

general feeling of illness

headache

mood or mental changes

nausea

severe drowsiness

severe stomach pain

skin rash

slow heartbeat

stiff neck or back

swelling of the face, fingers, feet, or lower legs

vomiting

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:

More common

Anxiety

constipation

dry mouth

gas

increased sweating

nervousness

pounding heartbeat

sleepiness

trouble in sleeping

Rare

Decreased appetite

decrease in sexual ability

headache

heartburn

increased thirst

irritability

mood or mental changes

mouth ulcers

pain or burning in the throat

runny nose

sensation of burning, warmth, heat, numbness, tightness, or tingling

slurred speech

stomach upset

thinking abnormalities

unexplained weight loss

unusual feeling of well-being

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.

Before taking Reprexain

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

Appropriate studies have not been performed on the relationship of age to the effects of hydrocodone and ibuprofen combination in children younger than 16 years of age. Safety and efficacy have not been established.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of hydrocodone and ibuprofen combination in the elderly. However, elderly patients are more likely to develop age-related kidney, lung, or stomach problems, which may require caution and an adjustment in the dose for patients receiving this medicine.

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 not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

Ketorolac

Nalmefene

Naltrexone

Safinamide

Samidorphan

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.

Abametapir

ABCiximab

Aceclofenac

Acemetacin

Acenocoumarol

Acepromazine

Alfentanil

Almotriptan

Alprazolam

Amifampridine

Amiloride

Amineptine

Amiodarone

Amitriptyline

Amitriptylinoxide

Amobarbital

Amoxapine

Amphetamine

Amprenavir

Amtolmetin Guacil

Anagrelide

Anileridine

Apixaban

Aprepitant

Ardeparin

Argatroban

Aripiprazole

Armodafinil

Asenapine

Aspirin

Atazanavir

Baclofen

Balsalazide

Bemetizide

Bemiparin

Bendroflumethiazide

Benperidol

Benzphetamine

Benzthiazide

Betamethasone

Betrixaban

Bismuth Subsalicylate

Bivalirudin

Boceprevir

Bosentan

Bromazepam

Bromfenac

Bromopride

Brompheniramine

Budesonide

Bufexamac

Bumetanide

Buprenorphine

Bupropion

Buspirone

Butabarbital

Butorphanol

Calcium Oxybate

Cannabis

Carphenazine

Celecoxib

Ceritinib

Certoparin

Cetirizine

Chloral Hydrate

Chlordiazepoxide

Chlorothiazide

Chlorpheniramine

Chlorpromazine

Chlorthalidone

Chlorzoxazone

Choline Magnesium Trisalicylate

Choline Salicylate

Cilostazol

Ciprofloxacin

Citalopram

Clarithromycin

Clobazam

Clomipramine

Clonazepam

Clonixin

Clopamide

Clopidogrel

Clorazepate

Clozapine

Cobicistat

Cocaine

Codeine

Conivaptan

Cortisone

Crizotinib

Cyclobenzaprine

Cyclopenthiazide

Cyclosporine

Cyclothiazide

Dabigatran Etexilate

Dalteparin

Danaparoid

Daridorexant

Darunavir

Dasabuvir

Deflazacort

Delavirdine

Desipramine

Desirudin

Desmopressin

Desvenlafaxine

Dexamethasone

Dexibuprofen

Dexketoprofen

Dexmedetomidine

Dextroamphetamine

Dextromethorphan

Dezocine

Diazepam

Diazoxide

Dibenzepin

Dichloralphenazone

Diclofenac

Difenoxin

Diflunisal

Digoxin

Dihydrocodeine

Diltiazem

Diphenhydramine

Diphenoxylate

Dipyridamole

Dipyrone

Dolasetron

Donepezil

Dothiepin

Doxepin

Doxylamine

Dronedarone

Droperidol

Droxicam

Duloxetine

Edoxaban

Efavirenz

Eletriptan

Emtricitabine

Enflurane

Enoxaparin

Enzalutamide

Eplerenone

Epoprostenol

Eptifibatide

Erythromycin

Escitalopram

Esketamine

Eslicarbazepine Acetate

Estazolam

Eszopiclone

Ethacrynic Acid

Ethchlorvynol

Ethopropazine

Ethylmorphine

Etodolac

Etofenamate

Etoricoxib

Etozolin

Etravirine

Fedratinib

Felbinac

Fenfluramine

Fenoprofen

Fentanyl

Fepradinol

Feprazone

Feverfew

Fexinidazole

Flibanserin

Floctafenine

Fluconazole

Flufenamic Acid

Fluocortolone

Fluoxetine

Fluphenazine

Flurazepam

Flurbiprofen

Fluspirilene

Fluvoxamine

Fondaparinux

Fosamprenavir

Fosaprepitant

Fosnetupitant

Fosphenytoin

Fospropofol

Frovatriptan

Furazolidone

Furosemide

Gabapentin

Gabapentin Enacarbil

Gepirone

Ginkgo

Gossypol

Granisetron

Halazepam

Haloperidol

Halothane

Heparin

Hexobarbital

Hydrochlorothiazide

Hydrocortisone

Hydroflumethiazide

Hydromorphone

Hydroxytryptophan

Hydroxyzine

Idelalisib

Iloprost

Imatinib

Imipramine

Indapamide

Indinavir

Indomethacin

Inotersen

Iproniazid

Isocarboxazid

Isoflurane

Itraconazole

Ivacaftor

Ketamine

Ketazolam

Ketobemidone

Ketoconazole

Ketoprofen

Lacosamide

Lasmiditan

Lemborexant

Lenacapavir

Lepirudin

Levocetirizine

Levomilnacipran

Levorphanol

Linezolid

Lisdexamfetamine

Lithium

Lofepramine

Lofexidine

Lomitapide

Lopinavir

Lorazepam

Lorcaserin

Lornoxicam

Loxapine

Loxoprofen

Lumacaftor

Lumiracoxib

Magnesium Oxybate

Mavacamten

Meadowsweet

Meclizine

Meclofenamate

Mefenamic Acid

Melitracen

Meloxicam

Melperone

Melphalan

Meperidine

Mephobarbital

Meprobamate

Meptazinol

Mesalamine

Mesoridazine

Metaxalone

Methadone

Methamphetamine

Methdilazine

Methocarbamol

Methohexital

Methotrexate

Methotrimeprazine

Methyclothiazide

Methylene Blue

Methylprednisolone

Metoclopramide

Metolazone

Mibefradil

Midazolam

Mifepristone

Milnacipran

Mirtazapine

Mitotane

Moclobemide

Modafinil

Molindone

Moricizine

Morniflumate

Morphine

Morphine Sulfate Liposome

Nabumetone

Nadroparin

Nafcillin

Nalbuphine

Naproxen

Naratriptan

Nefazodone

Nelfinavir

Nepafenac

Netupitant

Nevirapine

Nialamide

Nicomorphine

Niflumic Acid

Nilotinib

Nimesulide

Nimesulide Beta Cyclodextrin

Nitrazepam

Nitrous Oxide

Nortriptyline

Olanzapine

Olsalazine Sodium

Omaveloxolone

Ombitasvir

Ondansetron

Opipramol

Opium

Opium Alkaloids

Orphenadrine

Oxaprozin

Oxazepam

Oxcarbazepine

Oxycodone

Oxymorphone

Oxyphenbutazone

Ozanimod

Palbociclib

Palonosetron

Papaveretum

Paramethasone

Parecoxib

Paregoric

Paritaprevir

Parnaparin

Paroxetine

Pemetrexed

Pentazocine

Pentobarbital

Pentosan Polysulfate Sodium

Pentoxifylline

Perampanel

Perazine

Periciazine

Perphenazine

Phenelzine

Phenindione

Phenobarbital

Phenprocoumon

Phenylbutazone

Phenytoin

Piketoprofen

Piperacetazine

Pipotiazine

Piretanide

Piritramide

Piroxicam

Polythiazide

Posaconazole

Potassium Citrate

Potassium Oxybate

Pranoprofen

Prasugrel

Prazepam

Prednisolone

Prednisone

Pregabalin

Primidone

Procarbazine

Prochlorperazine

Proglumetacin

Promazine

Promethazine

Propofol

Propyphenazone

Proquazone

Protein C

Protriptyline

Quazepam

Quetiapine

Quinethazone

Ramelteon

Ranitidine

Ranolazine

Rasagiline

Remifentanil

Remimazolam

Remoxipride

Reviparin

Rifabutin

Rifampin

Rifapentine

Ritonavir

Rivaroxaban

Rizatriptan

Rofecoxib

Ropeginterferon Alfa-2b-njft

Salicylic Acid

Salsalate

Saquinavir

Scopolamine

Secobarbital

Selegiline

Selexipag

Sertindole

Sertraline

Sibutramine

Sodium Oxybate

Sodium Salicylate

Spironolactone

St John's Wort

Sufentanil

Sulfasalazine

Sulfinpyrazone

Sulindac

Sulodexide

Sulpiride

Sumatriptan

Suvorexant

Tacrolimus

Tapentadol

Telaprevir

Telithromycin

Temazepam

Tenofovir Alafenamide

Tenofovir Disoproxil Fumarate

Tenoxicam

Thiethylperazine

Thiopental

Thiopropazate

Thioridazine

Tianeptine

Tiaprofenic Acid

Ticagrelor

Ticlopidine

Tilidine

Tinzaparin

Tirofiban

Tizanidine

Tocilizumab

Tolfenamic Acid

Tolmetin

Tolonium Chloride

Topiramate

Torsemide

Tramadol

Tranylcypromine

Trazodone

Treprostinil

Triamterene

Triazolam

Trichlormethiazide

Trifluoperazine

Trifluperidol

Triflupromazine

Trimeprazine

Trimipramine

Tryptophan

Valdecoxib

Venlafaxine

Verapamil

Vilazodone

Vorapaxar

Voriconazole

Vortioxetine

Warfarin

Xipamide

Zaleplon

Ziprasidone

Zolmitriptan

Zolpidem

Zopiclone

Zotepine

Zuranolone

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.

Acebutolol

Amikacin

Atenolol

Azilsartan

Azilsartan Medoxomil

Benazepril

Betaxolol

Bisoprolol

Candesartan

Captopril

Carteolol

Carvedilol

Celiprolol

Enalapril

Enalaprilat

Eprosartan

Esmolol

Fosinopril

Irbesartan

Labetalol

Levobunolol

Lisinopril

Losartan

Metipranolol

Metoprolol

Moexipril

Nadolol

Nebivolol

Olmesartan

Oxprenolol

Penbutolol

Perindopril

Pindolol

Propranolol

Quinapril

Ramipril

Sotalol

Spirapril

Telmisartan

Timolol

Trandolapril

Valsartan

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. 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 is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

Ethanol

Grapefruit Juice

Tobacco

Relate drugs

How to use Reprexain

For safe and effective use of this medicine, do not take more of it, do not take it more often, and do not take it for a longer time than ordered by your doctor. This is especially important for elderly patients, who may be more sensitive to the effects of pain medicines. Taking too much of this medicine may increase the chance of unwanted effects, it may become habit-forming (causing mental or physical dependence) or cause an overdose.

It is very important that you understand the rules of the Opioid Analgesic REMS program to prevent addiction, abuse, and misuse of hydrocodone and ibuprofen combination. This medicine should also come with a Medication Guide. Read and follow these instructions carefully. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions.

Swallow the tablet whole. Do not crush, break, or chew it.

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 oral dosage form (tablets):

For pain:

Adults and children 16 years of age and older—1 tablet every 4 to 6 hours as needed. However, the dose is usually not more than 5 tablets per day.

Children younger than 16 years of age—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

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.

Store the medicine in a safe and secure place. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

Warnings

It is very important that your doctor check your progress while you are using this medicine, especially within the first 24 to 72 hours of treatment. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects.

This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

If you think you or someone else may have taken an overdose of this medicine, get emergency help at once. Your doctor may also give naloxone to treat an overdose. Signs of an overdose include: cold, clammy skin, coughing that sometimes produces a pink frothy sputum, dark urine, difficult or trouble breathing, irregular, fast or slow, or shallow breathing, nausea, vomiting, pain in the upper stomach, pale or blue lips, fingernails, or skin, pinpoint pupils of the eyes, or yellow eyes or skin.

Avoid using this medicine and an MAO inhibitor (eg, isocarboxazid [Marplan®], linezolid [Zyvox®], phenelzine [Nardil®], selegiline [Eldepryl®], tranylcypromine [Parnate®]) within 14 days of each other.

This medicine may cause sleep-related breathing problems (eg, sleep apnea, sleep-related hypoxemia). Your doctor may decrease your dose if you have sleep apnea (stop breathing for short periods during sleep) while using this medicine.

This medicine may cause adrenal gland problems. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.

Dizziness, lightheadedness, or fainting may occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Also, lying down for a while may relieve dizziness or lightheadedness.

This medicine may increase your risk of having a heart attack or stroke. This is more likely to occur in people who already have heart disease. People who use this medicine for a long time might also have a higher risk. Some signs of serious heart problems are chest pain, tightness in the chest, fast or irregular heartbeat, or unusual flushing or warmth of the skin. Check with your doctor right away if you notice any of these warning signs.

This medicine may cause bleeding in your stomach or bowels. This problem can happen without warning signs. This is more likely to occur if you have had a stomach ulcer in the past, if you smoke or drink alcohol regularly, are over 60 years of age, are in poor health, or are using certain other medicines (eg, steroids or a blood thinner). Call your doctor right away if you have severe stomach pain, black, tarry stools, or are vomiting blood or material that looks like coffee grounds.

Liver problems may occur while you are using this medicine. Check with your doctor right away if you have stomach pain or tenderness, clay-colored stools, dark urine, decreased appetite, fever, headache, itching, loss of appetite, nausea and vomiting, skin rash, swelling of the feet or lower legs, unusual tiredness or weakness, or yellow eyes or skin.

This medicine may cause a serious type of allergic reaction called anaphylaxis, which can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.

This medicine may cause serious skin reactions, including exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, and drug reaction with eosinophilia and systemic symptoms (DRESS). Check with your doctor right away if you have black, tarry stools, blistering, peeling, or loosening of the skin, chest pain, chills, cough, diarrhea, fever, itching, joint or muscle pain, painful or difficult urination, red irritated eyes, red skin lesions, often with a purple center, sore throat, sores, ulcers, or white spots in the mouth or on the lips, swollen glands, unusual bleeding or bruising, or unusual tiredness or weakness.

Using an NSAID medicine during late pregnancy can harm your unborn baby. If you think you have become pregnant while using the medicine, tell your doctor right away.

This medicine may cause a delay in ovulation for women and may affect their ability to have children. If you plan to have children, talk with your doctor before using this medicine.

Using this medicine while you are pregnant may cause neonatal withdrawal syndrome in your newborn baby. Tell your doctor right away if your baby has an abnormal sleep pattern, diarrhea, a high-pitched cry, irritability, shakiness or tremors, weight loss, vomiting, or fails to gain weight.

Hydrocodone and ibuprofen combination will add to the effects of alcohol and other central nervous system (CNS) depressants (medicines that make you drowsy or less alert). Some examples of CNS depressants are antihistamines or medicine for hay fever, allergies, or colds, sedatives, tranquilizers, sleeping medicine, or other prescription pain medicine or narcotics, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics. Do not drink alcoholic beverages, and check with your medical doctor or dentist before taking any of the medicines listed above while you are using this medicine.

This medicine may cause some people to become drowsy, dizzy, or lightheaded, or to feel a false sense of well-being. Do not drive or do anything else that could be dangerous until you know how this medicine affects you. If these reactions are especially bothersome, check with your doctor.

Before having any kind of surgery (including dental surgery) or emergency treatment, tell the medical doctor or dentist in charge that you are taking this medicine.

Hydrocodone and ibuprofen combination may cause dry mouth. For temporary relief, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if you take this medicine for a long time and dry mouth continues for more than 2 weeks, check with your dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.

Call your doctor right away if you have confusion, drowsiness, fever, a general feeling of illness, a headache, loss of appetite, nausea, a stiff neck or back, or vomiting. These could be symptoms of a serious condition called aseptic meningitis.

If you have heart disease or congestive heart failure (CHF), tell your doctor if you have unexplained weight gain or edema (fluid retention or body swelling) with this medicine.

Check with your doctor immediately if blurred vision, difficulty with reading, or any other change in vision occurs during or after your treatment. Your doctor may want your eyes be checked by an ophthalmologist (eye doctor).

Check with your doctor right away if you have anxiety, restlessness, a fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or see or hear things that are not there. These may be symptoms of a serious condition called serotonin syndrome. Your risk may be higher if you also take certain other medicines that affect serotonin levels in your body.

This medicine may cause constipation. This is more common if you use it for a long time. Ask your doctor if you should also use a laxative to prevent and treat constipation.

This medicine may cause hyperkalemia (high potassium in the blood). Check with your doctor right away if you have confusion, irregular heartbeat, nausea or vomiting, nervousness, numbness or tingling in the hands, feet, or lips, stomach pain, difficult breathing, or weakness or heaviness of the legs.

Using too much of this medicine may cause infertility (unable to have children). Talk with your doctor before using this medicine if you plan to have children.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

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Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

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