Accolate (zafirlukast)
Accolate diminishes the effect of chemicals – called leukotrienes -- released by inflamed cells in our lungs. By decreasing the effect of leukotrienes, accolate decreases swelling in the bronchial tubes. Side effects are unusual, but include nausea, headache and vomiting.
For more information, go to www.accolate.com

Advair (fluticasone and salmeterol)
Advair comes in the form of a discus with two separate medications, salmeterol and fluticasone. The fluticasone contains a low dose of steroid used to diminish swelling and inflammation in the bronchial tubes. The salmeterol relaxes the muscle constricting the bronchial tubes, allowing more air to enter the lungs. These two medications work together to prevent future asthma attacks, but they will not provide immediate relief from sudden wheezing or shortness of breath. Side effects are rare, but could include dizziness, dry mouth, shakiness or heart palpitations.
For more information, go to www.advair.com

Allegra (fexotenadine)
Allegra falls into a category of medications called anti-histamines, which doctors use to treat common symptoms of allergies including runny nose, sneezing, itchy eyes and hives. Allegra and the newer anti-histamines offer a big advantage over the older anti-histamines – less drowsiness. Despite causing less drowsiness, allegra does cause rare side effects including headaches or backaches.
For more information, go to www.allegra.com

Atrovent (Ipatropium)
Atrovent dilates the large bronchial tubes, allowing more air to enter the lungs. Atrovent is currently available in the form of a hand held inhaler and a liquid delivered as a mist through a nebulizer. Potential side effects are rare, but include dry mouth, palpitations, headache and rare allergic reactions.

Albuterol (Proventil, Ventolin)
Pharmaceutical manufacturers offer albuterol in multiple forms: a hand held inhaler, an aerosolized mist delivered through a machine called a nebulizer, and a pill form. Albuterol opens up constricted and inflamed bronchial tubes and allows more air to enter the lungs. Doctors prescribe albuterol as a “rescue medication,” offering immediate relief from difficulty breathing or wheezing. Common side effects include tremors, anxiety and increases in the heart rate. Allergic reactions can also occur, but are rare.

Azmacort (triamcinalone
Azmacort was one of the first inhaled, steroid medications used to decrease the swelling and inflammation in the bronchial tubes of patients with asthma. Like the other steroid inhalers, azmacort helps prevent attacks of asthma, but it will not provide immediate relief of wheezing, coughing, or difficulty breathing. Side effects are rare, but can include dry mouth, yeast infections in the mouth, dizziness or headache. Since Azmacort requires multiple doses a day, doctors now tend to prescribe it less frequently than its’ modern counterparts, which require only once or twice daily dosing.

Biaxin (clarithromycin)
Biaxin is an antibiotic used to treat outpatient pneumonias, sinusitis, and bronchitis. It effectively kills a large variety of bacteria, but carries the risk of some mild side effects, including a metallic taste in the mouth, nausea, vomiting, or headache.
For more information, go to www.biaxin.com

Ceftin (cefuroxime): Cetin is an antibiotic used for treatment of bronchitis, pneumonia, sinusitis and other infections. Patients take ceftin for seven to fourteen days to eradicate their infections. Most patients tolerate ceftin well, but occasional patients will suffer an allergic reaction marked by hives, itching, rash, wheezing, or throat swelling. Patients with a history of allergic reactions to other antibiotics in the penicillin or cephalosporin classes are more likely to experience an allergic reaction to ceftin.

Clarinex (deslortadine)
Doctors use clarinex to treat air-borne allergies, itching and hives. Clarinex falls into a class of medications called anti-histamines, which inhibit the effect of histamines, body chemicals causing allergic symptoms such as nasal congestion, sneezing, itchy eyes and hives. Clarinex and the other newer anti-histamines cause less drowsiness than their predecessors, but in rare cases lead to headache, nausea or fatigue. Taking clarinex may also be risky for patients with liver or kidney problems and should not be taken during pregnancy without an obstetrician’s supervision.
For more information, go to www.clarinex.com

Combivent (albuterol and ipatropium bromide)
Combivent is a commercial preparation combining albuterol and ipatropium into a single inhaler. The combined preparation dilates constricted bronchial tubes and works rapidly. Because of the rapid onset of action, doctors often prescribe combivent as a “rescue medication” for immediate relief of wheezing or difficulty breathing. Just like albuterol, combivent can cause shakiness, heart palpitations, or anxiety.

Coumadin (warfarin)
Coumadin inhibits the formation of clots in the blood stream. Doctors use coumadin to treat blood clots in the legs and lungs. Because coumadin “thins” the blood, it also creates a risk of bleeding. Patients on coumadin are more likely to bleed after falling or having surgery; therefore, doctors monitor the dose of coumadin closely through serially blood tests. A blood test will be necessary at least once every month for patients on coumadin. Coumadin also interacts with some other medications, and patients will need more frequent blood tests when taking antibiotics, seizure medications, or theodur.

Flonase nasal spray (fluticasone)
Flonase decreases nasal drainage and helps alleviate symptoms of nasal congestion, runny nose, and cough. Patients apply one squirt to each nostril daily for relief. Although Flonase contains a small quantity of steroid medicine, side effects are rare. Flonase does not cause the common side effects of oral steroids (elevated blood sugar, weight gain, osteoporosis), but may cause nasal irritation or bleeding in rare instances.
For more information, go to www.flonase.com

Flovent (fluticasone)
Glaxo-Wellcome manufactures flovent in the form of a hand-held inhaler. The inhaled medication contains a steroid, which decreases the swelling and irritation of the bronchial tubes caused by asthma. Rare side effects include yeast formation in the mouth, hoarseness, or irritation of the throat.

Foradil (formoterol furmate)
Manufacturers produce foradil in an inhaled form used once daily. Doctors usually recommend it to prevent attacks of asthma and chronic bronchitis; it should not be used to treat emergent problems or suddenly worsening symptoms. Potential side effects of foradil include fast heart rate, tremors, headache, nausea, and rare allergic reactions.
For more information, go to www.foradil.com

Humabid (guafenesin)
Doctors prescribe humabid to thin secretions in the lungs and help patients cough up trapped mucous, but experts are divided as to how well the medicine works. It is available in a standard pill form and a longer acting sustained release tablet. Side effects are unusual, but could include nausea, vomiting, headache or difficulty urinating.

Isoniazid: Doctors use isoniazid to treat tuberculosis and other infections falling into the category of mycobacterial illnesses. Important side effects of isoniazid include liver injury and nerve damage. In order to prevent nerve injury, doctors prescribe vitamin B6 along with the isoniazid. For protection of the liver, physicians monitor liver blood tests closely and council patients to avoid drinking alcohol.

Nasonex nasal spray (mometasone)
Doctors prescribe nasonex to treat nasal congestion, runny nose, and coughing from nasal drainage. Patients take the medication in the form of a nasal spray squirted in each nostril twice daily. The nasal spray contains a low dose of steroid medication, which decreases inflammation and drainage in the nose. Side effects are rare, but could include nasal irritation or bleeding.
For more information, go to www.nasonex.com

Levaquin (levofloxacin)
Levaquin is an antibiotic, used by physicians to treat pneumonia, sinusitis, bronchitis and urinary tract infections. It effectively treats these infections over a period of seven to fourteen days and rarely has side effects, although restlessness, dizziness, nausea, and headache have occurred in some patients. Levaquin can interact with other medications metabolized by the liver, including coumadin, dilantin, quinidine, and theodur, and one should consult with a physician before taking these medications together.
For more information, go to www.levaquin.com

Prolastin
Doctors prescribe prolastin to treat patients with certain types of hereditary lung disease. Low levels of a protein in the lung -- alpha-1-antitrypsin -- cause this group of hereditary lung diseases and prolastin replaces this missing protein. Patients suffering from deficiencies in alpha-1-antitrypsin receive prolastin weekly in the form of an intravenous infusion. Patients usually tolerate the infusions well, but occasional side effects include fever, dizziness, lightheadedness or flu-like symptoms.
For more information, go to www.prolastin.com

Pulmicort (budesonide)
Pulmicort contains a steroid medication and decreases inflammation in the bronchial tubes present in patients with asthma and chronic bronchitis. Pulmicort accomplishes this decrease in inflammation through a once daily dose. The daily dose can be administered through either a hand-held inhaler or an aerosolized mist through a machine called a nebulizer. Like other inhaled, steroid medications, side effects with pulmicort are rare, but can include dizziness, yeast formation in the mouth, or hoarseness.
For more information, go to www.pulmicort.com

Pulmozyme (dornase alfa)
Pulmozyme contains an enzyme that thins mucous in the lungs; thereby, helping patients to cough out trapped mucous. Studies have proven pulmozyme helps patients with cystic fibrosis cough up mucous, but scientific studies have never proven any benefit in other lung diseases. Patients with cystic fibrosis use pulmozyme through a nebulizer twice daily. Side effects with pulmozyme are uncommon, but could include hoarseness, chest discomfort, dry mouth, or allergic reactions.
For more information, go to www.pulmozyme.com

Rifampin: Doctors use rifampin to treat tuberculosis and other mycobacterial infections. Rifampin carries a small risk of liver damage and may also change the color of the urine or tears to orange. Because of the potential liver toxicity, patients taking rifampin should avoid alcohol and warn their physician if they take other medications metabolized by the liver, including dilantin, coumadin, and theodur.

Robitussin (guafenesin)
Robitussin is a cough syrup containing a medicine called guafenesin, which thins mucous from the lungs and decreases coughing. Wyeth pharmaceuticals manufactures a variety of robitussin preparations including Robitussin DM, Robitussin CF, Robitussin PM, and Robitussin with codeine. The Robitussin DM preparation combines the guafenesin with a cough suppressant called dextromefophan. The Robitussin CF preparation combines the guafenesin with a decongestant and dextromeforphan ( a cough suppressant), and Robitussin PM combines the guafenesin with an anti-histamine. The strongest preparation for suppressing cough is robitussin with codeine, which requires a prescription.
For more information, go to www.robitussin.com

Serevent (salmeterol xinafoate)
Manufactures currently produce Serevent in the form of a “discus” inhaler. Patients inhale through the discus twice daily, allowing the medicine to flow directly into the lungs. Once inside the lungs, the medication relaxes the tightened muscles surrounding the medium and small sized bronchial tubes, enlarging the diameter. By opening the bronchial tubes, the medication reduces the coughing, wheezing and shortness of breath associated with asthma and chronic bronchitis. Side effects are unusual, but can include a fast heart rate, allergic reactions, nausea or headaches. Patients should only use Serevent to help prevent future attacks of asthma or chronic bronchitis; it should not be used to treat emergencies or suddenly worsening symptoms. Patients should also be careful not to exceed the recommended twice daily dosing.

Singulair (montelukast)
Singulair comes in the form of a pill taken once daily. This pill blocks the lung’s usage of chemicals called leukotrienes, thereby decreasing inflammation in the bronchial tubes. This decrease in inflammation occurs gradually; therefore, singulair only works when taken on a daily basis. It should not be used to treat emergent situations or sudden changes in symptoms.
For more information, go to www.singulair.com

Spiriva (tiotropium)
Spiriva is an inhaled medicine that dilates narrowed bronchial tubes in patients with chronic bronchitis and emphysema. For patients with emphysema and chronic bronchitis, spiriva helps to prevent sudden attacks and worsening symptoms, but it should not be used to relieve emergent symptoms and respiratory distress. Spiriva rarely causes side effects, but patients occasionally complain of dry mouth or difficulty urinating. In rare cases, spiriva may precipitate an eye disease know as acute angle glaucoma. For this reason patients should notify their doctors of difficulty seeing or any prior history of glaucoma while taking spiriva.

Tequin (gatifloxacin)
Tequin is an antibiotic used to treat pneumonias and bronchitis. For the treatment of pneumonia or bronchitis, patients take tequin once daily for seven to fourteen days. Side effects are uncommon, but could include nausea, headache or upset stomach. Because the liver metabolizes tequin, drug interactions may occur, and patients should consult their physicians before taking tequin with seizure medications, coumadin, theodur or certain heart medicines.
For more information, go to www.tequin.com

Tessalon (benzonate)
Tessalon is an non-narcotic pill used to stop coughing. Patients take tessalon up to every four to six hours on an as needed basis. Side effects are rare, but could include dizziness, headache, nausea or upset stomach.

Theodur (theophylline)
Theodur was one of the first medications used by physicians to treat lung disease, and it is still available in pill form. The pills open constricted bronchial tubes and strengthen the large muscle between the thorax and the abdomen called the diaphragm. Despite these beneficial effects, most experts consider theodur less effective than the modern inhaled medications. Theodur also carries a greater risk of side effects than the more modern inhaled medications. Common side effects include anxiety, shaking, fast heart rates and even seizures.

Tussionex cough syrup (hydrocodone and chlorpheniramine)
This cough syrup combines an anti-histamine (chlorpheniramine) with a codeine-like cough suppressant called hydrocodone. Tussionex stops coughing well, but it carries a risk of potential side effects, including drowsiness, constipation, lightheadedness, and vomiting. The hydrocodone component is also an addictive medication and should be used with caution.

Vanceril (beclomethasone)
Vanceril is a hand-held inhaler, containing a steroid medication. The inhaled steroid decreases inflammation in the bronchial tubes and helps prevent asthma attacks. Rare side effects include hoarseness, yeast in the mouth, and throat irritation.

Xopinex (levo-albuterol)
Xopinex dilates the inflamed, constricted bronchial tubes commonly found with asthma and chronic bronchitis. At this time, xopinex is only available in an aerosolized form delivered through a nebulizer machine. Despite the high cost compared with its’ primary competitor, albuterol, the manufacturer claims xopinex causes less shaking, anxiety, and heart palpitations than other comparable medications.

Zithromax (azithromicin)
Zithromax contains an antibiotic used for the treatment of pneumonia and bronchitis. It offers the advantage of convenient dosing – once daily for five days. Although patients only take zithromax for only five days, it remains in the body fighting infection for ten days. Most patients tolerate zithromax well, but rare side effects include nausea, vomiting and fatigue, and interactions with other drugs metabolized by the liver (tegretol, coumadin, theodur) can occur.
For more information, go to www.zithromax.com

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