mecamylamine - oral, Inversine (cont.)

PRECAUTIONS: Before taking mecamylamine, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: certain eye problem (glaucoma), certain stomach condition (organic pyloric stenosis).Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as chest pain, heart attack), blood flow problems especially to the brain/heart (such as stroke, TIA), kidney disease, bladder/urination problems (such as bladder neck obstruction, urethral stricture), enlarged prostate (prostatic hypertrophy), salt-restricted diet.Before having surgery, tell your doctor or dentist that you are taking this medication.This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Avoid alcoholic beverages.Kidney function declines as you grow older. This medication is removed by the kidneys. Older adults may be more sensitive to its effects, especially dizziness.During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This drug should not be used with the following medication because a very serious interaction may occur: ambenonium.If you are currently using the medication listed above, tell your doctor or pharmacist before starting mecamylamine.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: drugs for a certain muscle disorder - myasthenia gravis (such as pyridostigmine), drugs that can affect the muscles (including aminoglycosides such as gentamicin/streptomycin, sulfa medications such as sulfisoxazole).Certain drugs/vitamins/herbal products may affect how the body gets rid of mecamylamine, possibly causing too much or too little mecamylamine to remain in your body. These changes may cause your blood pressure to become too low or too high. Some products include antacids, vitamin C, carbonic anhydrase inhibitors (such as acetazolamide), methenamine, urinary alkalinizers (sodium/potassium citrate), and sodium bicarbonate. If you are currently using any of these products, consult your doctor or pharmacist before starting mecamylamine.Tell your doctor or pharmacist if you are taking other products that cause drowsiness, including alcohol, antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and narcotic pain relievers (such as codeine).Mecamylamine lowers blood pressure and causes dizziness/drowsiness. Check the labels on all your medicines (including allergy products, cough-and-cold products, diet aids, nonsteroidal anti-inflammatory drugs-NSAIDs such as ibuprofen for pain/fever reduction) because they may contain ingredients that could increase your blood pressure or cause dizziness/drowsiness. Ask your pharmacist about using those products safely.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

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