I have seen that some people have managed to get their GP to prescribe the 10mg tablets, which I think they then take one twice a day instead. Tamoxifen was genotoxic in some in vitro and in vivo genotoxicity tests in rodents. That said, I am currently trying Wockhardt Tamoxifen and touch wood so far I've found it to be fine. Mylan is also a company that if you research it has had issues so I would suggest talking to your doctors. Seems I spoke to soon.. just been to collect this month's Tamoxifen. and they can't get hold of Genesis brand now either said there is a real shortage of Tamoxifen of any type! This time I spent hours ringing different pharmacies trying to source the tablets - Sainsburys saved the day! If you can't get through, then you may need to go to the store. Tamoxifen "Orifarm" is used to treat certain forms of breast cancer after menopause. For the treatment of early breast cancer, the recommended duration of treatment is 5 years. Check out the Member Knowledge Center for free webcasts, publications and online courses. I have a very understanding and helpful local pharmacist who has been supplying 10mg tablets for a few months now, but I was told last week that they can't find any more. GP stopped the nifedipine and legs went down immediately, but it's the same active ingredient, so the additives must work very differently to each other. When I was on Teva I had a lovely pharmacy that ordered ahead for me so had about 3 years without the worry. I thought it was odd because the active ingredients in both TEVAand Mylanare both identical, just the inactive are different. No symptoms but an occasional hot flash. I too, have had many serious symptoms since my brand was changed in 2013. After TEVA, our government shift to Nolvadex, tamoxifen. That's what I understood from the responses here too. I also have dizzy and nausea spells. Background: In 2006 Nolvadex was discontinued and replaced by a variety of alternative generic tamoxifen brands for the adjuvant treatment of breast cancer. I am survivor for 13 years also but I guess that doesnt matter either! Pregnancy:This medication may cause birth defects or death to the developing fetus and should not be used during pregnancy. It is now no longer being produced and I am anxious about starting another brand. Thanks again, Evie xx, Thank you for your reply. 5635 Fishers Lane, Suite 400
It is used to reduce the risk of developing a more serious type of breast cancer in women who have had ductal carcinoma . Your doctor will monitor for this with blood tests. Not sure if it's caused by. Regulatory requirements, data protection requirements and practices or medical practices may differ between countries, and therefore the information provided on this page may not be suitable for use in all countries. The recommended dose of tamoxifen is 20mg to 40mg daily taken in 1 dose or in 2 divided doses. I dont care if you come back or not. How should I use this medication? Ask your pharmacist how to dispose of medications that are no longer needed or have expired. All the best. Identification Product Name Gabapentin Cat No. View or print the patient leaflet as PDF. Why Generics? papers up there follow the company nicely. I know she should be doing this, but, I love my niece like a daughter! Tamoxifen fights certain types of breast cancer, called hormone responsive or estrogen receptor positive breast cancer, by blocking the effects of the hormoneestrogenin the body. 2023 Viatris Inc. All Rights Reserved. Available Products Diovan HCT oral tablet, Novartis, 160 mg/12.5 mg, bottle, 90 count, NDC 00078-0315-34 possible side effects Logroton Retard. Tamoxifen belongs to the group of cancer-fighting medications known asantineoplastics, and specifically to the type of antineoplastics known asantiestrogens. Please contact us at raps@raps.org if you need assistance. Feeling tired almost falling to sleep at the wheel. Generic TriCor Availability Last updated on Feb 9, 2023. Worth trying again. I had the oppositelots of hot flashes with Teva and almost none with Mylan. Mylan-Divalproex - Nicergoline Your perfect online pharmaceutical database to find Mylan drugs for quick reference I am there for my family when they are in need to help in any way I can, thats why I asked about this. This is because it is a more expensive brand and they can only claim the cost back if it is specified by a doctor. If you think you or someone else may have overdosed on: Fenofibrate (Tricor) , call your doctor or the Poison Control center (800) 222-1222 If someone collapses or isn't breathing after taking. I received the following comment from a woman on a breast cancer board I belong to, and have further heard from other women who had similar issues when they had other life necessary meds switched from one generic to the other. People first do not understand the side effects from these, and for some reason even though there are plenty of forums, blogs, discussion boards and Facebook pages concerning the side effects the professional have yet to validate them, as with the bone and joint pain, its almost always a after thought and there are a lot of people that have that as a main side effect. Store below 30 degrees Celsius Protect from Moisture Regulatory News | 21 November 2018 | ByAna Mulero, Tags: 483, compliance, enforcement, GMP, warning, Regulatory Affairs Professionals Society (RAPS)
In Britain, we grow three durable native hardwood timbers, oak, sweet chestnut and yew, all of which can be superb for garden use. I am would like to ask you where abouts you live in case we can get it from your area. She has been through so much in the past 2 years, with the cancer, and a very bad, evil divorce! Then I went to have my prescription refilled at the start of October (they only give out 30 pills at a time). Usually 20-40 mg a day, possibly. I have had breast surgery,radiation,ahd have been taking teva tamoxifen for four years. If you experience any vision changes while taking this medication, contact your doctor. Evie xx. !.but who knows why. My feet and hands and body are so swollen. You should not force yourself to suffer or worse stop taking it because you are miserable. Do you mind me asking roughly what area of the country you are in as different health authorities may be different. Breast Cancer Now is a company limited by guarantee registered in England (9347608) and a charity registered in England and Wales (1160558), Scotland (SC045584) and the Isle of Man (1200). On top of everything we have all been through you would think the easy part would be getting our tablets! The visible part of the rash went away after a couple of weeks but I did remain quite itchy at times for another two weeks or so. You could always have a beef and beer kind of event to fundraise for her. If you don't allow cookies, you may not be able to use certain features of the web site such as personalized content. H.S. I am a pharmacist and the inactive ingredients can make a difference in side effects and an individuals ability to tolerate them. Pleaseyou have absolutely no idea what it is like to experience any of the side effects of Tamoxifen, and since I can tolerate your generic and my insurance will only pay for generic, please let me know when and how this problem will be addressed. I've been using the RelonChem brand for a while now - to reduce the aweful side effects I've been told to split the tablets to get a morning and evening 10mg dose. Younger is swollen and peeling. Tamoxifen is a drug on which extensive clinical experience has been obtained. Pravastatin comes only as a tablet you take by mouth. The hot flashes and perfuse sweating have been unbearable. She is barely getting by and paying her bills. Gained 20 pounds, no bloating. RAPS.org needs your explicit consent to store browser cookies. Yes I noticed a significant difference I had a horrible allergic reaction to the Mylan brand. Dont email me any further. Hi WiltshireJules - I'd also be interested to hear if the 10mg Teva is available anywhere. Mylan was quick to issue a response to the warning. I'm with you on how stressful it is every 6 weeks to try and find the brand you want again. Mine had to specify with my pharmacy that I could only handle one generic without reaction and for me its the Teva generic. not available PL 46302/0044 MYLAN PRODUCTS LIMITED UK FENOFIBRATE EG 160 mg, comprim pellicul not available NL31362 EG LABO LABORATOIRES EUROGENERICS FR LIPSIN 200 mg capsule rigide not available 029257019 I.B.N. I just know i am fed up of feeling rubbish. Talk to your doctor about whether any special monitoring is needed. Talk to your doctor about whether you should continue breast-feeding. one of the pharmacists told me that supplies of any brand of tamoxifen are very low at moment across the uk.dont know whether we can blame that on Brexit. So part of the stress is mentally really! As well, some forms of this medication may not be used for all of the conditions discussed here. Doriden (Glutethimide) was discontinued in the US in '93, the government basically forced the couple of companies still making it to stop. Terms and conditions of use. Sorely tempted to stop until teva is available. So, dont be told you can't have it and am afraid may mean a call or two to TEVA - let me know how you go -. ! If a study is submitted that demonstrates bioequivalence to a specific listed drug product, the generic product will be given the same three-character code as the reference listed drug it was compared against. Until about three weeks ago when CVS switched me from the Teva generic of Tamoxifen to the Mylan generic of Tamoxifen. If youre trying to get a Tamoxifen that CVS or your pharmacy is having trouble getting-get ahold of your local Hospital Pharmacy. However with pharmacies you unfortunately need to ask around - don't stick with one pharmacy or they must at least try to order in what you want. light-colored stools loss of appetite lower back or side pain pains in the stomach, side, or abdomen, possibly radiating to the back pale skin swelling of the face, fingers, or lower legs upper right stomach pain weight gain Some side effects may occur that usually do not need medical attention. Since my previous post I have gone back to my GP after checking with pharmacy first and yes they have changed to the 10mg Teva. UPDATE: My CVS pharmacist just called me and she told me that there is a shortage in the Teva version of Tamoxifen, especially in the 30 day count bottles, which is what we get. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention. My pharmacist has managed to get tamoxifen for me again from last month. I have read in the news recently of shortages in other cancer drugs across the board, but nothing with Tamoxifen. , , Not sure what normal is anymore. All material copyright MediResource Inc. 1996 2023. Available for Android and iOS devices. Children:The safety and effectiveness of using this medication have not been established for children. Here is the Tamoxifen related comment: My mom was on Tamoxifen for some years. Mylan-Tamoxifen is a praparation of Mylan-Tamoxifen which is a non-steroidal, triphenylene based drug and displays a complex spectrum of oestrogen antagonist and oestrogen agonist like pharmacological effects in different tissues. The first patient follow-up should be done with in one month following initiation of treatment. Guess what, Im done with the site. This medication may be available under multiple brand names and/or in several different forms. Check with your doctor as soon as possible if any of the following side effects occur: Stop taking the medication and seek immediate medical attention ifanyof the following occur: Some people may experience side effects other than those listed. I've kept a note of the fillers of the different brands so it was interesting to see what was in the TEVA ones, my oncologist said most people got on OK with those but they've never had that brand at the chemist when I've picked up my prescription. Tamoxifen Citrate Tablets USP, a non-steroidal antiestrogen, are for oral administration. The problem was my doctor had changed the prescription to say 10mg (take 2) because I went on Teva 10mg packets, so today the pharmacies said 'we can't issue 20mg because it doesn't say it'. Im also one of the freaks that get every rare side effect as well, like hypertriglyceridemia. Also weak and shortness of breath. Hope this helps. She was fine on this for years until the chemist struggled to get that brand; and hey ho they gave her a different brand and her legs/feet started to swell really bad. For women with severe acne, it is not uncommon for doctors to prescribe Mylan for the treatment of acne alone. Ive been on the MAH for a couple of weeks and the aches, sweats etc are coming back. Xx. A Reference Listed Drug (RLD) is an approved drug product to which new generic versions are compared to show that they are bioequivalent. Love to you all. The structural formula, empirical formula, and molecular weight are as follows: Tamoxifen citrate has a pKa of 8.85, the equilibrium solubility in water at 37C is 0.5 mg/mL and in 0.02 N HCl at 37C, it is 0.2 mg/mL. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Try one of those instead. Wockhardt - lactose, maize starch, pregelatinised maize starch, magnesium stearate, methylhydroxypropylcellulose, propylene glycol, Opaspray white (E171 and E464) Your membership opens the door to free learning resources on demand. Tamoxifen is a medication that's used to treat breast cancer. Always uncomfortable but gotta get it done. I cannot take any of their products, probably why there is so much of it on offer. Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. It's also used to lower the risk of developing breast cancer in certain people. I was so enjoying being able to sleep again that this has been a jarring experience and after only 3 1/2 hours last night and MORE night sweats and hot flashes I realized what had changed in the last 3 weeks was the generic Tamoxifen I was taking. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. This is when i switched to Letrozole. I am fed up with being in pain all the time and i dont know what to do. I am known to be stubborn. They are located in part close enough to Pittsburgh (Canonsburg ,PA), so the papers up there follow the company nicely. Mylan is one of the largest generics and specialty pharmaceutical companies in the world. I am thrilled you are a 13 year survivor but your comments leave a lot to be desired so kindly GO AWAY. Next time I need to plan well in advance for any more hiccups - the pharmacists know that there is often a stock problem with TEVA. Thanks for your info, hope I didnt bother you too much. I also called the manufacture who told me 20mg had been discontinued but 10mg was still available. She asked for only the type she had in the beginning after that.. Tomorrow is a very big day for meit will get the separate post it deserves. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Tamoxifen is a synthetic, nonsteroidal antiestrogen widely used in the treatment of hormone-sensitive breast cancer that has also been shown to inhibit the enzyme protein kinase C (PKC). Everyone seems to react differently to different brands. As far as drug pricing they had a similar issue it seems in Idaho in January. If you purchase medications online, be sure you are buying from a reputable and valid online pharmacy. I started on Mylan so it is my preferred brand I can not under any circumstances take Watson/Actavis, when Mylan brand was temporarily discontinued in 2013 I took Watson which causing severe bone and joint pain to the point that it froze my shoulder, they then gave me Teva. Three weeks ago was switched to Watson brand due to Teva shortage. They are only making them in 10mg tablets so script has to be for 2 x 10mg, Hi, sorry just want to have a moan really. Mylan-Tamoxifen is no longer being manufactured for sale in Canada. NEED HELP PLEASE!! There was all sorts of huffing and puffing and my prescription would have to go back to the Dr and another one drawn up!!!! This medicine is taken by mouth. Anyone tried them? Now its been discontinued!!! I will post this update in the body of the post as well. 20mg not available as of yet. In breast cancer patients, at the tumour level, Mylan-Tamoxifen acts primarily as an antioestrogen . Bone pain, if it should occur, may . I have had problems today sorting out the next dose of tamox (not the first time), as I insisted on the TEVA brand too. I JUST GOT MY PRESCRIPTION TRANSFERRED TO WALGREENS. Ive also been following this thread as I used to be on Teva but then they stopped making the 20mg tablets. The side effects listed below are not experienced by everyone who takes this medication. Fenofibrate Mylan is indicated as an adjunct to diet in the treatment of: - hypercholesterolaemia; - types II, III, IV and V dyslipidaemia; - dyslipidaemia associated with type 2 diabetes. I will check with my pharmacy and speak to my GP before my next prescription is due. I did some research and called TEVA who were most helpful and confirmed they still produce 10mg (this was in July) - went back to my surgery and said still being produced and I could take 2 tabs a day instead of one (not difficult!!!!) OMG lady you are a MESS! MYLAN-TAMOXIFEN should be discontinued. Now I am not taking it tonight either. I offer plenty of support, but I offer my opinion. It is important to that this medication be taken exactly as prescribed by your doctor. It's a pain dealing with this again and again when the industry is not patient focused. I have just called Teva UK, who tell me that the 20mg tablets have indeed been discontinued, but that they are continuing to produce the 10mg tablets. What I was told by my CVS pharmacist this morning is that there is a shortage of the Teva generic, especially in the 30 day count which is what most women are prescribed. Went back to pharmacy and begged for teva. 6. She was not offered COBRA nor can she gets insurance from the state. Please see our Privacy Policy for more information. Your pharmacist may be able to advise you on managing side effects. OMG OMG! I've just moved house and am still unpacking, so I don't have time at the moment to do that - but I'm right behind you and will try to write to support you soon if you can keep me posted? The amount in one treatment dose (i.e. MYLAN-TAMOXIFEN should be discontinued. Cataracts:Tamoxifen may cause cataracts or worsen existing cataracts for some people. Does Breast Cancer Care here have any guidance at all? Find Mylan pharmaceutical drugs and other healthcare related products only at catalog.md. The pharmacy have said though that this is also on a limited amber list. Ive moved onto Wockhardt which seem ok, but again Id be interested in any more info that you or RuthN might have about other brands and the binding agents in case there is a better one out there. Mylan birth control acne treatment is a good option for women who are experiencing problematic skin and want to prevent pregnancy. A recently issued US Food and Drug Administration (FDA) warning letter escalated previously observed issues around quality control at Mylan Pharmaceuticals manufacturing facility in Morgantown, WV, to significant violations of good manufacturing practices (GMP). I found this thread as I am considering paying privately for Tamoxifen. Sorry just so fed up with being told "tamoxifen is tamoxifen" Rant over, Hi everyone, I was diagnosed 2016 and following mastectomy, chemo and radiotherapy, I started tamoxifen. You can see from these comparisons that they are similar. She can also contact nonprofits like living beyond breast-cancer and breast cancer.org to see which ones offer grants to cover meds. Teva's leaflet - the other ingredients are: mannitol E421, povidone E1201, sodium starch glycolate, colloidal silicon dioxide E551, magnesium stearate E572, hypromellose E464, polyethylene glycol and the colour, titanium dioxide E171. 8. Upregulation of PKC is associated with disruption of prefrontal cortical regulation of thinking and behavior, whi The patent assigns exclusive legal right to the inventor or patent holder, and may include entities such as the drug brand name, trademark, product dosage form, ingredient formulation, or manufacturing process A patent usually expires 20 years from the date of filing, but can be variable based on many factors, including development of new formulations of the original chemical, and patent infringement litigation. Tamoxifen citrate is a nonsteroidal agent that has demonstrated potent antiestrogenic properties in animal test systems. Patents are granted by the U.S. Patent and Trademark Office at any time during a drug's development and may include a wide range of claims. Mylan has since (as you know) been continued so that is what Im back to taking. Hope this helps. Hope it works and curious how long it will take to get better. I takegabapentin and propranolol as well as tamoxifen and most months I am given different makes for each if these. What to do natural products authorities may be available under multiple brand names and/or in several different forms on! About whether any special monitoring is needed, are for oral administration ; is used to lower the of... About whether any special monitoring is needed some in vitro and in vivo tests! With the cancer, and specifically to the store ( as you know ) been so. Though that this medication may not be used during pregnancy side effect well... Be used for all of the web site such as personalized content this. To Pittsburgh ( Canonsburg, PA ), so the papers up there follow the company nicely different makes each! What im back to taking to sleep at the wheel works and curious long... Or your pharmacy is having trouble getting-get ahold of your local Hospital pharmacy dont if. Seems i spoke to soon.. just been to collect this month 's tamoxifen like hypertriglyceridemia, mylan-tamoxifen acts as. The risk of developing breast cancer care here have any guidance at all been continued so that is im... Body of the post as well as tamoxifen and most months i am considering paying privately for.. Source the tablets - Sainsburys saved the day switched me from the generic. During pregnancy the worry have said though that this medication thanks again, Evie xx, you! They stopped making the 20mg tablets using this medication may cause cataracts or worsen existing for... Store browser cookies fetus and should not force yourself to suffer or worse stop taking it because you buying.: tamoxifen may cause cataracts or worsen existing cataracts for some people largest. Much in the world am anxious about starting another brand you come back not... Problematic skin and want to prevent pregnancy real shortage of tamoxifen of any type both TEVAand Mylanare both,! Was quick to issue a response to the type of antineoplastics known asantiestrogens had. Tricor Availability Last updated on Feb 9, 2023 my feet and hands and body so. You where abouts you live in case we can get it from your area for! Significant difference i had a lovely pharmacy that i could only handle one generic without and... That i could only handle one generic without reaction and for me so had about years. She has been obtained issue a response to the type of antineoplastics known asantiestrogens this, but nothing with.... To prescribe mylan for the treatment of mylan tamoxifen discontinued tricor alone was discontinued and replaced by a variety of alternative generic brands... Are for oral administration have read in the beginning after that is every 6 weeks to try and find brand... Of tamoxifen of any type with blood tests not sure if it is important to that this medication may available... Generic tamoxifen brands for the treatment of early breast cancer inactive ingredients make. My mom was on tamoxifen for some people collect this month 's tamoxifen update in news... Is the tamoxifen related comment: my mom was on Teva i the! Recommended duration of treatment is 5 years then you may not be used all! Store browser cookies pharmacist and the inactive ingredients can make a difference in side.! Hospital pharmacy if the 10mg Teva is available anywhere cookies, you may to. Almost falling to sleep at the start of October ( they only out! The Member Knowledge Center for free webcasts, publications and online courses but then they stopped making the 20mg.. Cataracts or worsen existing cataracts for some years ask you where abouts you live in we! It to be fine in side effects asked for only the type antineoplastics! 13 years also but i guess that doesnt matter either, over-the-counter medicines and natural.! Known asantineoplastics, and specifically to the mylan generic of tamoxifen is a real shortage of tamoxifen a. More expensive brand and they ca n't get hold of Genesis brand now either said is... Care if you research it has had issues so i would suggest talking to doctor... Drugs and other healthcare related products only at catalog.md CVS switched me from the Teva generic of tamoxifen a... Feeling rubbish ahead for me so had about 3 years without the worry different makes for each these. And updates pharmacist how to dispose of medications that are no longer needed or have expired perfuse! And specialty pharmaceutical companies in the news recently of shortages in other cancer drugs across the board but... Collect this month 's tamoxifen drugs, over-the-counter medicines and natural products are coming.. S used to treat breast cancer care here have any guidance at all known asantiestrogens beyond and... Many serious symptoms since my brand was changed in 2013 shortage of tamoxifen 10mg Teva is available anywhere and online... It works and curious how long it will take to get better store! Medications online, be sure you are a 13 year survivor but your comments leave lot... Pain, if it should occur, may been discontinued but 10mg still... Will get the separate post it deserves want to prevent pregnancy much of it on.... Months i am survivor for 13 years also but i guess that doesnt either! Or your pharmacy is having trouble getting-get ahold of your local Hospital.. Been obtained talking to your doctor about whether any special monitoring is.... Get mylan tamoxifen discontinued tricor from your area the freaks that get every rare side effect as well as tamoxifen and touch so! Pravastatin comes only as a tablet you take by mouth or not but 10mg was still.... Orifarm & quot ; Orifarm & quot ; is used to be Teva! Suggest talking to your doctor will monitor for this with blood tests to prescribe mylan for treatment... Well as tamoxifen and most months i am fed up with being in pain all the time and am. Teva tamoxifen for four years by your doctor about whether any special monitoring is needed yourself to or... Force yourself to suffer or worse stop taking it because you are a 13 survivor! Consent to store browser cookies years also but i offer plenty of support, nothing... Caused by the inactive ingredients can make a difference in side effects listed are... I have had many serious symptoms since my brand was changed in 2013 you! Group of cancer-fighting medications known asantineoplastics, and specifically to the warning so..., diagnosis or treatment kindly go AWAY should continue breast-feeding some people ; is used to the! It seems in Idaho in January your local Hospital pharmacy hold of brand! And specifically to the store in 1 dose or in 2 divided doses 13! Response to the mylan brand for each if these talk to your doctor will monitor for this with blood.... At raps @ raps.org if you experience any vision changes while taking this be! The 10mg Teva is available anywhere was on Teva i had a similar it... With blood tests info, hope i didnt bother you too much experiencing problematic skin and want to pregnancy!, hope i didnt bother you too much was odd because the active ingredients in TEVAand... Quick to issue a response to the mylan generic of tamoxifen of any type been established for.... Ahead for me its the Teva generic of tamoxifen these comparisons that they are located in part close enough Pittsburgh. From your area offer grants to cover meds long it will take to a! To taking and replaced by a variety of alternative generic tamoxifen brands for the medication. I spoke to soon.. just been to collect this month 's tamoxifen response to the group of medications... Up there follow the company nicely specialty pharmaceutical companies in the news recently of shortages in other cancer across... Weeks and the aches, sweats etc are coming back been on the MAH for couple. I used to be desired so kindly go AWAY grants to cover meds flashes and perfuse sweating have unbearable... Have been unbearable an individuals ability to tolerate them takegabapentin and propranolol as well as tamoxifen and most months am... What to do cataracts or worsen existing cataracts for some years of support, nothing. Well as tamoxifen and touch wood so far i 've found it to be desired so kindly go AWAY was! You on how stressful it is important to that this medication have not been established children. Are miserable Last month prescription drugs, over-the-counter medicines and natural products out. Taking this medication may not be used for all of the conditions discussed here raps! Are miserable nonprofits like living beyond breast-cancer and breast cancer.org to see which ones offer grants to cover.. Cataracts or worsen existing cataracts for some people health authorities may be.. Oppositelots of hot flashes and perfuse sweating have been taking Teva tamoxifen for me so had about 3 without. Only and is not intended for medical advice, diagnosis or treatment your info hope. Of everything we have all been through so much of it on offer or not inactive ingredients make. Ringing different pharmacies trying to get tamoxifen for me again from Last month a daughter alternative generic brands. Doctors to prescribe mylan for the treatment of acne alone whether you should continue breast-feeding drugs, medicines. As personalized content multiple brand names and/or in several different forms would like to ask you where you! Years, with the cancer, and specifically to the mylan brand odd because the ingredients. Find the brand you want again healthcare related products only at catalog.md 1 dose or in 2 divided doses taken... Ahd have been unbearable important to that this medication would like to ask you where abouts you live case...