Drugs and medicine.

ETRAFON (Perphenazine, amitriptyline)

INSTRUCTIONS
Etrafon is a trade name of a mixture of perphenazine and amitriptyline. It is used for the treatment of anxiety and depression. It is intended as an aid to reduce troublesome symptoms; it is not expected to cure any disorder.
All antidepressant medicines take at least three weeks to become effective, and you must be patient while awaiting improvement. If you are not seriously depressed and take an antidepressant, it has a very good chance of causing you to become unhappy and unpleasant.
Follow the instructions on1 the prescription exactly. Do not take a larger or smaller dose of the medicine than the prescription tells you to. Do not take it if you are allergic to any drug of the pheno-thiazine group (e.g., Chlorpromazine, Phenergan, Thorazine).
Take all the medicine prescribed, even if you feel much belter before you have taken all of it. If you have an adverse reaction, stop using the medicine and contact your doctor.

PRECAUTIONS
Using medicines together may sometimes cause unfavorable reactions. So tell your doctor about any medicine you are taking now (including drugs you buy with out prescription).
You should not take alcohol, high blood pressure medicines (especially guanethidine), barbiturates, narcotics or other pain killers, or antihistamines, thyroid medicines, Ritalin, or monamine oxidase inhibiting drugs while you are taking Etrafon,
Do not give any of this medicine to anyone else. If you have heart trouble or prostate trouble, or if you are pregnant or think you might be pregnant, tell your doctor before you start taking Etrafon.
Medicines of this group can cause changes in the breasts of men, changes in the blood, skin rashes, increased sensitivity to sunlight, increased pigmentation of the skin, visual difficulties, changes in liver function, increased blood cholesterol levels and sometimes a drop in blood pressure.

EUTHROID POSSIBLE SIDE EFFECTS
Effective medicine may cause “side effects” in some people. New symptoms may be caused by the medicine, the original disorder, or a new illness that may develop. Most people experience few or no side effects, and those that do happen tend to disappear in time after you stop using the medicine or when your body adjusts to it.
Patients have reported that Euthroid seemed to cause diarrhea or cramps, nervousness, tremors, rapid heart rate, vomiting, sweating, weight loss, increased appetite and leg cramps. If you should develop any of these symptoms or think that the medicine is bothering you in some other way, stop taking it temporarily and notify your doctor. He may decide to change your dosage schedule or discontinue the medicine.

REFILLS
All refills must be ordered by your doctor, either in the first prescription or later. Only the pharmacy that originally filled this prescription can refill it. If you go elsewhere, you must have a new prescription. Call the pharmacist and order your refill by number; it can be ready when you go to pick it up. Use one pharmacy for the whole family if you can. That way a complete record of all your drugs can be kept and the pharmacist can communicate effectively with your doctor.
OVERDOSAGE: WHAT TO DO
CALL THE DOCTOR OR
FOR HELP OR AN AMBULANCE. Then give FIRST AID!
The patient is unconscious or very drowsy: (a) Not breathing: Try mouth-to-mouth breathing.
(b) No heart beat: Use cardiac massage if you know
how; hit the breast-bone hard with your fist.
(c) Don’t try to make him vomit, (d) If you can’t get
help, take the patient to the nearest qualified
Emergency facility.
The patient is alert: (a) Give milk (undiluted evaporated milk is best), (b) Try to induce vomiting with Syrup of Ipecac* if available; otherwise push your finger far back in his throat. Try to save the vomit for tests. Next, give Activated Charcoal.* (c) If no professional help can be found, don’t wait. Take the patient to the nearest Emergency facility.
ALWAYS BRING ANY REMAINING MEDICINE AND EMPTY BOTTLES!

YOUR ACTIVITIES OF DAILY LIVING
This medicine should not cause any change in your degree of mental alert-

‘Syrup of Ipecac and Activated Charcoal with instructions should be in every household for treatment of medication accidents. Ask your doctor for them.

Please post this information sheet in a conspicuous place close to where you store the medicine so you will see it frequently and can refer to it easily. To avoid future confusion with other medicines, discard this sheet when you finish the course of treatment requiring the use of this drug.

EUTHROID
Levothyroxine sodium (T4), and liothyronine sodium Euthroid is a trade name of a mixture of the above listed thyroid hormones. It is used for the treatment of hypothyroidism (a less than normal amount of activity of the thyroid gland), certain forms of thyroid goiters, inflammatory conditions of the thyroid gland and a few other problems.
Follow the instructions on the prescription exactly. Do not take a larger or smaller dose of the medicine than the prescription tells you to.
Take all the medicine prescribed, even if you feel much better before you have taken all of it. If you have an adverse reaction, stop using the medicine and contact your doctor.

ness or in the efficiency of your reflexes, so the medicine itself should not cause you to change your usual daily activities.

STORAGE
Keep this medicine in a tightly closed container in a dry, cool place away from heat or direct sunlight and out of reach of children. Don’t use the bathroom cabinet because humidity is high there. If you store medicine in the refrigerator, do not let it freeze. Don’t save left-over medicine to “use later.” Discard it on the expiration date shown on the container, but do so in a way that will protect children or pets-flush down the toilet, for example.

PRECAUTIONS
Using medicines together may some-
times cause unfavorable reactions. So
tell your doctor about any medicine you are taking now (including drugs you buy without prescription). This is especially important if you already take other thyroid medicines or an anticoagulant. Do not give any of this medicine to anyone else. If you have high blood pressure, diabetes or a heart disease, or if you are pregnant or think you might be pregnant, tell your doctor before you start taking Euthroid.

ESIMIL Guanethidine monosulfate, hydrochlorothiazide POSSIBLE SIDE EFFECTS

Effective medicine may cause “side effects” in some people. New symptoms may be caused by the medicine, the original disorder, or a new illness that may develop. Most people experience few or no side effects, and those that do happen tend to disappear in time after you stop using the medicine or when your body adjusts to it.
It is possible that Esimil may cause nausea, vomiting, diarrhea, changes in sexual function, dizziness, numbness or tingling in the arms and legs, skin eruptions and “breaking out” in bright sunlight. If you should develop any of these symptoms to an uncomfortable degree or think that the medicine is bothering you in some other way, stop taking it temporarily and notify your doctor. He may decide to change the dosage schedule or discontinue the medicine.
YOUR ACTIVITIES OF DAILY LIVING
Until you experience how this medicine
affects you, don’t drive a car or other
vehicle, don’t work around dangerous machinery, don’t climb ladders, and don’t work in high places. Especially follow these restrictions if you also drink any beverage with alcohol, or take any other medicine that might affect your alertness or reflexes, such as tranquilizers, sedatives, anti-histamines, medicine for pain, and others.

OVERDOSAGE: WHAT TO 00
CALL THE DOCTOR OR
FOR HELP OR AN AMBULANCE. Then
give FIRST AID!
The patient is unconscious or very drowsy: (a)
Not breathing: Try mouth-to-rnouth breathing.
(b) No heart beat; Use cardiac massage if you know
how; hit the breast-bone hard with your fist.
(c) Don’t try to make him vomit, (d) If you can’t get
help, take the patient to the nearest qualified
Emergency facility.
The patient is alert: (a) Give milk (undiluted evaporated milk is best), (b) Try to induce vomiting with Syrup of Ipecac* if available; otherwise push your finger far back in his throat. Try to save the vomit for tests. Next, give Activated Charcoal.* (c) If no professional help can be found, don’t wait. Take the patient to the nearest Emergency facility.
ALWAYS BRING ANY REMAINING MEDICINE AND EMPTY BOTTLES!
‘Syrup of Ipecac and Activated Charcoal with instructions should be in every household for treatment of medication accidents. Ask your doctor for them.

Please post this information sheet in a conspicuous place close to where you store the medicine so you will see it frequently and can refer to it easily. To avoid future confusion with other medicines, discard this sheet when you finish the course of treatment-requiring the use of this drug.

ESIMIL Guanethidine monosulfate, hydrochlorothiazide
If you are pregnant or think you might be pregnant, tell your doctor before you start taking Esimil.

INSTRUCTIONS
Esimil is the trade name of a mixture of the two ingredients listed abdve. It is used the treatment of high blood pressure to try to prevent the harmful changes sustained high blood pressure may cause.
This medicine is chemically related to sulfon-amides, so if you are allergic to any sulfa drug do not take it without special instructions.
Follow the instructions on the prescription exactly. Do not take a large or smaller dose of the medicine than the prescription tells you to. This medicine may irritate an empty stomach; therefore, please take it immediately before, with or after meals or with food or milk between meals.
While losing extra fluid, your body may also lose too much potassium. Being unusually thirsty or weak may be early signs that you need more potassium. You may make up this loss by eating more potassium-rich foods, such as oranges, grapefruit (or their juices), bananas and apricots. If you cannot get enough extra potassium by eating, your doctor may wish to prescribe it in one of several forms to supplement your diet. Decreasing the salt you use on your food and in cooking will enhance the beneficial effects of the medicine and decrease the potassium loss.
Your urine output probably will increase soon after you start taking Esimil; then it will return to normal unless you significantly increase the amount of fluid you drink. It is important for you to drink adequate fluids (6 to 8 glasses a day), but you should avoid excessive fluid intake.
Take all the medicine prescribed, even if you feel much better before you have taken all of it. If you have an adverse reaction, stop using the medicine and contact your doctor.
PRECAUTIONS
Using medicines together may some-
times cause unfavorable reactions. So
tell your doctor about any medicine you are taking now (including drugs you buy without prescription).
Do not take licorice, alcohol, amphetamines, ephedrine, antidepressants, barbiturates or narcotics while you are taking Esimil. If you should require surgery for any reason, be sure that the surgeon, dentist or anesthetist knows that you are taking Esimil. If your urine output drops below what you think is normal for you for any one day, stop taking the medicine and notify your doctor. Feelings of weakness or dizziness are fairly common, especially early in the morning when you get up. If you should feel particularly weak or dizzy, sit down or lie down until the feeling passes.
Do not give any of this medicine to anyone else.