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Overview	Photos	How To Use	Side Effects	Precautions	Missed Dose	Drug Interactions

eperbel-S Bel-Phen-Ergot S, Bellaspas, Bel-Tabs, Phenobarbital/ergotamine/bell, Bellamine, Spastrin, Bellamine-S Uses Eperbel-S is used to relieve symptoms of certain stomach/intestinal disorders such as nervous stomach ; symptoms of menopause including hot flashes (flushes), sweats, restlessness and insomnia; certain types of throbbing headaches; and certain heart/blood vessel disorders such as heart palpitations or rapid heart rate. Storage Store at room temperature between 59 and 86 degrees F (15 to 30 degrees C) away from heat and light. Do not store in the bathroom. Overdose If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include blurred vision, dilated pupils, hot and dry skin, dizziness, dryness of mouth, and slow or shallow breathing. How To Use Take Eperbel-S by mouth, usually one in the morning and one in the evening, or take as directed by your doctor. Do not use daily on a regular basis. Side Effects Dizziness, drowsiness, blurred vision, nausea, constipation, heartburn, nervousness, headache, flushing, dry mouth, change in taste perception, increased sensitivity to light or a bloated feeling may occur. If any of these effects persist or worsen, inform your doctor. Notify your doctor if you develop: chest pain, rapid pulse, difficulty urinating, confusion, tremor, restlessness, skin rash, fever. In the unlikely event you have an allergic reaction to Eperbel-S, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist. Precautions Tell your doctor your medical history, especially of: heart problems, liver problems, glaucoma, urinary problems, Parkinson s disease, muscle problems (myasthenia gravis), ulcers, any allergies you may have. Because Eperbel-S may make you dizzy or drowsy, use caution performing tasks requiring alertness such as driving or using machinery. Limit or avoid alcohol consumption. This combination product must not be used during pregnancy. If you become pregnant or think you may be pregnant, inform your doctor immediately. Eperbel-S is excreted into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding. Missed Dose If you miss a dose, take it as soon as remembered; do not take it if it is near the time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up. Drug Interactions Infrequently, a very serious, life-threatening decrease in the amount of blood supply to the hands and feet (peripheral ischemia) and rarely to the brain can occur when Eperbel-S is taken with drugs that affect liver metabolism (e.g., potent CYP 3A4 enzyme inhibitors). Do not take Eperbel-S with macrolide antibiotics (e.g., erythromycin, clarithromycin, troleandomycin), HIV protease inhibitors (e.g., retonavir, nelfinavir, indinavir, amprenavir, saquinavir), azole antifungals (e.g., ketoconazole, itraconazole). Tell your doctor of all prescription and nonprescription medications you may use, especially of: digoxin, cyclosporine, saquinavir, ritonavir, sleep medicines, triptan drugs (e.g., sumatriptan), beta-blockers (e.g., propranolol), St John s wort, nefazodone, fluconazole, fluoxetine, fluvoxamine, zileuton, clotrimazole, other mild CYP 3A4 enzyme inhibitors. Tell your doctor if you take any drugs that make you drowsy, such as: tricyclic antidepressants (e.g., amitriptyline), narcotic pain relievers (e.g., codeine), tranquilizers, certain antihistamines found in cold medicines (e.g., diphenhydramine). Avoid eating grapefruit or drinking grapefruit juice while using Eperbel-S unless your doctor instructs you otherwise. Eperbel-S may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.