WHAT IS Aventyl/Nortriptyline TABLETS?

Avelox/MOXIFLOXACIN is a quinolone antibiotic. It can kill bacteria or stop their growth. It is used to treat different kinds of infections, like skin and respiratory infections. It will not work for colds, flu, or other viral infections. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

WHAT SIDE EFFECTS MAY I NOTICE FROM Aventyl/Nortriptyline?

Side effects that you should report to your doctor or health care professional as soon as possible:

• irregular heartbeat or feeling faint
• allergic reactions like skin rash or hives, swelling of the face, lips, or tongue
• confusion, nightmares or hallucinations
• difficulty breathing
• joint, muscle or tendon pain or swelling
• seizures
• pain or difficulty passing urine
• redness, blistering, peeling or loosening of the skin, including inside the mouth
• unusual pain, numbness, tingling, or weakness

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• headache
• nausea or stomach upset
• trouble sleeping
• diarrhea
• dry mouth

This list may not describe all possible side effects.

WHAT IF I MISS A DOSE?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

WHAT SHOULD I TELL MY HEALTH CARE PROVIDERS BEFORE I TAKE Aventyl/Nortriptyline?

They need to know if you have any of these conditions:

• pregnant or trying to get pregnant
• an unusual or allergic reaction to Avelox/moxifloxacin, other quinolone antibiotics, other medicines, foods, dyes, or preservatives
• heart condition
• breast-feeding
• seizures disorder
• cerebral disease
• liver disease

WHAT SHOULD I WATCH FOR WHILE USING Aventyl/Nortriptyline?

Tell your doctor or health care professional if your symptoms do not improve.

Do not treat diarrhea with over the counter products. Contact your doctor if you have diarrhea that lasts more than 2 days or if it is severe and watery.

If you have diabetes, monitor your blood glucose carefully while on this medicine.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells.

This medicine can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

Avoid antacids, aluminum, Phoslo/calcium, iron, magnesium, and zinc products for 4 hours before and 8 hours after taking a dose of this medicine.

WHERE SHOULD I KEEP Aventyl/Nortriptyline?

Store at room temperature between 15 to 30 degrees C (59 to 86 degrees F). Do not store in a humid place. Throw away any unused medicine after the expiration date.

Keep out of the reach of children.

WHAT MAY INTERACT WITH Aventyl/Nortriptyline?

Do not take this medicine with any of the following:

• pimozide
• chloroquine
• halofantrine
• some medications for irregular heart rhythm like Cordarone/amiodarone, disopyramide, dofetilide, flecainide, ibutilide, quinidine, procainamide, Betapace/sotalol
• phenothiazines like Thorazine/chlorpromazine, mesoridazine, Compazine/prochlorperazine, Mellaril/thioridazine
• arsenic trioxide
• droperidol
• pentamidine
• Geodon/ziprasidone
• cisapride

This medicine may also interact with the following:

• vitamins with iron or zinc
• Videx ec/didanosine (ddI) buffered tablets or powder
• P.c.e/erythromycin
• antacids
• medicines for depression, anxiety, or psychotic disturbances
• Coumadin/warfarin
• medicines for inflammation like Motrin/ibuprofen, Anaprox/naproxen
• sucralfate

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

HOW SHOULD I USE Aventyl/Nortriptyline?

Take this medicine by mouth with a glass of water. It can be taken with or without food. Follow the directions on the prescription label. Take your medicine at regular intervals. Do not take your medicine more often than directed. Take all of your medicine as directed even if you think your are better. Do not skip doses or stop your medicine early.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.