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Hepatitis A Virus Vaccine Inactivated and Hepatitis B Virus Vaccine Recombinant (Systemic)

Brand name(s): Twinrix

Order From TotalMeds.com

Before Using This Medicine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For hepatitis A and hepatitis B combination vaccine, the following should be considered:

Allergies-Tell your doctor if you have ever had any unusual or allergic reaction to any hepatitis A or hepatitis B vaccine. Also tell your health care professional if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy-Studies on effects in pregnancy have not been done in either humans or animals.

Breast-feeding- It is not known whether hepatitis A and hepatitis B combination vaccine passes into human breast milk. Although most medicines pass into breast milk in small amounts, many of them may be used safely while breast-feeding. Mothers who receive this vaccine and who wish to breast-feed should discuss this with their doctor.

Children- Studies on this vaccine have been done only in adult patients, and there is no specific information comparing use of hepatitis A and hepatitis B combination vaccine in children with use in other age groups.

Older adults- Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of hepatitis A and hepatitis B combination vaccine in the elderly with use in other age groups, this vaccine is not expected to cause different side effects or problems in older people than it does in younger adults.

Other medicines- Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving hepatitis A and hepatitis B combination vaccine, it is especially important that your health care professional know if you are taking the following:

  • Anticoagulants (blood thinners)-Because hepatitis A and hepatitis B combination vaccine must be injected into a muscle, it may cause bleeding

Other medical problems-The presence of other medical problems may affect the use of hepatitis A and hepatitis B combination vaccine. Make sure you tell your doctor if you have any other medical problems, especially:
  • Allergy to yeast-Hepatitis A and hepatitis B combination vaccine is made with yeast
  • Bleeding problems or
  • Low blood platelet count-Because hepatitis A and hepatitis B combination vaccine must be injected into a muscle, it may cause bleeding
  • Hepatitis A or
  • Hepatitis B-The vaccine will not work in patients who already have the disease
  • Illness, moderate or severe, with or without fever-The vaccine should not be given until after the illness has cleared up
  • Immune system problems-The vaccine may not work properly in patients with this condition

Last Revised: 8/22/2001

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Last Topics in Meds-Help.com Forums

Trazodone: Morning "hang overs?"
Okay! My turn. I've posted a response in all the threads in this section.
My question was stated earlier.
My major question is, will 50 mg. still have an anti-depressant effect as 100 mg. leaves me feeling drugged and fatigued in the mornings!

Do any of you find that just 50 mg. is satisfactory???? Really important question to answer. Please share if 50 mg. works.

Also, I have stage 1 fibrosis due to hepatitis so that this drug is probably effecting me more easily. My liver is soft and small, though.
Just curious.
This particular post will reveal if we really have any true medical help or interested physicians checking these threads.
Please help us and just answer a few questions????
Thanks!! [Smile]
Read More in our Trazodone (Desyrel) Forum

Clindamycin severe side effects
My daughter has had stomach pain while on cleocin and more sever since stopping it last Fri. She was on this for a little over 3 week after a reoccuring strep throat infection. Last Fri. she started with frequent bowel movements and stomach pain. It had. gotten worse on Wed. with severe stomach cramps and having diarrhea and some vomiting. She was screaming in pain. TOday she seems to be some better, but is still having stomach pain. I don't think as severe. Today she vomited once and has had only one bowel movement so far. I did take her to the doctor because I was getting very concerned. TH Dr. thinks it's just a stomach virus that is going around. I don't know, since this has been going on since last Fri., and just after she stopped the cleocin. Any advice? THank You
Read More in our Clindamycin (Cleocin Oral, Cleocin T) Forum Forum

levofloxacin in typhoid fever
You may try some links to information (look at google)
http://www.emedicine.com/MED/topic2331.htm
http://medind.nic.in/imvw/imvw396.html
http://www.travmed.com/features/keystone_levofloxacin.htm
Read More in our Levofloxacin (Levaquin Oral) Forum Forum

Side effect of Trazodone
Hmm... I wonder if you're not feeling the drugged side effects? I most assuredly feel those!
That's what I wanted to discuss.
I wake in the mornings feeling drugged but it does wear off. It also leaves me with a valid feeling of fatigue even with a normal night's amount of sleep.
I wouldn't sue. I'd see a phsychiatrist and try another medication. You're trying to do this all alone and posting here. That makes me sad! You need support and proper help.
Agoraphobia. I get that too. I force myself to go outside and once there, (for example, I force myself to go shopping for whatever I want and pleases me), a bit of normality returns. I can be agoraphobic due to fear or just because I wanna stay home.
Suicide: That's a signal for help. Also, rather than that extreme, I suggest a better psychiatrist or, weird as it sounds, running away. Seriously! If one is that close, run away to Mexico or somewhere lovely. It may turn out horrible or might be a valid solution.
Some say to stay and face your problems. I'm not one of those people as sometimes running away is the right thing to do. Run from abuse. Run from bad influences. Run from a horrid job. Run to something that might be better and make it better!It has worked for many. Example: why do people move after retirement? Because to stay is not the reward they are seeking. To stay isn't that good at all for some. So they move to Florida, Mexico, Europe, etc. I hope this appears logical.... LOL!

One runs to a new and better life. If that doesn't work, then go back and face your problems.
But don't give up. There's sunrises and sunsets you'll miss.
You'll miss shopping, pets, , stars in the sky, laughter, fun movies, smells, food(!), etc.
Also, those in the U.S. are often richer than any king or queen in most of history. Appreciate that!
We have anti-biotics, hair dryers, never have to be cold or hungry, for the most part of us....
We are rich!
I consider suicide then I go through this list and always, always change my mind. It's a fleeting thought with me. I think we all look at suicide as an alternative at sometime. Most just find their list or do something fun to change the topic in their minds...
I always find a reason to live as life changes and yours will too! I hope you're still around!

Also, ask physician/phsych. to lower your dosage. Try that. Then try another drug if that doesn't help.
That hungover feeling might not be leaving your body so you feel depressed due to that "drugged" feeling. Drink tons more water. Take something like milk thistle or enzymes to get it out of your system sooner in the day. Just non-medical suggestions.

Please have your liver enzymes checked also.
I have an impaired liver due to hepatitis.
Now I feel "drugged" by trazodone much more easily than most, I believe.
My major question is, will 1 50 mg. still have an anti-depressant effect as 100 mg. leaves me feeling drugged! I will post this in a new thread also. I want to know if others find 50 mg. satisfactory.
I hope I'm making some sense. Also, too lazy to do spell checks.

[ May 21, 2005, 07:26 PM: Message edited by: maryc64 ]
Read More in our Trazodone (Desyrel) Forum

Production of Trazadone
See answer above. That is how I arrived at this board. But I don't get it. This might not be the manufacturer? Perhaps we need to research Pharmaceutical World or trazodone + .com.
Trazodone is the generic name for desyrel.
I think the drug is so old that whoever manufactured desyrel doesn't anymore as I did enter desyrel + .com and came up with nothing using MSN search. Hmm......

But do check out this cool link which I found here (!) too regarding all generic drugs:
http://www.pharmaceuticalworld.com/generics_links.htm

[ May 21, 2005, 07:00 PM: Message edited by: maryc64 ]
Read More in our Trazodone (Desyrel) Forum

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