Review Neggram.Neggram for the treatment urinary tract infections

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Neggram

Treats urinary tract infections that are caused by bacteria. Neggram is a quinolone antibiotic.

Neggram is used for the treatment of both acute and chronic
urinary tract infections.

Neggram (generic name: Nalidixic acid; brand names include:
Wintomylon , Uriben, WIN-18320  , Nalidix , Mictral , Negram)

There may be other brand names for this medicine.

When Neggram Should Not Be Used :

You should not use this medicine if you have had an allergic reaction to
nalidixic acid or other quinolone antibiotics such as ciprofloxacin ,
gatifloxacin , levofloxacin , Ciloxan®, Cipro ®, Levaquin®, or Tequin ®. You
should not use this medicine if you have porphyria or a seizure disorder,
or if you are breast feeding. You should not use this medicine if you
are using cancer medicine such as melphalan or other similar medicines.
Do not give this medicine to a child under 3 months of age.

How to Use Neggram:

Tablet

  • Your doctor will tell you how much of
    this medicine to use and how often. Do not use more medicine or use
    it more often than your doctor tells you to.
  • Drink extra fluids so you will pass
    more urine while you are using this medicine. This will keep your
    kidneys working well and help prevent kidney problems.
  • You may take this medicine with or without food.
  • Keep using this medicine for the full
    treatment time, even if you feel better after the first few doses.
    Your infection may not clear up if you stop using the medicine too
    soon.

If a dose is missed:

  • If you miss a dose or forget to use your medicine, use it as soon as
    you can. If it is almost time for your next dose, wait until then to
    use the medicine and skip the missed dose. Do not use extra medicine
    to make up for a missed dose.

How to Store and Dispose of Neggram:

  • Store Neggram in a closed
    container at room temperature, away from heat, moisture, and direct
    light.
  • Ask your pharmacist, doctor, or health
    caregiver about the best way to dispose of any leftover medicine
    after you have finished your treatment. You will also need to throw
    away old medicine after the expiration date has passed.
  • Keep all medicine away from children and never share your medicine with
    anyone.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine,
including over-the-counter medicines, vitamins, and herbal products.

  • Make sure your doctor knows if you are
    also using steroid medicine such as cortisone , dexamethasone ,
    prednisone , prednisolone , or Medrol ®.
  • Make sure your doctor knows if you are
    also using cyclosporine ( Sandimmune ®, Neoral ®), probenecid
    ( Benemid ®), theophylline , or a blood thinner such as warfarin
    ( Coumadin ®).
  • Make sure your doctor knows if you are
    using medicines to treat infections such as chloramphenicol ,
    erythromycin (Ery-tab®,) nitrofurantoin , or tetracycline . Tell your
    doctor if you are using medicine for depression such as
    amitriptyline , imipramine, Norpramin®, or Vivactil®.
  • Tell your doctor if you are also using
    didanosine ( Videx ®), sucralfate (Carafate®), antacids that contain
    magnesium or aluminum (such as Maalox®), or multivitamins with iron
    or zinc . You should take these medicines at least 2 hours before or
    2 hours after you take nalidixic acid.
  • Make sure your doctor knows if you are
    using medicines to treat abnormal heart rhythm such as amiodarone
    ( Cordarone ®), bretylium, disopyramide (Norpace®), quinidine
    (Cardioquin®, Quinaglute®, Quinidex®), ibutilide (Corvert®),
    procainamide (Procan®, Pronestyl®), Procanbid®, or sotalol
    (Betapace®).
  • Avoid caffeine (coffee, soda,
    chocolate) while you are using this medicine. Nalidixic acid may
    cause caffeine to stay in your body longer than usual.

Warnings While Using Neggram:

  • Make sure your doctor knows if you are
    pregnant or breast feeding.
  • Make sure your doctor knows if you
    have a brain disease, heart disease, kidney disease, or liver
    disease.
  • Neggram may make you dizzy.
    Avoid driving, using machines, or doing anything else that could be
    dangerous if you are not alert.
  • Your doctor will need to check your
    blood or urine at regular visits while you are using this medicine.
    Be sure to keep all appointments.
  • If you have severe diarrhea, ask your
    doctor before taking any medicine to stop the diarrhea.
  • Neggram may make your skin more
    sensitive to sunlight. Use a sunscreen when you are outdoors. Avoid
    sunlamps and tanning beds.
  • Make sure any doctor or dentist who
    treats you knows that you are using this medicine. This medicine may
    affect the results of certain medical tests.
  • Your doctor will need to check your
    progress at regular visits while you are using this medicine. Be
    sure to keep all appointments.
  • Use Neggram only to treat the
    infection your doctor has prescribed it for. Do not use this
    medicine for any infection that has not been checked by your doctor.
  • Your tendons may be more easily
    injured while you are using this medicine. This risk of tendon
    injury may be greater in children. Call your doctor if you have pain
    or swelling in your knee, ankle, shoulder, elbow, hand, or wrist.
    You may need to stop using this medicine.
  • If you have a tendon injury while
    using this medicine, avoid exercising until after you have finished
    the medicine.

Possible Side Effects While Using Neggram:

Call your doctor right away if you notice any of these side effects:

  • Allergic reaction: Itching or hives,
    swelling in your face or hands, swelling or tingling in your mouth
    or throat, chest tightness, trouble breathing.
  • Muscle pain, tenderness, or weakness.
  • Numbness, tingling, or burning pain in
    your hands,  legs, arms, or feet.
  • Blistering, peeling, or red skin rash.
  • Drowsiness, headache, or dizziness.
  • Diarrhea, stomach pain, or bloody
    stools.
  • Tremors or seizures.
  • Unusual bleeding, bruising, or
    weakness.
  • Yellowing of your skin or the whites
    of your eyes.

If you notice these less serious side effects, talk with your
doctor:

  • Blurred vision, eyes more sensitive to
    light.
  • Mild joint pain or stiffness in your
    joint.
  • Feeling nervous, restless, anxious, or
    agitated.
  • Mild nausea or vomiting.
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