Virtus Pharmaceuticals

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Virtus Pharmaceuticals Drugs

Alendronate

Alendronate

2.1 Treatment of Osteoporosis in Postmenopausal Women

The recommended dosage is:
  ●  one 70 mg (alendronate) tablet once weekly or       ●  one 10 mg (alendronate) tablet once daily
2.2 Prevention of Osteoporosis in Postmenopausal Women

The recommended dosage is:
  ●  one 35 mg (alendronate) tablet once weekly or       ●  one 5 mg (alendronate) tablet once daily
2.3 Treatment to Increase Bone Mass in Men with Osteoporosis

The recommended dosage is:
  ●  one 70 mg (alendronate) tablet once weekly or       ●  one 10 mg (alendronate) tablet once daily
2.4 Treatment of Glucocorticoid-Induced Osteoporosis

The recommended dosage is one 5 mg (alendronate) tablet once daily, except for postmenopausal women not receiving estrogen, for whom the recommended dosage is one 10 mg (alendronate) tablet once daily.

2.5 Treatment of Paget's Disease of Bone

The recommended treatment regimen is 40 mg once a day for six months.

Re-treatment of Paget's Disease

Re-treatment with alendronate sodium tablets may be considered, following a six-month post-treatment evaluation period in patients who have relapsed, based on increases in serum alkaline phosphatase, which should be measured periodically. Re-treatment may also be considered in those who failed to normalize their serum alkaline phosphatase.

2.6 Important Administration Instructions

Instruct patients to do the following:
Take alendronate sodium tablets at least one-half hour before the first food, beverage, or medication of the day with plain water only [see Patient Counseling Information (17.2)]. Other beverages (including mineral water), food, and some medications are likely to reduce the absorption of alendronate sodium tablets [see Drug Interactions (7.1)]. Waiting less than 30 minutes, or taking alendronate sodium tablets with food, beverages (other than plain water) or other medications will lessen the effect of alendronate sodium tablets by decreasing its absorption into the body. Take alendronate sodium tablets upon arising for the day. To facilitate delivery to the stomach and thus reduce the potential for esophageal irritation, an alendronate sodium tablet should be swallowed with a full glass of water (6-8 oz). Patients should not lie down for at least 30 minutes and until after their first food of the day. Alendronate sodium tablets should not be taken at bedtime or before arising for the day. Failure to follow these instructions may increase the risk of esophageal adverse experiences [see Warnings and Precautions (5.1) and Patient Counseling Information (17.2)].
2.7 Recommendations for Calcium and Vitamin D Supplementation

Instruct patients to take supplemental calcium if dietary intake is inadequate [see Warnings and Precautions (5.2)]. Patients at increased risk for vitamin D insufficiency (e.g., over the age of 70 years, nursing home-bound, or chronically ill) may need vitamin D supplementation. Patients with gastrointestinal malabsorption syndromes may require higher doses of vitamin D supplementation and measurement of 25-hydroxyvitamin D should be considered.

Patients treated with glucocorticoids should receive adequate amounts of calcium and vitamin D.

2.8 Administration Instructions for Missed Doses

If a once-weekly dose of alendronate sodium tablet is missed, instruct patients to take one dose on the morning after they remember. They should not take two doses on the same day but should return to taking one dose once a week, as originally scheduled on their chosen day.
Vp-ch-pnv

Vp-ch-pnv

Before, during and/or after pregnancy, one softgel daily or as directed by a licensed healthcare practitioner regardless of lactation status.
Virt-pn

Virt-pn

Before, during and/or after pregnancy, one tablet daily or as directed by a licensed healthcare practitioner regardless of lactation status.
Vp-zel

Vp-zel

Usual adult serving is one tablet taken once or twice a day, with or without food, or as directed by a licensed medical practitioner.

Folate therapy alone is inadequate for treatment of a vitamin B12 deficiency.

Not for use by pregnant or nursing women. Not for use by children.
Vp-vite Rx

Vp-vite Rx

1 tablet daily with or without food or as prescribed by a licensed medical practitioner.
Virt-pn Dha

Virt-pn Dha

Before, during and/or after pregnancy, one softgel daily or as directed by a licensed healthcare practitioner regardless of lactation status.
Virt-nate

Virt-nate

One tablet daily or as directed by a licensed medical practitioner.
Magnesium Oxide

Magnesium Oxide

take one or two antacid tablets daily. Do not exceed two tablets unless directed by a physician.
Vp-pnv-dha

Vp-pnv-dha

1 softgel capsule daily, or as prescribed by a licensed medical practitioner regardless of lactation status.
Ergocalciferol

Ergocalciferol

400 IU daily to be taken orally using the supplied pre-measured syringe. Submerge the tip of the syringe into the liquid, pull plunger back to bring the liquid to the 400 IU mark, and dispense into mouth.

DO NOT FILL SYRINGE ENTIRELY.
Virt-caps

Virt-caps

One softgel daily or as directed by a licensed medical practitioner.
Virtussin Dac

Virtussin Dac

do not exceed 4 doses in any 24 hour period. Attention: A special measuring device should be used to give an accurate dose of this product to children under 6 years of age. Giving a higher dose than recommended by a doctor could result in serious side effects for your child. Adults and children 12 years of age and over: 2 tsp (10 mL) every 4 hours, or as directed by a doctor. Children 6 to under 12 years of age: 1 tsp (5 mL) every 4 hours, or as directed by a doctor. Children under 6 years of age: Consult a doctor.
Virtrate-2

Virtrate-2

Virtrate-2 is concentrated, and when consumed after meals and before bedtime, allows one to maintain an alkaline urinary pH around the clock. When consumed as recommended, Virtrate-2 alkalinizes the urine without producing a systemic alkalosis. This product is highly palatable and pleasant tasting even when consumed over long periods.

Virtrate-2 should be taken diluted in water, followed by additional water, if desired. SHAKE WELL BEFORE USING.

For Systemic Alkalization

Usual Adult Dose

2 to 6 teaspoonfuls (10 to 30 mL), diluted in 1 to 3 ounces of water, after meals and at bedtime, or as directed by a physician.

Usual Pediatric Dose

1 to 3 teaspoonfuls (5 to 15 mL), diluted in 1 to 3 ounces of water, after meals and at bedtime, or as directed by a physician. For children under two years of age, use is based on consultation with a physician.

As a neutralizing buffer

3 teaspoonfuls (15 mL), diluted with 15 mL water, taken as a single dose, or as directed by a physician.
Pretab

Pretab

One tablet daily or as directed by a healthcare provider.
Virtrate-k

Virtrate-k

Virtrate-K is highly concentrated, and when consumed after meals and before bedtime, allows one to maintain an alkaline urinary pH around the clock. When consumed as recommended, Virtrate-K alkalinizes the urine without producing a systemic alkalosis. It is highly palatable and pleasant tasting. Potassium citrate does not neutralize the gastric juice or disturb digestion.

Virtrate-K should be taken diluted in water according to directions, followed by additional water, if desired. Palatability is enhanced if chilled before taking.

Usual Adult Dose

3 to 6 teaspoonfuls (15 to 30 mL), diluted with 1 glass of water, after meals and at bedtime, or as directed by a physician.

Usual Pediatric Dose

1 to 3 teaspoonfuls (5 to 15 mL), diluted with 1/2 glass of water, after meals and at bedtime, or as directed by a physician.

Usual Dosage Range

2 to 3 teaspoonfuls (10 to 15 mL), diluted with a glassful of water, taken four times a day will usually maintain a urinary pH of 7.0-7.6 throughout most of the 24 hours without unpleasant side effects. To check urinary pH, HYDRION Paper (pH 6.0-8.0) or NITRAZINE Paper (pH 4.5-7.5) are available and easy to use.
Virtrate-3

Virtrate-3

Virtrate-3 is highly concentrated, and when consumed after meals and before bedtime, allows one to maintain an alkaline urine pH around the clock. When consumed as recommended, this product alkalinizes the urine without producing a systemic alkalosis. It is highly palatable and pleasant tasting. Potassium citrate and sodium citrate do not neutralize the gastric juice or disturb digestion.

Virtrate-3 should be taken diluted in water, followed by additional water, if desired. Palatability is enhanced if chilled before taking.

Usual Adult Dose

3 to 6 teaspoonfuls (15 to 30 mL), diluted in water, four times a day, after meals and at bedtime, or as directed by a physician.

Usual Pediatric Dose

1 to 3 teaspoonfuls (5 to 15 mL), diluted in water, four times a day, after meals and at bedtime, or as directed by a physician.

Usual Dosage Range

2 to 3 teaspoonfuls (10 to 15 mL), diluted with water, taken four times a day, will usually maintain a urinary pH of 6.5-7.4. 3 to 4 teaspoonfuls (15 to 20 mL), diluted with water, taken four times a day, will usually maintain a urinary pH of 7.0-7.6 throughout most of the 24 hours without unpleasant side effects. To check urine pH, HYDRION Paper (pH 6.0-8.0) or NITRAZINE Paper (pH 4.5-7.5) are available and easy to use.
Virt-phos 250 Neutral

Virt-phos 250 Neutral

Virt-Phos 250 Neutral tablets should be taken with a full glass of water, with meals and at bedtime.

Adults

One or two tablets, four times daily;

Pediatric patients over 4 years of age

One tablet four times daily.

Pediatric Patients under 4 years of age

Use only as directed by licensed healthcare practitioner.
Preplus

Preplus

Before, during and/or after pregnancy, one tablet daily, with a meal, or as directed by a licensed healthcare practitioner regardless of lactation status.
Pnv Tabs 29-1

Pnv Tabs 29-1

One tablet daily with or without food or as prescribed by a licensed medical practitioner, regardless of lactation status.
Glimepiride

Glimepiride

2.1 Recommended Dosing

Glimepiride tablets USP should be administered with breakfast or the first main meal of the day.

The recommended starting dose of glimepiride tablets USP is 1 mg or 2 mg once daily. Patients at increased risk for hypoglycemia (e.g., the elderly or patients with renal impairment) should be started on 1 mg once daily [see Warnings and Precautions (5.1) and Use in Specific Populations (8.5,8.6)].

After reaching a daily dose of 2 mg, further dose increases can be made in increments of 1 mg or 2 mg based upon the patient's glycemic response. Uptitration should not occur more frequently than every 1–2 weeks. A conservative titration scheme is recommended for patients at increased risk for hypoglycemia [see Warnings and Precautions (5.1)and Use in Specific Populations (8.5, 8.6)].

The maximum recommended dose is 8 mg once daily.

Patients being transferred to glimepiride tablets USP from longer half-life sulfonylureas (e.g., chlorpropamide) may have overlapping drug effect for 1–2 weeks and should be appropriately monitored for hypoglycemia.
Losartan

Losartan

Adult Hypertensive Patients

Losartan potassium may be administered with other antihypertensive agents, and with or without food.

Dosing must be individualized. The usual starting dose of losartan potassium is 50 mg once daily, with 25 mg used in patients with possible depletion of intravascular volume (e.g., patients treated with diuretics) (see WARNINGS, Hypotension — Volume-Depleted Patients) and patients with a history of hepatic impairment (see PRECAUTIONS, General). Losartan potassium can be administered once or twice daily with total daily doses ranging from 25 mg to 100 mg.

If the antihypertensive effect measured at trough using once-a-day dosing is inadequate, a twice-a-day regimen at the same total daily dose or an increase in dose may give a more satisfactory response. The effect of losartan is substantially present within one week but in some studies the maximal effect occurred in 3 to 6 weeks (see CLINICAL PHARMACOLOGY, Pharmacodynamics and Clinical Effects, Hypertension).

If blood pressure is not controlled by losartan potassium alone, a low dose of a diuretic may be added. Hydrochlorothiazide has been shown to have an additive effect (see CLINICAL PHARMACOLOGY, Pharmacodynamics and Clinical Effects, Hypertension).

No initial dosage adjustment is necessary for elderly patients or for patients with renal impairment, including patients on dialysis.

Pediatric Hypertensive Patients greater than or equal to 6 years of age

The usual recommended starting dose is 0.7 mg/kg once daily (up to 50 mg total) administered as a tablet or a suspension (see Preparation of Suspension). Dosage should be adjusted according to blood pressure response. Doses above 1.4 mg/kg (or in excess of 100 mg) daily have not been studied in pediatric patients (see CLINICAL PHARMACOLOGY, Pharmacokinetics, Special Populations and Pharmacodynamics and Clinical Effects, and WARNINGS, Hypotension— Volume-Depleted Patients).

Losartan potassium is not recommended in pediatric patients <6 years of age or in pediatric patients with glomerular filtration rate <30 mL/min/1.73 m2 (see CLINICAL PHARMACOLOGY, Pharmacokinetics, Special Populations, Pharmacodynamics and Clinical Effects and PRECAUTIONS).

Preparation of Suspension (for 200 mL of a 2.5 mg/mL suspension)

Add 10 mL of Purified Water USP to an 8 ounce (240 mL) amber polyethylene terephthalate (PET) bottle containing ten 50 mg losartan potassium tablets. Immediately shake for at least 2 minutes. Let the concentrate stand for 1 hour and then shake for 1 minute to disperse the tablet contents. Separately prepare a 50/50 volumetric mixture of Ora-Plus™ and Ora-Sweet SF™. Add 190 mL of the 50/50 Ora-Plus™/Ora-Sweet SF™ mixture to the tablet and water slurry in the PET bottle and shake for 1 minute to disperse the ingredients. The suspension should be refrigerated at 2 to 8°C (36 to 46°F) and can be stored for up to 4 weeks. Shake the suspension prior to each use and return promptly to the refrigerator.

Nephropathy in Type 2 Diabetic Patients

The usual starting dose is 50 mg once daily. The dose should be increased to 100 mg once daily based on blood pressure response (see CLINICAL PHARMACOLOGY, Pharmacodynamics and Clinical Effects, Nephropathy in Type 2 Diabetic Patients). Losartan potassium may be administered with insulin and other commonly used hypoglycemic agents (e.g., sulfonylureas, glitazones and glucosidase inhibitors).
Desloratadine

Desloratadine

Desloratadine Tablets may be taken without regard to meals.

2.1 Adults and adolescents 12 years of age and over

The recommended dose of Desloratadine Tablets is one 5-mg tablet once daily.

2.5 Adults with Hepatic or Renal Impairment

In adult patients with liver or renal impairment, a starting dose of one 5 mg tablet every other day is recommended based on pharmacokinetic data. Dosing recommendation for children with liver or renal impairment cannot be made due to lack of data [see Clinical Pharmacology (12.3)].
Virtussin Ac

Virtussin Ac

do not exceed 6 doses in 24 hours. Adults and children 12 years of age and over: 2 tsp (10 mL) every 4 hours, or as directed by a doctor. Children 6 to under 12 years of age: 1 tsp (5 mL) every 4 hours, or as directed by a doctor. Children under 6 years of age: Consult a doctor.
Amoxicillin

Amoxicillin

Amoxicillin capsules may be given without regard to meals.

Neonates and Infants Aged ≤ 12 Weeks (≤ 3 Months)

Due to incompletely developed renal function affecting elimination of amoxicillin in this age group, the recommended upper dose of amoxicillin is 30 mg/kg/day divided q12h.

Adults and Pediatric Patients > 3 Months
Infection Severity* Usual Adult Dose Usual Dose for Children >3 months† * Dosing for infections caused by less susceptible organisms should follow the recommendations for severe infections. † The children's dosage is intended for individuals whose weight is less than 40 kg. Children weighing 40 kg or more should be dosed according to the adult recommendations. Ear/Nose/Throat Mild/Moderate 500 mg every 12 hours or 250 mg every 8 hours 25 mg/kg/day in divided doses every 12 hoursor 20 mg/kg/day in divided doses every 8 hours Severe 875 mg every 12 hours or 500 mg every 8 hours 45 mg/kg/day in divided doses every 12 hoursor 40 mg/kg/day in divided doses every 8 hours Lower Respiratory Tract Mild/Moderate or Severe 875 mg every 12 hours or 500 mg every 8 hours 45 mg/kg/day in divided doses every 12 hoursor 40 mg/kg/day in divided doses every 8 hours Skin/Skin Structure Mild/Moderate 500 mg every 12 hours or 250 mg every 8 hours 25 mg/kg/day in divided doses every 12 hoursor 20 mg/kg/day in divided doses every 8 hours Severe 875 mg every 12 hours or 500 mg every 8 hours 45 mg/kg/day in divided doses every 12 hoursor 40 mg/kg/day in divided doses every 8 hours Genitourinary Tract Mild/Moderate 500 mg every 12 hours or 250 mg every 8 hours 25 mg/kg/day in divided doses every 12 hoursor 20 mg/kg/day in divided doses every 8 hours Severe 875 mg every 12 hours or 500 mg every 8 hours 45 mg/kg/day in divided doses every 12 hoursor 40 mg/kg/day in divided doses every 8 hours Gonorrhea Acute, uncomplicated ano-genital and urethral infections in males and females 3 grams as single oral dose Prepubertal children: 50 mg/kg Amoxicillin, combined with 25 mg/kg probenecid as a single dose.NOTE: SINCE PROBENECID IS CONTRAINDICATED IN CHILDREN UNDER 2 YEARS, DO NOT USE THIS REGIMEN IN THESE CASES.
All patients with gonorrhea should be evaluated for syphilis. (See PRECAUTIONS: Laboratory Tests section.)

Larger doses may be required for stubborn or severe infections.

General

It should be recognized that in the treatment of chronic urinary tract infections, frequent bacteriological and clinical appraisals are necessary. Smaller doses than those recommended above should not be used. Even higher doses may be needed at times. In stubborn infections, therapy may be required for several weeks. It may be necessary to continue clinical and/or bacteriological follow-up for several months after cessation of therapy. Except for gonorrhea, treatment should be continued for a minimum of 48 to 72 hours beyond the time that the patient becomes asymptomatic or evidence of bacterial eradication has been obtained. It is recommended that there be at least 10 days' treatment for any infection caused by Streptococcus pyogenes to prevent the occurrence of acute rheumatic fever.

H. pylori Eradication to Reduce the Risk of Duodenal Ulcer Recurrence

Triple Therapy

Amoxicillin/Clarithromycin/Lansoprazole

The recommended adult oral dose is 1 gram amoxicillin, 500 mg clarithromycin, and 30 mg lansoprazole, all given twice daily (q12h) for 14 days. (See INDICATIONS AND USAGE section.)

Dual Therapy

Amoxicillin/Lansoprazole

The recommended adult oral dose is 1 gram amoxicillin and 30 mg lansoprazole, each given three times daily (q8h) for 14 days. (See INDICATIONS AND USAGE section.)

Please refer to clarithromycin and lansoprazole full prescribing information for CONTRAINDICATIONS and WARNINGS section, and for information regarding dosing in elderly and renally impaired patients.

Dosing Recommendations for Adults with Impaired Renal Function

Patients with impaired renal function do not generally require a reduction in dose unless the impairment is severe. Severely impaired patients with a glomerular filtration rate of < 30 mL/min should not receive the 875 mg tablet. Patients with a glomerular filtration rate of 10 to 30 mL/min should receive 500 mg or 250 mg every 12 hours, depending on the severity of the infection. Patients with a less than 10 mL/min glomerular filtration rate should receive 500 mg or 250 mg every 24 hours, depending on severity of the infection.

Hemodialysis patients should receive 500 mg or 250 mg every 24 hours, depending on severity of the infection. They should receive an additional dose both during and at the end of dialysis.

There are currently no dosing recommendations for pediatric patients with impaired renal function.
Leg And Back Pain Relie...

Leg And Back Pain Relief

Cephalexin capsules are administered orally.

Adults

The adult dosage ranges from 1 to 4 g daily in divided doses. The 333 mg and the 750 mg strengths should be administered such that the daily dose is within 1 to 4 grams per day. The usual adult dose is 250 mg every 6 hours. For the following infections, a dosage of 500 mg may be administered every 12 hours: streptococcal pharyngitis, skin and skin structure infections, and uncomplicated cystitis in patients over 15 years of age. Cystitis therapy should be continued for 7 to 14 days. For more severe infections or those caused by less susceptible organisms, larger doses may be needed. If daily doses of cephalexin greater than 4 g are required, parenteral cephalosporins, in appropriate doses, should be considered.

Pediatric Patients

The usual recommended daily dosage for pediatric patients is 25 to 50 mg/kg in divided doses. For streptococcal pharyngitis in patients over 1 year of age and for skin and skin structure infections, the total daily dose may be divided and administered every 12 hours.

In severe infections, the dosage may be doubled.

In the therapy of otitis media, clinical studies have shown that a dosage of 75 to 100 mg/kg/day in 4 divided doses is required.

In the treatment of β-hemolytic streptococcal infections, a therapeutic dosage of cephalexin should be administered for at least 10 days.
Tramadol Hydrochloride

Tramadol Hydrochloride

Adults (17 years of age and over)

For patients with moderate to moderately severe chronic pain not requiring rapid onset of analgesic effect, the tolerability of tramadol hydrochloride tablets can be improved by initiating therapy with a titration regimen: The total daily dose may be increased by 50 mg as tolerated every 3 days to reach 200 mg/day (50 mg q.i.d.). After titration, tramadol hydrochloride tablets 50 to 100 mg can be administered as needed for pain relief every 4 to 6 hours not to exceed 400 mg/day.

For the subset of patients for whom rapid onset of analgesic effect is required and for whom the benefits outweigh the risk of discontinuation due to adverse events associated with higher initial doses, tramadol hydrochloride 50 mg to 100 mg can be administered as needed for pain relief every four to six hours, not to exceed 400 mg per day.

Individualization of Dose

Good pain management practice dictates that the dose be individualized according to patient need using the lowest beneficial dose. Studies with tramadol in adults have shown that starting at the lowest possible dose and titrating upward will result in fewer discontinuations and increased tolerability.
In all patients with creatinine clearance less than 30 mL/min, it is recommended that the dosing interval of tramadol hydrochloride be increased to 12 hours, with a maximum daily dose of 200 mg. Since only 7% of an administered dose is removed by hemodialysis, dialysis patients can receive their regular dose on the day of dialysis. The recommended dose for adult patients with cirrhosis is 50 mg every 12 hours. In general, dose selection for an elderly patient over 65 years old should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal or cardiac function and of concomitant disease or other drug therapy. For elderly patients over 75 years old, total dose should not exceed 300 mg/day.
Virtrate-2

Virtrate-2

Virtrate-2 is concentrated, and when consumed after meals and before bedtime, allows one to maintain an alkaline urinary pH around the clock. When consumed as recommended, Virtrate-2 alkalinizes the urine without producing a systemic alkalosis. This product is highly palatable and pleasant tasting even when consumed over long periods.

Virtrate-2 should be taken diluted in water, followed by additional water, if desired. SHAKE WELL BEFORE USING.

For Systemic Alkalization

Usual Adult Dose

2 to 6 teaspoonfuls (10 to 30 mL), diluted in 1 to 3 ounces of water, after meals and at bedtime, or as directed by a physician.

Usual Pediatric Dose

1 to 3 teaspoonfuls (5 to 15 mL), diluted in 1 to 3 ounces of water, after meals and at bedtime, or as directed by a physician. For children under two years of age, use is based on consultation with a physician.

As a neutralizing buffer

3 teaspoonfuls (15 mL), diluted with 15 mL water, taken as a single dose, or as directed by a physician.
Virtrate-3

Virtrate-3

Virtrate-3 is highly concentrated, and when consumed after meals and before bedtime, allows one to maintain an alkaline urine pH around the clock. When consumed as recommended, this product alkalinizes the urine without producing a systemic alkalosis. It is highly palatable and pleasant tasting. Potassium citrate and sodium citrate do not neutralize the gastric juice or disturb digestion.

Virtrate-3 should be taken diluted in water, followed by additional water, if desired. Palatability is enhanced if chilled before taking.

Usual Adult Dose

3 to 6 teaspoonfuls (15 to 30 mL), diluted in water, four times a day, after meals and at bedtime, or as directed by a physician.

Usual Pediatric Dose

1 to 3 teaspoonfuls (5 to 15 mL), diluted in water, four times a day, after meals and at bedtime, or as directed by a physician.

Usual Dosage Range

2 to 3 teaspoonfuls (10 to 15 mL), diluted with water, taken four times a day, will usually maintain a urinary pH of 6.5-7.4. 3 to 4 teaspoonfuls (15 to 20 mL), diluted with water, taken four times a day, will usually maintain a urinary pH of 7.0-7.6 throughout most of the 24 hours without unpleasant side effects. To check urine pH, HYDRION Paper (pH 6.0-8.0) or NITRAZINE Paper (pH 4.5-7.5) are available and easy to use.
Virtrate-k

Virtrate-k

Virtrate-K is highly concentrated, and when consumed after meals and before bedtime, allows one to maintain an alkaline urinary pH around the clock. When consumed as recommended, Virtrate-K alkalinizes the urine without producing a systemic alkalosis. It is highly palatable and pleasant tasting. Potassium citrate does not neutralize the gastric juice or disturb digestion.

Virtrate-K should be taken diluted in water according to directions, followed by additional water, if desired. Palatability is enhanced if chilled before taking.

Usual Adult Dose

3 to 6 teaspoonfuls (15 to 30 mL), diluted with 1 glass of water, after meals and at bedtime, or as directed by a physician.

Usual Pediatric Dose

1 to 3 teaspoonfuls (5 to 15 mL), diluted with 1/2 glass of water, after meals and at bedtime, or as directed by a physician.

Usual Dosage Range

2 to 3 teaspoonfuls (10 to 15 mL), diluted with a glassful of water, taken four times a day will usually maintain a urinary pH of 7.0-7.6 throughout most of the 24 hours without unpleasant side effects. To check urinary pH, HYDRION Paper (pH 6.0-8.0) or NITRAZINE Paper (pH 4.5-7.5) are available and easy to use.
Virt-c Dha

Virt-c Dha

1 softgel daily, in between meals, or as prescribed by a licensed medical practitioner regardless of lactation status.
Artificial Tears

Artificial Tears

Usual adult dose is one to two tablets daily or as directed by your medical practitioner. L-Methyl-MC Tablets is not recommended for use with children under the age of twelve.
Virt-vite Forte

Virt-vite Forte

One to two tablets daily or as directed by a licensed medical practitioner.
Lorazepam

Lorazepam

2 drops daily to be taken orally

The dropper supplied delivers approx. 40 drops per mL.
L-methyl-b6-b12

L-methyl-b6-b12

The recommended dose is one tablet twice daily (B.I.D.) or as directed. L-Methyl-B6-B12 Tablets must be used under medical supervision.
Virtussin Dac

Virtussin Dac

do not exceed 4 doses in any 24 hour period. Attention: A special measuring device should be used to give an accurate dose of this product to children under 6 years of age. Giving a higher dose than recommended by a doctor could result in serious side effects for your child. Adults and children 12 years of age and over: 2 tsp (10 mL) every 4 hours, or as directed by a doctor. Children 6 to under 12 years of age: 1 tsp (5 mL) every 4 hours, or as directed by a doctor. Children under 6 years of age: Consult a doctor.
Vp-ch-pnv

Vp-ch-pnv

Before, during, and after pregnancy, one softgel capsule, taken by mouth daily, or as directed by a licensed medical practitioner.
Chlordiazepoxide Hydroc...

Chlordiazepoxide Hydrochlorideclidinium Bromide

Because of the varied individual responses to tranquilizers and anticholinergics, the optimum dosage of Chlordiazepoxide Hydrochloride/Clidinium Bromide varies with the diagnosis and response of the individual patient. The dosage therefore should be individualized for maximum beneficial effects. The usual maintenance dose is 1 or 2 capsules, 3 or 4 times a day administered before meals and at bedtime.

Geriatric Use

Geriatric Dosing

Dosage should be limited to the smallest effective amount to preclude the development of ataxia, oversedation or confusion. The initial dose should not exceed 2 Chlordiazepoxide Hydrochloride/Clidinium Bromide capsules per day, to be increased gradually as needed and tolerated.
Hyoscyamine Sulfate Sl

Hyoscyamine Sulfate Sl

Dosage may be adjusted according to the conditions and severity of symptoms. Hyoscyamine Sulfate Sublingual Tablets, 0.125 mg must be placed under the tongue when it will dissolve in seconds, then swallow with saliva. Administering with liquid is not necessary.

Adults and pediatric patients 12 years of age and older

1 to 2 tablets every four hours or as needed. Do not exceed 12 tablets in 24 hours.

Pediatric patients 2 to under 12 years of age

½ to 1 tablet every four hours or as needed. Do not exceed 6 tablets in 24 hours.
Hyoscyamine Sulfate

Hyoscyamine Sulfate

Dosage may be adjusted according to the conditions and severity of symptoms.

Hyoscyamine Sulfate Tablets, USP must be taken orally.

Adults and pediatric patients 12 years of age and older

1 to 2 tablets every four hours or as needed. Do not exceed 12 tablets in 24 hours.

Pediatric patients 2 to under 12 years of age

½ to 1 tablet every four hours or as needed. Do not exceed 6 tablets in 24 hours.
Vp-gstn

Vp-gstn

One capsule twice daily, approximately 12 hours apart, or as directed by a licensed medical practitioner. VP-GSTN may be taken with or without food. If gastrointestinal upset occurs, taking VP-GSTN with food may reduce or eliminate these symptoms. There are no postural limitations.

VP-GSTN is contraindicated in pregnant and/or lactating women. Women capable of becoming pregnant should use appropriate contraception when taking VP-GSTN.

VP-GSTN is also contraindicated in patients with a history of breast cancer and/or cancer affecting the reproductive organs. Please see Contraindications and Warnings for more information.
Desloratadine

Desloratadine

Desloratadine Tablets may be taken without regard to meals.

2.1 Adults and adolescents 12 years of age and over

The recommended dose of Desloratadine Tablets is one 5 mg tablet once daily.

2.5 Adults with Hepatic or Renal Impairment

In adult patients with liver or renal impairment, a starting dose of one 5 mg tablet every other day is recommended based on pharmacokinetic data. Dosing recommendation for children with liver or renal impairment cannot be made due to lack of data [see Clinical Pharmacology (12.3)].
Hyoscyamine Sulfate

Hyoscyamine Sulfate

Dosage may be adjusted according to the conditions and severity of symptoms. Hyoscyamine Sulfate Orally Disintegrating Tablets, 0.125 mg must be placed on the tongue when it will dissolve in seconds, then swallow with saliva. Administering with liquid is not necessary.

Adults and pediatric patients 12 years of age and older

1 to 2 tablets every four hours or as needed. Do not exceed 12 tablets in 24 hours.

Pediatric patients 2 to under 12 years of age

½ to 1 tablet every four hours or as needed. Do not exceed 6 tablets in 24 hours.
L-methylfolate Calcium

L-methylfolate Calcium

The usual adult dose is 7.5 to 15 mg daily with or without food or as directed by a licensed medical practitioner.
L-methyl-b6-b12

L-methyl-b6-b12

One tablet twice daily or as directed by a licensed medical practitioner.
L-methyl-b6-b12

L-methyl-b6-b12

One tablet twice daily or as directed by a licensed medical practitioner.
Virt-pn

Virt-pn

One tablet daily or as directed by a physician.
V-natal

V-natal

One tablet daily or as directed by a licensed medical practitioner.
L-methylfolate Calcium

L-methylfolate Calcium

The usual adult dose is 15 mg daily with or without food or as directed by a licensed medical practitioner.
L-methyl Mc

L-methyl Mc

Usual adult dose is one to two tablets daily or as prescribed by a licensed medical practitioner. L-Methyl-MC is not recommended for use in children under the age of twelve.
Virt-bal Dha Plus

Virt-bal Dha Plus

Before, during, and after pregnancy, one tablet and one softgel capsule, taken by mouth daily, or as directed by a licensed medical practitioner. Tablets and softgel capsules may be taken together or at different times of the day. Caution should be exercised to ensure that the prescribed dose of DHA does not exceed 1 gram (1000 mg) per day.
Virti-sulf

Virti-sulf

VIRTI-SULF Emollient Cream

Cleanse skin thoroughly before application. Apply a thin layer to affected areas 1-3 times daily, or as directed by a physician. To minimize potential dryness, start with one application daily, and then gradually increase to 2-3 times daily as needed or as directed by a physician.
Vp-zel

Vp-zel

Usual adult dose is one or two tablets taken once or twice a day with or without food or as directed by a licensed medical practitioner.
Virt-pn Dha

Virt-pn Dha

Before, during, and/or after pregnancy, one softgel daily or as prescribed by a physician.
Virt-select

Virt-select

Before, during and/or after pregnancy, one softgel daily or as directed by a licensed healthcare practitioner regardless of lactation status.
Natalvirt 90dha

Natalvirt 90dha

One tablet and one capsule daily or as directed by a licensed medical practitioner.
Natalvirt Ca

Natalvirt Ca

One tablet and one capsule daily or as directed by a licensed medical practitioner.
Codeine Sulfate Solutio...

Codeine Sulfate Solution

1 softgel capsule daily, or as prescribed by a licensed medical practitioner regardless of lactation status.
Lumene Bright Now Vitam...

Lumene Bright Now Vitamin C Day Spf 15 Sunscreen Broad Spectrum

Before, during and/or after pregnancy, regardless of lactation status: one tablet daily or as directed by a licensed healthcare practitioner. Supplements containing iron should not be taken on an empty stomach. Notice: Contact with moisture may produce surface discoloration or erosion.
Supplement FactsServing Size: 1 Tablet Amount Per Serving % Daily Value for Pregnant & Lactating Women * Daily Value not established Vitamin D (Vitamin D3 as cholecalciferol) 400 IU 100% Vitamin E (as d-alpha tocopheryl acid succinate) 10 IU 33% Thiamin (Vitamin B1 as thiamine mononitrate) 1.5 mg 88% Riboflavin (Vitamin B2) 1.6 mg 80% Niacin (Vitamin B3 as niacinamide) 17 mg 85% Vitamin B6 (as pyridoxine HCl) 50 mg 2000% Folic Acid (Vitamin B9) 1 mg 125% Vitamin B12 (as cyanocobalamin) 12 mcg 150% Biotin 30 mcg 10% Pantothenic Acid (Vitamin B5 as d-calcium pantothenate) 10 mg 100% Iron as Polysaccharide Iron Complex 28 mg 156% as heme iron 6 mg 33% Iodine (as potassium iodide) 250 mcg 167% Zinc (as zinc oxide) 4.5 mg 30% Selenium (as sodium selenate) 65 mcg * Copper (as cupric sulfate) 0.8 mg 40%
Other Ingredients: Microcrystalline Cellulose, Pregelatinized Starch, Di Calcium Phosphate, Purple Coating (hydroxypropylmethylcellulose, titanium dioxide, polyvinyl alcohol, polyethylene glycol, talc, FD&C red #40 lake, FD&C blue #1 lake), Croscarmellose Sodium, Magnesium Stearate, Fumed Silica, Silicon Dioxide, Stearic Acid, Tripotassium Citrate, Citric Acid.

Contains FD&C Red #40 Lake and FD&C Blue #1 Lake

Potential allergens: Contains FD&C Red #40 and FD&C Blue #1. This product is manufactured in a facility that also manufactures products containing tree nuts, peanuts, fish, egg, wheat, milk, soy and shellfish.

VP-HEME OB Tabs should be administered under the supervision of a licensed medical practitioner.
Extra Strength Headache...

Extra Strength Headache Relief

The usual adult dose is 7.5mg to 15mg given daily with or without food or as directed under medical supervision.
Leader Day Time

Leader Day Time

Methocarbamol, 500 mg — Adults: Initial dosage: 3 tablets q.i.d.

Maintenance dosage: 2 tablets q.i.d.

Methocarbamol, 750 mg — Adults: Initial dosage: 2 tablets q.i.d.

Maintenance dosage: 1 tablet q.4h. or 2 tablets t.i.d.

Six grams a day are recommended for the first 48 to 72 hours of treatment. (For severe conditions 8 grams a day may be administered). Thereafter, the dosage can usually be reduced to approximately 4 grams a day.
Methocarbamol

Methocarbamol

Methocarbamol, 500 mg – Adults:

Initial dosage: 3 tablets q.i.d.

Maintenance dosage: 2 tablets q.i.d.

Methocarbamol, 750 mg – Adults:

Initial dosage: 2 tablets q.i.d.

Maintenance dosage: 1 tablet q.4h. or 2 tablets t.i.d.

Six grams a day are recommended for the first 48 to 72 hours of treatment. (For severe conditions 8 grams a day may be administered). Thereafter, the dosage can usually be reduced to approximately 4 grams a day.
Alendronate Sodium

Alendronate Sodium

2.1 Treatment of Osteoporosis in Postmenopausal Women

The recommended dosage is:
one 70 mg (alendronate) tablet once weekly
or
one 10 mg (alendronate) tablet once daily
2.2 Prevention of Osteoporosis in Postmenopausal Women

The recommended dosage is:
one 35 mg (alendronate) tablet once weekly
or
one 5 mg (alendronate) tablet once daily
2.3 Treatment to Increase Bone Mass in Men with Osteoporosis

The recommended dosage is:
one 70 mg tablet once weekly
or
one 10 mg tablet once daily
2.4 Treatment of Glucocorticoid-Induced Osteoporosis

The recommended dosage is one 5 mg (alendronate) tablet once daily, except for postmenopausal women not receiving estrogen, for whom the recommended dosage is one 10 mg (alendronate) tablet once daily.

2.5 Treatment of Paget's Disease of Bone

The recommended treatment regimen is 40 mg once a day for six months.

Re-treatment of Paget's Disease

Re-treatment with alendronate sodium tablets may be considered, following a six-month post-treatment evaluation period in patients who have relapsed, based on increases in serum alkaline phosphatase, which should be measured periodically. Re-treatment may also be considered in those who failed to normalize their serum alkaline phosphatase.

2.6 Important Administration Instructions

Instruct patients to do the following:
Take alendronate sodium tablets at least one-half hour before the first food, beverage, or medication of the day with plain water only [see Patient Counseling Information (17.2)]. Other beverages (including mineral water), food, and some medications are likely to reduce the absorption of alendronate sodium tablets [see Drug Interactions (7.1)]. Waiting less than 30 minutes, or taking alendronate sodium tablets with food, beverages (other than plain water) or other medications will lessen the effect of alendronate sodium tablets by decreasing its absorption into the body Take alendronate sodium tablets upon arising for the day. To facilitate delivery to the stomach and thus reduce the potential for esophageal irritation, an alendronate sodium tablet should be swallowed with a full glass of water (6-8 oz). Patients should not lie down for at least 30 minutes and until after their first food of the day. Alendronate sodium tablets should not be taken at bedtime or before arising for the day. Failure to follow these instructions may increase the risk of esophageal adverse experiences [see Warnings and Precautions (5.1) and Patient Counseling Information (17.2)].
2.7 Recommendations for Calcium and Vitamin D Supplementation

Instruct patients to take supplemental calcium if dietary intake is inadequate [see Warnings and Precautions (5.2)]. Patients at increased risk for vitamin D insufficiency (e.g., over the age of 70 years, nursing home-bound, or chronically ill) may need vitamin D supplementation. Patients with gastrointestinal malabsorption syndromes may require higher doses of vitamin D supplementation and measurement of 25-hydroxyvitamin D should be considered.

Patients treated with glucocorticoids should receive adequate amounts of calcium and vitamin D.

2.8 Administration Instructions for Missed Doses

If a once-weekly dose of alendronate sodium tablet is missed, instruct patients to take one dose on the morning after they remember. They should not take two doses on the same day but should return to taking one dose once a week, as originally scheduled on their chosen day.
Levomefolate Calcium Ac...

Levomefolate Calcium Acetylcysteine And Mecobalamin Algal

DOSAGE AND ADMINISTRATION: Usual adult dose is one caplet daily or as prescribed by a licensed medical practitioner.

Store at controlled room temperature 15°-30°C (59°-86°F). [See USP]. Protect from light and moisture. Dispense in a tight, light-resistant container. Notice: Contact with moisture may produce surface discoloration or erosion.

Call your medical practitioner about side effects. You may report side effects by calling 813-283-1344.
Antipyrine And Benzocai...

Antipyrine And Benzocaine Solution

Acute otitis media: Instill Antipyrine and Benzocaine Otic Solution, permitting the solution to run along the wall of the ear canal until it is filled. Avoid touching the ear with dropper. Then moisten a cotton pledget with Antipyrine and Benzocaine Otic Solution and insert into meatus. Repeat every one to two hours until pain and congestion are relieved.

Removal of Cerumen:

Before: Instill Antipyrine and Benzocaine Otic Solution three times daily for two or three days to help detach cerumen from wall of ear canal and facilitate removal.

After: Antipyrine and Benzocaine Otic Solution is useful for drying out the ear canal or relieving discomfort.

Before and after removal of cerumen, a cotton pledget moistened with Antipyrine and Benzocaine Otic Solution should be inserted into the meatus following instillation.
Vp-ggr-b6

Vp-ggr-b6

DOSAGE AND ADMINISTRATION: One or two tablets daily, in divided doses, or as directed by a licensed medical practitioner.
Levomefolate Calcium An...

Levomefolate Calcium And Schizochytrium Dha

DOSAGE AND ADMINISTRATION: Usual adult dose is one capsule daily with or without food or as directed by a licensed medical practitioner.

Store at controlled room temperature 15°-30°C (59°-86°F). [See USP]. Protect from light and moisture. Dispense in a tight, light-resistant container. Notice: Contact with moisture may produce surface discoloration or erosion.

Call your medical practitioner about side effects. You may report side effects by calling 813-283-1344.
Levomefolate Calcium An...

Levomefolate Calcium And Schizochytrium Dha

DOSAGE AND ADMINISTRATION: The usual adult dose is 1 capsule, daily with or without food or as directed by a licensed medical practitioner.
Metoprolol Tartrate

Metoprolol Tartrate

Usual adult dose is one caplet daily under medical supervision.

L-Methyl-MC-NAC Tablets is not recommended for use with children under the age of twelve.

L-Methyl-MC-NAC Tablets must be administered under medical supervision.

Virtus Pharmaceuticals

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