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CLARITIN-D       

      Claritin-D is used to relieve hay fever and allergy symptoms, including sneezing, runny nose, and red, itchy, tearing eyes. Claritin-D is in a class of medications called antihistamines. It works by blocking histamine, a substance in the body that causes allergic symptoms. Claritin-D may cause less drowsiness than other antihistamines.

How Taken
Claritin-D comes as a tablet to take by mouth. 12 Hour Tablet: One tablet twice a day (every 12 hours); 24 Hour Tablet: One tablet daily taken with a full glass of water. You should not to break or chew the tablet and you should take the 24 hour tablet with a full glass of water.

Warnings/Precautions
Before taking Claritin-D, tell your doctor if you have asthma or another lung disease; diabetes; thyroid problems; glaucoma or increased pressure in the eye; urinary retention or an enlarged prostate; narrowing of the esophagus or gastrointestinal tract or difficulty swallowing; kidney or liver disease; or heart disease, high blood pressure, or an irregular heartbeat. You may not be able to take Claritin-D, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above. Claritin-D is in the FDA pregnancy category B. This means that it is not expected to be harmful to an unborn baby. Do not take Claritin-D without first talking to your doctor if you are pregnant. Claritin-D passes into breast milk and may affect a nursing baby. Do not take Claritin-D without first talking to your doctor if you are breast-feeding a baby. Claritin-D has not been approved for use by children younger than 12 years of age.

Missed Dose
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Possible Side Effects
Serious side effects are not likely to occur with the use of Claritin-D. If you experience any of the following serious side effects, stop taking Claritin-D and contact your doctor immediately or seek emergency medical attention: an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); an irregular heartbeat; or seizures. Other, less serious side effects may be more likely to occur. Continue to take Claritin-D and talk to your doctor if you experience dizziness; headache; insomnia; nervousness; nausea, diarrhea, or abdominal discomfort; dry mouth; dry skin or itchiness; or discoloration of urine. Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

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Sleep Apnea May Herald Early Heart Disease.
         The snoring and constant awakenings of severe sleep apnea could provide an early indication of heart disease, researchers report. Brazilian researchers detected early hardening of the arteries in 42- to 44-year-old patients with severe obstructive sleep apnea, despite the absence of overt signs of cardiovascular disease. People with obstructive sleep apnea repeatedly stop breathing in their sleep as a result of partial or complete blockage of the upper airway. The vascular abnormalities detected by researchers correlated significantly with the severity of the patient's sleep apnea, noted lead researcher Dr. Luciano F. Drager of the Heart Institute at the University of Sao Paulo Medical School.
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