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Side effects such as a loss of appetite are very common but usually not significant, and they tend to improve over time, Michael L. Goldstein, M.D. says. Other problems children have after taking medication might not be due to the drugs at all. Sleep problems might have occurred before starting medication, for example. And taking medication at the correct time is another factor in determining side effects. “Some children don’t want to take medication,” Goldstein says. “It must be determined if they are doing well on the medication but just don’t want to bother taking it despite the positive effects, or whether they are really having increased anxiety or mood changes from the medication.” Parents of children who tried second-line medications, which are often prescribed because of concerns about the side effects associated with amphetamines and methylphenidates, also reported a high frequency of side effects, but they were somewhat less frequent than with the other medications.

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Tramadol is sometimes prescribed as a second-line medicine to patients with neuropathic pain,8 although the evidence supporting this practice is weak.9 It is recommended to use a validated tool, such as the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS), to diagnose or exclude neuropathic pain. If neuropathic pain is present, the first-line pharmacological options would be a tricyclic antidepressant, gabapentin* or carbamazepine, which may be used in combination with an analgesic for nociceptive pain. In this scenario, it may be reasonable to select tramadol, in preference to codeine or dihydrocodine, if a Step 2 analgesic is required. As with any opioid, tramadol should be used for the shortest possible time, at the lowest effective dose, with a plan in place to reduce and withdraw treatment. Tramadol may have less potential for misuse and dependency than other opioids as it is an atypical analgesic, however, the same prescribing cautions should be applied to tramadol as to other opioids to minimise the risk of inappropriate use.

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Inhalation of albuterol can also be used for purposes not listed in this medication guide. What are the possible side effects of inhaling albuterol?

Get emergency medical care if you have signs of allergic reaction: hives; difficult breathing; swelling of the face, lips, tongue or throat.

Contact your doctor immediately if you have:

wheezing, choking or other breathing problems after using this medicine;
chest pain, rapid heart rate, heart beat or chest flutter;
pain or burns when urinating;
high blood pressure – increased thirst, increased urination, hunger, dry mouth sensation, smell of wheezing, drowsiness, dry skin, blurred vision, weight loss; or
Low potassium cramps – cramps, constipation, irregular heartbeat, chest fluttering, extreme thirst, increased urination, numbness or tingling, muscle weakness or feeling limp.

Common side effects may include:

back pain, body aches;
headaches, dizziness;
feeling of nervousness;
nausea, diarrhea, upset stomach; or
sore throat, sinus pain, clogged nose.

This is not a complete list of side effects, and others may occur. Ask your doctor for medical advice on side effects. You can report side effects at the FDA at 1-800-FDA-1088. What is the most important information I should know about inhaling albuterol?

You should not use albuterol if you are allergic to protein. What should I discuss with my healthcare provider before using albuterol inhalation?

You should not use this medicine if you are allergic to albuterol. You should not use ProAir RespiClick if you are allergic to milk proteins. For ProAir coupon check DDN.

To make sure that inhaling albuterol is safe for you, tell your doctor if you have:

heart disease, hypertension, congestive heart failure;
a heart rhythm disorder;
a seizure disorder, such as epilepsy;
Diabetes;
thyroid hyperactivity; or
low levels of potassium in the blood.

It is not known whether this drug will harm an unborn child. Tell your doctor if you are pregnant or are planning to become pregnant.

It is not known whether inhaling albuterol passes into breast milk or if it may harm a breastfeeding child. Tell your doctor if you are breast-feeding a baby.

Inhalation of albuterol is not approved for use by anyone under the age of 4 years.
How should I use albuterol inhalation?

Follow all the instructions on the prescription label. Do not use this medicine in larger or smaller quantities or more than recommended.

Read all the patient information, medication guides and the instruction sheets that are provided to you. Ask your doctor or pharmacist if you have any questions.

You may need to insert the inhaler before first use. Your medicine comes with instructions for priming if necessary.

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