Description
Florinef is used for treatment of adrenocortical insufficiency in Addison disease and for treatment of salt–losing adrenogenital syndrome. It may also be used for other conditions as determined by your doctor.

How to Use
Use Florinef as directed by your doctor. To avoid stomach upset take Florinef with a meal. Do not stop taking Florinef suddenly, this should be done gradually.

Warnings/Precautions
Before taking Florinef, tell your doctor or pharmacist if you have any medical conditions, especially if you have a history of an underactive thyroid, liver or kidney problems, heart problems or heart attack, bleeding problems, diabetes, high blood pressure, inflammation of the esophagus, stomach problems (e.g., ulcers), bowel blockage or other bowel problems (e.g., ulcerative colitis), recent bowel surgery, myasthenia gravis or mental, or mood problems (e.g., depression), if you have measles, chickenpox, herpes infection of the eye or any other type of bacterial, fungal, parasitic or viral infection, if you have recently had tuberculosis (TB) or have had a positive skin test for TB, if you are pregnant, planning to become pregnant or are breast–feeding. If you become pregnant while taking Florinef, discuss with your doctor the benefits and risks of using Florinef during pregnancy. Florinef is excreted in breast milk. If you are or will be breast–feeding while you are using Florinef, check with your doctor or pharmacist to discuss the risks to your baby. Some medicines may interact with Florinef. Therefore tell your doctor of all prescription or nonprescription medicine, herbal preparation, or dietary supplement that you are taking. Do not use Florinef if you are scheduled to have a have a smallpox vaccination. Florinef may lower your body's ability to fight infection, especially if taken over a longer period of time. Avoid contact with people with colds or other infections. Notify your doctor of any signs of infection, including fever, sore throat, rash, or chills. If you have not had chickenpox or measles, avoid contact with anyone who has any of these diseases. Carry an identification card at all times that says you are taking Florinef. Before you have any medical or dental treatments, emergency care or surgery, tell the doctor or dentist that you are using Florinef. Long–term use may cause cataracts, glaucoma and eye infections. Contact your doctor right away if you develop any unusual changes in your vision. Florinef may cause an increase in blood pressure, salt and water retention, and calcium and potassium loss. Consult with your doctor to see if you need to decrease the amount of salt in your diet or take a calcium or vitamin D supplement. Avoid vaccinations with live virus vaccines (e.g., measles, mumps, oral polio) while you are taking Florinef. Vaccinations may be less effective. Florinef may affect your blood sugar. If you are a diabetic, check blood sugar levels closely and ask your doctor before adjusting the dose of your diabetes medicine. Florinef should be used with great caution in children. Children may be more sensitive to the effects of this drug and Florinef may affect growth rate.

Missed Dose
If you miss a dose take it as soon as you remember. 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
Some of the possible side effects are – difficulty sleeping, dizziness or lightheadedness, headache, increased appetite, increased sweating, indigestion, nervousness. Contact your doctor if any of these or other side effects occur. If you experience any of the following serious side effects, you should seek medical attention immediately – allergic reactions (rash, hives, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips or tongue), black, tarry stools, changes in menstrual periods, chest pain, eye pain or increased pressure in the eye, fever, chills or sore throat, joint or bone pain, mood or mental changes (e.g., depression), muscle pain or weakness, seizures, severe or persistent headache, severe or persistent nausea, or vomiting, stomach pain or bloating, swelling of feet or legs, trouble sleeping, unusual weight gain or loss, vision changes, vomiting material that looks like coffee grounds.

Storage
Store Florinef at 59 – 86 °F (15 – 30 °C). Store away from heat, moisture and light. Do not store in the bathroom. Keep Florinef out of the reach of children.

Overdose
If overdose is suspected seek medical attention immediately.

More Information
Florinef may cause dizziness. These effects may worsen if Florinef is taken with alcohol or certain other medications. Use Florinef with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to this drug. If your symptoms do not improve or if they worsen, contact your doctor. Florinef should be used only by the patient for whom it has been prescribed. Do not take less or more or take it more often than prescribed by your doctor.

Disclaimer
This is only general information, it does not cover all directions, drug integrations or precautions. You should not rely on it for any purpose; it does not contain any specific instructions for a particular patient. We disclaim all responsibility for the accuracy and reliability of this information. We`re not responsible for any damage.