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    To comply with Canadian International Pharmacy Association regulations you are permitted to order a 3-month supply or the closest package size available based on your personal prescription. A special Med Guide will be given to you by the pharmacist with each prescription and refill. read more ATOMOXETINE (AT oh mox e teen) is used to treat attention deficit/hyperactivity disorder, also known as ADHD. This drug can improve attention span, concentration, and emotional control. Be sure to read this information carefully each time. It can also reduce restless or overactive behavior. If you have difficulty sleeping and you take more than 1 dose per day, take your last dose before 6 PM. Talk to your pediatrician regarding the use of this medicine in children. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions. While this drug may be prescribed for children as young as 6 years for selected conditions, precautions do apply. Do not take this medicine with any of the following medications: -cisapride -dofetilide -dronedarone -MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate -pimozide -reboxetine -thioridazine -ziprasidone This medicine may also interact with the following medications: -certain medicines for blood pressure, heart disease, irregular heart beat -certain medicines for depression, anxiety, or psychotic disturbances -certain medicines for lung disease like albuterol -cold or allergy medicines -fluoxetine -medicines that increase blood pressure like dopamine, dobutamine, or ephedrine -other medicines that prolong the QT interval (cause an abnormal heart rhythm) -paroxetine -quinidine -stimulant medicines for attention disorders, weight loss, or to stay awake This list may not describe all possible interactions. They need to know if you have any of these conditions: -glaucoma -high or low blood pressure -history of stroke -irregular heartbeat or other cardiac disease -liver disease -mania or bipolar disorder -pheochromocytoma -suicidal thoughts -an unusual or allergic reaction to atomoxetine, other medicines, foods, dyes, or preservatives -pregnant or trying to get pregnant -breast-feeding Take this medicine by mouth with a glass of water. Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. It may take a week or more for this medicine to take effect. This is why it is very important to continue taking the medicine and not miss any doses. General Spine Zahir K Javeri, MD, Evelyn Sklar, MD, Non ASSR Member Excerpta Extraordinaire Mentor Award: No Institution where work was conducted University of Miami/Jackson Memorial Hospital Affiliation and Department University of Miami/Jackson Memorial Hospital Address 1611 NW 12 Avenue WW-279 Miami, Florida 33136 Phone: 214-454-4788 Email: [email protected] Purpose: To report a rare case of intradural renal cell metastasis to a nerve root which mimicked a benign lesion. Case Report: The patient is a 50 year old male with past medical history of metastatic renal cell carcinoma status post right nephrectomy and right middle and lower lobectomies of the lung in November 2003. The patient also developed a duodenal recurrence and underwent a Whipple procedure in February 2008. In November 2005, the patient developed mild left back pain and sciatica. Physical exam revealed a left S1 radiculopathy which worsened over time. Subsequent MRI and PET CT were performed and the mass was eventually resected. Pathological analysis revealed metastatic clear cell renal carcinoma to the left S1 nerve root.

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