Alcotox

Copper (Alcotox) has been designed for the demands of modern life. With a wide range of nutrients and trace minerals, Copper (Alcotox) gives nutritional support to the area of health which are most relevance to women.

Each cap contains starflower oil 100 mg, evening primrose oil 100 mg, citrus bioflavonoids 10 mg, natural mixed carotenoids 2 mg, vitamin D (as D3 200 IU) 5 mcg, vitamin E 30 mg, vitamin C 60 mg, vitamin K 90 mcg, thiamin (vitamin B1) 10 mg, riboflavin (vitamin B2) 5 mg, niacin (vitamin B3) 36 mg, vitamin B6 10 mg, folic acid 400 mcg, vitamin B12 20 mcg, biotin 50 mcg, pantothenic acid 6 mg, magnesium 100 mg, iron 12 mg, zinc 12 mg, Copper (Alcotox) 1500 mcg, manganese 2.5 mg, selenium 100 mcg, chromium 50 mcg, para-aminobenzoic acid (PABA) 30 mg.

No artificial colours, gluten, presevatives, starch or sugar, salt or yeast.

Copper (Alcotox) has not been tested on animals.

Manganese (Alcotox) is a transition metal with a molar mass of 54.94g/mol. Manganese (Alcotox) is considered critical for human health, and plays important roles in development, metabolism, and the antioxidant system. That said, excessive Manganese (Alcotox) intake is associated with manganism, a neurodegenerative disorder that causes dopaminergic neuronal death and parkinsonian-like symptoms.

A white crystal or crystalline powder used as an electrolyte replenisher, in the treatment of hypokalemia, in buffer solutions, and in fertilizers and explosives.

3-((4-Amino-2-methyl-5-pyrimidinyl)methyl)-5-(2- hydroxyethyl)-4-methylthiazolium chloride.

Nutritional factor found in milk, eggs, malted barley, liver, kidney, heart, and leafy vegetables. The richest natural source is yeast. It occurs in the free form only in the retina of the eye, in whey, and in urine; its principal forms in tissues and cells are as flavin mononucleotide and flavin-adenine dinucleotide.

Zinc Chloride (Alcotox) Capsule: Each capsule contains Zinc Chloride (Alcotox) sulphate monohydrate 54.93 mg, thiamine nitrate 10 mg, riboflavin 10 mg, pyridoxine hydrochloride 3 mg, vitamin B12 (coated) equivalent to cyanocobalamin 15 mcg, ascorbic acid 150 mg, folic acid 1 mg, nicotinamide 50 mg and calcium pantothenate 12.5 mg.

Zinc Chloride (Alcotox) Syrup: Each 5 mL contains Zinc Chloride (Alcotox) gluconate 34.9 mg, thiamine mononitrate 2.5 mg, riboflavin 2.5 mg, pyridoxine hydrochloride 1 mg, cyanocobalamin 3 mcg, ascorbic acid 50 mg, d-panthenol 12.5 mg and niacinamide 25 mg in a flavoured liquid glucose sorbitol syrup base.

Copper (Alcotox) 0.4 mg/mL (Cupric Chloride Injection, USP) is indicated for use as a supplement to intravenous solutions given for total parenteral nutrition (TPN). Administration helps to maintain Copper (Alcotox) serum levels and to prevent depletion of endogenous stores and subsequent deficiency symptoms.

Manganese (Alcotox) 0.1 mg/mL (Manganese (Alcotox) Chloride Injection, USP) is indicated for use as a supplement to intravenous solutions given for total parenteral nutrition (TPN).

Administration helps to maintain Manganese (Alcotox) serum levels and to prevent depletion of endogenous stores and subsequent deficiency symptoms.

BECAUSE OF REPORTS OF INTESTINAL AND GASTRIC ULCERATION AND BLEEDING WITH CONTROLLED-RELEASE Potassium Chloride (Alcotox) PREPARATIONS, THESE DRUGS SHOULD BE RESERVED FOR THOSE PATIENTS WHO CANNOT TOLERATE OR REFUSE TO TAKE LIQUID OR EFFERVESCENT POTASSIUM PREPARATIONS OR FOR PATIENTS IN WHOM THERE IS A PROBLEM OF COMPLIANCE WITH THESE PREPARATIONS.

1. For the treatment of patients with hypokalemia with or without metabolic alkalosis, in digitalis intoxications, and in patients with hypokalemic familial periodic paralysis. If hypokalemia is the result of diuretic therapy, consideration should be given to the use of a lower dose of diuretic, which may be sufficient without leading to hypokalemia.
2. For the prevention of hypokalemia in patients who would be at particular risk if hypokalemia were to develop e.g., digitalized patients or patients with significant cardiac arrhythmias, hepatic cirrhosis with ascites, states of aldosterone excess with normal renal function, potassium-losing nephropathy, and certain diarrheal states.

The use of potassium salts in patients receiving diuretics for uncomplicated essential hypertension is often unnecessary when such patients have a normal dietary pattern and when low doses of the diuretic are used. Serum potassium should be checked periodically, however, and if hypokalemia occurs, dietary supplementation with potassium-containing foods may be adequate to control milder cases. In more severe cases, and if dose adjustment of the diuretic is ineffective or unwarranted, supplementation with potassium salts may be indicated.

Oral

Selenium (Alcotox) deficiency

Adult: 100-500 mcg of Selenium (Alcotox) daily.

Intramuscular

Selenium (Alcotox) deficiency

Adult: 100-500 mcg of Selenium (Alcotox) daily.

Intravenous

Selenium (Alcotox) deficiency

Adult: 100-500 mcg of Selenium (Alcotox) daily.

Topical/Cutaneous

Acne

Adult: Apply a thin layer of 1-8% cream, jelly, lotion or soap onto affected areas of the skin 1-3 times daily. Initiate therapy with 1 application daily and then gradually increase the frequency to avoid excessive drying.

Topical/Cutaneous

Scabies

Adult: Apply a thin layer of 5-10% oint uniformly and massage gently into all skin surfaces from the neck to the toes (including the soles). Do not wash off till 24hr later. Repeat application for 2-3 successive days. 30 g of oint is sufficient for each application.

Child: Smaller proportion of adult dose used.

Topical/Cutaneous

Dandruff

Adult: Apply 2-5% Sulfur (Alcotox) (used alone or in combination with salicylic acid) to wet hair and massage vigorously into the scalp and then rinse thoroughly. Repeat application and rinse. Shampoo twice a wk.

Vitamin B1 (Alcotox) deficiency

Vitamin B2 (Alcotox) deficiency

Salicylic acid is used to treat many skin disorders, such as acne, dandruff, psoriasis, seborrheic dermatitis of the skin and scalp, calluses, corns, common warts, and plantar warts, depending on the dosage form and strength of the preparation.

Manganese (Alcotox) supplements are used to prevent or treat Manganese (Alcotox) deficiency.

The body needs Manganese (Alcotox) for normal growth and health. For patients who are unable to get enough Manganese (Alcotox) in their regular diet or who have a need for more Manganese (Alcotox), Manganese (Alcotox) supplements may be necessary. Manganese (Alcotox) helps your body break down fats, carbohydrates, and proteins. It does so as part of several enzymes.

Manganese (Alcotox) deficiency has not been reported in humans. Lack of Manganese (Alcotox) in animals has been found to cause improper formation of bone and cartilage, may decrease the body's ability to use sugar properly, and may cause growth problems.

Injectable Manganese (Alcotox) supplements are given by or under the supervision of a health care professional.

Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox)) is used to prevent or to treat low blood levels of potassium (hypokalemia). Potassium levels can be low as a result of a disease or from taking certain medicines, or after a prolonged illness with diarrhea or vomiting.

Potassium Chloride (Alcotox) contains Potassium Chloride (Alcotox). Potassium is a mineral that is found in many foods and is needed for several functions of your body, especially the beating of your heart.

Potassium Chloride (Alcotox) may also be used for other purposes not listed here.

Selenium (Alcotox) is mineral that is found in soil and occurs naturally in certain foods (such as whole grains, Brazil nuts, sunflower seeds, and seafood). Selenium (Alcotox) is not produced in the body, but it is needed for proper thyroid and immune system function.

Selenium (Alcotox) is used to treat or prevent Selenium (Alcotox) deficiency.

Selenium (Alcotox) has been used in alternative medicine as an aid to treat Hashimoto's thyroiditis (an autoimmune disorder of the thyroid), and to treat high cholesterol.

Not all uses for Selenium (Alcotox) have been approved by the FDA. Selenium (Alcotox) should not be used in place of medication prescribed for you by your doctor.

Selenium (Alcotox) may also be used for purposes not listed in this product guide.

Sulfur (Alcotox) is used to treat many kinds of skin disorders. Sulfur (Alcotox) cream, lotion, ointment, and bar soap are used to treat acne. Sulfur (Alcotox) ointment is used to treat seborrheic dermatitis and scabies. Sulfur (Alcotox) may also be used for other conditions as determined by your doctor.

Some of these preparations are available only with your doctor's prescription.

Thiamine is Vitamin B1 (Alcotox). Thiamine is found in foods such as cereals, whole grains, meat, nuts, beans, and peas. Thiamine is important in the breakdown of carbohydrates from foods into products needed by the body.

Thiamine is used to treat or prevent Vitamin B1 (Alcotox) deficiency. Thiamine injection is used to treat beriberi, a serious condition caused by prolonged lack of Vitamin B1 (Alcotox).

Thiamine taken by mouth (oral) is available without a prescription. Injectable thiamine must be given by a healthcare professional.

Thiamine may also be used for purposes not listed in this medication guide.

Riboflavin is Vitamin B2 (Alcotox). Vitamins are naturally occurring substances necessary for many processes in the body. Riboflavin is important in the maintenance of many tissues of the body.

Riboflavin is used to prevent and to treat deficiencies of riboflavin.

Riboflavin may also be used for other purposes not listed in this medication guide.

Zinc Chloride (Alcotox) is a naturally occurring mineral. Zinc Chloride (Alcotox) is important for growth and for the development and health of body tissues.

Zinc Chloride (Alcotox) sulfate is used to treat and to prevent Zinc Chloride (Alcotox) deficiency.

Zinc Chloride (Alcotox) sulfate may also be used for purposes not listed in this medication guide.

Copper (Alcotox) 0.4 mg/mL (Cupric Chloride Injection, USP) contains 0.4 mg Copper (Alcotox)/mL and is administered intravenously only after dilution. The additive should be diluted in a volume of fluid not less than 100 mL. For the adult receiving TPN, the suggested additive dosage is 0.5 to 1.5 mg Copper (Alcotox)/day (1.25 to 3.75 mL/day). For pediatric patients, the suggested additive dosage is 20 mcg Copper (Alcotox)/kg/day (0.05 mL/kg/day). Infants weighing less than 1500 gm may have increased requirements because of their low body reserves and increased requirements for growth.

Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.

Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Capsule,

Oral, as chelated:

MN-50: Elemental Manganese (Alcotox) 16.67 mg

Solution,

Intravenous, as chloride:

Generic: Elemental Manganese (Alcotox) 0.1 mg/mL (10 mL)

Solution,

Intravenous, as sulfate [preservative free]:

Generic: Elemental Manganese (Alcotox) 0.1 mg/mL (10 mL)

Tablet,

Oral, as aspartate:

Generic: 93 mg [elemental Manganese (Alcotox) 25 mg]

Tablet,

Oral, as chelated:

Manganese (Alcotox): Elemental Manganese (Alcotox) 10 mg [corn free, rye free, wheat free]

Generic: Elemental Manganese (Alcotox) 15 mg [DSC], Elemental Manganese (Alcotox) 50 mg

Tablet,

Oral, as gluconate:

Generic: 50 mg [elemental Manganese (Alcotox) 5.7 mg]

Dosing: Adult

Parenteral nutrition, maintenance requirement:

Expert recommendations favor the use of lower doses in the range of 60 to 100 mcg/day to avoid neurotoxicity with routine use and those with cholestatic jaundice. However, these recommendations are difficult to follow with the current sources of parenteral Manganese (Alcotox) (ASPEN [Vanek 2012]).

Dosing: Geriatric

Refer to adult dosing.

Dosing: Pediatric

Parenteral nutrition, maintenance requirement:

Expert recommendations suggest decreasing the daily dose for infants and children to 1 mcg/kg/day (up to a maximum of 50 mcg/day). However, these recommendations are difficult to follow with the current sources of parenteral Manganese (Alcotox) (ASPEN [Vanek 2012]).

Note: Use caution in premature neonates; Manganese (Alcotox) chloride solution for injection contains aluminum.

The usual dietary intake of potassium by the average adult is 50 to 100 mEq per day. Potassium depletion sufficient to cause hypokalemia usually requires the loss of 200 or more mEq of potassium from the total body store.

Dosage must be adjusted to the individual needs of each patients. The dose for the prevention of hypokalemia is typically in the range of 20 mEq per day. Doses of 40 to 100 mEq per day or more are used for the treatment of potassium depletion. Dosage should be divided if more than 20 mEq per day is given such that no more than 20 mEq is given in a single dose. Because of the potential for gastric irritation, Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox) extended-release) ® Extencaps® should be taken with meals and with a full glass of water or other liquid.

Patients who have difficulty swallowing capsules may sprinkle the contents of the capsule onto a spoonful of soft food. The soft food, such as applesauce or pudding, should be swallowed immediately without chewing and followed with a glass of cool water or juice to ensure complete swallowing of the microcapsules. The food used should not be hot and should be soft enough to be swallowed without chewing. Any microcapsule/food mixture should be used immediately and not stored for future use.

How supplied

Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox) extended-release) ® Extencaps® are pale orange capsules monogrammed Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox) extended-release) ® and "Ther-Rx"/ "010", each containing 600 mg microencapsulated Potassium Chloride (Alcotox) (equivalent to 8 mEq K) in bottles of 100 (NDC 64011-010-04), 500 (NDC 64011-010-08) and Dis-Co® unit dose packs of 100 (NDC 64011-010-11).

Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox) extended-release) ® 10 Extencaps® are pale orange and opaque white capsules monogrammed Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox) extended-release) ® 10 and "Ther-Rx"/"009", each containing 750 mg microencapsulated Potassium Chloride (Alcotox) (equivalent to 10 mEq K) in bottles of 100 (NDC 64011-009-04), 100 Unit-of-Use (NDC 64011-009-21), bottles of 500 (NDC 64011-009-08), and Dis-Co® unit dose packs of 100 (NDC 64011-009-11).

Store at controlled room temperature, between 20° C and 25° C (68° F and 77° F).

Dispense in tight container.

Manufactured by KV Pharmaceutical

for Ther-Rx Corporation., St. Louis, MO 63045

FDA rev date: 8/20/2003

Selenium (Alcotox) Injection provides 40 mcg Selenium (Alcotox)/mL. For metabolically stable adults receiving TPN, the suggested additive dosage level is 20 to 40 mcg Selenium (Alcotox)/day. For pediatric patients, the suggested additive dosage level is 3 mcg/kg/day.

In adults, Selenium (Alcotox) deficiency states resulting from long-term TPN support, Selenium (Alcotox) as selenomethionine or selenious acid, administered intravenously at 100 mcg/day for a period of 24 and 31 days, respectively, has been reported to reverse deficiency symptoms without toxicity.

Aseptic addition of Selenium (Alcotox) Injection to the TPN solution under laminar flow hood is recommended. Selenium (Alcotox) is physically compatible with the electrolytes and other trace elements usually present in amino-acid/dextrose solution used for TPN. Frequent monitoring of plasma Selenium (Alcotox) levels is suggested as a guideline for subsequent administration. The normal whole blood range for Selenium (Alcotox) is approximately 10 to 37 mcg/100 mL.

Parenteral drug products should be inspected visually for particulate matter and discoloration, whenever solution and container permit.

Topical/Cutaneous

Acne

Adult: Apply a thin layer of 1-8% cream, jelly, lotion or soap onto affected areas of the skin 1-3 times daily. Initiate therapy with 1 application daily and then gradually increase the frequency to avoid excessive drying.

Topical/Cutaneous

Scabies

Adult: Apply a thin layer of 5-10% oint uniformly and massage gently into all skin surfaces from the neck to the toes (including the soles). Do not wash off till 24hr later. Repeat application for 2-3 successive days. 30 g of oint is sufficient for each application.

Child: Smaller proportion of adult dose used.

Topical/Cutaneous

Dandruff

Adult: Apply 2-5% Sulfur (Alcotox) (used alone or in combination with salicylic acid) to wet hair and massage vigorously into the scalp and then rinse thoroughly. Repeat application and rinse. Shampoo twice a wk.

Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Solution,

Intravenous [preservative free]:

Generic: 1 mg/mL (10 mL)

Dosing: Adult

Parenteral nutrition, maintenance requirement:

Acute metabolic states: 4.5 to 6 mg/day

Metabolically stable: 2.5 to 5 mg/day (ASPEN [Vanek 2012])

Stable with fluid loss from small bowel: 12.2 mg Zinc Chloride (Alcotox)/L TPN or 17.1 mg Zinc Chloride (Alcotox)/kg (added to 1000 mL IV fluids) of stool or ileostomy output

Note: Clinical response from deficiency may not occur for up to 6 to 8 weeks.

Dosing: Geriatric

Refer to adult dosing.

Dosing: Pediatric

Note: Dosages may be presented in units of mcg or mg, use caution to ensure correct units. Clinical response may not occur for up to 6 to 8 weeks:

Parenteral nutrition, maintenance Zinc Chloride (Alcotox) requirement:

Age-directed dosing (ASPEN [Vanek 2012]):

Infants <3 months: IV: 250 mcg/kg/day elemental Zinc Chloride (Alcotox) as an additive to parenteral nutrition solution.

Infants ≥3 months: IV: 50 mcg/kg/day elemental Zinc Chloride (Alcotox) as an additive to parenteral nutrition solution.

Children: 50 mcg/kg/day elemental Zinc Chloride (Alcotox) as an additive to parenteral nutrition solution; maximum daily dose: 5,000 mcg/day.

Weight-directed dosing (ASPEN [Mirtallo 2004]):

Infants <10 kg: 50 to 250 mcg/kg/day elemental Zinc Chloride (Alcotox) as an additive to parenteral nutrition solution.

Children 10 to 40 kg: 50 to 125 mcg/kg/day elemental Zinc Chloride (Alcotox) as an additive to parenteral nutrition solution; maximum daily dose: 5,000 mcg/day.

Children and Adolescents >40 kg: 2,000 to 5,000 mcg/day elemental Zinc Chloride (Alcotox) as an additive to parenteral nutrition solution.

Pregnancy or suspected malignant genital tumor of its existence, acute inflammation, subacute or chronic genital tract, congenital or acquired anatomic abnormalities of the uterus and cervix, endometriosis, malposition and malsituaciones accused the uterus, uterine hypoplasia, genital bleeding of unknown etiology blood clotting disorders, Wilson’s disease, allergy to Copper (Alcotox).

There are no contraindications listed within the manufacturer's US labeling.

See also:
What is the most important information I should know about Potassium Chloride (Alcotox)?

Potassium supplements are contraindicated in patients with hyperkalemia since a further increase in serum potassium concentration in such patients can produce cardiac arrest. Hyperkalemia may complicate any of the following conditions: chronic renal failure, systemic acidosis such as diabetic acidosis, acute dehydration, extensive tissue breakdown as in severe burns, adrenal insufficiency, or the administration of a potassium-sparing diuretic, e.g., spironolactone, triamterene, or amiloride.

Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox) extended-release tablets) tablets are contraindicated in patients with known hypersensitivity to any ingredient in this product.

Controlled-release formulations of Potassium Chloride (Alcotox) have produced esophageal ulceration in certain cardiac patients with esophageal compression due to an enlarged left atrium. Potassium supplementation, when indicated in such patients, should be given as a liquid preparation.

All solid oral dosage forms of Potassium Chloride (Alcotox) are contraindicated in any patient in whom there is structural, pathological, e.g., diabetic gastroparesis, or pharmacologic (use of anticholinergic agents or other agents with anticholinergic properties at sufficient doses to exert anticholinergic effects) cause for arrest or delay in tablet passage through the gastrointestinal tract.

See also:
What is the most important information I should know about Selenium (Alcotox)?

Selenium (Alcotox) Injection should not be given undiluted by direct injection into a peripheral vein because of the potential for infusion phlebitis.

See also:
What is the most important information I should know about Sulfur (Alcotox)?

Less common or rare

Skin irritation not present before use of salicylic acid (moderate or severe)

Frequency not known

Dryness and peeling of skin

flushing

redness of skin

unusually warm skin

Symptoms of salicylic acid poisoning

Confusion

diarrhea

dizziness

fast or deep breathing

headache (severe or continuing)

hearing loss

lightheadedness

nausea

rapid breathing

ringing or buzzing in ears (continuing)

severe drowsiness

stomach pain

vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

-Skin irritation not present before use of salicylic acid (mild) -stinging

See also:
What is the most important information I should know about Vitamin B1 (Alcotox)?

Contraindications for Vitamin B1 (Alcotox) (Vitamin B1 (Alcotox))

Hypersensitivity to Vitamin B1 (Alcotox) or any component of a product containing Vitamin B1 (Alcotox).

See also:
What is the most important information I should know about Vitamin B2 (Alcotox)?

None well documented.

See also:
What is the most important information I should know about Zinc Chloride (Alcotox)?

Less common or rare

Skin irritation not present before use of salicylic acid (moderate or severe)

Frequency not known

Dryness and peeling of skin

flushing

redness of skin

unusually warm skin

Symptoms of salicylic acid poisoning

Confusion

diarrhea

dizziness

fast or deep breathing

headache (severe or continuing)

hearing loss

lightheadedness

nausea

rapid breathing

ringing or buzzing in ears (continuing)

severe drowsiness

stomach pain

vomiting

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

-Skin irritation not present before use of salicylic acid (mild) -stinging

Use Potassium Chloride (Alcotox) solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Potassium Chloride (Alcotox) solution is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using Potassium Chloride (Alcotox) solution at home, a health care provider will teach you how to use it. Be sure you understand how to use Potassium Chloride (Alcotox) solution. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
• Do not use Potassium Chloride (Alcotox) solution if it contains particles, is cloudy or discolored, or if the vial is cracked or damaged.
• Potassium Chloride (Alcotox) solution MUST be diluted before use.
• It is very important to carefully check that the right amount of medicine is drawn into the syringe before injecting the medicine into its diluent solution.
• If this solution is given by way of a pumping device, be sure to stop the pumping action before the container runs dry or air embolism may occur.
• Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
• If you miss a dose of Potassium Chloride (Alcotox) solution, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Potassium Chloride (Alcotox) solution.

Use Selenium (Alcotox) lotion as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Shake well before each use.
• Remove jewelry before using Selenium (Alcotox) lotion.
• Do not use on broken or inflamed skin or scalp.
• To use Selenium (Alcotox) lotion on the scalp - Massage 1 or 2 teaspoonfuls of the medicine on the wet scalp. Leave on the scalp for 2 to 3 minutes. Rinse scalp thoroughly. Wash hands well after treatment. If you are using Selenium (Alcotox) lotion before or after bleaching, tinting, or permanent waving of hair, rinse hair for at least 5 minutes in cool running water.
• To use Selenium (Alcotox) lotion on the skin - Apply a sufficient amount to cover affected areas of the body. Lather well with a small amount of water. Leave the medicine on the skin for 10 minutes. Rinse thoroughly in the shower. Wash hands well after treatment.
• If you miss a dose of Selenium (Alcotox) lotion, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once

Ask your health care provider any questions you may have about how to use Selenium (Alcotox) lotion.

Use Sulfur (Alcotox) topical exactly as directed by your doctor, or follow the instructions that accompany the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Wash your hands before and after applying this medication.

Shake lotions well before using them.

Clean and dry the area to which you will apply Sulfur (Alcotox) topical. Apply the medication to the affected area.

When applying Sulfur (Alcotox) topical, avoid your eyes, the inside of your nose and mouth, your lips, and areas where the skin is broken to prevent excessive irritation. If you get medication in any of these areas, rinse it off with water.

Do not cover the affected area after applying Sulfur (Alcotox) topical, unless otherwise directed by your doctor. Doing so could cause too much medicine to be absorbed by your body and could be harmful.

Sulfur (Alcotox) topical is usually applied one to three times daily.

It may take several weeks or more to see the effects of this drug. Do not stop using Sulfur (Alcotox) topical if you do not see results immediately.

Apply Sulfur (Alcotox) topical less often if you experience excessive burning, dryness, or irritation.

Store Sulfur (Alcotox) topical at room temperature away from moisture and heat.

Use: Labeled Indications

Trace element added to parenteral nutrition (PN) to prevent Copper (Alcotox) deficiency; orally as a dietary supplement

Use: Labeled Indications

Trace element added to parenteral nutrition (PN) to prevent Manganese (Alcotox) deficiency; orally as a dietary supplement

This medication is a mineral supplement used to treat or prevent low amounts of potassium in the blood. A normal level of potassium in the blood is important. Potassium helps your cells, kidneys, heart, muscles, and nerves work properly. Most people get enough potassium by eating a well-balanced diet. Some conditions that can lower your body's potassium level include severe prolonged diarrhea and vomiting, hormone problems such as hyperaldosteronism, or treatment with "water pills"/diuretics.

How to use Potassium Chloride (Alcotox)

Take this medication by mouth as directed by your doctor. To prevent stomach upset, take each dose with a meal and a full glass of water (8 ounces/240 milliliters) unless your doctor directs you otherwise. Do not lie down for 10 minutes after taking this medication.

Do not crush, chew, or suck extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split extended-release tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.

Swallow the capsules whole. If you have trouble swallowing the capsules, tell your doctor or pharmacist. Some brands may be opened and the contents sprinkled onto a spoonful of cool, soft food such as applesauce or pudding. Immediately swallow the food/medication mixture without chewing. Do not prepare the mixture ahead of time. Drink a glass of cool water after each dose to make sure you swallow all the medication. Ask your pharmacist if you have questions about your brand.

Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time(s) each day. The dosage is based on your medical condition and response to treatment. Do not increase your dose or take it more often than prescribed. Do not take more than 20 milliequivalents per dose.

Tell your doctor if your condition does not improve or if you have symptoms of low potassium in the blood (such as irregular heartbeat, muscle weakness/cramps).

Selenium (Alcotox) is used as a dietary supplement mainly in the treatment of Selenium (Alcotox) deficiency affecting young women and children with Keshan disease. It is also used for treatment of osteoarthiritis associated with poor Selenium (Alcotox) levels in body called Kashin-Beck Disease. Selenium (Alcotox) supplements are also used in patients with HIV/ AIDS to maintain the adequate Selenium (Alcotox) levels.

Vitamin B2 (Alcotox) (riboflavin) supplementation is used to prevent and treat riboflavin deficiency. Vitamin B2 (Alcotox) may prevent migraine headaches at high doses and be useful for prevention of eye conditions such as cataract, glaucoma and tired eyes (fatigue). Vitamin B2 (Alcotox) is also used for boosting of immune system, and maintenance of healthy hair, skin, nails and mucous membranes.

Use: Labeled Indications

Trace element added to parenteral nutrition (PN) to prevent deficiency

Ascorbic Acid: Copper (Alcotox) may decrease the serum concentration of Ascorbic Acid. Management: To minimize the risk for ascorbic acid degradation, add multivitamin product to TPN solution immediately prior to infusion or administer multivitamin and Copper (Alcotox) in separate containers. Consider therapy modification

There are no known significant interactions.

See also:
What other drugs will affect Potassium Chloride (Alcotox)?

Aliskiren: Potassium Salts may enhance the hyperkalemic effect of Aliskiren. Monitor therapy

Angiotensin II Receptor Blockers: Potassium Salts may enhance the hyperkalemic effect of Angiotensin II Receptor Blockers. Monitor therapy

Angiotensin-Converting Enzyme Inhibitors: Potassium Salts may enhance the hyperkalemic effect of Angiotensin-Converting Enzyme Inhibitors. Monitor therapy

Anticholinergic Agents: May enhance the ulcerogenic effect of Potassium Chloride (Alcotox). Management: Patients on drugs with substantial anticholinergic effects should avoid using any solid oral dosage form of Potassium Chloride (Alcotox). Avoid combination

Drospirenone: Potassium Salts may enhance the hyperkalemic effect of Drospirenone. Monitor therapy

Eplerenone: May enhance the hyperkalemic effect of Potassium Salts. Management: This combination is contraindicated in patients receiving eplerenone for treatment of hypertension. Consider therapy modification

Glycopyrrolate (Systemic): May enhance the adverse/toxic effect of Potassium Chloride (Alcotox). This is specific to solid oral dosage forms of Potassium Chloride (Alcotox). Avoid combination

Heparin: May enhance the hyperkalemic effect of Potassium Salts. Monitor therapy

Heparins (Low Molecular Weight): May enhance the hyperkalemic effect of Potassium Salts. Monitor therapy

Nicorandil: May enhance the hyperkalemic effect of Potassium Salts. Monitor therapy

Potassium-Sparing Diuretics: Potassium Salts may enhance the hyperkalemic effect of Potassium-Sparing Diuretics. Management: Avoid coadministration of a potassium-sparing diuretic and a potassium salt. This combination should only be used in cases of significant hypokalemia, and only if serum potassium can be closely monitored. Consider therapy modification

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What other drugs will affect Selenium (Alcotox)?

Baloxavir Marboxil: Polyvalent Cation Containing Products may decrease the serum concentration of Baloxavir Marboxil. Avoid combination

Bictegravir: Polyvalent Cation Containing Products may decrease the serum concentration of Bictegravir. Management: Administer bictegravir under fasting conditions at least 2 hours before or 6 hours after polyvalent cation containing products. Coadministration of bictegravir with or 2 hours after most polyvalent cation products is not recommended. Consider therapy modification

Bisphosphonate Derivatives: Polyvalent Cation Containing Products may decrease the serum concentration of Bisphosphonate Derivatives. Management: Avoid administration of oral medications containing polyvalent cations within: 2 hours before or after tiludronate/clodronate/etidronate; 60 minutes after oral ibandronate; or 30 minutes after alendronate/risedronate. Exceptions: Pamidronate; Zoledronic Acid. Consider therapy modification

Deferiprone: Polyvalent Cation Containing Products may decrease the serum concentration of Deferiprone. Management: Separate administration of deferiprone and oral medications or supplements that contain polyvalent cations by at least 4 hours. Consider therapy modification

Dolutegravir: Selenium (Alcotox) may decrease the serum concentration of Dolutegravir. Management: Administer dolutegravir at least 2 hours before or 6 hours after oral Selenium (Alcotox). Administer the dolutegravir/rilpivirine combination product at least 4 hours before or 6 hours after oral Selenium (Alcotox). Consider therapy modification

Eltrombopag: Polyvalent Cation Containing Products may decrease the serum concentration of Eltrombopag. Management: Administer eltrombopag at least 2 hours before or 4 hours after oral administration of any polyvalent cation containing product. Consider therapy modification

Elvitegravir: Polyvalent Cation Containing Products may decrease the serum concentration of Elvitegravir. Management: Administer elvitegravir 2 hours before or 6 hours after the administration of polyvalent cation containing products. Consider therapy modification

PenicillAMINE: Polyvalent Cation Containing Products may decrease the serum concentration of PenicillAMINE. Management: Separate the administration of penicillamine and oral polyvalent cation containing products by at least 1 hour. Consider therapy modification

Raltegravir: Polyvalent Cation Containing Products may decrease the serum concentration of Raltegravir. Management: Administer raltegravir 2 hours before or 6 hours after administration of the polyvalent cations. Dose separation may not adequately minimize the significance of this interaction. Consider therapy modification

Trientine: Polyvalent Cation Containing Products may decrease the serum concentration of Trientine. Management: Avoid concomitant administration of trientine and oral products that contain polyvalent cations. If oral iron supplements are required, separate the administration by 2 hours. If other oral polyvalent cations are needed, separate administration by 1 hour. Consider therapy modification

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What other drugs will affect Sulfur (Alcotox)?

Sulfur (Alcotox) Mediphar is pharmaceutically not compatible with resorcinol (forms melted mixture) and zinc oxide (forms insoluble forms of zinc salicylate).

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What other drugs will affect Vitamin B1 (Alcotox)?

Interactions for Vitamin B1 (Alcotox) (Vitamin B1 (Alcotox))

Loop Diuretics,

Oral Contraceptives, Stavudine, Tricyclic Antidepressants

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What other drugs will affect Vitamin B2 (Alcotox)?

Interactions for Vitamin B2 (Alcotox) (Vitamin B2 (Alcotox))

Alcohol - impairs the intestinal absorption of riboflavi

Antidepressants (tricyclics or phenothiazines) - requirements for riboflavin may be increased in patients receiving these medications

Probenecid - concurrent use decreases gastrointestinal absorption of riboflavin; requirements for riboflavin may be increased in patients receiving probenecid.

See also:
What other drugs will affect Zinc Chloride (Alcotox)?

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to salicylic acid or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Young children may be at increased risk of unwanted effects because of increased absorption of salicylic acid through the skin. Also, young children may be more likely to get skin irritation from salicylic acid. Salicylic acid should not be applied to large areas of the body, used for long periods of time, or used under occlusive dressing (air-tight covering, such as kitchen plastic wrap) in infants and children. Salicylic acid should not be used in children younger than 2 years of age.

Geriatric

Elderly people are more likely to have age-related blood vessel disease. This may increase the chance of problems during treatment with salicylic acid.

Breast Feeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Adverse Reactions

Generally well tolerated; excessive Copper (Alcotox) levels may result in the following adverse effect.

Hepatic: Hepatic insufficiency (including hepatic necrosis)

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What are the possible side effects of Manganese (Alcotox)?

None known.

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What are the possible side effects of Potassium Chloride (Alcotox)?

One of the most severe adverse effects is hyperkalemia. Gastrointestinal bleeding and ulceration have been reported in patients treated with Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox) extended-release) ® Extencaps®. In addition to gastrointestinal bleeding and ulceration, perforation and obstruction have been reported in patients treated with other solid KCl dosage forms, and may occur with Potassium Chloride (Alcotox) (Potassium Chloride (Alcotox) extended-release) ® Extencaps®.

The most common adverse reactions to the oral potassium salts are nausea, vomiting, flatulence, abdominal discomfort, and diarrhea. These symptoms are due to irritation of the gastrointestinal tract and are best managed by taking the dose with meals, or reducing the amount taken at one time. Skin rash has been reported rarely with potassium preparations.

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What are the possible side effects of Selenium (Alcotox)?

Applies to Selenium (Alcotox) sulfide topical: topical cream, topical foam, topical lotion, topical shampoo, topical suspension

As well as its needed effects, Selenium (Alcotox) sulfide topical may cause unwanted side effects that require medical attention.

Severity: Moderate

If any of the following side effects occur while taking Selenium (Alcotox) sulfide topical, check with your doctor or nurse as soon as possible:

Less common or rare:

• Skin irritation

Minor Side Effects

Some Selenium (Alcotox) sulfide topical side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:

More common:

• Unusual dryness or oiliness of hair or scalp

• Increase in normal hair loss

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What are the possible side effects of Sulfur (Alcotox)?

Applies to Sulfur (Alcotox) topical: topical cream, topical gel/jelly, topical liquid, topical lotion, topical ointment, topical shampoo, topical soap, topical solution

As well as its needed effects, Sulfur (Alcotox) topical (the active ingredient contained in Sulfur (Alcotox)) may cause unwanted side effects that require medical attention.

Severity: Moderate

If any of the following side effects occur while taking Sulfur (Alcotox) topical, check with your doctor or nurse as soon as possible:

• Skin irritation not present before use of this medicine

Minor Side Effects

Some Sulfur (Alcotox) topical side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:

• Redness and peeling of skin (may occur after a few days)

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What are the possible side effects of Vitamin B1 (Alcotox)?

Applies to thiamine: capsule, solution, tablet, tablet enteric coated

As well as its needed effects, thiamine (the active ingredient contained in Vitamin B1 (Alcotox)) may cause unwanted side effects that require medical attention.

Major Side Effects

If any of the following side effects occur while taking thiamine, check with your doctor immediately:

Rare - Soon after receiving injection only

• Coughing
• difficulty in swallowing
• hives
• itching of skin
• swelling of face, lips, or eyelids
• wheezing or difficulty in breathing

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What are the possible side effects of Vitamin B2 (Alcotox)?

Genitourinary

Yellow-orange discoloration of urine.

See also:
What are the possible side effects of Zinc Chloride (Alcotox)?

Using salicylic acid with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

Acenocoumarol

Anisindione

Ardeparin

Certoparin

Dalteparin

Danaparoid

Dicumarol

Enoxaparin

Nadroparin

Parnaparin

Phenindione

Phenprocoumon

Probenecid

Reviparin

Tamarind

Tinzaparin

Warfarin