Imumax

# TREATING a common cold. Many scientific studies say that taking Echinacea (Imumax) when cold symptoms are first noticed can modestly reduce symptoms of the common cold in adults. But some scientific studies show no benefit. The problem is that scientific studies have used different types of Echinacea (Imumax) plants and different methods of preparation. Since the studies have not been consistent, it is not surprising that different studies show different results.

If it helps for treating a cold, the benefit will likely be modest at best.

Keep in mind that TREATING a common cold is different than PREVENTING a common cold. Taking Echinacea (Imumax) does not seem to PREVENT a cold from starting.

# Preventing vaginal yeast infections when used with a medicated cream called econazole

Preventing recurrent genital herpes.

Urinary tract infections (UTIs), migraine headaches, chronic fatigue syndrome (CFS), eczema, hayfever, allergies, bee stings, attention deficit-hyperactivity disorder (ADHD), influenza (flu), and other conditions.

Oral

Selenium (Imumax) deficiency

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

Intramuscular

Selenium (Imumax) deficiency

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

Intravenous

Selenium (Imumax) deficiency

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

The use of Echinacea (Imumax) in cultural and traditional settings may differ from concepts accepted by current Western medicine. When considering the use of herbal supplements, consultation with a primary health care professional is advisable. Additionally, consultation with a practitioner trained in the uses of herbal/health supplements may be beneficial, and coordination of treatment among all health care providers involved may be advantageous.

Echinacea (Imumax) is also known as the American cone flower, black Susan, black Sampson, comb flower, hedgehog, Indian head, Kansas snakeroot, narrow-leaved purple coneflower, scurvy root, and snakeroot.

Echinacea (Imumax) has been used orally to stimulate the immune system of the body. Echinacea (Imumax) is most commonly used in the treatment of the common cold. Echinacea (Imumax) is also used topically in the treatment of wounds and burns.

Echinacea (Imumax) has not been evaluated by the FDA for safety, effectiveness, or purity. All potential risks and/or advantages of Echinacea (Imumax) may not be known. Additionally, there are no regulated manufacturing standards in place for these compounds. There have been instances where herbal/health supplements have been sold which were contaminated with toxic metals or other drugs. Herbal/health supplements should be purchased from a reliable source to minimize the risk of contamination.

Echinacea (Imumax) may also have uses other than those listed in this medication guide.

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

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

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

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

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

In adults, Selenium (Imumax) deficiency states resulting from long-term TPN support, Selenium (Imumax) 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 (Imumax) Injection to the TPN solution under laminar flow hood is recommended. Selenium (Imumax) 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 (Imumax) levels is suggested as a guideline for subsequent administration. The normal whole blood range for Selenium (Imumax) 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.

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

don’t take if:

# You are pregnant or breast-feeding.

# You have a skin condition called pemphigus vulgaris.

# You have an immune system disorder such as multiple sclerosis (MS), lupus (systemic lupus erythematosus, SLE), rheumatoid arthritis (RA), or other immune system conditions called "autoimmune disease."

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

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

Use Echinacea (Imumax) as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Dosing depends on the use and the source of the product.
• Use as directed on the package, unless instructed otherwise by your doctor.
• If you miss taking a dose of Echinacea (Imumax) for 1 or more days, there is no cause for concern. If your doctor recommended that you take it, try to remember your dose every day.

Ask your health care provider any questions you may have about how to use Echinacea (Imumax).

Use Selenium (Imumax) 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 (Imumax) lotion.
• Do not use on broken or inflamed skin or scalp.
• To use Selenium (Imumax) 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 (Imumax) 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 (Imumax) 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 (Imumax) 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 (Imumax) lotion.

Echinacea (Imumax) has been used for virus infections such as the common cold and flu. It is used to strengthen the immune system. It has also been used for returning vaginal fungal infections ("yeast infections") along with antifungal products applied to the vaginal area.

Some herbal/diet supplement products have been found to contain possibly harmful impurities/additives. Check with your pharmacist for more details about the brand you use.

The FDA has not reviewed this product for safety or effectiveness. Consult your doctor or pharmacist for more details.

How to use Echinacea (Imumax)

Take this product by mouth as directed. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.

Prolonged use may lessen the effects of this product. It is recommended that this product be used for no more than 8 weeks at a time.

If your condition persists or worsens, or if you think you may have a serious medical problem, seek immediate medical attention.

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

See also:
What other drugs will affect Echinacea (Imumax)?

Caffeine

Interaction Rating: Moderate Be cautious with this combination.

Talk with your health provider.

The body breaks down caffeine to get rid of it. Echinacea (Imumax) might decrease how quickly the body breaks down caffeine. Taking Echinacea (Imumax) along with caffeine might cause too much caffeine in the bloodstream and increase the risk of side effects. Common side effects include jitteriness, headache, and fast heartbeat.

Medications changed by the body (Cytochrome P450 3A4 (CYP3A4) substrates)

Interaction Rating: Moderate Be cautious with this combination.

Talk with your health provider.

Some medications are changed and broken down by the body. Echinacea (Imumax) might change how the body breaks down some medications. Taking Echinacea (Imumax) along with some medications might increase the effects and side effects of some medications. Before taking Echinacea (Imumax), talk to your healthcare provider if you are taking any medications that are changed by the body.

Some medications changed by the body include lovastatin (Mevacor), clarithromycin (Biaxin), cyclosporine (Neoral, Sandimmune), diltiazem (Cardizem), estrogens, indinavir (Crixivan), triazolam (Halcion), and many others.

Medications changed by the liver (Cytochrome P450 1A2 (CYP1A2) substrates)

Interaction Rating: Moderate Be cautious with this combination.

Talk with your health provider.

Some medications are changed and broken down by the liver. Echinacea (Imumax) might decrease how quickly the liver breaks down some medications. Taking Echinacea (Imumax) along with some medications might increase the effects and side effects of some medications. Before taking Echinacea (Imumax), talk to your healthcare provider if you are taking any medications that are changed by the liver.

Some of the medications that are changed by the liver include clozapine (Clozaril), cyclobenzaprine (Flexeril), fluvoxamine (Luvox), haloperidol (Haldol), imipramine (Tofranil), mexiletine (Mexitil), olanzapine (Zyprexa), pentazocine (Talwin), propranolol (Inderal), tacrine (Cognex), theophylline, zileuton (Zyflo), zolmitriptan (Zomig), and others

Medications that decrease the immune system (Immunosuppressants)

Interaction Rating: Moderate Be cautious with this combination.

Talk with your health provider.

Echinacea (Imumax) can increase the activity of the immune system. Taking Echinacea (Imumax) along with some medications that decrease the immune system might decrease these medications’ effectiveness.

Some medications that decrease the immune system include azathioprine (Imuran), basiliximab (Simulect), cyclosporine (Neoral, Sandimmune), daclizumab (Zenapax), muromonab-CD3 (OKT3, Orthoclone OKT3), mycophenolate (CellCept), tacrolimus (FK506, Prograf), sirolimus (Rapamune), prednisone (Deltasone, Orasone), corticosteroids (glucocorticoids), and others.

Midazolam (Versed)

Interaction Rating: Minor Be cautious with this combination.

Talk with your health provider.

Taking midazolam (Versed) with Echinacea (Imumax) increases how much midazolam (Versed) the body absorbs. This might increase the effects and side effects of midazolam (Versed), but more information is needed.

See also:
What other drugs will affect Selenium (Imumax)?

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

See also:
What are the possible side effects of Echinacea (Imumax)?

fever, nausea, vomiting, unpleasant taste, stomach pain, diarrhea, sore throat, dry mouth, headache, numbness of the tongue, dizziness, insomnia, disorientation, and joint and muscle aches.

Echinacea (Imumax) can also cause allergic reactions, especially in people who are allergic to ragweed, mums, marigolds, or daisies. If you have allergies, be sure to check with your healthcare professional before taking Echinacea (Imumax).

Applying Echinacea (Imumax) to the skin can cause redness, itchiness, or a rash.

See also:
What are the possible side effects of Selenium (Imumax)?

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

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

Severity: Moderate

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

Less common or rare:

• Skin irritation

Minor Side Effects

Some Selenium (Imumax) 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