E. E. S. Liquid Suspension

E. E. S. Liquid Suspension is used for:

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Treating infections caused by certain bacteria or amoebas. It may also be used to prevent attacks of rheumatic fever in patients who are unable to use other medicines.

E. E. S. Liquid Suspension is a macrolide antibiotic. It works by slowing the growth of, or sometimes killing, sensitive bacteria by reducing the production of important proteins needed by the bacteria to survive.

Do NOT use E. E. S. Liquid Suspension if:

• you are allergic to any ingredient in E. E. S. Liquid Suspension
• you are taking a 5-HT₁ receptor agonist (eg, sumatriptan), astemizole, cisapride, diltiazem, dofetilide, an ergot alkaloid (eg, ergotamine), an HIV protease inhibitor (eg, ritonavir), an imidazole (eg, ketoconazole), pimozide, propafenone, a streptogramin (eg, quinupristin/dalfopristin), terfenadine, or verapamil

Contact your doctor or health care provider right away if any of these apply to you.

Before using E. E. S. Liquid Suspension:

Some medical conditions may interact with E. E. S. Liquid Suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

• if you are pregnant, planning to become pregnant, or are breast-feeding
• if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• if you have allergies to medicines, foods, or other substances
• if you have kidney or liver disease, myasthenia gravis, irregular heartbeat, or the blood disease porphyria

Some MEDICINES MAY INTERACT with E. E. S. Liquid Suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

• Arsenic, astemizole, atypical antipsychotics (eg, ziprasidone), cisapride, diltiazem, disopyramide, dofetilide, haloperidol, HIV protease inhibitors (eg, ritonavir), 5-HT₃ receptor antagonists (eg, dolasetron), imidazoles (eg, ketoconazole), phenothiazines (eg, chlorpromazine), pimozide, propafenone, quinolones (eg, ciprofloxacin), streptogramins (eg, quinupristin/dalfopristin), terfenadine, verapamil, or medicines for irregular heartbeat (eg, amiodarone, quinidine), because side effects, such as heart toxicity or irregular heartbeat, may occur
• Aldosterone blockers (eg, eplerenone), alfentanil, anticoagulants (eg, warfarin), benzodiazepines (eg, triazolam), bromocriptine, buspirone, carbamazepine, cilostazol, corticosteroids (eg, methylprednisolone), cyclosporine, digoxin, ergot alkaloids (eg, ergotamine), felodipine, hexobarbital, HMG-CoA reductase inhibitors (eg, lovastatin), 5-HT₁ receptor agonists (eg, sumatriptan), imatinib, macrolide immunosuppressants (eg, tacrolimus), midazolam, muscarinic receptor antagonists (eg, darifenacin), phenytoin, phosphodiesterase type 5 inhibitors (eg, sildenafil), rifampin, theophyllines, valproic acid, or vinca alkaloids (eg, vincristine) because the risk of their side effects may be increased by E. E. S. Liquid Suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if E. E. S. Liquid Suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use E. E. S. Liquid Suspension:

Use E. E. S. Liquid Suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take E. E. S. Liquid Suspension by mouth with or without food.
• Shake well before each use
• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
• Do not eat grapefruit or drink grapefruit juice while you take E. E. S. Liquid Suspension. Serious heart problems can occur.
• To clear up your infection completely, take E. E. S. Liquid Suspension for the full course of treatment. Keep taking it even if you feel better in a few days.
• If you miss a dose of E. E. S. Liquid Suspension, take 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 take 2 doses at once.

Ask your health care provider any questions you may have about how to use E. E. S. Liquid Suspension.

Important safety information:

• Mild diarrhea is common with antibiotic use. However, a more serious form of diarrhea (pseudomembranous colitis) may rarely occur. This may develop while you use the antibiotic or within several months after you stop using it. Contact your doctor right away if stomach pain or cramps, severe diarrhea, or bloody stools occur. Do not treat diarrhea without first checking with your doctor.
• E. E. S. Liquid Suspension only works against bacteria or amoebas; it does not treat viral infections (eg, the common cold).
• Be sure to use E. E. S. Liquid Suspension for the full course of treatment. If you do not, the medicine may not clear up your infection completely. The bacteria could also become less sensitive to this or other medicines. This could make the infection harder to treat in the future.
• Long-term or repeated use of E. E. S. Liquid Suspension may cause a second infection. Tell your doctor if signs of a second infection occur. Your medicine may need to be changed to treat this.
• E. E. S. Liquid Suspension may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking E. E. S. Liquid Suspension.
• Lab tests, including liver function, kidney function, and complete blood cell counts, may be performed while you use E. E. S. Liquid Suspension. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
• Use E. E. S. Liquid Suspension with extreme caution in CHILDREN younger than 10 years old who have diarrhea or an infection of the stomach or bowel.
• PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using E. E. S. Liquid Suspension while you are pregnant. E. E. S. Liquid Suspension is found in breast milk. If you are or will be breast-feeding while you use E. E. S. Liquid Suspension, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of E. E. S. Liquid Suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Diarrhea; loss of appetite; nausea; stomach pain; vomiting.

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); bloody stools; dark urine; hearing loss; irregular heartbeat; muscle weakness; red, swollen, or blistered skin; severe diarrhea; severe stomach pain/cramps; yellowing of the skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center (http://www.aapcc.org), or emergency room immediately. Symptoms may include hearing loss; severe diarrhea, nausea, stomach upset, or vomiting.

Store E. E. S. Liquid Suspension at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). If not used within 14 days, store in the refrigerator, between 36 and 46 degrees F (2 and 8 degrees C). Do not freeze. Keep E. E. S. Liquid Suspension out of the reach of children and away from pets.

General information:

• If you have any questions about E. E. S. Liquid Suspension, please talk with your doctor, pharmacist, or other health care provider.
• E. E. S. Liquid Suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
• If your symptoms do not improve or if they become worse, check with your doctor.

This information is a summary only. It does not contain all information about E. E. S. Liquid Suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

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