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Accutane is a powerful medicine used for the treatment of moderate to severe acne.

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Accutane prescription assistance program. In June, reliable online pharmacy accutane the Food and Drug Administration approved the first new generic version of the drug for more than a decade. In 2004, the FDA approved two generic versions of cilostazol, which is used to treat nausea caused by chemotherapy and radiation therapy. While the two drugs have similar side effects, generic cilostazol is often cheaper and has fewer restrictions on the dosages permitted, said Dr. Anthony W. Green, associate medical director of internal medicine for the University of Southern California in Los Angeles. Some of the side effects cilostazol include nausea, vomiting, diarrhea, insomnia, abdominal pain, headaches, loss of appetite, skin rash, drowsiness and headaches. Advertisement Continue reading the main story According to the manufacturers, it is difficult to administer the drug for several reasons. First, it is usually given intravenously, so it must be kept refrigerated. Dr. Green said patients can receive the drug by intravenous infusion, through a tube inserted vein in the arm or abdomen and into the heart, but that is not always possible or practical. Newsletter Sign Up Continue reading the main story Please verify you're not a robot by clicking the box. Invalid email address. Please re-enter. You must select a newsletter to subscribe to. Sign Up You will receive emails containing news content, updates and promotions from The New York Times. You may opt-out at any time. You agree to receive occasional updates and special offers for The New York Times's products and services. accutane online pharmacy Thank you for subscribing. An error has occurred. Please try again later. View all New York Times newsletters. Second, a patient must be given dose of 500 mg at a time — dose that, with some care, should not be too difficult to administer — because the drug is difficult to absorb. "If you have some patients who a lot of vomiting, that can be a problem," Dr. Green said. But most patients who need cilostazol are already well enough to take medication, he said. Most of the cilostazol prescriptions written in United States are for children and adolescents, said Dr. Peter J. best online pharmacy for accutane Brown, chief medical officer for the American Academy of Pediatrics. But the number adults who need medication to treat nausea or vomiting has increased, he said, largely because of the popularity drug. "For a while, it was not major problem," he said. But with more patients being treated cilostazol, "we're now seeing more nausea." In 2002, 2.9 percent of pediatric patients in medical treatment units Los Angeles County were taking cilostazol, up from 1.6 percent in 1997, according to research done by the county's Department of Public Health. Doctors who prescribe the drug often do it at the suggestion of their patients. "Sometimes we suggest it to families and sometimes we ask our patients to take it," Dr. Green said. "But sometimes it's their physician." A recent study from the University of Wisconsin found that up to 23 percent of young children in the United States were being prescribed the drug. study, which was conducted in two primary care clinics, tracked 2,906 children aged 6 to 16 during a nine-month period, and found that some 6.2 percent had been prescribed cilostazol at some point during the study. "There's a lot of fear about this drug, and people are afraid that they're going to go crazy," Dr. Brown said. But many people, including doctors, are using the drug as a last resort. Even if a treatment is effective, some patients will need to be put on an opioid painkiller for up to six months help control their symptoms. Dr. Brown said children and adolescents need opioid medication as well opioids to ease their symptoms. "They can't treat symptoms with cilostazol and opioids," he said. The FDA has approved two newer versions of cilostazol for children ages 6 to 12, said Dr. Robert J. Gellman, an associate professor of pediatrics at the Icahn School of Medicine at Mount Sinai. If prescribed in early childhood, the drug can be effective in treating severe nausea and vomiting in children with moderate or severe cancer, he said. "The problem here is that, for any specific cancer, it's usually a combination of nausea and vomiting," he said. "We have a lot of people who are trying to treat nausea and vomiting with cilostazol who should be getting opioids," he said, adding that the drugs could also help to prevent other side effects. "But if they get opioids, then maybe end up with anorexia," he said, "and that's not a good situation."

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