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    Cascara sagrada

    Cascara Sagrada is a natural stimulant laxative derived from the bark of the Rhamnus purshiana tree.

    Applications:

    • Used to relieve occasional constipation.

    • Sometimes included in herbal detox or colon cleanse products.

    Side Effects:

    • Common: abdominal cramps, diarrhea.

    • Serious (with long-term use): electrolyte imbalance, dependency, liver damage (rare).

    Br120.00
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    Cascara sagrada

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    Metoclopramide Hydrochloride

    Metoclopramide Hydrochloride is a dopamine antagonist used to treat nausea, vomiting, and delayed gastric emptying.

    Applications:

    • Treats nausea and vomiting from various causes, including chemotherapy and migraines.

    • Manages gastroparesis by enhancing stomach motility.

    • Used for GERD when other treatments fail.

    Side Effects:

    • Common: drowsiness, fatigue, restlessness.

    • Serious (rare): tardive dyskinesia (involuntary movements), Parkinson-like symptoms, depression.

    Br120.00
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    Metoclopramide Hydrochloride

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    Tolterodine

    Applications:

    • Overactive Bladder (OAB): Treats urinary frequency, urgency, and incontinence.

    • Neurogenic Detrusor Overactivity: Manages bladder spasms in neurological conditions (e.g., MS, spinal injury).

    Side Effects:

    • Common: Dry mouth (35% of users), constipation, blurred vision, headache.

    • Serious (Rare):

      • QT prolongation (caution in heart disease).

      • Angioedema (swelling of face/throat).

      • Urinary retention (risk in prostate enlargement).

    Br120.00
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    Tolterodine

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    Atropine Sulphate

    Applications:

    • Pre-Anesthesia: Reduces saliva and respiratory secretions before surgery.

    • Bradycardia: Emergency treatment for abnormally slow heart rate.

    • Poison Antidote: Countacts organophosphate or nerve agent poisoning.

    • Ophthalmic Use: Dilates pupils for eye exams or inflammation treatment.

    • GI Disorders: Relieves spasms in irritable bowel (rarely used today).

    Side Effects:

    • Common: Dry mouth, blurred vision, rapid heartbeat, dizziness.

    • Serious:

      • Hallucinations/confusion (high doses)

      • Urinary retention

      • Glaucoma attacks (with eye drops)

      • Dangerous tachycardia (overdose)

    Note:

    • IV/IM use only in emergencies (hospital/EMS).

    • Reverses life-threatening cholinergic toxicity (e.g., pesticide poisoning).

    Br120.00
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    Atropine Sulphate

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    Omeprazole

    Applications:

    • Treats severe GERD/ulcers (when oral therapy fails)

    • Manages Zollinger-Ellison syndrome (acid hypersecretion)

    • Prevents acid aspiration during surgery

    • Reduces rebleeding risk after endoscopic treatment

    Side Effects:

    • Common: Headache, nausea, injection-site pain

    • Serious (rare): Kidney injury, low magnesium, bone fractures (long-term use)

    Note: Requires kidney/magnesium monitoring with prolonged IV use. Administered once daily (40mg). Brands include Losec® IV and generics.

    Br120.00
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    Omeprazole

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    Ranitidine

    Applications:

    • Used to treat gastroesophageal reflux disease (GERD), peptic ulcers, and conditions where the stomach produces too much acid (like Zollinger-Ellison syndrome).
    • Reduces stomach acid production, helping to heal ulcers and manage heartburn or acid reflux.
    • Can be used for the prevention and treatment of ulcers and conditions like indigestion.

    Side Effects:

    • Common side effects include headache, dizziness, constipation, or diarrhea.
    • Rare but serious side effects may include liver problems, irregular heartbeats, and severe allergic reactions.
    • Long-term use can occasionally lead to vitamin B12 deficiency.

    Ranitidine is effective in controlling excess stomach acid but was withdrawn from many markets (including the U.S.) in 2020 due to concerns over a potential carcinogenic impurity. For those still using it, monitoring for side effects is important, especially if taken for prolonged periods.

    Br120.00
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    Ranitidine

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