Patients who are having difficulty affording Schering- Plough medications can call the Schering-Plough Cares Patient Assistance Program at 1-800-656-9485 to see if they qualify for assistance. Or visit www.pparx.org for additional information.

Package Inserts

Annual Check-up List

To help you think back over the past year and remember any problems and/or questions you may have, we've included a checklist to fill out sometime before your scheduled appointment. Please print it out and bring it with you. But remember, your doctor already has his or her own way of doing this, so consider this a tool to help you organize your information and not a replacement for how your doctor obtains this information from you.

General Info

Name:	X ________________________________
Date of Birth:	X ________________________________
Date of Last Visit:	X ________________________________

Medical History

1. What are your primary allergy symptoms?
(check all that apply to you)

	Runny nose	Stuffed up nose	Sneezing
	Watery Eyes	Cough	Wheezing
	Shortness of breath	Itching (eyes, nose/throat)	Skin rash
	Itchy skin
Other _________________________________________________

2. What prescription medications do you take on a regular basis?

Name of Medication	Dosage (usually in mg)
___________________	___________________
___________________	___________________
___________________	___________________
___________________	___________________
___________________	___________________

3. Have you had any reactions to any medications?

Yes ____ No ____

If Yes, which medications? ________________________________

4. Do you take any of the following over-the-counter medication on a regular basis: (check all that apply)

acetaminophen	ibuprofen	aspirin
decongestant tablets	decongestant nasal spray	antihistamine
sinus	cream for rash/itching	bronchial asthma relief tablets
asthma relief mist	other

5. Do you have any known food allergies? (check all that apply)

milk	wheat	egg
soy	corn	peanut
shellfish	fish	Tree-nut (walnut, cashew, etc.)

6. Check all vitamin and/or herbal supplements taken on a regular basis: (check all that apply)

Ginseng	Ginko biloba	Garlic
Glucosamine	St.John's wort	Vitamin C
Multi-vitamin	Vitamin B	Vitamin E
Other

7. Have you had any surgeries within the past year?

Yes ____ No ____

If Yes, what type of surgery? ______________________________

8. Have you had any illnesses that required medical attention or hospitalization?

Yes ____ No ____

If yes, what type of illness? _______________________________

9. What is your usual daily consumption of caffeinated beverages such as coffee, tea or colas? (check one)

	None		1 to 3 cups		4 to 6 cups
	6 to 10 cups		More than 10 cups

10. How many cigarettes do you smoke on a daily basis
(check one)

	None		Less than 1/2 pack
	1/2 to 1 pack		More than 1 pack

Home Environment

1. Which type of heating system do you have in your home:
(check one)

	Hot water		Forced Air		Steam
	Space Heater		Kerosene Heater

2. Indicate which type of pets you have in your home:
(check all that apply)

Cat	Dog	Bird
Hamster	Guinea Pig	Gerbil
Mouse/Rat	Rabbit	Snake
Other

3. Is your basement musty and/or wet?

Yes ____ No ____

4. Are there smokers in the house?

Yes ____ No ____

5. What type of flooring do you have in the bedroom? (check one)

	Carpet		Wood		Linoleum/Vinyl
Other _________________________________________________

6. Do you use humidifiers or vaporizers in your home?

Yes ____ No ____

7. Do you have air conditioning in your home?
(check all that apply)

Central Air

Room units

None

8. What type of pillows do you use?
(check all that apply)

	Feather		Foam		Down		Combination Feather/Down
Other _________________________________________________

CLARINEX®, a prescription medication, treats year-round allergy symptoms and ongoing hives of unknown cause, in adults and children 6 months and older, and seasonal allergy symptoms in patients 2 years and older. CLARINEX® 5 mg Tablets and 5 mg RediTabs® Tablets are approved for patients 12 years and older; CLARINEX® 2.5 mg RediTabs® Tablets are approved for patients 6 to 11 years; CLARINEX® Syrup is approved for patients 6 months and older.

Twice-daily CLARINEX-D® 12 HOUR Extended Release Tablets and once-daily CLARINEX-D® 24 HOUR Extended Release Tablets treat the symptoms of seasonal allergies, including nasal congestion, in patients 12 years and older.

IMPORTANT SAFETY INFORMATION
CLARINEX® Tablets side effects in patients 12 years and older were similar to placebo and included sore throat, dry mouth, and fatigue for seasonal and year-round allergy patients, and headache, nausea, and fatigue for patients with ongoing hives of unknown cause.

CLARINEX® Syrup side effects in children 6 to 11 years were similar to placebo. For children 6 months to 5 years, syrup side effects varied by age and included fever, diarrhea, upper respiratory infection, irritability, and coughing.

Due to their pseudoephedrine component, CLARINEX-D® 12 HOUR Extended Release Tablets and CLARINEX-D® 24 HOUR Extended Release Tablets should not be taken by patients with narrow-angle glaucoma (abnormally high eye pressure), difficulty urinating, severe high blood pressure, or severe heart disease, or by patients who have taken a monoamine oxidase (MAO) inhibitor within the past fourteen (14) days. Patients with high blood pressure; diabetes; heart disease; increased intraocular pressure (eye pressure); thyroid, liver or kidney problems; or enlarged prostate should check with their healthcare provider before taking CLARINEX-D® 12 HOUR Extended Release Tablets or CLARINEX-D® 24 HOUR Extended Release Tablets.

Care should be used if CLARINEX-D® 12 HOUR Extended Release Tablets or CLARINEX-D® 24 HOUR Extended Release Tablets are taken with other antihistamines or decongestants because combined effects on the cardiovascular system may be harmful. The most commonly reported adverse events for CLARINEX-D® 12 HOUR Extended Release Tablets were insomnia, headache, dry mouth, fatigue, drowsiness, sore throat, and dizziness. The most commonly reported adverse events for CLARINEX-D® 24 HOUR Extended Release Tablets were dry mouth, headache, insomnia, fatigue, sore throat, and drowsiness.

Click here for important CLARINEX® Tablets/Syrup/RediTabs® Product Information.
Click here for important CLARINEX-D® 12 HOUR Product Information.
Click here for important CLARINEX-D® 24 HOUR Product Information.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Note: The information on this site is not intended to be a substitute for professional medical advice. If you have any questions about your treatment or medical condition, please consult your doctor or other qualified health care provider. This site is intended for use by U.S. residents.