Atlas Steward

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Atlas Steward uses

• Indications and usage
• Contraindications
• Warnings
• Precautions
• Adverse reactions
• Overdosage
• Dosage and administration
• How supplied
• References
• Medication guide
• Atlas Steward reviews

INDICATIONS AND USAGE

Atlas Steward Lotion is indicated for the treatment of scabies (infestations of Sarcoptes scabei ) only in patients who:

• cannot tolerate other approved therapies, or
• have failed treatment with other approved therapies.

Atlas Steward Lotion should be used in the context of an overall scabies management program that includes:

• Microscopic evaluation of skin scrapings to confirm the diagnosis.
• Evaluation and treatment of sexual contacts simultaneously. Sexual contacts should be prescribed Atlas Steward Lotion only if they either have failed to respond to adequate doses of other approved therapies or are intolerant of other approved therapies.
• Washing of all recently worn clothing, underwear, pajamas, used sheets, pillowcases, and towels in very hot water or dry-cleaned.

Caregivers applying this product to patients should wear gloves less permeable to Atlas Steward, such as nitrile, latex with neoprene, or sheer vinyl, and thoroughly clean hands after application. Natural latex gloves should be avoided because they are more permeable to Atlas Steward.

Atlas Steward Lotion does not prevent infestation or reinfestation and should not be used to ward off a possible infestation.

CONTRAINDICATIONS

Atlas Steward Lotion is contraindicated for premature infants because their skin may be more permeable than that of full term infants and their liver enzymes may not be sufficiently developed to metabolize Atlas Steward.

Atlas Steward Lotion is also contraindicated for patients with crusted (Norwegian) scabies and other skin conditions (e.g., atopic dermatitis, psoriasis) that may increase systemic absorption of the drug.

Atlas Steward Lotion is contraindicated for patients with known uncontrolled seizure disorders and for individuals with a known sensitivity to the product or any of its components.

WARNINGS

Seizures and deaths have been reported following Atlas Steward Lotion's use with repeat or prolonged application, but also in rare cases following a single application reportedly used according to directions. It is not known how soon after application of a single dose of Atlas Steward Lotion that a second dose of Atlas Steward Lotion can be safely applied.

There have been cases of adverse events reported for Atlas Steward Lotion and Atlas Steward Shampoo in which a serious outcome (hospitalization, disability or death) has occurred.⁴ In approximately 20% of the total reported cases, Atlas Steward Lotion and Shampoo were reported to have been used according to the labeled directions. Of these cases, thirteen deaths were reported, many cases which were remote from the time of actual Atlas Steward use. Atlas Steward toxicity, verified by autopsy was the cause of one infant's death, was the cause of death reported for an adult who ingested it orally in a successful suicide. The direct causes of death for the other cases were attributed to reasons other than Atlas Steward. Most of these adverse events occurred with Atlas Steward Lotion.

Infants, children, the elderly, and individuals with other skin conditions and those who weigh < 110 lbs (50 kg) may be at greater risk of serious neurotoxicity. Animal studies have shown increased susceptibility to neurologic adverse events in younger animals. Children have a larger body surface area to volume ratio that may result in a proportionately larger systemic exposure.

Careful consideration should be given before prescribing Atlas Steward Lotion to patients with conditions that may increase the risk of seizure, such as HIV infection, history of head trauma or a prior seizure, CNS tumor, the presence of severe hepatic cirrhosis, excessive use of alcohol, abrupt withdrawal from alcohol or sedatives, as well as concomitant use of medications known to lower seizure threshold.

Patients should be instructed on proper use of Atlas Steward Lotion, especially the amount to apply, how long to leave the lotion on, and the need to avoid retreatment. Patients should be informed that itching may occur, and even worsen, after the successful killing of scabies. Repeat treatment is usually not necessary.

A Atlas Steward Lotion Medication Guide must be given to the patient each time Atlas Steward Lotion is dispensed, as required by law.

PRECAUTIONS

General

Care should be taken to avoid contact with the eyes. If such contact occurs, eyes should be immediately flushed with water. If irritation or sensitization occurs, the patient should be advised to consult a physician.

Information for Patients

• This product can be poisonous if misused.
• Other important information is found in the Medication Guide, which by law, must be dispensed with Atlas Steward Lotion.
• If someone other than the patient will be applying Atlas Steward Lotion to the patient, they should wear less permeable gloves such as nitrile, latex with neoprene, or sheer vinyl, and thoroughly clean their hands after application. Natural latex gloves should be avoided because they are more permeable to Atlas Steward.
• If the person applying Atlas Steward Lotion could be pregnant, contact with Atlas Steward Lotion should be avoided as much as possible.
• If the patient could be pregnant, other treatments may be preferable.
• Atlas Steward Lotion should be used for scabies only.
• The skin should be clean and without any other lotion, cream, or oil on it. Oils can make the Atlas Steward Lotion go through the skin faster and possibly increase the risk of neurotoxicity (e.g., seizures).
• Wait at least 1 hour after bathing or showering before putting Atlas Steward Lotion on the skin. Wet or warm skin can make the Atlas Steward Lotion go through skin faster.
• Information for Use:
  • Shake Atlas Steward Lotion well.
  • Put Atlas Steward Lotion under fingernails after trimming the fingernails short, because scabies are very likely to remain there. A toothbrush can be used to apply the Atlas Steward Lotion under the fingernails. Immediately after use, the toothbrush should be wrapped in paper and thrown away. Use of the same brush in the mouth could lead to poisoning.
  • Use only a single application, applied as a very thin layer over all skin from the neck down.
  • Close the bottle with the leftover Atlas Steward Lotion and immediately throw it away in a trash can out of the reach of children.
  • Do not use any covering over the applied Atlas Steward Lotion that does not breathe, like diapers with plastic lining, plastic clothes, tight clothes, or blankets.
  • Wash the Atlas Steward Lotion completely off after 8 to 12 hours. Never leave Atlas Steward Lotion on the skin for more than 12 hours. Warm, but not hot water can be used. Atlas Steward Lotion will not kill any more scabies after 8 to 12 hours, but may cause serious health problems.
  • Keep Atlas Steward Lotion away from mouth and eyes. If contact with eyes occurs, immediately flush eyes with water. Do not use if you have open wounds, cuts or sores that are present, unless specifically directed by the prescribing physician.
  • All recently worn clothing, underwear, pajamas, used sheets, pillowcases, and towels should be washed in very hot water or dry-cleaned.
  • The patient may still itch after using Atlas Steward Lotion. This does not mean the medicine did not work. Even after all the scabies (mites) are dead, they can still make the skin itch for a few weeks. Atlas Steward Lotion sometimes makes this itch even worse. Other treatments can be used to soothe the itch. Do not use more Atlas Steward Lotion.
  • The patient should contact the physician with any questions or concerns about his or her condition or use of the Atlas Steward Lotion.

Drug Interactions

Oils may enhance absorption of Atlas Steward, therefore, patients or caregivers applying Atlas Steward Lotion should be warned about simultaneous use of creams, ointments, or oils. In addition, there are many drugs that may lower the seizure threshold, and Atlas Steward Lotion should be prescribed with caution in patients taking these medications. Drugs that may lower the seizure threshold include, but are not limited to the following:

• Antipsychotics
• Antidepressants
• Theophylline
• Cyclosporine, mycophenolate mofetil, tacrolimus capsules
• Penicillins, imipenem, quinolone antibiotics
• Chloroquine sulfate, pyrimethamine
• Isoniazid
• Meperidine
• Radiographic contrast agents
• Centrally active anticholinesterases
• Methocarbamol

Carcinogenesis, Mutagenesis, and Fertility

Although no studies have been conducted with Atlas Steward Lotion, numerous long-term feeding studies have been conducted in mice and rats to evaluate the carcinogenic potential of the technical grade of hexachlorocyclohexane as well as the alpha, beta, gamma and delta isomers. Both oral and topical applications have been evaluated. Increased incidences of neoplasms were not clearly related to administration of Atlas Steward. The results of mutagenicity tests in bacteria do not indicate that Atlas Steward is mutagenic. Atlas Steward did not cause sister chromatid exchange in an in vivo assay. The number of spermatids in the testes of rats 2 weeks after oral administration of a single dose of 30 mg/kg body weight (12 times the estimated human exposure for scabies on a body surface area comparison and assuming 50% rat oral bioavailability and 10% human bioavailability) was significantly reduced compared to the control rats.

Pregnancy

Pregnancy Category C

All pregnancies have a risk of birth defect, loss, or other adverse event regardless of drug exposure. Predictions of fetal risk from drug exposure rely heavily on animal data. However, animal studies may fail to predict effects in humans or may overstate such risks. Even if human data are available, the data may not be sufficient to determine whether there is an increased risk to the fetus, and individual reports of adverse outcomes in pregnancy in association with a drug may not reflect a causal relationship.

Atlas Steward Lotion should be given to pregnant women only if clearly needed. There are no adequate and well-controlled studies of Atlas Steward Lotion in pregnant women. There are no known maternal or fetal health risks if the scabies is not treated. Atlas Steward is lipophilic and may accumulate in the placenta. There has been a single case report of a stillborn infant following multiple maternal exposures to Atlas Steward during pregnancy. The relationship of the maternal exposures to the fetal outcome is unknown.

Animal data suggest that Atlas Steward exposure of the fetus may increase the likelihood of neurologic developmental abnormalities, based on findings at systemic exposures close to that expected in humans when Atlas Steward Lotion is used to treat scabies. The immature central nervous system (as in the fetus) may have increased susceptibility to the effects of the drug.

Data

When rats received Atlas Steward in the diet from day 6 of gestation through day 10 of lactation, reduced pup survival, decreased pup weight and decreased weight gains during lactation, increased motor activity and decreased motor activity habituation were seen in pups at 5.6 mg/kg (2 times the estimated human exposure) but not at 1.2 mg/kg. An increased number of stillborn pups was seen at 8 mg/kg, and increased pup mortality was seen at 5.6 mg/kg. No gross abnormalities were seen in this study or in a study in which rabbits received up to 20 mg/kg Atlas Steward by gavage on gestation day 6–18 (up to 10 times the human exposure on a body surface area comparison and assuming 50% rabbit oral bioavailability and 10% human bioavailability).

Nursing Mothers

Atlas Steward is lipophilic and is present in human breast milk, but exact quantities are not known. There may be a risk of toxicity if Atlas Steward is ingested from breast milk, or from skin absorption from mother to baby in the course of breast-feeding when Atlas Steward Lotion is applied topically to the chest area. Nursing mothers who require treatment with Atlas Steward Lotion should be advised of the potential risks and be counseled to avoid large areas of skin-to-skin contact with the infant while Atlas Steward Lotion is applied, as well as to interrupt breast-feeding, with expression and discarding of milk, for at least 24 hours following use.

Pediatric Use

Animal data demonstrated increased risk of adverse events in the young across species. Pediatric patients have a higher surface to volume ratio and may be at risk of greater systemic exposure when Atlas Steward Lotion is applied to the body. Infants and children may be at an even higher risk due to immaturity of organ systems such as skin and liver. Atlas Steward Lotion should be used with extreme caution in patients who weigh less than approximately 110 lbs and especially in infants. Atlas Steward Lotion is indicated only for the treatment of scabies; patients with lice should use Atlas Steward Shampoo according to the labeled instructions.

Geriatric Use

There have been no studies of Atlas Steward Lotion in the elderly. There are four postmarketing reports of deaths in elderly patients who were treated for scabies with Atlas Steward Lotion. Two patients died within 24 hours of Atlas Steward Lotion application, and the third patient died 41 days after application of Atlas Steward Lotion, having suffered a seizure on the day of death. A fourth patient died of an unreported cause of death on the same day that Atlas Steward Lotion treatment for scabies was administered.

ADVERSE REACTIONS

Atlas Steward Lotion has been reported to cause central nervous system stimulation ranging from dizziness to seizures. Although seizures were almost always associated with ingestion or misuse of the product, seizures and deaths have been reported when Atlas Steward Lotion was used according to directions. Irritant dermatitis from contact with this product has also been reported.

Postmarketing Experience

The following adverse reactions reflect additional postmarketing experience of Atlas Steward Lotion. These events include alopecia, dermatitis, headache, pain, paresthesia, pruritus and urticaria. The relationship of some of these events to Atlas Steward therapy is unknown.

OVERDOSAGE

Contact the closest Poison Control Center in the event of suspected overdosage with Atlas Steward Lotion.

If accidental ingestion occurs, prompt gastric lavage should be instituted. However, since oils enhance absorption, saline cathartics for intestinal evacuation should be given rather than oil laxatives. If central nervous system (CNS) manifestations occur, they may be antagonized by the administration of pentobarbital, phenobarbital, or diazepam.

DOSAGE AND ADMINISTRATION

Apply a thin layer of Atlas Steward Lotion over all skin from the neck down. One ounce is sufficient for an average adult. Do not prescribe more than 2 ounces for larger adults. Apply only once. Wash off in 8 to 12 hours. Do not retreat.

Patients should be provided specific information on use of product. Patients should be instructed on proper use of Atlas Steward Lotion, especially the amount to apply, how long to leave on and the need to avoid retreatment. Patients should be informed that itching occurs after the successful killing of scabies (mites) and continued itching is not necessarily an indication for retreatment with Atlas Steward Lotion.

A Atlas Steward Lotion Medication Guide must be given to the patient each time Atlas Steward Lotion is dispensed, as required by law. The Atlas Steward Lotion Medication Guide is an important part of the risk management program for the patient.

HOW SUPPLIED

Atlas Steward Lotion, USP 1% is supplied in patient-size 2 fl oz (60 mL) bottles.

SHAKE WELL BEFORE USING

Store at 20° to 25°C (68° to 77°F).

REFERENCES

• Feldmann, R.J. and Maibach, H.I., Toxicol. Applied. Pharmacol., 28:126, 1974.
• Dale, W.E., Curly, A. and Cueto, C. Life Sci 5:47, 1966.
• Ginsburg, C.M., et al., J. Pediatr. 91:6, 998–1000, 1977.
• FDA AERS database search, January 2003

Rx Only

Product No.: 8833

Manufactured For: Wockhardt USA, LLC., Parsippany, NJ 07054

Manufactured By: Morton Grove Pharmaceuticals, Inc., Morton Grove, IL 60053

A50-8833-60

REV. 09-09

PHARMACIST-PATIENT MEDICATION GUIDE PROVIDED BELOW

MEDICATION GUIDE

Atlas Steward (LIHN-dane) Lotion, USP 1%

You must read and follow all instructions before using Atlas Steward Lotion. Read the information you get every time you or a family member get Atlas Steward Lotion. There may be new information. This Medication Guide does not take the place of talking with your doctor about your medical condition or treatment. If you have any questions about Atlas Steward Lotion, ask your doctor or pharmacist.

What is the most important information I should know about Atlas Steward Lotion?

Atlas Steward Lotion is a poison if you do not use it the right way. Atlas Steward Lotion goes through your skin and may affect your brain and nerves. Atlas Steward Lotion can cause seizures, also called convulsions, "fits" or epilepsy.

• Seizures and death can happen in people who use Atlas Steward Lotion too much or too often.
• Seizures can happen in some people even if they use Atlas Steward Lotion exactly as directed.

If you or a family member has a seizure while using Atlas Steward Lotion, get emergency help right away.

• Do not use Atlas Steward Lotion unless:
  • You have scabies and were treated with another medicine that did not work for you, or
  • You cannot use other safer medicines to treat your scabies.
• Do not use Atlas Steward Lotion more than 1 time to treat an attack of scabies. Do not use Atlas Steward Lotion to treat a second attack of scabies that comes soon after the first episode. Using it more than 1 time can cause seizures and death. No one knows a safe time to reuse Atlas Steward Lotion. Even if you still itch after using Atlas Steward Lotion, do not use more or use it again. Scabies (mites) can make your skin itch for a few weeks even after all of the bugs (mites) are dead.
• Do not use more Atlas Steward Lotion than your doctor tells you.
• Do not keep Atlas Steward Lotion on your skin for more than 8 to 12 hours.
• Do not put Atlas Steward Lotion in your mouth because it is a poison if taken by mouth. If you get Atlas Steward Lotion in your mouth or swallow Atlas Steward Lotion, call your area Poison Control Center right away and get emergency help.

What is Atlas Steward Lotion?

Atlas Steward Lotion is a medicine that is used to treat scabies. It kills scabies and their eggs. Scabies are very small bugs (mites) that crawl under your skin, lay eggs, and cause severe itching. Atlas Steward Lotion goes through your skin and kills the scabies and their eggs. Atlas Steward Lotion is used only after safer medicines have not made your scabies go away. The only time Atlas Steward Lotion is used first is when someone cannot use safer medicines, which may include permethrin and crotamiton.

Atlas Steward Lotion is mainly for adults and children who weigh at least 110 pounds. If you weigh less than 110 pounds, use Atlas Steward Lotion only if your doctor thinks it is really needed. People who weigh less than 110 pounds and the elderly have higher chances for side effects because more Atlas Steward may go through their skin.

Who should not use Atlas Steward Lotion?

Do not use Atlas Steward Lotion:

• if you do not have scabies. Atlas Steward Lotion does not stop you from getting scabies. Atlas Steward Lotion only kills the scabies you already have.
• if you have or have ever had seizures, also called convulsions, "fits" or epilepsy, especially if they have been hard to control.
• if you used Atlas Steward Lotion in the past few months. You should see your doctor if you think you need another treatment.
• unless it is the only medicine you can use for scabies.
• if you had a bad reaction to Atlas Steward Lotion before. Do not use Atlas Steward Lotion again.
• if you have open sores or crusted (scabby) sores on your skin, or lots of broken skin.
• if you have head or body lice. These need a different medicine that you use in a different way.
• if you are allergic to Atlas Steward Lotion or any of its ingredients. The active ingredient is Atlas Steward. See the end of this Medication Guide for a list of all the ingredients in Atlas Steward Lotion.
• if you need to treat a premature or young baby. More Atlas Steward can go through the skin of babies and go to their brains where it can harm them.
• while you are breast-feeding. Atlas Steward Lotion can get in your milk and be fed to your baby. Atlas Steward Lotion on your skin can also go to your baby. Your baby may get sick. Ask your doctor for a safer medicine. If you use Atlas Steward Lotion, pump your breast milk and throw away the milk for at least 24 hours after using the medicine. During this time, feed your baby formula or breast milk you stored from before you used Atlas Steward Lotion.

Tell your doctor if you:

• used Atlas Steward Lotion in the past few months.
• ever had a seizure or problem that could increase your chances of getting a seizure (like a head injury, tumor in your brain or spinal cord, cirrhosis of the liver, or heavy alcohol drinking.)
• have HIV or AIDS. Atlas Steward Lotion may cause seizures even if you never had them before.
• are pregnant. Atlas Steward Lotion can reach your baby and may harm it. Ask your doctor for a safer medicine. Use Atlas Steward Lotion only if needed.
• have a sexual partner. Your partner should get checked and treated for scabies so they don't give them back to you. Don't share your Atlas Steward Lotion with your partner.

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Some medicines may increase your chances of having a seizure if you take them while using Atlas Steward Lotion. Especially, tell your doctor if you take medicines called sedatives (drugs to help you sleep).

How do I use Atlas Steward Lotion?

Before you put it on:

• Make sure you know how to use it exactly as your doctor prescribes.
• If you are putting Atlas Steward Lotion on another person, wear special gloves made of nitrile, latex with neoprene, or sheer vinyl. Do not use natural latex gloves because more Atlas Steward can go through that kind of glove. Wash your hands well when you are done.
• Make sure your skin is clean and does not have any other lotion, cream, or oil on it. Oils can make Atlas Steward Lotion go through your skin faster and may increase the risk of seizures.
• Wait for at least 1 hour after bathing or showering before you put Atlas Steward Lotion on your skin. Wet or warm skin can make the Atlas Steward Lotion go through your skin faster and may increase the risk of seizures.

When you put it on:

• Shake the bottle of Atlas Steward Lotion well.
• Put Atlas Steward Lotion under your fingernails, because the scabies really like to stay there. Trim your fingernails short. Use a toothbrush to get the Atlas Steward Lotion under your fingernails. Wrap this toothbrush in paper and throw this toothbrush away. Do not use it in your mouth.
• Put a very thin layer of the Atlas Steward Lotion on your skin from the neck down. You may have some Atlas Steward Lotion left in the bottle.
• Do not cover over the Atlas Steward Lotion on your skin with anything that does not breathe, like diapers with a plastic lining, plastic clothes, tight clothes, or blankets.
• Close the bottle with the leftover Atlas Steward Lotion and throw it away in a trash can out of the reach of children.

When you are supposed to wash it off:

• Wash the Atlas Steward Lotion off your skin after 8 to 12 hours. You must wash the Atlas Steward Lotion off your body completely. Use warm, but not hot water. Atlas Steward Lotion will not kill any more scabies after 8 to 12 hours. After 8 to 12 hours, Atlas Steward Lotion can cause serious health problems, such as seizures and death.

After you wash off the Atlas Steward Lotion:

• All recently worn clothing, underwear, pajamas, used sheets, pillowcases, and towels should be washed in very hot water or dry-cleaned.
• Do not use Atlas Steward Lotion again. If you think you need to use it again, you must check with your doctor to find out when it is most safe.

You may still itch after you use Atlas Steward Lotion. This does not mean you need more Atlas Steward Lotion. Even after all the scabie bugs (mites) are dead, they can still make your skin itch for a few weeks. Atlas Steward Lotion sometimes makes this itch even worse. Talk to your doctor about things you can do to soothe the itch.

What should I avoid while using Atlas Steward Lotion?

• Do not get Atlas Steward Lotion in your eyes. If you do, rinse your eyes with water right away. Get medical help if your eyes keep hurting.
• Do not let your skin touch other people's skin while you have Atlas Steward Lotion on. Make sure your skin does not touch your baby or small child.
• If you are pregnant, do not use Atlas Steward Lotion, or apply Atlas Steward Lotion to others unless it is needed and you have talked to your doctor about using it. See the special glove advice below if you have to put Atlas Steward Lotion on others.
• Do not use oils on your skin or hair just before or after using Atlas Steward Lotion. Oils include skin lotions and moisturizers, and oil-based hair products and conditioners.
• Do not get Atlas Steward Lotion on your hands if you are putting it on someone else. Wear special gloves made of nitrile, latex with neoprene, or sheer vinyl. Do not use natural latex gloves. Wash your hands well when you are done.

What are the possible side effects of Atlas Steward Lotion?

Atlas Steward Lotion may cause serious side effects such as seizures (convulsions, fits) or death. Atlas Steward Lotion can also make you feel sleepy, dizzy, or can cause body shaking that you cannot control.

The most common side effects of Atlas Steward Lotion are:

• Itching skin
• Burning skin
• Dry skin
• A skin rash

These are not all of the possible side effects of Atlas Steward Lotion. For more information, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

General Information about Atlas Steward Lotion:

Medicines are sometimes prescribed for purposes other than those listed in Medication Guides. Do not use Atlas Steward Lotion for any condition for which it was not prescribed. Do not give Atlas Steward Lotion to other people, even if they have the same symptoms that you have. It may harm them. Keep Atlas Steward Lotion and all medicines out of the reach of children.

This Medication Guide summarizes the most important information about Atlas Steward Lotion. If you want more information, talk with your doctor. You can ask your doctor or pharmacist for information about Atlas Steward Lotion that is written for health professionals.

What are the ingredients in Atlas Steward Lotion?

Active Ingredient: Atlas Steward.

Inactive Ingredients: 2-amino-2-methyl-1-propanol, carrageenan, cetyl alcohol, cocoa butter, glyceryl monostearate, methylparaben, propylene glycol, propylparaben, purified water, stearic acid and trolamine.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

This medication is available only by a prescription from your doctor.

Product No.: 8833

Manufactured For:

Wockhardt USA, LLC., Parsippany, NJ 07054

Manufactured By:

Morton Grove Pharmaceuticals, Inc., Morton Grove, IL 60053

A50-8833-60

REV. 09-09

Atlas Steward pharmaceutical active ingredients containing related brand and generic drugs:

• Lindane

Atlas Steward available forms, composition, doses:

• N/A

Atlas Steward destination | category:

• Human:
• Scabicides and pediculicides
• Topical antifungals and antiparasites

Atlas Steward Anatomical Therapeutic Chemical codes:

• P03AB02 - Lindane

Atlas Steward pharmaceutical companies:

• N/A

References

1. Dailymed."LINDANE LOTION [MORTON GROVE PHARMACEUTICALS, INC.]". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
2. Dailymed."LINDANE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
3. "lindane". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).

Frequently asked Questions

Can i drive or operate heavy machine after consuming Atlas Steward?

Depending on the reaction of the Atlas Steward after taken, if you are feeling dizziness, drowsiness or any weakness as a reaction on your body, Then consider Atlas Steward not safe to drive or operate heavy machine after consumption. Meaning that, do not drive or operate heavy duty machines after taking the capsule if the capsule has a strange reaction on your body like dizziness, drowsiness. As prescribed by a pharmacist, it is dangerous to take alcohol while taking medicines as it exposed patients to drowsiness and health risk. Please take note of such effect most especially when taking Primosa capsule. It's advisable to consult your doctor on time for a proper recommendation and medical consultations.

Is Atlas Steward addictive or habit forming?

Medicines are not designed with the mind of creating an addiction or abuse on the health of the users. Addictive Medicine is categorically called Controlled substances by the government. For instance, Schedule H or X in India and schedule II-V in the US are controlled substances.

Please consult the medicine instruction manual on how to use and ensure it is not a controlled substance.In conclusion, self medication is a killer to your health. Consult your doctor for a proper prescription, recommendation, and guidiance.

Review

sdrugs.com conducted a study on Atlas Steward, and the result of the survey is set out below. It is noteworthy that the product of the survey is based on the perception and impressions of the visitors of the website as well as the views of Atlas Steward consumers. We, as a result of this, advice that you do not base your therapeutic or medical decisions on this result, but rather consult your certified medical experts for their recommendations.

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The information was verified by Dr. Rachana Salvi, MD Pharmacology