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SAFEWAY
$434.51
SAFEWAY
30 Pidgeon Hill Dr, Sterling, VA 20165 30 Pidgeon Hill Dr (703) 430-4355 9am to 5pm
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$434.51

1 . 30 PIDGEON HILL DR (3.35 mi)
$434.51 (3.35 mi) 30 PIDGEON HILL DR STERLING, VA 20165 (703) 430-4355 9am to 5pm

$434.51

2 . 22350 S STERLING BLVD (4.93 mi)
$434.51 (4.93 mi) 22350 S STERLING BLVD STERLING PARK, VA 20164 (703) 948-1083 9am to 5pm

$434.51

3 . 437 S KING ST (6.64 mi)
$434.51 (6.64 mi) 437 S KING ST LEESBURG, VA 20175 (703) 771-1741 9am to 5pm

$434.51

4 . 413 ELDEN ST (7.62 mi)
$434.51 (7.62 mi) 413 ELDEN ST HERNDON, VA 20170 (571) 262-2970 9am to 5pm

$434.51

WALMART PHARMACY
$443.62
WALMART PHARMACY
45415 Dulles Crossing Plaza, Sterling, VA 20166 45415 Dulles Crossing Plaza (571) 434-9409 9am to 7pm
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$443.62

1 . 45415 DULLES CROSSING PLAZA (2.95 mi)
$443.62 (2.95 mi) 45415 DULLES CROSSING PLAZA STERLING, VA 20166 (571) 434-9409 9am to 7pm

$443.62

2 . 19360 COMPASS CREEK PARKWAY (5.43 mi)
$443.62 (5.43 mi) 19360 COMPASS CREEK PARKWAY LEESBURG, VA 20175 (703) 779-0164 9am to 7pm

$443.62

3 . 24635 DULLES LANDING DR (8.2 mi)
$443.62 (8.2 mi) 24635 DULLES LANDING DR STERLING, VA 20166 (571) 367-3038 9am to 7pm

$443.62

GIANT PHARMACY
$447.66
GIANT PHARMACY
44110 Ashburn Unit 160, Ashburn, VA 20147 44110 Ashburn Unit 160 (703) 729-3878 9am to 6pm
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$447.66

1 . 44110 ASHBURN UNIT 160 (0.84 mi)
$447.66 (0.84 mi) 44110 ASHBURN UNIT 160 ASHBURN, VA 20147 (703) 729-3878 9am to 6pm

$447.66

2 . 43330 JUNCTION PLAZA (1.75 mi)
$447.66 (1.75 mi) 43330 JUNCTION PLAZA ASHBURN, VA 20147 (703) 723-2161 9am to 6pm

$447.66

3 . 43670 GREENWAY CORP DRIVE (2.85 mi)
$447.66 (2.85 mi) 43670 GREENWAY CORP DRIVE ASHBURN, VA 20147 (571) 223-1827 9am to 6pm

$447.66

4 . 21000 SOUTHBANK ST SUITE 150 (4.24 mi)
$447.66 (4.24 mi) 21000 SOUTHBANK ST SUITE 150 STERLING, VA 20165 (703) 430-0400 9am to 6pm

$447.66

5 . 635 POTOMAC STATION DRIVE (4.53 mi)
$447.66 (4.53 mi) 635 POTOMAC STATION DRIVE LEESBURG, VA 20176 (571) 258-1901 9am to 6pm

$447.66

WEGMANS FOOD MARKETS
$447.66
WEGMANS FOOD MARKETS
45131 Columbia Place, Sterling, VA 20166 45131 Columbia Place (703) 421-2445 8.30am to 6pm
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$447.66

1 . 45131 COLUMBIA PLACE (3.31 mi)
$447.66 (3.31 mi) 45131 COLUMBIA PLACE STERLING, VA 20166 (703) 421-2445 8.30am to 6pm

$447.66

2 . 101 CROSSTRAIL BLVD (3.86 mi)
$447.66 (3.86 mi) 101 CROSSTRAIL BLVD LEESBURG, VA 20175 (703) 669-2255 9am to 7pm

$447.66

COSTCO PHARMACY
$447.66
COSTCO PHARMACY
21398 Price Cascades Plz, Sterling, VA 20164 21398 Price Cascades Plz (703) 406-7048 9.30am to 6pm
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$447.66

1 . 21398 PRICE CASCADES PLZ (4.17 mi)
$447.66 (4.17 mi) 21398 PRICE CASCADES PLZ STERLING, VA 20164 (703) 406-7048 9.30am to 6pm

$447.66

2 . 1300 EDWARDS FERRY RD NE (5.65 mi)
$447.66 (5.65 mi) 1300 EDWARDS FERRY RD NE LEESBURG, VA 20176 (703) 669-1146 9.30am to 6pm

$447.66

GENOA HEALTHCARE,
$447.66
GENOA HEALTHCARE,
11484 Washington Plz W Ste 300, Reston, VA 20190 11484 Washington Plz W Ste 300 (703) 787-3217

$447.66

HARRIS TEETER
$447.96
HARRIS TEETER
20070 Ashbrook Commons Plaza, Ashburn, VA 20147 20070 Ashbrook Commons Plaza (571) 223-0517 9am to 6pm
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$447.96

1 . 20070 ASHBROOK COMMONS PLAZA (0.86 mi)
$447.96 (0.86 mi) 20070 ASHBROOK COMMONS PLAZA ASHBURN, VA 20147 (571) 223-0517 9am to 6pm

$447.96

2 . 19350 WINMEADE DR (2.56 mi)
$447.96 (2.56 mi) 19350 WINMEADE DR LEESBURG, VA 20176 (571) 333-7244 9am to 6pm

$447.96

3 . 42780 CREEK VIEW PLAZA (2.63 mi)
$447.96 (2.63 mi) 42780 CREEK VIEW PLAZA ASHBURN, VA 20147 (571) 223-2335 9am to 6pm

$447.96

4 . 43300 SOUTHERN WALK PLAZA (3.19 mi)
$447.96 (3.19 mi) 43300 SOUTHERN WALK PLAZA ASHBURN, VA 20148 (703) 723-0981 9am to 6pm

$447.96

5 . 21399 EPICERIE PLAZA (4.42 mi)
$447.96 (4.42 mi) 21399 EPICERIE PLAZA STERLING, VA 20164 (571) 665-5025 9am to 6pm

$447.96

CVS PHARMACY
$454.22
CVS PHARMACY
44835 Russell Branch Pkwy, Ashburn, VA 20147 44835 Russell Branch Pkwy (571) 223-0006 10am to 6pm
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$454.22

1 . 44835 RUSSELL BRANCH PKWY (1.21 mi)
$454.22 (1.21 mi) 44835 RUSSELL BRANCH PKWY ASHBURN, VA 20147 (571) 223-0006 10am to 6pm

$454.22

2 . 21170 ASHBY PONDS BLVD (1.51 mi)
$454.22 (1.51 mi) 21170 ASHBY PONDS BLVD ASHBURN, VA 20147 (571) 293-7169 10am to 6pm

$454.22

3 . 43930 FARMWELL HUNT PLZ UNIT 140 (1.76 mi)
$454.22 (1.76 mi) 43930 FARMWELL HUNT PLZ UNIT 140 ASHBURN, VA 20147 (703) 724-7582 9am to 8pm

$454.22

4 . 19305 RUBY DRIVE (2.66 mi)
$454.22 (2.66 mi) 19305 RUBY DRIVE LEESBURG, VA 20176 (571) 333-5918 9am to 6pm

$454.22

5 . 45130 COLUMBIA PL (3.23 mi)
$454.22 (3.23 mi) 45130 COLUMBIA PL STERLING, VA 20166 (703) 463-2009 9am to 5pm

$454.22

WALGREENS
$474.93
WALGREENS
20321 Susan Leslie Drive, Ashburn, VA 20147 20321 Susan Leslie Drive (703) 726-8647 9am to 6pm
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$474.93

1 . 20321 SUSAN LESLIE DRIVE (0.88 mi)
$474.93 (0.88 mi) 20321 SUSAN LESLIE DRIVE ASHBURN, VA 20147 (703) 726-8647 9am to 6pm

$474.93

2 . 42820 CREEK VIEW PLZ (2.6 mi)
$474.93 (2.6 mi) 42820 CREEK VIEW PLZ ASHBURN, VA 20147 (703) 259-6683 9am to 6pm

$474.93

3 . 43250 SOUTHERN WALK PLAZA (3.24 mi)
$474.93 (3.24 mi) 43250 SOUTHERN WALK PLAZA ASHBURN, VA 20148 (703) 729-0693 10am to 6pm

$474.93

4 . 526 FORT EVANS RD (5.02 mi)
$474.93 (5.02 mi) 526 FORT EVANS RD LEESBURG, VA 20176 (571) 209-5631 9am to 6pm

$474.93

5 . 424 SYCOLIN RD SE (5.23 mi)
$474.93 (5.23 mi) 424 SYCOLIN RD SE LEESBURG, VA 20175 (703) 777-2354 9am to 6pm

$474.93

Savella drug information.

(Savella) Milnacipran is used to treat pain caused by a condition called fibromyalgia that affects the muscles, tendons, ligaments, and supporting tissues. This medication is a serotonin-norepinephrine reuptake inhibitor (SNRI) that works by helping to restore the balance of certain natural substances in the brain (neurotransmitters).
Read the Medication Guide provided by your pharmacist before you start using milnacipran and each time you get a refill. If you have any questions, consult your doctor or pharmacist. Take this medication by mouth with or without food, usually 2 times a day or as directed by your doctor. If you have nausea, it may help to take this medication with food. Dosage is based on your medical condition and response to treatment. To reduce your risk of side effects, your doctor may start you at a low dose and gradually increase your dose. Follow your doctor's instructions carefully. Do not increase your dose or take this medication more often than prescribed. Your condition will not improve any faster, and the risk of serious side effects may be increased. If you suddenly stop using this medication, you may have withdrawal symptoms (such as mood swings, headache, tiredness, sleep changes, brief feelings similar to electric shock). To help prevent withdrawal, your doctor may lower your dose slowly. Withdrawal is more likely if you have used milnacipran for a long time or in high doses. Tell your doctor or pharmacist right away if you have withdrawal. Tell your doctor if your condition does not improve or if it worsens.
Before taking milnacipran, tell your doctor or pharmacist if you are allergic to it; or to levomilnacipran; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver disease, alcohol use, personal or family history of glaucoma (angle-closure type), personal or family history of psychiatric disorders (such as bipolar/manic-depressive disorder), personal or family history of suicide attempts, high blood pressure, heart problems (such as chest pain, heart attack, fast/irregular heartbeat), seizure disorder, severe loss of body water (dehydration), stomach/intestinal ulcers, mineral imbalance (low level of sodium in the blood), painful/difficult urination (for example, due to enlarged prostate). This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Avoid alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis). Drinking alcohol can also increase your risk of liver problems. Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products). Older adults may be at greater risk for mineral imbalance (low level of sodium in the blood) while using this drug, especially if they are also taking "water pills" (diuretics) with this medication. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. Babies born to mothers who have used this drug during the last 3 months of pregnancy may rarely develop withdrawal symptoms such as feeding/breathing difficulties, seizures, muscle stiffness, or constant crying. If you notice any of these symptoms in your newborn, tell the doctor promptly. This medication passes into breast milk. Consult your doctor before breast-feeding.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug include: "water pills" (diuretics such as furosemide), drugs that can cause bleeding/bruising (such as "blood thinners" including warfarin/heparin, anti-platelet drugs including clopidogrel). Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and at least 5 days after treatment with this medication. Ask your doctor when to start or stop taking this medication. Check all prescription and nonprescription medicine labels carefully since many medications contain pain relievers/fever reducers (nonsteroidal anti-inflammatory drugs-NSAIDs such as aspirin, ibuprofen, naproxen) that may increase your risk for bleeding if taken together with this drug. Low-dose aspirin should be continued if prescribed by your doctor for specific medical reasons such as heart attack or stroke prevention (usually at dosages of 81-325 milligrams per day). Consult your doctor or pharmacist for more details. The risk of serotonin syndrome/toxicity increases if you are also taking other drugs that increase serotonin. Examples include street drugs such as MDMA/"ecstasy," St. John's wort, certain antidepressants (including SSRIs such as fluoxetine/paroxetine, other SNRIs such as duloxetine/venlafaxine), tryptophan, among others. The risk of serotonin syndrome/toxicity may be more likely when you start or increase the dose of these drugs. Milnacipran is very similar to levomilnacipran. Do not use medications containing levomilnacipran while using milnacipran.
Although not used for depression, this medication is in the same class as antidepressant medications. Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially people younger than 25) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for people younger than 25), even if treatment is not for a mental/mood condition. Tell the doctor right away if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.
See also Warning section. Nausea, vomiting, dry mouth, constipation, loss of appetite, dizziness, increased sweating, headache, or hot flashes (flushing) may occur. If any of these effects persist or worsen, tell your doctor promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high. Tell your doctor right away if you have any serious side effects, including: fast/pounding heartbeat, changes in sexual ability, decreased interest in sex, painful/difficult urination, seizures, yellowing eyes/skin, dark urine, severe stomach/abdominal pain, black/bloody stools, vomit that looks like coffee grounds, easy bruising/bleeding. Get medical help right away if you have any very serious side effects, including: eye pain/swelling/redness, widened pupils, vision changes (such as seeing rainbows around lights at night, blurred vision). This medication may increase serotonin and rarely cause a very serious condition called serotonin syndrome/toxicity. The risk increases if you are also taking other drugs that increase serotonin, so tell your doctor or pharmacist of all the drugs you take (see Drug Interactions section). Get medical help right away if you develop some of the following symptoms: fast heartbeat, hallucinations, loss of coordination, severe dizziness, severe nausea/vomiting/diarrhea, twitching muscles, unexplained fever, unusual agitation/restlessness. A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.