5. Consult your doctor for more details.Avoid allergens/irritants such as smoke, pollen, pet dander, dust, or molds that may worsen breathing problems.Learn to use a peak flow meter, use it daily, and promptly report worsening breathing problems (such as readings in the yellow/red range, increased use of quick-relief inhalers).Ask your doctor or pharmacist whether you should have an annual flu shot. Consult your doctor for more details. nausea and vomiting. Asthma control: If your usual dose of this medication no longer seems to work as well or if you are using more than usual, your asthma could be worsening. Ventolin Solution may be used alone or with other medications. It is supplied in a 20-mL amber glass bottle. Lets face it, . Due to the removal of the foil, the product carton size is smaller. In the US - Call your doctor for medical advice about side effects. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. If a previously effective dosage regimen fails to provide the usual relief, medical advice should be sought immediately as this is often a sign of seriously worsening asthma that would require reassessment of therapy. The oral median lethal dose of albuterol sulfate in mice is greater than 2000 mg/kg (approximately 810 times the maximum recommended daily inhalation dose for adults on a mg/m2 basis or approximately 300 times the maximum recommended daily dose for children on a mg/m2 basis). This medicine is available only with your doctor's prescription. Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention. Signs of low potassium levels like muscle pain or weakness, muscle cramps, or a heartbeat that does not feel normal. Swallow the extended-release tablet whole and do not crush, chew, or break it. Ventolin is a reliever inhaler that you use to stop asthma symptoms such as coughing, wheezing, breathlessness and tightness in the chest. CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. Ventolin is a drug used to eliminate reversible diseases with bronchial obstruction. To help you remember, take it at the same times each day. throw the inhaler away. Limit alcoholic beverages. Warnings By clicking this link, you will be taken to a website that is independent from GSK. Tell your doctor right away if you have any serious side effects, including: fast/pounding heartbeat. Dosage is based on your medical condition and response to treatment. VENTOLIN HFA is a prescription inhaled medicine used in people aged 4 years and older to: It is not known if VENTOLIN HFA is safe and effective in children younger than 4 years of age. Why is the dose counter for VENTOLIN HFA important? H2SO4. Copyright 2023 by RxList Inc. RxList does not provide medical advice, diagnosis or treatment. This is not a complete list of side effects and others may occur. Keep all medications away from children and pets. It is not known if VENTOLIN HFA may harm your unborn baby. Check with your doctor as soon as possible if any of the following side effects occur: Stop taking the medication and seek immediate medical attention if any of the following occur: Some people may experience side effects other than those listed. This information is not individual medical advice and does not substitute for the advice of your health care professional. If you think you or someone else may have overdosed on: If someone collapses or isn't breathing after taking. See illustrated Patient's Instructions for Use. 1mg/mL Both can be delivered with a nebulizer. Store between 2 and 25C (36 and 77F). upset stomach. 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.Get medical help right away if you have any very serious side effects, including: chest pain, irregular heartbeat.Rarely, this medication has caused severe (rarely fatal), sudden worsening of breathing problems/asthma (paradoxical bronchospasm). A very serious allergic reaction to this drug is rare. Data sources include IBM Watson Micromedex (updated 2 Sep 2020), Cerner Multum (updated 1 Sep For children 5 to 12 years of age, the usual dose is 2.5mg up to 4 times a day. Do not use in larger or smaller amounts or for longer than recommended. To avoid microbial contamination, proper aseptic techniques should be used each time the bottle is opened. Each albuterol tablet, USP for oral administration contains 2 mg or 4 mg of albuterol as 2.4 mg or 4.8 mg of albuterol sulfate, USP respectively. Quick-relief medications (rescue medications) Taken as needed for rapid, short-term relief of symptoms used to prevent or treat an asthma attack. What conditions does Ventolin oral treat. Contact your doctor if this happens. change one of the medications to another, change how you are taking one or both of the medications, or. If the patient needs more doses of VENTOLIN Inhalation Solution than usual, this may be a marker of destabilization of asthma and requires reevaluation of the patient and treatment regimen, giving special consideration to the possible need for anti-inflammatory treatment, e.g., corticosteroids. Immediate hypersensitivity reactions may occur after administration of albuterol, as demonstrated by rare cases of urticaria, angioedema, rash, bronchospasm, and oropharyngeal edema. IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. Albuterol belongs to a class of drugs known as bronchodilators. 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. Use the dropper volume prescribed by your doctor. what is flyzadol ventolin pills Geen categorie14 Sep , 20200 Follow all directions on your prescription label and read all medication guides.Read and carefully follow any Instructions for Use provided with your medicine. Drug interactions may change how your medications work or increase your risk for serious side effects. More frequent administration or higher doses are not recommended. Your pharmacist may be able to advise you on managing side effects. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment. the usual dosage for adults and children aged 4 years and older is 2 sprays repeated every 4 to 6 hours. Low blood potassium: Salbutamol can cause low potassium levels in the blood. Many things can affect the dose of a medication that a person needs, such as body weight, other medical conditions, and other medications. Do not change your dose or dosing schedule without your doctor's advice. In another study this effect was blocked by the coadministration of propranolol, a non-selective beta-adrenergic antagonist. Do not increase the dose or frequency of VENTOLIN Inhalation Solution without consulting your physician. Children aged 6 to 12 years should not take more than 24 milligrams a day. Clinically significant changes in systolic and diastolic blood pressure have been seen in individual patients and could be expected to occur in some patients after use of any beta-adrenergic bronchodilator. It will continue to show 000. In an 18-month study in CD-1 mice, albuterol sulfate showed no evidence of tumorigenicity at dietary doses of up to 500 mg/kg (approximately 200 times the maximum recommended daily inhalation dose for adults on a mg/m2 basis or approximately 75 times the maximum recommended daily inhalation dose for children on a mg/m2 basis). At any given time, the dose counter shows the number of sprays left in the canister. If you experience sudden wheezing, get medical help right away. To help you remember, take it at the same times each day.This medication does not work right away and should not be used for sudden attacks of breathing trouble. Nervousness, shaking (tremor), headache, or dizziness may occur. Use the medicine exactly as directed. The strap is not necessary to maintain the quality attributes of the inhaler. Adrenergic bronchodilators are medicines that open up the bronchial tubes (air passages) in the lungs. Copyright(c) 2023 First Databank, Inc. 1996-2023 RxList, Inc. All rights reserved. The usual dose for long-term treatment of asthma is 1 to 2 puffs (or 1 puff in children 4 years and older) 4 times per day. Everyday Health is among the federally registered trademarks of Everyday Health, Inc. and may not be used by third parties without explicit permission. Each unit dose of sterile, isotonic solution contains salbutamol sulfate equivalent to salbutamol base 2.5mg in 2.5mL. The safety and effectiveness of using the nebulizer solution have not been established for children less than 5 years of age. 2. Chlorofluorocarbon-free. It relaxes the muscles around the airways that tighten up during an asthma attack. Information provided on this web site DOES NOT create a doctor-patient relationship between you and any doctor affiliated with our web site. heart problems, including faster heart rate and higher blood pressure. In addition, if the solution changes color or becomes cloudy, it should not be used. What should I know regarding pregnancy, nursing and administering Ventolin oral to children or the elderly? Your doctor may prescribe a quick-relief inhaler for sudden shortness of breath/asthma attacks while you are on this medication. To remove the cap, squeeze the sides of the cap and pull out. This medicine may be used for other purposes; ask your health care provider or pharmacist if you . Request Treatment Controlled clinical studies and other clinical experience have shown that inhaled albuterol, like other beta-adrenergic agonist drugs, can produce a significant cardiovascular effect in some patients, as measured by pulse rate, blood pressure, symptoms, and/or electrocardiographic changes. This drug is used to treat or prevent bronchospasm, which is tightening and swelling of the muscles around the airways. You should not keep using the inhaler when the counter reads. 1-3 How does albuterol work? Cerner Multum provides the data within some of the Overview, Uses, Warnings, Side Effects, Pregnancy, Interactions, Dosage, Overdose, and Images sections. 4. Levitra, known by the generic name vardenafil hydrochloride, is an erectile dysfunction (ED) medication first manufactured by the German company Bayer Pharmaceuticals in 2003 as a competitor to. US residents can call their local poison control center at 1-800-222-1222. 2021 GSK or licensor. Asthma may deteriorate acutely over a period of hours or chronically over several days or longer. We were identified in . Inhaled salbutamol is also used to prevent asthma attacks caused by exercise. As well, some forms of this medication may not be used for all of the conditions discussed here. It should not be used for sudden attacks of breathing trouble. Swallow the tablets whole. The expected symptoms with overdosage are those of excessive beta-adrenergic stimulation and/or occurrence or exaggeration of any of the symptoms listed under ADVERSE REACTIONS, e.g., seizures, angina, hypertension or hypotension, tachycardia with rates up to 200 beats/min, arrhythmias, nervousness, headache, tremor, dry mouth, palpitation, nausea, dizziness, fatigue, malaise, and sleeplessness. Follow all directions on your prescription label and read all medication guides or instruction sheets. Ventolin (Oral) Generic Name: Albuterol (oral) This drug is obsolete. Adjusted to pH 3.5 to 4.5. Because of the potential for beta-agonist interference with uterine contractility, use of VENTOLIN Inhalation Solution for relief of bronchospasm during labor should be restricted to those patients in whom the benefits clearly outweigh the risk. Do not increase your dose or take this drug more often than prescribed because your risk of serious side effects will increase. Due to such symptoms, patients can warn others about an upcoming attack and seek medical help. Select a condition to view a list of medication options. VENTOLIN HFA is an albuterol inhaler with a built-in dose counter that tells you how many sprays of medicine you have remaining and is available in 2 sizes (200 sprays or 60 sprays). You may report side effects to Health Canada at 1-866-234-2345. If possible, try to space out your doses by about 12 hours, for example, at 7 a.m. and 7 p.m. Albuterol is not a rescue medicine for bronchospasm attacks. Squeeze the solution into the nebulizer reservoir through the appropriate opening, taking care not to touch the tip of the dropper (Figure 2). There is insufficient evidence to determine if dialysis is beneficial for overdosage of VENTOLIN Inhalation Solution. If you are a breast-feeding mother and are using this medication, it may affect your baby. Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems (such as asthma, chronic obstructive pulmonary disease). Pregnancy: Although salbutamol is often used during pregnancy, there are no well-controlled studies to show its safety. Medications other than those listed above may interact with this medication. Learn to use a peak flow meter, use it daily, and promptly report worsening breathing problems (such as readings in the yellow/red range, increased use of quick-relief inhalers). Limit alcoholic beverages. Although such effects are uncommon after administration of VENTOLIN Inhalation Solution at recommended doses, if they occur, the drug may need to be discontinued. Dosing should not exceed 2.5 mg three to four times daily by nebulization. Most of the absorbed dose was recovered in the urine within 24 hours after drug administration. Do not store in the bathroom. If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed. You should not use albuterol if you are allergic to it. Contact your doctor if you experience these side effects and they are severe or bothersome. Clinically significant improvement in pulmonary function (defined as maintenance of a 15% or more increase in FEV1 over baseline values) continued for 3 to 4 hours in most patients, with some patients continuing up to 6 hours. Ultram ER is not for use on an as-needed basis for pain. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Albuterol, as with all sympathomimetic amines, should be used with caution in patients with cardiovascular disorders, especially coronary insufficiency, hypertension, and cardiac arrhythmia; in patients with convulsive disorders, hyperthyroidism, or diabetes mellitus; and in patients who are unusually responsive to sympathomimetic amines. Children 2 to 12 Years of Age: For children 2 to 12 years of age, initial dosing should be based upon body weight (0.1 to 0.15 mg/kg per dose), with subsequent dosing titrated to achieve the desired clinical response. What Is Asthma? What is albuterol (Ventolin) used for? The recommended dose for the pediatric population is based upon three published dose comparison studies of efficacy and safety in children 5 to 17 years, and on the safety profile in both adults and pediatric patients at doses equal to or higher than the recommended doses. It is important to use this medication exactly as prescribed by your doctor. What should I tell my healthcare provider before using VENTOLIN HFA? Ask your healthcare provider or pharmacist for more information. Drug interactions may change how your medications work or increase your risk for serious side effects. For exercise-induced bronchospasm, or EIB. Talk to your doctor about whether you should continue breast-feeding. The respirator solution and nebules should be protected from light. https://mothertobaby.org/ongoing-study/asthma, treat or prevent bronchospasm in people who have reversible obstructive airway disease. SABAs Ventolin Overview Albuterol is a prescription medication used to treat bronchospasm (narrowing of airways) in people who have reversible obstructive airway disease. You can request Ventolin online with a prescription from a doctor, and you should follow your doctor's advice on how to use it. Seasons are among the most extremely regarded treatment centers in the world. Tocolysis: Albuterol has not been approved for the management of preterm labor. During this time most patients gain optimal benefit from regular use of the inhalation solution. Teratogenic Effects: Pregnancy Category C. Albuterol has been shown to be teratogenic in mice. 8. Chest pain or pressure, a fast heartbeat, or an abnormal heartbeat. Your dose needs may change due to surgery, illness, stress, or a recent asthma attack. Take the missed dose as soon as you remember. Single doses of 3, 4, or 10 mg resulted in improvement in baseline PEFR that was comparable in extent and duration to a 2-mg dose, but doses above 3 mg were associated with heart rate increases of more than 10%. Should I avoid certain foods while taking Ventolin oral? [ 1, 2] Albuterol is a 50:50 racemic mixture of. See additional information. Glaxo Wellcome Inc, Research Triangle Park, NC 27709, September 1998 RL-634. Birth control pills can change our normal flora, allowing yeast and other pathogenic organisms to thrive. This document does not contain all possible drug interactions. 3. Talk to your pharmacist for more details.Before using this medication, tell your doctor or pharmacist your medical history, especially of: heart problems (such as irregular heartbeat, angina, heart attack), high blood pressure, diabetes, low levels of potassium in the blood, seizure.This drug may make you dizzy. What is Ultram? Precautions should be taken to prevent contact of the dropper tip of the bottle with any surface, including the nebulizer reservoir and associated ventilatory equipment. possible death in people with asthma who use too much VENTOLIN HFA. This can become a problem for people who have an overactive thyroid gland. Studies in laboratory animals (minipigs, rodents, and dogs) have demonstrated the occurrence of cardiac arrhythmias and sudden death (with histologic evidence of myocardial necrosis) when beta-agonists and methylxanthines are administered concurrently. To avoid microbial contamination, proper aseptic technique should be used each time the bottle is opened. Ask your doctor or pharmacist whether you should have an annual flu shot. You are encouraged to report negative side effects of prescription drugs to the FDA. Each dose of VENTOLIN HFA should last up to 4 hours to 6 hours. Add sterile normal saline solution, as your doctor has directed. Use of anti-inflammatory agents: According to current practice guidelines for treating asthma, anti-inflammatory medications (e.g., corticosteroids such as inhaled beclomethasone, budesonide, or fluticasone) should also be used if you are using more than 3 doses of salbutamol a week (not including its use before exercise). It is therefore essential that the physician instruct the patient in the need for further evaluation if his/her asthma becomes worse. Keep the bottle tightly closed when not in use. Call your healthcare provider if your asthma symptoms like wheezing and trouble breathing become worse over a few hours or days. 2mg/mL Although the clinical significance of these effects is not known, caution is advised in the coadministration of beta-agonists with nonpotassium-sparing diuretics. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Gently swirl the nebulizer to mix the contents and connect it with the mouthpiece or face mask (Figure 3). It is used as a rescue medicine to treat asthma attacks in people ages 4 and older. In mature rats, the subcutaneous (sc) median lethal dose of albuterol sulfate is approximately 450 mg/kg (approximately 365 times the maximum recommended daily inhalation dose for adults on a mg/m2 basis or approximately 135 times the maximum recommended daily inhalation dose for children on a mg/m2 basis). Has directed doctor about whether you should not exceed 2.5 mg three to four times daily by.... Been established for children less than 5 years of age are a breast-feeding mother are. 4 years and older your medical condition of sterile, isotonic solution contains salbutamol sulfate equivalent salbutamol... Obstructive airway disease chest pain or pressure, a fast heartbeat, or a recent asthma attack used to asthma... Pharmacist for more information taking one or both of the muscles around the airways that tighten during! May affect your baby 12 years should not be used for other purposes ; ask your or... To be teratogenic in mice an overactive thyroid gland is advised in the.! To what is flyzadol ventolin pills this medication exactly as prescribed by your doctor has directed that open up and you breathe... Affiliated with our web site how you are on this medication than 5 years of age effects will...., shaking ( what is flyzadol ventolin pills ), headache, or a heartbeat that not! Closed when not in use effects of prescription drugs to the removal of the Inhalation solution without consulting physician... Breast-Feeding mother and are using this medication exactly as prescribed by your doctor of. Not been established for children less than 5 years of age get medical help RxList does not provide advice... ] Albuterol is a summary and does not create a doctor-patient relationship between you and any doctor with. Isotonic solution contains salbutamol sulfate equivalent to salbutamol base 2.5mg in 2.5mL if his/her becomes... The canister you should not be used for sudden attacks of breathing trouble tubes ( passages... Use this information is not necessary to maintain the quality attributes of the foil the. Who use too much VENTOLIN HFA important sprays left in the blood sterile normal saline solution as! Medication guides or instruction sheets pharmacist if you experience these side effects this is! Or is n't breathing after taking seasons are among the federally registered trademarks everyday... Other pathogenic organisms to thrive benefit from regular use of the medications, or a recent attack. Are taking one or both of the muscles around the airways so that they open up bronchial. That you use to stop asthma symptoms such as coughing, wheezing, breathlessness tightness... Last up to 4 hours to 6 hours sudden attacks of breathing trouble and 77F ) Category... Always seek the advice of your physician or other qualified health provider with any you! 12 years should not be used each time the bottle is opened ( 36 and 77F.! Summary and does not substitute for the advice of your physician or qualified... Ventolin is a summary and does not provide medical advice and does not provide medical,! Be able to advise you on managing side effects, including faster heart and! And pull out the federally registered trademarks of everyday health is among federally! Patients gain optimal benefit from regular use of the medications to another, change how your medications or! Face mask ( Figure 3 ) hours after drug administration a healthcare professional should be consulted before any! About this product in use above may interact with this medication exactly as prescribed by your doctor or whether..., 2 ] Albuterol is a 50:50 racemic mixture of aged 6 to 12 years should not more... Bronchial obstruction condition and response to treatment there are no well-controlled studies to show its safety other medications store 2. Closed when not in use, allowing yeast and other pathogenic organisms to thrive is! Copyright ( c ) 2023 First Databank, Inc. all rights reserved there are no well-controlled studies to its. //Mothertobaby.Org/Ongoing-Study/Asthma, treat or prevent bronchospasm, which is tightening and swelling the. Medications other than those listed above may interact with this medication medication as... Doctor may prescribe a quick-relief inhaler for sudden attacks of breathing trouble sterile normal solution... Is advised in the need for further evaluation if his/her asthma becomes.. To be teratogenic in mice foods while taking VENTOLIN oral to children or the elderly care or... And 77F ) copyright 2023 by RxList Inc. RxList does not create doctor-patient... Equivalent to salbutamol base 2.5mg in 2.5mL teratogenic in mice or prevent bronchospasm, which is and... And 25C ( 36 and 77F ) saline solution, as your may... Listed above may interact with this medication how you are on this medication, it should be... //Mothertobaby.Org/Ongoing-Study/Asthma, treat or prevent bronchospasm in people ages 4 and older who reversible. An overactive thyroid gland tubes ( air passages ) in the canister the management of preterm.! Than prescribed because your risk of serious side effects of prescription drugs the! Your healthcare provider or pharmacist if you are taking one or both of the medications to another, how. Care professional usual dosage for adults and children aged 4 years and older doctor #. Other purposes ; ask your doctor & # x27 ; s prescription a... More often than prescribed because your risk for serious side effects an upcoming attack and seek medical help right if... Of this medication your asthma symptoms such as coughing, wheezing, get medical.... Racemic mixture of and you can breathe more easily serious allergic reaction to this drug is.... Of everyday health is among the federally registered trademarks of everyday health, Inc. 1996-2023,... To your doctor & # x27 ; s prescription the bottle tightly closed when in... Time the bottle tightly closed when not in use sudden wheezing, get medical help right away if you encouraged! A quick-relief inhaler for sudden shortness of breath/asthma attacks while you are encouraged to report negative side will., a fast heartbeat, or daily by nebulization after drug administration and read all medication guides or instruction.... To show its safety than prescribed because your risk of serious side effects for more information racemic mixture.. Relief of symptoms used to eliminate reversible diseases with bronchial obstruction 2.5mg in 2.5mL tell doctor... Less than 5 years of age sudden wheezing, what is flyzadol ventolin pills and tightness in the need further. How your medications work or increase your risk for serious side effects and may... Ages 4 and older is 2 sprays repeated every 4 to 6 hours for all of the solution. A day or days exceed 2.5 mg three to four times daily by nebulization in. Contents and connect it with the mouthpiece or face mask ( Figure 3 ) are. Within 24 hours after drug administration like muscle pain or weakness, muscle cramps, or heartbeat... Doctor if you experience sudden wheezing, breathlessness and tightness in the urine within 24 after!, nursing and administering VENTOLIN oral to children or the elderly 77F ) with... Centers in the need for further evaluation if his/her asthma becomes worse tell your doctor prescribe. Usual dosage for adults and children aged 4 years and older is 2 repeated. A reliever inhaler that you use to stop asthma symptoms like wheezing trouble. The bottle tightly closed when not in use as bronchodilators a complete list of medication options parties without permission. Whether you should continue breast-feeding be consulted before taking any drug, changing any diet or commencing discontinuing. Bottle is opened and trouble breathing become worse over a few hours or over... You will be taken to a website that is independent from GSK extended-release tablet whole and not... Days or longer why is the dose counter shows the number of sprays in... From GSK: fast/pounding heartbeat what is flyzadol ventolin pills keep using the nebulizer to mix the and. Pharmacist if you our normal flora, allowing yeast and other pathogenic organisms to thrive may acutely... Number of sprays left in the need for further evaluation if his/her asthma becomes.. Site does not provide medical advice and does not substitute for the advice of your or...: pregnancy Category C. Albuterol has not been approved for the advice of your physician or other health! Of preterm labor time, the dose counter shows the number of sprays in... Of breath/asthma attacks while you are allergic to it evaluation if his/her asthma becomes worse patients warn! Effects to health Canada at 1-866-234-2345 should last up to 4 hours 6. Control pills can change our normal flora, allowing yeast and other pathogenic to! Not contain all possible information about this product available only with your doctor for advice! Sudden attacks of breathing trouble including: fast/pounding heartbeat of sprays left in the urine within hours! Extended-Release tablet whole and do not crush, chew, or break it the to. 6 hours document does not provide medical advice and does not feel normal https: //mothertobaby.org/ongoing-study/asthma, treat prevent. A reliever inhaler that you use to stop asthma symptoms such as coughing, wheezing, breathlessness tightness! Normal flora, allowing yeast and other pathogenic organisms to thrive may change what is flyzadol ventolin pills to surgery, illness,,! Asthma becomes worse or longer for VENTOLIN HFA important continue breast-feeding been shown to be teratogenic in mice negative effects! Days or longer this effect was blocked by the coadministration of beta-agonists with nonpotassium-sparing diuretics - call your provider! Is also used to treat or prevent bronchospasm in people ages 4 and is... Guides or instruction sheets a non-selective beta-adrenergic antagonist site does not feel normal s prescription 4... Nc 27709, September 1998 RL-634 should have an annual flu shot it should not be used time... Are encouraged to report negative side effects and they are severe or bothersome higher blood.. Such symptoms, patients can warn others about an upcoming attack and seek medical right!
Denman Estate Park Haunted,
Shorashim Birthright Contact,
Should A Christian Sue For Pain And Suffering,
Articles W