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Other points
| Question | Answer |
|---|---|
| hydrocodone/APAP | CIII, tolerance can develop, no additional APAP, with food |
| oxycodone/APAP | CII, no alcohol, 4-6 hr, dose based on oxy component, with food |
| ibuprofen | serious skin events including SJS, monitor vision long term, caution w asthma, with food |
| tramadol | taper off, no alcohol, <75, w or wo food (same way each time) |
| APAP/codeine | CIII, no additional APAP, q4h minimum |
| naproxen | no alcohol, w food or milk |
| diclofenac | no alcohol, w food or milk, 8oz water |
| meloxicam | no alcohol, w or wo food, food/milk may minimize GI effects |
| celecoxib | w food to increase absorption, may sprinkle on applesauce |
| oxycodone | CII, avoid high fat meals, 8oz water, dont crush/chew |
| morphine sulfate | CII, w or wo food (be consistent), duramorph by anest with respiratory support only |
| fentanyl | CII, no grapefruit juice, no alcohol, remove old patch (flush), use conversion guidelines from morphine, patch q 72h |
| buprenorphine/naloxone | CIII, taper off doses, no alcohol |
| sumatriptan | may cause photosensitivity, watch for sx of heavy chest/difficult breathing |
| butalbital/APAP/caffeine | full glass water, no alcohol, orthostatic hypotension may occur |
| methotrexate | no alcohol, prolonged sun exposure, pregnancy risk, no salicylates |
| hydroxychloroquine | w food or milk |
| zolpidem | CIV, no alcohol, before bedtime, wo food |
| eszopiclone | CIV, no alcohol, wo food, dont crush/chew, right before bed, get 7-8hr, may cause sleep driving/eating |
| trazodone | no alcohol, food may decrease lightheadedness/hypotension, NOT APPROVED for children or tx of bipolar |