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brand, generic, ddi, counsel
| brand | generic | class, indication | dosage | ae, se, ddi | counsel |
|---|---|---|---|---|---|
| Brand Name | Generic Name | Indications | Dosage forms Doses | CI, AE, DDI | Counsel |
| Xalatan | latanoprost | Agent for Glaucoma | Opth. Sol’n, one gtt hs | Iris color change, | (blank) |
| Zyloprim | allopurinol | Agent for Gout | Tabs, 100-800mg/day | Caution with renal, hepatic, kidney stones | Weeks to full effect, take with food, no EtOH, hydration, |
| Fioricet | acetaminophen (APAP)/ Butalbital/ Caffeine | Analgesic | Tabs 1-2 q4h | Not for <12yo’ ↓anticoagulant, steroids, estrogens, doxy, theoph, quinidine, BB Hepatotoxic, caution in head injury | May cause drowsy, no EtOH, take with food, habit forming, |
| Ultracet | tramadol hydrochloride/ acetaminophen (APAP) | Analgesic | Tabs, 2 q4-6h; renal adjustments | NO MAOIs, TCAs, SSRIs, quinidine↑ levels, | Avoid EtOH, no Tylenol, take with food (delays onset) |
| Ultram | tramadol hydrochloride | Analgesic | Tabs, XR tabs 300mg/day | NO MAOIs, TCAs, SSRIs, quinidine↑ levels, | Food, no EtOH, addictive, take as directed |
| Nasonex | mometasone furoate monohydrate | Antiallergy Agent | Nasal spray | (blank) | (blank) |
| Imdur | isosorbide mononitrate | Antianginal | Tabs, 30, 60, 120 | Additive w/CCB, not for CHF, | Whole or halved, may cause HA, dizziness |
| Nitrostat | nitroglycerin | Antianginal | SL tabs 0.3-0.6mg , Inj-5mg/ml | Don’t use w/ Viagra, | HA, NV, dizzy, flushing tachy, keep in glass vial |
| BuSpar | buspirone hydrochloride | Antianxiety | Tabs | No MAOIs, no grapefruit, tardive dyskinesia, rash, sweating, | No grapefruit, report abnormal movements |
| Ativan | lorazepam | Antianxiety/ Benzodiazepine | Tabs, inj | No inj. <18yo, probenecid, valproate↓ excretion by 50%; caution w/glaucoma, renal, hepatic. | No EtOH, habit forming |
| Valium | diazepam | Antianxiety/ Benzodiazepine | Tabs 2-10mg, inj, oral conc. Rectal gel | Cimetidine↓ clearance, grapefruit juice↑ levels | Dilute conc.before use, no EtOH, habit forming, |
| Xanax & Xanax XR | alprazolam | Antianxiety/ Benzodiazepine, anxiety, panic | Tabs, tabsXR 4mg.day max | Caution in renal, hepatic, withdrawal can be serious, drowsiness, HoTN | No EtOH, habit forming, |
| Cordarone | amiodarone | Antiarrhythmic (class III) | Tabs 200mg, inj50mg/ml; LD 800mg/day, MD 400mg/day | Long QT; | Take with meals, photosensitivity, no grapefruit juice, vision dist. |
| Advair | fluticasone proionate/ salmeterol xinafoate | Antiasthmatic | Discus, powd. | (blank) | (blank) |
| Duoneb | ipratropium bromide & albuterol sulfate | Antiasthmatic | Nebs | (blank) | (blank) |
| Singulair | montelukast sodium | antiasthmatic | Tabs | (blank) | (blank) |
| Atrovent | ipratropium bromide | Antiasthmatic/ Antiallergy | Mdi, nebs, nasal spray | (blank) | (blank) |
| Combivent | albuterol sulfate & ipratropium bromide | Antiasthmatic/ Bronchodilator | Mdi | (blank) | (blank) |
| Proventil | albuterol sulfate | Antiasthmatic/ Bronchodilator | Mdi, nebs | (blank) | (blank) |
| Spiriva | tiotropium bromide | Antiasthmatic/ Bronchodilator | Powd. Inh, handihaler | (blank) | (blank) |
| Theo-Dur | theophylline anhydrous | Antiasthmatic/ Bronchodilator | Tabs, caps | (blank) | (blank) |
| Xopenex | levalbuterol hydrochloride | Antiasthmatic/ Bronchodilator | Nebs, MDI | (blank) | (blank) |
| Flovent | fluticasone propionate | Antiasthmatic/ Steroid | MDI | (blank) | (blank) |
| Pulmicort | budesonide | Antiasthmatic/ Steroid | MDI, nebs | (blank) | (blank) |
| Macrodantin & Macrobid | nitrofurantoin | Antibacterial | Caps, sus’n | CI in renal fail, CI in term prego, pulmonary issues, nv, ha, flatulence, fever, cough, chills | Take with food, take evenly spaced, discolors urine, |
| Bactrim, Septra | sulfamethoxazole/ trimethoprim | Antibacterial- Sulfonamide | Tabs, tabs DS, sus’n infusion | ↓effects of cyclosporine, ↑procainamide, anticoagulants, sulfonylureas, caution in renal, not for <2mo, not in prego, SJSm diarrhea, nv, RASh | Photosensitivity, empty stomach, avoid sun |
| Bactroban | mupirocin | Antibacterial- Topical | (blank) | (blank) | (blank) |
| Flagyl & Flagyl ER | metronidazole | Antibacterial/ Antiprotozoal | Tabs, caps, ER tabs, inj, powder for inj | Barbituates ↑ metabolism, ↑warfarin effect, neuropathy, seizures, | No EtOH, take with food or milk, |
| Cleocin Oral | clindamycin hydrochloride | Antibiotic | Caps 75, 150, 300mg (150-400 q6h) | Use if PCN allergy, don’t use w/erythromycin, pseudomembranous colitis, No BBB, caution in elderly | Stop and cal Dr if rash, muscle pain, diarrhea, take w/o regard to meals |
| Keflex | cephalexin | Antibiotic- Cephalosporin | Caps, tabs, powder for sus’n | Caution w/renal fail, nv, diarrhea, rash, hives, itching, (PMC) | May ↓OBC, take on empty stomach, at even intervals, sus’n in fridge, |
| Omnicef | cefdinir | Antibiotic- Cephalosporin | Caps 300mg, powder for sus’n | Probenecid↑plasma levels, diarrhea, n, HA, ab pain | No iron, antacids w/in 2 hrs |
| Avelox | moxifloxacin hydrochloride | Antibiotic- Fluoroquinolone | Tabs, inj | Rash, tendon rupture, | Don’t take w/iron or antacids, |
| Cipro & Cipro XR | ciprofloxacin hydrochloride | Antibiotic- Fluoroquinolone | Tabs, XRtabs, sus’n, inj, opth, otic | Probenecid↑ levels, ↑theophylline levels, rash, tendon rupture | Don’t take w/iron or antacids, photosensitivity, fridge or room temp |
| Levaquin | levofloxacin | Antibiotic- Fluoroquinolone | Tabs 250, 500, 750, sol’n, inj. – renal adj needed | Tendon rupture, long QT, DDI-quinidine, procainamide, Amiodarone, sotalol | Separate from antacids, iron, monitor glucose (hypoglyc.) |
| Biaxin & Biaxin XL | clarithromycin | Antibiotic- Macrolide | Tabs (250), XL tabs(500), powder for inj. | May ↑theophylline, carbamazepine, diarrhea (PMC) | XL with food, store sus’n at room temp, call Dr w/severe diarrhea |
| Zithromax & Zmax | azithromycin dihydrate | Antibiotic- Macrolide | Tabs, powder (sus’n, inj) | Antacids slow absorb. Pseudomembranous colitis, diarrhea, | Shake sus’n, separate from antacids, take on empty stomach, |
| Amoxil | amoxicillin trihydrate | Antibiotic- Penicillin | Tabs, chews, caps, powder for sus’n | Probenecid ↓clearance, diarrhea, nv, hives, itching, rash | May↓OBC, take on empty stomach at even intervals, sus’n in fridge, |
| Augmentin (XR) | amoxicillin trihydrate/ clavulanate potassium | Antibiotic- Penicillin | Tabs, chews, XRtabs, sus’n | Probenecid ↓ clearance, diarrhea, nv, hives itching rash | May↓OBC, take at start of meal, sus’n in fridge |
| Veetids, Pen-Vee K, V-Cillin | penicillin V potassium | Antibiotic- Penicillin | Tabs, powder for sol’n | Allergy=hives, rash | May↓OBC, keep sol’n in fridge, take on empty stomach |
| Vibramycin | doxycycline hyclate | Antibiotic- Tetracycline | (blank) | (blank) | (blank) |
| Tegretol & Tegretol XR | carbamazepine | Anticonvulsant | Tabs, chews, XR tabs, sus’n 800-1200mg/day | ↓anticoag, DDIs, grapefruit ↑ levels, CI in marrow supp., NO MAOIs, aplastic anemia, agranulocytosis | Take with food or milk, no EtOH, call Dr if fever, sore throat, easy bruising, mouth sores |
| Celexa | citalopram hydrobromide | Antidepressant | Tabs, sol’n 20-40mg | No MAOIs, cimetadine↑ levels, NSAIDS↑ GI bleed, suicide caution, caution in liver, n, dry mouth, somnolence, insomnia, diarrhea, ED | Don’t stop abruptly, no EtOH, |
| Cymbalta | duloxetine hydrochloride | Antidepressant, depression neuropathic pain | Caps, 40-60mg | No MAOIs, 1A2, 2d6 inhibitors↑ levels, suicide caution, don’t use in glaucoma, caution in hepatic, HTN, no nursing | 4weeks to work, don’t stop abruptly, drowsiness, |
| Desyrel | trazodone hydrochloride | Antidepressant | Tabs, 150-400mg/day | Not for<18yo, ↑effectivness of Phenytoin, grapefruit↑ levels, ketoconazole, ritonavir, indinavir↓ metabolism, caution w/heart issues, drowsy, dizzy, HoTN, NV priapism | Take with food, drowsiness, no EtOH, call Dr w/priapism |
| Effexor & Effexor XR | venlafaxine hydrochloride | Antidepressant, depression, GAD | Tabs, caps XR adjust in renal ½ , hepatic75% | No MAOIs, caution with antihistamines, suicide caution, caution in HTN, monitor BP, caution in seizures, tons of SE | No EtOH, swallow caps whole |
| Lexapro | escitalopram oxalate | Antidepressant | Tabs, sol’n | (blank) | (blank) |
| Paxil & Paxil CR | paroxetine hydrochloride | Antidepressant | Tabs, CR tabs, sus’n, max dose 40mg, ↓dose in renal, hepatic, elderly | No MAOIs, displaces warfarin, NSAIDS ↑GI bleeds, suicide caution, not in seizures, hyponatremia, nausea, somnolence, HA, ED, sweating, diarrhea, | Don’t stop abruptly, no EtOH, call Dr with edema, thirst, 2 weeks to improve, |
| Prozac | fluoxetine hydrochloride | Antidepressant, OCD, bullemia, panic | Tabs, caps, weekly caps, liquid, 20-80mg | No MAOIs, ↑thioridizine, ↑TCAs, BZDs, Phenytoin, carbamazepine, 2D6 drugs; coution with sumatriptan, tryptophan; suicide caution, rash, caution in liver, not for<7yo, nv, insomnia, anorexia, HA, nervous, dizzy, tremor, diarrhea, sweating, sex dys, | No EtOH, don’t stop abruptly, call Dr w/rash, |
| Remeron | mirtazapine | Antidepressant | Tabs, soltabs, 15-45mg/day | No MAOIs, NSAIDS↑ GI bleed, suicide caution, agranulocytosis, drowsy, dry mouth, ↑appetite, weight gain, flu, abnormal dreams, | Don’t stop abruptly, no EtOH, call Dr w/signs of infection |
| Wellbutrin (SR, XL) | bupropion hydrochloride | Antidepressant | Tabs, SR, XL tabs, max dose 450/day | Not in seizures, eating disorder, No MAOIs, suicide caution, may cause psychosis, dizzy, weight loss, dry mouth, sweating, tremor, minimal ED | Take XL in am, no EtOH |
| Zoloft | sertraline hydrochloride | Antidepressant | Tabs, conc. Max 200mg/day | NO MAOIs, ↑pimozide levels, NSAIDS↑ GI bleed, suicide caution, nv, diarrhea, dizzy, dry mouth, ED | Don’t stop abruptly, dilute conc. w/OJ, lemonade, gingerale, 7 up, water, no EtOH |
| Elavil | amitriptyline | Antidepressant- Tricyclic | Tabs 40-150mg/day | Not for <12yo, ↑dicumarol, ↓clonidine, uanethidine, toxicity with Fluoxetine, no MAOIs, caution in liver, prego, glaucoma, (antichol.effects), tachy, dry, vision, ha, weight gain | Don’t stop, drowsiness, no EtOH |
| actos | pioglitazone hydrochloride | Antidiabetic | Tabs, 15-45mg | Not for type 1, resume ovulation | w/o regard to meals |
| Amaryl | glimepiride | Antidiabetic | Tabs, 1-4mg | Hypoglycemia | Take with breakfast |
| Avandia | rosiglitazone maleate | Antidiabetic | Tabs, 2-8mg | Not for type 1, resume ovulation | w/o regard to meals |
| Glucophage & Glucophage XR | metformin hydrochloride | Antidiabetic | Tabs, XRtabs | CI wSCr>1.4, lactic acidosis | Take with meals, no EtOH |
| Glucovance | glyburide/ metformin hydrochloride | Antidiabetic | Tabs | CI w/SCr>1.4, lactic acidosis | Take with meals, no etOH |
| Humalog | insulin lispro | Antidiabetic | Inj | (blank) | 15 min before eating |
| Lantus | insulin glargine | Antidiabetic | Inj | (blank) | No dilution, no mixing |
| Novolog | insulin aspart | Antidiabetic | Inj | (blank) | 5-10min before easting |
| Glucotrol & Glucotrol XL | glipizide | Antidiabetic- Sulfonylurea | Tabs, XLtabs | Hypoglycemia, caution in renal, hepatic | 30min before meals |
| Micronase | glyburide | Antidiabetic- Sulfonylurea | Tabs | Hypoglycemia, Caution in renal, hepatic | Take with breakfast |
| Dilantin | phenytoin sodium | Antiepileptic | (blank) | (blank) | (blank) |
| Klonopin | clonazepam | Antiepileptic | Tabs, ODwafers, max dose 20mg | DDIs, caution with prego, liver, diabetes; nystagmus, ataxia, speech, confusion, nv, rash, hirtuism, gingival hyperplasia | ↓OBC, take with food, call dr with rash, good oral care, monitor glucose, |
| Lamictal | lamotrigine | Antiepileptic | Tabs, chew tabs, ~200mg/day | DDIs, rash, eye problems, | ↓OBC, report fever to dr, CI pregnancy, chews can go in liquid first |
| Neurontin | gabapentin | Antiepileptic | Caps, tabs, sol’n, renally adjust, 900-1800mg/day in tid | <12yo-not established, caution in renal, somnolence, dizzy, fatigue, ataxia, nystagmus, tremor, diplopia, | Sol’n in fridge, no EtOH, taper dose, |
| Topamax | topiramate | Antiepileptic | Sprinkle caps, tabs 400mg/day | ↑estrogen metabolism, ↑metformin levels, metabolic acidosis, vision changes, kidney stones | Taper, no EtOH, call Dr w/eye changes, drink plenty to avoid kidney stones, |
| Trileptal | oxcarbazepine | Antiepileptic | Tabs, sus’n 2400mg/day | DDIs, SJS, xreactiviy to carbamazepine, monitor sodium (hypo), | No EtOH, |
| Depakote & Depakote ER | divalproex sodium | Antiepileptic/ Antipsychotic | Tabs, tabsER, caps 60mg/kg | ASA carbamazepine, phenobarb, Phenytoin, CI in liver dx, monitor platelets, NV, sleepy, dizzy, tremor, weight gain, alopecia, | Do not stop, take w/food for GI, call dr w/edema, weakness, ab pain, nv |
| Phenobarbital | phenobarbital | Antiepileptic/ Hypnotic | Tabs, elixir, inj.; 100mg | DDI EtOH, Anticoag; | No EtOH, habit forming |
| Diflucan | fluconazole | Antifungal | Tabs, powder for sus’n, inj | ↑PTT, ↑phenytoin, ↑midazolam,↑cyclosporine, ↑tolbutamide, ↑glyburide, ↑glipizide long QT, n, HA, ab pain, diarrhea, taste perversion | Call dr w/rash |
| Nystatin | nystatin | Antifungal | Tabs, sus’n | Diarrhea, nv, GI issues, tachy | Take at regular invervals |
| Lotrisone | clotrimazole & betamethasone dipropionate | Antifungal- Topical | Cream, lotion | Stinging, burning, blistering, peeling, itching, hives, irritation | Use only as long as directed, no occlusive dressings, may stain clothes |
| Allegra | fexofenadine hydrochloride | Antihistamine | tabs | (blank) | (blank) |
| Phenergan | promethazine hydrochloride | Antihistamine | Tabs, syrup, suppositories, inj | (blank) | (blank) |
| Zyrtec | cetirizine hydrochloride | Antihistamine | Tabs, chews, syrup | (blank) | (blank) |
| Allegra-D | fexofenadine hydrochloride & Pseudoephedrine hydrochloride | Antihistamine/ Decongestant | Tabs | (blank) | (blank) |
| Crestor | rosuvastatin calcium | Antihyperlipidemic | Tabs 5-40mg/day | Cyclosporine ↑levels 7x, ↑INR, gemfibrozil↑ levels 2x, antacids↓ levels, no liver dx, monitor LFTs, rhabdo | Call dr w/muscle pain, no prego, limit etoh, |
| Lipitor | atorvastatin calcium | Antihyperlipidemic | Tabs 10-80mg | ↑dig levels, Don’t give with gemfibrozil, nic. Acid, erythrom, immuno rhabdo, grapefruit ↑ levels no prego, monitor LFTs | No prego, no grapefruit, photosensitive, no etoh, call dr w muscel pain |
| Lopid | Gemfibrozil | Antihyperlipidemic | Tabs 600mg bid | ↑anticoags, Lovastain gives rhabdo, no liver, renal, | Call dr w/muscel pain, |
| Mevacor | lovastatin | Antihyperlipidemic | Tabs | Gemfibrozil=rhabdo, no grapefruit, no liver, prego, Etohics, monitor LFTs. | Take w/meals, photosensitive, call dr w/muscel pain, |
| Pravachol | pravastatin sodium | Antihyperlipidemic | Tabs 10-40mg | Don’t give with gemfibrozil, nic. Acid, erythrom, immuno, rhabdo, caution in liver, monitor LFT, | Call dr w/muscle pain, photosensitive, no prego |
| Tricor | fenofibrate | Antihyperlipidemic | Tabs, 48-145mg | ↑action of warfarin, don’t use w/HMGCoase, not for lilver, hepatotoxic, monitor LFT, | Call dr with rash, muscle pain |
| Vytorin | ezetimibe & simvastatin | Antihyperlipidemic | Tabs | Gemfibrozil, fenofibreate ↑ levels, cholestyramine↓ levels, not for liver, rhabdo↑warfarin, dig, avoid 3A4 inh. Grapefruit, rhabdo, no liver dx, constipation Muscle pain | Don’t take with cholestyramine (2hrs), w/o regard to meals, call Dr w/muscle pain No grapefruit juice, call Dr w/muscle pain, photosensitive, no EtOH, no Prego, |
| Zetia | ezetimibe | Antihyperlipidemic | Tabs, 10mg | Gemfibrozil, fenofibreate ↑ levels, cholestyramine↓ levels, not for liver, rhabdo | Don’t take with cholestyramine (2hrs), w/o regard to meals, call Dr w/muscle pain, |
| Zocor | simvastatin | Antihyperlipidemic | Tabs max 80mg/day | ↑warfarin, dig, avoid 3A4 inh. Grapefruit, rhabdo, no liver dx, constipation Muscle pain | No grapefruit juice, call Dr w/muscle pain, photosensitive, no EtOH, no Prego, |
| Avapro | irbesartan | Antihypertensive, HTN, diabetic neuropathy | Tabs 150mg-300mg | NSAIDS↓effect,↑renal probs, caution in renal, no nursing | w/o regard to food |
| Benicar-HCT | olmesartan medoxomil & hydrochlorothiazide (HCTZ) | Antihypertensive | Tabs | Not for initial tx, may cause hyperglycemia, dig arrythmias, HCTZ ↑ litium, caution in gout, not in prego | w/food for gi, take in am, photosensitive, |
| Catapres & Catapres TTS | clonidine hydrochloride | Antihypertensive | Tabs, TTS 0.2-0.8mg/day | BP↓w/TCA, caution in cardio, renal, sudden stopping=HTN | Take with food for GI, don’t dc, no OTC cold meds, change TTS sites, |
| Cardura & Cardura XL | doxazosin mesylate | Antihypertensive- Alpha-Blocker, HTN, BPH | Tabs, XL tabs max 16mg | Caution in liver, start with hs dose to avoid fainting, dizzy, edema, fatigue, rhinitis, HA | Take at HS, XL in am, no OTC cold meds, shell of XL may pass thru |
| Hytrin | terazosin hydrochloride | Antihypertensive/ BPH Treatment | Caps, 1-5mg/day | Caution in liver, start with hs dose to avoid fainting, dizzy, edema, fatigue, rhinitis, HA, palpitations, nausea | Take at hs, no cold meds |
| Deltasone | prednisone | Anti-Inflammatory/ Steroid | Tabs 5-60mg/day | Barbituates, rifampin, hydantoins ↑metabolism, estrogen↓metabolism CI w/systemic fungal, cushings | Food or milk, take as directed |
| Medrol | methylprednisolone | Anti-Inflammatory/ Steroid | Tabs, inj; 4-48mg/day | Cushings | Food or milk, take as directed |
| Quinine Sulfate | quinine sulfate | Antimalarial | Tabs, caps | 260-650mg tid, 200mg hs for leg cramps, cinchonism, tinnitus | (blank) |
| Imitrex | sumatriptan succinate | Antimigrainous Agent | Inj, tabs, spray | HTN | Separate doses by 24h 2max, |
| Cogentin | benztropine mesylate | Antiparkinson Agent | Tabs, inj. 1-4mg/day | Not for <3yo, ↓phenothiazines, haloperidol, tardive dyskinesia w/haloperidol, anticholinergic, Dry mouth, vision etc | Take with food or milk, don’t stop, caution in heat, |
| Sinemet | carbidopa/ levodopa | Antiparkinson Agent | Tabs, CR, tabs 10/100-25/250 | Hydantoins, B6↓ effectiveness, no MAOIs, CI in glaucoma, melanoma caution in psychosis, cardio, pulmonary, asthma, renal, hepatic; dystonic/involuntary movements, | Take with food or milk, no Vit B6, whole or half tabs |
| Abilify | aripiprazole | Antipsychotic | Tabs, ODtabs, sol’n; 30mg/day | Carbamazepine↓ levels, quinidine, prozac, paxil ↑ levels; NMS, caution in alzheimers, suicide risk | Caution in heat, tardive dyskinesia, sol’n in fridge, ↓mental alertness |
| Aricept | donepezil hydrochloride | Antipsychotic | Tabs, ODT, sol’n; 5-10mg hs | Dc before anesthesia, ↑GI bleed, caution in COPD, asthma; nv, diarrhea, insomnia, cramps, fatigue, anorexia | w/o regard to food, take hs, |
| Clozaril | clozapine | Antipsychotic | Max daily dose = 900mg, tabs | Only available through clozaril pt. management system WBC monitoring weekly at 1st agranulocytosis Caution if hx of seizures, cardio dz, prostate enlargement of narrow angle glaucoma | May be taken w/o regard to food Monitor DM pts closely worsening glucose control |
| Lithonate & Lithotabs | lithium carbonate | Antipsychotic | Tabs, caps Desirable maintenance serum levels = 0.6 – 1.2mEq/l 300mg tid | Use w/ carbamazepine may produce neurotoxicity May cause hypothyroidism when used w/ iodides NSAIDS, ACEI and thiazides serum levels Lithium D NA reabsorption Na depletion & lithium toxicity Toxoicity D/V, distress, blurred vision, tinnitus, polyuria | Effects may take 1-2 weeks Avoid overexposure to heat & sweating during therapy |
| Namenda | memantine hydrochloride | Antipsychotic | Tabs & oral solution | (blank) | (blank) |
| Risperdal | risperidone | Antipsychotic | Tabs,M-tabs, oral solution, powder for injection (q2wks) Max dose = 16mg/d | Neurolepric malignant syndrome rigidity, hyperpyrexia, autonomic instability May lengthen QT interval Caution if hx of seizures or if have DM Extrapyramidal sx | M-tabs open w/ dry hands, don’t split Solution compatible w/ OJ, coffee & lowfat milk Avoid overexposure to sunlight |
| Seroquel | quetiapine fumerate | Antipsychotic | Max daily dose = 800mg/d, tabs | Oral clearance by phenytoin & thoiridazine Neuroleptic malignant syndrome Tardive dyskinesia Orthostatic hypotension Cataracts lens examinations initially & q6mo Caution when predisposed to seizures, hypothyroid, DM | May be taken w/o regard to meals |
| Zyprexa | olanzapine | Antipsychotic | Tabs, ODT tabs (Zydis), powder for inj | (blank) | (blank) |
| Tessalon | benzonatate | Antitussive | Caps Max dose = 600mg qd | Not indicated for children < 10 years Severe life threatening reactions including cardiovascular collapse & bronchospasm have occurred from chewing or sucking tessalon | May cause sensation of burning in eyes |
| Guaifenex DM | dextromethorphan hbr/ guaifenesin | Antitussive/ Expectorant | Usual dosa – 2 tablets every 12 hours | Use DXM w/ caution in sedated or debilitated patients may rarelt cause drowsiness | Guaifenesin may cause nausea Tablets may be split in half |
| Robitussin AC & Mytussin AC | codeine phosphate & guaifenesin | Antitussive/ Expectorant | Adult max dose = 12 teaspoonsful/24h | Use w/ caution in pts w/ intracranial pressure & head injury Not intended for persistent or chronic cough as occurs w/ smoking, asthma, chronic bronchitis or emphysema or if cough is accompanied by excess phlegm | May cause drowsiness & constipation Avoid alcohol while taking this medication May take w/ food or milk to avoid GI upset |
| Tamiflu | oseltamivir phosphate | Antiviral | Caps (70, 45 & 30mg), powder for oral suspension Adjust dose in renal impairment | Nv, s/s reduce in 2 days | Beginning tamiflu >40 of the onset of symptoms has not shown to be effective May be taken w/o regard to meals Store reconstituted suspension in fridge, do NOT freeze |
| Zovirax | acyclovir | Antiviral | Caps, tabs, ointment, cream, suspension, powder for injection Rapid bolus, IV/IM or SC inj must be avoided | Probenecid may elimination | Avoid sexual intercourse when used for genital herpes & when visible lesions are present, does NOT eliminate latent virus and is NOT a CURE Drink plenty of fluids during therapy |
| Benicar | olmesartan medoxomil | Cardiovascular- Angiotensin II Antagonist | Tabs 40mgqd No dosage adj recommended for elderly pts, pts w/ mod – marked renal impairment or mod- marked hepatic dysfxn | Prodrug hydrolyzed during absorption from GI tract | May cause dizziness |
| Cozaar | losartan potassium | Cardiovascular- Angiotensin II Antagonist HTN, D risk of stroke | Tabs 25-100mg/day | Active metabolite NSAIDS & COX-2 inh may effects & risk of renal fxn deterioration | When pregnancy suspected d/c ASAP May be admin w/ or w/o food |
| Diovan-HCT | valsartan/ hydrochlorothiazide (HCTZ) | Cardiovascular- Angiotensin II Antagonist HTN | Tabs Max valsartan dose = 320mg/d | HCTZ alter sulfonylurla hypoglycemia, CI in pts w/ anuria or sulfonamide sensitive | Dizziness may occur in 1st few days of tx |
| Diovan | valsartan | Cardiovascular- Angiotensin II Receptor Blocker HTN, HF, cardiovascular mortality | Tabs Maint dose range = 80-320mg/d | NSAIDS & COX 2 inh may effects & renal SE’s | May be best to admin w/ food for consistent plasma effectsDizziness may occur in 1st few days of tx |
| Coumadin | warfarin sodium | Cardiovascular- Anticoagulant | (blank) | (blank) | (blank) |
| Hyzaar | losartan potassium/ hydrochlorothiazide (HCTZ) | Cardiovascular- Antihypertensive | Tabs HCTZ effective range = 12.5 – 100mg | Cimetidine levels of losartan NSAIDS & COX-2 inh effects Thiazides may exacerbate or activate SLE | May be taken w/ or w/o food Usually given in AM b/c of diuresis Avoid excessive exposure to sunlight |
| Zestoretic | lisinopril/ hydrochlorothiazide (HCTZ) | Cardiovascular- Antihypertensive HTN | Tabs Effective dose of lisinopril = 10-80mg/d | Effect w/ indopethacin Risk of hypersensitivity w/ allopurinol May lithium levels | May be taken w/o regard to meals Avoid excessive exposure to sunlight Usually given in AM b/c of diuresis |
| Ziac | bisoprolol fumarate/ hydrochlorothiazide (HCTZ) | Cardiovascular- Antihypertensive HTN | Tabs 2.5/6.25 5/6.25 10/6.25 Max 20/12.5 | Use caution when using w/ clonidine, verapamil & diltiazem May therapeutic & toxic effect of lithium | May be taken w/ food or milk if GI upset Avoid excessive exposure to sunlight Usually given in AM b/c of diuresis |
| Coreg | carvedilol | Cardiovascular- Beta-Blocker | Tabs Max dose = 25mg BID if <85kg; 50mg BID if >85kg | Nonselective BB w/ A-1 adrenergic blocking activity Use w/ reserpine, clonidine or MAOI significant hypotension or bradycardia Use w/ Dilt or Vera conduction disturbances CI in NYHA class IV decompensated HF Caution in pts w/ peripheral vascular dz, d | Take with food to orthostatic hypotension |
| Inderal & Inderal LA | Propranolol hydrochloride | Cardiovascular- Beta-Blocker HTN, arrhythmias, angina, migraine, MI, mypertrophic subaortic stenosis, pheochromocytoma, preoperative | Tab, SR cap & Inj | Crosses BBB Toxic effects w/ Verapamil Severe HTN w/ Epi May toxic effects of ergot alkaloids or lidocaine | May cause drowsiness May mask sx of hypoglycemia |
| Lopressor | metoprolol tartrate | Cardiovascular- Beta-Blocker HTN, Acute MI | Tabs & inj | Toxic effects w/ verapamil | Take w/ food to absorption May cause dizziness May mask hypoglycemic sx |
| Tenormin | atenolol | Cardiovascular- Beta-Blocker HTN, Angina, Acute MI | Tab & Inj | May effects of Clonidine NSAIDS may effects Toxic effects w/ verapamil | May be taken w/ food or milk if GI upset occurs May cause drowsiness May mask hypoglycemic sx |
| Toprol-XL | metoprolol succinate | Cardiovascular- Beta-Blocker HTN, Angina, HF | Tabs | Toxic effects may w/ Verapamil Pts w/ HF should contact MD if sx worsen | Take w/ food to absorption May cause dizziness May mask hypoglycemic sx |
| Cardizem & Cardizem CD | diltiazem hydrochloride | Cardiovascular- Calcium Channel Blocker | Tabs, SR caps, Inj Usual optimum dosage range = 180-360mg/d in 3-4 div doses | Cimetidine plasma levels Peripheral edema | Take each dose on empty stomach May cause dizziness |
| Dilacor XR | diltiazem hydrochloride | Cardiovascular- Calcium Channel Blocker | SR caps | Cimetidine may plasma levels Edema Constipation | Take each dose on empty stomach May cause dizziness Swallow capsules whole |
| Isoptin & Isoptin SR | verapamil hydrochloride | Cardiovascular- Calcium Channel Blocker | Tabs, SR tabs, Inj Dose ranges 240 – 480mg/d in div doses q 6-8 hrs | therapeitic & toxic effects of BB & prazosin Peripheral edema Constipation | Take each dose on empty stomach |
| Norvasc | amlodipine besylate | Cardiovascular- Calcium Channel Blocker | Tabs | Edema | May be taken w/o regard to meals |
| Procardia & Procardia XL | nifedipine | Cardiovascular- Calcium Channel Blocker | Caps, SR tabs | toxicity w/ quinidine Peripheral & pulmonary edema | Cimetidine or grapefruit juice metabolism Take each dose on empty stomach Don’t chew or divide tablets |
| Lotrel | amlodipine besylate/ benazepril hcl | Cardiovascular- Combination HTN | Caps | Indomethacin effects, Capsacin coughing Lithium toxicity may occur Cough, HA, dizziness, angioedema | May be taken w/o regard to meals |
| Lanoxin and Lanoxicaps | digoxin | Cardiovascular- Inotropic | Tabs, caps, elixir, inj Normal dose range = 0.125 – 0.5mg | Serum levels hypothyroidism, hypothyroidism Amoidarone, quinidine, propafenons & EES serum levels Cyclosporine, tertacyclines & quinine levels Anorexia, blurred vision, HA, n/v | (blank) |
| Accupril | quinapril hydrochloride | Cardiovascular-ACE Inhibitor | Tabs | Metabolized in liver to quinaprilat May absorption of tetracycline Antacids bioavailability Indomethacin effect Capsacin cough May lithium & dig toxicity | (blank) |
| Altace | ramipril | Cardiovascular-ACE Inhibitor HTN, risk of MI, HF in post MI | Caps | Indomethacin effect Capsacin cough Cholestatic jaundice or hepatitis fulminant hepatic necrosis / death | (blank) |
| Capoten | captopril | Cardiovascular-ACE Inhibitor HTN, Heart failure, survival after MI | Tabs | Neurtopenia rare Capsacin cough May lithium & dig levels | Food absorption – take on empty stomach 1 hr prior to meals |
| Lotensin | benazepril hydrochloride | Cardiovascular-ACE Inhibitor Not initial tx for HTN | Tabs 5/6.25 10-20/12.5 20/25 | Angioedema & neutropenia (rare) Metabolized into active benazeprilat in liver Indomethacin therapeutic effects | Capsacin cough |
| Monopril | fosinopril sodium | Cardiovascular-ACE Inhibitor | Tabs 20-80mg/day No dosage adjustment necessary in renal impairment | Antacids absorption – don’t take w/in 1-2 hrs of taking this med Hydrolyzed to fosinoprilat | Indomethacin effect Capsacin cough |
| Vasotec | enalapril maleate | Cardiovascular-ACE Inhibitor | Tab, INJ | Hydrolysis to enalaprilat Indomethacin effects Capsacin cough | May be taken w/o regard to meals Report any signs of Neutropenia |
| Zestril | lisinopril | Cardiovascular-ACE Inhibitor | Tabs Usual effective dose range = 5-20mg/d | May potentiate action of oran antidiabetics and/or insulin Rare cholestatic jaundice of hepatitis fulminant hepatic necrosis / death | May be taken w/o regard to meals Indomethacin effect Capsacin cough |
| Adderall (XR) | amphetamine & dextroamphetamine salts | CNS Stimulant | Tabs, ER caps Adults recommended dose = 20mg/d | Effects when used w/ MAOI May effect of antihypertensives | (blank) |
| Concerta | methylphenidate hydrochloride | CNS Stimulant | Dosage adj in 18mg increments qwk max – 72mg/d | Coadmin w/ MAOI hypertensive crisis May levels of phenytoin, phenobarb, warfarin, SSRI | Swallow tabs whole w/ glass of H2O, DON”T crush, divide or chew Inactive tablet shell may be noticed in stool |
| Ritalin (SR) &(LA) | methylphenidate hydrochloride | CNS Stimulant | Tabs, SR tabs, SR caps | Coadmin w/ MAOI hypertensive crisis Caution in pts w/ seizures May BP & HR | Shouldn’t be use in pts < 6yrs Take last dose early in evening to avoid insomnia |
| Kenalog | triamcinolone acetonide | Corticosteroid- Topical | Ointment, cream, lotion, aerosol, injection, dental paste | Use of topical corticosteroids may produce reversible HPA axis suppression, manifestations of Cushings, hyperglycemia & glucosuria | Adverse effects occur more frequently when an occlusive dressing is used |
| Guaifenex PSE | pseudoephedrine hydrochloride & guaifenesin | Decongestant/ Expectorant | ER tabs ; | May produce HTN when used w/ methyldopa, TCAs or MAOIs | Tablets may be broken in half w/o affecting the ER of the medication, but they shouldn’t be chewed or crushed If GI upset occurs, take w/ food or milk Take a few hours b4 bedtime to minimize possibility of insomnia |
| Dyazide | triamterene and hydrochlorothiazide (HCTZ) | Diuretic | Caps (37.5/25); 1 -2 caps qd | Toxic effects of cardiac glycosides, diazoxide & lithium Pharmacologic effects of sulfonylureas CI if pt allergic to sulfonamide derived drugs | Usually given in AM May take w/ food or milk if GI upset Avoid prolonged exposure to sunlight |
| Maxzide | triamterene and hydrochlorothiazide (HCTZ) | Diuretic- Combination | Maxide – 25 & maxide tabs 1 tab daily | Toxic effects of dig & lithium Effects of sulfonylureas CI if allergic to sulfonamide derived drugs Constipation, urine discoloration, sexual performance, SOB, dry mouth | May take w/ food or milk of GI upset occurs Avoid prolonged exposure to sunlight |
| Demadex | torsemide | Diuretic- Loop | Tabs & solution for injection | May renal excretion of salicylates Indomethacin & probenicid effctiveness CI if known hypersensitivity to sulfonylureas and if anuric Rapid IV admin may cause ototoxicity | May be taken w/ food or milk if GI upset occurs Usually taken in AM |
| Lasix | furosemide | Diuretic- Loop | Tabs, oral solution, inj Maint dose range = 20-600mg | Auditory tox when used w/ cisplatin or aminoglycosides May exacerbate or activate SLE CI if sulfonamide allergy Hearing loss, photosensitivity, hyperglycemia | May be taken w/ food or milk of GI upset occurs Avoid overexposure to sunlight |
| Aldactone | spironolactone | Diuretic- Potassium Sparing | Usual maint dose = 25 – 200mg/d | CI if hypersensitive to sulfonamides Paresthesia, mental confusion, dry mouth, muscle cramps, weakness, hirsutism, gynecomastia, N/V | May be taken w/ food or milk if GI upset occurs |
| HydroDiuril | hydrochlorothiazide (HCTZ) | Diuretic- Thiazide | Caps, tabs Up to 200mg/day in div doses | Works in distal renal tubule CI if sulfonamide allergy Caution in diabetics hyperglycemia | May be taken w/ food or milk if GI upset occurs Avoid excessive exposure to sunlight Usually given in AM |
| Bumex | bumetanide | Diuretic-Loop | Tab, inj Max = 10mg/d | Auditory tox when used w/ aminoglycosides or cisplatin Use w/ caution in pts hypersensitive to sulfonamides | May be taken w/ food or milk of GI upset occurs Usually given in AM |
| Bentyl | dicyclomine hydrochloride | Gastrointestinal- Anticholinergic | Cap, tab, syrup, injection | May effectiveness of phenothiazines & haloperidol CI in infants <6 mo | Avoid alcohol while using this medication May cause dry mouth & difficulty in urination |
| Lomotil | diphenoxylate hydrochloride & atropine sulfate | Gastrointestinal- Antidiarrheal | Tabs & liquid | May effectiveness of phenothiazines & haloperidol Use caution in pts w/ pseudomembranous colitis assoc. w/ broad spectrum antibiotic use & in children | Dc after 48 hrs if no clinical response May cause drowsiness |
| Reglan | metoclopramide hydrochloride | Gastrointestinal- Antiemetic Used for diabetic gastroparesis | Tabs, syrup, injectable | May digoxin levels Don’t use in patients receiving medications that may cause extrapyramidal side effects May cause tardative dyskinesias and drowsiness | Avoid alcohol while on this medication Take 30 minutes b4 meals |
| Detrol & Detrol LA | tolterodine Tartrate | Gastrointestinal- Antimuscarinic | Tabs, caps 2-4mg | (blank) | May cause dizziness , drowsiness, dry mouth or blurred vision Avoid alcohol while taking this medication |
| Ditropan & Ditropan XL | oxybutynin chloride | Gastrointestinal- Antimuscarinic | Tabs, ER tabs, syrup Max 30mg/d; | not recommended in children <5 years May errectiveness of phenothiazines & haloperidol Additive effects seen w/ other anticholinergics | Avoid prolonged exposure to hot weather May cause drowsiness Semiperrmeable membrane shell of XL tabs may pass through GI tract into stool |
| Aciphex | rabeprazole sodium | Gastrointestinal- Antisecretory | Tabs, No dose adjustment in renal/hepatic impairment | pH – meds that req pH absorption may be affected ketoconazole, ampicillin esters & Fe salts | May be taken w/o regard to meals Swallow tablet whole, may be taken @ same time as antacids |
| Nexium | esomeprazole magnesium | Gastrointestinal- Antisecretory | DR capsule & powder for injection , | plasma levels of diazepam pH – meds that req pH absorption may be affected ketoconazole, ampicillin esters, cyanocobalamin & Fe salts May plasma levels of atazanavir | Rare cases of severe dermatologic rxns reported May cause dry mouth Take at least 60 min prior to eating; may take w/ antacids |
| Prevacid | lansoprazole | Gastrointestinal- Antisecretory | DR caps, ODT tabs, granules for DR suspension, powder for injection Doses 120mg/day should be admin in div doses | May use in pts w/ N/G tubes open capsule & mix in 40ml of apple juice then inject, or use granules as directed pH – meds that req pH absorption may be affected ketoconazole, ampicillin esters & Fe salts Theophylline doss may need titrated when star | Take 30 min prior to sucralfate Take on empty stomach IV form must be reconstituted according to manufacturer directions & admin using an inline filter |
| Protonix | pantoprazole sodium | Gastrointestinal- Antisecretory | DR tab & powder for injection; max dose - 240mg/d Use caution in pts w/ severe hepatic impairment | pH – meds that req pH absorption may be affected ketoconazole, ampicillin esters & Fe salts | May be taken w/o regard to meals Swallow tablet whole May be taken @ same time as antacids |
| Pepcid | famotidine | Gastrointestinal- H2 Antihistamine | Tab, ODT tab, powder for inj, premixed inj, inj stable for 48hrs after mixing w/ IV solution Adjust dose in pts w/ severe renal insufficiency | May warfarin clearance | Shake suspension well & discard unused portion after 30 days May give @ same time as antacids |
| Zantac | ranitidine hydrochloride | Gastrointestinal- H2 Antihistamine | Tabs, efferdose tabs, syrup, injection Must dose adjust in patients w/ renal function | May warfarin & lidocaine clearance abs of triazolam; met of nifedipine & TCAs | Efferdose tabs contain phenylalanine; must be dissolved in H2O prior to ingestion May take w/ food Don’t freeze syrup |
| Lactulose | lactulose | Gastrointestinal- Laxative | syrup | Effects may be by antacids Do to galactose & lactose content use w/ caution in diabetics | May be mixed w/ fruit juice, water or milk May take up to 48hrs to see improvement |
| Prilosec | omeprazole | Gastrointestinal- Proton Pump Inhibitor | caps | plasma levels of diazepam, phenytoin, warfarin by inhibiting oxidative metabolism May interact w/ meds met by CYP450 system cyclosporine, disulfram, benzos pH – meds that req pH absorption may be affected ketoconazole, digoxin, ampicillin esters, | Take 30 minutes prior to eating; antacids may be taken @ same time |
| Estrace | estraiol | Hormone/ Estrogen Short term oral use for menopause sx cyclic therapy – 3wks on & 1 week off | Tab & vaginal cream | Broad spectrum antibiotics absorption | (blank) |
| Premarin | conjugated estrogens | Hormone/ Estrogen | Tab, vag cream, IV inj | Barbiturates, rifampin &/or hydantoins met & excretion Cholestatic jaundice, alopecia/ hirsutism, pyrexia | (blank) |
| Provera | medroxyprogesterone acetate | Hormone/ Progestin | tabs | Cholestatic jaundice, DM glucose tolerance ; pyrexia, insomnia alopecia/hirsutism | (blank) |
| Armour Thyroid | Thyroid, dessicated | Hormone/ Thyroid | tabs | effect of dig & hypoglycemics, effect of warfarin | Transient hair loss in kids |
| Levoxyl, Synthroid | levothyroxine sodium | Hormone/ Thyroid | Tabs, injection 0.1mg l-thyronine = 65mg dessicated thyroid | May effect of warfarin, effect of dig | Transient hair loss in kids |
| Ambien & Ambien CR | zolpidem tartrate | Hypnotic | Tabs, CR tabs | (blank) | CR should be swallowed whole Avoid alcohol while taking |
| Lunesta | eszopiclone | Hypnotic | Dosed >3mg/day NOT recommended | CYP3A4 inhibitors elimination CYP3A4 inducers metabolism | Preferably taken on empty stomach fat meals delay onset of action |
| Restoril | temazepam | Hypnotic/ Benzodiazepine | (blank) | Not recommended for use in kids 18yrs of age | Reeval tx if insomnia fails to remit after 10 days therapy, not intended to be used >10 consecutive days |
| Ketek | telithromycin | Ketolide Antibiotic | Tabs, Dose adjustment needed for severe renal impairment | Plasma conc by CYP3A4 inh Certain CYP3A4 substrates may be when used w/ ketek (simvastatin, lovastatin, atorvastatin, midazoam) Ketek levels by rifampin Ketek levels of theophylline & digoxin May prolong QTc interval, exacerbate symptoms of myasth | May be taken w/o regard to meals May cause visual disturbances, call Dr w/fainting (QT) |
| Miralax | Polyethylene Glycol 3350 | laxative | Powder for sol’n Usual dose = 17gm powder/day in 8 ounces of water, juice, coffee or tea | (blank) | Should be used for 2 wks or less or as directed 2-4 days may be required to produce BM |
| Flexeril | cyclobenzaprine hydrochloride | Muscle Relaxant | Tabs Max dose = 6omg/day | Not for use in kids <15 yrs | May cause dry mouth, constipation, dyspepsia, unpleasant taste, blurred vision, HA Avoid alcohol while taking |
| Skelaxin | metaxalone | Muscle Relaxant | Tabs, Recommended dose = 800mg 3-4x daily | CI in pts w/ anemia, & significant renal/hepatic impairment | Avoid alcohol while taking |
| Soma | carisoprodol | Muscle Relaxant | Tabs 1 tab tid & hs | (blank) | May be taken w/ meals if GI upset occurs |
| Darvocet | acetaminophen (APAP)/ propoxyphene napsylate | Narcotic Analgesic | tabs | No recommended for use in children Use caution in depressed and suicidal patients | (blank) |
| Duragesic | fentanyl | Narcotic Analgesic | Titrate dose upwards no more frequently than 3d after initial dose or 6d thereafter | Caution in intracranial pressure & head injury Pts wearing duragesic that develop fever should be monitored for overdose b/c in temp could cause more drug to be released Hypoventilation, constipation, dry mouth, anorexia, hallucinations | Don’t apply to extremities below knee or elbow Used systems should be folded so system adheres to itself and flushed down the toilet Don’t cut or puncture system |
| Lorcet Plus & Lorcet 10/650, Lortab, Vicodin | acetaminophen (APAP)/ hydrocodone bitatrate | Narcotic Analgesic | Total 24h dose </= 6 tabs Tabs & elixir Total 24 hour dose shouldn’t exceed 8 tabs (6tabs for 10/500) | Use w/ MAOIs or TCAs may effect of either Caution in pts w/ intracranial pressure or head injury | May take with food or milk to avoid GI upset |
| Methadone | methadone | Narcotic Analgesic | Tablets, oral solution, oral concentrate Usual adult dose = 2.5-10mg 3-4 X daily prn | Serious adverse effects occur when used w/ MAOIs Rifampin may plasma levels of methadone & precipate withdrawal symptoms Caution in pts w/ head injuries | May take with food or milk to avoid GI upset |
| MS Contin | morphine sulfate | Narcotic Analgesic | 200mg tabs are for opioid tolerant patients only | May actions of phenothiazines, general anesthetics, sedatives, hypnotics, alcohol, skeletal muscle relaxants, and agonist/antagonist analgesics CI pts w/ respiratory depression in absence of resuscitative equipment Caution in pts w/ intracranial pre | Tablets must be taken whole, NOT crushed, broken or chewed May be taken w/ food or milk to avoid GI upset |
| OxyConitn | oxycodone hydrochloride | Narcotic Analgesic | CRtabs, Dosage changes should be made no sooner than every 2 days | May actions of phenothiazines, general anesthetics, sedatives, hypnotics, alcohol, skeletal muscle relaxants, and agonist/antagonist analgesics | Tablets must be taken whole, NOT broken, crushed or chewed May take w/ food or milk to avoid GI upset |
| Percocet | oxycodone hcl and acetaminophen (APAP) | Narcotic Analgesic | Tabs Usual adult dosage = 1 tab q6h prn; total APAP <4g/24h | Caution in pts w/ intracranial pressure or head injury | May take with food or milk to avoid GI upset |
| Tylenol with Codeine | acetaminophen (APAP) with codeine phosphate | Narcotic Analgesic | No. 2/3/4 tabs & elixir | Caution in pts w/ intracranial pressure and head injury | May take with food or milk to avoid GI upset |
| Flonase | fluticasone proionate | Nasal Decongestant | Spray 60/9mg 120/16mg Total max daily dosage shouldn’t exceed 2 sprays in each nostril (200mcg) | (blank) | Benefits are usually seen in a few days but may take as long as 3 weeks Use at regular intervals to prevent symptoms or as needed for treatment Clear nasal secretions prior to use Shake well b4 use |
| Celebrex | celecoxib | Nonsteroidal Anti-Inflammatory | Caps | May effect of ACEIs; May plasma lithium levels; Fluconazole plasma levels CYP 450 2C9 inhibitor May warfarin levels CI sulfonamide allergy | May take w/o regard to meals |
| Lodine & Lodine XL | etodolac | Nonsteroidal Anti-Inflammatory | Tabs, ER tabs & caps Do not exceed 1200mg/day or 20mg/kg whichever is less | May elimination of dig, cyclosporine, lithium and MTX | Take w/ food or milk to avoid upset stomach May take up to 2 wks to see full improvement in arthritic conditions |
| Motrin | ibuprofen | Nonsteroidal Anti-Inflammatory | Tabs & available OTC | May lithium toxicity; May effects of BBs and loop diuretics | May take up to 2 weeks to see full effects May take with food or milk to GI upset; constipation |
| Naprosyn & EC-Naprosyn | naproxen | Nonsteroidal Anti-Inflammatory | Tabs, EC tabs, suspension | Not recommended for use in pediatrics May anticoagulant effect of warfarin, lithium & MTX | May take up to 2 wks to see full effect Take on empty stomach for better absorption, may take w/ food to GI upset Constipation |
| Relafen | nabumetone | Nonsteroidal Anti-Inflammatory | tabs | Food rate of absorption 99% protein bound, may displace other protein bound medications; prodrug May liver enzymes | May take up to 2 weeks to see full improvement in arthritic conditions May take with food or milk; constipation |
| Voltaren & Voltaren XR | diclofenac sodium | Nonsteroidal Anti-Inflammatory | Tabs, ER tabs, opthalamic solution | May toxicity of MTX, digoxin, cyclopsohphamide, and lithium May activity of diuretics | May take with food or milk if GI upset occurs Constipation |
| Yasmin | drospirenone & Ethinyl Estradiol | Oral Contraceptive | (blank) | Broad spectrum antibiotics absorption | Breakthrough bleeding &/or diarrhea may be signs of effectiveness |
| Actonel | risedronate sodium | Osteoporosis Agent | Tabs | Co-admin w/ antacids or divalent cations interferes w/ absorption | swallow tab whole |
| Evista | raloxifene hydrochloride | Osteoporosis Agent | Tabs | (blank) | d/c 72hrs prior to and during prolonged immobilization |
| Fosamax | alendronate sodium | Osteoporosis Agent | Tabs & Oral solution 70mg/75ml | no divalent cations or antacids | swallow tabs whole |
| Miacalcin | calcitonin-salmon | Osteoporosis Agent tx for osteoporosis in females > 5yrs post-menopause | Injection 200IU/mL | (blank) | discard all unrefrigerated bottles after 30 days, store unopened boxes in fridge |
| Plavix | clopidogrel bisulfate | Platelet Inhibitor | 75mg qd w/ or w/o food | Rare thrombotic thrombocytopenic purpura fatigue, weakness, anorexia, N/D, abdominal pain | (blank) |
| K-Dur, Klor-Con, Micro-K | potassium chloride | Potassium Supplement | 16-80mEq/day tab/powder for suspension | (blank) | take w/ or after meals w/ full glass of H2O |
| Strattera | atomoxetine hydrochloride | Treatment for ADHD | Caps, Max daily dose = 100mg | Co-admin w/ MAOI neuroleptic malignant syndrome; CI w/in 14d Paroxetine, fluoxetine & quinidine levels | May be taken w/o regard to meals May impair cognitive fxn |
| Pyridium | phenazopyridine hydrochloride | Urinary Tract Analgesic | Usual dose – 200mg TID following meals | (blank) | Shouldn’t be used for >3 days when used concomitantly w/ antibacterial agent for tx of UTI May discolor urine an orange to red color which may stain fabricTake with food or milk |
| Folic Acid | folic acid | Vitamin | Tabs OTC/Rx, injection | DDI methotrexate & trimethoprim, Phenytoin CI in pernicious (vit B12 def) anemia | (blank) |
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