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Musculoskeletal
| Generic | Brand | Pharmacologic Category | Common Indications | Classification | Essential Knowledge |
|---|---|---|---|---|---|
| tizanidine (PO) | Zanaflex | Alpha2 agonist | Spasticity | Key Side Effects: drowsiness, hypotension, dizziness, xerostomia, weakness | |
| hydroxychloroquine (PO) | Plaquenil | Aminoquinolone | RA, SLE, malaria | Key Side Effects: retinal toxicity, rash, diarrhea | |
| colchicine (PO) | Colcrys | Antigout agent | Gout | Key Side Effects: diarrhea, nausea, vomiting, bone marrow suppression, myopathy (including rhabdomyolysis) | |
| diclofenac (PO) | Voltaren | NSAID | OA, RA, acute pain | Key Side Effects: diarrhea, dyspepsia, abdominal pain, flatulence, nausea US Boxed Warnings: increase risk of serious/fatal cardio thrombotic events, MI, and stroke; increase risk for serious/fatal GI adverse events (bleeding, ulceration, perforation) | |
| ibuprofen (PO) | Motrin, Advil | NSAID | OA, RA, acute pain | OTC | Key Side Effects: diarrhea, dyspepsia, abdominal pain, flatulence, nausea US Boxed Warnings: increase risk of serious/fatal cardio thrombotic events, MI, and stroke; increase risk for serious/fatal GI adverse events (bleeding, ulceration, perforation) |
| meloxicam (PO) | Mobic | NSAID | OA, RA, acute pain | Key Side Effects: diarrhea, dyspepsia, abdominal pain, flatulence, nausea US Boxed Warnings: increase risk of serious/fatal cardio thrombotic events, MI, and stroke; increase risk for serious/fatal GI adverse events (bleeding, ulceration, perforation) | |
| indomethacin (PO) | Indocin | NSAID | OA, RA, acute pain, gout | Key Side Effects: diarrhea, dyspepsia, abdominal pain, flatulence, nausea US Boxed Warnings: increase risk of serious/fatal cardio thrombotic events, MI, and stroke; increase risk for serious/fatal GI adverse events (bleeding, ulceration, perforation) | |
| naproxen (PO) | Naprosyn, Anaprox, Aleve | NSAID | OA, RA, acute pain, gout | OTC | Key Side Effects: diarrhea, dyspepsia, abdominal pain, flatulence, nausea US Boxed Warnings: increase risk of serious/fatal cardio thrombotic events, MI, and stroke; increase risk for serious/fatal GI adverse events (bleeding, ulceration, perforation) |
| ketorolac (PO, IV) | Toradol | NSAID | Pain | Key Side Effects: diarrhea, dyspepsia, abdominal pain, flatulence, nausea US Boxed Warnings: indicated for short term use (</=5 days) | |
| celecoxib (PO) | Celebrex | NSAID, COX-2 selective | OA, RA, acute pain | Key Side Effects: diarrhea, dyspepsia, abdominal pain, flatulence, nausea US Boxed Warnings: increase risk of serious/fatal cardio thrombotic events, MI, and stroke; increase risk for serious/fatal GI adverse events (bleeding, ulceration, perforation) | |
| diclofenac (topical) | Voltaren Gel | NSAID | OA | OTC | Key Side Effects: pruritus, rash |
| cyclobenzaprine (PO) | Flexeril, Amrix, Fexmid | Skeletal muscle relaxant | Muscle spasm | Key Side Effects: drowsiness, dizziness, xerostomia, fatigue | |
| baclofen (PO) | --- | Skeletal muscle relaxant | Spasticity | Key Side Effects: drowsiness | |
| methocarbamol (PO) | Robaxin | Skeletal muscle relaxant | Muscle spasm | Key Side Effects: drowsiness | |
| lidocaine (transdermal, IV) | Transdermal: Lidoderm, IV: xylocaine | Transdermal: topical analgesic IV: antiarrhythmic | Transdermal: pain, IV: ventricular arrhythmias | Transdermal: OTC | Key Side Effects (Transdermal): dermatitis, erythema, urticaria, skin depigmentation, skin edema. Key side Effects (IV): bradycardia |
| allopurinol (PO) | Zyloprim | Xanthine oxidase Inhibitor | Gout | Key Side Effects: diarrhea, nausea, rash, leukopenia, thrombocytopenia | |
| SuccinylCholine (IV) | Anectine | Depolarizing neuromuscular blocking agent | Neuromuscular blockade for intubation or procedures | Key Side Effects: hyperkalemia, myalgia, malignant hyperthermia (rare). US Boxed Warnings: acute rhabdomyolysis and hyperkalemia leading to cardiac arrest and death in pediatric patients w/ undiagnosed skeletal muscle disease. | |
| Etanercept (PO) | Enbrel | Anti-tumor necrosis factor alpha inhibitor | RA | Key Side Effects: infection, injection site reaction, headache, nausea US Boxed Warnings: serious infections, malignancies such as lymphoma | |
| Adalimumab (SQ) | Humira | Anti-tumor necrosis factor alpha inhibitor | RA, Crohn's Disease, Ulcerative Colitis | Key Side Effects: infection, injection site reaction, headache, nausea US Boxed Warnings: serious infections, malignancies such as lymphoma |