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MSK
| Generic | Brand | Pharmacologic Category | Common Indication | Key Side Effects | Boxed Warnings | Other Notes |
|---|---|---|---|---|---|---|
| tizanidine (PO) | Zanaflex | a2 agonist | Spasticity | drowsiness, hypotension, dizziness, xerostomia, weakness | --- | --- |
| hydroxychloroquine (PO) | Plaquenil | Aminoquinolone | RA, SLE, malaria | /D, retinal toxicity, rash | --- | associated w/ cardiomyopathy, BMS, QT prolongation, and neuromuscular effects |
| colchicine (PO) | Colcrys | Antigout agent | Gout | N/V/D, BMS, myopathy (including rhabdomyolysis) | --- | --- |
| diclofenac (PO) | Voltaren | NSAID | OA, RA, acute pain | N/D, dyspepsia, abd pain, flatulence | ↑CV thrombotic effects, MI, and stroke; ↑GI ADRs, e.g. ulceration, bleeding, perforation | ↓renal blood flow and compromise existing renal fxn (renal disease, HF, cirrhosis) |
| ibuprofen (PO) | Motrin, Advil | NSAID | OA, RA, acute pain | N/D, dyspepsia, abd pain, flatulence | ↑CV thrombotic effects, MI, and stroke; ↑GI ADRs, e.g. ulceration, bleeding, perforation | ↓renal blood flow and compromise existing renal fxn (renal disease, HF, cirrhosis) |
| meloxicam (PO) | Mobic | NSAID | OA, RA, acute pain | N/D, dyspepsia, abd pain, flatulence | ↑CV thrombotic effects, MI, and stroke; ↑GI ADRs, e.g. ulceration, bleeding, perforation | ↓renal blood flow and compromise existing renal fxn (renal disease, HF, cirrhosis) |
| indomethacin (PO) | Indocin | NSAID | OA, RA, acute pain, gout | N/D, dyspepsia, abd pain, flatulence | ↑CV thrombotic effects, MI, and stroke; ↑GI ADRs, e.g. ulceration, bleeding, perforation | ↓renal blood flow and compromise existing renal fxn (renal disease, HF, cirrhosis) |
| naproxen (PO) | Naprosyn, Anaprox, Aleve | NSAID | OA, RA, acute pain, gout | N/D, dyspepsia, abd pain, flatulence | ↑CV thrombotic effects, MI, and stroke; ↑GI ADRs, e.g. ulceration, bleeding, perforation | ↓renal blood flow and compromise existing renal fxn (renal disease, HF, cirrhosis) |
| ketorolac (PO, IV) | Toradol | NSAID | Pain | N/D, dyspepsia, abd pain, flatulence | ↑CV thrombotic effects, MI, and stroke; ↑GI ADRs, e.g. ulceration, bleeding, perforation | ↓renal blood flow and compromise existing renal fxn (renal disease, HF, cirrhosis) |
| celecoxib (PO) | Celebrex | NSAID, COX-2 selective | OA, RA, acute pain | N/D, dyspepsia, abd pain, flatulence | ↑CV thrombotic effects, MI, and stroke; ↑GI ADRs, e.g. ulceration, bleeding, perforation | ↓renal blood flow and compromise existing renal fxn (renal disease, HF, cirrhosis) |
| diclofenac (topical) | Voltaren Gel | NSAID | OA, RA, acute pain | pruritis, rash | --- | --- |
| cyclobenzaprine (PO) | Flexiril, Amrix, Fexmid | MSK relaxant | Muscle Spasm | drowsiness, dizziness, xerostomia, fatigue | --- | use may cause prolonged cardiac arrhythmias and tachycardia |
| baclofen (PO) | --- | MSK relaxant | Spasticity | drowsiness | --- | --- |
| methocarbamol (PO) | Robaxin | MSK relaxant | Muscle Spasm | drowsiness | --- | --- |
| lidocaine (transdermal, IV) | Lidoderm (transdermal), Xylocaine (IV) | Topical analgesic (transdermal), antiarrhythmic (IV) | Pain (transdermal), ventricular arrhythmias (IV) | (transdermal): dermatitis, erythema, urticaria, skin depigmentation, skin edema (IV): bradycardia | --- | patch 12 hours on 12 hours off; patch may be cut |
| allopurinol (PO) | Zyloprim | XO inhib. | Gout | N/D, rash, leukopenia, thrombocytopenia | --- | rare risk with severe (maybe fatal) allopurinol hypersensitivity syndrome (Asian populations) |
| succinylcholine (IV) | Anectine | Depolarizing neuromuscular blocking agent | Neuromuscular blockade for intubation procedures | hyperkalemia, myalgia, malignant hyperthermia (rare) | acute rhabdo and hyperkalemia → cardiac arrest and death in peds w/ undiagnosed skeletal muscle disease | --- |
| etanercept (SQ) | Enbrel | Anti-TNF-a inhib. | RA | infection, j-site rxn, HA, N/ | serious infections, malignancies such as lymphomas | --- |
| adalimumab (SQ) | Humira | Anti-TNF-a inhib. | RA, CD/UC | infection, j-site rxn, HA, N/ | infection, injection site reaction, HA, N/ | --- |