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PHO 2
| Generic Name | Brand Name | Classification | Pharmacologic Category | Common Indications | Essential Knowledge |
|---|---|---|---|---|---|
| hydrocodone and acetaminophen (PO) | Lortab, Vicodin, Norco | CS-II | Opioid and nonopioid analgesic combination | Pain | Key Side Effects: dizziness, drowsiness, nausea, vomiting, constipation, pruritus, respiratory depression (dose-related) US Boxed Warnings: use with CYP3A4 inhibitors (or stopping CYP3A4 inducers) can increase oxycodone concentrations; hepatotoxicity |
| oxycodone and acetaminophen (PO) | Percocet, Endocet | CS-II | Opioid and nonopioid analgesic combination | Pain | Key Side Effects: dizziness, drowsiness, nausea, vomiting, constipation, pruritus, respiratory depression (dose-related) US Boxed Warnings: use with CYP3A4 inhibitors (or stopping CYP3A4 inducers) can increase oxycodone concentrations; hepatotoxicity |
| codeine and acetaminophen (PO) | Tylenol with Codeine #3, Tylenol with Codeine #4 | CS-III | Opioid and nonopioid analgesic combination | Pain | ide Effects: dizziness, drowsiness, nausea, constipation, itching, respiratory depression Boxed Warnings: caution with CYP3A4/2D6 drugs; fatal respiratory depression in some children; liver toxicity |
| naloxone (IV, IM, SQ, intranasal) | Narcan Nasal Spray, Zimhi | Narcan Nasal Spray: OTC | Opioid antagonist | Opioid overdose | Key Side Effects: opioid withdrawal syndrome in opioid-dependent populations, pain |
| buprenorphine and naloxone (SL) | Suboxone | CS-III | Partial opioid agonist and opioid antagonist | Opioid use disorder | Side Effects: withdrawal in opioid-dependent patients, constipation, headache, sweating Notes: risk of serious respiratory depression with other CNS depressants; naloxone helps prevent misuse by triggering withdrawal if injected |
| ferrous sulfate (PO) | FeroSul, SlowFe | OTC | Iron supplement | Iron deficiency anemia | Key Side Effects: nausea, stomach upset, constipation (dose-related), dark and tarry stools US Boxed Warning: accidental overdose of iron is leading cause of fatal poisoning in children under 6 years old |
| cyanocobalamin (vitamin B12) (PO, IM, SL, intranasal) | n/a | PO, SL: OTC | Water-soluble vitamin | Vitamin B12 deficiency (manifests as macrocytic anemia) | Key Side Effects: no major side effects |
| folic acid (PO) | n/a | OTC | Water-soluble vitamin | Folic acid deficiency (manifests as macrocytic anemia), prevention of neural tube defects in pregnancy | Key Side Effects: no major side effects |