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APC1Quiz5 Musculoske
Musculoskeletal
| Brand | Generic | Category | Indications | Side Effects | US Boxed Warnings | Other Notes |
|---|---|---|---|---|---|---|
| Zanaflex | tizanidine (PO) | Alpha2 agonist | Spasticity | drowsiness, hypotension, dizziness, xerostomia, weakness | ||
| Plaquenil | hydroxychloroquine (PO) | Aminoquinolone | RA, SLE, malaria | retinal toxicity, rash, diarrhea | long-term use has been associated with cardiomyopathy, bone marrow suppression, QT prolongation, and neuromuscular effects (i.e. myopathy, palsies, and progressive weakness) | |
| Voltaren Gel (OTC) | diclofenac (topical) | NSAID | OA | pruritus, rash | ||
| Voltaren | diclofenac (PO) | NSAID | OA, RA, acute pain | diarrhea, dyspepsia, abdominal pain, flatulence, nausea | may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, and stroke; may increase the risk for serious (and potentially fatal) gastrointestinal adverse events including ulceration, bleeding, and perforation | may reduce renal blood flow and compromise existing renal function (avoid in patients with renal disease, heart failure, and cirrhosis) |
| Motrin, Advil (all OTC) | ibuprofen (PO) | NSAID | OA, RA, acute pain | diarrhea, dyspepsia, abdominal pain, flatulence, nausea | may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, and stroke; may increase the risk for serious (and potentially fatal) gastrointestinal adverse events including ulceration, bleeding, and perforation | may reduce renal blood flow and compromise existing renal function (avoid in patients with renal disease, heart failure, and cirrhosis) |
| Mobic | meloxicam (PO) | NSAID | OA, RA, acute pain | diarrhea, dyspepsia, abdominal pain, flatulence, nausea | may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, and stroke; may increase the risk for serious (and potentially fatal) gastrointestinal adverse events including ulceration, bleeding, and perforation | may reduce renal blood flow and compromise existing renal function (avoid in patients with renal disease, heart failure, and cirrhosis) |
| Indocin | indomethacin (PO) | NSAID | OA, RA, acute pain, gout | diarrhea, dyspepsia, abdominal pain, flatulence, nausea | may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, and stroke; may increase the risk for serious (and potentially fatal) gastrointestinal adverse events including ulceration, bleeding, and perforation | may reduce renal blood flow and compromise existing renal function (avoid in patients with renal disease, heart failure, and cirrhosis) |
| Naprosyn, Anaprox, Aleve (all OTC) | naproxen (PO) | NSAID | OA, RA, acute pain, gout | diarrhea, dyspepsia, abdominal pain, flatulence, nausea | may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, and stroke; may increase the risk for serious (and potentially fatal) gastrointestinal adverse events including ulceration, bleeding, and perforation | may reduce renal blood flow and compromise existing renal function (avoid in patients with renal disease, heart failure, and cirrhosis) |
| Toradol | keterolac (PO, IV) | NSAID | Pain | diarrhea, dyspepsia, abdominal pain, flatulence, nausea | may increase the risk of serious/fatal cardiovascular thrombotic events, MI, and stroke; may increase the risk for serious/fatal gastrointestinal adverse events including ulceration, bleeding, and perforation indicated for short term use (≤ 5 days) | may reduce renal blood flow and compromise existing renal function (avoid in patients with renal disease, heart failure, and cirrhosis) |
| Celebrex | celecoxib (PO) | NSAID, COX-2 selective | OA, RA, acute pain | diarrhea, dyspepsia, abdominal pain, flatulence, nausea | may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, and stroke; may increase the risk for serious (and potentially fatal) gastrointestinal adverse events including ulceration, bleeding, and perforation | may reduce renal blood flow and compromise existing renal function (avoid in patients with renal disease, heart failure, and cirrhosis) |
| Flexeril, Amrix, Fexmid | cyclobenzaprine (PO) | Skeletal muscle relaxant | Muscle spasm | drowsiness, dizziness, xerostomia, fatigue | use may cause prolonged cardiac arrhythmias, and tachycardia; CI within 14 days of MAOI therapy | |
| --- | baclofen (PO) | Skeletal muscle relaxant | Spasticity | drowsiness | ||
| Robaxin | methocarbamol (PO) | Skeletal muscle relaxant | Muscle spasm | drowsiness | ||
| Transdermal: Lidoderm (OTC) IV: Xylocaine | lidocaine (transdermal, IV) | Transdermal: topical analgesic IV: antiarrhythmic | Transdermal: pain IV: ventricular arrhythmias | Transdermal: dermatitis, erythema, urticaria, skin depigmentation, skin edema IV: bradycardia | patch may remain in place for up to 12 hours in any 24-hour period, patch may be cut | |
| Colcrys | colchicine (PO) | Antigout agent | Gout | diarrhea, nausea, vomiting, bone marrow suppression, myopathy (including rhabdomyolysis) | ||
| Zyloprim | allopurinol (PO) | Xanthine oxidase inhibitor | Gout | diarrhea, nausea, rash, leukopenia, thrombocytopenia | rare association with severe (and potentially fatal) allopurinol hypersensitivity syndrome (risk highest in certain Asian populations) | |
| Anectine | succinylcholine (IV) | Depolarizing neuromuscular blocking agent | Neuromuscular blockade for intubation for procedures | hyperkalemia, myalgia, malignant hyperthermia (rare) | acute rhabdomyolysis and hyperkalemia leading to cardiac arrest and death in pediatric patients with undiagnosed skeletal muscle disease | |
| Enbrel | etanercept (SQ) | Anti-tumor necrosis factor alpha inhibitor | RA | infection, injection site reaction, headache, nausea | serious infections, malignancies such as lymphoma | |
| Humira | adalimumab (SQ) | Anti-tumor necrosis factor alpha inhibitor | RA, Crohn's Disease, Ulcerative Colitis | infection, injection site reaction, headache, nausea | serious infections, malignancies such as lymphoma |