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Pain, Hema, Onc 2
| Pharmacalogic Category | Generic | Brand | Classification | Common Indication | Key side effects | US Boxed Warning | Other notes |
|---|---|---|---|---|---|---|---|
| Opioid and nonopioid analgesic combination | hydrocodone and acetaminophen (PO) | Lortab, Vicodin, Norco | CS-II | Pain | dizziness, drowsiness, nausea, vomiting, constipation, pruritus, respiratory depression (dose-related) | (See BDK list) use with CYP3A4 inhibitors (or stopping CYP3A4 inducers) can increase oxycodone concentrations; hepatotoxicity | n/a |
| Opioid and nonopioid analgesic combination | oxycodone and acetaminophen (PO) | Percocet, Endocet | CS-II | Pain | dizziness, drowsiness, nausea, vomiting, constipation, pruritus, respiratory depression (dose-related) | (See BDK list) use with CYP3A4 inhibitors (or stopping CYP3A4 inducers) can increase oxycodone concentrations; hepatotoxicity | n/a |
| Opioid and nonopioid analgesic combination | codeine and acetaminophen (PO) | Tylenol with Codeine #3, Tylenol with Codeine #4 | CS-III | Pain | dizziness, drowsiness, nausea, vomiting, constipation, pruritus, respiratory depression (dose-related) | See BDK List | n/a |
| Opioid antagonist | naloxone (IV, IM, SQ, intranasal) | Narcan Nasal Spray, Zimhi | Narcan Nasal Spray: OTC | Opioid overdose | opioid withdrawal syndrome in opioid-dependent populations, pain | n/a | n/a |
| Partial opioid agonist and opioid antagonist | buprenorphine and naloxone (SL) | Suboxone | CS-III | Opioid use disorder | opioid withdrawal syndrome in opioid-dependent populations, constipation, headache, diaphoresis | n/a | potentially life-threatening respiratory depression (when combined with other CNS and respiratory depressants); addition of naloxone to buprenorphine reduces the possibility of parenteral misuse by producing opioid withdrawal symptoms when injected |
| Iron supplement | ferrous sulfate (PO) | FeroSul, SlowFe | OTC | Iron deficiency anemia | nausea, stomach upset, constipation (dose-related), dark and tarry stools | accidental overdose of iron is leading cause of fatal poisoning in children under 6 years old | n/a |
| Water-soluble vitamin | cyanocobalamin (vitamin B12) (PO, IM, SL, intranasal) | n/a | PO, SL: OTC | Vitamin B12 deficiency (manifests as macrocytic anemia) | no major side effects | n/a | n/a |
| Water-soluble vitamin | folic acid (PO) | n/a | OTC | Folic acid deficiency (manifests as macrocytic anemia), prevention of neural tube defects in pregnancy | no major side effects | n/a | n/a |