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DEENT 1, CNS, Pulmo
CNS 3, 4
| Pharmacologic Category | Generic | Brand | Classification | Common Indication | Key Side Effects (EK) | Other Notes (EK) | US Boxed Warning (EK) |
|---|---|---|---|---|---|---|---|
| Alpha2 agonist | brimonidine (ophthalmic) | Alphagan P, Lumify | Lumify: OTC | Elevated IOP, ocular redness | SE: ocular hypersensitivity, drowsiness, allergic conjunctivitis, conjunctival hyperemia, ocular pruritus | CI with MAOI therapy | |
| Non-selective beta-blocker | timolol (ophthalmic) | Timoptic, Timoptic XE, Istalol | Elevated IOP | SE: blurred vision, ocular stinging and burning | |||
| Prostaglandin analog | bimatoprost (ophthalmic) | Lumigan, Latisse | Elevated IOP, eyelash hypotrichosis | SE: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation, blurred vision | |||
| Prostaglandin analog | latanoprost (ophthalmic) | Xalatan, Xelpros, Iyuzeh | Elevated IOP | SE: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation, blurred vision | |||
| Calcineurin inhibitor | cyclosporin (ophthalmic) | Restasis | Keratoconjunctivitis sicca | SE: ocular burning, stinging, pruritus, foreign body sensation, hypersensitivity reaction | |||
| Pediculocide | permethrin (topical) | Nix, Elimite | Nix: OTC | Lice, scabies | SE: itching, burning, redness, swelling of scalp | ||
| Retinoic acid derivative | adapalene (topical) | Differin | OTC | Acne | SE: xeroderma, skin exfoliation, erythema, stinging, burning, pruritus | ||
| Antiseptic | chlorhexidine (topical, PO) | Hibiclens, Peridex | Skin cleanser, periodontitis, gingivitis | SE: dysgeusia, increased tartar formation, mouth discoloration, mouth irritation | |||
| Corticosteroid | clobetasol (topical) | Temovate, Clobex | Psoriasis, atopic dermatitis | SE: burning of skin, dryness of skin, hypopigmentation, secondary infection | do not use for > 2 weeks because it may cause adrenal suppression | ||
| Expectorant | guaifenesin (PO) | Mucinex, Robitussin, Robafen | OTC | Cough | SE: nausea, vomiting, dizziness, headache, diarrhea, stomach pain | ||
| Antitussive | dextromethorphan (PO) | Delsym | OTC | Cough | SE: nausea, drowsiness, dizziness, constipation | CI within 14 days of MAOI | |
| Antitussive | benzonatate (PO) | Tessalon Perles | Cough | SE: sedation, nasal congestion, chills, chest numbness, bronchospasm Other: do not break capsule because it may cause choking | do not break capsule because it may cause choking | ||
| Antimanic agent | lithium (PO) | Lithobid | Bipolar disorder | SE: tremor, acne, hypothyroidism, weight gain, polyuria, polydipsia, GI upset | narrow therapeutic index drug (toxicity may occur at concentrations close to therapeutic range; therapeutic drug monitoring is recommended); avoid in pregnancy | ability to promptly monitor levels is necessary | |
| Antimigraine | sumatriptan (PO, intranasal, SQ) | Imitrex | Migraine | fatigue, somnolence, dizziness, chest tightness, paresthesias | CI in ischemic heart diease, history of stroke or TIA, peripheral vascular disease, and uncontrolled hypertension | ||
| Antimigraine | rizatriptan (PO) | Maxalt | Migraine | fatigue, somnolence, dizziness, chest tightness, paresthesias | CI in ischemic heart disease, history of stroke or TIA, peripheral vascular disease, and uncontrolled hypertension | ||
| First-generation antipsychotic | haloperidol (PO, IV, IM) | Haldol | Schizophrenia | sedation, EPS, parkinsonism, xerostomia, orthostatic hypotension, weight gain, QTc prolongation | elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | ||
| Second-generation antipsychotic | clozapine (PO) | Clozaril | Treatment-resistant schizophrenia | sedation, constipation, orthostatic hypotension, sialorrhea, hyperglycemia, weight gain, neutropenia | may cause severe neutropenia, orthostatic hypotension, bradycardia, syncope, seizures, fatal myocarditis and cardiomyopathy, elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | ||
| Second-generation antipsychotic | aripiprazole (PO, IM) | PO/IM: Abilify IM: Aristada | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | akathisia, restlessness, sedation, EPS, constipation, orthostatic hypotension, weight gain | antidepressants increase the risk of suicidal thinking and behavior in children, adolescents and young adults, elderly patients with dementia-related psychosis related with antipsychotic drugs at increased risk of death | ||
| Second-generation antipsychotic | quetiapine (PO) | Seroquel, Seroquel XR | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | sedation, EPS, constipation, orthostatic hypotension, weight gain | antidepressants increase the risk of suicidal thinking and behavior in children, adolescents and young adults, elderly patients with dementia-related psychosis related with antipsychotic drugs at increased risk of death | ||
| Second-generation antipsychotic | lurasidone (PO) | Latuda | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | sedation, EPS, constipation, orthostatic hypotension, weight gain | CI with strong 3A4 inhibitors and inducers | antidepressants increase the risk of suicidal thinking and behavior in children, adolescents and young adults; elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | |
| Second-generation antipsychotic | olanzapine (PO, IM) | Zyprexa | Schizophrenia, bipolar disorder, MDD (adjunct to antidepressants) | sedation, EPS, xerostomia, constipation, orthostatic hypotension, weight gain, hyperglycemia | elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | ||
| Second-generation antipsychotic | risperidone (PO, IM) | PO: Risperdal IM: Risperdal Consta | Schizophrenia | sedation, EPS, xerostomia, constipation, orthostatic hypotension, weight gain, hyperglycemia | elderly patients with dementia-related psychosis treated with antipsychotic drugs at increased risk of death | ||
| Anticonvulsant | carbamazepine (PO) | Tegretol | Seizure disorders, bipolar disorder | dizziness, drowsiness, headache, ataxia, nausea, vomiting, hyponatremia | risk of serious dermatologic reactions (including SJS and TEN) in patients with certain genetic predisposition; may cause aplastic anemia and agranulocytosis | ||
| Anticonvulsant | lamotrigine (PO) | Lamictal | Seizure disorders, bipolar disorder | nausea, vomiting, somnolence, skin rash, alopecia | risk of serious dermatologic reactions, including SJS | ||
| Anticonvulsant | divalproex (valproic acid derivative) (PO) | Depakote, Depakote ER | Seizure disorders, bipolar disorder, migraine prophylaxis | drowsiness, weight gain, tremor, alopecia, thrombocytopenia, hyperammonemia | may cause fatal hepatic failure; may cause life-threatening pancreatitis; fetal toxicity | ||
| Anticonvulsant | topiramate (PO) | Topamax | Seizure disorders, migraine prophylaxis | somnolence, dizziness, memory impairment, weight loss | |||
| Anticonvulsant | levetiracetam (PO, IV) | Keppra | Seizure disorders | somnolence, dizziness, nausea, vomiting, weakness, asthenia, psychotic symptoms, agitation | |||
| Anticonvulsant | oxcarbazepine (PO) | Trileptal | Seizure disorders | somnolence, dizziness, diplopia, nausea, vomiting, ataxia, hyponatremia | |||
| Anticonvulsant | gabapentin (PO) | Neurontin | Seizure disorders, neuropathic pain | somnolence, dizziness, ataxia, fatigue, diplopia, xerostomia, blurry vision, peripheral edema, weight gain | |||
| Anticonvulsant | pregabalin (PO) | Lyrica | CS-V | Seizure disorders, neuropathic pain | somnolence, dizziness, ataxia, fatigue, diplopia, xerostomia, blurry vision, peripheral edema, weight gain | ||
| Inhaled corticosteroid (ICS) | budesonide (INH) | Pulmicort | Asthma, COPD | oral candidiasis, hoarseness (dysphonia), sore throat | rinse mouth with water and spit out to prevent Candida infection | ||
| Inhaled corticosteroid (ICS) | fluticasone propionate (INH) | Flovent, Arnuity | Asthma, COPD | oral candidiasis, hoarseness (dysphonia), sore throat | rinse mouth with water and spit out to prevent Candida infection | ||
| Inhaled corticosteroid (ICS) and long-acting beta2 agonist (LABA) | fluticasone and salmeterol (INH) | Advair, Wixela | Asthma, COPD | oral candidiasis, hoarseness (dysphonia), sore throat, nervousness, tremor, tachycardia, palpitations, hyperglycemia, decreased potassium | rinse mouth with water and spit out to prevent Candida infection | ||
| Inhaled corticosteroid (ICS) and long-acting beta2 agonist (LABA) | budesonide and formoterol (INH) | Symbicort, Breyna | Asthma, COPD | oral candidiasis, hoarseness (dysphonia), sore throat, nervousness, tremor, tachycardia, palpitations, hyperglycemia, decreased potassium | rinse mouth with water and spit out to prevent Candida infection | ||
| Inhaled corticosteroid (ICS) and long-acting beta2 agonist (LABA) | mometasone and formoterol (INH) | Dulera | Asthma, COPD | oral candidiasis, hoarseness (dysphonia), sore throat, nervousness, tremor, tachycardia, palpitations, hyperglycemia, decreased potassium | rinse mouth with water and spit out to prevent Candida infection | ||
| Inhaled corticosteroid (ICS), long-acting beta2 agonist (LABA), and long-acting muscarinic antagonist (LAMA) | umeclidinium + vilanterol + fluticasone (INH) | Trelegy Ellipta | Asthma, COPD | xerostomia, nervousness, tremor, tachycardia, palpitations, hyperglycemia, decreased potassium, oral candidiasis, hoarseness (dysphonia), sore throat | rinse mouth with water and spit out to prevent oral candidiasis (thrush) | ||
| Long-acting muscarinic antagonist (LAMA) | tiotropium (INH) | Spiriva | Asthma, COPD | xerostomia | |||
| Short-acting beta2 agonist (SABA) | albuterol (INH) | Proventil, Ventolin, ProAir | Asthma, COPD | tremor, tachycardia, nervousness, excitement, decreased potassium | |||
| Leukotriene receptor antagonist | montelukast (PO) | Singulair | Allergic rhinitis, asthma | headache | risk of serious neuropsychiatric effects (i.e., serious behavior and mood-related changes, including suicidal thoughts and actions) | ||
| Partial nicotine agonist | varenicline (PO) | Chantix | Smoking cessation | nausea, vomiting, abnormal dreams, headache, insomnia, irritability |