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TOSCE
| Brand | Generic | Indication | Pharmacologic Category | KSE | Other Notes | US Boxed warnings |
|---|---|---|---|---|---|---|
| Apresoline | hydralazine | HTN | Direct arterial vasodilator | hypotension, drug-induced lupus-like syndrome | CI in CAD | |
| Prozac | fluoxetine | MDD | Selective serotonin reuptake inhibitor ssri | drowsiness, insomnia, nausea, vomiting, xerostomia, sexual dysfunction, headache, diaphoresis | CL within 14 days of MAOI; do not discontinue abruptly (all except fluoxetine) | |
| Focalin XR | methylphenidate | ADHD, narcolepsy | CNS stimulant | insomnia, headache, anxiety, weight loss, decreased appetite, hypertension | CI within 14 days of MAOI | high potential for abuse |
| lopressor | metoprolol tartrate | AF (rate control), CAD, HTN | Beta1-selective beta-blocker | bradycardia, hypotension | masks symptoms of hypoglycemia | avoid abrupt discontinuation |
| Toprol-xl | metoprolol succinate | HF, AF (rate control), CAD, HTN | Beta1-selective beta-blocker | bradycardia, hypotension | masks symptoms of hypoglycemia | |
| Bactrim | sulfamethoxazole/trimethoprim | SSTI, cyctitis, pyelonephritis, opportunistic infection prophylaxis AA: MRSA, Enterobacteriaceae | sulfonamide antibiotic | nausea, vomiting diarrhea, skin rashes (rarely SJS or TEN), photosensitivity, crystalluria, hyperkalemia, increased serum creatinine, hypersensitivity reactions | ||
| Neurontin | Gabapentin | seizure disorders, neuropathic pain | anticonvulsant | somnolence, dizziness, ataxia, fatigue, diplopia, xerostomia, blurry vision, peripheral edema, weight gain | ||
| Klonophin | Clonazepam | Anxiety, seizure disorders | benzodiazepine | daytime sedation, performance impairment, tolerance, dependence, anterograde amnesia, withdrawal, dizziness, ataxia | parenteral formulation contains propylene glycol and may be associated with toxicity if used >= 48 hours | risk of profound sedation, respiratory depression, coma and death with opioids; risk of abuse, misuse, and addictions; risk of dependence and withdrawal reactions |
| Motrin, Advil | Ibuprofen | OA, RA, acute pain | NSAID | diarrhea, dyspepsia, abdominal pain, flatulence, nausea | may reduce renal blood flow and compromise existing renal function (avoid in patients with renal disease, heart failure, and cirrhosis) | 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 event including ulceration, bleeding, and perforation |
| Synthroid, Levoxyl, Unithroid | levothyroxine | Hypothyroidism | Thyroid product | weight loss, palpitations, diarrhea, insomnia, heat intolerance | narrow therapeutic index drug (therapeutic monitoring is recommended); not all generic products are therapeutically equivalent | not intended for use for weight loss |
| Omnicef | cefdinir | otitis media, bacterial sinusitis AA: streptococcus pneumoniae, haemophilus influenzae | beta-lactam antibiotic ( third generation cephalosporin) | diarrhea, hypersensitivity reactions | ||
| Tegretol | carbamazepine | seizure disorders, bipolar disorder | anticonvulsant | 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 | |
| Xarelto | rivaroxaban | AF (stroke prevention), VTE, PAD | anticoagulant, factor Xa inhibitor | bleeding | premature discontinuation increases risk of thrombotic events; increased risk of epidural or spinal hematoma in patient undergoing spinal puncture | |
| tylenol | acetaminophen | pain, fever | analgesic (non-opioid), antipyretic | nausea, vomiting, increased hepatic transaminases | total daily dose from all sources should not exceed maximum daily limit; hepatotoxicity | |
| Lexapro | escitalopram | |||||
| Lipitor | atorvastatin | |||||
| lisinopril | ||||||
| acetaminophen/codeine | ||||||
| metformin | ||||||
| Norvasc | amlodipine |