Bumetanide

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Bumetanide

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Trade Name(s): • Bumex • Burinex [Canada]
Generic Name: • bumetanide
Pharmacokinetics: •Absorption: Well absorbed after oral or IM administration
Route/Dosage: • PO (Adults): 0.5–2 mg/day given in 1–2 doses
Dose Ordered: 1mg Tablet
Contraindicated in: • Hypersensitivity • Cross-sensitivity with thiazides and sulfonamides may occur • Hepatic coma or anuria
Adverse Reactions/Side Effects:•CNS: dizziness, encephalopathy, headache
Patient/Family Teaching: Instruct patient to take bumetanide as directed. Take missed doses as soon as possible; do not double doses

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Citalopram

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Trade Name(s) • Celexa
Generic Name: citalopram
Pharmacokinetics: Absorption: 80% absorbed after oral administration Distribution: Enters breast milk
Route/Dosage: • PO (Adults): 20 mg once daily initially, may be ↑ by 20 mg/day at weekly intervals, up to 60 mg/day (usual dose is 40 mg/day).
Dose Ordered: HBR 20MG Tab
Contraindication/Precautions: • Hypersensitivity • Concurrent MAO inhibitor or pimozide therapy
Adverse Reactions/Side Effects: confusion, drowsiness, insomnia, weakness, agitation
Patient/Family Teaching: • Instruct patient to take citalopram as directed

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Diazepam

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Trade Name(s): • Apo-Diazepam [Canada]• Diastat• Diazemuls [Canada]• Novodipam [Canada]• PMS-Diazepam [Canada]• Valium• Vivol [Canada]
Generic Name: Diazepam
Pharmacokinetics: Absorption: Rapidly absorbed from the GI tract. Absorption from IM sites may be slow and unpredictable. Well absorbed (90%) from rectal mucosa
Route/Dosage: Antianxiety • PO (Adults): 2–10 mg 2–4 times daily. • IM, IV (Adults): 2–10 mg, may repeat in 3–4 hr as needed.
Dose ordered: 2mg Tab
Contraindication/Precautions:
Contraindicated in: • Hypersensitivity • Cross-sensitivity with other benzodiazepines may occur
Adverse Reactions/Side Effects: CNS: dizziness, drowsiness, lethargy, depression, hangover, ataxia, slurred speech, headache, paradoxical excitation.
Patient/Family Teaching: Caution patient to avoid taking alcohol or other CNS depressants concurrently with this medication

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Dicyclomine

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Trade Name(s): • Bentyl• Bentylol [Canada]• Formulex [Canada]• Spasmoban [Canada]
Generic Name: Dicyclomine
Pharmacokinetics: Absorption: Well absorbed after oral and IM administration Distribution: Unknown
Route/Dosage: • PO (Adults): 10–20 mg 3–4 times daily (up to 160 mg/day).
Dose ordered: 10mg capsule
Contraindication/Precautions:
Contraindicated in: • Hypersensitivity• Obstruction of the GI or GU tract
Adverse Reactions/Side Effects: CNS: confusion (increased in geriatric patients), drowsiness, light-headedness (IM only).
Patient/Family Teaching: Advise patient to consult health care professional before taking any OTC medications concurrently with this therapy

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Omeprazole

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Trade Name(s): • Losec [Canada] • Prilosec • Prilosec OTC
Generic Name: Omeprazole
Pharmacokinetics: Absorption: Rapidly absorbed following oral administration
Route/Dosage:• PO (Adults): GERD/erosive esophagitis—20 mg once daily.
Dose ordered: 20mg capsule
Contraindication/Precautions:
Contraindicated in: • Hypersensitivity • Lactation: Discontinue omeprazole or discontinue breastfeeding
Adverse Reactions/Side Effects: CNS: dizziness, drowsiness, fatigue, headache, weakness.
Patient/Family Teaching: Advise patient to consult health care professional before taking any Rx, OTC, or herbal products with omeprazole

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Acetaminophen

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Trade Name(s):• Abenol [Canada]• Acephen• Aceta• Aminofen• Apacet
Generic Name: Acetaminophen
Pharmacokinetics: Absorption: Well absorbed following oral administration. Rectal absorption is variable
Route/Dosage: • PO (Adults and Children >12 yr): 325–650 mg q 4–6 hr or 1 g 3–4 times daily or 1300 mg q 8 hr (not to exceed 4 g or 2.5 g/24 hr in patients with hepatic/renal impairment).
Dose ordered: 325mg Tab
Contraindication/Precautions:
Contraindicated in: • Previous hypersensitivity
Adverse Reactions/Side Effects: GU: renal failure (high doses/chronic use).
Patient/Family Teaching: • Caution patient to check labels on all OTC products. Advise patients to avoid taking more than one product containing acetaminophen at a time to prevent toxicity

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Baclofen

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Trade Name(s): • Kemstro• Lioresal
Generic Name: Baclofen
Pharmacokinetics: Absorption Rapidly and extensively absorbed.
Dosage and Administration: Adults Initial dose PO 5 mg 3 times daily; may be increased by 5 mg/dose every 3 days as needed to max 80 mg/day (20 mg 4 times daily).
Dose ordered: 20mg Tab
Contraindications: Treatment of spasms from rheumatic disorders, stroke, cerebral palsy and Parkinson disease; use of intrathecal form via IV, IM, subcutaneous, or epidural routes.
Adverse Reactions: Cardiovascular; Hypotension; palpitations; chest pain.
Patient Information: Instruct patient to take drug exactly as prescribed. If dose is missed it should be taken within 1 h. Warn patient not to double up on doses

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Loratadine

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Trade Name(s):• Alavert• Claritin• Claritin 24-Hour Allergy• Claritin
Generic Name: Loratadine
Pharmacokinetics: Absorption Rapidly absorbed following oral administration.
Dosage and Administration: Adults and children 6 yr of age and older PO 10 mg/day.
Route and Frequency: Loratadine is usually taken once per day.
Contraindications: Standard considerations. Adverse Reactions Cardiovascular
Patient Information: Warn patient not to increase dose to obtain quicker relief of symptoms.
Adverse Reactions: Cardiovascular Hypotension; hypertension; palpitations; tachycardia; syncope.

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Demeclocycline

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Trade Names: Declomycin
Generic Name: Demeclocycline
Pharmacokinetics: Absorption Peak concentration is reached in about 4 h.
Dosage and Administration: Adults PO 150 mg 4 times daily or 300 mg twice daily.
Dose ordered: 300mg Tab
Contraindications: Hypersensitivity to any tetracycline and any component of the product.
Patient Information: Instruct patient to complete entire course of therapy, even if symptoms of infection have disappeared.

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Escitalopram

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Trade Name(s): • Lexapro
Generic Name: Escitalopram
Pharmacokinetics: Absorption: 80% absorbed following oral administration
Route/Dosage:•PO (Adults):Depression and GAD–10 mg once daily, may be↑to 20 mg once daily after1 wk.
Dose ordered: 10mg Tab
Contraindication/Precautions:
Contraindicated in: • Hypersensitivity • Concurrent MAO inhibitor or pimozide therapy
Adverse Reactions/Side Effects: CNS: NEUROLEPTIC MALIGNANT SYNDROME, SUICIDAL THOUGHTS, insomnia, dizziness, drowsiness, fatigue.
Patient/Family Teaching: • May cause dizziness. Caution patient to avoid driving or other activities requiring alertness until response to medication is known