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168 Cards in this Set
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Remeron
|
Mirtazapine
Antidepressant |
May cause drowsiness or dizziness, dry mouth, constipation and weight gain.Do not discontinue abruptly. Open from blister and dissolve SolTab on the tongue.
|
|
Procardia XL
|
Nifedipine ER
Dihydro Ca Channel Blocker |
May cause drowsiness and peripheral edema not responsive to diuretic but is to ACE-I or ARB, Procardia XL not equivent to Adalat CC
|
|
Flagyl (ER)
|
Metronidazole
Antibacterial/Antiprotozoal |
Avoid alcohol during and 2 day after therapy, may cause urine to turn reddish-brown, finish course
|
|
Atacand
|
Candesartan
ARB Antihypertensive |
Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit
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|
Desyrel
|
Trazodone
Antidepressant/Sleep Aid |
May cause dizziness/drowsiness/orthostasis, priapism risk.
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Lotrel
|
Amlodipine/Benazepril
Dihydro Ca Channel Blocker / ACE-I Antihypertensive |
May cause drowsiness, do not discontinue therapy abruptly, cough caution, avoid salt substitute, anaphylaxis caution
|
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Diflucan
|
Fluconazole
Antifungal |
Finish course, D/I's strongly inhibits 2C9, 2C19 (ex. clopidigrel, warfarin and phenytoin) moderate 3A4, can also prolong QT interval. My cause GI upset, and headache
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Avapro
|
Irbesartan
ARB Antihypertensive |
Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit
|
|
Wellbutrin (SR) (XL) or Zyban
|
Bupropion
Antidepressant/smoking cessation aid |
Take XL tabs in AM to avoid insomnia, do not crush or chew SR or XL tabs, do not take doses too close or exceeding maximum doses because of seizure risk. Potential side-effects inc nervousness, constipation, trouble sleeping, dry mouth, tremor.
|
|
Bumex
|
Bumetanide
Diuretic -Loop |
Diuresis, may be prn for CHF (monitor weight, watch salt intake)
|
|
Lamisil
|
Terbinafine
Antifungal |
Topical formulation is most common, finish course
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|
Micardis
|
Telmisartan
ARB Antihypertensive |
Avoid salt substitutes, do not open foil pkg until ready to use
|
|
Dilantin Kapseals
|
Extended Phenytoin
Antiepileptic |
May cause dizziness/drowsiness, do not operate heavy machinery. Emphasize good oral hygiene to reduce risk of gingival hyperplasia
|
|
Demadex
|
Torsemide
Diuretic -Loop |
Diuresis, may be prn for CHF (monitor weight, watch salt intake)
|
|
Nizoral
|
Ketoconazole
Antifungal |
Requires acid to be absorbed, Take with food, avoid antacids 2 hours before and after each dose, avoid PPI's and H2's, major 3A4 D/I's
|
|
Exforge
|
Amlodipine/Valsartan
ARB/Calcium channel blocker |
Avoid salt substitutes
|
|
Keppra
|
Levetiracetam
Antiepileptic |
May cause dizziness/drowsiness, do not operate heavy machinery, do not abruptly discontinue therapy
|
|
Lasix
|
Furosemide
Diuretic -Loop |
Diuresis, may be prn for CHF (monitor weight, watch salt intake). Lasix means "lasts six hours"
|
|
Nystatin
|
Nystatin
Antifungal |
Susp can be "swish and spit" (oral candidiasis) or "swish and swollow" (esophageal candidiasis)
|
|
Hyzaar
|
Losartan/HCTZ
ARB/diuretic |
Avoid salt substitutes, take in AM
|
|
Lamictal
|
Lamotrigine
Antiepileptic |
Report hypersensitivity/rash to MD, may cause drowsiness, do not operate heavy machine
|
|
Aldactone
|
Spironolactone
Diuretic -Potassium Sparing |
Take in early morning, monitor renal function and K+, gynecomastia in males, menstrual irregularities in women. Evidence based for heart failure, post MI and in resistant hypertension.
|
|
Valtrex
|
Valacyclovir
Antiviral against herpes virus |
Avoid intercourse during herpes outbreak, dose and duration depends on indication, CNS side-effects especially in elderly and renal impairment, D/I with zoster vaccine, stay well hydrated
|
|
Inderal (LA)
|
Propranolol
Beta Blocker - Nonselective |
May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly, LA and immed release are not mg per mg equivalent (likely need 30% more of the LA when converting from the immediate to the LA form)
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|
Tegretol (XR)
|
Carbamazepine
Antiepileptic |
Take with food, may cause drowsiness, avoid alcohol. Serious and sometimes fatal dermatologic reactions (including Stevens-Johnson syndrome and toxic epidermal necrolysis) have been reported, especially in patients with the inherited allelic variant HLA-B*1502. Genetically at-risk patients (IE those form Asia including China) should be screened prior to receiving carbamazepine.
|
|
Dyazide caps or Maxzide tabs
|
Triamterene/HCTZ
Diuretic -Potassium Sparing/Losing |
Take in early morning, avoid salt substitutes, may cause kidney stones due to triameterene (must maintain fluid status), can't use in impaired renal status (CCR < 30)
|
|
Zovirax
|
Acyclovir
Antiviral against herpes virus |
Avoid intercourse during herpes outbreak, dose and duration depends on indication, CNS side-effects especially in elderly and renal impairment, D/I with zoster vaccine, stay well hydrated
|
|
Coreg (CR)
|
Carvedilol
Beta Blocker (+ alpha 1 blocker) |
May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly, CR and immed release are not mg per mg equivalent (liver 2d6 has greater opportunity to chew up so need higher once daily release), example Coreg CR 10mg = Coreg 3.125mg BID
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|
Trileptal
|
Oxcarbazepine
Antiepileptic |
May cause dizziness/drowsiness, do not operate heavy machinery, do not abruptly discontinue therapy
|
|
Chlorthalidone
|
Chlorthalidone
Diuretic - Thiazide |
Evidence based, Twice as potent as HCTZ, Take in early morning, can't use in impaired renal status (CCR<30)
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Ceftin
|
Cefuroxime
Cephalosporin antibiotic |
can cause GI upset and hypersensitivity if allergic to PCN and cephalosporins. Can decrease absorption of oral birth control. Finish course
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|
Normodyne or Trandate
|
Labetalol
Beta Blocker (+ alpha 1 blocker) |
May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly
|
|
Depakote (ER)
|
Divalproex
Antiepileptic, mood stabilizer |
Do not abruptly discontinue therapy, avoid alcohol use, may cause drowsiness
|
|
Lozol
|
Indapamide
Diuretic -Thiazide |
Can be used in lower renal function, Evidence based
|
|
Keflex
|
Cephalexin
Cephalosporin antibiotic |
can cause GI upset and hypersensitivity if allergic to PCN and cephalosporins. Can decrease absorption of oral birth control. Finish course
|
|
Lopressor
|
Metoprolol Tartrate
Beta Blocker -Selective |
May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly
|
|
Phenobarbital
|
Phenobarbital
Antiepileptic/hypnotic; C-IV |
May cause drowsiness or dizziness, avoid alcohol use during therapy
|
|
Zaroxolyn
|
Metolazone
Diuretic -thiazide |
Often used in diuretic resistance patients in combination with loop diuretics, carefully monitor electrolytes especially K+ and Mg++
|
|
Omnicef
|
Cefdinir
Cephalosporin antibiotic |
can cause GI upset and hypersensitivity if allergic to PCN and cephalosporins. Can decrease absorption of oral birth control. Finish course
|
|
Tenormin
|
Atenolol
Beta Blocker -Selective |
May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly. Limited evidenced based data
|
|
Topamax
|
Topiramate
Antiepileptic/Migraine prophylactic |
May cause drowsiness or dizziness, avoid alcohol use during therapy. Confusion ("Dopamax") and it is now FDA approved in a combination with phentermine in extended release - Qsymia (C-IV)
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Klor-Con
|
Potassium Chloride
Electrolyte supplement |
Avoid salt substitutes, GI upset
|
|
Avelox
|
Moxifloxacin
Fluoroquinolone antibiotic |
Do not take with di or trivalent cations (separarate by 2 hours: milk calcium, antacids, and multivitamins), may cause sun sensitivity, possible CNS side-effects, FDA requires to assess risk of QTc prolongationl, monitor glucose, Tendon rupture warning, finish course
|
|
Toprol XL
|
Metoprolol Succinate
Beta Blocker -Selective |
May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly, XL and immed release are not mg per mg equivalent (200 succinate equal to 150 of tartrate)
|
|
Neurontin
|
Gabapentin
Antiepileptic/neuropathic analgesic |
May cause drowsiness or dizziness, avoid alcohol use during therapy. Edema, weight gain and confusion as common side effects, as well as generally need to titrate slowly to higher doses as this agent has dose related kinetics
|
|
Lovenox
|
Enoxaparin
Low molecular weight heparin |
Increased bleeding risk, review injection technique, often used to bridge with warfarin
|
|
Cipro (XR)
|
Ciprofloxacin
Fluoroquinolone antibiotic |
Do not take with di or trivalent cations (separarate by 2 hours: milk calcium, antacids, and multivitamins), may cause sun sensitivity, possible CNS side-effects, can prolong QT interval, monitor glucose, Tendon rupture warning, finish course
|
|
Bystolic
|
Nebivolol
Beta blocker, Beta-1 selective |
May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly. No outcome data.
|
|
Cogentin
|
Benztropine
Antiparkinson Agent |
May take with food to decrease GI symptoms. Potential anticholinergic side-effects
|
|
Imdur, ISMO
|
Isosorbide Mononitrate
Nitroglycerine |
Dizziness, headache,dose to avoid tolerance, must dose ISMO BID but need asymmetric dosing to avoid development of tolerance (need a nitrate free interval) ex.7 and 3 not Q12
|
|
Levaquin
|
Levofloxacin
Fluoroquinolone antibiotic |
Do not take with di or trivalent cations (separarate by 2 hours: milk calcium, antacids, and multivitamins), may cause sun sensitivity, possible CNS side-effects, can prolong QT interval, monitor glucose, Tendon rupture warning, finish course
|
|
Ziac
|
Bisoprolol/HCTZ
Beta Blocker - Beta 1 selective/thiazide diuretic |
May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly. Bisoprolol does have outcome data in heart failure at a target dose of 10mg QD
|
|
Mirapex
|
Pramipexole
Antiparkinson Agent |
Hallucinations may occur, report any changes in vision to MD, may cause drowsiness and even sleep attacks (falling asleep without warning)
|
|
Nitro-Dur
|
Topical Nitroglycerin
Antianginal/vasodilator Nitroglycerine |
Take without regard to food, finish full course of therapy, need nitrate free interval
|
|
Biaxin (XL)
|
Clarithromycin
Macrolide Antibiotic |
Metallic taste, 3A4 inhibition, QTc prolongation, finish course
|
|
Azor
|
Amlodipine/Olmestartan
Calcium channel blocker/ARB |
Refer to individual agents
|
|
Sinemet (CR)
|
Levodopa/Carbidopa
Antiparkinson Agent |
Avoid products containing B6 as they reduce the effectiveness of levodopa, may be taken with food/milk if GI upset occurs
|
|
Nitrostat
|
Nitroglycerin
Antianginal/vasodilator |
May cause lightheadedness, if symptoms unrelieved, take second tablet in 5 minutes and if no relief after 2nd dose, phone 911
|
|
Ery-Tab
|
Erythromycin Base
Macrolide Antibiotic |
Causes GI distress, Take on full stomach, 3A4 and 1A2 inhibition, finish course
|
|
Caduet
|
Amlodipine/Atorvastatin
Calcium channel blocker/HMG-CoA inhibitor |
Refer to individual agents alone
|
|
Requip
|
Ropinirole
Antiparkinson/Restless Leg agent |
May cause drowsiness or dizziness, avoid alcohol use during therapy, orthostasis may occur. May also cause sleep attacks.
|
|
Cardizem(SR)(CD) or Taztia XT
|
Diltiazem
Non dihydro Ca Channel Blocker |
May cause dizziness, do not discontinue therapy with MD consult, Look up to see if branded generics are AB rated
|
|
Zithromax or Zmax
|
Azithromycin
Macrolide Antibiotic |
possible QTc prologation, does not inhibit 3A4, finish course
|
|
Norvasc
|
Amlodipine
Dihydro Ca Channel Blocker |
May cause drowsiness and peripheral edema not responsive to diuretic but is to ACE-I or ARB
|
|
Abilify
|
Aripiprazole
Antipsychotic |
Avoid alcohol, D/I 3A4, QT prolongation, do not discontinue abruptly
|
|
Isoptin (SR) or Calan
|
Verapamil
Non dihydro Ca Channel Blocker |
May cause dizziness, do not discontinue therapy with MD consult
|
|
Cleocin
|
Clindamycin
Other Antibiotic |
May cause C.Diff associated severe diarrhea, Susp taste horrible
|
|
Lanoxin or Lanoxicap
|
Digoxin
+ Inotropic/ -chronotrope |
Narrow therapeutic index drug, avoid D/I's, Caution for signs/symptoms of digoxin toxicity (anorexia, nausea, fatigue, vision disturbances, bradycardia, arrthymias)
|
|
Geodon
|
Ziprasidone
Antipsychotic |
May cause arrhythmias, do not discontinue use abruptly, take with food
|
|
Aggrenox
|
Aspirin/Dipyridamole
Platelet Inhibitor |
Monitor for bleeding.
|
|
Macrobid or Macrodantin
|
Nitrofurantoin
Other Antibiotic |
Take with food to enhance absorption, may cause peripheral neuropathy or pulmonary fibrosis
|
|
Lotensin
|
Benazepril
ACE Inhibitor (diuretic) |
Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X
|
|
Risperdal
|
Risperidone
Antipsychotic |
First doses may cause fainting, may impair judgement, avoid alcohol use
|
|
Aggrastat
|
Tirofiban
Platelet Inhibitor |
IV only
|
|
Zyvox
|
Linezolid
Oxazolidinone |
D/I's due to MAO-I properties
|
|
Zestril or Prinivil
|
Lisinopril
ACE Inhibitor Antihypertensive |
Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X
|
|
Seroquel (XR)
|
Quetiapine
Antipsychotic |
Initially may cause dizzyness, use caution when operating heavy machinery due to drowsiness
|
|
Plavix
|
Clopidogrel
Platelet Inhibitor |
Monitor for bleeding. Take everyday, caution with some OTCs
|
|
Amoxil
|
Amoxicillin
Penicillin Antibiotic |
Hypersensitivity to Penicllin abx, can be taken with food to decrease GI upset, can dec effectiveness in oral birth control, can lead to secondary vaginal yeast infections, finish course
|
|
Mavik
|
Trandolapril
ACE Inhibitor Antihypertensive |
Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X
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|
Zyprexa
|
Olanzepine
Antipsychotic |
Initially may cause dizzyness, use caution when operating heavy machinery due to drowsiness, may cause wt gain, DM and dyslipidemia
|
|
Brilinta
|
Ticagrelor
Platelet inhibitor |
Dyspnea: 14% experienced in trials and transient but contact MD if first time. Dizziness as possible side effect so counsel on fall guidelines. May increase uric acid levels and gout. When to stop before surgery: 5 days before. D/I with CYP 3A4. Monitor for bleeding. FDA approval and Chest guideline recommended agent for ACS with and without stent and with aspirin but no more than 100 mg/day. Ok to load with 325mg. Outcomes better than with clopidogrel and aspirin in the PLATO Trial NNT 53 to prevent one CV death, MI or CVA at 1 year
|
|
Augmentin (XR)
|
Amoxicillin w/ Clavulanate
Penicillin Antibiotic |
May cause GI distress, Take on full stomach, Be aware of clavulanic dose (can't double)
|
|
Accupril
|
Quinapril
ACE Inhibitor Antihypertensive |
Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X
|
|
Antivert
|
Meclizine
Antivertigo Agent |
Potential anticholinergic side-effects
|
|
Pradaxa
|
Dabigatran
direct thrombin inhibitor |
Monitor for signs/sxs of bleeding. Caution in elderly 75 and older, kidney disease, concurrent drugs increase bleeding and if hx of gi bleed. Currently approved for decreasing risks of non valvular afib associated DVT and stroke. Do not break or chew capsule, throw away any unused portion after 4 months, D/I's: dronedarone and ketoconazole due to p-glycoprotein interaction. Keep in original pill container or blister pack. Dyspepsia is most common side-effect. If missed dose remembered after 6 hours, wait to take next scheduled dose. Do not double-up. When to stop before surgery: creatinine clearance based.
|
|
Veetids
|
Penicillin V Potassium
Penicillin Antibiotic |
finish course
|
|
Altace
|
Ramipril
ACE Inhibitor Antihypertensive |
Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X
|
|
Xanax (XR)
|
Alprazolam
Benzodiazepine Antianxiety, C-IV |
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
|
|
Xarelto
|
Rivaroxaban
Factor Xa inhibitor |
DVT, stroke prophylaxis following post-operative knee and hip surgery and non-valvular afib. Doses at 15 mg or above must be taken with food. Important to not miss doses, don't double up either. When to stop before surgery: at least 24 hours. Monitor for signs/sxs of bleeding. D/I with CYP 3A4.
|
|
Bactrim/Septra (DS)
|
Sulfamethoxazole/Trimethoprim
Sulfonamide Antibacterial |
Take with water, caution in sunlight, will increase hypoglycemia if on glyburide and other sulfonylureas, may cause severe life threathening skin reactions
|
|
Vasotec
|
Enalapril Maleate
ACE Inhibitor Antihypertensive |
Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X
|
|
Ativan
|
Lorazepam
Benzodiazepine Antianxiety; C-IV |
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
|
|
Epogen or Procrit
|
Epoetin alfa
Red Blood Cell colony stimulating factor |
Must have adequate iron stores and be careful not to push the Hbg to the normal range as it may increase the risk of increasing BP, MI, CVA, DVT and death
|
|
Solodyn
|
Minocycline
Tetracycline Antibiotic |
Photosensitivity, vestibular reactions and ataxia, avoid di and trivalent cations
|
|
Cardura (XL)
|
Doxazosin Mesylate
Alpha 1 Blocker Antihypertensive, BPH |
1st dose associated syncope, may cause orthostasis, dizziness
|
|
Klonopin
|
Clonazepam
Benzodiazepine Antianxiety; C-IV |
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
|
|
Relpax
|
Eletriptan
5-HT1 agonist Antimigraine |
Take at onset of migraine. If some relief but returns, may repeat once in 2 hours. Do not exceed 80mg in a 24 hour period. If no relief after 1st dose, rediagnose. Warning: Ischemic events, D/I with 3A4 and ergots.
|
|
Vibramycin or Doryx or Adoxa
|
Doxycycline Hyclate
Tetracycline Antibiotic |
Photosensitivity, avoid di and trivalent cations within 2 hours
|
|
Hytrin
|
Terazosin
Alpha 1 Blocker Antihypertensive, BPH |
1st dose associated syncope, may cause orthostasis, dizziness
|
|
Catapres (TTS) or Nexiclon XR
|
Clonidine
Alpha II agonist Antihypertensive |
May cause drowsiness, do not discontinue therapy abruptly, TTS should rotate sites, skin rxns common, discard carefully
|
|
Restoril
|
Temazepam
Benzodiazepine Antianxiety; C-IV |
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
|
|
Imitrex
|
Sumatriptan
5-HT1 agonist Antimigraine |
Take at onset of migraine. If some relief but returns, may repeat once in 2 hours. Do not exceed 200mg in a 24 hour period. If no relief after 1st dose, rediagnose. Warning: Ischemic events. D/I with ergots.
|
|
Bactroban
|
Mupirocin
Topical Antibiotic |
Used most in hospital to reduce the risk of MRSA infection from carriers
|
|
Cordarone
|
Amiodarone
Antiarrhythmic |
Many D/I's possible. Take into acct. very long half-life (~40-50 days!), thyroid problems, Hypotension, bradycardia, QTc, Hepatic and Pulmonary damage possible; notify MD of any jaundice, dark urine, problems breathing.
|
|
Valium
|
Diazepam
Benzodiazepine Antianxiety; C-IV |
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
|
|
Maxalt
|
Rizatriptan
5-HT1 agonist Antimigraine |
Take at onset of migraine. If some relief but returns, may repeat once in 2 hours. Do not exceed 200mg in a 24 hour period. If no relief after 1st dose, rediagnose. Warning: Ischemic events. Dissolve MLT tablet under the tongue. MLT tablet contains phenylalanine. D/I with Ergots.
|
|
Metro-Gel
|
Metronidazole
Topical antibiotic |
Utilize condoms for intercourse during therapy, some systemic absorption so avoid ETOH for 2 days after
|
|
Coumadin
|
Warfarin Sodium
Anticoagulent |
Narrow Therapeutic Index drug, GI bleed risk, control Vitamin K intake, INR monitoring, dose adjustment…, D/I's -don't start or stop another med unless talk to MD or RPh first.
|
|
Adipex-P
|
Phentermine
CNS stimulant - Obesity Management; C-IV |
Cardiovascular risk caution, take in the morning,
|
|
Zofran (ODT)
|
Ondansetron
5-HT3 antagonist Antiemetic |
May cause headache, fatigue. Dissolve ODT under tongue, do not remove ODT from blister unitl needed.
|
|
Mycolog II
|
Nystatin/Triamcinolone
Topical antifungal/steroid |
Use a sparing amount, avoid application around eyes
|
|
Crestor
|
Rosuvastatin
Antihyperlipidemic - HMG reductase inhibitor |
Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), can be taken any time of the day, Preg Cat X
|
|
Concerta or Ritalin (ER) or Metadate CD
|
Methylphenidate
CNS Stimulant for ADD, C-II |
Take as directed, don’t share your pills
|
|
Aricept
|
Donepezil
Acetylcholinesterase inhibitor |
Take in the evening, significant N & V & D and anorexia possible, may cause bradycardia and feinting. Set realistic expectations. Keep in mind positive statistical significance vs clinical significance.
|
|
Droxia
|
Hydroxyurea
Antimetabolite |
In community, for prevention of sickle cell crisis with an experienced physician, may cause bone marrow suppression
|
|
Lescol
|
Fluvastatin
Antihyperlipidemic - HMG reductase inhibitor |
Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), best taken in evening, Preg Cat X. Lescol only statin that does not interact with gemfibrozil – Lopid as it is not altered by inhibition of glucuronidation
|
|
Strattera
|
Atomoxetine
CNS Stimulant, used for ADD |
May impair cognitive & motor function, use caution when operating machinery, not a drug of abuse
|
|
Exelon
|
Rivastigmine
Acetylcholinesterase Inhibitor |
Rotate patch application sites, significant N & V & D and anorexia possible, may cause bradycardia and feinting. Keep in mind positive statistical significance vs clinical significance
|
|
Trexall/Rheumatrex
|
Methotrexate
Antimetabolite/antirheumatic |
Take as directed, pay attention to weekly versus daily dosing. Avoid alcohol and other hepatotoxic agents
|
|
Lipitor
|
Atorvastatin
Antihyperlipidemic - HMG reductase inhibitor |
Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), can be taken any time of the day, Preg Cat X, minor 3A4 D/I
|
|
Adderall (XR)
|
(Dex)/Amphetamine Mixed salts
CNS Stimulant, used for ADD; C-II |
Take as directed, don’t share you pills
|
|
Razadyne
|
Galantamine
Acetylcholinesterase inhibitor |
|
|
Femara
|
Letrozole
Aromatase Inhibitor |
May cause decrease in bone mineral density (supplement with calcium and vit D), may increase cholesterol, side-effects include nausea, vomiting, hot flashes, loss of appetite, musculoskeletal pain, headache, sleepiness, fatigue, dizziness, constipation, diarrhea, or loss of hair (will grow back), can worsen ischemic heart diseas
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Niaspan
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Niacin
Antihyperlipidemic |
Take at bedtime with a low fat snack, ASA 325mg or NSAIDs may decrease flushing. No outcome data to date (AIM HIGH was not positive when added to simvastatin) and avoid using more than 2 grams per day because of hepatotoxicity risk
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Vyvanse
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Lisdexamfetamine
CNS Stimulant, used for ADHD; C-II |
Take as directed, don’t share you pills
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Ultram
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Tramadol
Analgesic (combo) |
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Arimidex
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Anastrozole
Aromatase Inhibitor |
May cause decrease in bone mineral density (supplement with calcium and vit D), may increase cholesterol, side-effects include nausea, vomiting, hot flashes, loss of appetite, musculoskeletal pain, headache, sleepiness, fatigue, dizziness, constipation, diarrhea, or loss of hair (will grow back), can worsen ischemic heart diseas
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Pravachol
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Pravastatin
Antihyperlipidemic - HMG reductase inhibitor |
Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), can be taken any time of the day, Preg Cat X
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Provigil
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Modafinil
CNS Stimulant, used for narcolepsy; C-IV |
Take in morning or 1 hour prior to work, avoid driving until deemed safe by MD
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Ultracet
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Tramadol/APAP
Analgesic (combo) |
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Gleevec
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Imatinib
Tyrosine kinase inhibitor |
Take with a big glass of water with food to decrease GI irritation, many potential side-effects and D/I's
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Tricor
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Fenofibrate
Antihyperlipidemic |
May increase effect of sulfonylurea, Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider)
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Focalin (XR)
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Dexmethylphenidate
CNS stimulant; C-II |
Take as directed, don’t share your pills
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Fioricet
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Butalbital/APAP/Caffeine
Analgesic Combo for Tension Headaches |
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Atripla
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Efavirenz / Emtricitabine / Tenofovir
Combination drug for treatment of HIV |
Adherence important to prevent resistance, many potential D/I's and side-effects, should be taken on an empty stomach, normally at bedtime to increase gastrointestinal tolerance and decrease nervous system manifestations
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Trilipix
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Fenofibric acid
Antihyperlipidemic |
May increase effect of sulfonylurea, Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider). No good outcome data (FIELD and ACCORD Lipid were not positive) safer to combine with a statin than gemfibrozil but not evidence based.
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Sonata
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Zaleplon
hypnotic, nonbenzodiazepine; C-IV |
Take 30min to 1h prior to desired sleep, Allocate at least 5 hours after a dose to sleep (T ½ ~1 hour)
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Fiorinal (+/-codeine)
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Butalbital/ASA/Caffeine (+/-codeine)
Analgesic Combo for Tension Headaches, C-III |
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Combivir
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Zidovudine/Lamivudine
Reverse transcriptase inhibitor |
Adherence important to prevent resistance, Take without regard to food, may cause fat redistribution, lactic acidosis/hepatomegaly, myopathy, and hematologic toxicity
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Zocor
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Simvastatin
Antihyperlipidemic - HMG reductase inhibitor |
Myalgias, Rhabdomyolysis caution, report muscle pain asap to provider, take at bedtime, major 3A4 D/I's, avoid large amt of grapefruit juice (>1qt/day)
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Flexeril
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Cyclobenzaprine
Muscle Relaxant |
May cause drowsiness or dizziness and other anticholinergic side-effects, avoid alcohol use during therapy
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Namenda
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Memantine
Anti-alzheimer's agent |
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Truvada
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Emtricitabine/Tenofovir
Reverse transcriptase inhibitor |
Adherence important to prevent resistance, Take without regard to food do not miss any doses, may cause dec in bone mineral density, fat redistribution, lactic acidosis/hepatomegaly, and renal toxicity. Truvada now FDA approved for pre-exposure prophylaxis of HIV in HIV negative patients who have a sexual partner who is HIV positive and must have repeat HIV testing every 3 months.
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Lopid
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Gemfibrozil
Antihyperlipidemic |
Decreased glucoronidation so increases effects of all statins except fluvastation, Should be taken 30 mins before breakfast and dinner, Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), risk of cholelithiasis
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Skelaxin
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Metaxalone
Muscle Relaxant |
Least drowsy muscle relaxant, requires frequent dosing
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Buspar
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Buspirone
Antianxiety- serotonin 5-HT1A receptor partial agonist |
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Humira
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adalimumab
Tumor necrosis factor (TNF) alpha inhibitor antiinflammatory |
For SubQ injection; rotate injection sites. Store in refrigerator. Black box warnings: infections, malignancy, TB
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Vytorin
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Simvastatin/ezetimibe
Antihyperlipidemic - HMG reductase inhibitor and |
No good outcome data with addition of ezetimibe to simvastatin. Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), can be taken any time of the day, Preg Cat X, significant 3A4 D/I
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Soma
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Carisoprodol
Muscle Relaxant; C-IV |
Drug of abuse, may be scheduled in some states, caution for drowsiness
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Atarax
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Hydroxyzine Hydrochloride
Antianxiety/Antihistamine |
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Enbrel
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etanercept
Tumor necrosis factor (TNF) inhibitor antiinflammatory |
For SubQ injection; rotate injection sites. Store in refrigerator. Black box warnings: infections, malignancy, TB
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Altoprev
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Lovastatin ER
Antihyperlipidemic - HMG reductase inhibitor |
Myalgias, Rhabdomyolysis caution, take at bedtime, 3A4 D/I's
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Duragesic
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Fentanyl
Narcotic Analgesic; C-II |
Caution for respiratory depression, do not exceed prescribed dose. Avoid exposing patch on the skin to heat as it will increase the delivery of the fentanyl and increase the risk of toxicity, dispose of the used patch by folding over and flushing it, be careful when starting therapy and remember the patch is used for several days normally 72 hours but may see it changed every 48 hours in some patients. Caution in narcotic naive patients as it is 80-100 times more potent analgesic than morphine.
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Transderm-Scop
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Scopolamine
Anticholinergic |
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Mevacor
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Lovastatin
Antihyperlipidemic - HMG reductase inhibitor |
Myalgias, Rhabdomyolysis caution, take at bedtime, 3A4 D/I's
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MS Contin
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Morphine Sulfate
Narcotic Analgesic; C-II |
Risk of CNS and respiratory depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation
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Lovaza
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omega-3 fatty acid
Antihyperlipidemic |
Not evidence based. May cause fishy burp/taste, may cause inc risk of bleeds with coumadin, aspirin, clopidogrel or new alternatives.
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Oxycontin
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Oxycodone
Narcotic Analgesic; C-II |
CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation
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Benicar
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Olmesartan
ARB (diuretic) Antihypertensive |
Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit
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Percocet or Roxicet
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Oxycodone/APAP
Narcotic Analgesic; C-II |
CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation. APAP combination dose will be reduced to no more than 325mg per tablet in the next year. Consider the total daily dose of acetaminophen from all sources.
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Diovan
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Valsartan
ARB (diuretic) Antihypertensive |
Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit
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Tylenol with Codeine
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Acetaminophen/Codeine
Narcotic Analgesic; C-III |
CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation. Consider the total daily dose of acetaminophen from all sources.
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Cozaar
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Losartan
ARB Antihypertensive |
Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit
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Vicoprofen
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Hydrocodone/Ibuprofen
Narcotic Analgesic; C-III |
CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, APAP max is 4 grams per day (avoid concommitant apap drugs), constipation, taking with food may decrease some GI upset
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Lortab or Vicodin or Lorcet
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Hydrocodone/APAP
Narcotic/APAP Analgesic - CIII |
#1 prescribed drug! CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, avoid concommitant nsaid drugs, constipation. Vicodin reformulated to contain only 300mg of apap per dose to avoid generic competition and to meet new FDA requirement.
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Lyrica
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Pregabalin
Neuropathic Analgesic - CV |
May cause drowsiness, do not discontinue therapy abruptly. Weight gain, edema and confusion are potential side-effects
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Chantix
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Varenicline Tartrate
Nicotinic receptor agonist, Smoking cessation |
Usually titrated upward. Most effective smoking cessation agent to date ~ 44% at 12 weeks, also watch for night mares and any changes in affect and/or behavior and report them to the prescriber. Side-effects may be dose related.
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