126 terms

Drugs

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Atorvastatin (Lipitor, Atorlip, Lipvas, Sortis, Tovacard, Tulip)
HMG-CoA Reductase Inhibitor
Hyperlipidemia
Primary/Secondary prevention of artherosclerotic cardiovascular disease
Athralgia, Diarrhea, headache
Advise of pregnancy, grapefruit (juice), alcohol, and that its not a replacement for lifestyle changes
Fenofibrate (Lofibra)
Antihyperlipidemic
Hypercholesterolemia
Hypertriglyceridemia
Hyperhomocysteinemia, abdominal pain, diarrhea, headache
Avoid with pregnancy, fenoglide and lipofen R need food, take 1hr before or 4-6hrs after acid binding resin
Fluvastatin (Lescol, Lescol XL)
HMG-CoA Reductase Inhibitor
Hypercholesterolemia
Primary/Secondary preventions of artherosclerotic cardiovascular disease
Secondary prevention cardiovascular events in patients with high risk for CAD
Abdominal Pain, Constipation, diarrhea, headache
Avoid pregnancy, alcohol, multiple known drug-drug interactions detailed accurate list of all medications must be given, not replacement of lifestyle changes, and risk of myopathy for ER tablets
Gemfibrozil (Lopid)
Antihyperlipidemic
Coronary arteriosclerosis, prophylaxis-familial combined hyperlipidemia
familial type V hyperlipoproteinemia-Frederickson type IV hyperlipoprotein
Indigestion, constipation, diarrhea, headache
Take 30min before breakfast and dinner. Reports all signs rhabdomyolysis, jaundice, renal failure
Lovastatin (Mevacor, Altocor, Altoprev)
HMG-CoA Reductase Inhibitor
Coronary Arteriosclerosis
hypercholesterolemia
Abdominal Pain, constipation, diarrhea, headache
Take ER tabs at bedtime, immediate release tabs with evening meal, swallow ER tabs whole (no chewing or cutting), avoid alcohol and grapefruit (juice), Report all symptoms of rhabdomyolysis, jaundice, renal failure, multiple drug-drug interactions need to know all OTC meds, does not take place of lifestyle changes
Pravastatin (Pravachol)
HMG-CoA Reductase Inhibitor
Cerebrovascular accident
coronary arteriosclerosis
hypercholesterolemia
hyperlipidemia
Headache, heartburn, myalgia, vomiting
Cannot take if pregnant, take in evening, avoid heavy alcohol consumption, dos not take place of lifestyle changes
Rosuvastatin (Crestor)
HMG-CoA Reductase Inhibitor
Hyperlipidemia
Primary prophylaxis
hypercholesterolemia
cardiovascular disorder
Arthralgia, abdominal pain, constipation, diarrhea, headache
Call doctor immediately if possible pregnancy has occurred, NO alcohol, does not take place of lifestyle changes
Simvastatin (Zocor)
HMG-CoA Reductase Inhibitor
Hyperlipidemia
Primary/Secondary prevention of atherosclerotic cardiovascular disease
Secondary prevention cardiovascular events in patients high risk for CAD
Call doctor immediately if possibility of pregnancy, No alcohol, multiple drug-drug interactions important to have updated list of meds, does not take place of lifestyle changes
Amitriptyline (Elavil)
Tricyclic Antidepressant
Depression
Migraine Prophylaxis (off label)
Chronic Pain
Polyneuropathy, postherapeutic neuralgia
PTSD
Sedation,,blurred vision, confusion, constipation
Avoid activities that require mental alertness, NO alcohol, do not combine with other CNS depressants, may not see effects within fist couple weeks. Do NOT discontinue use without consent from a doctor.
Citalopram (Celexa)
SSRI Antidepressant
Depression
OCD
Panic Disorder (off label)
Constipation, Dizziness, Headache, Insomnia, Nausea, Sedation, Xerostomia
Avoid activities that require mental alertness, NO alcohol, Do NOT take other CNS depressants, Do NOT stop taking without doctors consent, May not see effects for first few weeks
Sertraline (Zoloft)
SSRI Antidepressant
Depression
OCD
Panic Disorder, PTSD, Social Phobia
Premenstrual Dysphoric Disorder
Binge Eating Disorder (off label)
Bulimia Nervosa
Generalized Anxiety Disorder
Diarrhea, fatigue, Headache, Insomnia, Nausea
Avoid activities requiring mental alertness until effects are known, Effects may not be seen for first few weeks, Report any changes in depression, suicidal thoughts, behavior, or unusual bleeding. Do not discontinue use without doctors approval, NO alcohol, NSAIDS, or aspirin
Escitalopram (Lexapro)
SSRI Antidepressant
Depression
General Anxiety Disorder
OCD (off label)
Panic Disorder (off label)
Hot Flashes (off label)
Headache, Nausea, Sedation
Avoid activities requiring mental alertness until drug effects are known. May not see effects for 4-6weeks, report any changes in depression, suicidal thoughts, behavior, unusual bleeding, Do NOT discontinue use without doctors approval. NO alcohol, NSAIDs, or aspirin
Imipramine (Tofranil, Tofranil PM)
Tricyclic Antidepressant
Depression
Enuresis
Xerostomia, blurred vision, headache
Avoid activities requiring mental alertness until drug effects known, drug may cause dizziness in somnolence, report any changes in depression, suicidal thoughts, behaviors, unusual bleeding. Do NOT discontinue without doctors approval, NO alcohol.
Desvenlafaxine (Pristiq)
Serotonin/Norepinephrine Re-uptake Inhibitor
Depression
Menopause flushing (off label)
Diaphoresis, dizziness, headache, nausea, Xerostomia
Take with food, improvement may not be seen for a few days, Do NOT discontinue without doctors approval, avoid activities requiring mental alertness.
Fluoxetine (Prozac)
SSRI Antidepressant
Depression
OCD
Panic Disorder
Premenstrual Dysphoric Disorder
PTSD (off label)
Fibromyalgia (off label)
Diarrhea, headache, nausea, somnolence, tremor, Xerostomia
Take without meals in the morning, avoid activities requiring mental alertness until drug effects known, Improvement may not be seen for a few weeks, report any changes in depression, suicidal thoughts, unusual bleeding., NO alcohol, NSAIDs, or aspirin.
Nortriptyline (Pamelor)
Tricyclic Antidepressant
Depression
Constipation, blurred vision, confusion
Avoid activities requiring mental alertness until effects are known, report any changes in depression, suicidal thoughts, and unusual bleeding, Do NOT discontinue use without doctors approval, NO alcohol
Venlafaxine (Effexor, Effexor XR)
Serotonin/Norepinephrine Re-Uptake Inhibitor
General Anxiety Disorder
Depression
Panic Disorder
Social Anxiety Disorder
OCD (off label)
Hot flashes (off Label)
Dizziness, headache, insomnia, nausea, somnolence, Xerostomia
Take with food, ER tablets/capsules need to be taken whole, ER capsules can be sprinkled on food, Improvement may not be seen for a few weeks, Do NOT discontinue without doctors approval, avoid activities that require mental alertness
Paroxetine (Paxil, Paxil CR)
SSRI Antidepressant
Depression
General Anxiety Disorder
Social Anxiety Disorder
OCD
Panic Disorder
PTSD
Premenstrual Dysphoric Disorder
Vasomotor Symptoms Menopause
Abnormal ejaculation, Asthenia, constipation, diarrhea, headache, insomnia, nausea, somnolence
Do not crush CR tablets, Shake-well, avoid activities requiring mental alertness until effects are known, effects may not be seen for a few weeks, Do NOT discontinue use without doctors approval, NO alcohol, NSAIDs, or aspirin.
Doxepin (Sinequan)
Tricyclic Antidepressant
Depression
Anxiety
Alcoholism
Insomnia
Xerostomia, blurred vision, confusion
Avoid activities requiring mental alertness until effects are known, effects may not be seen for a few weeks, Do NOT discontinue use without doctors approval, NO alcohol
Duloxetine (Cymbalta)
Serotonin/Norepinephrine Re-Uptake Inhibitor
Anxiety
Depression
Diabetic Peripheral Neuropathy pain
Fibromyalgia
Musculoskeletal pain
Urinary Incontinence
Headache, Nausea, agitation, anxiety
Report withdrawal symptoms, Drug may cause hepatotoxicity increased risk of bleeding, Needs 1-4weeks to show improvement, report any changes in depression, suicidal thoughts, unusual bleeding, children more sensitive to changes, monitor carefully with meds changing coagulations, NO alcohol,
Acetaminophen W/ Codeine (Tylenol w/ Codeine)
Opioid C-III (C-II if Codeine alone)
pain
Nausea, Vomiting, Constipation, Somnolence
Need to use stool softener if using chronically, Can cause drowsiness, limit mentally alert activities until effects are known, NO alcohol
Buprenorphine & Naxolone (Bunavail, Suboxone, Zubsolv)
Opioid Partial Agonist/Antagonist Combo C-III
Opioid Dependence
Vasodilation, Sweating, Headaches, Insomnia, Constipation, GI distress, opioid withdrawal, dizziness
Use with stool softener, Can cause drowsiness, avoid activities requiring mental alertness until effects are known, Avoid other CNS depressants, NO alcohol, No crushing or swallowing sublingual tabs, take multiple tabs all together, For films take on opposite sides of mouth, Do NOT use more than 2 Buccal films.
Fentanyl Trans-dermal (Duragesic)
Opioid Analgesic C-II
Pain
Application site reactions, sweating, constipation, GI distress, confusion, headache, anxiety, urinary retention, upper respiratory tract infection, fatigue
Use with stool softener, may cause drowsiness avoid activities requiring mental alertness until effects are known, NO alcohol, Avoid other CNS depressants, Apply on clean, dry skin, febrile patients may have increased absorption,
Hydrocodone (Zorhydro ER, Vicodin, Lortab, Lorcet HD)
Opioid Analgesic C-II
pain
Constipation, GI distress, somnolence
Use with stool softener if going to use chronically, avoid activities that require mental alertness until effects are known, NO alcohol, Avoid other CNS depressants
Methadone (Dolophine, Methadose)
Opioid Analgesic C-II
Pain
Drug Detox, Opioid Abuse
Constipation, GI distress, hypotension, dizziness, sedation
Use with stool softener, avoid activities that require mental alertness until effects are known, NO alcohol, Avoid other CNS depressants, Seek immediate medical help if SOB or drowsy, If breast feeding monitor children carefully for sedation
Morphine ER (MS Contin, Avinza, Kadian)
Opioid Analgesic C-II
pain
Constipation, Nausea, Vomiting, Hypotension, Dizziness, Sedation, Edema, Pruritus, Headaches, Depression, Xerostomia
Use with stool softener, avoid activities that require mental alertness until effects are known, NO alcohol, Avoid other CNS depressants, ER cant be crushed or chewed, ER capsule can be sprinkled on food
Oxycodone ER (Roxicodone, OxylR, Oxyfast, OxyContin CR)
Opioid Analgesic C-II
pain
Constipation, GI distress, sedation, sweating, pruritus
Use with stool softener, avoid activities that require mental alertness until effects are known, NO alcohol, Avoid other CNS depressants
Tramadol (Ultram)
Opioid Analgesic C-IV
pain
Constipation, GI distress, Dizziness, Sedation, Edema, Sweating, Pruritus, Headaches, flushing
Use with stool softener if going to use chronically, avoid activities that require mental alertness until effects are known, NO alcohol, Avoid other CNS depressants, ER tabs cant be crushed/chewed, take with OR without food, but always take same way
Atenolol (Tenormin)
Cardio-selective B-Adrenergic Blocker
Angina Pectoris
Hypertension
Cardiac Dysrhythmia (off label)
Migraine Prophylaxis (off label)
Bradyarrhythmia, cold extremities, dizziness, fatigue, hypotension, depression
Take on empty stomach, NO alcohol, do not discontinue use without doctors consent, may further irritate angina, report any symptoms of hypotension, heart failure, or angina, increase risk of hypoglycemia in diabetics, or dizziness or drowsiness
Bisoprolol (Zebeta)
Cardioselective B-Adrenergic Blocker
Hypertension
Angina (off label)
Atrial Fibrillation (off label)
Heart Failure (off label)
Bradyarrhythmias, cold extremities, dizziness, fatigue, hypotension
Report any symptoms of hypotension or heart failure, watch for dizziness and avoid activities requiring mental alertness, NO alcohol or CNS depressants, get up slowly from sitting down because of risk for orthostatic hypotension, do not stop without doctors consent, NO NSAIDS
Carvedilol (Coreg, Coreg CR)
A-B-Adrenergic Blocker
Heart Failure
Hypertension
Impaired L.V. Function/ Myocardial Infarction
Angina Pectoris (off label)
Cardiac Dysrhythmia (off label)
Cold extremities, dizziness, erectile dysfunction, fatigue, hypotension, weight gain
Take with food or milk. Report any signs of heart failure, bradyarrhythmias, bronchospasms, hepatotoxicity, hypotension, syncope, or angina. NO alcohol, Do not stop taking without doctors consent, avoid activities that require mental alertness, may cause hypoglycemia in diabetics
Labetalol (Normodyne)
A-B- Adrenergic Blocker
Hypertension
Dizziness, nausea, fatigue
Report any signs of hypotension, bronchospasms, hepatotoxicity, syncope. , NO alcohol, May cause dizziness do not attempt activities requiring mental alertness, sit up slow because it may cause orthopedic hypotension, may cause hypoglycemia in diabetics, do not discontinue use with doctors consent.
Metoprolol (Lopressor, Toprol XL)
Cardioselective B- Adrenergic Blocker
Angina
Heart Failure
Hypertension
Acute Fibrillation-Cardioversion (off label)
Cardiac Dysrhythmia (off label)
Dizziness, fatigue, hypotension
Take on empty stomach, Report any signs of hypotension, heart failure, angina , NO alcohol, May cause dizziness do not attempt activities requiring mental alertness, may cause hypoglycemia in diabetics, do not discontinue use with doctors consent
Nebivolol (Bystolic)
Cardioselective B- Adrenergic Blocker/ B1 Blocker
Hypertension
Heart Failure (off label)
Bradyarrhythmias, bronchospasms, glucose regulation problems
Report any signs of hypotension, bronchospasms, heart failure, NO alcohol, May cause dizziness do not attempt activities requiring mental alertness, sit up slow because it may cause orthopedic hypotension, may cause hypoglycemia in diabetics, do not discontinue use with doctors consent
Propranolol (Inderal, Inderal XL, Inderal LA)
Nonselective B-Adrenergic Blocker
Chronic Angina Pectoris
Cardiac Dysrhythmia
Hypertension: Adults
Migraine Prophylaxis: Immediate
Anxiety (off label)
Hypotension, Bradyarrhythmias, bronchospasms,
Take immediate release empty stomach, take extended release with food, Report any signs of hypotension, CHF, angina. , NO alcohol, May cause dizziness do not attempt activities requiring mental alertness, sit up slow because it may cause orthopedic hypotension, may cause hypoglycemia in diabetics, do not discontinue use with doctors consent
Benazepril (Lotensin)
ACE-I, Anti-hypertensive
Hypertension
Heart Failure (off label)
Diabetic Nephropathy (off Label)
Kidney Disease (off label)
Diarrhea, dizziness, dry cough
Avoid pregnancy, take potassium/salt supplements under doctor supervision, may cause dizziness, take at same time daily
Captopril (Capoten)
ACE-I, Anti-hypertensive
Hypertension
Congestive heart failure
Kidney problems from diabetes
Improve chance survival post-MI
Rash, chest pain, cloudy urine
Report any signs of infection, may perspirate heavily causing dehydration which can lead to hypotension
Enalopril (Vasotec)
ACE-I, Anti-hypertensive
Heart Failure
Hypertension
Kidney disease (Non-diabetic)
Diabetic Nephropathy (off Label)
Increased serum Creatinine, diarrhea, dizziness
Use potassium/salt substitutes under doctor supervision
Fosinopril (Monopril)
ACE-I, Anti-hypertensive
Heart Failure
Hypertension
Dizziness, diarrhea, dry cough
May take 2-4wks to see effects, Avoid pregnancy, take potassium/salt supplements under supervision of doctor, may causes dizziness
Lisinopril (Prinivil, Zestril)
ACE-I, Anti-hypertensive
Acute MI
Heart Failure
Hypertension
Diarrhea, dizziness, dry cough
NO pregnancy, take potassium/salts supplements under doctor supervision, may cause dizziness
Quinapril (Accupril)
ACE-I, Anti-hypertensive
Heart Failure
Hypertension
Diabetic Nephropathy (off label)
Diarrhea, dizziness, dry cough
NO pregnancy, take potassium/salts supplements under doctor supervision, may cause dizziness, do not stop without doctors consent
Ramipril (Altace)
ACE-I, Anti-hypertensive
Heart failure from MI
Hypertension
Reduce risk MI, stroke, death from cardiovascular disease
Diabetic Nephropathy (off label)
Kidney Disease (off label)
Diarrhea, dizziness, dry cough
Avoid pregnancy, take potassium/salts supplements under doctor supervision, may cause dizziness
Glimepiride (Amaryl)
2-Gen Sulfonylurea, Anti-diabetic
Diabetes Type II
Hypoglycemia, nausea, headache, dizziness, asthenia
Monitor blood glucose levels 2-4 times a day, if <70 eat candy and contact doctor, take with food or milk in morning, Avoid tanning beds, and tanning lamps, use sunscreen
Glipizide (Glucotrol)
2-Gen Sulfonylurea, Anti-Diabetic
Diabetes
Asthenia, Hypoglycemia, nausea, headache, dizziness, tremors
Monitor blood glucose levels 2-4 times a day, if <70 eat candy and contact doctor, take 30min before food or milk in morning, Avoid tanning beds, and tanning lamps, use sunscreen, NO alcohol as may cause disulfiram reaction, do not chew ER form
Metformin (Glucophage)
Biguanide, Hypoglycemic
Diabetes Type II
Diarrhea, malabsorption, nausea, cobalamin deficiency, asthenia, vomiting, flatulence
Monitor blood glucose levels 2-4 times a day, if <70 eat candy and contact doctor, take with food in morning and bedtime, Avoid tanning beds, and tanning lamps, use sunscreen, NO alcohol as may cause lactic acidosis
Pioglitazone (Actos)
Thiazolidinedione, Anti-diabetic
Diabetes Type II
Edema, weight gain, myalgia
Monitor blood glucose levels, can take without reheard to food, may require several weeks to see effects
Repaglinide (Prandin)
Meglitinide, Anti-diabetic
Diabetes Type II
Hypoglycemia, headache, arthralgia nasopharynx
Monitor blood glucose in frequent intervals (2-4 times per day); if <70 mg/dL, eat candy or sugar and contact prescriber. Take 15min before each meal up to 4 times per day. Do not take without meal. Add a dose if eating extra. Counsel on recognizing hypoglycemia. Encourage lifestyle changes
Rosiglitazone (Avandia)
Thiazolidinedione, Anti-Diabetic
Diabetes
Edema, weight gain, increased cholesterol
Monitor blood glucose in frequent intervals (2-4 times/d). May take without regard to food. May require several weeks for max effect.
Sitagliptin (Januvia)
Dipeptidyl Peptidase-4 Inhibitor, Anti-diabetic
Diabetes
Hypoglycemia, headaches, nasopharyngitis,
Monitor blood glucose in frequent intervals (2-4 times/d). Take with morning meal if once-daily dosing. Take with morning and evening meal if twice-a-day dosing. When used in combination with insulin or sulfonylureas, risk of hypoglycemia may be increased.
Esomeprazole (Nexium)
Proton Pump Inhibitor
H.Pylori GI infection
Erosive Esophagitis (GERD)
E.E., Heartburn
NSAID-induced gastropathy
Zollinger-llison syndrome
Headache, abdominal pain, diarrhea
Take hour before meals
Dexlansoprazole (Dexilant)
Proton pump Inhibitor
E.E.
Symptomatic GERD
Diarrhea, abdominal pain, nausea
Can be taken without regard to meals, do NOT take with antacids
Famotidine (Pepcid)
Histamine H2 Agonist
Duodenal Ulcer, maintenance
GERD
Gastric ulcer, acute
Indigestion (OTC)
Constipation, diarrhea, nausea, skin rash
Take at bedtime, may take with food or antacids, shake well
Lansoprazole (Prevacid)
Proton pump Inhibitor
Duodenal ulcer
Gastric ulcer
H.Pylori GI infection
E.E., GERD, treatment
Zollinger-Ellison syndrome
Heartburn (off label)
Drug-induced GI distress (off label)
Diarrhea, headache
Take 1 hour before meals, don't take with antacids, capsules can be opened onto 1tbsp applesauce making sure granules swallowed immediately
Omeprazole (Prilosec, Zegerid)
Proton pump Inhibitor
Duodenal Ulcer
H.Pylori GI infection
E.E.
Drug-induced GI distress (off label)
Abdominal pain, diarrhea, headache
Should be taken 1 hour before meals
Pantoprazole (Protonix)
Proton Pump Inhibitor
E.E., GERD
Gastric Hypersecretion
Zollinger-Ellison syndrome
H.Pylori GI Infection (off label)
Duodenal Ulcer (off label)
Abdominal pain, diarrhea, headache
Can be taken with or without food, but best taken before meals
Rabeprazole (Aciphex)
Proton Pump Inhibitor
Duodenal ulcer
H.Pylori GI infection
Gastric Hyper secretion
GERD treat (erosive or ulcerative)
Drug-induced GI distress (off label)
Gastric ulcer (off label)
Headache, rash
Open and sprinkle onto small amounts of room-temp food or liquid, must serve within 15 min, for duodenal ulcers administer with breakfast
Ranitidine (Zantac)
Histamine H2 receptor Antagonist
Duodenal ulcer
Gastric ulcer
Indigestion (prevention or treat)
H.Pylori GI infection
Stress ulcer prophylaxis (off label)
Constipation, diarrhea, nausea
Take at bedtime with food or antacids if needed
Clorthalidone (Hygroton, Thalitone)
Thiazide Diuretic
Hypertension
Edema
Child Hypertension (off label)
Ca2+ nephrolithiasis, kidney stones
Dizziness, hypotension, hyperuricemia
Report any symptoms of dyspnea, hypotension, gout, or heart failure, NO alcohol, NO NSAIDs, do not discontinue without doctors approval, Can cause dizziness, avoid activities requiring mental alertness, Increase potassium uptake, may cause orthostatic hypotension
Furosemide (Lasix)
Loop Diuretic
Edema from H.F. or R.F.
Hypertension
Hyperuricemia, asthenia, headache
NO alcohol, NO NSAIDs, increased sensitivity to sun, may cause dizziness, avoid activities requiring mental alertness, report any signs of hypotension, decreased urine output, ototoxicity, or severe skin reactions, increase potassium uptake
Hydrochlorothiazide (Esidrix, Hydrodiuril, Microzide)
Thiazide Diuretic, Antihypertensive
Edema Hypertension
Hypercalciuria (off label)
Headache, dizziness, hypotension
May take with or without food, take as early as possible to avoid nocturia, may cause dizziness, avoid activities requiring mental alertness, report any signs of hypotension, increase potassium uptake, NO alcohol, NO NSAIDs
Spironolactone (Aldactone)
K+-sparing Diuretic,
selective Aldosterone blocker

H.F., edema associated with it
Nephrotic syndrome
Hypertension
Hypokalemia
ascites, cirrhosis of liver (off label)
acne vulgaris (off label)
Hirsutism (off label)
Breast tenderness, diarrhea, headache
May cause dizziness, avoid activities that require mental alertness, report any signs of hyperkalemia, and hyponatremia, avoid salt and potassium supplements, NO alcohol, NO NSAIDs
Triamterene-Hydrochlorothiazide (Dyazide, Maxzide)
k+-sparing/thiazide Diuretic Combo
Edema
Hypertension
Hypotension, dizziness, headaches
May cause dizziness, avoid activities requiring alertness, avoid potassium supplements, high potassium foods, salt supplements high in potassium, NO alcohol, NO NSAIDs, caution with sulfonamide allergies, use sunscreen in case of light sensitivity
Carbamazepine (Tegretol)
Anticonvulsant
bipolar
epilepsy
trigeminal neuralgia
neuropathic pain (off label)
Hyponatremia, blurred vision, confusion
May decrease effectivity of birth controls, avoid activities requiring mental alertness, NO alcohol, grapefruit, grapefruit juice, take with food, do not discontinue use without doctors consent
Clobazam (Onfi)
Anticonvulsant (C-IV)
Lennox-Gestaut syndrome
alcohol withdrawal (off label)
anxiety (off label)
Constipation, drooling, ataxia, lethargy, respiratory infections, somnolence, fever
Can induce feelings of lethargy and somnolence, NO alcohol, avoid activities that require mental alertness
Gabapentin (Neurontin, Gralise)
Gamma Aminobutyric Acid,
Anticonvulsant
Partial Seizure
Postherapeutic neuralgia
Diabetic neuropathy (off label)
restless leg syndrome (off label)
Neuropathic pain (off label)
Dizziness, somnolence, ataxia
First dose of first day taken at bedtime, take ER form every bedtime thereafter, may cause dizziness/somnolence, avoid activities requiring mental alertness, report depression, suicidal ideation, or changes in behavior, make sure to take least 2 hours after taking an antacid, do not discontinue without doctors consent as may cause status elepticus
Lacosamide (Vimpat)
Anticonvulsant (C-V)
Partial Seizure
Dizziness, ataxia, fatigue, nausea, tremors, diplopia
May be taken without regard to food unless stomach upset occurs in which case should take with food, always take at same time of day
Lamotrigine (Lamictal)
phenyltriazine Anticonvulsant
Bipolar I
Partial Seizure
Tonic-Clonic Seizure
Lennox-Gestaut Syndrome
RASH, ataxia, somnolence, headache, diplopia, rhinitis, nausea, vomiting, insomnia
If rash develops seek medical attention immediately, needs slow titration to minimize side effects, NO alcohol, see doctor before planning to become pregnant, place oral tab on tongue and let dissolve, review driving restrictions for people with seizures
Levetiracetam (Keppra XR)
Anticonvulsant
Myoclonic Seizure
Partial Seizure
Tonic-Clonic Seizure
Asthenia, fatigue, headache, somnolence, vomiting
Take ER tab WHOLE (no crush, chew, break), avoid activities requiring mental alertness, report any signs of mood swings, agitation, hostile behavior, suicidal ideation, or changes in behavior, do not discontinue use without doctors consent
Oxcarbazepine (Trileptal)
Dibenzazepine Carboxamide, Anticonvulsant
Partial Seizure
Trigeminal Neuralgia (off label)
Somnolence, diplopia, headache, dizziness
Shake well and prepare immediately, suspension can be mixed in glass of water or swallowed straight from syringe, avoid activities requiring mental alertness, report any signs of dermatological reactions, myelosuppression, or hepatotoxicity, Take with food, NO alcohol,grapefruit, OR grapefruit juice, do NOT discontinue without doctors consent
Phenobarbital (Luminal)
Long acting barbituate (C-IV)
Epilepsy
Daytime Sedation
Sleep (off label)
Somnolence, dizziness, hypotension
May cause dizziness, light-headedness, somnolence, Avoid activities requiring mental alertness, Do not discontinue without without doctors consent, NO alcohol or other CNS depressants, multiple drug interactions to be aware of
Phenytoin (Dilantin)
Hydantoin Anticonvulsant
Seizure: Tonic-Clonic, Partial, followup neurosurgery
Gingival Hyperplasia, ataxia, dizziness, headache
Take ER caps whole, avoid activities requiring mental alertness, report any signs of pancytopenia, hepatotoxicity, systemic lupus, erythematosus, or severe skin reactions, NO alcohol, multiple drug interactions to consider
Pregabalin (Lyrica)
Analgesic, Anticonvulsant (C-V)
Neuropathic pain
fibromyalgia
partial seizure
posherapetic neuralgia
Dizziness, somnolence, headache, ataxia, peripheral edema
Solution must be disposed after 45 days from opening, avoid activities that require mental alertness, avoid sudden discontinuation because of withdrawal, seizures, NO alcohol
Topiramate (Topamax)
Anticonvulsant
partial/tonic-clonic seizure
migraine prophylaxis
cluster headache proph. (off label)
Ataxia, loss of appetite, nausea, dizziness, impaired psychomotor performance, somnolence, fatigue, nystagmus, low Ser. HCO3-
Avoid activities requiring mental alertness as may cause dizziness/somnolence, Avoid alcohol, other CNS convulsants, do not discontinue without doctors approval, seek immediate medical attention for eye problems/high body temp., may cause decreased ability to sweat
Divalproex (Depakote)
Anticonvulsant
absence seizure
partial epileptic seizure
manic bipolar
migraine prophylaxis
Abdominal pain, alopecia, asthenia, diarrhea, diplopia, dizziness, headache, nausea, somnolence, tremor, vomiting
Drug may cause dizziness/somnolence, avoid activities requiring mental alertness, take with food, do not discontinue without doctors approval, NO alcohol
Thyroid (Armour Thyroid)
Thyroid Supplement
Hypothyroidism
No side effects
May take 6-8weeks before noticeable improvement, do not discontinue use without doctors approval, stepwise decrease to discontinue, take on empty stomach, water is okay
Levothyroxine (Synthroid)
Thyroid Supplement
Hypothyroidism: oral
TSH inhibition:thyroid cancer
Toxicity of radiotherapy (off label)
Decreased appetite, anxiety, diarrhea, insomnia
May take 6-8weeks before noticeable improvement, do not discontinue without doctors approval, take on empty stomach at least 30min before food, water is okay, take NO antacids or iron within 4hrs of a dose
Candesartan (Atacand)
Angiotensin II receptor agonist
Heart Failure
Hypertension
Hypotension, back pain, constipation
No pregnancy, use potassium supplements ONLY under doctor supervision, may cause dizziness, get to a doctor if signs of angioedemia, severe fluid loss, hyperkalemia, less urination, or jaundice
Irbsartan (Avapro)
Angiotensin II receptor antagonist
Diabetic Neuropathy
Hypertension
LV Hypertrophy (off label)
renal impairment, hypertension (off label)
Headache, diarrhea, dizziness
No pregnancy, use potassium supplements ONLY under doctor supervision, may cause dizziness, get to a doctor if signs of angioedemia, severe fluid loss, hyperkalemia, less urination, jaundice or skin rash, NO alcohol, Avoid driving, do not discontinue without doctors approval
Losartan (Cozaar)
Angiotension II receptor antagonist
Antihypertensive
Hypertension
Heart Failure
Diabetic Nephropathy
reduce cardiovascular risk (off lab)
isolated systolic hyperT. (off label)
LV Hypertension (off label)
Headache, anorexia, back pain, constipation
No pregnancy, use potassium supplements ONLY under doctor supervision, may cause dizziness, get to a doctor if signs of angioedemia, severe fluid loss, hyperkalemia, less urination, or jaundice, do not discontinue without doctor approval
Olmesartan (Benicar)
Angiotension II receptor antagonist
Hypertension
Back pain, dizziness, headache
No pregnancy, use potassium supplements ONLY under doctor supervision, may cause dizziness, get to a doctor if signs of angioedemia, severe fluid loss, hyperkalemia, less urination, or jaundice, Watch for symptoms of orthostatic hypotension
Valsartan (Diovan)
Angiotension II receptor antagonist
Heart Failure
Hypertension
Myocardial Infarction
Dizziness, back pain, cough
No alcohol, use potassium supplements ONLY under doctor supervision, Avoid NSAIDs, avoid driving as may cause dizziness preventing reactions as not fully alert
Amlodipine (Norvasc)
Calcium Channel Blocker
Hypertension
Stable Angina
Variant Angina
Diabetic Nephropathy (off label)
LV Hypertrophy (off label)
Raynaud Phenomenon (Off label)
Peripheral edema, pulmonary edema, abdominal pain
Report all symptoms of hypertension or worsening angina, peripheral edema, fatigue, hypotension, or hepatic dysfunction. NO alcohol, do not discontinue use without doctors consent, may cause dizziness, avoid activities requiring mental alertness, and avoid losing a lot of water through sweat, vomiting, or diarrhea
Diltiazem (Cardizem)
Calcium Channel Blocker
Hypertension
Stable Chronic Angina
Atrial Arrythmia (off label)
Hypertension (off label) ?
Edema, headache, bradycardia
Report all symptoms of Hypotension, bradyarrhythmia, peripheral edema, syncope. No alcohol, made in many different brands with different instructions in regard to meals and timing, follow directions for specific brand prescribed
Felodipine (Plendil)
Calcium Channel Blocker
Hypertension
Peripheral edema, abdominal pain, arthralgia
Report all symptoms of hypertension or worsening angina, peripheral edema, fatigue, hypotension, or hepatic dysfunction. NO alcohol, do not discontinue use without doctors consent, may cause dizziness, avoid activities requiring mental alertness, and avoid losing a lot of water through sweat, vomiting, or diarrhea
Nifedipine (Adalat CC, Procardia XL)
Calcium Channel Blocker
Hypertension
Stable Chronic Angina
Variant Angina
Raynaud Phenomenon (off label)
Flushing, headache, peripheral edema, dizziness
Take adalat CC on empty stomach, report all signs of hypotension, worsening angina, peripheral edema, fatigue. NO alcohol or grapefruit juice, do not discontinue without doctors consent, may cause dizziness, avoid activates requiring mental alertness
Verapamil (Calan, SR, Isoptin SR)
Calcium Channel Blocker
Angina
Atrial Arrythmia
Paroxysmal supraventricular
tachycardia prophylaxis
Hypertension
Gingival hyperplasia, bradyarrythmia, constipation
Do not cherish, chew, break ER products, may sprinkle onto food and swallow without chewing, followed with water. Report all signs of hypotension, bradyarrythmia, peripheral edema, syncope. Get up from sitting/lying positions slowly to avoid dizziness, do not discontinue without doctors approval.
Celecoxib (Celebrex)
Cyclooxygenase-2 Inhibitor
Osteoarthritis
Rheumatoid arthritis
Ankylosing Spondylitis
Acute Pain, dysmenorrhea
gout (off label)
Hypertension, headaches, GI upset, diarrhea
Take with food or milk to avoid GI upset, can sprinkle onto applesauce
Diclofenac (Voltaren)
NSAID
Pain
Dysmenorrhea
Migraine
Osteoarthritis
Rheumatoid Arthritis
Headaches, GI upset/ulcers
Take with food or milk
Hydroxychloroquine (Plaquenil)
Aminoquinoline
Lupus Erythematosus
Malaria, suppression
Rheumatoid Arthritis
Headache, abdominal pain, diarrhea
Take with food or milk, if take weekly take on same day of the week
Ibuprofen (Motrin/Advil)
NSAID
Fever
Pain
Osteo- or Rheumatoid Arthritis
Juvenile Rheumatoid Arthritis
Edema, itching, rash, GI upset
Take with food or milk to avoid GI upset
Indomethacin (Indocin)
NSAID
Ankylosing Spondylitis
Osteoarthritis
Rheumatoid Arthritis
Pain
Preterm Labor (off label)
Edema, itching, rash, GI upset
Take with food or milk to avoid GI upset
Meloxicam (Mobic)
NSAID
Osteoarthritis
Rheumatoid Arthritis
Juvenile Rheumatoid Arthritis
Edema, itching, rash, GI upset
Take with food or milk to avoid GI upset, if suspension shake gently
Methotrexate (Trexall)
Antimetabolite
Non-Hodgkin Lymphoma
Psoriasis (Severe)
Rheumatoid Arthritis (Severe)
Juvenile Rheumatoid Arthritis
MANY Cancers (off label)
Myelosuppression, nausea, vomiting, alopecia, stomatitis, photosensitivity, rash
Recommend antiemetic for the N/V, avoid exposure to sun, can take with food
Naproxen (Naprosyn, Aleve)
NSAID
Osteoarthritis
Rheumatoid Arthritis
Gout Fever
Pain
Migraine (Off label)
Edema, itching, rash, GI upset
take with food or milk to avoid GI upset
Alprazolam (Xanax)
Benzodiazepine, shrt.-intermd. C-IV
Anxiety
Panic Disorder
Alcohol Withdrawal (off label)
Ataxia, lethargy, retrograde amnesia, somnolence, weight gain, change in appetite, constipation, fatigue, cognitive dysfunction, decreased libido
May cause drowsiness; avoid tasks requiring mental alertness. Do not crush or break ER product. Oral tablet can be broken, but is unstable after breaking. If only 1/2 tablet taken, throw out the other half. Allow oral tablet to dissolve on tongue. NO alcohol. Do not self-increase or abruptly discontinue use without doctors consent
Clonazepam (Klonopin)
BenzoD. C-IV
Panic Disorder
Seizures
Restless leg syndrome (off label)
Ataxia, lethargy, somnolence, weight gain
May cause drowsiness; avoid tasks requiring mental alertness. Allow oral tablet to dissolve on tongue. NO alcohol.
Diazepam (Valium)
BenzoD. C-IV
Alcohol Withdrawal
Anxiety
Seizure
BenzoD. Withdrawal (off label)
Drowsiness, impaired motor coordination, ataxia
May cause drowsiness, avoid tasks requiring mental alertness, NO alcohol
Lorazepam (Ativan)
BenzoD. Short-intermed. C-IV
Anxiety
Insomnia (anxiety or stituational)
Alcohol Withdrawal
Drowsiness, impaired motor coordination, retrograde amnesia
May cause drowsiness, avoid tasks requiring mental alertness, NO alcohol
Temazepam (Restoril)
BenzoD. C-IV
Insomnia
Drowsiness, somnolence, impaired motor coordination
(1-10%) Hypotension, blurred vision, nausea, diarrhea, confusion, headache
May cause drowsiness; avoid tasks requiring mental alertness. NO alcohol. Take 30 min before bedtime. May cause complex behaviors (driving, talking on phone, etc while not fully awake); bed partner should monitor and discontinue if observed.
Amoxicillin (Amoxil)
Beta-Lactam Antibiotic
Acute Otitis Media
Lower Resp Tract Infection
Pharyngitis/Tonsillitis
Strep
Ear, Nose, Throat Infections
Helicobacter Pylori GI Infection
Bacterial Endocarditis, proph. (O.L.)
Lyme Disease (off label)
Diarrhea, N/V, skin rash
Take complete prescription exactly as prescribed, susp: shake well and refrigerate, expires quickly, can take with food unless suspension, symptoms should lessen in 2-3 days, if worse contact doctor
Amoxicillin-Clavulanate (Augmentin)
Beta-Lactam Antibiotic
Acute Otitis Media
Community Acquired Pneumonia
Lower Resp Tract Infection
Sinusitis, infection
Strep
Diarrhea, N/V, skin rash
Take complete prescription exactly as prescribed, susp: shake well and refrigerate, expires quickly within 10days, should take with food for absorption unless suspension, symptoms should lessen in 2-3 days, if worse contact doctor
Doxycycline (Vibramycin)
Tetracycline Antibiotic
Acinetobacter infection
Acne Vulgaris
Gonorrhea
Staph infection
Lyme Disease prophylaxis (off label)
Photosensitivity, tooth discoloration in children <8yrs old
Can take with food not containing calcium, complete full prescription as prescribed, symptoms should lessen within 2-3 days, if not call doctor, wear sunscreen, give with 240ml water
Penicillin (V-Cillin-K)
Antibiotic
Bacterial Endocarditis, prophylaxis
Otitis Media
Strep
Pneumococcal Infectious, prophyl. (off label)
Diarrhea, nausea, skin rash
Take full prescription as prescribed, symptoms should lessen in 2-3 days, if not call doctor, take on an EMPTY stomach
Clopidogrel (Plavix)
Platelet Aggregate Inhibitor
Acute ST and non-ST M.I.
Thrombosis prevention for
arteriosclerotic vascular disease
post stroke
Thrombosis prevention for
atrial fibrillation
Arthralgia, backache, headache, hypertension
Report signs and symptoms of bleeding if used with anticoagulant therapy, do not discontinue without doctors approval, should be discontinued 5 days before any surgery
Dabigatran (Pradaxa)
Anticoagulant
Treat/Prevent deep venous thromb.
Prevent stroke/sys.emb.
Prevent thromboemb. post
orthopedic surg. (off label)
Bleeding, gastritis, GERD
Take with/without food, do not open capsules, must stop before surgeries using protocol in packet,
Warfarin (Coumadin)
Anticoagulant, Vit. K antagonist
Many FDA labeled ind.'s
atrial fibrillation
M.I.
prosthetic cardiac valve emb.
pulmonary embolism
thrombosis
Prevent ischemic attacks
Report signs and symptoms of hemorrhage, skin, tissue necrosis, avoid activities that may cause cuts, bruising, or injury, Extreme drug-drug interactions, avoid alcohol, cranberries, and alterations to vitamin K intake
Dexmethylphenidate (Focalin)
CNS Stimulant C-II
ADHD
Weight loss, loss of appetite, headache, insomnia, restlessness
Do not take in evening to avoid insomnia, if cant swallow ER capsules, open and pour into some applesauce, swallow without chewing
Lisdexamphetamine (Vyvanse)
Amphetamine, CNS stimulant C-II
ADHD
Binge eating disorder
Insomnia, irritability, loss of appetite, abdominal pain, dry mouth
Take in the morning, if cant swallow capsule then put into water, orange juice and drink immediately, monitor growth progression of children, report any psychiatric problems, palpitations, dyspnea, cardiac dysrhythmia, chest pains, myocardial infarctions, or symptoms of cerebrovascular issues
Methylphenidate (Ritalin)
CNS Stimulant C-II
ADHD
ADHD, no prior treatment
Narcolepsy
Depression (off label)
Weight loss, loss of appetite, headache, insomnia, irritability,
Do not take at night to avoid insomnia, do not crush, break, or chew ER tablets, if cannot swallow capsules break into pudding or applesauce stir in and eat without chewing, do not discontinue without doctors approval, for patch apply at hips every day alternating sides, apply at same time and take off after nine hours
Azithromycin (Zithromax, Z-Pak)
Macrolide Antibiotic
Acute infections
Bacterial Sinusitis
Chancroid
Communit Pneumonia
Gonorrhea, urethritis, cervicitis
Strep
Traveler's Diarrhea
Bacterial endocarditis prophylaxis
Diarrhea, N/V, abdominal pain
Take full course no matter what, can take tablets with/without food, avoid food with suspension form, take ER suspension 1 hour before or 2 hours after a meal, suspension must be used in 12 hours after suspended, avoid aluminum or magnesium containing antacids, symptoms should get better after 2-3 days, if not contact doctor
Clarithromycin (Biaxin)
Macrolide Antibiotic
Acute exacerbation COPD
Community Pneumonia
Skin Infection
Sinusitis
Disseminated infection proph + treat
GI infection from H.Pylori
Bacterial Endocarditis prophylaxis
Taste disturbance, headache, diarrhea, N/V
Complete full course as prescribed, symptoms should get better within 2-3 day if not contact doctor
Fidaxomicin (Dificid)
Macrolide Antibiotic
C.Difficile infections
N/V, abdominal pain, anemia
May be given with or without food
Dicyclomine (Bentyl)
Antimuscarinic
IBS
Decreased sweating, xerostomia, GI distress, blurred vision, dizziness, constipation, drowsiness
May make you drowsy, don't drive until effects are known, heat prostration if surrounded by heat
Digoxin (Lanoxin)
Digitalis Glycoside
Atrial Fibrillation
Heart Failure
Supraventricular tachyarrhythmia
fetal tachycardia
Anorexia, diarrhea, confusion
Take after meal in morning (and dinner if dividing doses), report all signs of bradycardia, do not discontinue without doctors approval
Doxazosin (Cardura, Cardura XL)
alpha-1-adrenergic blocker
hypertension
expulsion of distal ureteral stone (off label)
pheochromocytoma
Asthenia, dizziness, edema
Take with meal in morning especially if sustained release, may cause dizziness, avoid driving until effects are known, rise slowly to avoid orthostatic hypotension, syncope is possible with first dose or increasing doses, report all signs of priapism
Dutasteride (Avodart)
5alpha-reducgtase inhibitor
Benign Prostatic Hyperplasia
Male Pattern Alopecia (off label)
Gynecomastia, impotence, reduced libido, dizziness
May take up to 6 months to see improvements, do not give blood at this time (or for 6mo. After), pregnant women need to avoid touching this drug, can be absorbed through the skin and cause genital defects in male fetuses
Finasteride (Proscar, Propecia)
5alpha-reductase Inhibitor
Benign prostatic hyperplasia
impotence, reduced libido, Gynecomastia, dizziness
May take 3 months to see effects for hair, and 6 months for hyperplasia, pregnant women should avoid touching this medication, women should avoid semen of men taking this medication, and medication is absorbed through the skin which can cause genital defects in male fetuses
Methocarbamol (Robaxin)
Central Acting Skeletal Muscle Relaxant
Musculoskeletal pain/spasm
Flushing, pruritis, rash
May cause dizziness, avoid activities requiring mental alertness until effects are known
Metaxalone (Skelaxin)
Centrally Acting Skeletal Muscle Relaxant
Musculoskeletal pain/spasm
N/V, dizziness, headache
May cause dizziness, avoid activities requiring mental alertness until effects are known
Cyclobenzaprine (Flexeril)
Centrally Acting Skeletal Muscle Relaxant
Skeletal Muscle Spasm
Temporomandibular joint disorder (off label)
Xerostomia, headache, drowsiness
May cause dizziness, avoid activities requiring mental alertness until effects are known, take ER at same time every day
Donepezil (Aricept)
Cholinesterase Inhibitor
Alzheimers (mild-severe)
Multi-infarct dementia (off label)
Asthenia, muscle cramps, depression, diarrhea, dizziness
Take at bedtime with or without food, Allow disintegrating tablet to dissolve and take glass of water after, at beginning of of dose side effects may be greater than over time, report all signs and symptoms of GI bleeding
Lithium (Eskalith, CR, Lithobid)
Antimanic
Bipolar maintenance
Bipolar Manic Episode
Depression (off label)
Cardiac dysrhythmias, fine tremor, hypothyroidism, leukocytosis, thrombocytosis, xerostomia
Swallow ER tablets whole without crushing/chewing. Avoid activities requiring mental alertness until effects are known. Report signs/symptoms of toxicity, may vary depending on degree. may include diarrhea, vomiting, tremor, ataxia, drowsiness, muscle weakness, lack of coordination, giddiness, blurred vision, tinnitus, or large volumes of dilute urine. Maintain adequate fluid intake and normal salt intake.
Quetiapine (Seroquel, XR)
Seroquel, XR
Antipsychotic
Bipolar disorder or schizophrenia
Major depressive disorder
Delirium critically ill (off label)
Eszopiclone
lunesta
Nonbarbituate Hypnotic C-IV
Insomnia
Hydroxyzine
Atarax, Vistaril
Antihistamine
Anxiety
Pruritis
Sedation
Seasonal allergic rhinitis
Zolpidem
Ambien
Nonbarbituate Hypnotic C-IV
Insomnia