Top 300 Drug List

The attached list represents most of the drugs you will encounter as interns, te
chs, and later as pharmacists. You will also encounter them repeatedly throughou
t the curriculum. At the
conclusion of the first semester, you will be expected to know the commercial (t
rade) name and generic name of each drug and to be able to spell them correctly.
You will also be expected to
know the therapeutic category for each drug. The sooner you start learning this
information, the easier your first and subsequent semester will be. During the t
hird year lab, you will be
expected to also know the counseling points for each drug. Abbreviations in pare
ntheses indicate an alternate dosage form of the drug. Abbreviations are listed
at the bottom of this document.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
1
Flagyl, Flagyl ER
Metronidazole
Anti-infective
Antibacterial, Antiprotozoal
Finish course as prescribed. Avoid alcohol during therapy and
for 2 days after. May discolor urine reddish-brown.
2
Diflucan
Fluconazole
Anti-infective
Antifungal
Finish course as prescribed. May cause headache and GI
upset. CYP interactions: strongly inhibits 2C9, 2C19 (ex.
Clopidogrel, warfarin and phenytoin); moderately inhibits 3A4.
May prolong QT interval.
3
Nizoral
Ketoconazole
Anti-infective
Antifungal
Available topically and orally. Tablets should be taken with
food. Drug is absorbed best in acidic conditions; avoid
antacids, PPI's and H2 blockers for 2 hours before and after
administration. Major CYP 3A4 drug interactions. Topical
formulations are flammable. Potential for hepatotoxicity.
4
Mycostatin, Nystop
Nystatin
Anti-infective
Antifungal
Available in many different dosage forms (topical, oral,
suspension, powder) and some combination products.
Suspension can be dosed as "swish and spit" for oral
candidiasis or "swish and swallow" for esophageal candidiasis.
5
Lamisil
Terbinafine
Anti-infective
Antifungal
Finish course as prescribed. Topical formulation available OTC
and is most common use.
6
Zovirax
Acyclovir
Anti-infective
Antiviral against HSV
Available topically and orally. Avoid intercourse during herpes
outbreaks. Dose and duration depends on indication. CNS side-
effects especially in elderly and renal impairment. Interacts with
herpes zoster vaccine. Stay well hydrated.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
7
Valtrex
Valacyclovir
Anti-infective
Antiviral against HSV
Avoid intercourse during herpes outbreaks. Dose and duration
depends on indication. CNS side-effects especially in elderly
and renal impairment. Interacts with herpes zoster vaccine.
Stay well hydrated.
8
Keflex
Cephalexin
Anti-infective
Cephalosporin antibiotic, 1st generation
Finish course as prescribed. May cause GI upset.
Hypersensitivity reactions may occur if allergic to penicillin
and/or other cephalosporins. May decrease absorption of oral
contraceptives.
9
Ceftin
Cefuroxime axetil
Anti-infective
Cephalosporin antibiotic, 2nd generation
Finish course as prescribed. May cause GI upset.
Hypersensitivity reactions may occur if allergic to penicillin
and/or other cephalosporins. May decrease absorption of oral
contraceptives.
10
Omnicef
Cefdinir
Anti-infective
Cephalosporin antibiotic, 3rd generation
Finish course as prescribed. May cause GI upset.
Hypersensitivity reactions may occur if allergic to penicillin
and/or other cephalosporins. May decrease absorption of oral
contraceptives.
11
Cipro (XR)
Ciprofloxacin
Anti-infective
Fluoroquinolone antibiotic
Finish course as prescribed. Monitor glucose. Do not take
within 2 hours of consuming foods or other products containing
di- or trivalent cations (ex. milk, calcium antacids, multivitamins
and supplements). May cause sun sensitivity and CNS side-
effects. FDA requires assessment of risk of QTc prolongation.
Black box warning for tendonitis/tendon rupture. Available orally
and in ophthalmic and otic suspensions.
12
Levaquin
Levofloxacin
Anti-infective
Fluoroquinolone antibiotic
Finish course as prescribed. Monitor glucose. Do not take
within 2 hours of consuming foods or other products containing
di- or trivalent cations (ex. milk, calcium antacids, multivitamins
and supplements). May cause sun sensitivity and CNS side-
effects. FDA requires assessment of risk of QTc prolongation.
Black box warning for tendonitis/tendon rupture. Available orally
and in ophthalmic suspension.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
13
Avelox
Moxifloxacin
Anti-infective
Fluoroquinolone antibiotic
Finish course as prescribed. Monitor glucose. Do not take
within 2 hours of consuming foods or other products containing
di- or trivalent cations (ex. milk, calcium antacids, multivitamins
and supplements). May cause sun sensitivity and CNS side-
effects. FDA requires assessment of risk of QTc prolongation.
Black box warning for tendonitis/tendon rupture. Available orally
and in ophthalmic solution (Vigamox, Moxeza).
14
Zithromax, Zmax,
Azasite
Azithromycin
Anti-infective
Macrolide antibiotic
Finish course as prescribed. No CYP 3A4 inhibition. QT
prolongation possible. Opthalmic solution, Azasite, is
refrigerated.
15
Biaxin (XL)
Clarithromycin
Anti-infective
Macrolide antibiotic
Finish course as prescribed. May impart metallic taste. Inhibits
CYP 3A4. QT prolongation possible.
16
Cleocin, Cleocin T,
Evoclin, Clindagel
Clindamycin
Anti-Infective
Other antibiotic
Available in many dosage forms (oral, topical, vaginal
suppository, powder for suspension) and combination products.
Oral therapy may cause C. diff-associated severe diarrhea.
Suspension has horrible taste, little flavoring options available.
17
Macrobid, Macrodantin,
Furadantin
Nitrofurantoin
Anti-infective
Other antibiotic
Take with food to enhance absorption. May cause peripheral
neuropathy or pulmonary fibrosis. Shake suspension
thoroughly.
18
Amoxil
Amoxicillin
Anti-infective
Penicillin antibiotic
Finish course as prescribed. May cause GI upset; take with
food. Hypersensitivity reactions possible. May decrease
efficacy of oral contraceptives. Secondary vaginal yeast
infection may develop. Shake susp well and keep refrigerated,
note exp date after reconstitution
19
Augmentin, Augmentin
XR
Amoxicillin + Clavulanate
Anti-infective
Penicillin antibiotic
Finish course as prescribed. May cause GI upset; take with
food. More likely to have diarrhea b/c of clavulanate- maintain
hydration. Clavulanic acid doses vary among formulations;
double-check if using alternate formulation to achieve
prescribed dose (ex. 400mg-57mg/5ml suspension cannot be
substituted for 600mg-42.9mg/5ml suspension). Shake susp
well and keep refrigerated, note exp date after reconstitution
20
Veetids, Pen-Vee K
Penicillin V Potassium
Anti-infective
Penicillin antibiotic
Finish course as prescribed. May cause GI upset; take with
food. C. diff-associated diarrhea may develop. Hypersensitivity
reactions possible.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
21
Bactrim, Bactrim DS,
Septra, Septra DS
Sulfamethoxazole +
Trimethoprim
Anti-infective
Sulfonamide antibacterial
Finish course as prescribed. Take with plenty of water.
Increases sensitivity to sunlight. Increased risk of hypoglycemia
if taken with other sulfonylureas. Severe life-threatening skin
reactions possible.
22
Vibramycin, Doryx,
Adoxa, Monodox,
Oracea, Periostat
Doxycycline
Anti-infective
Tetracycline antibiotic
May increase sensitivity to sunlight. Do not take within 2 hours
of consuming foods or other products containing di- or trivalent
cations (ex. milk, calcium antacids, multivitamins and
supplements). Hyclate and monohydrate salts not
interchangeable.
23
Metrogel, Metrogel-
Vaginal, Metrocream,
Metrolotion
Metronidazole
Anti-infective
Topical antibiotic
Use condoms during vaginal therapy. Some drug is absorbed
systemically; avoid alcohol consumption during therapy and for
2 days after. Also used topically on the face for rosacea.
24
Bactroban
Mupirocin
Anti-infective
Topical antibiotic
Used most in hospital to reduce the risk of MRSA infection from
carriers
25
Mycolog II
Nystatin + Triamcinolone
Anti-infective
Topical antifungal + steroid combination
Use a sparing amount, avoid application around eyes.
26
Peridex, PerioGard
Chlorhexidine Gluconate
antibacterial
oropharyngeal
Tx for gingivitis/Periodontitis
Swish/spit 15 mls BID
27
Tamiflu
Olsetamivir
anti-infective
antiviral against influenza
BID dosing for Tx, QD dosing for prophylaxis, tx within 24-48
hours of sx, rarely causes behavioral disturbances inc delirium,
risk of anaphylaxis and allergic skin rxns
28
Truvada
Emtricitabine + Tenofovir
Antiretroviral
Reverse transcriptase inhibitor
Adherence important to prevent resistance. May be taken
without regard to food. May cause decrease in bone mineral
density, fat redistribution, lactic acidosis, hepatomegaly, and
renal toxicity. Recently approved for pre-exposure HIV
prophylaxis for those whose partner has HIV; must have
regular testing every 3 months.
29
Combivir
Zidovudine + Lamivudine
Antiretroviral
Reverse transcriptase inhibitor
Adherence important to prevent resistance. May be taken
without regard to food. May cause fat redistribution, lactic
acidosis, hepatomegaly, myopathy, and hematologic toxicity.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
30
Vasotec
Enalapril
Cardiovascular
ACE Inhibitor, antihypertensive
Pregnancy category D. May cause a dry cough, first-dose
hypotension (especially in CHF and hypervolemia) and
hyperkalemia (avoid salt substitutes). Angioedema is a serious
reaction; discontinue immediately and medical intervention may
be necessary. Drug has renoprotective properties, but may also
cause acute renal failure; monitor serum creatinine and
discontinue if >30% increase.
31
Altace
Ramipril
Cardiovascular
ACE Inhibitor, antihypertensive
Pregnancy category D. May cause a dry cough, first-dose
hypotension (especially in CHF and hypovolemia) and
hyperkalemia (avoid salt substitutes). Angioedema is a serious
reaction; discontinue immediately and medical intervention may
be necessary. Drug has renoprotective properties, but may also
cause acute renal failure; monitor serum creatinine and
discontinue if >30% increase. May have greater benefit if dosed
at bedtime.
32
Accupril, Accuretic
Quinapril
Cardiovascular
ACE Inhibitor, antihypertensive; Accuretic-
combo with diuretic
Pregnancy category D. May cause a dry cough, first-dose
hypotension (especially in CHF and hypovolemia) and
hyperkalemia (avoid salt substitutes). Angioedema is a serious
reaction; discontinue immediately and medical intervention may
be necessary. Drug has renoprotective properties, but may also
cause acute renal failure; monitor serum creatinine and
discontinue if >30% increase.
33
Lotensin, Lotensin HCT
Benazepril, Ben/HCTZ
Cardiovascular
ACE Inhibitor, antihypertensive; HCT-combo
with diuretic
Pregnancy category X. May cause a dry cough, first-dose
hypotension (especially in CHF and hypovolemia) and
hyperkalemia (avoid salt substitutes). Angioedema is a serious
reaction; discontinue immediately and medical intervention may
be necessary. Drug has renoprotective properties, but may also
cause acute renal failure; monitor serum creatinine and
discontinue if >30% increase.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
34
Zestril or Prinivil,
Zestoretic
Lisinopril, Lis/HCTZ
Cardiovascular
ACE Inhibitor, antihypertensive; Zestoretic-
combo with diuretic
Pregnancy category D. May cause a dry cough, first-dose
hypotension (especially in CHF and hypovolemia) and
hyperkalemia (avoid salt substitutes). Angioedema is a serious
reaction; discontinue immediately and medical intervention may
be necessary. Drug has renoprotective properties, but may also
cause acute renal failure; monitor serum creatinine and
discontinue if >30% increase.
35
Cardura, Cardura XL
Doxazosin Mesylate
Cardiovascular
Alpha 1 Blocker antihypertensive, also used in
BPH
May cause postural hypotension/orthostasis after first dose or
an increase in dose. Dizziness and headache common.
36
Hytrin
Terazosin
Cardiovascular
Alpha 1 Blocker antihypertensive, also used in
BPH
May cause postural hypotension/orthostasis after first dose or
an increase in dose. Dizziness and headache common.
37
Catapres, Catapres
TTS, Nexiclon XR,
Kapvay ER
Clonidine
Cardiovascular
Alpha II agonist, antihypertensive
May cause drowsiness, dry mouth, or skin reactions. Rotate
patch application sites and discard patches carefully. Do not
discontinue abruptly.
38
Cordarone
Amiodarone
Cardiovascular
Antiarrhythmic
Many drug interactions, complicated by extremely long half life
of 40-50 days. Hepatic and pulmonary damage possible; notify
MD if jaundice, dark urine or trouble breathing occur. May
cause thyroid problems, hypotension, bradycardia, ocular
disease and exacerbate arrhythmia. Have regular ophthalmic
visits. May cause skin to turn bluish-grey in color
39
Coumadin
Warfarin Sodium
Cardiovascular
Anticoagulant
Risk of bleeding, especially GI. Very narrow therapeutic index;
INR must be monitored regularly and vitamin K intake should
be uniform. Many drug interactions; always check with MD or
RPh when taking a new medication.
40
TRICOR, Trilipix
Fenofibrate
Cardiovascular
Antihyperlipidemic
Risk of myopathy; taking with statins increase risk. Discontinue
immediately and report any signs (muscle pain, brown urine) to
MD and/or RPh. Increases action of sulfonylureas; monitor for
hypoglycemia. No good outcome data; FIELD and ACCORD
Lipid were not positive. Safer to combine with a statin than
gemfibrozil, but not evidence based. Many different "Brand"
formulations.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
41
Lopid
Gemfibrozil
Cardiovascular
Antihyperlipidemic
Increases effects of statins and therefore myopathy risk;
discontinue immediately and report any signs (muscle pain,
brown urine) to MD and/or RPh. Should be taken 30 minutes
before breakfast and dinner. Increased risk of gall stones.
42
Niaspan ER
Niacin
Cardiovascular
Antihyperlipidemic
Causes flushing in most individuals (>80%); take at bedtime
with a low-fat snack and 325mg aspirin to reduce effects.
Doses higher than 2g/day may cause hepatotoxicity.
43
Lipitor
Atorvastatin
Cardiovascular
Antihyperlipidemic - HMG CoA reductase
inhibitor
Pregnancy category X. Myopathy is a serious reaction;
discontinue immediately and report any signs (muscle pain,
brown urine) to MD and/or RPh. May be taken at any time of
day. Avoid excessive alcohol and grapefruit juice. Some CYP
3A4 interactions.
44
Mevacor, Altoprev ER
Lovastatin
Cardiovascular
Antihyperlipidemic - HMG CoA reductase
inhibitor
Pregnancy category X. Myopathy is a serious reaction;
discontinue immediately and report any signs (muscle pain,
brown urine) to MD and/or RPh. Take in the evening. Avoid
excessive alcohol and grapefruit juice. Several CYP 3A4
interactions.
45
Pravachol
Pravastatin
Cardiovascular
Antihyperlipidemic - HMG CoA reductase
inhibitor
Pregnancy category X. Myopathy is a serious reaction;
discontinue immediately and report any signs (muscle pain,
brown urine) to MD and/or RPh. Avoid excessive alcohol.
Significantly fewer drug interactions compared to other statins
(cleared by kidney rather than liver).
46
Crestor
Rosuvastatin
Cardiovascular
Antihyperlipidemic - HMG CoA reductase
inhibitor
Pregnancy category X. Myopathy is a serious reaction;
discontinue immediately and report any signs (muscle pain,
brown urine) to MD and/or RPh. May be taken at any time of
day. Avoid excessive alcohol and grapefruit juice.
47
Vytorin
Simvastatin/ezetimibe
Cardiovascular
Antihyperlipidemic - HMG CoA reductase
inhibitor and cholesterol absorption inhibitor
Pregnancy category X. Myopathy is a serious reaction;
discontinue immediately and report any signs (muscle pain,
brown urine) to MD and/or RPh. Take in the evening. Avoid
excessive alcohol and grapefruit juice. Several CYP 3A4
interactions. Lacks data that combination is superior to
simvastatin alone.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
48
Zocor
Simvastatin
Cardiovascular
Antihyperlipidemic - HMG reductase inhibitor
Pregnancy category X. Myopathy is a serious reaction;
discontinue immediately and report any signs (muscle pain,
brown urine) to MD and/or RPh. Take in the evening. Avoid
excessive alcohol and grapefruit juice. Several CYP 3A4
interactions.
49
Ecotrin
Aspirin
Cardiovascular
Antiplatelet
Used for cardiovascular or cerebrovascular accident
treatment/prophylaxis. 75-325 mg pod daily. Risk/benefit
important for prophylaxis decisions. Increased risk of bleeding.
Be aware of hypersensitivity reactions especially in patients
with allergic triad of as a allergy, nasal polyps, and asthma,
avoid in children due to risk of Reye syndrome.
50
Exforge, Exforge HCT
Amlodipine + Valsartan
Cardiovascular
ARB + calcium channel blocker combo; HCT
also contains diuretic
see amlodipine and valsartan
51
Diovan, Diovan HCT
Valsartan, Val/HCTZ
Cardiovascular
ARB Antihypertensive, HCT also contains
diuretic
Black box warning in pregnancy. May cause dizziness,
hypotension, hyperkalemia (avoid salt substitutes, potassium
sparing diuretics), and renal dysfunction (discontinue if serum
creatinine increases >30%). NSAIDs reduce antihypertensive
effect and increase risk of renal dysfunction. Taking with ACE
inhibitor or renin inhibitor increases side effects with little
benefit.
52
Avapro, Avalide
Irbesartan,
Irbesartan/HCTZ
Cardiovascular
ARB Antihypertensive; Avalide-combo with
diuretic
Black box warning in pregnancy. May cause dizziness,
hypotension, hyperkalemia (avoid salt substitutes, potassium
sparing diuretics), and renal dysfunction (discontinue if serum
creatinine increases >30%). NSAIDs reduce antihypertensive
effect and increase risk of renal dysfunction. Taking with ACE
inhibitor or renin inhibitor increases side effects with little
benefit.
53
Atacand, Atacand HCT
Candesartan, Can/HCTZ
Cardiovascular
ARB Antihypertensive; HCT-combo with diuretic
Black box warning in pregnancy. May cause dizziness,
hypotension, hyperkalemia (avoid salt substitutes, potassium
sparing diuretics), and renal dysfunction (discontinue if serum
creatinine increases >30%). NSAIDs reduce antihypertensive
effect and increase risk of renal dysfunction. Taking with ACE
inhibitor or renin inhibitor increases side effects with little
benefit.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
54
Benicar, Benicar HCT
Olmesartan
Cardiovascular
ARB Antihypertensive; HCT-combo with diuretic
Black box warning in pregnancy. May cause dizziness,
hypotension, hyperkalemia (avoid salt substitutes, potassium
sparing diuretics), and renal dysfunction (discontinue if serum
creatinine increases >30%). NSAIDs reduce antihypertensive
effect and increase risk of renal dysfunction. Taking with ACE
inhibitor or renin inhibitor increases side effects with little
benefit. Sprue -like enteropathy (unexplained wt loss and
diarrhea)
55
Cozaar, Hyzaar
Losartan, Los/HCTZ
Cardiovascular
ARB Antihypertensive; Hyzaar-combo with
diuretic
Black box warning in pregnancy. May cause dizziness,
hypotension, hyperkalemia (avoid salt substitutes, potassium
sparing diuretics), and renal dysfunction (discontinue if serum
creatinine increases >30%). NSAIDs reduce antihypertensive
effect and increase risk of renal dysfunction. Taking with ACE
inhibitor or renin inhibitor increases side effects with little
benefit.
56
Tenormin
Atenolol
Cardiovascular
Beta Blocker, Beta-1 Selective
May cause drowsiness. Masks symptoms of hypoglycemia. Do
not discontinue abruptly. Limited evidence/data.
57
Toprol XL
Metoprolol Succinate
Cardiovascular
Beta Blocker, Beta-1 Selective
May cause drowsiness. Masks symptoms of hypoglycemia. Do
not discontinue abruptly. Succinate and tartrate salts are not
interchangeable!
58
Lopressor
Metoprolol Tartrate
Cardiovascular
Beta Blocker, Beta-1 selective
May cause drowsiness. Masks symptoms of hypoglycemia. Do
not discontinue abruptly. Succinate and tartrate salts are not
interchangeable!
59
Zebeta, Ziac
Bisoprolol, Bisoprolol +
HCTZ
Cardiovascular
Beta Blocker, Beta-1 selective; Ziac is combo
with diuretic
May cause drowsiness. Masks symptoms of hypoglycemia. Do
not discontinue abruptly due to risk of tachycardia and
hypertension. Bisoprolol has outcome data in heart failure;
target dose of 10mg/day
60
Tenoretic
Atenolol/chlorthalidone
Cardiovascular
Beta Blocker, Beta-1 Selective/ thiazide diuretic
see atenolol and chlorthalidone
61
Inderal, Inderal LA,
Innopran, Innopran XL
Propranolol
Cardiovascular
Beta Blocker, nonselective
May cause drowsiness. Masks symptoms of hypoglycemia. Do
not discontinue abruptly. LA and immediate release
formulations are not mg-mg equivalent; dose may need to be
increased by up to 30% when converting from immediate
release to LA.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
62
Coreg (CR)
Carvedilol
Cardiovascular
Beta Blocker, nonselective; Alpha-1 blocker
May cause drowsiness. Masks symptoms of hypoglycemia. Do
not discontinue abruptly. CR and immediate release
formulations are not mg-mg equivalent; CR 10mg equivalent to
3.125mg BID of immediate release.
63
Normodyne or Trandate
Labetalol
Cardiovascular
Beta Blocker, nonselective; Alpha-1 blocker
May cause drowsiness. Masks symptoms of hypoglycemia. Do
not discontinue abruptly.
64
Lanoxin or Lanoxicap
Digoxin
Cardiovascular
Cardiac glycoside: + Inotropic, - chronotropic
Narrow therapeutic index, many drug interactions. Digoxin
toxicity possible (anorexia, nausea, fatigue, vision disturbances,
bradycardia, arrhythmias).
65
Azor, Tribenzor
Amlodipine + Olmestartan
Cardiovascular
Combination of ARB + calcium channel blocker;
Tribenzor also contains diuretic
see amlodipine and olmesartan
66
Norvasc
Amlodipine
Cardiovascular
Dihydro calcium channel blocker
May cause drowsiness, risk of hypotension and orthostasis.
Risk of peripheral edema that is not responsive to diuretics but
may be relieved by ACEi or ARB.
67
Procardia, Procardia
XL, Adalat CC
Nifedipine
Cardiovascular
Dihydro calcium channel blocker
May cause drowsiness. Risk of peripheral edema that is not
responsive to diuretics; ACEi or ARB used to reverse. Adalat
and Procardia not equivalent, double-check when dispensing
generics.
68
Lotrel
Amlodipine + Benazepril
Cardiovascular
Dihydro calcium channel blocker + ACE
inhibitor combo
see amlodipine and benazepril
69
Caduet
Amlodipine + Atorvastatin
Cardiovascular
Dihydro calcium channel blocker + HMG-CoA
reductase inhibitor combo
see amlodipine and atorvastatin, titrate amlodipine to response
over 1-2 weeks and atorvastatin in 6-8 weeks
70
Pradaxa
Dabigatran
Cardiovascular
Direct thrombin inhibitor
Monitor for bleeding. May cause some GI upset. Store capsules
in original container or blister pack; discard unused medication
after 4 months. Do not crush, chew or open capsules. If a dose
is missed, do not take a double dose if more than 6 hours have
passed. Drug interactions with p-glycoprotein substrates
(dronedarone, ketoconazole, rifampin). Dose should be
adjusted for kidney function. Discontinuation for surgery
determined by creatinine clearance.
71
Klor-Con
Potassium Chloride
Cardiovascular
Electrolyte supplement
May cause GI upset, take with food. Monitor salt intake.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
72
Xarelto
Rivaroxaban
Cardiovascular
Factor Xa inhibitor
Monitor for bleeding. Doses of 15 mg or more must be taken
with food. Compliance extremely important, but do not take a
double dose if a dose is missed. Discontinue at least 24 hours
before surgeries. Drug interactions with CYP 3A4 substrates,
but benefit outweighs cost in some cases.
73
Eliquis
Apixaban
Cardiovascular
Factor Xa inhibitor
Monitor for bleeding. 5 mg orally twice daily. A dose of 2.5 mg
twice daily is recommended for patients at least 80 years old,
who weigh no more than 60 kg, or who have serum creatinine
of at least 1.5 mg/dL, as well as those receiving strong dual
inhibitors of cytochrome P450 3A4 and P-glycoprotein. Boxed
warning - inc risk of stroke if DC'd. Not indicated in patients with
prosthetic heart valves.
74
Lasix
Furosemide
Cardiovascular
Loop diuretic
May cause hypokalemia; monitor potassium levels and kidney
function. Also watch salt intake. May be used as needed in
congestive heart failure. Hypersensitivity reaction may occur in
individuals with sulfa allergy. Lasix short for "last six hours".
75
Lovenox
Enoxaparin
Cardiovascular
Low molecular weight heparin
Increased risk of bleeding. Counsel on injection technique.
Often used when beginning warfarin to achieve goal INR more
quickly. In community pharmacy, double-check to make sure
proper package size and quantity are being dispensed/billed.
76
Imdur, ISMO
Isosorbide Mononitrate
Cardiovascular
Nitroglycerin antianginal/vasodilator
Frequently causes dizziness and/or headache. Dosed twice
daily, but must be taken "asymmetrically" to prevent tolerance;
take second dose 8 hours after first dose rather than every 12
hours.
77
Nitrostat
Nitroglycerin SL
Cardiovascular
Nitroglycerin antianginal/vasodilator
Frequently causes dizziness and/or headache. If chest pain
persist after first dose, take second dose in 5 minutes. Call 911
if symptoms persist after second dose. Store in original
container.
78
Nitro-Dur
Topical Nitroglycerin
Cardiovascular
Nitroglycerin antianginal/vasodilator
Finish course as prescribed. Apply patch for 12 hours and
remove for 12 hours for nitrate-free period.
79
Cardizem, Cardizem
SR, Cardizem CD,
Cardizem LA, Tiazac
Diltiazem
Cardiovascular
Non-dihydro Calcium Channel Blocker
May cause drowsiness/dizziness or headache. Do not
discontinue therapy without discussing with MD. Many
formulations that may not be equivalent; double-check when
dispensing generics.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
80
Calan, Calan SR,
Isoptin SR
Verapamil
Cardiovascular
Non-dihydro Calcium Channel Blocker
May cause drowsiness/dizziness, headache, or constipation.
Do not discontinue therapy without discussing with MD.
81
Plavix
Clopidogrel
Cardiovascular
Platelet Inhibitor
Monitor for bleeding. Compliance extremely important. CYP
2C19 inhibitors such as omeprazole and esomeprazole greatly
decrease efficacy. Check with MD or RPh before starting new
medications or taking OTC medications.
82
Dyazide capsules or
Maxzide tablets
Triamterene + HCTZ
Cardiovascular
Potassium-sparing + thiazide diuretic combo
Take in the early morning. Monitor renal function, potassium
levels, and salt intake; not to be used if renal function impaired.
Risk of kidney stones; drink plenty of fluids to reduce risk.
Double-check patient profile when dispensing generics;
patients should remain on tablets or capsules unless MD
changes.
83
Aldactone, Aldactazide
Spironolactone, Spir/HCTZ
Cardiovascular
Potassium-sparing diuretic; Aldactazide also
contains diuretic
Take in the early morning. Monitor renal function, potassium
levels, and salt intake. May cause gynecomastia in males,
menstrual irregularities in females (antiandrogenic properties).
Evidence-based data for heart failure, post MI, and resistant
hypertension. Aldactazide may cause hypersensitivity reactions
in individuals with sulfa allergy.
84
Lozol
Indapamide
Cardiovascular
Thiazide diuretic
Take in the early morning. Monitor renal function, potassium
levels, and salt intake; not to be used in severe renal
impairment, but may be used in minimally impaired renal
function. Hypersensitivity reaction may occur in individuals with
sulfa allergy.
85
Thalidone, Hygroton
Chlorthalidone
Cardiovascular
Thiazide diuretic
Take in the early morning. Monitor renal function, potassium
levels, and salt intake; not to be used if renal function impaired.
Hypersensitivity reaction may occur in individuals with sulfa
allergy. Chlorthalidone is twice as potent as HCTZ.
86
Oretic, Microzide
Hydrochlorothiazide (aka
HCTZ)
Cardiovascular
Thiazide diuretic
Take in the early morning. Monitor renal function, potassium
levels, and salt intake. Hypersensitivity reaction may occur in
individuals with sulfa allergy.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
87
Zaroxolyn
Metolazone
Cardiovascular
Thiazide diuretic
Take in the early morning. Monitor renal function, electrolytes
(esp. potassium and magnesium) and salt intake.
Hypersensitivity reaction may occur in individuals with sulfa
allergy. Often used in diuretic-resistant patients in combination
with loop diuretics.
88
Zofran, Zofran ODT
Ondansetron
CNS
5-HT3 antagonist Antiemetic
May cause headache, fatigue. Dissolve ODT under the tongue,
store in original container until ready to use. QT prolongation
possible.
89
Aricept
Donepezil
CNS
Acetylcholinesterase inhibitor
Take in the evening. Significant nausea, vomiting and diarrhea
possible, as well as anorexia. May also cause bradycardia and
fainting. Set realistic expectations for Alzheimer's patients.
Keep in mind positive statistical significance vs. clinical
significance.
90
Exelon, Exelon Patch
Rivastigmine
CNS
Acetylcholinesterase Inhibitor
Take capsules in the evening. Rotate patch application sites.
Significant nausea, vomiting and diarrhea possible, as well as
anorexia. May also cause bradycardia and fainting. Set realistic
expectations for Alzheimer's patients. Keep in mind positive
statistical significance vs. clinical significance.
91
Fiorinal, Fiorinal with
codeine
Butalbital + aspirin +
caffeine, available with or
without codeine
CNS
Analgesic Combo for Tension Headaches, C-III
May cause drowsiness or dizziness; avoid alcohol use during
therapy. Caution against taking other products containing
aspirin.
92
Fioricet, Fioricet with
codeine
Butalbital + acetaminophen
+ caffeine (sometimes
called B-A-C), available
with or without codeine
CNS
Analgesic Combo for Tension Headaches, C-III
if it has codeine
May cause drowsiness or dizziness; avoid alcohol use during
therapy. Do not exceed 4g of APAP per day, 3g if frequent
alcohol drinker, 2g if taking warfarin. New black box warning
with acetaminophen due to hepatotoxicity.
93
Buspar
Buspirone
CNS
Antianxiety- serotonin 5-HT1A receptor partial
agonist
May cause drowsiness or dizziness, slow onset, mildly
effective, little potential for abuse.
94
Transderm-Scop
Scopolamine
CNS
Anticholinergic
May cause drowsiness or dizziness. wash your hands after
application as touching your eyes after application may result in
blurred vision (dilation)
95
Remeron
Mirtazapine
CNS
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.
96
Desyrel
Trazodone
CNS
Antidepressant/Sleep Aid
May cause dizziness/drowsiness/orthostasis, priapism risk.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
97
Wellbutrin (SR) (XL) or
Zyban
Bupropion
CNS
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.
98
Tegretol (XR)
Carbamazepine
CNS
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.
99
Lamictal
Lamotrigine
CNS
Antiepileptic
Report hypersensitivity/rash to MD, may cause drowsiness, do
not operate heavy machine
100
Keppra
Levetiracetam
CNS
Antiepileptic
May cause dizziness/drowsiness, do not operate heavy
machinery, do not abruptly discontinue therapy
101
Trileptal
Oxcarbazepine
CNS
Antiepileptic
May cause dizziness/drowsiness, do not operate heavy
machinery, do not abruptly discontinue therapy
102
Dilantin Kapseals
Phenytoin Sodium
CNS
Antiepileptic
May cause dizziness/drowsiness, do not operate heavy
machinery. Emphasize good oral hygiene to reduce risk of
gingival hyperplasia
103
Depakote (ER)
Divalproex
CNS
Antiepileptic, mood stabilizer
Do not abruptly discontinue therapy, avoid alcohol use, may
cause drowsiness
104
Phenobarbital
Phenobarbital
CNS
Antiepileptic/hypnotic; C-IV
May cause drowsiness or dizziness, avoid alcohol use during
therapy
105
Topamax
Topiramate
CNS
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)
106
Neurontin
Gabapentin
CNS
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
107
Atarax
Hydroxyzine hydrochloride
CNS
Antihistamine
May cause anticholinergic side-effects.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
108
Vistaril
Hydroxyzine pamoate
CNS
Antihistamine/antianxiety
May cause anticholinergic side-effects.
109
Relpax
Eletriptan
CNS
Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns
after 1st dose, repeat in 2 hours. Do not exceed 2 doses or
80mg in a 24 hour period. If 1st dose does not relieve
symptoms, reevaluate condition. Ischemic cardiovascular
events possible. Drug interactions with CYP 3A4 substrates
and ergot derivatives.
110
Maxalt, Maxalt MLT
Rizatriptan
CNS
Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns
after 1st dose, repeat in 2 hours. Do not exceed 2 doses or
30mg in a 24 hour period. If 1st dose does not relieve
symptoms, reevaluate condition. Ischemic cardiovascular
events possible. Drug interactions with ergot derivatives.
Dissolvable tablets contain phenylalanine.
111
Imitrex
Sumatriptan
CNS
Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns
after 1st dose, repeat in 2 hours. Do not exceed 2 doses or
200mg in a 24 hour period. If 1st dose does not relieve
symptoms, reevaluate condition. Ischemic cardiovascular
events possible. Drug interactions with ergot derivatives.
Available in oral tablet, injection kit, and nasal spray.
112
Cogentin
Benztropine
CNS
Antiparkinson Agent
May take with food to decrease GI symptoms. Potential
anticholinergic side-effects
113
Sinemet (CR)
Levodopa/Carbidopa
CNS
Antiparkinson Agent
Avoid products containing B6 as they reduce the effectiveness
of levodopa, may be taken with food/milk if GI upset occurs
114
Mirapex
Pramipexole
CNS
Antiparkinson Agent
Hallucinations may occur, report any changes in vision to MD,
may cause drowsiness and even sleep attacks (falling asleep
without warning)
115
Requip
Ropinirole
CNS
Antiparkinson/Restless Leg agent
May cause drowsiness or dizziness, avoid alcohol use during
therapy, orthostasis may occur. May also cause sleep attacks.
116
Zyprexa
Olanzapine
CNS
Antipsychotic
Initially may cause dizziness, use caution when operating
heavy machinery due to drowsiness, may cause wt gain, DM
and dyslipidemia
117
Seroquel (XR)
Quetiapine
CNS
Antipsychotic
Initially may cause dizziness, use caution when operating
heavy machinery due to drowsiness
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
118
Risperdal
Risperidone
CNS
Antipsychotic
First doses may cause fainting, may impair judgment, avoid
alcohol use
119
Geodon
Ziprasidone
CNS
Antipsychotic
May cause arrhythmias, do not discontinue use abruptly, take
with food
120
Abilify
Aripiprazole
CNS
Antipsychotic for bipolar, schizophrenia, and
major depressive disorder
Avoid alcohol, D/I 3A4, QT prolongation, do not discontinue
abruptly
121
Antivert
Meclizine
CNS
Antivertigo Agent
Potential anticholinergic side-effects
122
Xanax (XR)
Alprazolam
CNS
Benzodiazepine Antianxiety, C-IV
Do not exceed prescribed dose, do not take with alcohol, may
cause drowsiness/dizziness, do not operate heavy machinery,
avoid abrupt discontinuation
123
Klonopin
Clonazepam
CNS
Benzodiazepine Antianxiety; C-IV
Do not exceed prescribed dose, do not take with alcohol, may
cause drowsiness/dizziness, do not operate heavy machinery
124
Valium
Diazepam
CNS
Benzodiazepine Antianxiety; C-IV
Do not exceed prescribed dose, do not take with alcohol, may
cause drowsiness/dizziness, do not operate heavy machinery
125
Ativan
Lorazepam
CNS
Benzodiazepine Antianxiety; C-IV
Do not exceed prescribed dose, do not take with alcohol, may
cause drowsiness/dizziness, do not operate heavy machinery
126
Restoril
Temazepam
CNS
Benzodiazepine Antianxiety; C-IV
Do not exceed prescribed dose, do not take with alcohol, may
cause drowsiness/dizziness, do not operate heavy machinery
127
Adipex-P
Phentermine
CNS
CNS stimulant - Obesity Management; C-IV
Cardiovascular risk caution, take in the morning,
128
Concerta or Ritalin (ER)
or Metadate CD
Methylphenidate
CNS
CNS Stimulant for ADD, C-II
Take as directed, dont share your pills
129
Strattera
Atomoxetine
CNS
CNS Stimulant, used for ADD
May impair cognitive & motor function, use caution when
operating machinery, not a drug of abuse
130
Adderall (XR)
(Dex)/Amphetamine Mixed
salts
CNS
CNS Stimulant, used for ADD; C-II
Take as directed, dont share your pills
131
Vyvanse
Lisdexamfetamine
CNS
CNS Stimulant, used for ADHD; C-II
Take as directed, dont share your pills
132
Provigil
Modafinil
CNS
CNS Stimulant, used for narcolepsy; C-IV
Take in morning or 1 hour prior to work, avoid driving until
deemed safe by MD
133
Focalin (XR)
Dexmethylphenidate
CNS
CNS stimulant; C-II
Take as directed, dont share your pills
134
Sonata
Zaleplon
CNS
hypnotic, nonbenzodiazepine; C-IV
Take 30min to 1h prior to desired sleep, Allocate at least 5
hours after a dose to sleep (T ~1 hour)
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
135
Flexeril
Cyclobenzaprine
CNS
Muscle Relaxant
May cause drowsiness or dizziness and other anticholinergic
side-effects, avoid alcohol use during therapy
136
Skelaxin
Metaxalone
CNS
Muscle Relaxant
Least drowsy muscle relaxant, requires frequent dosing
137
Soma
Carisoprodol
CNS
Muscle Relaxant; C-IV
Drug of abuse, may be scheduled in some states, caution for
drowsiness
138
Duragesic
Fentanyl
CNS
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.
139
MS Contin
Morphine Sulfate
CNS
Narcotic Analgesic; C-II
Risk of CNS and respiratory depression, avoid alcohol, may
cause drowsiness/dizziness, do not operate heavy machinery,
constipation
140
Oxycontin
Oxycodone
CNS
Narcotic Analgesic; C-II
CNS depression, avoid alcohol, may cause
drowsiness/dizziness, do not operate heavy machinery,
constipation
141
Percocet or Roxicet
Oxycodone/APAP
CNS
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.
142
Tylenol with Codeine
Acetaminophen/ Codeine
CNS
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.
143
Tussionex
Hydrocodone /
chlorpheniramine Polistirex
CNS
Narcotic Analgesic; C-III
CNS depression, avoid alcohol, may cause
drowsiness/dizziness, do not operate heavy machinery,
constipation, taking with food may decrease some GI upset,
Max dose 5mls BID
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
144
Vicoprofen
Hydrocodone/Ibuprofen
CNS
Narcotic Analgesic; C-III
CNS depression, avoid alcohol, may cause
drowsiness/dizziness, do not operate heavy machinery,
constipation, taking with food may decrease some GI upset
145
Lortab or Vicodin or
Lorcet
Hydrocodone/APAP
CNS
Narcotic/APAP Analgesic - CIII
#1 prescribed drug! CNS depression, avoid alcohol, may cause
drowsiness/dizziness, do not operate heavy machinery, avoid
concomitant said drugs, constipation. Vicodin reformulated to
contain only 300mg of APAP per dose to avoid generic
competition and to meet new FDA requirement.
146
Lyrica
Pregabalin
CNS
Neuropathic Analgesic - CV
May cause drowsiness, do not discontinue therapy abruptly.
Weight gain, edema and confusion are potential side-effects
147
Chantix
Varenicline Tartrate
CNS
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.
148
Namenda
Memantine
CNS
NMDA receptor antagonist; anti-Alzheimer's
agent
Take in the evening, potential N & D, dizziness and agitation
possible. Set realistic expectations. Keep in mind positive
statistical significance vs. clinical significance. Take without
regard to food
149
Voltaren, Cataflam
Enteric Diclofenac sodium,
Diclofenac potassium (non-
enteric coated formulation)
CNS
NSAID
Take with food, monitor for s/sx of GI bleed. CV and renal
risks. Enteric coated diclofenac sodium, slow onset not for PRN
pain, greater risk of hepatotoxicity vs. other NSAIDs, use the
Cataflam-diclofenac potassium non-enteric coated formulation
if for PRN use for pain
150
Lodine (XL)
Etodolac
CNS
NSAID
Take with food, monitor for s/sx of GI bleed. CV and renal risks.
151
Indocin
Indomethacin
CNS
NSAID
Take with food, monitor for s/sx of GI bleed.CV and renal risks.
Most likely NSAID to cause headache and CNS side-effects.
152
Toradol
Ketorolac Tromethamine
CNS
NSAID
Take with food, monitor for s/sx of GI bleed. Very high risk of GI
bleeding limits this drug to 5 days max of therapy. CV and
renal risks.
153
Mobic
Meloxicam
CNS
NSAID
Take with food, monitor for s/sx of GI bleed. CV and renal risks.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
154
Relafen
Nabumetone
CNS
NSAID
Take with food, monitor for s/sx of GI bleed. CV and renal risks.
155
Naprosyn,
Anaprox/Aleve
Naproxen and Naproxen
sodium
CNS
NSAID
Take with food, monitor for s/sx of GI bleed. CV and renal
risks. Naproxen sodium Aleve/Anaprox fast onset sodium salt
vs. regular naproxen-Naprosyn which is slow onset and used
for chronic Rx of OA and RA not acute pain relief
156
Feldene
Piroxicam
CNS
NSAID
Take with food, monitor for s/sx of GI bleed, CV and renal risks.
157
Motrin or Advil
Ibuprofen
CNS
NSAID
Take with food, monitor for s/sx of GI bleed. CV and renal risks.
Motrin at low doses (IE OTC it is analgesic and antipyretic) but
if you need anti-inflammatory effects then you need higher
doses 2400 to 3200 mg/day
158
Celebrex
Celecoxib
CNS
NSAID Cox - II selective
Report s/sx of GI bleed, caution for CV risk like all NSAIDS, Not
safer for renal function but may be slightly safer for GI bleeding
risks
159
Arthrotec
Diclofenac/Misoprostol
CNS
NSAID/prostaglandin combo
Take with food, Misoprostol may decrease GI bleeding risks.
CV and renal risks. Avoid in pregnancy. Diarrhea may be a
common side effect of the prostaglandin component
160
Ultram, Ultram ER
Tramadol
CNS
Opioid analgesic
May cause drowsiness; avoid alcohol. Drug is scheduled in
some states but not by the DEA. Some risk of dependence due
to weak opioid receptor agonist activity. Drug also has some
serotonin reuptake inhibitor properties; caution against GI
effects, serotonin syndrome, increased seizure risk, and drug
interactions (especially with SSRIs, SNRIs, 5-HT1
agonists/triptans)
161
Ultracet
Tramadol + acetaminophen
CNS
Opioid analgesic combo
May cause drowsiness; avoid alcohol. Drug is scheduled in
some states but not by the DEA. Some risk of dependence due
to weak opioid receptor agonist activity. Drug also has some
serotonin reuptake inhibitor properties; caution against GI
effects, serotonin syndrome, increased seizure risk, and drug
interactions (especially with SSRIs, SNRIs, 5-HT1
agonists/triptans). Do not exceed 4g of APAP per day, 3g if
frequent alcohol drinker, 2g/day if taking warfarin. New black
box warning with acetaminophen due to hepatotoxicity.
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
162
Tylenol
Acetaminophen
CNS
Pain, antipyretic
Limit total daily dose <4 g, 3 g in elderly or frequent ETOH, 2 g
if taking warfarin, Consider the total daily dose of
acetaminophen from all sources. Black box warning with
acetaminophen due to hepatotoxicity and New warning related
to angioedema
163
Lunesta
Eszopiclone
CNS
Sedative Hypnotic
Do not take with alcohol, take 30min prior to bed. has a long
half-life of ~6 hours and thus an increased risk of morning
residual sedation, ~40% of patients complain of a bitter taste
the morning after, Need to have at least 8 hours to sleep after a
dose and all of these agents can cause complex sleep
behaviors (walking, eating, driving, etc.) Do not put yourself in a
position where impairment may lead to increased risk of an
accident until you know how you respond to the medication.
164
Ambien (CR)
Zolpidem
CNS
Sedative Hypnotic; C-IV
Do not take with alcohol, take 30min prior to bed. Same issues
as Lunesta. New lower dosing guidelines for women.
165
Pristiq
Desvenlafaxine
CNS
SNRI antidepressant
Avoid alcohol, do not discontinue abruptly, no added benefit
over venlafaxine -recommend generic venlafaxine
166
Cymbalta
Duloxetine
CNS
SNRI Antidepressant
Do not abruptly discontinue therapy. report any changes in
affect and or behavior as psychiatric side effects including
suicidal ideation is possible
167
Effexor (XR)
Venlafaxine
CNS
SNRI Antidepressant
Avoid alcohol, do not discontinue abruptly, monitor BP
168
Celexa
Citalopram
CNS
SSRI Antidepressant
May cause drowsiness, do not discontinue therapy abruptly.
new dosage guidelines of no more than 40 mg/day and avoid in
patients with CV disease as it has been shown to increase QT
interval (previously recommended for patients with CV disease
now only sertraline remains in this category)
169
Lexapro
Escitalopram
CNS
SSRI Antidepressant
May cause drowsiness, do not discontinue therapy abruptly,
recommend generic Celexa for cost savings
170
Prozac or Sarafem
Fluoxetine
CNS
SSRI Antidepressant
May cause drowsiness or dizziness, avoid alcohol use during
therapy. Prozac longest half-life SSRI (metabolite norfluoxetine
T1/2 is ~ 9 days) hence the Prozac weekly dosage form; also
most activating of the SSRIs AM dosing not PM and a major
inhibitor of CYP 2D6
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
171
Paxil (CR)
Paroxetine
CNS
SSRI Antidepressant
May cause drowsiness, do not discontinue therapy abruptly.
Paxil most likely agent to cause discontinuation syndrome,
short half-life and also most tricyclic like of the SSRIs I.e.
sedation, and a major inhibitor of CYP 2D6. New 7.5 mg dose
and Brand name drug approved for hot flashes related to
menopause.
172
Zoloft
Sertraline
CNS
SSRI Antidepressant
May cause drowsiness or dizziness, avoid alcohol use during
therapy. Drug of choice for patients with CV disease and MDD
(SAD Heart and ENRICHED Trials, as well as ACC/AHA/APA
Guidelines
173
Lidoderm Patches
Lidocaine
CNS
Topical analgesic
Do not apply to broken skin, do not leave patches on for more
than 12 hours in a 24 hour period
174
Elavil
Amitriptyline
CNS
Tricyclic Antidepressant
May cause drowsiness or dizziness, avoid alcohol use during
therapy. Rarely used for depression and usually used in low
doses for off label uses (headaches, pain, neuropathy) as it is a
side effect of this agent and it is not well tolerated secondary to
anticholinergic effects, risk of overdose causing CV death and
arrhythmias, caution for suicidal ideation.
175
Tofranil (PM)
Imipramine
CNS
Tricyclic Antidepressant
May cause drowsiness or dizziness, avoid alcohol use during
therapy. Also has significant anticholinergic effects and risk of
overdose like Elavil
176
Eskalith or Lithobid
Lithium Carbonate
CNS
Mood Stabilizer
Do not exceed recommended doses, consume 2-3 quarts of
water qday. monitor serum levels and watch out for drug
interactions with thiazide diuretics which require a dosage
reduction of lithium
177
Differin
Adapalene
Dermatological
Topical Acne Product
Acne may worsen before it improves; using more than
recommended increases risk of skin reactions. Use as little
product as can cover the face or affected areas with a thin film.
Caution against sun exposure and recommend using
sunscreen.
178
Benzaclin
Clindamycin/Benzoyl
Peroxide
Dermatological
Topical Acne Product
May cause skin irritation, use a sparing amount. Topical acne
products remind patients that their acne may get worse before
it gets better and exceeding the recommended doses will
increase the risk of severe adverse effects
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
179
Benzamycin
Erythromycin/Benzoyl
Peroxide
Dermatological
Topical Acne Product
May cause skin irritation, use a sparing amount. Topical acne
products remind patients that their acne may get worse before
it gets better and exceeding the recommended doses will
increase the risk of severe adverse effects
180
Clobex
Clobetasol
Dermatological
Topical Corticosteroid
Use a sparing amount, avoid application on face and around
eyes
181
Elocon
Mometasone
Dermatological
Topical Corticosteroid
Use a sparing amount, avoid application on face and around
eyes
182
Kenalog
Triamcinolone
Dermatological
Topical Corticosteroid
Use a sparing amount, avoid application around eyes, available
in ointment, cream and lotion
183
Elidel
Pimecrolimus
Dermatological
Topical skin product
Black Box warning due to cancer risk
184
Lotrisone
Clotrimazole/Betamethasone Diproprionate
Dermatological
Topical Antifungal/Corticosteroid
Use a sparing amount, avoid application on face and around
eyes
185
Lidex, Lidex-E, Vanos
Fluocinonide topical
Dermatological
Topical Corticosteroid
Use a sparing amount, avoid application on face and around
eyes
186
Propecia or Proscar
Finasteride
Endocrine
5 alpha reductase inhibitor
Pregnant women should not handle, will not regrow hair but will
prevent additional hair loss. new data on sexual dysfunction
which may not be reversible in men, when used for BPH they
are not rapidly effective and may take 6 plus months to shrink
and enlarged prostate and produce a reduction in symptoms,
probably best when used in combo with an alpha blocker to
reduce symptoms and prevent or delay the need for surgical
intervention
187
Accutane or Claravis
isotretinoin
Endocrine
Acne treatment
Must follow REMS system for isotretinoin dispensing and
counseling. teratogenic category X, adverse lipid effects
especially increased TG and psychiatric effects and as with the
topical products acne may get worse before it gets better
188
AndroGel
Testosterone
Endocrine
Androgen; C-III
Use as directed to upper arm and shoulder and not to genitals.
Women and children should avoid contact with this medication;
men with BPH may get worse
189
Glucophage (XR),
Fortamet
Metformin
Endocrine
Antidiabetic - Biguanide
Counsel on GI upset, diarrhea and best titration to minimize
symptoms, may lead to B12 deficiency related neuropathy
190
Januvia, Janumet (XR)
Sitagliptin, Sit+Metformin
Endocrine
Antidiabetic - Dipeptidyl peptidase IV inhibitor
Take without regard to food, risk of pancreatitis
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
191
Onglyza
Saxagliptin
Endocrine
Antidiabetic - Dipeptidyl peptidase IV inhibitor
Take without regard to food, risk of pancreatitis, concomitant
use of CYP3A4 Inh - use 2.5mg instead of 5 mg QD.
192
Amaryl
Glimepiride
Endocrine
Antidiabetic - Sulfonylurea
Take with breakfast, avoid alcohol use, counsel on
hypoglycemic risk
193
Glucotrol (XL)
Glipizide
Endocrine
Antidiabetic - Sulfonylurea
May cause hypoglycemia due to active metabolites
194
Micronase, Glucovance
Glyburide,
Glyburide/Metformin
Endocrine
Antidiabetic - Sulfonylurea
Take with breakfast, avoid alcohol use. Has an active
metabolite which is renally eliminated and thus increased risk
of hypoglycemia and weight gain as patients age, may also
increase CV events and no longer a recommended agent by
the ADA
195
Actos
Pioglitazone
Endocrine
Antidiabetic - Thiazolidinedione
Take without regard to meals, increased risk of fractures,
macular edema, heart failure, weight gain and edema as well
as bladder CA in men.
196
Byetta, Bydureon
Exenatide, Exenatide
weekly
Endocrine
Antidiabetic Glucagon-Like Peptide-1 Receptor
Agonist
Counsel on pen injection technique. Nausea and vomiting tend
to be dose related and transient start with 5 mcg daily dose and
after a month increase to 10 mcg dose, watch for signs of
pancreatitis and can be dosed 60 min or less before meals
twice a day
197
Victoza
Liraglutide
Endocrine
Antidiabetic Glucagon-Like Peptide-1 Receptor
Agonist
Counsel on pen injection technique. Nausea and vomiting tend
to be dose related and transient, watch for signs of pancreatitis.
Box warning - Rodent studies - risk of thyroid C-cell tumors.
198
Fosamax
Alendronate
Endocrine
Bisphosphonate Osteoporosis Agent
Take on an empty stomach with a full glass of water, must sit or
stand for 30 minutes following the dose, osteonecrosis of jaw
and atypical fractures
199
Boniva
Ibandronate
Endocrine
Bisphosphonate Osteoporosis Agent
Take on an empty stomach with a full glass of water, must sit or
stand for 60 minutes following the dose. osteonecrosis of jaw
and atypical fractures
200
Actonel, Atelvia
Risedronate, delayed
release enteric coated
risedronate
Endocrine
Bisphosphonate Osteoporosis Agent
Take on an empty stomach with a full glass of water, must sit or
stand for 30-60 minutes following the dose. Atelvia is enteric
coated formulation which should be taken after breakfast but
not available as generic. osteonecrosis of jaw and atypical
fractures
201
Estratest (HS)
Estrogen/Methyltestosterone
Endocrine
Combination Hormone
CV, thromboembolic caution
202
Combipatch
Estradiol/Norethindrone
Endocrine
Estrogen and Progestin Combination
Stable at room temperature for 3 months
203
Premarin
Conjugated Estrogens
Endocrine
Estrogen hormone
May take with food to decrease GI symptoms
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
204
Climara, Estrace
Estradiol
Endocrine
Estrogen Hormone
CV, thromboembolic caution
205
Evista
Raloxifene
Endocrine
Estrogen receptor modulator, Post-menopausal
Osteoporosis
CV risk and thromboembolic black box warnings, may inc TGs,
myalgia. May cause or worsen hot flashes
206
Prempro or Premphase
Conjugated Estrogens with
medroxyprogesterone
Endocrine
Estrogen-Progestin hormone combo
increased risk of CV and DVT as well as dementia with long
term therapy, report any abnormal vaginal bleeding
207
Colcrys
Colchicine
Endocrine
Gout - Inflammatory Mediator
Long-term therapy requires blood work. no more than 3 tablets
for an acute attack with similar efficacy to 8 tablets but with
much less risk of GI toxicity
208
Zyloprim
Allopurinol
Endocrine
Gout - Xanthine Oxidase Inhibitor
Consume large amounts of fluids to prevent kidney stone
formation. start with 100 mg QD after an acute gout attack has
subsided and gradually increase the dose at no more than
weekly interval to about 300 mg QD to reduce the risk of
mobilization gout, may also add low dose colchicine 1-2 tabs
per day for prevention of mobilization gout, D/C at first signs of
a rash
209
Uloric
Febuxostat
Endocrine
Gout - Xanthine Oxidase Inhibitor
Same as allopurinol but may be safe in patients with a history
of adverse skin reactions to allopurinol.
210
Provera
Medroxyprogesterone
Acetate
Endocrine
Hormone/Progestin
May take with food to decrease GI symptoms, preg cat: X, may
lead to uterine bleeding irregularities, long term use may
decrease bone mineral density
211
Humulin R
Insulin - regular
Endocrine
Insulin - Fast Acting
counsel on injection technique and hypoglycemia, take 15-30
min prior to meal
212
Humulin N
Insulin - NPH
Endocrine
Insulin - Intermediate Acting
counsel on injection technique and hypoglycemia
213
Levemir
Insulin Detemir
Endocrine
Insulin - Intermediate-Long acting
cannot be mixed with another insulin
214
Lantus
Insulin Glargine
Endocrine
Insulin - Long Acting
cannot be mixed with another insulin, May have an increase in
injection site pain/rxn
215
Novolog
Insulin Aspart
Endocrine
Insulin - Rapid Acting
Take immediately before meals, counsel on injection technique
and hypoglycemia
216
Humalog
Insulin Lispro
Endocrine
Insulin - Rapid Acting
Take immediately before meals, counsel on injection technique
and hypoglycemia
217
Apidra
Insulin Glulisine
Endocrine
Insulin - Rapid Acting
Take immediately before meals, counsel on injection technique
and hypoglycemia
218
Yasmin, Ocella, Yaz
Ethinyl Estradiol/
Drospirenone
Endocrine
Oral contraceptive
Take everyday - counsel on missed dose protocol, caution with
antibiotics. new warnings about increased risk of VTEs
especially in older women and those who smoke ; risk of
hyperkalemia
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
219
Kariva, Ortho-Cept,
Mircette, Desogen or
Apri
Ethinyl Estradiol /
Desogestrel
Endocrine
Oral contraceptive
Take everyday - counsel on missed dose protocol, caution with
antibiotics. new warnings about increased risk of VTEs
especially in older women and those who smoke ; risk of
hyperkalemia
220
Aviane, Alesse
Ethinyl Estradiol /
Levonorgestrel
Endocrine
Oral contraceptive
Take everyday - counsel on missed dose protocol, caution with
antibiotics. new warnings about increased risk of VTEs
especially in older women and those who smoke ; risk of
hyperkalemia
221
Loestrin FE
Norethindrone/Ethinyl
Estradiol,Fe+
Endocrine
Oral contraceptive
Take at same time everyday, counsel on missed dose protocol.
Caution with antibiotics, smoking
222
TriNessa, Tri-Sprintec
Norgestimate & Ethinyl
Estradiol
Endocrine
Oral contraceptive
Take at same time everyday, counsel on missed dose protocol.
Caution with antibiotics, smoking
223
Ortho Tri-Cyclen (Lo)
Norgestimate/Ethinyl
Estradiol
Endocrine
Oral contraceptive
Take at same time everyday, counsel on missed dose protocol.
Caution with antibiotics, smoking
224
Ortho Evra
Ethinyl Estradiol /
Norelgestromin
Endocrine
Patch contraceptive
Each patch should remain in place for 7 days, CV risk, smoking
risk
225
Novolin 70/30, Humulin
70/30
Insulin 70% NPH/ 30 %
Regular
Endocrine
Pre-Mixed insulin
counsel on injection technique and hypoglycemia, 1st # is
percent of intermediate release insulin and second is fast
acting
226
Novalog Mix 70/30,
Humalog Mix 75/25
Insulin 70% protamine/ 30
% rapid acting
Endocrine
Pre-Mixed insulin
counsel on injection technique and hypoglycemia, 1st # is
percent of intermediate release insulin and second is rapid
acting
227
Depo-Provera
Medroxyprogesterone
Endocrine
Progestin Contraceptive
May cause weight gain, preg cat: X, may lead to uterine
bleeding irregularities, long term use may decrease bone
mineral density
228
Deltasone
Prednisone
Endocrine
Steroid Anti-inflammatory
Take with food, may cause agitation, insomnia
229
Medrol
Methylprednisolone
Endocrine
Steroid anti-inflammatory/allergy
Take with food, may cause agitation, insomnia
230
Armour thyroid
Desiccated thyroid
Endocrine
Thyroid Hormone
Take on an empty stomach in the morning
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
231
Synthroid or Levoxyl
Levothyroxine
Endocrine
Thyroid Hormone (synthetic T4)
Narrow Therapeutic Index Drug: Take on an empty stomach in
the morning with full glass of water at least 30 minutes prior to
food (Do not take close to Calcium), Stay on specific brand or
generic due to bioavailability issues, TSH monitoring (many
dosages available from 25mcg to 300 mcg for fine tuning),
adverse drug reactions early on often due to too high of dosing
(med induced hyperthyroidism - heat intolerance and sweating,
frequent bowel movements, restlessness, tachycardias, hair
loss). Pregnancy Cat A:may need to increase dose in
pregnancy, drug instable in light and humidity. Levothyroxine
FDA Orange Book 4 sub categories of AB ratings (i.e. AB1,
AB2,AB3 and AB4) so be careful when switching between
brands and generic manufacturers stay within the same AB
subclass; takes 4 weeks to reach new steady state levels and
TSH may lag another 2-3 weeks
232
Vivelle-Dot, Estraderm
Estradiol
Endocrine
Topical estrogen patch
Counsel on twice weekly patch application. Note: Climara is
once-weekly patch
233
NuvaRing
Ethinyl Estradiol /
Etonogestrel
Endocrine
Vaginal contraceptive
Counsel on vaginal application, 3 weeks in, 1 week off
234
Vagifem
Estradiol
Endocrine
Vaginal estrogen
Counsel on vaginal tablet use with Vagifem
235
Bentyl
Dicyclomine
Gastrointestinal
Anticholinergic for cramping/irritable bowel
May cause dry mouth, dizziness. Avoid alcohol use.
236
Levsin/Levbid/Levsinex
Hyoscyamine
Gastrointestinal
Anticholinergic for cramping/irritable bowel
Take before meals. May experience dizziness, blurred vision,
constipation.
237
Imodium
Loperamide
Gastrointestinal
Antidiarrheal
May cause drowsiness, contact MD if diarrhea persists longer
than 48 hours
238
Lomotil
Diphenoxylate/Atropine
Gastrointestinal
Antidiarrheal; C-V
Do not exceed prescribed dose, anticholinergic side-effects
possible
239
Phenergan
Promethazine
Gastrointestinal
Antihistamine - Nausea/Vomiting treatment
May cause anticholinergic side-effects.
240
Amitiza
Gastrointestinal
Chloride Channel Activator
Take with food to decrease nausea
241
Xenical
Orlistat
Gastrointestinal
Fat absorption inhibitor
Caution regarding uncontrollable oily bowel movements
especially after high fat meal, patient should take supplemental
fat soluble vitamins at least 2 hrs prior to orlistat dose
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
242
Pepcid
Famotidine
Gastrointestinal
H 2 Antihistamine
Do not exceed 14 days of OTC therapy unless directed by MD,
report severe abdominal pain/discomfort to MD
243
Zantac
Ranitidine
Gastrointestinal
H 2 Antihistamine
Do not exceed 14 days of OTC therapy unless directed by MD,
report severe abdominal pain/discomfort to MD
244
Miralax, Glycolax
Polyethylene Glycol
Gastrointestinal
Laxative
Safe for daily use, one heaping teaspoon dissolved in 8 oz of
water once daily as needed
245
Reglan
Metoclopramide
Gastrointestinal
Promotility-Antiemetic
Take 30 minutes prior to meal, avoid use with alcohol,
associated with extrapyramidal symptoms and depression,
caution in elderly
246
Nexium
Esomeprazole
Gastrointestinal
Proton Pump Inhibitor
Take 30- 60 min prior to a significant meal. all of these meds
are pro-drugs which need to be absorbed in that state and are
activated within the parietal cell when the patient stimulates
them to secrete acid by eating. They all also have a short half-
life of 1-2 hours. Risks include C Diff diarrhea, pneumonia,
fractures and low serum magnesium levels in addition to B12
deficiency
247
Prevacid
Lansoprazole
Gastrointestinal
Proton Pump Inhibitor
Take 30- 60 min prior to a significant meal. all of these meds
are pro-drugs which need to be absorbed in that state and are
activated within the parietal cell when the patient stimulates
them to secrete acid by eating. They all also have a short half-
life of 1-2 hours. Risks include C Diff diarrhea, pneumonia,
fractures and low serum magnesium levels in addition to B12
deficiency
248
Prilosec
Omeprazole
Gastrointestinal
Proton Pump Inhibitor
Take 30- 60 min prior to a significant meal. all of these meds
are pro-drugs which need to be absorbed in that state and are
activated within the parietal cell when the patient stimulates
them to secrete acid by eating. They all also have a short half-
life of 1-2 hours. Risks include C Diff diarrhea, pneumonia,
fractures and low serum magnesium levels in addition to B12
deficiency
249
Protonix
Pantoprazole
Gastrointestinal
Proton Pump Inhibitor
Take 30- 60 min prior to a significant meal. all of these meds
are pro-drugs which need to be absorbed in that state and are
activated within the parietal cell when the patient stimulates
them to secrete acid by eating. They all also have a short half-
life of 1-2 hours. Risks include C Diff diarrhea, pneumonia,
fractures and low serum magnesium levels in addition to B12
deficiency
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
250
Aciphex
Rabeprazole
Gastrointestinal
Proton Pump Inhibitor
Take 30- 60 min prior to a significant meal. all of these meds
are pro-drugs which need to be absorbed in that state and are
activated within the parietal cell when the patient stimulates
them to secrete acid by eating. They all also have a short half-
life of 1-2 hours. Risks include C Diff diarrhea, pneumonia,
fractures and low serum magnesium levels in addition to B12
deficiency
251
Zegerid
Omeprazole/sodium
bicarbonate
Gastrointestinal
Proton Pump Inhibitor/Antacid combo
Take 30- 60 min prior to a significant meal. all of these meds
are pro-drugs which need to be absorbed in that state and are
activated within the parietal cell when the patient stimulates
them to secrete acid by eating. They all also have a short half-
life of 1-2 hours. Risks include C Diff diarrhea, pneumonia,
fractures and low serum magnesium levels in addition to B12
deficiency
252
Avodart
Dutasteride
Genitourinary
BPH - 5 alpha reductase inhibitor
Capsules should not be handled by women, takes time for
shrinkage of prostate and symptom relief
253
Flomax
Tamsulosin
Genitourinary
BPH - selective alpha blocker
Take 30min after the same meal every day. May cause
dizziness.
254
Uroxatral
Alfuzosin
Genitourinary
BPH - selective alpha blocker
Take prior to bedtime to avoid orthostatic hypotensive effects
255
Levitra
Vardenafil
Genitourinary
Erectile dysfunction - vasodilator
Report erections lasting longer than 4 hours to ER, avoid
nitroglycerin use
256
Viagra
Sildenafil
Genitourinary
Erectile dysfunction - Vasodilator
Report erections lasting longer than 4 hours to ER, avoid
nitroglycerin use
257
Cialis
Tadalafil
Genitourinary
Erectile dysfunction - Vasodilator
Report erections lasting longer than 4 hours to ER, avoid
nitroglycerin use
258
Ditropan (XL)
Oxybutynin
Genitourinary
Urinary Incontinence - Anticholinergic
May cause dry mouth, dizziness. Avoid alcohol use.
259
Detrol (LA)
Tolterodine
Genitourinary
Urinary Incontinence - Anticholinergic
May cause dry mouth, dizziness. Avoid alcohol use.
260
Enablex
Darifenacin
Genitourinary
Urinary Incontinence - Anticholinergic
May cause dry mouth, dizziness. Avoid alcohol use.
261
Pyridium
Phenazopyridine
Genitourinary
Urinary Tract Analgesic
Urine will change to orange-red color not a cause for alarm,
used only for symptom relief and not a cure
262
Calcitriol
cholecalciferol
Nutritional
Vitamin D supplement
Take with food to decrease GI problems
263
Alphagan P
Brimonidine
Ophthalmic
Agent for Glaucoma
Refer to eye-drop technique handout
264
Xalatan
Latanaprost
Ophthalmic
Agent for glaucoma
Refer to eye-drop technique handout. Stable at room
temperature for 6 wks
265
Timoptic (XE)
Timolol
Ophthalmic
Agent for glaucoma
Refer to eye-drop technique handout
266
Travatan
Travoprost
Ophthalmic
Agent for glaucoma
Refer to eye-drop technique handout
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
267
Combigan
Brimonidine/Timolol
Ophthalmic
Alpha II agonist/beta blocker/ antiglaucoma
Refer to eye-drop technique handout
268
Pataday or Patanol
Olopatadine
Ophthalmic
Antiallergy
Refer to eye-drop technique handout
269
Tobradex
Tobramycin/Dexamethasone
Ophthalmic
Antibiotic/anti-inflammatory
Refer to eye-drop technique handout
270
Vigamox
Moxifloxacin
Ophthalmic
Antibiotic/Ophthalmic
Refer to eye-drop technique handout
271
Restasis
Cyclosporine
Ophthalmic
Calcineurin inhibitor
Invert vial several times prior to use to create uniform emulsion.
Used every 12 hours.
272
Cosopt
Dorzolamide/Timolol
Ophthalmic
Carbonic anhydrase inhibitor/beta
blocker/antiglaucoma
Refer to eye-drop technique handout
273
Zymar
Gatifloxacin
Ophthalmic
Fluoroquinolone
Refer to eye-drop technique handout
274
Lumigan
Bimatoprost
Ophthalmic
prostaglandin analog for glaucoma treatment
Refer to eye-drop technique handout
275
Cortisporin Otic
Neomycin/polymyxin/hydrocortisone
Otic
Otic Antibiotic
See ear drop instructions
276
Ciprodex, Cipro HC
Ciprofloxacin/Dexamethasone,
Ciprofloxacin/Hydrocortisone
Otic
Otic Antibiotic/Corticosteroid
See ear drop instructions
277
Astelin
Azelastine
Respiratory
Allergic Rhinitis - Topical H1 antagonist
Prime 4x upon assembly, 2x if left unused for 3 days or more
278
Rhinocort Aqua
Budesonide Nasal Spray
Respiratory
Allergic rhinitis -Nasal Steroid
May cause taste distortion, effects seen after several days of
therapy, May cause nasal irritation, bleeding
279
Flonase
Fluticasone
Respiratory
Allergic rhinitis -Nasal Steroid
May cause dysgeusia (taste distortion), effects seen after
several days of therapy, May cause nasal irritation, bleeding
280
Nasonex,
Mometasone
Respiratory
Allergic rhinitis -Nasal Steroid
May cause dysgeusia (taste distortion), effects seen after
several days of therapy, May cause nasal irritation, bleeding
281
Singulair
Montelukast
Respiratory
Anti -asthmatic - Leukotriene inhibitor
chewable tablet contains phenylalanine
282
Proair HFA or Ventolin
HFA or Proventil HFA
Albuterol
Respiratory
Anti- asthmatic - short-acting beta-2 agonist
Available in both MDI and nebulizer soln. Counsel on
appropriate device use and prn rescue dosing. May also be use
for prophylaxis for exercise-induce asthma. May cause
jitteriness, nervousness, tachycardia and decrease
effectiveness of beta blockers.
283
Xopenex (HFA)
levalbuterol
Respiratory
Anti-asthmatic - short-acting beta-2 agonist
counsel on appropriate MDI use and prn rescue dosing
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
284
Pulmicort Respules,
Flexhaler
Budesonide Inhalation
Suspension
Respiratory
Anti-asthmatic - Steroid
Some effects seen after first 2 days of therapy, maximum effect
seen within first 2 weeks of therapy, not to be used for rescue
285
Flovent
Fluticasone
Respiratory
Anti-asthmatic - Steroid
Some effects seen after first 2 days of therapy, maximum effect
seen within first 2 weeks of therapy, not to be used for rescue
286
Advair
Fluticasone/Salmeterol
Respiratory
Antiasthmatic - Steroid /LA B2 agonist
Antiasthmatic - Controller
Diskus: Do not shake after activating, counsel on device
technique, not to be used for rescue
287
Respimat or Duoneb
Albuterol/Ipratropium
Respiratory
Antiasthmatic/COPD Combo
Bronchodilator/Anticholinergic
see albuterol and ipratropium counseling points, Combivent will
no longer be available. Respimat is a new device with a
counter - pt counseling required.
288
Spiriva HandiHaler
Tiotropium
Respiratory
Anticholinergic bronchodilator for COPD
counsel on device technique and once-daily use
289
Atrovent
Ipratropium Bromide
Respiratory
Anticholinergic antibrochospasm and
antisecretory
Shake well, hold breath for 10 sec after actuation, wait 1 minute
for 2nd inhalation, usually very little systemic side-effects
because of poor absorption
290
Zyrtec
Cetirizine
Respiratory
Antihistamine, 2nd generation H1
May cause drowsiness, dizziness or dry mouth. Available in
syrup and tablets
291
Clarinex
Desloratadine
Respiratory
Antihistamine, 2nd generation H1
May cause drowsiness, dizziness or dry mouth
292
Claritin
Loratidine
Respiratory
Antihistamine, 2nd generation H1
May cause drowsiness, dizziness or dry mouth
293
Allegra (D)
Fexofenadine (PSE)
Respiratory
Antihistamine, 2nd generation H1
(+Decongestant)
May cause drowsiness, do not take with fruit juices. PSE may
cause insomnia, take D products in AM
294
Mucinex (D, DM)
Guaifenesin
Respiratory
Expectorant (+/- decongestant, antitussive)
Take with large glass of water, BID dosing, PSE may cause
insomnia, PSE contraindicated in patients with CV risk,
hypertension, DM drug interactions
295
Cheratussin AC
Guaifenesin & Codeine
Respiratory
Expectorant/Antitussive combo - CV
Take with water, codeine side-effect possible
296
Zostavax
herpes zoster vaccine
Vaccine
Herpes Zoster (shingles virus) Vaccine
CDC 60 yrs and above, FDA approved for 50 and above.
Decreases risk of shingles and complications, such as
postherpetic neuralgia. Not a substitute for varicella vaccine.
Separate from Pneumovaz by 4 weeks
297
Gardasil, Cervarix
Human papillomavirus
vaccine
Vaccine
Human papillomavirus vaccine (HPV)
Potentially prevents cancer. Given in 3 doses over 6 months,
Gardasil approved for males also
298
Afluria or Fluvirin or
Fluzone
influenza virus vaccine
Vaccine
Influenza Virus Vaccine
Once yearly dosing generally recommended before Halloween.
Now, a variety of dosage forms available.
299
Pneumovax
pneumococcal
polysaccharide vaccine
Vaccine
Streptococcus Pneumoniae Bacterial Vaccine
Once (or twice) life-time dosing in high risk patients.
Pneumovax can now also be given along with Prevnar 13 in
older patients with significant risks as of 6-21-12 ACIP Meeting
Trade Name
Generic Name
General Category
Therapeutic Category (+ DEA Schedule)
Counseling Points
300
Tdap
Tetanus, Diphtheria,
Pertussis Vaccine
Vaccine
Tetanus, Diphtheria, Pertussis
booster dose after DTaP series in childhood, can replace a Td
booster, preferred administration 11-12 years of age.
Dosage Form
Abbreviations
Abbreviation
Name
Other Abbreviations
XR or XL or ER
Extended release
APAP
Acetaminophen
ACE-I Angiotensin Converting Enzyme Inhib.
XE
Extended effect
HCT or HCTZ
Hydrochlorothiazide
ARB - Angiotensin Receptor Blocker
LA
Long Acting
ASA
Acetylsalicylic acid
B2 - beta 2 receptors.
SR
sustained release
DEX
Dexamphetamine
COPD - Chronic Obstructive Disease
CR
Controlled release
DM
Dextromethorphan
H1 -Histamine 1 receptors
TTS
Transdermal Therapeutic
System
H2 - Histamine 2 receptors
ODT
Orally disintegrating tab
5-HT - serotonin receptor
D
Decongestant
NSAID - Non steroidal anti-inflammatory
PM
evening
SSRI - Selective Serotonin Reuptake Inhib
HS
half-strength
SNRI - Serotonin Norepinephrine Reuptake Inhibitor
LD: Low-Dose