1st Box Hydrocortisone(Vial) Aminophylline Midazolam HCl(Amp) Atropine Chlorphenami Ampicillin Sulfate ne Maleate Diphenhydram Chloramphen Cimetidine ine

HCl icol Dexamethaso Diazepam Digoxin ne Hyoscine-NEpinephrine Furosemide Butylbromide HCl Gentamycin Hydralazine Hyoscine

2nd Box Hydrocortisone Methergin e Morphine Phenytoin Sodium Ranitidine Penicillin G Sodium Nubain Phytomenadi one Tramadol Terbutaline Diclofenac Sodium Metoclopramide Oxytocin Promethazine Hydrochloride Tranexamic Acid Dopamine

3rd Box Diluent Nitroglycerine Dicyclover Aspirin ine Salbuta Paracetam mol ol Lanoxin Clonidin e Nifedipine Isosorbide Dinitrate Amlodipin Captopril e Azithromycin Cotrimoxazole Diusemide Diltiazem Isosorbide-5Mononitrate Metoprolol

A
Name: Aminophylline Indications: Management of asthma & COPD. Relieve apnea in neonates; heart failure; obstructive airways disease. Contraindications: Hypersensitivity to theophyllines or any component of the product, including ethylenediamine. Side Effects: Nausea, vomiting, abdominal pain, diarrhoea, headache, insomnia, dizziness, anxiety, restlessness; tremor, palpitations. Potentially Fatal: Convulsions, cardiac arrhythmias, hypotension and sudden death after too rapid IV injection. Name: Amlodipine Indications: Management of HTN & angina pectoris. Contraindications: Hypersensitivity to dihydropyridine. Severe hypotension. Pregnancy & lactation. Side Effects: Headache, peripheral oedema, fatigue, somnolence, nausea, abdominal pain, flushing, dyspepsia, palpitations, dizziness. Rarely pruritus, rash, dyspnoea, asthenia, muscle cramps. Potentially Fatal: Hypotension, bradycardia, conductive system delay and CCF. Name: Ampicillin Indications: Treatment of infections due to susceptible organisms, e.g. resp tract infection, UTI, gonorrhea, enteric infection, meningitis, septicemia. Contraindications: hypersensitivity reaction to any of the penicillins

Side Effects: GI upset, nausea, vomiting, diarrhoea; blood dyscrasias; urticaria, exfoliative dermatitis, rash; fever, seizures; interstitial nephritis. Potentially Fatal: Anaphylactic shock; pseudomembranous colitis; neuromuscular hypersensitivity; electrolyte imbalance. Name: Aspirin Indications: Prophylaxis of thromboembolic disorders in preventing MI & transient ischemic attacks. Quick relief of headache, rheumatism, muscular pains, toothache, neuralgia, periodic pains & reduces fever & discomfort in colds & flu. Contraindications: Hypersensitivity (attacks of asthma, angioedema, urticaria or rhinitis), active peptic ulceration; pregnancy (3rd trimester), children <12 yr, patients with hemophilia or hemorrhagic disorders, gout, severe renal or hepatic impairment, lactation. Side Effects: GI disturbances; prolonged bleeding time, rhinitis, urticaria and epigastric discomfort; angioedema, salicylism, tinnitus; bronchospasm. Potentially Fatal: Gastric erosion, ulceration and bleeding; severe, occasionally fatal exacerbation of airway obstruction in asthma; Reye's syndrome (children <12 yr). Hepatotoxicity; CNS depression which may lead to coma; CV collapse and resp failure; paroxysmal bronchospasm and dyspnoea. Name: Atropine Sulfate Indications: Premedication in balanced anesthesia, Mydriasis &/or cycloplegia. For cycloplegic refraction, for pupillary dilation desired in acute inflammatory conditions of the iris & uveal tract. Contraindications: Glaucoma, chronic respiratory disease, sick sinus syndrome, thyrotoxicosis, cardiac failure, pyloric stenosis, prostatic hypertrophy. Side Effects: Dry mouth, dysphagia, constipation, flushing and dryness of skin, tachycardia, palpitations, arrhythmias, mydriasis, photophobia, cycloplegia, raised intraocular pressure. Toxic doses cause tachycardia, hyperpyrexia, restlessness, confusion, excitement, hallucinations, delirium and may progress to circulatory failure and resp depression. Eye drops: Systemic toxicity esp. in children, on prolonged use may lead to irritation, hyperaemia, oedema and conjunctivitis. Increased intraocular pressure. Inhalation: Dryness of mouth, throat. Potentially Fatal: Atrial arrhythmias, AV dissociation, multiple ventricular ectopics. Name: Azithromycin Indications: Treatment of upper & lower resp infections, acute otitis media, uncomplicated skin & soft tissue infections, cervicitis & urethritis due to Chlamydia trachomatis. Prophylaxis against Mycobacterium avium-intracellulare complex (MAC) infection in patients w/ advance HIV. Contraindications: Hypersensitivity to azithromycin or to any macrolide. Hepatic impairment. Side Effects: Mild to moderate nausea, vomiting, abdominal pain, dyspepsia, flatulence, diarrhoea, cramping; angioedema, cholestatic jaundice; dizziness, headache, vertigo, somnolence; transient elevations of liver enzyme values.

C
Name: Captopril Indications: Management of HTN & heart failure following MI & in diabetic nephropathy. Contraindications: Known hypersensitivity to the drug. Bilateral renal artery stenosis, hereditary angioedema; renal impairment; pregnancy.

Side Effects: Hypotension, tachycardia, chest pain, palpitations, pruritus, hyperkalaemia. Proteinuria; angioedema, skin rashes; taste disturbance, nonproductive cough, headache. Potentially Fatal: Neutropenia usually occurs within 3 mth of starting therapy especially in patients with renal dysfunction or collagen diseases. Hyperkalaemia. Anaphylactic reactions. Name: Chlorphenamine Maleate Indications: Food & drug allergy, bronchial asthma, vasomotor rhinitis, dermatoses of allergic etiology, urticaria, drug sensitization, serum sickness, anaphylactic shock, insect bites, hay fever & angioneurotic edema. Contraindications: Lower resp tract disease. Newborn or premature infants. Side Effects: CNS depression, sedation, drowsiness, lassitude, dizziness. GI upsets, anorexia, or increased appetite, epigastric pain, blurring of vision, dysuria, dryness of mouth, tightness in chest, hypotension, muscular weakness, tinnitus, euphoria, headache, paradoxical CNS stimulation. Potentially Fatal: CV collapse and respiratory failure. Name: Chloramphenicol Indications: Treatment of bacterial meningitis, typhoid fever, rickettsial infection & brain abscess. Contraindications: History of hypersensitivity or toxic reaction to the drug; pregnancy, lactation; porphyria; parenteral admin for minor infections or as prophylaxis; preexisting bone marrow depression or blood dyscrasias. Side Effects: GI symptoms; bleeding; peripheral and optic neuritis, visual impairment, blindness; encephalopathy, confusion, delirium, mental depression, headache. Haemolysis in patients with G6PD deficiency. Ophthalmic application: Hypersensitivity reactions including rashes, fever and angioedema. Ear drops: Ototoxicity. Potentially Fatal: Bone marrow suppression and irreversible aplastic anaemia. Neutropenia, thrombocytopenia. Grey baby syndrome. Rarely, anaphylaxis. Name: Cimetidine Indications: Gastric & duodenal ulcer. Contraindications: Hypersensitivity, lactation. Side Effects: Diarrhoea, dizziness, tiredness, rash, headache, CNS disturbances, arthralgia, myalgia, gynaecomastia, alopoecia, blood dyscrasias, nephritis, hepatitis, pancreatitis, granulocytopenia, hypersensitivity reactions. Name: Clonidine Indications: Treatment of HTN, migraine & menopausal flushing. Treatment of all grades of HTN w/ the exception of HTN due to phaeochromocytoma. Contraindications: Hypersensitivity. Disorders of cardiac pacemaker activity and conduction. Pregnancy and lactation. Side Effects: Dry mouth, drowsiness, dizziness, headache, constipation, impotence, vivid dreams, urinary retention; dry, itching, burning sensation in the eye; fluid or electrolyte imbalance, GI upset, paralytic ileus, orthostatic hypotension, weakness, sedation, pruritus, myalgia, urticaria, nausea, insomnia, arrhythmias, agitation. Reduced GI motility at times may cause paralytic ileus. Potentially Fatal: Transient hypertension or profound hypotension, respiratory depression, convulsion. Clonidine withdrawal syndrome could be life threatening. Bradycardia, coma and disturbances in conduction (in individuals with preexisting diseases of SA/AV nodes, overdose or on digitalis). Name: Cotrimoxazole Indications: Resp tract, GIT & GUT infections. Skin & wound infections. Other bacterial infections e.g. acute brucellosis, mycetoma, nocardiosis, acute & chronic osteomyelitis, septicemia. Fungi & protozoal infection. Prophylaxis against sensitive gm-ve organisms. Contraindications: Hepatic or renal impairment. Premature or newborn infant.

Side Effects: Nausea, vomiting; glossitis, stomatitis, skin reaction, hematological changes. Anorexia, diarrhea, fever, toxic, epidermal necrolysis, Stevens-Johnson syndrome, dermatitis, systemic lupus erythematous, nephrotoxic reactions.

D
Name: Dexamethasone Indications: Anti-inflammatory, as a screening test for Cushing's syndrome, acute exacerbations in multiple sclerosis, Unresponsive shock, Bacterial meningitis, Chemotherapy-related emesis, cerebral edema caused by malignancy, ophthalmic inflammation, Inflammation, musculoskeletal and joint disorders Contraindications: Hypersensitivity; active untreated infections; ophthalmic use in viral, fungal disease of the eye. Side Effects: Growth retardation, osteoporosis, peptic ulcer, glaucoma and sub capsular cataracts, vertebral compression fractures. Cushing-like features, pancreatic dysfunction and pancreatitis, GI upsets, increased appetite, increased fragility of the skin. Increased susceptibility to infection. Topical application: Dermal atrophy, local irritation, folliculitis, delayed wound healing, systemic absorption and toxicity with occlusive dressing on application to large areas of the body and broken skin. Topical application to eye: Corneal ulcers, glaucoma and reduced visual ability. Inhalation: Hoarseness, candidiasis of mouth and throat. Intra-articular inj: Aseptic necrosis of bone and joint damage. Potentially Fatal: HPA suppression; CV collapse on rapid IV admin. Name: Diazepam Indications: Symptomatic relief of anxiety, agitation & tension due to psychoneurotic states & transient situational disturbances. Adjunctively in major mental & organic disorders. Adjunct for the relief of reflex muscle spasm due to local trauma. To combat spasticity arising from damage to spinal & supraspinal interneurons. Basal sedation before stressful therapeutic measures or interventions. For pre-op medication of anxious or tense patients. In psychiatry, treatment of excitation states associated w/ acute anxiety & panic. Motor unrest & delirium tremens. Status epilepticus & other convulsive states. Adjunct for relief of reflex muscle spasm due to local trauma. To combat spasticity arising from damage to spinal & supraspinal interneurons. Contraindications: Hypersensitivity; myasthenia gravis, preexisting CNS depression or coma, respiratory depression; acute pulmonary insufficiency or sleep apnoea syndrome; severe hepatic impairment; acute narrow angle glaucoma; children <6 mth (oral); pregnancy and lactation. Side Effects: Psychological and physical dependence with withdrawal syndrome, fatigue, drowsiness, sedation, ataxia, vertigo, confusion, depression, GI disturbances, changes in salivation, amnesia, jaundice, paradoxical excitation, elevated liver enzyme values; muscle weakness, visual disturbances, headache, slurring of speech and dysarthria, mental changes, incontinence, constipation, hypotension, tachycardia, changes in libido, pain and thrombophlebitis at inj site (IV). Potentially Fatal: Respiratory and CNS depression, coma. Name: Diclofenac Sodium Indications: acute and chronic treatment of the signs and symptoms of rheumatoid arthritis, osteoarthritis, and ankylosing spondylitis. Contraindications: Diclofenac sodium delayed-release tablets are contraindicated in patients with hypersensitivity to the product. Diclofenac should not be given to patients who have experienced asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Severe, rarely fatal, anaphylactic-like reactions to diclofenac have been reported in such patients. Side Effects: Diclofenac Sodium is likely to cause stomach discomfort such as nausea and stomach pain. Swelling of the eyes or mouth, rashes or have difficulty breathing, stomach pain, diarrhea, unusual tiredness, dizziness, chest pain, and breathlessness, black and sticky bowel movements

Name: Dicycloverine Indications: GI tract spasm. Contraindications: Intestinal obstruction; intestinal atony; myasthenia gravis; glaucoma; reflux esophagitis; infants <6 mth; lactation. Side Effects: Difficulty in accommodation, exacerbation of glaucoma; tachycardia, palpitations, arrhythmias; urinary retention; restlessness; confusion, excitement, hallucination and delirium. Potentially Fatal: Respiratory arrest in infants <10 wk. Name: Digoxin Indications: Management of supraventricular arrhythmias, particularly atrial fibrillation & heart failure. Contraindications: Digitalis toxicity, ventricular tachycardia/fibrillation, obstructive cardiomyopathy. Arrhythmias due to accessory pathways (e.g. Wolff-ParkinsonWhite syndrome). Side Effects: Extra beats, anorexia, nausea and vomiting. Diarrhoea in elderly, confusion, dizziness, drowsiness, restlessness, nervousness, agitation and amnesia, visual disturbances, gynaecomastia, local irritation (IM/SC inj), rapid IV admin may lead to vasoconstriction and transient hypertension. Potentially Fatal: Cardiac arrhythmias in combination with heart block. Name: Diltiazem Indications: Oral: Angina pectoris including Prinzmetal's angina. Mild to moderate HTN. Parenteral: Paroxysmal supraventricular tachycardia & atrial fibrillation or atrial flutter. Contraindications: Hypersensitivity. Sick sinus syndrome; 2nd or 3rd degree AV block; hypotension, acute MI. Pulmonary congestion. Side Effects: Headache, ankle oedema, hypotension, dizziness, fatigue, flushing, nausea, GI discomfort, gingival hyperplasia, rashes, erythema multiforme, exfoliative dermatitis, photosensitivity, occasionally hepatitis. Potentially Fatal: AV block, bradycardia, asystole, sinus arrest. Name: Diphenhydramine HCl Indications: Hay fever, urticaria, vasomotor rhinitis, angioneurotic edema, drug sensitization, serum & penicillin reaction, contact dermatitis, atopic eczema, other allergic dermatoses, pruritus, food sensitivity, parkinsonism, motion sickness. Contraindications: Asthma attack. Premature & newborn infants. Lactation. Side Effects: CNS depression, dizziness, headache, sedation; paradoxical stimulation in children; dryness of mouth, thickened respiratory secretion, blurring of vision, urinary retention; GI disturbances; blood dyscrasias. Name: Diusemide Indications: Treatment of edema associated w/ CHF, liver cirrhosis & renal disease, including nephrotic syndrome. Adjunctive therapy in acute pulmonary edema. Treatment of hypertension w/ or w/out other antihypertensives. Contraindications: Severe sodium and water depletion, hypersensitivity to sulphonamides and furosemide, hypokalemia, hypernatremia, precomatose states associated with liver cirrhosis, anuria or renal failure. Addison's disease. Side Effects: Fluid and electrolyte imbalance. Rashes, photosensitivity, nausea, diarrhea, blurred vision, dizziness, headache, hypotension. Bone marrow depression (rare), hepatic dysfunction. Hyperglycemia, glycosuria, ototoxicity Potentially Fatal: Rarely, sudden death and cardiac arrest. Hypokalemia and magnesium depletion can cause cardiac arrhythmias. Name: Dopamine Indications: Acute heart failure. Treatment of acute heart failure, as occurs in cardiogenic shock & MI. Also used in renal failure, in cardiac surgery & in septic shock.

Contraindications: Pheochromocytoma, uncorrected tachyarrhythmias, ventricular fibrillation, hyperthyroidism. Sensitive to Na metabisulfite. Side Effects: Nausea, vomiting, tachycardia, ectopic beats, palpitation, anginal pain, hypotension, vasoconstriction, bradycardia, hypertension, dyspnoea, headache, widened QRS complexes, azotaemia.

E
Name: Epinephrine Hcl Indications: Cardiac stimulant in case of collapse, shock & anesth accidents. Hemostatic in hemorrhages. Prolongs action of infiltration anesth agent. Urticaria. Contraindications: Preexisting hypertension; occlusive vascular disease; angle-closure glaucoma (eye drops); hypersensitivity; cardiac arrhythmias or tachycardia. When used in addition to local anaesthetics: Procedures involving digits, ears, nose, penis or scrotum. Side Effects: CNS effects; GI disturbances; epigastric pain; CV disorders; difficulty in micturition with urinary retention; dyspnea; hyperglycemia; sweating; hypersalivation; weakness, tremors; coldness of extremities; hypokalemia. Gangrene, tissue necrosis and sloughing (extravasation) when used in addition to local anaesthetics. Eye drops: Severe smarting, blurred vision, photophobia; nasolachrymal ducts obstruction. Oedema, hyperaemia and inflammation of the eyes with repeated administration.

F
Name: Furosemide Indications: Treatment of edema associated w/ CHF, liver cirrhosis & renal disease, including nephrotic syndrome. Adjunctive therapy in acute pulmonary edema. Treatment of hypertension w/ or w/out other antihypertensives. Contraindications: Severe sodium and water depletion, hypersensitivity to sulphonamides and furosemide, hypokalemia, hypernatremia, precomatose states associated with liver cirrhosis, anuria or renal failure. Addison's disease. Side Effects: Fluid and electrolyte imbalance. Rashes, photosensitivity, nausea, diarrhoea, blurred vision, dizziness, headache, hypotension. Bone marrow depression (rare), hepatic dysfunction. Hyperglycemia, glycosuria, ototoxicity Potentially Fatal: Rarely, sudden death and cardiac arrest. Hypokalemia and magnesium depletion can cause cardiac arrhythmias.

G
Name: Gentamycin Indications: Susceptible Infections, Surgical Prophylaxis, Bacterial skin Infections Contraindications: History of hypersensitivity to aminoglycoside; pregnancy; hepatic impairment, perforated ear drum. Side Effects: Dizziness or vertigo; acute renal failure, interstitial nephritis, acute tubular necrosis; electrolyte imbalances; transient elevation of serum bilirubin and aminotransferases; purpura; nausea, vomiting; convulsions, mental depression, hallucinations. Atrophy or rat necrosis at inj sites. Potentially Fatal: Nephrotoxicity, ototoxicity and neuromuscular blockade (may unmask or aggravate myasthenia gravis).

H
Name: Hydralazine Indications: Treatment of HTN, in conjunction w/ -blocker & thiazide diuretic. W/ isosorbide dinitrate in the management of heart failure. Contraindications: Severe tachycardia, dissecting aortic aneurysm, heart failure with high cardiac output, cor pulmonale, myocardial insufficiency due to mechanical obstruction, coronary artery disease, idiopathic SLE. Patients with recent MI. Side Effects: Tachycardia; palpitations; angina pectoris; hemolytic anemia; paralytic ileus; severe headache; GI disturbances; flushing, dizziness; nasal congestion; peripheral neuropathy with numbness and tingling of extremities; lupus erythematous-like syndrome; postural hypotension; fluid retention; hepatotoxicity; blood dyscrasias; difficulty in urinating; glomerulonephritis; constipation; depression; anxiety; hypersensitivity reactions; conjunctivitis; lachrymation, tremor; muscle cramps. Name: Hydrocortisone Indications: For acute adrenal cortical insufficiency & acute hypersensitivity reactions. Contraindications: Viral/fungal infections, tubercular or syphilitic lesions, bacterial infections unless used in conjunction with appropriate chemotherapy. Side Effects: Sodium and fluid retention. Potassium and calcium depletion. Muscle wasting, weakness, osteoporosis. GI disturbances and bleeding. Increased appetite and delayed wound healing. Bruising, striae, hirsutism, acne, flushing. Raised intracranial pressure, headache, depression, psychosis, menstrual irregularities. Hyperglycemia, glycosuria, DM, obesity, moon-face, buffalo hump. Suppression of pituitary-adrenocortical system. Growth retardation in childn (prolonged therapy). Increased susceptibility for infection. Topical use: Dermal atrophy, local irritation, folliculitis, hypertrichosis. Inhaled corticosteroids: May cause hoarseness, candidiasis of mouth and throat. Topical application to the eye: Can produce corneal ulcers, raised IOP and reduced visual function. Intralesional injection: Local hypopigmentation of deeply pigmented skin. Intra-articular injection: Joint damage, fibrosis esp. in load bearing joints. Potentially Fatal: Abrupt withdrawal leading to acute adrenal insufficiency. Rapid IV Inj may cause CV collapse.

Name: Hyoscine Indications: GI spasm, genitourinary spasm, Prevention of motion sickness, Prevention of nausea and vomiting, Preoperative sedation, tranquilization, genitourinary spasm, Anesthetic premedication, Mydriasis and cycloplegia for refraction, Iridocyclitis Contraindications: Narrow-angle glaucoma, acute hemorrhage, paralytic ileus, tachycardia due to cardiac insufficiency, myasthenia gravis. Side Effects: Flushing, postural hypotension, tachycardia, fibrillation. Rarely psychotic reactions. Dizziness, drowsiness, fatigue, headache, memory loss. Dry skin, erythema, increased sensitivity to light, rash. Bloatedness, constipation, dry throat, dysphagia, nausea, vomiting, and xerostomia. Dysuria, urinary retention. Tremor, weakness. Impaired accommodation, blurred vision, cycloplegia, dryness, narrow-angle glaucoma, increased intraocular pain, itching, photophobia, pupil dilation. Dry nose. Decreased diaphoresis, heat intolerance. Ophthalmic: Somnolence, dermatitis, edema, exudate, follicular conjunctivitis, increased IOP, local irritation, photophobia, vascular and respiratory congestion. Potentially Fatal: CNS depression, coma, circulatory and respiratory failure. Name: Hyoscine-N-Butyl bromide Indications: Treatment of spasm & hypermotility of GIT, biliary & renal colic, spasmodic dysmenorrhea. Parenterally, aid in diagnostic & therapeutic procedures. Contraindications: Narrow-angle glaucoma, acute hemorrhage, paralytic ileus, tachycardia due to cardiac insufficiency, myasthenia gravis. Side Effects: Flushing, postural hypotension, tachycardia, fibrillation. Rarely psychotic reactions. Dizziness, drowsiness, fatigue, headache, memory loss. Dry skin, erythema, increased sensitivity to light, rash. Bloatedness, constipation, dry throat, dysphagia, nausea, vomiting, and xerostomia. Dysuria, urinary retention. Tremor, weakness. Impaired accommodation, blurred vision, cycloplegia, dryness, narrow-angle glaucoma, increased intraocular pain, itching, photophobia, pupil dilation. Dry nose. Decreased diaphoresis, heat intolerance. Ophthalmic: Somnolence, dermatitis, edema, exudate, follicular conjunctivitis, increased IOP, local irritation, photophobia, vascular and respiratory congestion. Potentially Fatal: CNS depression, coma, circulatory and respiratory failure.

I
Name: Isosorbide Dinitrate Indications: Heart failure. Acute angina, Long-term management of angina, heart failure, unstable angina, percutaneous transluminal coronary angioplasty Contraindications: Severe hypotension or anemia, hypovolaemia, heart failure due to obstruction, or raised intracranial pressure due to head trauma or cerebral hemorrhage. Side Effects: Hypotension, tachycardia, flushing, headache, dizziness, palpitation, syncope, confusion. Nausea, vomiting, abdominal pain. Apprehension, restlessness, weakness and vertigo. Potentially Fatal: Severe hypotension, circulatory collapse. Name: Isosorbide-5-Mononitrate Indications: Long-term treatment of ischemic heart disease. Prevention of angina attacks. Follow-up treatment of heart attacks when symptoms of angina persist. Pulmonary hypertension. Treatment of chronic cardiac failure, in combination w/ cardiac glycosides &/or diuretics.

Contraindications: Acute MI w/ low-filling pressures, left heart failure w/ low-filling pressures, shock, very low BP, hypertrophic obstructive cardiomyopathy, constrictive pericarditis, pericardial tamponade, aortic stenosis, mitral stenosis, marked anemias, head trauma, cerebral hemorrhage, closed-angle glaucoma, hyperthyroidism, concomitant therapy w/ sildenafil, tadalafil & vardenafil. Side Effects: Hypotension, tachycardia, flushing, headache, dizziness, palpitation, syncope, confusion. Nausea, vomiting, abdominal pain. Restlessness, weakness and vertigo. Dry mouth, chest pain, back pain, oedema, fatigue, abdominal pain, constipation, diarrhoea, dyspepsia and flatulence. Potentially Fatal: Severe hypotension and cardiac failure.

L
Name: Lanoxin Indications: Cardiac failure accompanied by atrial fibrillation; management of chronic cardiac failure where systolic dysfunction or ventricular dilatation is dominant; management of certain supraventricular arrhythmias, particularly chronic atrial flutter & fibrillation. Contraindications: Hypersensitivity to other digitalis glycosides. Intermittent complete heart block or 2nd-degree AV block esp. if there is a history of Stokes-Adams attacks; arrhythmia caused by cardiac glycoside intoxication, supraventricular arrhythmia caused by Wolff-Parkinson-White syndrome; ventricular tachycardia or fibrillation; hypertrophic obstructive cardiomyopathy. Side Effects: CNS disturbances, dizziness; visual disturbances (blurred or yellowish vision); arrhythmia, conduction disturbances, bigeminy, trigeminy, PR prolongation, sinus bradycardia; nausea, vomiting, diarrhea; urticarial or scarlatiniform w/ eosinophilia.

M
Name: Methergine Indications: Active management of the 3rd stage of labor, Delivery under general anesth, uterine atony/hemorrhage, Sub involution, lochiometra, puerperal bleeding Contraindications: Hypersensitivity to ergot alkaloids. Severe HTN, preeclampsia & eclampsia; occlusive vascular disease; sepsis. Not to be used for induction or enhancement of labor. Pregnancy; 1st & 2nd stage of labor & before crowning of the head. Side Effects: Common: Headache, HTN, skin eruptions, abdominal pain (caused by uterine contractions). Uncommon: Dizziness, convulsions, chest pain, hypotension, nausea, vomiting, hyperhidrosis. Rare: Bradycardia, tachycardia, palpitations, arterial spasm (peripheral). Very rarely, hallucinations, anaphylactic reactions, MI, coronary arteriospasm, thrombophlebitis, nasal congestion, diarrhea, muscle cramp. Reduction of milk secretion; passes into breast milk & may in isolated cases affect the child. Name: Metoclopramide

Indications: Diabetic gastric stasis, Nausea and vomiting associated with cancer chemotherapy or radiotherapy, GERD, Premedication for radiologic examination of the upper GI tract, Intubation of the small intestine Contraindications: GI hemorrhage, mechanical obstruction and perforation; phaeochromocytoma; history of seizures. Side Effects: Extrapyramidal symptoms, restlessness, drowsiness, anxiety, diarrhea, hypotension, hypertension, headache, depression, blood disorders (e.g. aganulocytosis, methaemoglobinaemia), hypersensitivity reactions (e.g. bronchospasm, rash), galactorrhoea or related disorders, transient increase in plasma aldosterone levels. Potentially Fatal: Neuroleptic malignant syndrome; cardiac conduction disorders may occur with IV dosage form. Name: Metoprolol Indications: Management of HTN, angina pectoris & cardiac arrhythmias, hyperthyroidism, migraine. Contraindications: 2nd or 3rd degree AV block; sick sinus syndrome; decompensated heart failure; clinically relevant sinus bradycardia. Severe peripheral arterial circulatory disorders. Cardiogenic shock. Asthma. Phaeochromocytoma (without -blockade), systolic BP <100 mmHg. Metabolic acidosis. Pregnancy (2nd and 3rd trimesters). Side Effects: Bradycardia, hypotension, arterial insufficiency, chest pain, CHF, edema, palpitation, syncope, gangrene; dizziness, fatigue, depression, confusion, headache, insomnia, short-term memory loss, nightmares, somnolence; pruritus, rash, increased psoriasis, reversible alopecia; sexual dysfunction/impotence, Peyronie's disease; diarrhea, constipation, flatulence, GI pain, heartburn, nausea, xerostomia; agranulocytosis (rare); musculoskeletal pain; blurred vision, dry eyes, oculomucocutaneous syndrome; tinnitus; dyspnea, bronchospasm, wheezing, rhinitis; cold extremities. Potentially Fatal: Heart failure, heart block, bronchospasm. Name: Morphine Indications: Pain relief. Intractable cough associated w/ lung cancer. Pain associated w/ MI. Acute pulmonary oedema. Unstable angina unresponsive to anti-ischemic therapy. Acute pain. Premed in surgical procedures. Analgesia during labor. Moderate to severe pain. Moderate to severe pain. Chronic pain Contraindications: Respiratory depression, acute or severe asthma; paralytic ileus; obstructive airway disease; acute liver disease; comatose patients; increased intracranial pressure; acute alcoholism. Pulmonary oedema resulting from a chemical respiratory irritant. Side Effects: Convulsions; nausea, vomiting, dry mouth, constipation; urinary retention; headache, vertigo; palpitations; hypothermia; pruritus, urticaria; tachycardia, bradycardia; blurred vision; miosis; dependency; drowsiness; lightheadedness; dizziness; sweating; dysphoria; euphoria. Potentially Fatal: Respiratory depression; circulatory failure; hypotension; deepening coma; anaphylactic reactions.

N
Name: Nifedipine Indications: All forms of HTN; HTN in pregnancy; coronary insufficiency w/ or w/o angina; vasospastic angina, to increase heart rate in sinus bradycardia & sick sinus syndrome. Contraindications: Acute MI, cardiogenic shock, acute unstable angina, treatment of anginal attack in chronic stable angina.

Side Effects: Peripheral oedema, hypotension, palpitations, tachycardia, flushing, dizziness, headache, nausea, increased micturition frequency, lethargy, eye pain, mental depression, visual disturbances, gingival hyperplasia, myalgia, tremor, impotence, fever, paradoxical increase in ischemic chest pain during initiation of treatment, rashes, abnormalities in liver function (including cholestasis), GI obstruction in some tablets covered in indigestible membrane. Name: Nitroglycerine Indications: Nitroglycerin in 5% Dextrose Injection is indicated for treatment of perioperative hypertension; for control of congestive heart failure in the setting of acute myocardial infarction; for treatment of angina pectoris in patients who have not responded to sublingual nitroglycerin and -blockers; and for induction of intraoperative hypotension. Contraindications: Allergic reactions to organic nitrates are extremely rare, but they do occur. Nitroglycerin in 5% Dextrose Injection is contraindicated in patients who are allergic to it. In patients with pericardial tamponade, restrictive cardiomyopathy, or constrictive pericarditis, cardiac output is dependent upon venous return. Intravenous nitroglycerin is contraindicated in patients with these conditions. Solutions containing dextrose may be contraindicated in patients with known allergy to corn or corn products. Side Effects: Syncope, headache, hypotension, crescendo angina, and rebound hypertension Name: Nubain Indications: Relief of moderate to severe pain. Pre-op analgesia, as a supplement to balanced anesth, surgical anesth, for obstet analgesia during labor & relief of pain following MI. Post-op somatic & visceral pain. Contraindications: Patients who are hypersensitive to nalbuphine HCl. Side Effects: Sedation. Infrequently sweating, GI upsets, vertigo, dizziness; dry mouth; headache, allergic reactions.

O
Name: Oxytocin Indications: Facilitate lactation, Adjunct in abortion, postpartum hemorrhage, Labor induction, Oxytocin challenge test for evaluating of fetal distress Contraindications: Cephalopelvic disproportion; abnormal presentation of the fetus; hydraminios; multipara; previous caesarian section or other uterine surgery; hyperactive or hypertonic uterus, uterine rupture; contraindicated vaginal delivery (invasive cervical cancer, active genital herpes, prolapse of the cord, cord presentation, total placenta previa or vasa previa); fetal distress where delivery is not imminent; severe pre-eclamptic toxemia. Side Effects: Fetus or neonate: Jaundice; arrhythmias, bradycardia; brain, CNS damage; seizure; retinal hemorrhage; low Apgar score. Mother: transient hypotension, reflex tachycardia; nasal irritation, rhinorrhea, lachrymation (following nasal admin); uterine bleeding, violent contractions, hypertonicity; spasm; nausea, vomiting. Potentially Fatal: Maternal water intoxication (especially with slow infusion over 24 hrs.); prolonged uterine contractions causing fetal hypoxia and death; rupture of gravid uterus; afibrinogenaemia; subarachnoid hemorrhage

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Name: Paracetamol Indications: Relief of mild to moderately severe pain of musculoskeletal origin e.g. muscle pain, arthritis, rheumatism, sprain, strain, bursitis, tendonitis, backache, stiff neck, tension headache, dysmenorrhea, toothache, pain after tooth extraction & minor surgical operations, reduction of fever. Contraindications: Patients in whom bronchospasm, angioedema or nasal polyps are precipitated by ibuprofen, aspirin & other NSAIDs. Advanced kidney & liver diseases. Side Effects: GI, renal, hepatic, CNS, otic & ocular, dermatologic effects. Fluid retention increased BP, hypotension, CVA & palpitations. Name: Penicillin G Sodium Indications: Susceptible severe infections where rapid and high penicillin levels are required; Septicemia, skin & wound infections, diphtheria, pneumonia, empyema, erysipela, pericarditis, bacterial endocarditis, mediastinitis, peritonitis, meningitis, brain abscesses, arthritis, osteomyelitis, infections of the genital tract caused by fusobacteria. Contraindications: previous hypersensitivity reaction to any penicillin Side Effects: Hypersensitivity reactions, GI disturbances, eosinophilia, hemolytic anemia, leucopenia, thrombocytopenia, agranulocytosis. Convulsions in the presence of severely reduced renal function, epilepsy, meningitis or cerebral edema or during cardiopulmonary bypass procedure. Nephropathy. Name: Phenytoin Sodium Indications: Control of grand mal & complex partial seizure, prevention & treatment of seizure during or following neurosurgery, migraine, trigeminal neuralgia, certain psychoses, cardiac arrhythmias, digitalis intoxication, post-event treatment of MI. Inj: Control of status epilepticus of the grand mal type, prevention & treatment of seizures during or post neurosurgery/severe head injury. Contraindications: History of hypersensitivity to phenytoin or other hydantoins. Sinus bradycardia, SA block, 2nd- & 3rd-degree AV block. Patients w/ Adams-Stokes syndrome. Seizures due to hypoglycemia or other metabolic causes. Side Effects: Hypersensitivity, lack of appetite, headache, dizziness, tremor, transient nervousness, insomnia, GI disturbances (e.g. nausea, vomiting, constipation), tenderness and hyperplasia of the gums, acne, hirsutism, coarsening of the facial features, rashes, osteomalacia. Phenytoin toxicity as manifested as a syndrome of cerebellar, vestibular, ocular effects, notably nystagmus, diplopia, slurred speech, and ataxia; also with mental confusion, dyskinesias, exacerbations of seizure frequency, hyperglycemia. Solutions for inj may cause local irritation or phlebitis. Prolonged use may produce subtle effects on mental function and cognition, especially in children. Potentially Fatal: Toxic epidermal necrolysis, Stevens-Johnson syndrome. Name: Phytomenadione Indications: Anticoagulant-induced prothrombin deficiency; prophylaxis & therapy of hemorrhagic disease of the newborn & it may also be given to the mother before delivery; hypoprothrombinemia due to oral antibacterial therapy; hypoprothrombinemia. Contraindications: Hypersensitivity. Side Effects: Anaphylaxis, dyspnoea, cyanosis, pain, swelling, phlebitis at the Inj site, diaphoresis, dizziness, hypotension (rare), allergic reactions after SC and IM inj.

Name: Promethazine Hydrochloride Indications: Symptomatic relief of allergy e.g. hay fever, urticaria; premedication, emergency treatment of anaphylactic reactions; sedation, motion sickness. Contraindications: Hypersensitivity, coma, porphyria, cardiac disease, hypokalemia, intra-arterial or SC inj, neonates and young children, pregnancy, lactation. Side Effects: CNS depression, paradoxical excitation in childn, dryness of mouth, blurring of vision, retention of urine, constipation, glaucoma, tachycardia, headache, hypotension, tinnitus.

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Name: Ranitidine Indications: Treatment of duodenal & benign gastric ulcer, recurrent & gastric ulceration. Prophylaxis of stress ulceration & recurrent hemorrhage from peptic ulcer before general anesth in patient at risk of acid aspiration, particularly obstet patient during labor. Also used for treatment of Zolinger-Ellison syndrome. Contraindications: Porphyria. Side Effects: Headache, dizziness. Rarely hepatitis, thrombocytopenia, leukopenia, hypersensitivity, confusion, gynaecomastia, impotence, somnolence, vertigo, hallucinations. Potentially Fatal: Anaphylaxis, hypersensitivity reactions.

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Name: Salbutamol Indications: Management of reversible bronchospasm associated w/ obstructive airway diseases in patients who require more than a single bronchodilator. Contraindications: Eclampsia and severe pre-eclampsia; intra-uterine infection, intra-uterine fetal death, antepartum hemorrhage, placenta praevia and cord compression, threatened miscarriage, cardiac disease. Side Effects: Fine skeletal muscle tremor especially hands, tachycardia, palpitations, muscle cramps, headache, paradoxical bronchospasm, angioedema, urticaria, hypotension and collapse. Potentially Fatal: Potentially serious hypokalemia after large doses.

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Name: Terbutaline Indications: Relief of bronchospasm in bronchial asthma, chronic bronchitis, emphysema & other diseases of the lungs which may be complicated by bronchial constriction. Contraindications: Hypersensitivity to sympathomimetics. Any condition of mother or fetus in which prolongation of pregnancy is dangerous. Side Effects: Fine skeletal muscle tremor esp. hands, dizziness, anxiety, flushes, sweating, nausea, vomiting, lethargy, tinnitus, tachycardia, palpitations, muscle cramps, headache, and paradoxical bronchospasm. IV: Transient hyperglycemia, transient hypokalemia. Potentially Fatal: (IV): MI, pulmonary edema, ketoacidosis. Name: Tramadol Indications: Management of moderate to severe pain. Contraindications: Suicidal patients, acute alcoholism; head injuries; raised intracranial pressure; severe renal impairment; lactation. Side Effects: Sweating, dizziness, nausea, vomiting, dry mouth, fatigue, asthenia, somnolence, confusion, constipation, flushing, headache, vertigo, tachycardia, palpitations, miosis, insomnia, orthostatic hypotension, seizures, CNS stimulation e.g. hallucinations. Potentially Fatal: Respiratory depression. Name: Tranexamic Acid Indications: Treatment & prophylaxis of hemorrhage associated w/ excessive fibrinolysis. Contraindications: Severe renal failure, active intravascular clotting, thromboembolic disease, color vision disorders, subarachnoid bleeding. Side Effects: Diarrhoea, nausea, vomiting, disturbances in color vision, giddiness, hypotension (after rapid IV in), thromboembolic events.