Name of Drugs

Amlodipine /(Norvasc)

Classification Dosage Contraindication

Calciumchannel blocker/ ANTIHYPERTEN SIVE 5mg 1tab OD Contraindicated with allergy to amlodipine, impaired hepatic and renal function, sick sinus syndrome, and heart block. Use cautiously with heart failure

Adverse Reaction
fatigue, headache dizziness, edema, palpitation abdominal pain, dyspepsia, nausea

Mechanism of Action
Inhibits calcium ion from entering the slow channels or select voltage sensitive areas of vascular smooth muscle and myocardium during depolarization.

Nursing Responsibilities
Monitor patient carefully (BP, cardiac rhythm and output) Monitor cardiac rhythm regularly during stabilization of dosage and periodically during long-term therapy Report irregular heartbeat, shortness of breath, swelling of hands or feet, pronounced dizziness and hypotension

Name of Drugs
Losartan

Classification Dosage Contraindication

Angiotensin II receptor blocker (ARB), ANTIHYPERTEN SIVE 50mg 1 TAB OD Use cautiously with hepatic or renal impairment

Adverse Reaction
Headache, dizziness, syncope, insomnia, Hypotension, Rash, urticaria, pruritus, alopecia, dry skin, Diarrhea, abdominal pain, nausea, constipation, dry mouth, URI symptoms, cough, sinus disorders,

Mechanism of Action
Losartan competitively inhibits the binding of

Nursing Responsibilities
Monitor patient closely in any situation that may lead to a decrease in blood pressure secondary to reduction in fluid volume--excessive dehydration,

Angiotensin II to AT1 in many tissues vascular

including

perspiration,

smooth muscle and the adrenal glands.

vomiting, diarrhea--excessive hypotension can occur.

Name of Drugs
Mosegor Vita

Classification Dosage Contraindication

APPETITE STIMULANT 1 cap OD Mosegor is

Adverse Reaction
Sedation; rarely

Mechanism of Action
Enhance sedative effects of CNS depressants, antihistamine, alc ohol.

Nursing Responsibilities
Avoid activities which require concentration. Administer with meals to avoid G.I irritations.

contraindicated with dizziness, dry individuals who have mouth, hypersensitivity to the drug, those with glaucoma and prostatic hypertrophy - an overgrowth or enlargement of prostate glands in males. constipation.

Name of Drugs
Roxithromycin

Classification Dosage Contraindication

ANTIBIOTIC ( macrolide ) Known allergy to 150 macrolide antibiotics mg/tab Hypersensitivity to 1 Tab BID any of the ingredients.

Adverse Reaction
Nausea, vomiting, abdominal pain, diarrhoea, weakness, malaise, anorexia, constipation, dyspepsia, flatulence; hepatitis; rashes, headache, dizziness, weakness, changes in blood counts; increased liver enzyme values; eosinophilia; rarely, acute pancreatitis.

Mechanism of Action
BACTERIOSTATIC: Roxithromycin prevents bacteria from growing, by interfering with their protein synthesis.

Nursing Responsibilities
Caution should be exercised in patients with history of liver impairment, abnormal heart rhythm, any allergy, who are taking other during and

medications, pregnancy breastfeeding. Monitor liver

function

regularly while taking this medication. Avoid long-term use of this medication; otherwise it

may cause liver damage.

Name of Drugs
Cefixime

Classification Dosage Contraindication

200 mg 1 Contraindicated in cap BID patients (cephalosporin ) hypersensitive to drug, other cephalosporins, or beta- lactam antibiotics ANTIBIOTIC

Adverse Reaction
Dizziness, fatigue, headache, insomnia, malaise, nervousness, abdominal pain, jaundice,

Mechanism of Action
BACTERICIDAL : inhibits synthesis of bacterial cell wall, causing cell death.

Nursing Responsibilities
Assess patients infection before therapy and regularly thereafter. Before giving first dose, obtain specimen for culture and sensitivity test. Be alert for adverse reactions and drug interactions

Name of Drugs
Ambroxol

Classification Dosage Contraindication

MUCOLYTIC 75 mg/cap 1 cap OD Hypersensitivity to epileptic patients.

Adverse Reaction
Occasional gastrointestinal side effects may occur but these are almost in variably mild

Mechanism of Action
Mucolytic activity: Splits links in the muco-proteins contained in respiratory mucus secretions, decreasing the viscosity of the mucus.

Nursing Responsibilities
Monitor for S&S of aspiration of excess secretions, and for bronchospasm(unpredict able); withhold drug and notify physician immediately if either occur.

Name of Drugs
Comvibent

Classification Dosage Contraindication

BRONCHODILAT 1 nebule OR per 6 hours as Contraindication

Adverse Reaction
Fine tremor of

Mechanism of Action
Causes bronchodilation and inhibit secretion from serious and seromucous glands lining the nasal mucosa.

Nursing Responsibilities
Protect solution for inhalation for light Control environment to prevent hyperpyrexia Teach the patient the proper use of inhaler

with hypersensitivity skeletal muscle; to atropine or its palpitations; headache, dizziness, nervousness; dryness of mouth, throat irritation

nebulizati derivatives. on

Name of Drugs
Omeprazole

Classification Dosage Contraindication

Adverse Reaction
Headache, dizziness, fatigue. Diarrheal, abdominal pain, nausea, mild

Mechanism of Action
An antisecretory compound that is a gastric acid pump inhibitor. Suppresses gastric acid secretion by

Nursing Responsibilities

GASTROINTESTI NAL AGENT; PROTO N PUMP INHIBITOR

40 mg 1 cap OD

Long-term use for gastroesophageal reflux disease, duodenal ulcers; lactation

Report any changes in urinary elimination such as pain or discomfort associated with urination, or blood in urine. Report severe diarrhea; drug may need to be discontinued.

transient increases inhibiting the H+, K+in liver function tests. ATPase enzyme system [the acid (proton H+) pump] in the parietal cells.

Name of Drugs
Kalium Durules

Classification Dosage Contraindication

Electrolytic and 2 tabs TID Renal water balance x 8 doses insufficiency, agent

Adverse Reaction
Nausea, vomiting, diarrhea, abdominal

Mechanism of Action
Principal cation of intracellular most body

Nursing Responsibilities
Monitor I&O ratio and pattern in patients receiving the oral drug. Be alert for potassium

tissues, participates in a number of physiologic processesmaintaining intacellular transmission of tonicity; nerve

hyperkalemia, untreated

intoxication ; may result from any therapeutic dosage, and the

Addison's disease, distension. constriction of the Oliguria, anuria. esophagus &/or obstructive changes in the alimentary tract.

patient may be asymptomatic.

The risk of hyperkalemia with

impulses; contraction of cardiac, smooth skeletal and

potassium supplement increases in older adults because of

muscle;

detrimental

changes in kidney

maintenance of normal renal function; also plays a role in carbohydrate metabolism and various enzymatic reactions

function associated with aging, when dietary intake of potassium suddenly when kidney increases, and

function is

significantly compromised.

Name Classification of Drugs

Norgesic Forte Analgesic and

Dosage

Contraindication

Adverse Reaction
Nausea, dry mouth, blurred vision, dizziness & restlessness

Mechanism of Action
Stimulates medullary, vagal, vasomotor, and respiratory centers, promoting bradycardia, vasoconstriction, and increased respiratory rate.

Nursing Responsibilities

1 tab TID for

Prostatic

Check for the BP. Especially HR. Tell the patient about the possible side effects. Instruct patient not to take aspirin and caffeine.

Muscle relaxant headache PRN hypertrophy or bladder neck obstruction.