Generic/Brand Name Maxitrol ointment/ dexamethasone

Classification combination of 2 antibiotics and a corticosteroid (dexamethasone)

Indication Treating eye infections and associated symptoms, including redness, irritation, and discomfort, caused by certain bacteria Amebicide in the management of amebic dysentery

Action The antibiotics work by slowing the growth of, or killing, sensitive bacteria on the eye. The corticosteroid reduces inflammation. Disrupts DNA and protein synthesis in susceptible organisms Bactericidal, or amebicidal action

Side Effects Burning or stinging when you first put the medicine in your eye; dry, flaky skin; irritation; itching; redness; swelling

Contraindication

Special Precaution Long-term use of Maxitrol drops may cause an increase in the pressure in your eyes

Nsg. Responsibility Advise NOT take more than the recommended dose or use for longer than 10 days without checking with your doctor.

metronidazole/Flagyl

Anti-infectives, Anti-protozoals

CNS: seizures, dizziness, headache GI: abdominal pain, anorexia, nausea, diarrhea, dry mouth, furry tongue, glossitis, unpleasant taste, vomiting Hematologic: leukopenia Skin: rashes, urticaria CNS: agitation, anxiety, behavioral changes, confusion, dizziness, insomnia. GI: nausea, vomiting, diarrhea, indigestion, gastritis, pseudomembranous colitis, mucocutaneous candidiasis, abdominal pain. GU: vaginal candidiasis, vaginitis. Hematologic: anemia, thrombocytopenia, thrombocytopenic

hypersensitivity

Instruct patient to take medication exactly as directed evenly spaced times between dose, even if feeling better. Do not skip doses or double up on missed doses. If a dose is missed, take as soon as remembered if not almost time for next dose. Inform patient that medication may cause an unpleasant metallic taste. Inform patient that medication may cause urine to turn dark. May increase eosinophil count Dont give ampicillinclass antibiotics to patients with mononucleosis due to high incidence of erythematous rash.

Co-Amoxiclav (amoxicillin and clavulanate potassium)

Therapeutic class: Antibiotic Pharmacologic class: Aminopenicillin and beta-lactamase inhibitor

- Lower respiratory tract infections, otitis media, sinusitis, skin and skinstructure infections, and UTIs caused by susceptible strains of gram-positive and gram-negative organisms -Community-acquired pneumoniaor acute bacterial sinusitis with reduced susceptibility to penicillin

Prevents bacterial cell-wall synthesis during replication. Increases amoxicillins effectiveness by inactivating betalactamases, which destroy amoxicillin.

Contraindicated in patients hypersensitive to drug or other penicillins and in those with a history of amoxicillinrelated cholestatic jaundice or hepatic dysfunction.

purpura, eosinophilia, leukopenia, Other: hypersensitivity reactions, anaphylaxis, pruritus, rash, urticaria, angioedema, ketotifen antihistamine Ketotifen is an antihistamine used, usually in children, to help prevent or reduce the symptoms of asthma This drug may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. This medication should be used only when clearly needed during pregnancy.. This medication passes into breast milk and may have undesirable effects on a nursing infant Its mechanism of action is unknown, but it inhibits the spread of seizure activity in the brain includeheadache, sleepiness, weakness, dizziness, and infection. Difficulty walking or moving, hostility, irritability, mood swings, anxiety, hallucinations, and delusions also have been associated with levetiracetam Central Nervous System - Nervousness, shakiness, dizziness, Ketotifen is distributed into the milk of rats and may be distributed into human breast milk. Women who take this medication should not breast-feed

levetiracetam Keppra, Keppra

antiseizure (antiepileptic) drug

salbutamol Albuterol

Bronchodilator (therapeutic); adrenergics

This medication is a bronchodilator, prescribed for

Contraindicated in patients with high blood

* Caution should be exercised in patients with history of heart

(pharmacologic)

asthma and chronic obstructive pulmonary disease (COPD). It works by relaxing and opening the air passages to the lungs to make breathing easier.

headache, over active and hoarseness. Musculoskeletal Muscle cramps. Gastrointestinal Nausea and increased or decreased appetite. Respiratory - Nosebleed and difficulty in breathing. Heart - Chest pain and irregular heart beat.

pressure during pregnancy, uterine infection, miscarriage, heart disease, and hypersensitivity.

problems, high blood pressure, diabetes, low levels of potassium in the blood, seizure, overactive thyroid, any allergy, who are taking other medication, during pregnancy and breastfeeding. * Avoid alcohol consumption. * It may cause dizziness or drowsiness, do not drive a car or operate machinery while taking this medication.
-Ensure that the patient is well hydrated. - Report hearing changes, dizziness, severe diarrhea

Neomycin sulfate Brand Name: Mycifradin, Neo-fradin, NeoTabs, Mycifradin (CAN), Myciguent

Aminoglycoside

Preoperative suppression of GI bacterial flora (oral) Hepatic coma to reduce ammoniaforming bacteria in the GI tract (oral) Infection prophylaxis in minor skin wounds and treatment of superficial skin infections due to susceptible organisms (topical dermatologic preparations)

Bactericidal: inhibits protein synthesis in susceptible strains of gram-negative bacteria; functional integrity of bacterial cell membrane appears to be disrupted, causing cell death. Due to poor PO absorption, oral neomycin is used to suppress GI bacterial flora.

Palpitations, hypotension, hypertension, Hepatic toxicity, nausea, vomiting, anorexia, weight loss, stomatitis, increased salivation, Nephrotoxicity, Leukemoid reaction, agranulocytosis, granulocytosis, leukopenia, leukocytosis, thrombocytopenia, eosinophilia, pancytopenia, anemia, hemolytic anemia, increased or decreased reticulocyte count,

Contraindicated with allergy to aminoglycosides, intestinal obstruction, pregnancy, lactation.

electrolyte disturbances, Hypersensitivity reactions: purpura, rash, urticaria, exfoliative dermatitis, itching, Pain, irritation, Fever, apnea, splenomegaly, joint pain, superinfection
Ketamine NMDA receptor antagonist. Diagnostic and surgical procedures that do not require skeletal muscle relaxation; induction of anesthesia; supplementation of low-potency agents, such as nitrous oxide. Hyper or hypotension, bradycardia, arrhythmia, respiratory depression (may be severe; esp. with rapid IV or high-doses), apnea, laryngospasms, airway obstruction, diplopia, nystagmus, intraocular pressure, tonic/clonic movements, anorexia, GI upset, anaphylaxis, inj site pain, exanthema, transient erythema, rash; emergence reactions (eg, pleasant dream-like states, hallucinations, delirium, confusion, excitement, irrational behavior), elevated cerebrospinal fluid pressure. Patients in whom significant BP elevation would be a serious hazard; hypersensitivity to the drug. To be administered under the supervision of experienced clinicians. Have resuscitative equipment available. Avoid monotherapy and/or mechanical stimulation in pharynx, larynx or bronchial tree surgery/diagnostic procedures; may require muscle relaxants. Hypertensive or cardiac decompensated; monitor cardiac function. Monitor for psychological manifestations postop. Preanesthetic elevated cerebrospinal fluid pressure. Alcoholics, drug abusers. Abuse potential. Elderly. Labor and delivery, pregnancy: not

recommended

Generic name: paracetamol Brand name: Calpol

Analgesics Muscle Relaxants

Relief of mild-tomoderate pain; treatment of fever.

- Decreases fever by inhibiting the effects of pyrogens on the hypothalamus heat regulating centers & by a hypothalamic action leading to sweating & vasodilatation. -Relieves pain by inhibiting prostaglandin synthesis at the CNS but does not have anti-inflammatory action because of its minimal effect on peripheral prostaglandin synthesis.

Stimulation, drowsiness, nausea, vomiting, abdominal pain, hepatotoxicity, hepatic seizure(overdose, Renal failure(high, prolonged doses), leucopenia, neutropenia, hemolytic anemia (long term use) thrombocytopenia, pancytopenia, rash, urticaria, hypersensitivity, cyanosis, anemia, jaundice, CNS, stimulation, delirium followed by vascular collaps, convulsions, coma, death.

Contraindicated to patients with: - Hypersensitivity - intolerance to tartrazine (yellow dye), alcohol, table sugar, saccharin - Contraindicated with allergy to acetaminophen

-Assess patients fever or pain: typeof pain, location, intensity, duration, temperature, and diaphoresis. -Assess allergic reactions: rash, urticaria; if these occur, drug may have to be discontinued. -Teach patient to recognize signs of chronic overdose: bleeding, bruising, malaise, fever, sore throat. -Tell patient to notify prescriber for pain/ fever lasting for more than 3 days.