PRESCRIPTION DRUG CARDS 101-150 REVIEW

Anti-Anxiety Agents
Anti-Anxiety Agent Generic Name(s) Buspirone Hydrochloride

Rank 164

Subclass Antianxiety Agent

Brand Name BuSpar

Dosage Range 5 to 10 mg given up to four times a day

Patient Consultation: BuSpar 1) May cause drowsiness or dizziness. Use caution when operating machinery or an automobile 2) Report to your physician or pharmacist any abnormal involuntary movements of the tongue or facial muscles and any change in motor restlessness 3) Store in a cool, dry place away from sunlight and children 4) Contact a physician if the above side effects (skin rash, tachycardia, headache, fatigue, sweating, muscle pain, dream disturbances, dizziness, drowsiness, nervousness, insomnia, mood alterations, depression, dry mouth, nausea, vomiting, diarrhea or constipation, nasal congestion, blurred vision, tinnitus, and sore throat) are severe or persistent 5) If a dose is missed, skip it and return to normal dosing schedule 6) Avoid grapefruit and grapefruit juice during therapy

Antiasthmatic
Antiasthmatic Generic Name(s) Fluticasone Propionate (inhalation) Budesonide (inhalation) Levalbuterol HCl Budesonide and Formoterol Fumarate Dihydrate (inhalation)

Rank 128 133 158 183

Subclass Antiasthmatic Antiasthmatic Antiasthmatic Antiasthmatic

Brand Name Flovent Pulmicort Xopenex Symbicort

Dosage Range 50 250 g twice a day 180 g (children) or 360 g (adults) twice a day 0.63 mg administered by nebulization three times a day, every 6 to 8 hours 2 inhalations twice daily

Patient Consultation Flovent 1) Avoid contact with the eyes 2) Contact a physician if the above side effects (pharyngitis, nasal congestion, and upper respiratory infection) are severe or persistent 3) If a dose is missed, skip it and return to normal dosing schedule 4) Flovent is not intended to provide immediate relief of bronchospasm. To receive the full benefits of therapy, use on a regular basis. Although benefits can be seen after 2 days of treatment, up to four weeks may be needed to observe benefits 5) Use any prescribed bronchodilator a few minutes prior to using Flovent 6) Follow enclosed instructions for aerosol inhalation technique: a. Shake the inhaler well and move it into inhaler position b. Breathe out as fully as you comfortably can. Hold the inhaler upright, place mouthpiece in the mouth, close lips tightly around the mouthpiece c. While breathing in deeply, press down on the cartridge and hold your breath as long as you can while the inhaler is still in your mouth d. Take your finger off the cartridge, remove the mouthpiece from your mouth, and breathe out gently. Wait one minute between puffs and repeat steps 2-4 if indicated e. Rinse your mouth or gargle after the dose is complete f. Clean the inhaler at least once a day by removing the cartridge and rinsing the plastic case in warm running water. Dry the case and replace the cartridge g. Discard the inhaler after the date calculated by your physician or pharmacist Pulmicort 1) Avoid contact with the eyes

2) Contact a physician if the above side effects (headache, asthenia, pain, dyspepsia, nausea, oral candidiasis, arthralgia, cough, respiratory infection, rhinitis and sinusitis) are severe or persistent 3) If dose is missed, skip it and return to normal dosing schedule 4) Pulmicort is not intended to provide immediate relief of bronchospasm. To receive the full benefits of therapy, use on a regular basis. Although benefits can be seen after 2 days of treatment, up to four weeks may be needed to observe benefits. 5) Use any prescribed bronchodilator a few minutes prior to using Pulmicort 6) Follow enclosed instructions for inhalation technique of the Turbohaler: a. Prime the inhaler the first time it is used by holding it in an upright position (mouthpiece up), turn the brown grip fully to the right and then to the left until clicks b. To load a dose, hold it in an upright position (mouthpiece up), turn the brown grip fully to the right and then to the left until it clicks c. Hold the Turbohaler in the upright or horizontal position, place the mouthpiece between the lips and inhale forcefully and deeply. Exhale through the nose and do not shake the inhaler 7) The Respules should be gently shaken before use in an approved jet nebulizer and should not be mixed with other solutions 8) Rinse the mouth out without swallowing after each use 9) A red mark will appear in the indicator window when there is 20 or fewer doses left in the Turbohaler 10) Patients should avoid exposure to chicken pox or measles and if they are exposed should promptly notify their physician 11) Pulmicort Turbohaler should not be used with a spacer Xopenex 1) Do not take more frequently than recommended 2) Xopenex Inhalation Solution is intended to be used in a nebulizer 3) Xopenex vials are distributed in foil pouches in groups of 12. Once a foil pouch is opened, the vials inside should be used within two weeks. After opening the foil, keep the vials inside the pouch until ready to use 4) Store unused vials at room temperature and protect them from light. Discard any vial if the solution is not colorless 5) The drug compatibility of Xopenex Inhalation Solution when mixed with other drugs in a nebulizer is unknown. 6) Aerosol Inhaler a. Avoid contact with eyes b. Shake canister well before each inhalation. Prime with 4 sprays before first use and if not used for three days

c. Follow enclosed instructions for inhalation and cleaning technique d. Clean mouthpiece at least once a week by removing the canister, running warm water through it for 30 seconds, and letting it air dry thoroughly Symbicort 1) 2) 3) 4) 5) 6) 7) 8) Avoid contact with the eyes Rinse mouth after each use Contact a physician if the above side effects are severe or persistent Contact a physician if symptoms worsen or if the effectiveness of short acting beta 2 agonists decreases If a dose is missed, skip it and return to normal dosing schedule Not intended to provide immediate relief of bronchospasm To receive the full benefits of therapy, use on a regular basis. Although benefits can be seen after 2 days of treatment, up to four weeks may be needed to observe benefits It is important that the patient understands how to use the metered dose inhaler properly

Anti-depressants
Antidepressants Generic Name(s) Trazodone Hydrochloride Desvenlafaxine Paroxetine Hydrochloride Mirtazapine

Rank 101 135 144 179

Subclass Antidepressant Antidepressant Antidepressant Antidepressant

Brand Name Desyrel Pristiq Paxil Paxil XR Pexeva Remeron

Dosage Range 150 mg per day initially given in divided doses 50 mg once daily, with or without food 25 mg to 62.5 mg daily 15 45 mg per day

Patient Consultation: Desyrel 1) Take with food to enhance absorption 2) May cause drowsiness. Use care when operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication 4) Patients with prolonged or inappropriate penile erection should discontinue use immediately and consult a physician 5) Store in a cool, dry place away from sunlight and children 6) Contact a physician if the above side effects (drowsiness, dry mouth, hypotension, dizziness, confusion, fatigue, headache, PRIAPISM, nausea, and vomiting) are severe or persistent 7) If a dose is missed, skip it and return to normal dosing schedule Pristiq 1) Pay close attention to any changes, especially sudden changes, in mood behaviors, thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions. 2) Continued therapy of up to 2 weeks may be needed to show noticeable improvement 3) Avoid alcohol while taking this medication 4) Swallow tablets whole; do not crush, chew, dissolve, or divide 5) Patients should be advised to inform their physician or pharmacist if they are taking, or plan to take, any prescription or over the counter drugs, since there is a potential for interactions. 6) Do not abruptly stop therapy before consulting with a physician 7) Contact a physician if the above side effects (nausea, dry mouth, anorexia, constipation, drowsiness, insomnia, dizziness, sweating, erectile dysfunction, and decreased libido) are severe or persistent

8) If a dose is missed, take it as soon as you remember. If it is close to the time of your next dose, skip the missed dose and return to your normal dosing schedule. Do not double doses. 9) The matrix tablet shell may be found intact in the stool Paxil, Paxil XR, Pexeva May cause drowsiness use caution when performing activities that require alertness Side effects are usually mild contact a physician if they become severe or troublesome Avoid alcohol while taking this medication Contact a physician if you develop leg, foot, or hand swelling or have excessive thirst Therapy may take up to 2 weeks to see improvement Do not take any prescription or nonprescription drugs without consulting your physician or pharmacist 7) Do not abruptly discontinue medication 8) Do not take sooner than every 24 hours 9) Store in a cool, dry place away from sunlight and children 10) Shake suspension well before use 11) Controlled-release tablets should not be chewed or crushed, and should be swallowed whole 12) Pay close attention to any changes, especially sudden changes, in mood behaviors, thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions. 1) 2) 3) 4) 5) 6) Remeron 1) Pay close attention to any changes, especially sudden changes, in mood behaviors, thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions. 2) May cause drowsiness. Use care when operating machinery or when mental alertness is required 3) Avoid alcohol while take this medication 4) Up to two weeks may be needed before therapeutic effects are seen 5) Do not abruptly discontinue medication 6) Store in a cool, dry place away from sunlight and children 7) Contact a physician if the above side effects (drowsiness, dry mouth, increased appetite, constipation, weight gain, dizziness, flu syndrome, and abnormal dreams) 8) Contact a physician if you develop a sore throat, fever, stomatitis, or other signs of infection 9) If a dose if missed, skip it and return to normal dosing schedule 10) SolTabs must be used immediately upon opening individual tablet blisters

Anti-diabetic Agents
Anti-diabetic agents Generic Name(s) Glyburide Glipizide Glimepiride Insulin Aspart, rDNA origin Insulin Lispro, rDNA Origin Insulin Detemir Sitagliptin Phosphate Insulin (Humulin)

Rank 104 112 117 143 159 188 191 198

Subclass Antidiabetic Antidiabetic Antidiabetic Antidiabetic Antidiabetic Antidiabetic Antidiabetic Antidiabteic

Brand Name Micronase Diabeta Glucotrol Glucotrol XL Amaryl Novolog Humalog Levemir Januvia Humulin

Dosage Range Normal dosage range is 2.5 to 5 mg given once or twice daily 5 to 20 mg per day Maintenance dose is 1-4 mg daily with a maximum of 8 mg daily Dosage must be individualized Dosage must be individualized Dosage must be individualized 100 mg once daily Dosage must be individualized

Patient Consultation: Micronase, Diabeta 1) Store in a cool, dry place away from sunlight and children 2) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 3) Contact a physician if the above side effects (nausea, heartburn, pruritus, and urticaria. Mild hypoglycemic reactions such as headache, dizziness, or confusion may occur rarely and should be treated with oral glucose) are severe or persistent 4) Take with breakfast or first main meal 5) Compliance with therapy is essential for optimum effect 6) Follow prescribed diet closely 7) Avoid excess use of alcohol 8) Patient should be aware of the signs of hypoglycemia including sweating, tremor, blurred vision, weakness, hunger, and confusion. When two or more of these effects are seen, treat with oral glucose or contact a physician Glucotrol, Glucotrol XL 1) 2) 3) 4) 5) Take 30 minutes before meals Compliance with therapy is essential for optimum effect Follow prescribed diet closely Avoid excessive use of alcohol Store in a cool, dry place away from sunlight and children

6) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 7) Contact a physician if the above side effects (nausea, diarrhea, heartburn, pruritus, and urticaria. Mild hypoglycemic reactions such as sweating, tremor, blurred vision, weakness, hunger, and confusion) are severe or persistent Amaryl 1) Store in a cool, dry place away from sunlight and children 2) If a dose is missed, take as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 3) Contact a physician if the above side effects (dizziness, asthenia, headache, and nausea) are severe or persistent 4) Take with breakfast or the first main meal 5) Compliance with therapy is essential for optimum effect 6) Follow a prescribed diet closely 7) Avoid excessive use of alcohol 8) Patient should be aware of the signs of hypoglycemia including sweating, tremor, blurred vision, weakness, hunger, and confusion. When two or more of these effects are seen, treat with oral glucose or contact a physician Novolog 1) 2) 3) 4) 5) 6) 7) 8) 9) Follow prescribed diet carefully Administer 5-10 minutes before eating Do not change syringe brands or dose without first notifying a physician Consult a physician during any illness Do not change the order of mixing insulins as prescribed by a physician Continually monitor blood or urine glucose as prescribed Wear or carry diabetic identification in case of emergencies Store in a refrigerator, but not in a freezer Patient should be aware of the signs of hypoglycemia including sweating, tremor, blurred vision, weakness, hunger, and confusion. When two or more of these effects are seen, treat with oral glucose or contact a physician.

Humalog 1) 2) 3) 4) Follow prescribed diet closely Administer 15 minutes before eating Do not change syringe brands or dose without first notifying a physician Consult a physician during any illness

5) 6) 7) 8) 9)

Do not change the order of mixing insulins as prescribed by a physician Continually monitor blood or urine glucose as prescribed Wear or carry diabetic identification in case of emergencies Store in a refrigerator, but not in a freezer Patient should be aware of the signs of hypoglycemia including sweating, tremor, blurred vision, weakness, hunger, and confusion. When two or more of these effects are seen, treat with oral glucose or contact a physician

Levemir 1) Follow prescribed diet carefully and continually monitor blood or urine glucose as prescribed 2) Consult a physician during any illness 3) Do not dilute or mix LEVEMIR with any other insulin or solution 4) LEVEMIR should be clear and colorless with no particles visible 5) Unopened vials should be stored in the refrigerator (36F - 46F). Do not freeze. LEVEMIR can be kept at room temperature ( < 86F) for 42 days. Opened vials should be discarded after 42 days 6) Wear or carry diabetic identification in case of emergencies 7) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 8) Patient should be aware of the signs of hypoglycemia including sweating, tremor, blurred vision, weakness, hunger, and confusion. When two or more of these effects are seen, treat with oral glucose or contact a physician Januvia 1) 2) 3) 4) 5) 6) May be taken without regard to meals Closely follow recommended dietary and exercise instructions Quarterly HbA-1c testing should be performed. Store in a cool, dry place away from sunlight and children If a dose is missed, take it as soon as possible but do not double doses Call physician if above side effects (nasopharyngitis) are persistent or severe

Humulin 1) 2) 3) 4) 5) 6) Follow prescribed diet carefully Do not change insulin brands, syringe brands, or dose without first notifying a physician Consult a physician during any illness Do not change the order of mixing insulins as prescribed by a physician Continually monitor blood or urine glucose as prescribed Wear or carry diabetic information in case of emergencies

7) Store in a cool, dry place away from sunlight and children 8) If a dose is missed, take it as soon as possible 9) Patients should be aware of the signs of hypoglycemia including sweating, tremor, blurred vision, weakness, hunger, and confusion. When two or more of these effects are seen, treat with oral glucose or contact a physician

Anti-hypertensives and anti-anginals

Antihypertensives and Antianginals Brand Name Generic Name(s) Dosage Range Olmesartan Medoxomil Benicar-HCT One tablet daily with Hydrochlorothiazide Cozaar Losartan Potassium 50 mg once daily Maintenance dosage range is 80 mg to Diovan Valsartan 320 mg given once daily 5 to 40 mg per day in a single or divided Vasotec Enalapril Maleate dose Lotensin Benazepril Hydrochloride 10 mg once daily Lanoxin Digoxin 0.125 mg to 0.5 mg a day, single dose Digitek Hytrin Terazosin Hydrochloride 1 mg to 5 mg administered once a day Avapro Irbesartan 150 mg once daily Catapres Clonidine Hydrochloride 0.1 mg to 0.3 mg given twice a day Nexiclon XR 80 mg per day in a single or divided Inderal (LA) Propranolol HCl dose up to 640 mg per day in divided Innopran XL doses or 120 to 160 mg daily (SR) Micardis Telmisartan 20 80 mg per day

Rank 105 106 108 110 122 127 130 132 148 150 200

Subclass Antihypertensive Antihypertensive Antihypertensive Antihypertensive Antihypertensive Inotropic Antihypertensive Antihypertensive Antihypertensive Antihypertensive Antihypertensive

Patient Consultation: Benicar-HCT 1) 2) 3) 4) 5) 6) 7) May be taken with food or milk if GI upset occurs Timing of dose is important because of increased dieresis. Usually given in early a.m. Avoid excessive exposure to sunlight If a dose is missed, skip it and return to normal dosing schedule May cause dizziness. Use care when operating machinery If pregnancy is detected, discontinue use as soon as possible Store in a cool, dry place away from sunlight and children

8) Contact a physician if the above side effects (dizziness, upper respiratory tract infection, hyperuricemia, and nausea) are severe or persistent Cozaar 1) 2) 3) 4) May be administered with or without food If pregnancy is detected, discontinue use as soon as possible Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects (upper respiratory infection, diarrhea, dizziness, nasal congestion, and cough) are severe or persistent 5) If a dose is missed, skip it and return to normal dosing schedule Diovan 1) May be taken with or without food, although it may be best to administer Diovan without food for consistent plasma levels 2) If pregnancy is detected, discontinue use as soon as possible 3) Store in a cool, dry place away from sunlight and children 4) Dizziness may occur during the first few days of treatment, report to a physician if this adverse effect persists. 5) Contact a physician if the above side effects (headache and dizziness) are severe or persistent Vasotec 1) 2) 3) 4) 5) 6) May be taken without regard to meals Stop use and contact a physician if any signs of swelling occur Avoid nonprescription cough, cold, and allergy medications unless otherwise directed Avoid salt substitutes containing potassium Store in a cool, dry place away from sunlight and children If a dose is missed take it as soon as possible. If it is closer to the time of your next does than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses 7) Contact a physician if the above side effect (headache, dizziness, fatigue, diarrhea, rash, hypotension, cough, nausea, and orthostatic effects) are severe or persistent 8) Report any signs of neutropenia (fever, sore throat) to a physician Lotensin 1) Do not discontinue medication unless otherwise directed by your physician 2) Avoid nonprescription cough, cold, and allergy medications unless otherwise directed 3) Avoid salt substitutes containing potassium

4) Report any sign of facial swelling, difficulty in breathing, or infection (fever, sore throat) to your physician 5) Store in a cool, dry place away from sunlight and children 6) If a dose is missed take it as soon as possible. If it is closer to the time of your next does than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses Lanoxin, Digitek 1) Do not discontinue medication without first consulting physician 2) Do not take any nonprescription cough or cold medicines, antacids, laxatives, or antidiarrheals without first consulting your pharmacist or physician 3) Store in a cool, dry place away from sunlight and children 4) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 5) Contact a physician if the above side effects (Anorexia, nausea, vomiting, gynecomastia, blurred vision, headache, and bradycardia) are severe or persistent. Hytrin 1) Do not discontinue therapy without first consulting physician 2) Take first dose at bedtime to avoid syncope 3) If a dose is missed, take it as soon as possible. If within 12 hours of the next dose, skip the next dose and return to schedule. 4) Store in a cool, dry place away from sunlight. 5) Avoid activities that require alertness for 12 hours following initial dose 6) Avoid nonprescription cough, cold, and allergy medications without first consulting pharmacist or physician 7) Contact a physician if adverse effects (asthenia, palpitations, nausea, headache, nasal congestion, peripheral edema, and dizziness) become severe or bothersome. Avapro 1) 2) 3) 4) May be administered with or without food When pregnancy is detected, discontinue drug as soon as possible Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects (upper respiratory tract infection, fatigue, diarrhea, dyspepsia/heartburn, and musculoskeletal trauma) are severe or persistent

Catapres, Nexiclon XR 1) May be taken with food or milk if GI upset occurs

2) Do not discontinue therapy without first consulting physician 3) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 4) Avoid nonprescription products containing decongestants or sodium salts unless recommended by a pharmacist or physician 5) Change transdermal skin sites with each application of Catapres-TTS systems 6) Store in a cool, dry place away from sunlight and children 7) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 8) Contact a physician if the above side effects (dry mouth, dry eyes, drowsiness, dizziness, headache, fatigue, edema, constipation, and impotence) are severe or persistent Inderal (LA), Innopran XL 1) Store in a cool, dry place away from sunlight and children 2) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 3) Contact a physician if the above side effects (dizziness, fatigue, lightheadedness, nausea, vomiting, bronchospasm, bradycardia, and peripheral vascular insufficiency) are severe or persistent 4) Do not discontinue therapy without first consulting a physician 5) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 6) Patients with diabetes need to be aware that this agent can cause masking of hypoglycemic symptom. 7) Avoid nonprescription cough, cold, and allergy medications unless otherwise directed Micardis 1) May be administered with or without food 2) Do not remove tablets from the individual blister until immediately prior to administration 3) When pregnancy is detected, discontinue use as soon as possible 4) Store in a cool, dry place away from sunlight and children 5) Contact a physician if the above side effects (upper respiratory infection, back pain, sinusitis, diarrhea, and pharyngitis) are severe or persistent

Anti-Psychotics
Anti-Psychotics Generic Name(s) Lithium Carbonate Clozapine

Rank 138 186

Subclass Antipsychotic Antipsychotic

Brand Name Lithonate Lithotabs Lithobid Clozaril

Dosage Range 300 mg given three to four times a day 25 mg once or twice daily

Patient Consultation: Lithonate, Lithotabs, Lithobid 1) Closely follow recommended dosage 2) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 3) Effects may not be seen at once may take 1 to 2 weeks before optimum effect is seen 4) Maintain your normal diet and have a fluid intake of 2-3 quarts a day during therapy 5) Avoid overexposure to heat and sweating during therapy 6) Store in a cool, dry place away from sunlight and children 7) Contact a physician if the above side effects (hand tremor, nausea, and mild thirst. Toxicity is manifested by diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, blurred vision, tinnitus, and extreme polyuria) are severe are persistent Clozaril 1) Continuation of this drug therapy requires weekly WBC counts because of the serious risk of agranulocytosis 2) This drug may cause seizures advise patients to refrain from activities where a sudden loss of consciousness is a serious risk (operating machinery, swimming, climbing) 3) This drug may cause orthostatic hypotension use caution when rising from a lying or sitting position 4) Notify your physician if you become or intend to become pregnant or you plan on breastfeeding your infant. 5) Notify your physician if you experience any signs of infection including fever, sore throat, lethargy, weakness, or any flu-like symptoms. 6) Contact a physician if the above side effects (drowsiness, salivation, tachycardia, dizziness, constipation, orthostatic hypotension, headache, tremor, syncope, sweating, or dry mouth, nausea, fever or visual disturbances, heartburn, nightmares, restlessness, hypertension, hypokinesia/akinesia or weight gain, seizures, rigidity, confusion, or leucopenia/neutropenia)

7) May be taken without regard to food 8) Store in a cool, dry place away from sunlight and children 9) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the next dose and return to your dosing schedule. Do not double doses.

Anti-ulcer Agents
Antiulcer Agent Generic Name(s) -

Rank -

Subclass -

Brand Name -

Dosage Range -

Patient Consultation: No Anti-ulcer agents on this quiz

Antitussives
Antitussives Generic Name(s) Benzonatate Promethazine HCl with Codeine Phosphate

Rank 142 145

Subclass Antitussive Antitussive

Brand Name Tessalon Phenergan with Codeine

Dosage Range 100 mg three times a day as needed One teaspoonful (5mL) every 4 to 6 hours

Patient Consultation: Tessalon 1) 2) 3) 4) It is extremely important to swallow capsules whole-do not chew or dissolve in mouth Do not exceed prescribed dosage Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects (drowsiness, headache, constipation, nausea, pruritus, nasal congestion, and a sensation of burning in the eyes) are severe or persistent

5) Contact a physician immediately if you have difficulty breathing or swallowing shortly after a dose 6) If a dose is missed, skip it and return to normal dosing schedule Phenergan with Codeine 1) May be taken with food or milk if GI upset occurs 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication 4) WARNING: This medication may be habit forming 5) Store in a cool, dry place away from sunlight and children 6) Contact a physician if the above side effects (drowsiness, constipation, nausea, vomiting, orthostatic hypotension, lightheadedness, and dizziness) are severe or persistent 7) If a dose is missed, skip it and return to normal dosing schedule

Estrogens and Oral Contraceptives

Rank 103

Subclass Oral Contraceptive

Estrogens and Oral Contraceptives Brand Name Generic Name(s) Ovral Lo/Ovral Norgestrel & Ethinyl Estradiol Ogestrel Cryselle Premarin Conjugated Estrogens (systematic) Drospirenone & Ethinyl Estradiol Norethindrone Ethinyl Estradiol Ferrous Fumarate Norethindrone acetate Ethinyl Estradiol Ferrous Fumarate

Dosage Range 1 tablet daily for 28 days beginning on the fifth day of the cycle 1.25 mg daily 1 tablet for 28 days beginning on the first day of the menstrual cycle or on the Sunday after the onset of the menstrual period 1 tablet daily for 28 days beginning on the fifth day of the cycle 1 tablet daily for 28 days beginning day 1 of menstruation or the first Sunday after the onset of menstruation Take one tablet daily Take 1 tablet daily for 28 days Insert ring into the vagina and leave in place for 21 days 1 tablet daily for 28 days beginning on the 1st day of the menstrual cycle or on the Sunday after the onset of the menstrual period Take 1 tablet daily for 21 or 28 days beginning on the 5th day of the cycle 0.05 system applied to the trunk of the body and changed twice weekly

107

Hormone / Estrogen

119

Oral Contraceptive

Yaz Loestrin FE Microgestin FE Junel FE Loestrin 24 FE

121

Oral Contraceptive

125

Oral Contraceptive

126 137 139

Oral Contraceptive Oral Contraceptive Oral Contraceptive

Tri-Cyclen-Lo Alesse Aviane NuvaRing Yasmin

Norgestimate Ethinyl Estradiol Levonorgestrel with Ethinyl Estradiol Etonogestrel Ethinyl Estradiol (vaginal) Drospirenone & Ethinyl Estradiol

177

Oral Contraceptive Ocella Necon 1/35 Ortho Novum 1/35 Nortrel 1/35 Vivelle-Dot

184

Oral Contraceptive

Norethindrone & Ethinyl Estradiol

196

Hormone / Estrogen

Estradiol (topical)

Ovral, Lo/Ovral, Ogestrel, Cryselle

1) Store in a cool, dry place away from sunlight and children 2) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS) 3) Contact a physician if the above side effects (abdominal cramping, acne, anorexia, nausea, vomiting, edema, unusual tiredness or weakness, and cardiovascular or thromboembolic disorders) are severe or persistent 4) Breakthrough bleeding may occur during first few months, notify a physician if it continues 5) Use an additional method of birth control during first week of initial cycle. If 1 tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 tablets are missed, take 2 tablets daily for two days then continue normal schedule. If 3 tablets are missed, stop taking medication and begin new packet 7 days following the last dose. 6) Use a second method of birth control during the first 3 weeks of oral contraceptive use and during treatment with a broad-spectrum antibiotic. Premarin 1) 2) 3) 4) 5) 6) May be taken with food or milk if GI upset occurs Read patient information sheet carefully Discontinue therapy and consult physician if pregnancy is suspected If a dose is missed, take it as soon as possible and return to dosing schedule Store in a cool, dry place away from sunlight and children Report any severe side effects to your physician, including pains in the legs, coughing blood, abnormal vaginal bleeding, skin yellowing, and abdominal pain

Yaz 1) Store in a cool, dry place away from sunlight and children 2) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS) 3) Contact a physician if you experience any sharp chest pains, shortness of breath, coughing of blood, calf pain, tightness in the chest, sudden severe headache or vomiting, dizziness, numbness in the arms or legs, vision loss, breast lumps, severe pain or tenderness in the stomach area, jaundice, or signs of depression 4) Breakthrough bleeding may occur during first few months, notify a physician if it continues 5) Missing a period the first month of oral contraceptive use is normal although missing two months in a row may be a sign of pregnancy. Call your physician if you miss two periods in a row 6) If 1 light pink tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 light pink tablets are

missed, take 2 tablets daily for two days then continue normal schedule. Use an additional method of birth control for 7 days after missing the two tablets. If 3 light pink tablets are missed or 2 light pink tablets are missed in the weeks 3 and 4 of the cycle, start a new cycle that day or the following Sunday. 7) Use a second method of birth control during the first week of oral contraceptive use and during treatment with a broad-spectrum antibiotic. Breakthrough bleeding and/or diarrhea may be signs of decreased birth control effect Loestrin 24 FE 1) Store in a cool, dry place away from sunlight and children 2) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS) 3) Contact a physician if you experience any sharp chest pains, shortness of breath, coughing of blood, calf pain, tightness in the chest, sudden severe headache or vomiting, dizziness, numbness in the arms or legs, vision loss, breast lumps, severe pain or tenderness in the stomach area, jaundice, or signs of depression 4) Breakthrough bleeding may occur during first few months, notify a physician if it continues 5) Missing a period the first month of oral contraceptive use is normal although missing two months in a row may be a sign of pregnancy. Call your physician if you miss two periods in a row 6) If 1 tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 white tablets are missed during week 1 or 2 of your pack, take 2 tablets daily for two days then continue normal schedule. If 3 white tablets are missed or 2 white tablets are missed in the weeks 3 and 4 of the cycle, start a new cycle that day or the following Sunday. 7) Use a second method of birth control during the first week of oral contraceptive use and during treatment with a broad-spectrum antibiotic. Breakthrough bleeding and/or diarrhea may be signs of decreased birth control effect Loestrin 24 FE, Microgestin FE, Junel FE 1) Store in a cool, dry place away from sunlight and children 2) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS) 3) Contact a physician if the above side effects (abdominal cramping, acne, anorexia, nausea, vomiting, edema, unusual tiredness or weakness, and cardiovascular or thromboembolic disorders) are severe or persistent 4) Breakthrough bleeding may occur during first few months, notify a physician if it continues

5) If 1 tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 tablets are missed, take 2 tablets daily for two days then continue normal schedule. If 3 tablets are missed, stop taking medication and begin new packet 7 days following the last dose. 6) Use a second method of birth control during the first three weeks of oral contraceptive use and during treatment with a broad-spectrum antibiotic. Tri-Cyclen-Lo 1) Store in a cool, dry place away from sunlight and children 2) Contact a physician if the above (abdominal cramping, acne, anorexia, nausea, vomiting, edema, unusual tiredness or weakness, cardiovascular disorders, or thromboembolic disorders) side effects are severe or persistent 3) Breakthrough bleeding may occur during first few months, notify a physician if it continues 4) If 1 tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 tablets are missed, take 2 tablets daily for two days then continue normal schedule. If 3 tablets are missed, stop taking medication and begin new packet 7 days following the last dose 5) Use a second method of birth control during the first 3 weeks of oral contraceptive use and during treatment with a broad-spectrum antibiotic. Breakthrough bleeding and/or diarrhea may be signs of decreased birth control effect 6) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS). Alesse, Aviane 1) Store in a cool, dry place away from sunlight and children 2) Contact a physician if the above (abdominal cramping, acne, anorexia, nausea, vomiting, edema, unusual tiredness or weakness, cardiovascular disorders, or thromboembolic disorders) side effects are severe or persistent 3) Breakthrough bleeding may occur during first few months, notify a physician if it continues 4) If 1 tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 tablets are missed, take 2 tablets daily for two days then continue normal schedule. If 3 tablets are missed, stop taking medication and begin new packet 7 days following the last dose 5) Use a second method of birth control during the first 3 weeks of oral contraceptive use and during treatment with a broad-spectrum antibiotic. Breakthrough bleeding and/or diarrhea may be signs of decreased birth control effect 6) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS).

NuvaRing 1) 2) 3) 4) 5) Store under refrigeration prior to dispensing Smoking greatly increases the risk for severe adverse effects Dispose of used vaginal rings appropriately Contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS) Contact a physician immediately if you experience any sharp chest pains, shortness of breath, coughing of blood, calf pain, tightness in the chest, sudden severe headache or vomiting, dizziness, numbness in the arms or legs, vision loss, breast lumps, severe pain or tenderness in the stomach area, jaundice, or signs of depression Breakthrough bleeding may occur during first few months, notify physician if it continues Missing a period the first month of contraceptive use in normal although missing two months in a row may be a sign of pregnancy. Call your physician if you miss two periods in a row Use a second method of birth control during the first week of use and during treatment with a broad-spectrum antibiotic. Breakthrough bleeding and/or diarrhea may be signs of decreased birth control effect

6) 7)

8)

Yasmin, Ocella 1) Store in a cool, dry place away from sunlight and children 2) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS) 3) Contact a physician immediately if you experience any sharp chest pains, shortness of breath, coughing of blood, calf pain, tightness in the chest, sudden severe headache, or vomiting, dizziness, numbness in the arms or legs, vision loss, breast lumps, severe pain or tenderness in the stomach area, jaundice, or signs of depression 4) Breakthrough bleeding may occur during first few months, notify physician if it continues 5) Missing a period the first month of contraceptive use in normal although missing two months in a row may be a sign of pregnancy. Call your physician if you miss two periods in a row 6) If 1 yellow tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 yellow tablets are missed during the first 2 weeks of a cycle, take 2 tablets daily for two days then continue normal schedule. Use an additional method of birth control for 7 days after missing two tablets. If 3 yellow tablets are missed or 2 yellow tablets are missed in the third week of the cycle, start a new cycle that day or the following Sunday

7) Use a second method of birth control during the first week of oral contraceptive use and during treatment with a broad spectrum antibiotic. Breakthrough bleeding and/or diarrhea may be signs of decreased birth control effect. Necon 1/35, Ortho Novum 1/35, Nortrel 1/35 1) Store in a cool, dry place away from sunlight and children 2) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS). 3) Contact a physician immediately if you experience any sharp chest pains, shortness of breath, coughing of blood, calf pain, tightness in the chest, sudden severe headache or vomiting, dizziness, numbness in the arms or legs, vision loss, breast lumps, severe pain or tenderness in the stomach area, jaundice, or signs of depression 4) Breakthrough bleeding may occur during first few months, notify a physician if it continues 8) Missing a period the first month of contraceptive use in normal although missing two months in a row may be a sign of pregnancy. Call your physician if you miss two periods in a row 9) If 1 tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 tablets are missed, take 2 tablets daily for two days then continue normal schedule. Use an additional method of birth control for 7 days after missing two tablets. If 3 tablets are missed, stop taking medication and begin new packet 7 days following the last dose. 5) Use a second method of birth control during the first week of oral contraceptive use and during treatment with a broad spectrum antibiotic. Breakthrough bleeding and/or diarrhea may be signs of decreased birth control effect Vivelle-Dot 1) Discuss the uses and dangers of estrogen therapy (packaging insert) 2) Do not take during pregnancy 3) Closely follow cyclic administration 4) Water will not affect system 5) Do not use scissors to remove protective pouch 6) Avoid application sites that are oily, damaged, irritated or wet. 7) Do not apply to the waistline, since tight clothing may rub system off 8) Store in a cool, dry place away from sunlight and children 9) If a dose is missed, apply it as soon as possible. Do not double doses 10) Contact a physician if the above side effects (irritation of application site, edema, thromboembolic disorders, breast tenderness, disturbances in menstruation, and depression.) are severe or persistent

GI Anit-Cholinergics

Rank -

Subclass -

GI ANTI-CHOLINERGICS Brand Name Generic Name(s) -

Dosage Range -

Patient Consultation No GI Anti-cholinergics on this quiz

Macrolides, Tetracyclines, and Fluoroquinolones

Macrolides, Tetracyclines, and Fluoroquinolones Brand Name Generic Name(s) Dosage Range Minocin 200 mg initially followed by 100 mg Dynacin Minocycline Hydrochloride every 12 hours Solodyn ER Avelox Moxifloxacin HCl 400 mg daily for 5 days

Rank 120 146

Subclass Tetracycline Antibiotic Fluroquinolone Antibiotic

Patient Consultation: Minocin, Dynacin, Solodyn 1) Preferably taken on an empty stomach one hour before or two hours after meals with a full glass of water (240 mL) 2) May be taken with food or milk if GI upset occurs 3) Taken at even intervals and complete full course of therapy unless otherwise directed 4) Do not take antacids within 2 hours of this medication 5) Store in a cool, dry place away from sunlight and children 6) If a dose is missed take it as soon as possible 7) Contact a physician if the above side effects are severe or persistent (dizziness, vertigo, nausea, emesis, diarrhea, discoloration of forming teeth, sore or darkened tongue, cramps,

or burning stomach). Stop usage and contact a physician if blurred vision and severe headaches occur. Avelox 1) Store in a cool, dry place away from sunlight and children 2) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses 3) Avoid overexposure to sunlight due to possibility of photosensitivity. Use a sunscreen and appropriate clothing until the level of sensitivity is determined 4) Discontinue use and contact a physician if a rash develops or you experience pain, inflammation, or rupture of a tendon 5) Finish medication unless otherwise instructed by a physician 6) Drink a full glass of water (240 mL) after each dose 7) May be taken without regards to meals 8) Do not take antacids, sucralfate, metal cations such as iron, and multi-vitamins containing zinc within 2 hours of each dose. 9) May cause dizziness or light headedness. Use caution while operating machinery or when mental alertness is required

Misc. Agents
MISCELLANEOUS AGENTS Brand Name Generic Name(s) Boniva Ibandronate Sodium Cialis Zanaflex Chantix Viagra Peridex 194 Antiplaque Rinse Periogard Evista Chlorhexidine Gluconate Tadalafil Tizanidine Hydrochloride Varenicline Tartrate Sildenafil Citrate

Rank 118 111 147 187 190

Subclass Osteoporosis Agent Agent for Erectile Dysfunction Muscle Relaxant Smoking Cessation Aid Agent for Erectile Dysfunction

Dosage Range 150 mg once a month 10 mg taken, as needed, prior to sexual activity 4 mg given every 6 to 8 hours 1 mg twice a day 50 mg taken, as needed, approximately 1 hour before sexual activity Twice daily oral rinsing for 30 seconds, morning and evening after brushing teeth One 60 mg tablet given once a day without regards to meals or time of day

197

Osteoporosis Agent

Raloxifene Hydrochloride

Patient Consultation

Boniva 1) Take at least 60 minutes before the first food or drink (other than water) of the day 2) Take in an upright position with a full glass of tap water. Do not lie down for 60 minutes after administration 3) Swallow tablets whole, do not chew or dissolve in the mouth 4) Supplemental calcium or products containing calcium, magnesium, or aluminum should be taken at a different time of day, such as with food. 5) Contact a physician if symptoms of esophageal disease (such as difficulty or pain upon swallowing, retrosternal pain, or severe persistent or worsening heartburn) occur. 6) If a daily dose is missed, skip it and return to the daily dosing schedule the following day. Do not take 2 tablets on the same day 7) If a monthly dose is missed, take it on the morning after remembering the missed dose and return to the normal dosing schedule. Do not take 2 tablets within 7 days of each other. 8) Store in a cool, dry place away from sunlight and children Cialis

1) This drug does not protect the patient against sexually transmitted diseases. Appropriate precautions should be employed. 2) Store in a cool, dry place away from sunlight and children 3) Contact a physician if the above side effects (headache, dyspepsia, back pain, flushing, nasal congestion, or myalgia) are severe or persistent 4) Seek immediate medical assistance if an erection lasts for more than 4 hours 5) Do not take concomitantly with nitrates or alpha adrenergic blockers (other than tamsulosin 0.4 mg) Zanaflex 1) May be taken with food or milk if GI upset occurs 2) May cause drowsiness or dizziness. Use caution while operating machinery or when mental alertness is required 3) Store in a cool, dry place away from sunlight and children 4) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 5) Contact a physician if unexplained muscle weakness, tenderness, or pain or blurred vision occurs Chantix 1) Begin Chantix one week prior to smoking cessation. 2) Take after meals with a full glass of water 3) Observe caution while driving or performing other tasks requiring alertness until the effects of therapy of known 4) Follow prescribed taper to minimize adverse effects 5) Contact your physician if the above adverse effects (headache, nausea, and insomnia) are severe or persistent 6) Register with the Chantix GETQUIT support program as detailed in the starter pack Viagra 1) Viagra does not protect the patient against sexually transmitted diseases. 2) Store in a cool, dry place away from sunlight and children 3) Contact a physician if the above side effects (headache, flushing, dyspepsia, nasal congestion, urinary tract infection, abnormal vision, diarrhea, dizziness, rash) are severe or persistent. Report any adverse effects relating to vision to a physician. Peridex, Periogard 1) Store in a cool, dry place away from sunlight and children

2) Contact a physician if the above side effects ( may cause staining of oral surfaces, alteration of taste perception, an increase in calculus formation, and minor irritation of the oral mucosa) are severe or persistent 3) If a dose is missed, skip it and return to normal dosing schedule 4) Use after meals and after brushing teeth 5) Do not swallow after rinsing 6) Do not rinse with water following use Evista 1) Evista should be discontinued 72 hours prior to and during periods of prolonged immobilization 2) Avoid prolonged restrictions of movement during travel 3) It is advisable to take calcium and vitamin D supplements if dietary intake is inadequate 4) May be taken without regards to meals 5) Report any signs of blood clots to a physician. These include pains in the calves or leg swelling, sudden chest pain, shortness of breath or coughing blood, or changes in vision 6) Discontinue therapy and consult physician if pregnancy is suspected 7) If a dose is missed, take it as soon as possible and return to dosing schedule 8) Store in a cool, dry place away from sunlight and children.

Misc. Analgesic and Anti-inflammatory Agents

Misc. Analgesic and Anti-Inflammatory Agents Brand Name Generic Name(s) Dosage Range DOSAGES MUST BE INDIVDUALIZED. Normal Medrol Methylprednisolone doses range from 4 mg to 48 mg per day 25 to 100 mg taken with fluids at first sign of a Imitrex Sumatriptan Succinate migraine attack Orapred Prednisolone Sodium DOSAGES MUST BE INDIVIDUALIZED. Normal Phosphate adult doses range from 5 mg to 60 mg per day Millipred Phenazopyridine Pyridium 200 mg three times a day following meals Hydrochloride

Rank 170 173 176 189

Subclass Anti-inflammatory Antimigrainous Agent Anti-inflammatory Urinary Tract Analgesic

Patient Consultation: Medrol 1) Store in a cool, dry place away from sunlight and children 2) Contact a physician if the above side effects (blurred vision, upset stomach, nausea, vomiting, fluid and electrolyte disturbances, cushings syndrome, increased susceptibility to infections, osteoporosis, vertebral compression, various behavioral disturbances, peptic ulceration, myopathy, suppression of growth in children, and signs of adrenal suppression) are severe or persistent 3) If a dose is missed take it as soon as possible 4) Take medication only as prescribed 5) Do not discontinue medication without first consulting a physician 6) May take with food or milk if GI upset occurs Imitrex Orapred, Millipred 1) 2) 3) 4) 5) 6) 7) 8) Some brands of solution should be stored in a refrigerator at 2-8C or 36-46F Do not remove Orapred ODT from its blister until immediately prior to dosing Take medication only as prescribed Do not discontinue medication without first consulting physician May take with food or milk if GI upset occurs Notify physician if adverse effects are persistent or severe Notify physician if any signs of infection develop If a dose is missed, take it as soon as possible

Pyridium 1) May make the urine an orange or red color and which may stain fabric

2) Take with food or milk 3) Store in a cool, dry place away from sunlight and children 4) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule 5) Contact a physician if the above side effects (headache, rash, discoloration or urine, and GI disturbance) are severe or persistent

Misc. Anti-infective
Misc. Anti-Infectives Brand Name Generic Name(s) Macrodantin Macrobid Nitrofurantoin Furadantin Zovirax Valtrex Flagyl Cleocin Nystop Plaquenil Acyclovir Valacyclovir Hydrochloride Metronidazole Clindamycin HCl (oral) Nystatin (topical) Hydroxychloroquine

Rank 124 131 134 160 167 172 181

Subclass Antibacterial Antiviral Antiviral Antibacterial/Antiprotozoal Antibiotic Antifungal Antibiotic Antimalarial

Dosage Range One 100 mg capsule every 12 hours for seven days 200 mg orally every 4 hours, while awake, for a total of 5 capsules for 10 days 1 gram twice daily for 10 days 250 mg to 500 mg orally three times a day for 7 days 150 mg to 450 mg every 6 hours Apply liberally to the affected area two to three times a day 400 600 mg daily

Patient Consultation: Macrodantin, Macrobid, Furadantin 1) 2) 3) 4) 5) 6) 7) Complete full course of therapy unless otherwise directed Take with food to enhance absorption Take at evenly spaced intervals around the clock Shake suspension well before use May cause discoloration of the urine (rare) Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects (nausea, headache, flatulence, vomiting, diarrhea, fever, cough, and chills) are severe or persistent 8) If a dose is missed, skip it and return to normal dosing schedule Zovirax

1) Avoid sexual intercourse when used for genital herpes and when visible lesions are present. Acyclovir does not eliminate the latent virus and is not a cure 2) Notify physician if frequency and severity of recurrences do not improve or patient becomes pregnant or intends to become pregnant 3) Apply sufficient quantity (one-half inch ribbon of ointment per four square inches of surface area, using a rubber glove to prevent auto-inoculation of other body areas) every 3 hours (6 times per day) for 7 days 4) Store in a cool, dry place away from sunlight and children 5) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 6) Contact a physician if the above side effects (capsules: nausea and vomiting, ointment: stinging, burning, and pruritus, injection: phlebitis, inflammation at injection site, transient creatinine elevations, rash, and hives) are severe or persistent 7) Drink plenty fluids during therapy Valtrex 1) Avoid sexual intercourse when used for genital herpes and when visible lesions are present. Valacyclovir does not eliminate the latent virus and is not a cure 2) Notify a physician if frequency and severity of recurrences do not improve or patient becomes pregnant or intends to become pregnant 3) Patients should drink plenty of fluids during therapy 4) Store in a cool, dry place away from sunlight and children 5) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 6) Contact a physician if the above side effects (nausea, vomiting, headache, and abdominal pain) are severe or persistent Flagyl 1) Complete full course of therapy. 2) May take with food or milk if GI upset occurs 3) Avoid alcohol during therapy and for one day after therapy due to disulfiram-type reactions 4) Use of condom is recommended during the treatment of trichomoniasis to avoid reinfection 5) Store in a cool, dry place away from sunlight and children 6) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses.

7) Contact a physician if the above side effects (anorexia, nausea, vomiting, diarrhea, convulsive SEIZURES and peripheral NEUROPHATHY, abdominal cramping, headache, dysuria, and a metallic taste in the mouth) are severe or persistent Cleocin 1) Store in a cool, dry place away from sunlight and children 2) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 3) Discontinue use and contact a physician if a rash develops or diarrhea is severe or persistent 4) Finish medication unless otherwise instructed by a physician 5) Drink a full glass of water (240 mL) after each dose 6) May be taken without regards to meals Plaquenil 1) Take with food or milk to decrease GI upset. 2) Notify physician if any of the following occur: flu like symptoms, aches, soreness of the mouth, gums, or throat, sore joints, visual disturbances, or any unusual bleeding or bruising 3) Store in a cool, dry place away from sunlight and children 4) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses.

Misc. Cardiovascular Agent

Rank 114 116 140 141 168 178 180

Subclass Antihyperlipidemic Hematological Agent Antihyperlipidemic Antihyperlipidemic Antiplatelet Agent Diuretic Antihyperlipidemic

Misc. Cardiovascular Agents Brand Name Generic Name(s) Ezetimibe with Vytorin Simvastatin Slow FE Ferrous Sulfate Mevacor Lovastatin Pravachol Pravastatin Sodium Aggrenox Bumex Lopid Dipyridamole and Aspirin Bumetanide Gemfibrozil

Dosage Range Vytorin 10/20 given once daily (10 mg ezetimibe and 20 mg simvastatin) 200 mg per day 20 mg a day given with the evening meal 10 to 20 mg once daily at bedtime 1 capsule given twice daily, once in the morning and once in the evening 0.5 mg to 2 mg daily given in one to two doses 600 mg given twice a day 30 minutes prior to morning and evening meals

Patient Consultation Vytorin 1) Contact physician if symptoms of myopathy occur (e.g., muscle pain or tenderness, especially if accompanied by malaise or fever). 2) Closely follow prescribed diet 3) May be taken without regard to meals 4) Avoid grapefruit and grapefruit juice while taking Vytorin 5) Avoid overexposure to sunlight due to possibility of photosensitivity. Use a sunscreen and wear appropriate clothing until the level of sensitivity is determined 6) Do not become pregnant during therapy. If pregnancy occurs or is suspected, discontinue medication and consult a physician 7) Limit alcohol intake during therapy 8) Do not take 2 hours before or 4 hours after the administration of a bile acid sequestrant (cholestyramine) 9) Store in a cool, dry place away from sunlight and children 10) If a dose is missed take it as soon as possible. If taken within 12 hours of the next dose, skip the next dose and return to schedule Slow FE 1) Immediate-release tablets are preferably taken on an empty stomach to maximize absorption but may be taken with food if GI upset occurs 2) Extended-release tablets are preferably taken with food to maximize absorption

3) Store in a cool, dry place away from sunlight and children 4) Contact a physician if the above side effects ( constipation, nausea, vomiting, heartburn, and diarrhea) are severe or persistent 5) If a dose is missed, take it as soon as possible and return to normal dosing schedule Mevacor 1) Closely follow prescribed diet 2) Take medication with meals 3) Avoid overexposure to sunlight due to possibility of photosensitivity. Use a sunscreen and wear appropriate clothing until the level of sensitivity is determined. 4) Do not become pregnant during therapy. If pregnancy occurs or is suspected, discontinue medication and consult physician 5) Report any signs of unexplained muscle pain or tenderness, especially if accompanied by malaise or fever. Contact a physician if the above side effects are severe or persistent 6) Limit alcohol intake during therapy 7) Store in a cool, dry place. If a dose is missed, take it as soon as possible. If taken within 12 hours of the next dose, skip the next dose and continue with schedule Pravachol 1) Contact physician if symptoms of myopathy occur (e.g., muscle pain or tenderness, especially if accompanied by malaise or fever) 2) Closely follow prescribed diet 3) Avoid overexposure to sunlight due to possibility of photosensitivity. Use a sunscreen and wear appropriate clothing until the level of sensitivity is determined. 4) Do not become pregnant during therapy. If pregnancy occurs or is suspected, discontinue medication and consult physician 5) Limit alcohol intake during therapy 6) Store in a cool, dry place away from sunlight and children 7) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed does and return to your dosing schedule. Do not double doses Aggrenox 1) Promptly report any signs or symptoms of bleeding to your physician, including dark stools and unusual bruising 2) Avoid overuse of alcohol during treatment as this will increase the risk of bleeding 3) Mild headaches may occur after initiation of treatment; contact your physician if they are severe or persistent 4) Many nonprescription medications contain aspirin-read labels to avoid toxic levels 5) Stop use if a rash appears or if patient has difficulty in breathing after administration

6) Do not take during the last trimester of pregnancy 7) Medication should be swallowed whole and followed with a glass of water 8) Do not give to children with chicken pox or flu-like symptoms 9) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed does and return to your dosing schedule. Bumex 1) 2) 3) 4) May be taken with food or milk if GI upset occurs Timing of dose is important because of increased diuresis. Usually given in a.m. Store in a cool, dry place away from sunlight and children If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 5) Contact a physician if the above side effects (dizziness, hypotension, muscle cramps, weakness, impaired hearing, hyperuricemia, hypochloremia, hyponatremia, hypokalemia, azotemia, and hyperglycemia Lopid 1) Contact a physician if the above side effects (dyspepsia, abdominal pain, diarrhea, nausea, and fatigue) are severe or persistent 2) May cause dizziness or blurred vision. Use caution when performing activities that require alertness. 3) Call physician if sings of myositis show. This includes muscle pain, tenderness, or weakness 4) Don not discontinue therapy without first consulting your physician; blood lipid levels may increase significantly 5) Store in a cool, dry place away from sunlight and children 6) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses.

Misc. CNS Agents

Misc. CNS Agent Generic Name(s) Carisoprodol Levetiracetam

Rank 102 129

Subclass Muscle Relaxant Anticonvulsant

Brand Name Soma Keppra Tegretol Tegretol XR Carbatrol ER Equetrol ER Provigil Antivert Trileptal Concerta Vyvanse Sinemet

Dosage Range 250 to 350 mg three times a day and at bedtime Daily dose of 1000 mg, given as twice daily dosing (500 mg twice daily) 800 mg to 1200 mg per day in 3-4 divided doses, using minimum effective dose 200 mg given once a day 25 to 100 mg per day in divided doses 300 mg given twice a day 18 to 54 mg once daily 30 mg per day given as a single in the morning Therapy should be individualized and adjusted according to the desired therapeutic response 10 to 20 mg given 3 to 4 times a day 100 mg TID to 300 mg once daily 80 mg given either once in the morning or evenly divided between the morning and late afternoon/early evening

136

Anticonvulsant

Carbamazepine

151 152 161 163 165 166 171 174 193

Pseudosympathomimetic Antivertigo Agent Antiepileptic CNS Agent for ADHD CNS Agent for ADHD Antiparkinson Agent Muscle Relaxant Antiepileptic CNS Agent for ADHD

Modafinil Meclizine Hydrochloride Oxcarbazepine Methylphenidate HCl (ER) Lisdexamfetamine Dimesylate Carbidopa with Levodopa Baclofen Phenytoin Sodium (Extended) Atomoxetine Hydrochloride

Sinemet CR Lioresal Dilantin Kapseals Strattera

Patient Consultation: Soma 1) 2) 3) 4) Store in a cool, dry place away from sunlight and children May be taken with meals if GI upset occurs May cause drowsiness use caution when performing activities that require alertness Contact a physician if the above side effects (drowsiness, dizziness, and headache, nausea, vomiting, and diarrhea or constipation) are severe are persistent 5) Contact a physician if extreme weakness, vision loss, or euphoria occur 6) If a dose is missed, skip it and return to normal dosing schedule Keppra

1) May cause dizziness or drowsiness. Use care when operating machinery or when mental alertness is required. 2) Do not stop therapy unless directed to do so by a physician 3) Do not stop therapy abruptly; treatment should be tapered over time 4) Store in a cool, dry place away from sunlight and children 5) Contact a physician if the above side effects (somnolence, asthenia, infection, and dizziness, hostility, and nervousness) are severe or persistent 6) If a dose is missed, take as soon as it is remembered and return to normal dosing schedule. Do not double doses. Tegretol, Tegretol XR, Carbatrol ER, Equetrol ER 1) Taken with food or milk 2) Drink a full glass of water (240 mL) following administration of chewable tablets 3) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 4) Avoid alcohol while taking this medication 5) Shake suspension well 6) Swallow XR tablets whole. Do not crush or chew 7) Store in a cool, dry place away from sunlight and children 8) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses 9) Contact a physician if the above side effects (dizziness, unsteadiness, nausea, vomiting, and drowsiness, aplastic anemia, agranulocytosis, stevens-johnson syndrome, fever, sore throat, mouth ulcers, bruising, skin rashes) are severe or persistent 10) Contact a physician immediately if fever, sore throat, mouth ulcers, bruising, or skin rash occurs Provigil 1) May be taken with or without food 2) Contact a physician if the above side effects (headache, nausea, anxiety, rhinitis, diarrhea, back pain, dizziness, insomnia, dyspepsia) are severe or persistent 3) Stop use and contact your physician at the first sign of an allergic reaction 4) For patients with OSAHS or narcolepsy, take in the morning. For patients with SWSD, take 1 hour before shift work 5) Avoid driving, operating machinery or when mental alertness is required until your physician tells you its okay 6) Avoid alcohol while taking this medication 7) Do not exceed prescribed dosage 8) WARNING: This medication may be habit-forming

9) Store in a cool, dry place away from sunlight and children 10) If a dose is missed, skip it and return to normal dosing schedule Antivert 1) May cause drowsiness. Use care when operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) Store in a cool, dry place away from sunlight and children 4) Contact a physician if the above side effects (drowsiness and dry mouth) are severe or persistent 5) If a dose is missed, skip it and return to normal dosing schedule Trileptal 1) May be taken without regard to meals 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication 4) Shake suspension well before each use 5) Store in a cool, dry place away from sunlight and children. 6) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses 7) Contact a physician if the above side effects (dizziness, somnolence, diplopia, fatigue, nausea, vomiting, ataxia, abnormal vision, abdominal pain, tremor, dyspepsia, and abnormal gait. Less frequent but potentially severe adverse effects include hyponatremia and skin reactions) are severe or persistent Concerta 1) 2) 3) 4) 5) Swallow tablets whole with a glass of water. Do not divide, crush, or chew WARNING: This medication may be habit-forming This prescription cannot be refilled Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects (headache, upper respiratory tract infection, abdominal pain, nausea, insomnia, cough, pharyngitis, anorexia, sinusitis, and dizziness) are severe or persistent 6) If a dose is missed, skip it and return to normal dosing schedule 7) The inactive tablet shell may be noticed in the stool Vyvanse

1) May be taken with or without food 2) Take in the morning to avoid insomnia 3) Capsules may be swallowed whole or opened and the entire contents dissolved in a glass of water. If dissolved in water, the solution should be consumed immediately and should not be stored 4) May cause dizziness use caution when performing activities that require coordination 5) Do not exceed prescribed dosage 6) This prescription cannot be refilled 7) WARNING this medication may be habit forming 8) Store in a cool, dry place away from sunlight and children 9) Contact a physician if the above side effects (decreased appetite, insomnia, dry mouth, diarrhea, nausea, anxiety, restlessness, increased blood pressure, dyspnea, and tachycardia) are severe or persistent 10) If a dose is missed, skip it and return to normal dosing schedule Sinemet, Sinemet CR 1) 2) 3) 4) 5) May be taken with food or milk if GI upset occurs Avoid vitamin products containing Vitamin B6 (pyridoxine) Sinemet CR may be given whole or in half tablets but should not be crushed or chewed Store in a cool, dry place away from sunlight and children If a dose is missed take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses 6) Contact a physician if the above side effects (DYSTONIC or involuntary movements, depression, dementia, and nausea) are severe or persistent Strattera 1) May be taken without regard to meals 2) May impair cognitive and motor performance. Use caution while operating machinery or when mental alertness is required 3) Store in a cool, dry place away from sunlight and children 4) Contact a physician if the above side effects (children: dyspepsia, nausea, vomiting, fatigue, appetite suppression, dizziness, and mood swings. Adults: dry mouth, constipation, impotence, urinary retention, insomnia, ejaculatory problems, decreased libido, and dysmenorrheal) are severe or persistent 5) If a dose is missed, take it as soon as possible but do not take more than your normal daily dose in a 24 hour period.

Misc. Gastrointestinal Agents

Misc. Gastrointestinal Agents Generic Name(s) Dosage Range Diphenoxylate HCL with Two tablets or two teaspoonsful of liquid four Atropine Sulfate times a day until diarrhea is under control

Rank 156

Subclass Antidiarrheal

Brand Name Lomotil

Patient Consultation: Lomotil 1) Discontinue use if clinical response is not seen within 48 hours 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol and other CNS depressants 4) WARNING: This medication may be habit-forming 5) Store in a cool, dry place away from sunlight and children 6) Contact a physician if the above side effects (constipation, drowsiness, anorexia, nausea, vomiting, dry mouth, and stomach pain) are severe or persistent 7) If a dose is missed, skip it and return to normal dosing schedule

Misc. Hormone and Electrolyte Agents

Misc. Horomone and Electrolyte Agents Brand Name Generic Name(s) Vitamin D Drisdol Ergocalciferol Androgel Testosterone Gel Fortesta (topical) Testim Prometrium Progesterone (oral)

Rank 115

Subclass Vitamin

185

Hormone

192

Hormone Replacement

Dosage Range 50,000 IU weekly for eight weeks 50 mg applied once daily to the upper arms and shoulders. Max dose is 81 mg daily 200 mg as a single daily dose in the evening for 12 days sequentially per 28-day cycle.

Patient Consultation: Drisdol 1) 2) 3) 4) May be taken without regard to meals Closely follow prescribed calcium supplementation Do not exceed the prescribed dosage Contact a physician if the above side effects (impairment of renal function, mental retardation, bone demineralization, calcification of the soft tissues, nausea, anorexia, constipation, anemia, and weight loss) are severe or persistent 5) Store in a cool, dry place away from any light and children 6) If a dose is missed, skip it and return to normal dosing schedule Androgel, Fortesta, Testim 1) Apply to clean, dry skin once daily 2) Decrease the risk of transferring the gel to others by applying to areas of the upper body (upper arms and shoulders) which are covered by a short-sleeved shirt. Do not apply to genital area 3) Wash hands after application 4) Allow area to dry before covering with clothes 5) Women and children should avoid contact with unwashed or unclothed areas of application 6) If a dose is missed, skip it and continue with regular dosing schedule. Do not double doses 7) Notify your physician if you have trouble starting to urinate or if you experience increased urination at night 8) Report to your physician any unusual swelling or pain in the legs, ankles or feet.

Prometrium 1) Do not take if allergic to peanuts 2) May cause dizziness or drowsiness. Use caution when performing activities requiring alertness 3) May be taken with food or milk if GI upset occurs 4) Store in a cool, dry place away from sunlight and children 5) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. 6) Contact a physician if you experience leg or calf pain, loss of vision, difficulty breathing, breast lumps, abnormal vaginal bleeding, severe headache, changes in speech, or numbness in an arm or leg.

Narcotic Analgesics
NARCOTIC ANALGESIC Brand Name Generic Name(s) Duragesic MS Contin Fentanyl (Transdermal) Morphine Sulfate (Extended release)

Rank 123 149

Subclass Opioid Analgesic Opiod Analgesic

Dosage Range One patch applied topically and replaced every 72 hours 15 mg to 200 mg given every 12 hours

Patient Consultation Duragesic 1) Patches should be applied to non-irritated and non-irradiated skin on a flat surface of the upper torso. Do not apply to extremities below the knee or elbow. Hair at the application site should be clipped (not shaved) prior to system application. If the site of patch application must be cleansed prior to application of the system, do so with clear water. Do not use soaps, oils, lotions, alcohol, or any other agents that might irritate the skin or alter its characteristics. Allow the skin to dry completely prior to system application 2) Patches should be applied immediately upon removal from the sealed package. The transdermal system should be pressed firmly in place with the palm of the hand for 10-20 seconds, making sure the contact is complete, especially around the edges 3) Each patch may be worn continuously for 72 hours. If analgesia for more than 72 hours is required, a new system should be applied to a different skin site after removal of the previous transdermal system 4) Used systems should be folded so that the adhesive side of the system adheres to itself, then the system should be flushed down the toilet immediately upon removal. Patients should dispose of any systems remaining from a prescription as soon as they are no longer needed. Unused systems should be removed from their pouch and flushed down the toilet. Keep out of the reach of children and pets, even after removal 5) Do not cut or puncture systems 6) Promptly report difficulty in breathing or fever to a physician MS Contin 1) Tablets must be taken whole, and are not to be broken, chewed, or crushed. Taking broken, chewed or crushed MS Contin tablets could lead to the rapid release and absorption of a potentially toxic dose of morphine 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication 4) May take with food or milk to avoid GI upset

5) 6) 7) 8)

WARNING: This medication may be habit-forming This prescription cannot be refilled Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects (constipation, lightheadedness, dizziness, sedation, nausea, vomiting, sweating, dysphoria, and euphoria) are severe or persistent 9) If a dose is missed, take it as soon as possible and reschedule your remaining doses based upon the schedule your physician prescribed. Do not double doses

Nonsteroidal Anit-Inflammatory
Nonsteroidal Anti-Inflammatory Brand Name Generic Name(s) -

Rank -

Subclass -

Dosage Range -

Patient Consultation: No Nonsteroidal Anti-inflammatory on this quiz

Penicillins and Cephalosporins

Penicillins and cephalosporins Brand Name Generic Name(s) -

Rank -

Subclass -

Dosage Range -

Patient Consultation: No Penicillins and cephalosporins on this quiz

Upper Respiratory Agents

Upper Respiratory Agents Generic Name(s) Hydroxyzine Hydrochloride Triamcinolone Acetonide Levocetirizine Dihydrochloride Promethazine HCl

Rank 153 154 162 175

Subclass Antiallergy Agent Antiallergy Agent Antiallergy Agent Antiemetic

Brand Name Atarax Nasacort AQ Xyzal Phenergan

Dosage Range 25 mg three to four times a day Two sprays in each nostril once a day 5 mg daily given in the evening 12.5 mg to 25 mg every 4 to 6 hours as needed

Patient Consultation: Atarax 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) Store in a cool, dry place away from sunlight and children

4) Contact a physician if the above side effects (drowsiness and dry mouth) are severe or persistent 5) If a dose is missed, skip it and return to normal dosing schedule Nasacort AQ 1) Contact a physician if side effects (nasal burning, sneezing, nosebleed, sore throat, and headache may occur with the aerosol. Sore throat and nosebleed may occur with the spray) become bothersome 2) Shake before using 3) Therapeutic effects are not seen at once; benefits are usually seen in a few days but may take as long as three weeks. If no improvement is evident by that time, Nasacort AQ should be discontinued 4) Do not exceed prescribed dosage, take medication only as directed 5) Clear nasal passages of secretions prior to use. Oral decongestants may be used if needed 6) Store in a cool, dry place away from sunlight 7) Use medication at regular intervals Xyzal 1) Ask the patient about their medical history including asthma, glaucoma, enlarged prostate gland (males), heart disease, diabetes, or thyroid disease 2) Ask how long the symptoms have been present and if previous therapy has been successful 3) This product may cause drowsiness. Avoid drinking alcohol or engaging in activities that demand alertness 4) Contact a physician if no improvement is seen after 7 days or in the presence of a high fever

Topical Agents
Topical Agents Generic Name(s) Lidocaine (transdermal) Mupirocin (topical) Fluocinonide (topical) Olopatadine Hydrochloride Diclofenac Sodium (topical)

Rank 109 113 157 182 195

Subclass Topical Analgesic Topical Antibiotic Topical Antiinflammatory Ophthalmic Anti-alergy Nonsteroidal Antiinflammatory

Brand Name Lidoderm Bactroban Lidex Patanol Pataday Voltaren Gel

Dosage Range Apply to intact skin to cover the most painful area. Patches should be left on for 12 hours within a 24 hour period Cover the affected area with a small film of Bactroban three times a day Apply to the affected area as a thin film two to four times a day. Rub in cream and gel 1 drop in each affected eye two times per day at an interval of 6 to 8 hours 2 g to the affected area of an upper extremity or 4 g to an affected area of a lower extremity up to 4 times a day

Patient Consultation:

Lidoderm 1) Wash hands after the handling of Lidoderm patches and avoid eye contact 2) If irritation or a burning sensation occurs during application, remove the patch(es) and do not reapply until the irritation subsides 3) Do not use external heat sources such as electric blankets or heating pads over Lidoderm patches. 4) Store and dispose of patches properly to avoid access by children and pets 5) Do not apply to broken skin 6) Do not leave patches on for more than 12 hours within a 24 hour period Mupirocin 1) 2) 3) 4) 5) 6) Report dermatitis or swelling to a physician Cover area with a small film of ointment don not rub in Do not use in or around the eyes Do not use the nasal ointment with any other nasal preparations Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects (burning, stinging, pain, headache, rhinitis, nasal congestion, pharyngitis, or taste disturbances) 7) If a dose is missed, apply it as soon as possible

Lidex 1) 2) 3) 4) 5) 6) Apply ointment sparingly using a light film Rub in cream and gel Do not use in or around the eyes not for ophthalmic use Store in a cool, dry place away from sunlight and children If a dose is missed apply it as soon as possible Contact a physician if the above side effects (local burning, itching, dryness, and skin atrophy) are severe or persistent

Patanol and Pataday 1) 2) 3) 4) 5) Consult a physician if you experience eye pain, changes in vision, or eye irritation Patients should be advised not to wear contact lens if their eye is red Allow at least 10 minutes after using and before inserting contact lens Wash hands prior to application To instill drops: Lie down or tilt head backward and look up. Pull down the skin under the eye creating a small sac of the lower eyelid. Instill drops into the sac and keep the eye open for a few seconds 6) To avoid contamination of the solution, do not touch the end of the dropper to any surface Voltaren Gel 1) Read the medication guides developed for NSAIDs and this product 2) Open the sealed tube using the spiked top of the cap 3) Do not use heating pads, bandages, or other topical preparations (lotions, moisturizers, insect repellants) on the same area as this medication 4) Use the enclosed dosing card to apply the medication to the affected area. The hands can be used to gently rub the gel into the skin. If the hands are not the application site, wash them after application. 5) Do not shower, bath or wash the affected area for at least 1 hour after application 6) Avoid sunlight exposure to the application area 7) Get emergency help if you experience shortness of breath, chest pain, weakness on one side of your body, slurred speech, or swelling in the face or throat 8) Notify your physician if you experience yellowed eyes, nausea, black stools, unusual weight gain, or vomit blood 9) If you miss a dose, continue with your next scheduled dose. Do not double doses.

GI Anticholinergics
GI Anticholinergics Rank 155 169 Subclass Urinary Bladder Modifier Urinary Bladder Modifier Brand Name Ditropan Ditropan XL Enablex Levsin Levbid Anaspaz Hyomax Generic Name(s) Oxybutynin Chloride (oral) Darifenacin Hydrobromide Dosage Range One 5 mg extended-release tablet daily 15 mg once daily 0.125 to 0.25 mg every four hours or as needed

199

GI Antispasmodic

Hyoscyamine Sulfate

Patient Consultation:

Ditropan, Ditropan XL 1) Avoid prolonged exposure to hot weather 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required. 3) Store in a cool, dry place away from sunlight and children 4) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses 5) Contact a physician if the above side effects (dry mouth, drowsiness, confusion, agitation, blurred vision, diarrhea, and nausea) are severe and persistent 6) Swallow extended-release tablets whole. Do not crush, split, or chew 7) The semipermeable membrane tablet shell of the extended release tablet passes through the GI tract intact and may be found in the stool Enablex 1) Avoid prolonged exposure to hot weather 2) May cause dizziness. Use care when operating machinery or when mental alertness is required 3) Swallow tablets whole; do not chew, divide, or crush 4) May cause dry mouth or blurred vision 5) Store in a cool, dry place away from sunlight and children 6) Contact a physician if the above side effects (dry mouth, constipation, urinary tract infection, blurred vision, dyspepsia, abdominal pain, nausea, diarrhea, dizziness, asthenia, and dry eyes) are severe or persistent

7) If a dose is missed, skip it and return to normal dosing schedule Levsin, Levbid, Anaspaz, Hyomax 1) Take on an empty stomach; do not take with antacids 2) Avoid prolonged exposure to hot weather or conditions which may increase sweating 3) May cause drowsiness. Use caution while operating machinery or when mental alertness is required. 4) Store in a cool, dry place away from sunlight and children 5) Contact a physician if the above side effects (drowsiness, blurred vision, dry mouth, urinary retention, tachycardia, constipation, nervousness, and nausea) are severe or persistent 6) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose than the dose you missed, skip the missed dose and return to your dosing schedule