Kylee Payne

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2010
Classification Project
Kylee Payne
Pharmacology
3/16/2010
Kylee Payne 2010
Table of Contents
Nervous System
3
Psychiatric Drugs
8
Analgesics
12
Cardiac System
16
Respiratory System
21
Gastrointestinal System
24
Endocrine System
27
Antibacterials
29
PDRs
32
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Kylee Payne 2010
Nervous System
Page 3
Kylee Payne 2010
Classifications
Indications
Beta-adrenergenic
blockers
Hypertension, Angina
Pectoris, MI, are
important to those who
have survived their first
MI, Migraine, Part of
the standard therapy
for CHF, May increase
survival rate if taken
prior to coronary artery
bypass surgery.
Cholinergic
Anticholinergic
Contraindications
Sinus bradycardia,
2nd/3rd degree AV
block, CHF unless
secondary to
tachycarrythmia
treatable with betablockers, overt cardiac
failure. chronic
bronchitis, bronchial
asthma or history
thereof, bronchospasm,
emphysema, severe
COPD
Treat Myasthenia
cardiovascular disease,
Gravis, Glaucoma, used hypertension,
in surgery to prevent
bronchospastic disease,
urinary retention post
diabetes mellitus,
operatively, also to
pheochromocytoma,
counteract the effects
peripheral vascular
of the muscle relaxants disease,
used in surgery
hyperthyroidism, ,
hepatic disease,
children under age 18,
lactation
Gastrointestinal
Glaucoma, tachycardia,
disorders, gastritis,
myocardial ischemia,
pylorospasm,
hemorrhage,
diverticulitis, ulcerative
hypertrophy, ulcerative
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Side Effects
Bradycardia,
hypotension, CHF, cold
extremities, claudication,
worsening of angina,
strokes, edema,
syncope, arrhythmias,
chest pain, periperhal
ischemia, flushing,
SOB, sinoatrial block,
pulmonary edema,
vadsodilation, increased
HR, palpitations,
conduction disturbances
headache, dizziness,
drowsiness, poor
concentration,
nervousness, weakness,
paresthesia, insomnia,
abnormal dreams, chest
pain, hypertension,
tachycardia, N&V,
diarrhea, constipation,
abdominal pain, dry
mouth, dyspepsia;
Dysphagia, constipation,
heartburn, bloated
feeling, change in taste
perception, dizziness,
Examples
Lopressor
Naldol
Humersol
Aricept
Atropine
dicyclomine
Kylee Payne 2010
Skeletal muscle
relaxants
Sedative-hypnotic
Anti-epileptic
colitis, genitourinary
disorders ,cystitis,
urethritis, prostatitis,
respiratory disorders,
asthma, chronic
bronchitis, Parkinson’s
disease, Sinus
bradycardia
colitis, liver or kidney
disease, high blood
pressure, an overactive
thyroid, nervous system
disorders, all
stomach/intestinal
problems, glaucoma,
enlarged prostate,
allergies.
headache, weakness,
insomnia, blurred
vision, skin rashes,
nasal congestion,
lactation, confusion,
tremors, rapid/irregular
heartbeat, difficulty
urinating
Musculoskeletal and
neurologic disorders
associated with muscle
spasms, hypereflexia,
and hypertonia,
parkinsonism, tetanus,
tension headaches,
acute muscle spasms
caused by trauma, and
inflammation,
management of MS
and Cerebral Palsy
Short term treatment of
insomnia, difficulty
with sleep onset/sleep
maintenance
Hypersensitivity,
rheumatic disorders,
spasm from Parkinson's
disease, stroke,
cerebral palsy.
Intrathecal product for
IV, IM, SC, or epidural
use.
Drowsiness,
hypotension, dizziness,
headache, insomnia,
fatigue, confusion,
nausea, constipation,
urinary frequency,
hypotonia, somnolence,
dizziness, convulsions,
constipation, N&V,
headache, paresthesia.
Baclofen
Diazepam
Lactation
Ambien
Restoril
Sedative or hypnotic,
Hypersensitivity to
Dizziness, drowsiness,
drugged feeling,
headache, nausea,
diarrhea, dyspepsia,
myalgia, URTI,
somnolence,
nasopharyngitis
Sleepiness, agitation,
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Phenobarbitol
Kylee Payne 2010
preanesthetic,
anticonvulsant,
emergency control of
acute seizure
Anti-parkinson
Parkinsonism, rigidity,
bradykinesia, tremors,
dysphagia, seborrhea,
sialorrhea, and postural
instability, carbon
monoxide and
manganese intoxication
barbiturates, severe
trauma, pulmonary
disease when dyspnea
or obstruction is
present, edema,
uncontrolled diabetes,
history of porphyria,
and impaired liver
function, previous
addiction to sedativehypnotics, lactation
CNS depression,
hypotension, marked
asthenia,
hypoadrenalism, and
severe myxedema,
porphyria, fever,
anemia, hemorrhagic
shock, cardiac, hepatic
or renal damage,
alcoholism
History of melanoma,
lactation, MAO
inhibitors, except MAOB inhibitors
hypersensitivity to drug,
narrow-angle glaucoma,
blood dyscrasias,
hypertension, coronary
sclerosis.
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confusion, hyperkinesia,
ataxia, CNS
depression, nightmares,
nervousness, psychiatric
disturbances,
hallucinations, insomnia,
anxiety, dizziness,
headache, abnormal
thinking, vertigo,
lethargy, hangover,
excitement,
hypoventilation, apnea ,
respiratory depression .
bradycardia,
hypotension, syncope,
circulatory collapse .
N&V, constipation, liver
damage
Carbemazepine
Choreiform, dystonic
movements, anorexia,
N&V, abdominal pain,
dry mouth, dysphagia,
dysgeusia, headache,
dizziness, sialorrhea,
malaise, fatigue,
euphoria, dyskinesias
Levadopa
Carbidopa
Kylee Payne 2010
Anti-convulsant
Control or prevent
seizures
Low bone mineral
density
Page 7
Increased risk of
suicidal behavior,
Gabapentin
Phenytoin
Kylee Payne 2010
Psychiatric Drugs
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Classifications
Indications
Contraindications
Side Effects
Examples
Antipsychotic
Psychoses, involutional,
toxic, or senile
psychoses, depression,
anxiety, agitation, or
acute manic phase of
manic-depressive
illness, as an adjunct
in alcohol withdrawal,
severe behavioral
problems in children,
manifested by
hyperexcitable and
aggressive behavior
Severe CNS
depression, coma,
subcortical brain
damage, bone marrow
depression, lactation,
history of seizures and
in those on
anticonvulsant drugs,
hepatic or renal
disease, CV disorders,
glaucoma, prostatic
hypertrophy, children
with chickenpox, CNS
infections, measles,
gastroenteritis
Depression, drowsiness,
dizziness, lethargy,
fatigue, Parkinson-like
symptoms including
shuffling gait or tic-like
movements of head
and face, tardive
dyskinesia, akathisia,
dystonia, Seizures,
Orthostatic hypotension,
increase or decrease
in BP, tachycardia,
fainting dry mouth,
anorexia, constipation,
diarrhea.
Abilify
Chlorpromazine
hydrochloride
Antianxiety
Short-term relief of
anxiety disorders or
symptoms of anxiety
with depression
preanesthetic, status
epilepticus.
Narrow angle
glaucoma, kids under
12 years of age
Drowsiness, ataxia,
confusion, clumbsiness,
N & V, diarrhea,
headache
Xanax
Lorazepam
Stimulants
(ADHD) in children
over 3 years of age,
moderate to severe
distractibility, short
Use in children less
than 3 years of age
for ADD, in children
less than 6 years of
Decreased appetite,
upset stomach,
insomnia, increased
anxiety, irritability,
Adderall
Ritalin
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Antidepressants
attention span,
hyperactivity, emotional
lability, and impulsivity,
narcolepsy in adults
and children over 6
years of age.
age for narcolepsy, or
in children or adults
with a structural
cardiac abnormality,
use as an appetite
suppressant, Marked
anxiety, tension and
agitation, glaucoma.
severe depression, to
prevent or treat normal
fatigue, diagnosis or
family history of
Tourette's syndrome,
motor tics. In children
who manifest symptoms
of primary psychiatric
disorders
Headache, URTI,
abdominal pain,
anorexia, insomnia,
vomiting, accidental
injury, nervousness.
Endogenous and
reactive depressions,
anxiety, and sleep
disturbances. SSRI’s
are most commonly
used
Severely impaired liver
function. Use during
acute recovery phase
from MI. Concomitant
use with MAO
inhibitors.
ataxia, anxiety, coma,
confusion, disorientation,
disturbed concentration,
dizziness, drowsiness,
dysarthria,
incoordination, insomnia,
mania, neuroleptic
malignant syndrome,
numbness, panic,
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Effexor
Fluoxetine
Kylee Payne 2010
paresthesias of
extremities, peripheral
neuropathy, tremors,
seizures, restlessness,
weakness,dry mouth,
blurred vision, N&V,
abdominal pain
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Kylee Payne 2010
Analgesics
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Classifications
Narcotic (Opioid)
analgesics
Non-Opioid
Salicylates
Indications
Contraindications
Side Effects
Examples
Treat pain due to
various causes (MI,
carcinoma,
surgery,burns,
postpartum)
Preanesthetic
medication, Adjunct to
anesthesia, Acute
vascular occulusion,
Diarrhea, Antitussive
Asthma, emphysema,
kyphoscoliosis, sever
obesity, convulsive
state as in epilepsy,
delirium tremens,
tetanus and strychnine
poisoning, diabetic
acidosis, myxedema,
Addison’s disease,
hepatic cirrhosis, and
children under 6
months
liver disease, asthma,
kidney disease, a
history of drug or
alcohol abuse
Dizziness,
lightheadedness,
sedation, lethargy,
headache, euphoria,
mental clouding,
fainting, tremors,
insomnia, N&V,
vomiting, constipation,
dry mouth, anorexia,
flushing, skin rashes,
sweating.
Morphine sulfate
Oxycodone
hydrochloride
Constipation, diarrhea,
dizziness, dry mouth,
indigestion, nausea,
nervousness, skin itch,
sleepiness, stomach
aches, sweating,
vomiting, weakness,
hives, itching, bruising,
fever, sore throat
Tramdol
Acetominaphen
Hypersensitivity, asthma,
hay fever, or nasal
polyps, severe anemia,
Dyspepsia, nausea,
epigastric discomfort.
The toxic effects of
Asprin
Ascriptin
Non narcotic pain
reliever
Pain, myalgias,
neuralgias, arthralgias,
headache,
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Kylee Payne 2010
Antigout
dysmenorrhea, gout,
ess severe
postoperative and
postpartum pain; pain
secondary to trauma
and cancer, arthritis,
osteoarthritis, SLE,
acute rheumatic fever
history of blood
coagulation defects, in
conjunction with
anticoagulant therapy,
can cause congestive
failure when taken in
the large doses used
for rheumatic diseases,
vitamin K deficiency, 1
week before and after
surgery. In pregnancy,
in children or
teenagers with chickenpox or flu due to
possibility of
development of Reye's
syndrome.
the salicylates are
dose-related, dyspepsia,
heartburn, anorexia,
nausea, occult blood
loss, epigastric
discomfort, massive GI
bleeding, potentiation of
peptic ulcer,skin rashes,
angioedema, urticaria,
rhinitis, nasal polyps,
thrombocytopenia,
leukopenia, purpura,
shortened erythrocyte
survival time,
decreased plasma iron
levels, thirst, fever,
dimness of vision.
Hyperuicemia in chronic
gout and gouty
arthritis,Adjunct in
therapy with penicillins
or chephalsporins to
elevate and prolong
plasma antibiotic levels
Hypersensitivityto drug,
blood dyscrasias, uric
acid and kidney
stones. Use for
hyperuricemia in
neoplastics disease or
its treatment, Use in
children less than 2
years of age,
concomitant use of
salicylates or use with
Headache, dizziness,
norexia, N&V, diahrrea,
constipation, skin rash,
abdominal discomfort,
urinary frequency,
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Apo-sulfinpyrazone
Benuryl
Kylee Payne 2010
NSAIDs
Antipruritic
Inflammatory disease,
including rheumatoid
arthritis, osteoarthritis,
gout, Mild to moderate
pain including primary
shoulder, synovitis,
tendinitis, dental pain,
strains and sprains.
Reduce risk of prostate
cancer and Alzheimer’s
disease.
Used to treat a variety
of skin conditions
(eczema, dermatitis,
allergies, rash, swelling,
itching, and redness.
penicillin in renal
impairment
Most for children under
14 years of age,
lactation, individuals in
whom asprin, NSAIDs,
or iodides have caused
hypersensitivity,
including acute asthma,
rhinitis, urticaria,
bronchospasms,
Don’t use if there is
an infection or sore in
the area treated,
children maybe more
sensitive to the effects,
pregnancy –as needed
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N&V, anorexia,
diarrhea, constipation,
increased or decreased
appetite, indigestion,
abdominal cramos or
pain, dizziness,
drowsiness, headaches,
nervousness, migraine,
anxiety, mental
confusion, chest pain,
inability to concentrate.
Stinging, buring, itching,
dryness, redness,
acne,dizziness, trouble
breathing.
Ibuprofen
Ketoprofen
Cortaid
Lanacort
Kylee Payne 2010
Cardiac System
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Classifications
Indications
Contraindications
Side Effects
Examples
Cardiac glycosides
Treats heart failure, CHF,
control of rapid ventricular
contraction with atrial fibrillation
or flutter, cardiogenic shock
Blurred vision, hives,
rash, diarrhea, loss of
appetite, nausea,
stomach pain, vomiting,
confusing, depression,
fainting.
Digoxin
Lanoxin
Antiarrythmics
CHF,venous congestion, edema,
dyspnea, orthopnea, and
cardiac arrhythmia, control of
rapid ventricular contraction rate
in clients with atrial fibrillation
or flutter, slow HR in sinus
tachycardia due to CHF, SVT,
prophylaxis and treatment of
recurrent paroxysmal atrial
tachycardia with paroxysmal AV
junctional rhythm.
Tachycardia, headache,
dizziness, mental
disturbances, N&V,
diarrhea, anorexia,
blurred or yellow vision
Adenosine
Verapamil
Antianginal
Treatment and prophylaxis of
Venticular fibrillation or
tachycardia,( unless
congestive failure after
protracted episode not
due to digitalis),
Hypersensitivity to
cardiac
glycosides,beriberi heart
disease.
Ventricular fibrillation or
tachycardia (unless
congestive failure
supervenes after
protracted episode not
due to digitalis), in
presence of digoxin
toxicity, hypersensitivity
to cardiac glycosides,
beriberi heart disease,
certain cases of
hypersensitive carotid
sinus syndrome,
ischemic heart disease,
acute myocarditis,
hypertrophic subaortic
stenosis, hypoxic or
myxedemic states
Sensitivity to nitrites,
Headaches,
Nitroglycerin
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acute angina pectoris, First-line
therapy for unstable angina,
Adjunct in treating hypertension
or CHF associated with MI
Calcium Antagaonists
(Calcium Channel
Blocker)
Antihypertensives
Diuretic
which may result in
severe hypotensive
reactions, MI, or
tolerance to nitrites.
Sever anemia, cerebal
hemorrhage, reacent
head trama, postural
hypotension.
Angina pectoris, hypertension,
subarachnoid hemorrhage, atrial
fibrillation/flutter, paroxysmal
supraventricular tachycardia.
Sick sinus syndrome,
second- or third-degree
AV block (except with
a functioning
pacemaker), use of
bepridil, diltiazem, or
verapamil for
hypotension <90 mm
Hg systolic pressure),
lactation,
hypersensitivity,
Treat hypertension, heart failure, Hypersensitivity to
post MI, high coronary disease benazepril or any other
risk diabetes, chronic kidney
ACE inhibitor, Use not
disease bad recurrent stroke
advised for children
prevention
less than 6 years of
age
Edema associated with CHF,
nephrotic syndrome, hepatic
ethacrynic acid,
anuria, hypersensitivity
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restlessness, dizziness,
weakness,
apprehension, anxiety,
insomnia, confusion,
nightmares, postural
hypotension,
tachycardia,
hypertension, N&V,
dyspepsia, diarrhea, dry
mouth, abdominal pain.
Peripheral edema,
asthenia, dizziness,
lightheadedness,
headache, dyspepsia,
constipation, cough,
URTI, flushing, flushing,
fatigue/lethargy, edema,
peripheral edema,
weakness, muscle
cramps, disturbed
equilibrium.
Headache, dizziness,
fatigue,
somnolence/drowsiness,
nausea, cough, postural
dizziness,
nasopharygitis,
hypotension.
Jaundice, tinnitus,
hearing impairment,
Isosorbide
dinitrate
Nifedipine
Felodipine
Lotensin
Diovan HTC
Lasix
Furosimide
Kylee Payne 2010
cirrhosis, and ascites, acute
pulmonary edema, hypertension
in conjunction with
spironolactone, triamterene, and
other diuretics except ethacrynic
acid.
to drug, severe renal,
azotemia and oliguria,
hepatic coma
associated with
electrolyte depletion,
lactation.
hypotension,
water/electrolyte
depletion, pancreatitis,
abdominal pain,
dizziness, anemia.
Anticoagulant
Prophylaxis of blood clots,
decrease clotting ability of
blood
Hypersensitivity,
lactation, pregnancy,
kids 12 and under,
adults over 60,
Antiplatelet
Reduce symptoms associated
with exercise in pulmonary
Known hypersensitivity
to the drug or
bleeding gums, sores
or white spots in the
mouth or throat,
bruising, unexplained
nosebleeds, unusually
heavy bleeding or
oozing from wounds,
unexpected or unusual
menstrual bleeding,
blood in the urine,
cloudy or dark urine,
painful or difficult
urination or sudden
decrease in amount of
urine, black, tarry, or
bloody stools, coughing
up blood, vomiting
blood or something
that looks like coffee
grounds, constipation
Bleeding, bradycardia,
coronary artery
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Coumidin
Warfarin
Remodulin
Aggrastat
Kylee Payne 2010
Antihyperlipidemics
Vasodilators
arterial hypertension, Deminish
rate of clinical deterioration in
clients requiring transition form
epprrpstenol, ACS,
Heterozygous familial
hypercholesterolemia in
adolescents, homozygous
familial hyperlipidemia,
hypertriglyceridemia, mixed
dyslipidemia, primary
dysbetalipoproteinemia, primary
hypercholesterolemia,heterozygous
familial and nonfamilial
structurally-related
compounds
dissection, pelvic pain,
dizziness, leg pain.
Active liver disease or
unexplained persistent
elevated liver function
tests. Pregnancy,
lactation. Use in
children
Increase blood floow in certain
parts of the body, CHF,
diabetic neuropathy
Heart disease,
gloaucoma, Parkinson’
s disease, allergies,
lactation
effects have been
reported for HMG-CoA
reductase inhibitors,
N&V, diarrhea,
constipation, abdominal
cramps or pain,
flatulence, dyspepsia,
heartburn. Anorexia,
biliary pain, cheilitis,
cholestatic jaundice,
cirrhosis, colitis,
duodenal ulcer,
dysphagia, enteritis,
eructation, eosphagitis,
fatty changes in liver,
Dizziness, flushing, fast
pulse, deep breathing,
lethargy, rash,
dysgeusia, gastric
irritation, aphthous
ulcers/peptic ulcer,
headache, fatigue,
drowsiness, malaise,
N&V, diarrhea, dry
mouth.
Page 20
Lipitor
Simvastatin
papaverine
Captopril
Kylee Payne 2010
Respiratory System
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Indications
Contraindications
Side Effects
Examples
Antihistamine
Used to treat rash,
hives, watery eyes,
runny nose, itching
and sneezing due to
allergies or the
common cold. They
may also be used to
treat motion sickness,
anxiety, or as a sleep
aid (for insomnia)
Drowsiness, dizziness,
headache, loss of
appetite, stomach
upset, vision changes,
irritability, dry mouth
and nose. Breathing
difficulties, pounding or
irregular heartbeat,
ringing in the ears,
difficulty urinating.
Allegra
Zyrtec
Bronchodilators
Relaxes the smooth
muscle in the lungs
and dilates airways to
improve breathing.
Used in the treatment
of asthma, chronic
bronchitis and
emphysema.
Limit alcohol intake to
avoid excessive
drowsiness. Caution is
advised when using in
elderly because they
may be more sensitive
to effects.
Hypertension, Do not
give to children under
12 years of age,
Pregnancy.
Overactive thyroid,
heart disease,
hypertension, epilepsy,
diabetes,
Nolvadex
Xopenex
Corticosteroids
Reduces swelling,
allergic reactions, skin
disease (psoriasis,
hives), breathing
problems, certain
cancers, blood
disorders and eye
Dry mouth, irritated
throat, dizziness,
headache,
lightheadedness,
heartburn, loss of
appetite, altered taste
sensation, restlessness,
anxiety, nervousness,
trembling, and
sweating.
Dizziness, nausea,
indigestion, increased
appetite, weight gain,
weakness or sleep
disturbances. Vomiting
or blood, abnormal
stools, muscle
Classifications
Liver or kidney
disease, heart
problems, intestinal
problems, ulcers,
hypertension, TB,
osteoporosis, using
alcohol aspirin and
Page 22
Prednisone
Cortisone
Kylee Payne 2010
problems, arthritis,
digestive problems and
hormone replacement
certain arthritis
medications, pregnancy
Antitussive
Used to treat dry
cough and nasal
congestion caused by
the common cold, flu,
or other respiratory
illness.
Expectorant
Used to treat dry
cough and nasal
congestion caused by
common cold, flu, and
other respiratory illness.
Loosens mucus in the
lungs.
Hypertension, severe
coronary artery
disease, allergic
reaction to codeine,
hydrocodone, heart
problems, kidney
disease, liver disease,
diabetes, glaucoma,
depression, Avoid
alcohol, pregnancy.
Hypertension, coronary
artery disease,
depression, Avoid
alcohol, pregnancy.
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weakness, breathing
difficulties, mood
changes, vision
changes.
Nausea, nervousness,
anxiety, headache,
dizziness, drowsiness,
trouble sleeping,
vomiting, constipation,
chest pain,
rapid/pounding heart,
tremors, mood
changes, seizures,
rash, itching, swelling.
Nausea, nervousness,
anxiety, headache,
dizziness, drowsiness,
vomiting, constipation,
chest pain,
painful/difficult urinating.
Codeine
dextromethorphan
Mucinex
Parvolex
Kylee Payne 2010
Gastrointestinal
System
Page 24
Kylee Payne 2010
Classifications
Indications
Contraindications
Side Effects
Examples
Histamine H2-Receptor
antagonists
Short-term treatment of
benign gastric ulcer.
Maintenance therapy
after healing of acute
ulcer. Treatment of
active duodenal ulcer.
Hypersensitivity, Use of
cimetidine, famotidine,
and nizatidine during
lactation.
Cimetidine
Famotidine
Proton pump inhibitors
Short-term treatment of
active duodenal ulcer.
Treatment of active
benign gastric ulcer.
Treatment of heartburn
and other symptoms
with GERD.
Used to relive acid
indigestion, upset
stomach and heartburn,
Help manage GERD.
Lactation
N&V, abdominal
discomfort, diarrhea,
constipation,
hepatocellular affects,
headache, fatigue,
dizziness, confusion,
insomnia, rash.
Chest pain, angina,
hypertension,
tachycardia, anxiety,
dry mouth, anemia,
hypoglycemia, gout,
weight gain, fever.
Avoid if any signs of
appendicitis, Avoid if
you intake a lot of
calcium, Excessive use
may increase severity
or kidney problems,.
None listed.
Chalky taste, diarrhea,
constipation, abdominal
cramps, N&V.
Digoxin
Itraconazole
Drowsiness, dry mouth,
nervousness, insomnia,
constipation
Dramamine
Aprepitant
In clients in whom
constipation should be
avoided. OTC if body
temperature is over
Abdominal
Immodium
pain/distention/discomfort, Kaopectate II caplets
constipation, dry mouth,
N&V, distress,
Antacids
Antiemetic
Antidiarrheals
Prevention and
treatment of N&V,
dizziness of motion
sickness.
Symptomatic relief of
diarrhea and of chronic
diarrhea, associated
with inflammatory bowel
Page 25
Nexium
Prevacid
Kylee Payne 2010
disease.
38C (101F) and in
presence of bloody
diarrhea. Children
under age 3 are more
sensitive to the
narcotic effects of
loperamide.
Page 26
dizziness, drowsiness
Kylee Payne 2010
Endocrine System
Page 27
Kylee Payne 2010
Classifications
Indications
Contraindications
Side Effects
Examples
Glucocorticoid
Adrenal insufficiency,
rheumatic, allergic
states, respiratory
diseases (asthma)
Burning,
cracking/fissuring of
skin, irritation, itching,
numbness of fingers
reddened skin, skin
atrophy,.
Temovate
Prednisone
Estrogen Drugs
Hormone replacement
therapy in
postmenopausal women
to relieve moderate to
severe vasomotor
symptoms and
decrease risk of
osteoporosis.
Component of
combination oral
contraceptives and
other forms for
contraception
Non-insulin-dependant
diabetes mellitus (type
2) that does not
respond to diet
management and
excursive alone. Also
helps treat diabetes
Use in children less
than 12 years old, use
for more than 2
weeks, to treat
rosacea or perioral
dermatitis, and use on
face and groin.
Known or suspected
breast cancer, except
in those clients being
treated for metastatic
disease. Cancer of the
genital tract and other
estrogen-dependant
neoplasm. Use during
lactation, known or
suspected pregnancy
N&V, diarrhea,
constipation, abdominal
cramps/pain, dyspepsia,
enlarged abdomen,
change in appetite,
rash, UTI, Vaginal
discharge, Mental
depression, dizziness,
changes in libido,
insomnia, headache,
anxiety.
Oral Contraceptives
Premarin
Ketosis, Severe trauma,
fever, infections,
pregnancy, diabetes
complicated by
recurrent episodes of
ketoacidosis or coma,
juvenile, growth-onset,
Insulin dependant.
Nausea, heartburn,
epigastric fullness,
diarrhea,GI pain,
constipation, dyspepsia,
fatigue, dizziness
nervousness, asthenia,
insomnia, weakness,
skin rash, leg cramps
Humulin
Glucophage
Antidiabetic
Page 28
Kylee Payne 2010
Antibacterials
Page 29
Kylee Payne 2010
Classifications
Indications
Penicillins
Ear, nose, and throat Hypersensitvity to
infections, GU
penicillins, imipenem,
infections, lower
PO use of penicillins
respiratory tract
during acute stages
infections.
of empyema,
bacteremia,
pneumonia,
meningitis, pericarditis,
use with history of
amoxicillin/clavulanate
associated cholestatic
jaundice or hepatic
dysfunction, lactation.
Respiratory tract
Hypersensitivity to
infection, skin
chepalosporins or
infections, and urinary related antibiotics.
tract infections.
Cephalosporins
Aminoglycosides
Gram-negative
bacteria causing bone
and joint infections,
septicemia(including
neonatal sepsis) skin
and soft tissue
Contraindications
Hypersensitivity to
aminoglycosides, longterm therapy (except
streptomycin for
tuberculosis).
Page 30
Side Effects
Examples
Diarrhea, abdominal
cramps or pain,
N&V, bloating,
flatulence, increased
thirst, dizziness,
insomnia,
hyperactivity, fatigue.
Amoxicillin
Penicillin
N&V, diarrhea,
constipation,
abdominal cramps or
pain, dyspepsia,
heartburn,
hypotension, fatigue,
asthma, itching, fever
chills.
Ototoxicity, Renal
Imapairment,
Neurotoxicity, Coma,
and respiratory
depression in infants,
Allergic rash, N&V
Cephalexin
Cefzil
Gentamicin Sulfate
Neomycin Sulfate
Kylee Payne 2010
Sulfonamides
infections(including
those from burns),
respiratory tract
infections,
postoperative
infection, Intraabdominal infections
(including
peritonitis).UTIs.
Urinary tract
infections, chancroid,
Meningitis, Rheumatic
fever, Nocardiosis,
Trachoma, STI.
Tetracyclines
Infections caused by
Rickettsiae, Gramnegative infections
caused by
Haemophilus.
Infections due to
Chlamydia trachomatis
Antimicrobial
A group of drugs
that include
anitprotazoals,
antibiotics, antifungals,
Diarrhea.
Hypersensitivity
reactions to
sulfonamides and
chemically related
drugs,. Use in
infants less than 2
years of age, use at
term pregnancy.
Hypersensitivity, use
during tooth
development
stage(last trimester of
pregnancy, neonatal
period, during
breastfeeding, and
during childhood up
to 8 years)
Hypersensitivity,
pregnancy, lactation,
other azole products,
some oral
Page 31
N&V, diarrhea,
abdominal pain,
glossitis, stomatitis,
anorexia, rhinitis,
mental depression,
seizures, insomnia,
drowsiness,
headaches, jaundice.
Anorexia, N&V,
diarrhea, glossitis,
dysphagia, dizziness,
headache sedation,
hypersensitivity
Sulfadiazine
Trimethoprim
N&V, diarrhea,
dyspepsia, headache,
dizziness,
Tamiflu
Macrobid
Doxycycline Calcium
Tetracycline
hydrochloride
Kylee Payne 2010
and antivirals.
contraceptives.
Antifungal
Yeast infections,
athletes foot, ring
worm, UTIs,
Decrease the
incidence of
candidiasis in clients
undergoing a bone
marrow transplant
who receive cytotoxic
chemotherapy or
radiation therapy
Hypersensitivity,
lactation,
Antiviral
HIV infection
Anti-neoplastics
Hypersensitivity to
drug. Some
antineoplastics agents
may be
contraindicated for up
to 4 weeks after
radiation therapy or
chemotherapy with
similar drugs first
trimester of
pregnancy.
Page 32
Headache, nausea,
abdominal pain,
diarrhea, skin rash,
vomiting, dyspepsia,
dizziness, N&V.
Bone marrow
depression, anorexia,
diarrhea, stomatitis,
rash, intestional
ulcers, dizziness,
headache, depression,
confusion, dizziness,
fatigue.
Diflucan
Miconazole
Zanamivir
Cidofovir
Capecitabine
Flutamide
Kylee Payne 2010
PDRs
Page 33
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Lopressor
Beta-adrenergenic Blocker
Dosage
hypertension, chronic management of angina pectoris, stable symptomatic heart failure, acute MI
MI in patients with HR less than 45 bpm, in 2nd or 3rd degree heart block, if SBP is less than 100 mm Hg
C
fatigue, dizziness, depression, shortness of breath, bradycardia, diarrhea
Cimeetidine, Contraceptives (oral), Diphenhydramine, Hydroxychloroquine, Methimazole, Phenobarbitol, Quindine,
Rifampin
25 mg, 50 mg, 100mg
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Pilocarpine
Cholinergenic agonist
Chronic simple glaucoma, Chronic angle-closure glaucoma, reverse mydriasis, pre/post op introcular tension
inflammatory eye disease, acute-angle glaucoma, history of retinal detachment, ocular hypotension, asthma, epilepsy,
C
opthalmically: transient burning/stinging, tearing, blurred vision, headache. Orally: sweating, headache, nausea, chills
Anticholinergenics, Beta blockers
Opthalmic gel, 1/2 inch ribbon in lower conjunctival sac of affected eye(s) at bedtime, 5mg tid adjust based on response
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Atropine
Anti-cholinergic
Adjunt in peptic ulcer treastment, relieve pylorspasm, relax biliary and uretral colic and bronchiospasm
Infants less than 3 months of age, primary glaucoma, adehesions between he iris and the lens
C
Dry mouth, urinary hesitation, headache, flushing, constipation, heartburn, N&V, blurred vision, stinging
Not listed
Adults- 0.3-1.2mg q 4-6 hours
Page 34
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Carisoprodol
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Rozeram
sedative hypnotic
insomnia due to difficulty with sleep onset
hypersensitivity to drug or any component of the product, use with severly impaired hepatic function, use with apnea
C
somnolence, sizziness, nausea, diarrhea, fatigue, headache, insomnia
alcohol, azole antifungals, fluvoxamine, rifampin
8 mg taken 30 min before bed
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Dilantin
Anti-epileptic
Chronic Epilepsy, status epilepticus, cpntrol seizures during surgery, Paroxysmal choreothetosis, trigeminal neuralgia,
Hypersensitivity to hydantois, exfoliative dermatitis, sinus bradycardia, second/third degree AV block, SA block, lactation
C
Ataxia, drowsiness, slurred speech, confusion, N & V, rash, consti[ation, diarrhea, gingival hyperplasia
Acetaminophen, Alcohol (ethyl), Allopurinol, Amiodarone, Antacids, Anticoagulants (oral), Benzodiazepines, Charcoal,
Adults, initial: 100mg 3 times a day, adjust at 7-10 day intervals until up to 300-400mg per day
Skeletal muscle relaxant
Treat skeletal muscle disorders- bursitis, low back disorders, muscle strains, contusions, fibrositis, spondylitis, sprains
Acute intermittent porphyria, hypersensitivity to carisopradol or meprobamate, kids under 12 years of age
C
dizziness, drowsiness, N & V, headache, tachycardia
Alcohol, Antidepressants, Barbiturates, Chlorcyclizine, CNS depressants, MAOI, Phenobarbital, Phenothiazines
350 mg 3-4 times per day
Page 35
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Sinemet
Antiparkinson drug
Parkinsonism, Carbidopa is used alone in patients wjo require individual titration of carbidopa and levidopa
History of melanoma, Lactation
C
Choreiform or dystonic movements, anorexia, N & V with or without abdominal pain, dry mouth, dysphagia, dysguesia,
Use with tricyclic antidepressants
initial 1 tablet of 10mg carbidopa/100 mg levadopa, 3-4 times per day, or 25mg carbidopa/100mg levidopa, tid
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Lyrica
Anticonvulsant
management of neuropathic pain, adjunctive therapy for adults with partial onset seizures, management of fibromyalgia
Hypersensitivity to any component of the product, including lactose. Lactation
C
dizziness, somnolence, dry mouth, ataxia, periphreal adema, asthenia, abnormal gait, headache, confusion, amnesia
Antidiabetic drugs, ehtanol, lorazepam, oxycodone,
adults initial 50 mg tid may be increased to 300mg/day based on efficacy and tolerability
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Abilify
Antipsychotic
Acute and maintenance treatment of schizophrenia in adults and adolecents 13-17 yrs, Monotherapy for manic episodes
Lactation, use with dimentia related psychosis, use of alcohol
C
Headache, agitation, insomnia, dyspepsia, constipation, N&V, drowsiness/ sedation/ somnolence
Carbamazepine, Clarithromycin, Fluoxetine, Ketoconazole, Paroxetine, Quinidine,
Initial,10-15mg a day for 2 weeks then up to 1-30mg/day use for periods up to six months
Page 36
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Alprazolam
Anti-anxiety drug
Anxiety, anxiety associated with depression with or without agoraphobia
use with itraconazole or ketoconazole, acute-narrow angle glaucoma
D
Drowsiness, ataxia, confusion
Azole antifungal drugs, clarithomycin, erythromycin, portease inhibitors, SSRIs
initial 0.25-0.5mg tid then titrate to the needs of the client at intervals of 3-4 days in at 1 mg/day. Not to exceed 4mg
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Adderall
CNS stimulant
ADHD treatment in kids over 3 years, narcolepsy in adults and kids 6 years and older
Use in kids less than 3 years for ADD, use in kides under 6 years for narcolepsy, lactation
C
Decreased appetitie, upset stomach, insomnia, increased anxiety, irritability
Not listed
Adults and kids 12 years and older: 10mg/day increase in increments of 10mg until desired dosage
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Pamelor
Antidepressant
treatment of symptoms of depression,
use in children
C
tachycardia, blurred vision, urinary retention, dry mouth, weight gain/loss, orthostatic hypotention
Nortriptyline
adults 25 mg 3-4 times per day begin at low dose and increase as needed
Page 37
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Hydrocodone
Analgesic
Relief of moderate to moderately severe pain
Hypersensitivity to acetaminophen or hydrocodone, lactation
C
N&V, urinary retention, lightheadedness, dizziness, sedation, mental clouding
Anticholinergenics, CNS depressants, alcohol, MAOI, Tricyclic antidepressants
For 2.5/500 product 1 or 2 q 4 hr up to 8 per day
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Capsaicin
analgesic, topical (non opioid)
Temporary relief of pain due to RA, and osteoarthritis, pain following herpes zoster, diabetic neuropathy
for external use only
Not listed
burning, stinging
Not listed
Adults and kids over 2 years of age, apply to affected area 3-4 times daily. Not to exceed 4
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Asprin
Salicylate
Pain from integumentary structures, gout, may be effective in less severe postop and postpartum pain
Hypersensitivity,asthma, hay fever, nasal polyps, severe anemia, blood coagulation defects, pregnancy
C
Dyspepsia, N&V, epigastric discomfort, toxic effects are dose related
ACE inhibitors, Aminosalicylate, Ammonium chloride, Anticoagulants, Ascorbic acid, Beta-blockers
3.2-6g/day in divided doses
Page 38
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Allopurinol
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Celebrex
NSAID
Symptoms of osteoarthritis, and rheumatoid arthritis, juvenile rheumatoid arthritis, ankylosing spondylitis, acute pain
use in severe hepatic impairment, those who have shown an allergic reaction to sulfonamides, asthma, urticaria
C
Abdominal pain/cramps, diarrhea, nuasea, dyspepsia/ indigestion, URTI
ACE inhibitors, Antacids (Al and Mg containing) Asprin, Fluconazole, Furosemide, Thiazide diuretics, Warfarin
Adults 100 mg twice a day or 200 mg once a day
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Cortaid
Antipruritic
Angioderma, uricartia, contact dermatitis, acne rosacea, psoriasis, pwemphigus, pruritus, herpetiformis
Suspected infections, peptic ulcer psychoses, herpes simplex infections of the eye, cushing’s syndrome
C
Not listed
Allopurinol, Aloe, Amphotericin B, Anethetics, Anticholinergic agents, Antidiabetic agents, norepinephrine
Apply a thin film to affected area 2-3 times per day
Antigout drug
Management of clients with leukemia, lymphoma, and solid tumor malignancies in whom Chemo causes elevation of serum levels
Hypersensitivity to drug, clients with idiopathic hemochromatosis or relatives of clients suffering from this condition, children
C
Rash, N & V, renal failure/insufficiency
ACE inhibitors, AL salts, Ampicillin, Anticoagulants, Azathioprine, Chlorpropamide, Cyclosporine, Theophylline, Thiazide diuretics
Tablets, 200-300 mg for mild to moderate gout, 400-600mg for moderate to severe tophaceous gout not to exceed 800 mg/day
Page 39
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Lanoxin
Cardiac Glycoside
CHF, control of rapid ventricular contraction, slow HR in sinus tachycardia, SVT, cardiogenic shock
ventricular fibrillation, tachycardia, in presence of digoxin toxicity, hypersensitivity to cardiac glycosides
A
Tachycardia, headaches, dizziness, diarrhea, mental disturbances, blurred vision, N & V, anorexia, yellow vision
Albuterol, Aloe, Amiloride, Aminoglycosides, Aminosaliciyc Acid, Amphotericin B, Antacids, Beta blockers, buckthorn bark
Adults, rapid 0.75-1.25 mg divided into two or more doses given at 6-8 hr intervals
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Verapamil
Antiarrythmic
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Nitroglycerin
Antianginal
terminate an acute anginal attack due to CAD, prophylactically 10-15 min before activites that could cause an attack
doasge not established in children
C
Headache (may be severe and persistant,) flushing, dizziness, weakness. Hypotension, parethesia
not known
Aerosol spray, lingual one to two metered doses (400-800 mcg) on or under the tongue q 5 min as needed
Angina pectoris, with digitalis to control rapid ventricular rate, Essential hypertension, Atrial flutter or fibrillation
Severe hypotension, 2nd or 3rd degree AV block, cardiogenic shock, severe CHF, sick sinus syndrome,
C
infection, flu-like symptoms, URTI, rhinitis, nausea, dyspepsia, diarrhea, constipation, headache, fatigue, dizziness
Amiodarone, Antihypertensive agents, Antineoplastics, Atorvastatin, Barbiturates,Busiprone, Calcium salts, Carbamazepine
180mg in the a.m. with food, or 240mg q 12 hrs if needed
Page 40
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Calan
Calcium channel blocker
Angina pectoris, with digitalis to control rapid ventricular rate, Essential hypertension, Atrial flutter or fibrillation
Severe hypotension, 2nd or 3rd degree AV block, cardiogenic shock, severe CHF, sick sinus syndrome,
C
infection, flu-like symptoms, URTI, rhinitis, nausea, dyspepsia, diarrhea, constipation, headache, fatigue, dizziness
Amiodarone, Antihypertensive agents, Antineoplastics, Atorvastatin, Barbiturates,Busiprone, Calcium salts, Carbamazepine
100mg, 120 mg, 180 mg, 200mg, 240 mg, 200 mg, 260 mg
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Catapres
Antihypertensive
Alone or with a diuretic to treat mild-moderate hypertension, treat spasticity,
Epidurally, presence of injection site infection, clients on anticoagulant therapy, in bleeding diathesis, OB pain
C
Dry mouth, dizziness, srowsiness, sedation, constipation
Alcohol, Beta blockers, CNS depressants, Levadopa, Local anisthetics, Mirtazapine, Prozasin, Narcotic analgesics,
Initiial 0.1mg bid, then increase by 0.1mg-0.2 mg/ day until desired response is attained
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Furosemide
Diuretic, loop
Edema with CHF, nephrotic syndrome, hepatic cirrhosis, ascities, IV for acute pulmonary edema, PO for hypertension
Never use with ethacrynic acid, anuria, hypersensitivity to drug, severe renal disease associated with azotemia and oliguria
C
Jaundice, tinnitus, hearing impairment, hypotension, water/electrolyte depletion, pancreatitis, abdominal pain, dizziness
Charcoal, Clofibrate, Hydantoins, Popranolol
Adults, 20-40 mg if respons eis adequate after 2 hr increase dose in 10 mg increments
Page 41
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Coumadin
Anticoagulant
Prophylaxis of venous thrombosis, thromboembolic complications, pulmonary embolism
Pregnancy, hemorrhagic tendancies or blood dyscrasias, recent or contemplative surgeries
X
Blleding/hemorrhage
Acetaminophen, Allopurinol, Aminogluethimide,Aminoglycoside antibiotic, Amiodarone, Carbamazepine
Adults initial 2-5mg per day, then adjust based on pronthrombin or INR derterminations
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Plavix
Anti-platelet drug
Non-ST-segment elevation acute coronary syndrome, to reduce the rate of death casued byand the rate of a comb. End point
Lactation, active pathological bleeding such as peptic ulcer or intercranial hemorrhage.
B
Skin appendage disorders, headache, URTI, chest pain, flu-like symptoms
Asprin, Atovastatin, Bupropion, Evening primrose oil, feverfew, garlic, ginger, ginko biloba, grapeseed extract
75mg, 300mg. Initial: 300mg loading dose then 75 mg once daily
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Lipitor
Antihyperlipidemic
Hypercholesterolemia, dysbetalipoproteinemia, clinically evident coronary heart disease, prevention of CV disease
Active liver disease, unexplained persistantly high LFTs, Use with grapefuit juice. Pregnancy, lactation
X
Headache, asthenia, abdominal pain, cramps, infection, diarrhea, sinusitis, pharyngitis, myalgia, arthralgia, back pain, rash
Antacids, Clarithromycin, Colestipol, Digoxin, Diltiazem, Erythtromycin, Nefazodone, Oral contreceptives, Protease inhibitors
10 mg, 20mg, 40mg, 80mg. Initial: 10-20mg daily then 10-80mg daily
Page 42
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Accutane
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Zyrtec
Antihistamine
Relief of itching due to uricaria in adults and kids over 6 yrs of age, temporary relief of runny nose, sneezing, watery eyes
Lactation, in those hypersensitive to hydroxyzine, use in children under the age of 4 years
B
Somnolence, dry mouth, fatigue, pharyngitis, dizziness
Ritonavir
One 10mg tablet daily or one 5 mg tablet twice daily
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Nolvadex
Bronchdilator
Coronary vasodilator
Treatment of angina pectoris, prophylaxis of angina pectoris caused by CAD, with naldol to prevent variceal bleeding
To abort acute anginal attacks
C
Dizziness, headache, hypotension, N & V, increased cough, allergic reaction
Ethanol, Calcium channel blockers, Organic nitrates
20 mg bid 7 hrs apart
treatment of axillary node negative, or node positive breast cancer, metastatic breast cancer,
Lactation, Concomitant coumarin, anticoagulant therapy, women w/ history of pulmonary embolus
D
Flushing, hotflashes, altered/irregular periods, amenorrhea, vaginal discharge/bleeding, skin changes, fluid retention
Anticoagulants, Bromocriptine, Cytotoxic drugs, Letrozole, Medroxyprogesterone, Rifamycins
10-20mg a day bid or 20 mg a day
Page 43
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Prednisone
Corticosteroid
COPD, Opthalmopathy due to Gravevs disease, Duchenne's Muscular dystrophy
Dose must be highly individualized
C
Insomnia, N&V, GI upset, fatigue, dizziness, muscle weakness, increased hunger/thirst, joint pain, decreased diabetic control
Not shown
Adults, 5-60mg/day in four equally divided doses after mealtimes and at bedtime.
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
dextromethorphan hydrobromide
anti-tussive
temporary relief of cough due to minor throat and bronchial irritation from the common cold or inhaled irritants
persisitent or chronic cough or when cough is accompanied by excessive secretions, use during first tri of pregnancy
C
Drowsiness, dizziness, Gi disturbances,
Grapefruit juice, MAOI, Quinidine, Silbutramine
Gelcaps, Adults and kids over 12 yrs, 30mg/day q 6-8 hr
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Parvolex
Expectorant
Chronic emphysema, emphysema with bronchitis, chronic asthmatic bronchitis, tuberculosis, bronchiectasis
Sensitivity to drug
B
Bronchial/tracheal irritation, N&V, rash, stomatitis
Antibiotics
1-10mL of solution of 20?% solution 3-4 times per day
Page 44
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Cimetidine
Histamine – H2 Receptor Antagonists
Short term and maintenance therapy for duodenal ulcers, Zollinger-ellison syndrome, UGI bleeding
Kidsunder 12, lactation, cirrhosis, impaired liver/renal function
B
Headache, dizziness, diarrhea, gynecomastia, arthralgia
Antacids, Anticholinergics, Benzodiazepines, Beta-blockers, chloroquine, Digoxin, Flecainide, Caffine
200mg as symptoms present up to two times per day
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Prevacid
Proton Pump Inhibitor
short term treatment for active duodenal ulcer, maintain healing of duodenal ulcer, eradicate infection in duod. Ulcer disease
lactation, use with rabeprazole
B
diarrhea, N&V, constipation, rash
Ampicillin, Clarithromycin, Digoxin, Fluvoxamine, Iron salts, Ketoconazole, Sucralfate
Adults, short term use, 15 mg once daily before breakfast for 4 weeks
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Tums
Antacid
Hypocalcemia, antacid, nutritional supplements, Antihyperphosphatemic,
Dosage not established in kids
Not listed
Headache, constipation, mild hypercalcemia, anorexia, N&V
Omeprazole
0.5-1.5g as needed
Page 45
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Meclizine
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Loperamide
Antidiarrheals
Control symptoms of diarrhea
In clients with hwom constipation should be avoided, if body temp is over 101 degrees
B
Abdominal pain/distention, constipaqtion, dry mouth, N&V, epigastric distress, dizziness, drowsiness
Ritanovir, Saquinavir
4 mg after first loose bowel movement, 2 mg after each subsequent bowel movement
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
beclomethasone hydrochloride
Glucocorticoid
Prevent recurrence of nasal polyps, relief of symptoms of seasonal and perennial allergic and nonallergic reactions,
Status asthmaticus, acute episodes of asthma, hypersensitivity to drug or aerosol ingredients
C
Pharyngitis, Rhinitis, nasal congestion, sinusitis, coughing, viral infection
None shown
Antiemetic
Prevention and treatment of N & V, Dizziness of motion sickness, Vertigo assoiciated with diseases of vestibular system
use during lactation, use in kids under 12, use with caution in glaucoma, obstructive disease in GI or GU tract
B
Drowsiness, dry mouth, nervousness, constipation, insominia
Not listed
Adults, 25 mg to 50 mg approx. 1 hr before travel. May be repeated q 24 hr during travel
Page 46
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Premarin
Estrogen drug
Moderato to severe vasomotor symptoms due to menopause, vuvlular or vaginal atrophy
Use for prevention of cardiovascular disease due to increased risk of myocardial infarction
X
Abdominal/back pain asthenia, breast pain, infection, dyspepsia, nausea, arthralgia, pharyngitis, URTI
None listed
10mg tid for 90 days
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Glucotrol
Anti-diabetic
Adjunct to diet for hyperglycemia in type 2 diabetes,
Not listed
C
Hypoglycemia, headache, dizziness, hives, skin rash, jaundice
Cimetidine
Adults: 5 mg with breakfast
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Amoxil
Penicillins
ENT infections, genitak urinary infections, skin/skin structure infection, lower respiratory tract infection
Use of the 875mg tablet in patients with a GFR of less than 30mL/min
B
N&V, hypersensitivity, gastritis, stomatitis
None listed
250mg q 8 hrs
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Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Cefzil
Cephalosporin
Pharyngitis, tonsillitis, acute bacterial sinusitis, otitis media, uncomplicated skin and skin structure infections,
Not known
B
N&V, diarrhea, abdominal pain, yeast infection of the mouth or vagina
Not known
Adults, 250mg, 500mg. 500mg q 24 hoursfor at least 10 days
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Gentamicin sulfate
Aminoglycosides
Serious infections of the conjunctiva or cornea, infections including neonatal sepsis, bacterial sepsis
Ophthalmic use tot treat dendritic keratitis, vaccinia, varicella, fungal diseases of the eye, lactation
C
GI upset, diarrhea, anorexia, N&V, tinnitus, dizziness. Opthalmic: burning, irritation, itching, mydriasis
Carbenicillin, Diuretics, Nephrotoxic drugs, Ticarcillin,
1mg/kg q 8 hrs up to 5mg/kg/day in life threatening infections
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Sulfadiazine
Sulfonamides
UTIs, Chanchroid, Inclusion conjunctivitis, Meningitis, Nocardosis, otitis media, Rheumatic fever
In infants less than 2 months, pregnancy
C
Diarrhea, dizziness, headache, insomnia, rash, anorexia, stomach pain, tinnitus, myalgia
Not listed
2-4 g a day in divided doses
Page 48
Kylee Payne 2010
Name of Product Tetracycline hydrochloride
Classification
Tetracyclines
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Amphotericin
Antibiotic/antifungal (Antimicrobial)
Drug is toxic, mainly for use in patients with potentially fatal fungal infections, aspergillosis, cryptococcosis, zycomicosis
Hypersensitiivty to drug unless condition is life threatening and amenable only to amphotericin B therapy, lactation
B
Hypotension, headache, epigastric pain, normocytic anemia, muscle/joint pain, tachypnea
Aminoglycosides, Antineoplastic drugs, Azole antifungals, Corticosteroids, Corticotropin, Cyclosporine, Digitalis glycoside
Initial, 0.25-0.3 mg over a period of 2-6 hours. Depending on client reaction dose may be increased gradually 5-10 mg/day
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Lamisil
Antifungal
Interdigital tinea pedis, tinea curis, tinea corporis, plantar tinea pedis, tinea versicolor, cutaneous candidiasis,
Opthalmic or intravaginal use, PO use in chronic or active liver or renal disease or impairment
B
Headache, diarrhea, dyspepsia, rash, pruritis, nausea, taste disturbance Topical- irritation, itching, burning, dryness
Beta bloockers, caffine, Cimetidine, Cyclosporine, Dextromethorphan, MAOI type B, Rifampin, SSRI, CYP2D6, Warfarin
Cream, apply to affected and surrounding area twice a day for a week. Tablets 250mg/ day for 6-12 weeks
Page 49
Kylee Payne 2010
Name of Product
Classification
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Relenza
Antiviral
Prophylaxis and Treatment of influenza A and B in adults and kids 7 yrs and older
Hypersensitivity to zanmivir or any component of the product, use in asthma or COPD
C
Dizziness, headache, cough, N&V, diarrhea, bronchitis, ENT infections, sinusitis
None listed
tablets, 10 mg once daily for 10 days
Name of Product
Classification
Antineoplastic
Uses
Contraindications
Pregnancy
Side Effects
Drug Interactions
Dosage
Page 50
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