RX #(168-200)

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1

Brand: Strattera

Generic: Atomoxetine

Class: Norepinephrine Reuptake Inhibitor, CNS Stimulant

Indication: ADHD

Common: Abdominal pain, headache, insomnia, loss of appetite, nausea, weight loss, xerostomia

Rare: Dyskinesia, mania, prolonged QT interval, psychotic disorders, seizure, suicidal thoughts, sudden cardiac death, tachycardia, hepatotoxicity

** Do NOT open capsules (it is an ocular irritant) **

** Monitor children's growth rate and weight **

** Report new signs of psychiatric problems **

2

Brand: Diflucan

Generic: Fluconazole

Class: Imidazole Antifungal

Indication: Candidal vulvovaginitis (complicated and uncomplicated), Cryptococcal meningitis, Candidiasis (systemic), Oropharyngeal candidiasis

Common:

Rare: SJS, arrhythmias (prolonged QTc interval), adrenal suppression, agranulocytosis, seizures, elevated LFTs, hypokalemia

** Take on the same day ant time each week (if you are on a weekly schedule) **

** interacts with many medications **

** monitor for resolution of signs and symptoms of infection **

3

Brand: Impoyz, Temovate

Generic: Clobetasol

Class: Topical Corticosteroid

Indication: Skin disorders (corticosteroid responsive), plaque psoriasis

Common: Pruritis at the site of administration

Rare: Hypothalamic axis (HPA) suppression has been reported when used with occlusive dressings, over larger surface areas

** apply thin layer to affected area **

** wash hands after administration **

**Avoid occlusive dressings or tight-fitting clothes over site of administration **

** avoid eyes; do not ingest **

** make sure skin is clean before you apply the medication **

4

Brand: Travantan Z

Generic: Travoprost

Class: Prostaglandin, Antiglaucoma Agent

Indication: Ocular hypertension, open-angled glaucoma

Common: Blurred vision, hyperpigmentation of eyelid

Rare: Cataract

** remove contact lenses before administration **

** do not rinse or wash the dropper **

** place finger on corner of eye after administration for 1 minute **

** Separate administration of other ophthalmic agents by at least 5 minutes **

** monitor for efficacy by measuring a reduction in IOP **

5

Brand: Rytary, Duopa, Sinemet

Generic: Carbidopa/Levodopa

Class: Antiparkinsonian

Indication: Parkinson disease

Common: Dyskinesia

Rare: Orthostatic hypotension, neuroleptic malignant syndrome, hallucinations, sleep attacks, compulsive behaviors

** If you are using the oral disintegrating tablets, place on top of the tongue; does not require water or swallowing **

6

Brand: Provera, Depo-Provera

Generic: Medroxyprogesterone

Class: Progestin hormone

Indication: Abnormal uterine bleeding unrelated to menstrual cycle; Prevention of estrogen-induced endometrial hyperplasia; Secondary physiologic amenorrhea

Common: Weight gain, headache, amenorrhea, breast tenderness

Rare: Deep venous thrombosis, thrombophlebitis, osteoporosis, pulmonary embolism

** Menstrual bleeding should occur 3-7 d after last dose **

** Patients should report if menstruation does not occur within 7 d after last dose **

** Do not use if you become pregnant **

** Monitor for efficacy with resolution of signs of abnormal bleeding **

7

Brand: Pamelor

Generic: Nortriptyline

Class: Tricyclic Antidepressant

Indication: Depression

Common: constipation

Rare: Cardiac dysrhythmia, heart block, hepatotoxicity, seizures, suicidal thoughts

** drug may cause dizziness and somnolence **

** avoid activities that will require mental alertness **

** report signs of behavior changes **

** DO NOT DRINK ALCOHOL **

8

Brand: Restasis, Cequa

Generic: Cyclosporine Ophthalmic

Class: Calcineurin Inhibitor

Indication: Keratoconjunctivitis sicca, when associated ocular inflammation results in scanty tear production

Common: burning sensation in eye, eye pain

Rare: hypersensitivity

** comes in single dose packaging **

** mix well before use **

** remove contact lenses before administration, wait to put contacts back in until 15 minutes after administration **

** May be used with artificial tears as long as there is 15-min interval in between **

** monitoring for efficacy with IMPROVED tear production **

9

Brand: Pradaxa

Generic: Dabigatran

Class: Direct Oral Anticoagulant (DOAC)

Indication: Treatment and prevention of initial or recurrent deep venous thrombosis and pulmonary embolism, Prevention of stroke and systemic embolism in patient with nonvalvular atrial fibrillation, Prevention of deep venous thromboembolism and pulmonary embolism after hip replacement

Common: Dyspepsia, gastritis

Rare: Major bleeding, MI, intracranial hemorrhage

** Take WITH or WITHOUT food **

** Do NOT open capsules **

** Treatment must be suspended prior to surgical procedures, using protocols provided in the product package insert **

** increased risk of stroke if you suddenly discontinue **

** Efficacy Monitoring Parameters: Prevention of clotting or recurrence of clotting. The aPTT assay can be used as a qualitative indicator of anticoagulation status **

10

Brand: Dexilant

Generic: Dexlansoprazole

Class: Proton Pump Inhibitor

Indication: Erosive esophagitis (treatment), Symptomatic gastroesophageal reflux disease

Common:

Rare: SJS, rhabdomyolysis, acute interstitial nephritis, Clostridium difficile diarrhea, hypomagnesemia, myocardial infarction, cutaneous and systemic lupus erythematosus

** May be taken WITHOUT regards to meals **

** Do NOT take with ANTACIDS **

11

Brand: Cogentin

Generic: Benztropine

Class: Antiparkinsonian, Anticholinergic

Indication: Extrapyramidal disease (medication-induced movement disorder), Parkinsonism

Common: constipation, nausea

Rare: Anhidrosis, drug-induced psychosis, heat stroke, increased body temperature, tachycardia, visual hallucinations

** Advise patient to use caution with activities leading to an increased core temperature, such as strenuous exercise, exposure to extreme heat, or dehydration **

** Avoid activities that require mental alertness **

** DO NOT DRINK ALCOHOL **

12

Brand: Duragesic, Ionsys

Generic: Fentanyl Transdermal

Class: Opioid Analgesic, CII

Indication: Pain, chronic (moderate to severe)

Common: Application site reactions, sweating, constipation, GI distress, confusion, headache, anxiety, urinary retention, fatigue

Rare: Stevens-Johnson syndrome, physical dependence, tolerance

** use a laxative to prevent constipation **

** DO NOT DRINK ALCOHOL **

** Apply to clean, dry skin **

** Broken skin may increase absorption **

** Febrile patients may have increased absorption **

** MONITOR CLOSELY **

13

Brand: Bactroban

Generic: Mupirocin

Class: Topical Antibacterial

Indication: impetigo, secondary skin infections, eradication of nasal colonization of MRSA during institutional outbreak

Common:

Rare: C. difficile diarrhea

** counsel patient on proper application techniques **

** avoid broken skin, eyes, and open wounds **

** Monitor for efficacy with resolution of clinical signs of infection within 3-5 days OR eradication of nasal colonization **

14

Brand: Tradjenta

Generic: Linagliptin

Class: Dipeptidyl Peptidase IV Inhibitor

Indication: DM Type 2

Common: Hypoglycemia with sulfonylureas or insulin

Rare: Acute pancreatitis, hypersensitivity (anaphylaxis, angioedema, exfoliative skin conditions)

** monitor blood glucose closely **

** take with or without food, but at the SAME TIME each day **

15

Brand: Relafen

Generic: Nabumetone

Class: NSAID

Indication: Osteoarthritis, Rheumatoid arthritis

Common: Elevated LFTs, dyspepsia, abdominal pain, diarrhea

Rare: SJS, GI bleeding, thrombosis, acute renal failure, congestive heart failure, aplastic anemia

** Take with food or milk to decrease GI upset **

16

Brand: Accupril

Generic: Quinapril

Class: ACE-I, Antihypertensive

Indication: Heart failure, hypertension

Common: nausea

Rare: Angioedema, birth defects, liver failure

** AVOID pregnancy **

** May cause dizziness that can be worsened by dehydration **

** Only use salt and potassium supplements under MEDICAL SUPERVISION **

17

Brand: Niaspan, Slo-Niacin,

Generic: Niacin

Class: Antihyperlipidemic

Indication: Coronary arteriosclerosis, hypercholesterolemia; Dyslipidemia; Myocardial infarction, secondary prophylaxis

Common: flushing, headache

Rare: Hypophosphatemia, hepatotoxicity, rhabdomyolysis

** AVOID alcohol and warm beverages **

** Take at bedtime with a low-fat snack to help with flushing **

** Aspirin or NSAID 30 min prior to niacin may reduce flushing **

18

Brand: Omnicef

Generic: Cefdinir

Class: Third-Generation Cephalosporin

Indication: Acute otitis media, pharyngitis, tonsillitis; bronchitis, acute, secondary bacterial infection; Community-acquired pneumonia, uncomplicated skin, and/or subcutaneous tissue infection

Common: hypersensitivity

Rare: Increased liver enzymes, hypersensitivity

** Complete full course of therapy **

** Separate administration of antacids, iron, and vitamins by 2 hours **

** Avoid mixing suspension with food or beverages, but food can be taken afterward **

** Symptoms should improve within 2-3 days **

19

Brand: Patanol, Pataday

Generic: Olopatadine

Class: Ophthalmic Antihistamine

Indication: Allergic conjunctivitis

Common:

Rare: Hypersensitivity reaction

** wash hands before administration **

** place index finger on corner of eye following administration for 1 minute **

** Remove contacts before administration **

** Wait 10 minutes after administration to reinsert them **

20

Brand: Zyprexa

Generic: Olanzapine

Class: Thienobenzodiazepine, Atypical Antipsychotic

Indication: bipolar disorder, schizophrenia; depression, treatment resistant, in combination with fluoxetine

Common: Akathisia, asthenia, dizziness, hypercholesterolemia, hyperglycemia, increased appetite, increased prolactin levels, increased triglycerides, somnolence, tremor, weight gain, xerostomia, orthostatic hypotension, increased LFTs

Rare: Neuroleptic malignant syndrome, pancreatitis, sudden cardiac death, suicidal thoughts, tardive dyskinesia, DRESS, slowed or difficult breathing when used in combination with opioids

** Rise from a sitting/lying-down position slowly **

** Do NOT drink alcohol **

** Avoid activities that require mental alertness **

21

Brand: Various

Generic: Penicillin

Class: Antibiotic

Indication: Bacterial endocarditis, prophylaxis in patients with congenital heart disease or rheumatic/acquired valvular heart disease; Otitis media, mild-moderate, pneumococcal; Streptococcal pharyngitis

Common: diarrhea, nausea

Rare: Severe hypersensitivity, renal failure, hepatic failure, hemolytic anemia

** Take on an empty stomach **

** Symptoms should improve in 2-3 days **

** complete full course of therapy **

22

Brand: Prometrium

Generic: Progesterone

Class: Progestin Hormone

Indication: Prevention of estrogen-induced endometrial hyperplasia, Secondary physiologic amenorrhea, assisted reproduction for infertile women

Common: Weight change, headache, amenorrhea, breast tenderness, abdominal pain

Rare:Thromboembolism (DVT, PE), thrombophlebitis, osteoporosis

** Menstrual bleeding should occur 3-7 d after last dose **

** Report if menstruation does not occur within 7 d after last dose **

** avoid other vaginal products 6 hours before and after administration of progesterone **

23

Brand: Xyzal

Generic: Levocetirizine

Class: Antihistamine

Indication: Idiopathic urticaria, perennial, or seasonal allergic rhinitis

Common: diarrhea in children

Rare: Agitation, seizures

** may cause dizziness or sedative effects **

** avoid activities that require mental alertness **

24

Brand: Lunesta

Generic: Eszopiclone

Class: Nonbarbiturate Hypnotic. C-IV

Indication: Insomnia

Common: headache

Rare: Anaphylaxis, angioedema

** take immediately before bedtime **

** do not take with heavy/high fat meals **

** DO NOT DRINK ALCOHOL!!!! **

** report behavior changes (monitor sleep patterns) **

** this should NOT be taken on a regular schedule!!! **

** this is an as needed medication, only when experiencing insomnia **

25

Brand: Normodyne

Generic: Labetalol

Class: α/β-Adrenergic Blocker

Indication: Hypertension

Common: dizziness, nausea, fatigue

Rare: Hepatotoxicity, bronchospasm

** report signs of slow HR and syncope **

** DO NOT DRINK ALCOHOL **

** diabetic patients must monitor blood glucose levels more closely **

26

Brand: Tamiflu

Generic: Oseltamivir

Class: Neuraminidase Inhibitor, Antiviral

Indication: Influenza Type A & B (treatment and prophylaxis)

Common: nausea, vomiting

Rare: Arrhythmias, anaphylaxis, Stevens-Johnson syndrome, seizures, delirium

** complete full course of therapy **

** symptoms should improve in 2-3 days **

** take WITH FOOD to decrease GI upset **

**Take missed dose as soon as possible, if next dose is within 2 h, skip missed dose **

** give patient instructions to take in mL **

27

Brand: Viibryd

Generic: Vilazodone

Class: Antidepressant, SSRI/5-HT1A Receptor Partial Agonist

Indication: Depression

Common: diarrhea, nausea, headache

Rare: Hyponatremia, serotonin syndrome, suicidal ideation

** DO NOT DRINK ALCOHOL **

** AVOID GRAPEFRUIT JUICE **

** avoid activities that require mental alertness **

** may take a few weeks to see improvement **

** may take WITH or WITHOUT food **

** take consistently **

28

Brand: Pristiq, Khedezla

Generic: Desvenlafaxine

Class: Serotonin/Norepinephrine Reuptake Inhibitor

Indication: Depression

Common: Diaphoresis, dizziness, headache, nausea, xerostomia

Rare: GI hemorrhage, serotonin syndrome, suicidal thoughts

** May cause dizziness or somnolence **

** DO NOT DRINK ALCOHOL **

** may take a few weeks to see improvement of symptoms **

** take WITH or WITHOUT food **

** avoid activities that require mental alertness **

29

Brand: Focalin

Generic: Dexmethylphenidate

Class: CNS Stimulant. C-II

Indication: ADHD (methylphenidate naive; current methylphenidate user)

Common: Weight loss, loss of appetite, headache, insomnia, restlessness

Rare: AMI, seizures, spasmodic movement, anemia, stroke, thrombocytopenia, psychosis, mania, drug dependence, priapism

** avoid late evening doses (may cause insomnia) **

** may open capsule and pour onto a small amount of food such as applesauce **

30

Brand: Zebeta

Generic: Bisoprolol

Class: Cardioselective β-Adrenergic Blocker

Indication: Hypertension

Common: Bradyarrhythmias, cold extremities, dizziness, fatigue, hypotension

Rare: heart failure

** May cause dizziness, depression, or sexual dysfunction **

** may mask signs of low blood sugar **

** avoid activities that require mental alertness **

31

Brand: Nizoral

Generic: Ketoconazole Topical

Class: Imidazole Antifungal

Indication: Candidiasis of skin, Dandruff, Pityriasis versicolor, Seborrheic dermatitis, Tinea corporis, Tinea cruris, Tinea pedis

Common: application site reaction with foam

Rare: Rash, hair loss

** Cosmetics (makeup or sunscreens) may be put on the affected areas 20 min after application **

** do NOT wash application areas for at least 3 hours after applying the medication **

** apply a thin layer to clean, intact skin **

** Do not get it in your eyes, nose, mouth, or vagina **

32

Brand: Colcrys, Gloperba, Mitigare

Generic: Colchicine

Class: Antigout

Indication: gout (acute & prophylaxis), Familial Mediterranean fever

Common: diarrhea, nausea

Rare: Agranulocytosis, rhabdomyolysis

** Instruct patient on appropriate dosing strategy for gout flares (dosing to symptom relief or onset of adverse effects, particularly diarrhea) **

** Monitor for efficacy with an improvement in signs and symptoms of gout (pain, stiffness, swelling) **

33

Brand: Trexall

Generic: Methotrexate

Class: Antimetabolite

Indication: Non-Hodgkin lymphoma, advanced (Burkitt lymphoma, stages I and II), Psoriasis (severe); Rheumatoid arthritis (severe); Juvenile rheumatoid arthritis (polyarticular course)

Common: Myelosuppression, nausea, vomiting, alopecia, stomatitis, photosensitivity, rash

Rare: Acute renal failure, liver failure, interstitial lung disease, Stevens-Johnson syndrome, secondary malignancies (lymphomas), opportunistic infections

** Emphasize appropriate dosing schedule (weekly vs daily) **

** Avoid pregnancy while taking (male and female) **

** Causes nausea and vomiting **

** Ensure patients have antiemetics and know how to take them **

** Avoid sun exposure **

** May take with food **