Medications Pt__________ Rm#______ Allergies_________________

Dose
  ordered   Action & Absorption Metabolism/ Adverse Reaction Nursing

Generic/Trade Route,
Names freq. Classification Reason Distribution Excretion Side effects Considerations
Routine              

Adrenalin   anti asthmatic asthma A:well M:rapid nervous, restless CI:arrythmias,

epinephrine   bronchodilator   D:plac. Lact. nerve ending tremor, angina HTN Hyperthyroid
ass: lungs & VS   vasopressor     E: arrhythmias, HTN DM,cerebral art-
    adrenergic       tachycardia erial sclerosis

Advair discuss   anti-asthmatic Asthma A:30% M:liver sysphonia; hoar- 1 min. between
fluticasone &   corticosteroid   D:10-25% E:<5% urine seness; fungal inhalations
salmeterol       airway and feces infection 1st broncho dilat.

        check f/excoriat.
  Decongestant arterioles in       & bleeding; puls
Afrin   sympathomim. nasal pass.       BP. Not w/ HTN
      constrict       DM,HD,thyroid pr
             

selective beta2-
Albuterol   adrenergic asthma/ A:PO well M:liver + heart rate up check lungs, HR,
Proventil   bronchodilator  COPD D:lact. E:   BP. Stop meds w
              wheezing

             
  diuretic (weak) cause loss of A:>90% M:liver hyperkalemia BP down -fall rsk
Aldactone   K-sparing Na, HCO3,Ca D:plac. Lact.   don't give suppl urinal empty
spironalactone     saves K+,H+     potasium I&O,call light
            not for renal pt
              
Aleve 837   analgesic,NSAID pain,fever A:complete M:liver GI bleed; full glass of H2O
Naproxen   antipyretic inflammation D:plac. Lact. E: hepatitis;S&J syn upright for 30min
          anaphylaxis drowsy;noETOH
             

Altace pg 147   antihypertensiv mng HTN A:50-60% M:liver cough, hypoTN check BP
ramipril   ACE inhibitor mng CHF D:? E:60%kidn. angioedema  
check HR, BP     migraine HA   40% fecal agranulocyt. taste desturb.
            proteinurea  

Ambien   sedative/ sleep/rest A:well M: drowsy, dizzy, risk of injury

zolpidem   hypnotic binds to D:? E: kidneys diarrhea, N&V phys, psych dep.
CNS depression     GABA recep.     dependence CNS depression
  anti-infective skin, burn, A:IM well M: seizures,colitis anaphylaxis alert
  cephalosporin pneumonia D:plac.lact E:unch kidn phlebitis, serum with food PO
Ancef   1st generation UTI,bone& CSF   sickness, ana- superinfections -
Cefazolin     joint.septicem     phylaxis,D,N,V, diarrhea,
               
             
             

  interferes with deterrent alc.     hepatitis, HA not with heart dis

Antabuse   alc. Breakdown abuse     dermatitis, impo. DM, epilepsy,
            peripheral neurop liver impairment
               

  anti emetic prevent N&V A:Well M: HA ass. For N&V &

    post operat. D:? E:61%unch   bowel sound/dist.
Anzemet         kidneys   IV:hypotn,bradyc.
dolasetron             syncope
             

  anti parkinson anti-spasm A:well GI tract M: bradycardia; before or w food

Apotrihex     extrapyram D: E: memory impair slow withdrawal
trihexyphenidyl     dystonia     toxidity;withdraw  
               
AlternaGEL Antiulcer, Lower of phos levels A: well M and E: Constipation, hypophosphatemia Gastric pain, phos,
hypophosphatemic, in pts with chronic D:widely across feces, kidneys ca levels
Aluminum antacid (phos renal failure. Binds placenta ,
hydroxide LIQD binder) phos in g.i tract and breasts milk
inactivates pepsin .
Neutralize gastric
acids

  anti-alzheimer mild/moder. A:well M:liver HA, diarrhea, HS admin.

Aricept   cholinergics dementia D:? E:kidneys N&V dissolve on tong
Donepezil              
inj 2.5mg
SC anti thrombotic inhibit clot A:rapid,compl. M: HL17-21° ck for platelets
Arixtra 589 q24°   formation D:blood E:unch.urine hemorrhage potential bleed
fondaparinux           not for renal imp NO HEPARIN
check platelets              
               

  colitis A:28% PO M:some HA;anaphylaxis before meals

Asacol   GI anti- proctitis 10-30% PA E:unch feces   and HS w/ full
mesalamine   inflammatory   D:?     glass water
               
  analgesic anti platelet A:upper small M: liver GI bleed, with food or after
Asprin, ASA   antipyretic aggregation inteting E: depends dyspepsia meals.
acetylsalicylic acid   reduce throm- thin blood D:rapid&wide on urine pH allergic reaction CHF risk fluid
    bosis formation reduce inflam. plac. & lact. if high: more skin problems retention
    Cor. Art. diseas "prostagland   unchanged    
               

  anti anxiety anxiety, A:well M:compl.liver drowsy, dry mth shake suspens
Atarax   anti histamine preop. Sedat D: unknown E:bile feces pain at IM site deep IM Ztrack
hydroxyzine   sedative/hypnot anti emetic       Painful-don't use
      anti pruritic       deltoid
               

  a-anginal A:PO 55% M: bradycardia,CHF assess for CHF

Atenolol     lower BP,HR        
    a-HTN   D:CNS,plac,lac E:kidn&feces PE, impotence check BP<50HR
Tenormin   beta1-blocker prevent MI     fatigue I&O,wt. glucose
wh apical p.< 50     red. Angina        
   a-anx., sedative A:well dizzy,drowsy,NV No/w Nar. Agl.gl.,
Ativan   anastet. ajunct anxiety D:bbb,plac.lac M:high-liver const./diarrhea alc. Antihist.
lorazepam   benzodiazepine depress/dem   E: dependanc/tole. a-depres, sedat.
CNS depressant     st. epileptics       and hypotension
               
anti-arrythmic
  antimuscarinic A:well M:liver drowsy,blurred don't give:COPD
  bronchodilation bradycardia D:bbb.plac.lac E: kidneys vision;tackyc. acute-angle gl.
Atropine    anti-choilnergic decrease GI,     dry mouth asthma,Heart d.
       resp.& oral     urinary retention HTN,hyperthyroid
    secretion        

  bronchodilator A:minimal M:liver fluorocarbon tox caution w other

Atrovent   anticholinergic airway obstr. D: small amoun antichollinergic inhalants;
ipratropium     allergy;   E: rhinorrhea check allergies
      rhinitis       slow onset med
      bronchspasm        

  antihypertensive A:60-80% M:liver renal failure BP

Avapro   ang-tens II hypertension D:? E:bile hyperkalemia  
irbesartan   antagonist nephropathy   unch. Kidney    
check BP     red.stroke rsk        

Avodart   BPH (benign reduces size A:60% M:liver reduced libido wear gloves
dutasteride   prostate Hyperp prostate D:11.5% into E:feces ejac. Disorder no blood donate
use gloves   agent   semen   impotence  

  anti-infective A:PO 40% M: Colitis,abd. Pain don't use w eryth

Azithromycin   for atypical IV complete E:unch.bile diearrhea,Nause romycin;not w
    mycobacterium infection D:some CSF some urine angio-edema meal;anaphylexis
               

  anti-retrovirus       no fruit juice

AZT     AIDS, inh       admin on empty
zidovudine     viral DNA syn       stomach W H2O
      reduc inf.baby        
   belladonna/        
B&O   opium bladder        
narcotic     spasm        
               

  anti-infective     crystal formation increase fluid

Bactrim   inhibit folic acid     in urine intake to dilute
trimethoprim/   metab. Of bact.       urine, check for
sulfamethozazole     UTI's       sulfa allergies
SULFA allergies!              

ointment anti-infective A:minimal M:skin   1st wash&dry

Bactroban   S.aureus&strep inhibits bact. D:stratum E:desquam.    
mupirocin   pyogenes protein synth corneum      
(MRSA)     Impetigo        
  allergy,cough A:well M:1st pass drowsy,anorexia adm. W meal
  cold remedy D:plac. Lact. rapid, liver dry mouth IV incompatable
Benadryl   a-histamine prevent   E:   fall risk over sed.
diphenhydramine   a-tussive motion sick        
      suppr. Cough        
               
           
Benazepril   anti hypertens A:37% M:liver hypotension check BP
lotensin   ACE inhibitor D:plac,lact E:20% kidn. cough,proteinurea  
      manage CHF     angioedema  
      lower BP     taste dist.  
               

Benicar 153   anti hypertensiv A:26% absorb M: renal failure CI renal disease
olmesartan   angiot. II antag. lowers BP D:? E:kid 30-50% hyperkalemia  
BP check     reduce stroke   rest bile/feces    
      risk        

Bupivacaine   epidural anest. A: systemic M:liver seizures, check for tingling

    synergist to D:placenta E: kidneys CV collapse numbness, motor
    opioids     toxidity sens. Deficits
      severe pain       orthost. HTN
               
Buspar pg220   anti anxiety A:rapid M: liver dizzy, drowsi, no grapefruit juic
buspirone     binds to sero D:? E: 20-40% excitement, dreams; w food
      tonin & dopa   feces blurred vision gradual decrease
      mine recept.     chest pain et. dose.
               

Carbidopa/levod.   anti parkinson up dopam. A: well M:GI tract & toxidity: muscle check vs w dose
    dopamine agent levels in D:BBB liver twitching,winking adjustement,
      corpus stratium     beh.change, liver & kidn func
            tongue protrude food after med.
               
Carboxymethyl Articial tears Treats and prevents A: cornea Chnges in vision or allergic rxn Changes in
cellulose opth tears irritation caused by epithelium vision
dry eyes.
Pain in eye

Cardura   a-HNT, dilate A: well M:liver dizzy,HA, 1st admin HS, ok w

Doxazosin   arteries, veins D:lact. E: dose orthostatic diuretic + other
    alpha blocker hypertention     hypotension HTN med; ass f
              prost.hyperplasia

check labs,PSA
  a-neoplastic A:well M:liver weakness, Naus. up BUN &
Casodex     reduce risk D:? E: const., diarrhea creatan.
      spread of CA        

  Anti -HTN analgesia A:GI tr, skin M:liver drowsy, check pulse &BP
Catapres   adrenergic hypertension D:CNS,plac. E:50% unch dry moutn last dose @HS
Clonidine     opioid withdr   in urine   gradual d/c
               

  cox2 inhibitor arthritis A:? M:liver GI bleeding  

Celebrex 251   reduce pain,   D:ext. tissue E:<3% unch    
celecoxib   inflamm.&fever     urine/feces    
               
   antidepressant depression A:80% M:liver apathy, confus. Not w/MAO inh.
Celexa pg286   SSRIs   D:lact. E:unchanged drowsy,weak, photophobia
citalopram         in urine tremor,abd.pain avoid CNS depr.
            diarrhea,anorex and alc.
               

  laxative chronic A:<3% M: belching;cramps w/o food up abs.

  osmotic constipation D:? E:unch. urine distention;flatul. mix w fruit juice
Cephulac             for better taste
lactulose              
               
  anti-infective Broad spectr. A:70% M:15%liver seizures, arrythm CNS toxidity, not
  fluoroquinolone MRSR,bone, D:wide plac.lac E:40-50 unch colitis anaphylax for kids(cartalage
Cipro     joint,GI,opth,   kidney steven-johns syn photophobia; no
ciprofloxacin     sinus,prostrate     dizzy,HA,insomn multvit. Fe,antac
               
               
             
  cephalosporin-3 binds cell wal A:IM well M:partly seizures, colitis interferes Wvit K
Claforan   anti-infective gram - D:plac. Lact. E:unch kidn. phlebitis at IV avoid alc. Eat
cefotaxamine           anaphylaxis yogurt to avoid
            serum sickness colitis
               

  hormone replacement A:well M:liver &othe MI;thromoemb. oral w food;

Climara pg481   estrogen   D:plac; lact. E: HA;edema;HTN ass vasomotor
Estradiol           wt. chang;impot. symt and liverfx
               

  anticonvulsant seizure A:GI tract,well M: liver drowsiness last dose at HS

Clonazepam HS   benzodiazepine prevention D:bbb,plac   beh. Change  
            ataxia  
               

  antipsychotic reduce poss. A: well M:1st pass Hyperglycemia give prune juice
Clozaril 300   dopamine & and neg. sx D: rapid bbb liver weight gain, sedation, watch
clozapine   serotonin block of schizophr. & placenta E: orth. hypoTN for EPS (not
      red. Suicide     agranulocytosis common)
               
Clindamycin Anti-biotic Treats skin, A: Well M and E: liver Dizziness, headache, vertigo, Monitor bowel
(Cleocin) Inhibits protein respiratory, Gyn, D: Widely arrhythmias, hypotension, elimination, abd
synthesis of Osteo, abdominal diarrhea, N/V, rash, phlebitis , cramping, assess
bacteria infections and colitis for infction
septicemia

Codeine #2=15mg opioid analgesic pain,cough A:50%PO M:liver conv. confusion,sedat. CNS depressant
narcotic #3=30mg allergy,cold mnge diarrh 100% IM to morphine hypoTN,constip. caut:MAO inhib.
hold resp.<10 #4=60mg cough remedy   D:wide,plac,lac E:10% kidney N&V, admin before severe pain  
            urinary retention dependence
               

Cogentin pg192   cholinergic suppress A: well M: unknown dry mouth red dose w/musc
benztropine   blocker in tremors D: unknown E: unknown constipation weakness, not w
Mesylate   corpus statium       sedation/up HR narr. Angl glauc.
               

  anti-altzheimer impr. Cogn. A:17%bioav. M:liver GI bleeding not with meals,@

Cognex   cholinergic funciton D:? E: braydcardia reg. intervals,
tacrine           dizzy,clumsy fall precaution
               

Laxative, stool
  softener constipation A:small intes. M: throat irritation w full glass water
      D:? E:bile mild cramps no up peristalsis
Colace              
docusate sodium              

  anti emetics mng N&V A:variable M:liver GI Neuroleptic mal. gloves, w/food;
Compazine   anti psychotic trt psychosis D:high cons in   syndr.; agranulo VS, sedation prec.
prochlorperazine   phenothiazine & anxiety CNS, plac. Lac.   cytosis, xtr pyram tardive dyskinesia
            blur vis., const. dry mouth
               
  antiparkinson prevent brk- A:35% rapid M:highly neurol.mal.synd. adm. w levodopa
Comtan   COMT inhibitor dwn of levo D:unknown E: bile rhabdomyolysis mon. EPS/dyskin.
entacapone     dopa     diarrhea DC gradually
            dizzy; hallucin. urine:brwn/orang
            orthost. hypoTN move slow
               
   a-hypertensive reduce HR A:well, first M:extensive bradycardia, PE, food slows abs;
Coreg   B-blocker 1&2 & BP; slows pass E:feces via CHF, dizzy, weak check HR,BP,
carvedilol     HTN progres D:98 %prot. B bile,< 2% fatigue, hyper- Orthostatics,
hold for HR <50         unch. In urin glyc., impotence I&O
check BP              

  synthetic ACTH       dysrythmias,HA CI with diuretics

Cosyntropin (IV)   adrenocortico-          
    tropin hormone          
               

  anticoagulant ven. Thromb. A:well Gitract M:liver Bleeding,cramp errors fatal

Coumadin   red. Clotting pulmon. Ed D:placenta E: nausea,fever ass.for bleeds
warfarin             not w. ulcer,eye,
              brain surg.
               

  anti-HTN hypertention A:1st pass, M:14% act. renal failure check orthostatic
Cozaar   angiot.II rec. lower stroke D: E:some unch liver impairment p. edema, lungs
iosartan   antagonist risk   kidney hyperkalemia creatinine,BUN
               

  lipid lowering manage high A:PO 20% M:1st pass, abd. Cramps d/c w/myopathy
Crestor   agent cholesterol D:? 10% metab. constip./diarrhe or up CPK levels
Rosuvastatin         E:90% feces rhabdomyolysis muscle tendern.
            rash/heartburn opthalmic exam
               

  mng uveitis mng uveitis     irritation,photo ctn:hx glaucoma;

Cyclogyl   (intr,occ. Inflam)       phobia,blurred v systemic antichol
cyclopentolate             igergic effects
               

  antidepressant depressive A:well M:CYP2D6 seizures;fatigue check for HTN

Cymbalta   SSNRI disorder D:? E: drowsy;insomnia suicidal tendency
duloxetine           constp;dry mout nutrition intake
               
   thyroid hormone replace func. A:well M:liver,other CV collapse, before breakf.
Cytomel, 1137     of thyroid D:most tissue E:feces,bile arrythmias, repid onset
liothyronine           insomn.nervous yearly lab test
hold >100 pulse           wt loss  
               

  prevent alkalosis     watch for hypervolemia  

D5 1/2 NS   hypertonic promote diuresis     SOB, bounding pulse  
    solution correct fluid loss     not for heart,kidney disease  
      provide calories     not for dehydration  
               

  opioid analgesic mild-moder. A:well M: liver dizzy, weak, No MAO inhibit.

Darvocet N 100     pain D: wide,plac E: nausea no alc. A-depres,
propoxyphene       lact.   CNS depression sedatives/hypn.
napsylate/tyl.650              
narcotic              
  long acting inflammation A:well M:liver peptic ulceration cerebral edema
dexamethasone   corticoidsteroid neoplasm D:wide E: thromboembolis may cause hypo
Decadron     auto-imm.d.     HTN;osteoporosi kalemia, hyper-
      organ reject.     cushingoid appe glycemia, adrenal
              insufficiency
               
Not with MOA
  opiod analgesic mod/severe A:50%GI tract M:liver seizures, confus inh.
Demerol (755)   agonist pain D:plac;lact E: 5% unch sedation, NV IV 5 min. admin.
meperidine     anastesia   liver constip. hypoTN check Resp. rate
hold for resp <10     adjuct        
               

  antidepressant depression A:well PO M:liver exten drowsy, hypoTN w food at HS for

Desyrel pg 1170   heterocyclic insomnia D:wide E:minimal dry mouth drowsiness
trazodone     chronic pain   kidneys    
               

  anticonvulsant decr. Seizure A:well M:liver livertoxidity sedative: give

Depacote   vasc. HA suppr. decr. Migrain D:plasma E:small am indigestion HS w/meal, not
divalproex sodium   mood stabilizer HA, manic ECF unch. Kidney N&V with milk/soda
      episodes     pancreatitis no alc, CNS depr.
               
   antispasmodics decrease A:well E:80%urine paralytic ileus monit. For
Dicyclomine     GI motility D:? 10% in feces constipation anaphylaxis
Bentyl,Bentylol           heartburn adm. 1° bef Meal
Formulex,spasmoban           urine retention increase fluid int
               
   Adverse reactions
 Headaches, dizziness, seizures, increased risk in
  anti fungal fungal infect. A:well M:10% liver nausea, HIV patients
Diflucan       D:wide E:kidneys vomiting,hypokalemia,exfoliative  
fluconazole           skin disorders  
               
 
  CHF, tachyc. M: Bradycardia, monitor I&O
Digoxin   atrial fib.; up A:60-85% E:kidney, fatigue, N&V check pulse
check Apulse   anti-arrhythmia force/output D:wide unchanged arrythmias  
for 1 minute           visual dist. (hold meds)  
hold <60              

  anti arrythmia reduce seiz A:slow, GI tr M:liver Ataxia, nystagm check orthostatic
Dilantin   anti convulsant activity D:CSF/fatty E:kidneys hypotension & hyperkalemia
phenytoin/   alfa adrenergic contr. arryth tissue   cerebrov. spasm ass. Edema,
fosphenytoin   blocker manage pain     w parenteral dizzy, HA, diarrh
narrow ther. Range              

  opioid pain A:well M:Liver confusion;, dizziness, sedat give before

Dilaudid   analgesic   D:plac.;lact. E: hypotension severe pain
hydromorphine           constipation check resp.!
narcotic, sch II              

  a-hypertensive no Na reabs. A:PO 25% M:20%liver hyperkalemia ass. For ortho-

Diovan   angiot. II rec. no constrict. D:? E:feces via hypotension statics and
valsartan   antagonist of blood ves   bile dizzy,fatigue edema
hold sbp<140     for HTN     HA, diarrhea  
               
  general anest. induce/maint A:IV:complete M:rapid liver Apnea;brady assess VS cont.
Diprivan     anesthesia D:bbb,plac. E: cardia;hypoTN & sedation level
propofol       lact.   pain at IV site maintn airways
              caution w:ICP &
              CVD
               
   diuretic, a-HTN hypertension A:rapid M: excretion of BP down -fall rsk
Diuril       D:ECF,plac,lac E:unch kidn. Cl,K,Mg, HCO3 urinal empty
chlorothiazide           Na, H2O I&O,call light
SULFA allergies?              

  inotropic (force) increase A:IV only M:liver HTN, PVC's POT DANGER IV
Dobutrex   beta1 adrenerg cardiac outp. D:? E: hypokalemia check dose
dobutamine     w/o up HR       check VS, I&O
              peripheral pulse
               

  anti emetics NV, dizzyness A:well M:liver drowsiness assess Bowel snd
Dramamine   anti histamine motion sickn D:Plac, lact E: anorexia & abd pain for
dimenhydrinate           dry mouth acute abdomen
              check for dehydr.
               

  allergy,cold; mng nasal A:well PO M: liver seizures; CV don't use MAOIs

Drixoral 1007   cough; nasal congestion D:CSF;plac E: 1/2 to3/4 collapse; anxiet drug-drug int.
pseudoephedrine   drying agent open eusta- lact uncha liver anorexia nerv. 2 hrs before bed
    decongestant chian tubes        
               

  laxative constipation A: variable M:liver shake liquid

Dulcolex     stimulates D:lact. E: constipation before use
bisacodyl     peristalsis     gray-black stool or rectal
hold for ANC<1,00           impaction  
  depression A: 92-100% M:1st pass seizures; dreams admin. W food
Effexor XR pg1190   antidepressant anxiety D: extensive E:urine anxiety, dizzy monitor nutrition
venlafaxine   anti anxiety prementral     HA,visual dist. ass suicidal tend.
NSRI     dysphoric dis     constip. Dry mth check labs
            sexual disf. Etc.  
               

  antidepressant antidepress A:GI M:liver arrythmias, sedative, give

Elavil   unlab. chronic a-cholinergic D:Wide D:plac. Lact. blurred vision at HS after meal
amitriptyline   pain       lethargy suicide ideation
               
   antiparkinson increase A:well oral M:conversion NO SSRIs or tri- admin w food
  MOA type B inh. response to D:wide to amphetam cyclic antidepres assess BP reg.
Eldepryl 1066     Levodopa   D:45% urine rsk w tyramine avoid ETOH,
selegiline           foods; nausea caffeine, tyramin
               
               

  anti-infective penicillin- A:variable M:liver partial vertric. Arrythm. no fruit juice,

Emycin   macrolide resistent inf D:wide,plac. E:unch, bile N&V, phlebitis IV not W coumadin,
erythromycin     bacteriostatic   urine   immunosuppres.
              caution W heartd.
               

  anti HTN, mng HTN A:rapid PO M: hypokalemia AM admin.

Esidrex 409   diuretic treat edema D: ECF, plac E:unch.kidn. hyperuricemia w food or milk
hydrochlorothiazide   inhibit Na reabs   lac.      
check PB              

  antianemic iron deficienc A:various M:recyled seizures,hypoTN ass. For anaphyl.

Ferrous Sulfate   iron supplement   D:remains in E:sweat,u,bil constip,darkstool liq. Stain teeth
30% element. Iron       body long   skin stain,diarrhea not with meal
               

  anti-infective abd. Infection A:80%PO M:liver part. seizures, HA, assess for infec
Flagyl   anti-ulcer disrupts DNA D:most tissue E:urine,feces dizzy, abd.pain I&O, wt., stool
      &protein synt & fluids   anorexia, naus. sample for
            dry mouth Giardiasis
               

  anti-adrenergic prostatic A:slow M:liver dizzy, HA orthostatic Hypot

Flomax   prostate muscle hyperplasia D:wide E:kidneys    
tamsulosin   contrac. Decreas          
               

  allergy,cold a-inflammat. A:<2%,local M:liver rapid dizzy, HA, nasal rinse mouth aft.
Flonase   cough remedy immune D:some swall E: bleed, abd. Pain shake bef. Use
fluticasone   corticosteroid modifier     loss of taste adm. 15 min
    intra nasal         before meds
               
   corticosteroid Na reabsorb. A:well M:liver CHF,dizzy, HA mon: fluid retent
Florinef   for orthostatic hypotents r/t D:lact.   arrythmias BP; no abrubt
fludrocortisone   hypotention adrenocortic.     fluid vol. excess discontinuation
      insufficiency        
               

  anti-asthmatic Asthma A:30% M:liver sysphonia; hoar- 1 min. between

Flovent   corticosteroid   D:10-25% E:<5% urine seness; fungal inhalations
fluticasone       airway and feces infection 1st broncho dilat.
               

  bone resorpt. osteoperosis A:poor M:   admin. Before

Fosamax (pg102)   inhibitor Paget's dis- D:soft tissue E: urine   other meds, food
alendronate   biphosphonates ease of bone and bone     or drinks w H2O
               

  anti-infective broad spectr. A:IM, IV well M: ototoxidity elderly high risk

Gentamicin   aminoclycoside urinary, resp. D:ECF,plac,lac E:90%renal nephrotoxidity increase fluid int.
garamycin     nervous, GI        
               

  anti diabetic Lower blood A:well PO M: liver photosensitivity check bloodsuga

Glucotrol 616   sulfonylureas glucose D: E: hypoglycemia check CBC+labs
Glipizine           aplastic anemia make sure pt. is
              diabetic!
               

  anti diabetic lowers cblood A:well PO M:liver hypoglycemia monitor blood

Glucotrol   sulfonylureas glucose D:up cons bile E: aplastic anemia glucose
glipizide           photosensitivity  
SULFA allergies?              
antipsychotic
  butyrophenones psychosis, A:well M:liver seizures, NMS pt. swallows pill
Haldol     tourette's syn D:plac. Lac E: extrapyramidal don't touch fluid
haloperidol    anti-dopaminergic N&V consentr. Liver   blrd vision,const. admin w food
    action         EPS, NMS symt.
               
Hydrocortisone   anti-asthmatic adenocortical A:well M:liver CNS depression not w/infections
lone, sone   corticosteroid insufficiency D:wide   euphoria, HA, risk for infections
      for bronchitis     HTN,peptic ulcer fungal, pneumon
      cancer agent     thrombo-embol UTI, cushing syn
      reduces     muscle waisting peptic ulcers
      inflammation     osteoperosis  
             

  diuretics, antiHTN mild HTN A:rapid M: hypokalemia, admin am

Hydrodiuril 409   diuretic edema D:ECF, plac. E: kidneys hyperuricemia w water/food
hydrochlorothiazide       lactation      
               

  antipyretic pain, inflam A:GI tract M:liver GI bleed, hepat. give with food
Ibuprofen   antirheumatic fever, D: E:1% unch constip,diarrh,HA up risk CV diseas
(motrin,advil)   anti inflammat. inhibits pros-   kidneys dehydrat. Skin risk dehydration
NSAID   analgesic taglandin syn     problems; N&V  
               

  immune supp. organ transpl A: M: Nausia, hair loss take w food

Imuran PO       D: E: rash, infection  
azathioprine PO              
               

  antianginal HTN, prevent A:1st pass M:liver,compl CHF,PE,bradyc. check pulse;w

Inderal   antiarrhythmic MI; suppress D:plac.lact, E: arrhythmias meals; ass.for
propranolol   antiHTN arrythmias CNS   impotence orthostat., FVE
hold HR <50   vasc. HA suppr. angina     fatigue, weakn. not w/ asthma
               

  anti-infective intra abdom A:90% IM M: seizures, speudo pennicillin allergy

Invanz 471   carbapenems skin; UTI 100% IV E: kidneys membr. Colitis may alter labs
ertapenem     pneumonia D:lactation   anaphylaxis  
      gynoc. Infec.        
               

  potassium supp low K+level A:well M: arrythmia's with or after

K dur       D:ECF into cell E:kidneys abd. Pain;NV meals
potassium chloride           flatulence, diarr  
               
   anti hyper- lowers A: M:    
Kayexalate PO   kalemia potassium D: E:    
               
check potassium              
  inti-infective infection A:well M: seizures,colitis check allergies
Keflex   skin,bone,joint   D:plac.lact. E:unch kidn. snaphylaxis anaphylexis,
cephalexin   UTI,Pneumonia   minimal CSF   serum sickness labs; admin
            DiarrhiaN&V,rash 24°,with food/
            phlebitis IV water
               

  anti-infective infection A: well M: seizures, plebit, superinf., no alc.

Kefurox   cephalosprorin prevention D: wide, poor E:unch kidne anaphylaxix,  
cefuroxime   2nd gen.   CSF, plac. Lact   serum sickness  
            speud. Colitis  
               

  anticonvulsant decrease   M:liver dizzy, weak w/wo meal

Keppra   pyrrolidines seizure   E:66% unch    
levetiracetam     severity &   by kidneys    
      incident        
               

  anticonvulsant seizures, A:well Gitract M:liver beh. Changes admin. W food

Klonopin pg293   benzodiazepin panic disor. D:BBB,placent E: drowsiness, ass for drowsines
clonazapam     HS leg movem.     ataxia clumsiness
               

  antianginal reduce BP A:well,1stpass M:liver arrythmias, CHF ass BP,HR,ort.htn

Labetalol   antihypertensive   25% bioav. E: Pul. Edema, supine w IV for
normodyne, trandate   betablocker   D:CNS,placent   bradycardia 3 hrs+ck VS
check BP           orth. HTN;impot. I&O - Fluid exces
               

  Isot. Vasc. Vol. Na,CL,K,Ca        

Lactated Ringer   alkalizing lactate repl.        
    fluid/electrolyt hydration        
      acidosis        
               
   diuretic, reduce inhibit reab. A:60-70% M:30-40% dehydration give AM w/food
Lasix   fluid volume r/t of Na&Cl in D:plac, & lact. liver hypoK, Cl,Mg check skin turgor
furosemide   CHF Loop of H   E:some urine hypotention mucous mem. BP
check potassium         unchanged   Pulse; no alc.
check BP, pulse              

  bronchodilator bronchospasm A:some M:liver anxiety, dizzy 1 min. between

Levalbuterol   adrenergic   D:? E:6% unch   inhalations;ass
          urine   lungs & VS
               

  anti parkinson up dopam. A: well M:GI tract & toxidity: muscle check vs w dose
Levodopa 713   dopamine agent levels in D:BBB liver twitching,winking adjustement,
      corpus stratium     beh.change, liver & kidn func
            tongue protrude food after med.
               
  Adrenergic cardiac arrest A:IV rapid M:extensive bradycardia;HTN check BP q2°
Levophed   vasopressor HTN; septic D: E:small amt NV;confusion;HA and HR, ECG
norepinephrine   stimul. Heart; shock;upper   unch urine tremor;anxiety  
bitartrate   vasodilate GI hemorrha     urin retntn;dysrythm  
check BP   coronary artery       cardiac arrest  
               

  thyroid hormone replace/sub- A:50-80%GI M:liver&other cardiovasc. Coll. admin am bef.

Levoxyl     stitute horm. D:most tissue E:bile-feces insomnia, irritab. meal;check labs
levothyroxine           tachyc.arrythm. Apulse,BP
hold pulse>100              

  antidepressant depression A:80% M:liver insomnia, Off MAOIs for 14

Lexapro pg475   SSRI   D:enters milk E:7%unch diarrhea days. Suicide rsk
escitalopram         kidneys nausea not w. citalopram
not with MAOIs              

  anestetic control Ventr A: well M:liver seizures, cardiac overdose fatal

Lidocaine   anti-arrythmic arrythmias D:wide in   arrest,confusion check lab values
      local anest. adipose tissue   drowsiness check vital signs
               
   high cholest. M:liver.1st p abd. Cramps, with food @HS
Lipitor     A:rapid E:bile - feces consti.D.rashes no grapefr. Juice
atorvastatin   lipid-lowering a.   14% bioavail.   rhabdomyolysis  
        D:lac.      

  alters cation A:complete M: seizures, HA monitor toxidity

Lithium pg 723   transport in D:wide,CSF E: unch kidn. arrhythmia, abd. lab. 0.5-1.5 level
    antimanic nerves plac. Lactat.   pain;hypothyr. w food
               

  Hypertention A:37% M:liver cough, hypoTN check BP

Lotrel 5/10   antihypertensiv   D:plac. Lact. E:20%kidn. angioedema  
norvasc 5mg   Ca channel bloc     10% bile agranulocyt. taste desturb.
lotensin 10mg   ACE inhibitor       proteinurea  
               

  mng HTN A:37% M:liver cough, hypoTN check BP

Lotensin 147   antihypertensiv mng CHF D:plac. Lact. E:20%kidn. angioedema  
Benazepril   ACE inhibitor migraine HA   10% bile agranulocyt. taste desturb.
check BP           proteinurea  
               

  anticoagulant reduce risk A:92% sc M:Liver, weak bleeding, check f bleeding

Lovenox     of DVT & PE D:intra vasc. E:kidneys anemia,thrombo down Hct,Hb;not
enoxaparin     after surgery     cytopenia w other a-coagul
check platelets              

  anticonvulsant Grand mal A:slow70-90% M:liver laryngospasm check vs frequen

Luminal   sedative/hypn seizures D:? E: 25% unch angioedema, no alc. CI: coma
Phenobarbital         kidney serum sickness CNS depr. Pt.
CNS depressant              

  analgesic neuropathic A:90% M:minimal dizzy,drowsy, slow D/C, check

Lyrica   anticonvulsant /herpatic pain D:bbb E:90% unch. dry mouth, platelet count
pregabalin     less seizures   kidneys edema goes down
controlled subst.              
   electrolyte prevent hypo A30% M: diarrhea assess bowel fx
magnesium   replacemnt Mg;laxative D: plac.lact. E: kidneys   chewed w water
cytrate   laxative antiacid        
               
antidiabetic
Metformin   reduce glucose mnge type 2 A:50-60% M: abd. Bloating ass. For hypoglyc
    production/abs. diabetes D:lact. E:unch kidn. diarrhea,N&V acidosis, check
    incr. mtn bl. Glucose     lactic acedosis folic acid,vit B12
    insul.sensitivity         adm. W food
               
Methadone Opiod. Binds to For severe pain. A: well M: liver Confusion, sedation, dizziness, Assess pain, BP,
(methadose) opiate receptors in Supresses withdrawl D: widely respiratory depression, low BP, HR, RR vitals,
CNS. Alters pain symptoms in opiod constipation, nausea, vomiting. bowel function
perception detox. because it causes
constipation.

  anti-anginal Prevent MI A:po well M:liver bradycardia,CHF check labs

Metoprolol   anti-HTN decrease BP, D:cross bbb   PE, fatigue, weak check a-pulse &
Lopresor   beta blocker HR, angina     constipation BP
w/h apulse<50 &     pectoris     dry mouth, N&V  
arrythmia's              

  antihypertensive hypertension A:42-58% M:liver renal failure BP

Micardis   ang-tens II mngCHF D:? E:bile hyperkalemia  
telmisartan   antagonist          
check BP              

  alpha-sympa- orthorstatic A:93%bioav. M: tingling, itching don’t give AM

Midodrine   thometic for hypotention D:Protein bind E: renal skin,urinary no alcohol
no parameter check   orthost. Hypot.       broblems,faint, ass. Side effects
            HA,blurred vision  
               

Milk of Magnesia   electrolyte repl. prevent hypo A:30% M: diarrhea assess bowel func
magnesium   laxative Mg;laxative D:plac, lact. E: kidneys   chewed w water
hydroxide     antiacid        
               
 laxative constipation M: abd. Bloating, distention,sounds
MiraLax   osmotic   E:feces cramp,gas,naus stool.
polyethylene glycol       A:nonabsorb.   diarrhea fast 3-4° pre adm.
        D:?     clear liquids post
               

  anti parkinson decr. tremors M: sleep attacks assess confusion

Mirapax   dopamine and rigidity A:90% oral E:90% unch amnesia;dizzy & hallucination
pramipexole   agonist   D:wide urine drowsy; hallucin. ck: ECG, BP,
            weakness drowsiness
               

MS Contin
(morphine SR   opioid analges. severe pain A: 30% M: liver CNS depression give before pn
TBSR)   sch II PE, MI pain D: wide   disturb. Percept. becomes severe
narcotic              

  anti-ulcer duodenal & A:small amou M: constipation, chew before swal

Mylanta   antiacid gastric ulcers D:placenta, E: kidneys diarrhea lowing, with water
Mg hydroxide/al     Indigestion CNS, lact.      
uminum hydroxide              

  antiflatulent excess gas A:none M: none ass bowel sound

Mylicon     peptic ulcer D:not E:feces   & abd. Pain
simethicone              

Morphine   opioid analgesic severe pain A:better IM M:liver resp. depression check vitals sign
(Roxanol)     r/t PE, MI D:wide,plac. E: hypoTN,constip. hold for ICPpt &
hold for resp<10     supp cough lact.   confus/sedation excess confusion
narcotic     slow GI tract     numbne; Stupor dependence
               

Nadolol   anti-angina situational A:30% M: arythmia,brady- w/wo food, don't

corgard   anti HTN anxiety D:CNSmin. E:70% unch. cardia,CHF, PE stop med abrupt
w/h apulse <50   beta-blocker lower BP, HR placenta/lact. kidneys   not W/asthma
check BP     anti-anginal       check HR,BP,I&O
               
Narcan   opioid antagonist. antidote for A: well M:liver N&V hypo,hyper- ass:VS & LOC
naloxone     opioid. Stops D:rapid,plac   tension, tachyc. pain, resusitation
      overdose sym     ventric. Fib equipment near
               

Nardil pg810   anti depressant increase A: well Gitract M: liver seizures,hyper NO Tyramine food
phenelzine     neurotransm. D:plac. Lact. E: tensive crisis not @HS,
            drug-drug intera. not for liver prob
MAOI           fatal hepatic nec check PB, I&O
               

Nasonex 320   allergy;cold, allergy A:negligible M:liver dizzy; HA;  

mometasone   cough;   D:plac. Lact. E: abd. Pain  
    corticosteroid          
               
Nembutal   barbiturate cerebrovasc A:well GI tract M:liver anyphylaxis; ck:liver/renal lab
Pentathal   hypnotic disorder; st. D: E:urine as apnea;hypoTN VS:no ETOH or
pentobarbital   sedative epilepticus   metabolites syncope;brady CNS depressants
sodium   anest. Adjunct ICP w trauma     arrythmia;dizzy withdrawal symp.
               
               

Neoral 125/1.25   immune suppr. organ transp 10/60 1st pass M:liver seizures;tremor ck lab changes
cyclosporin     prevent D:wide E:bile/urine HTN;NV;livertox; ck hypersensit:
      rejection     kidneytoxic, inf. resp.&flushing
pg 339           hirsutism K-up, Mg- down
               

Neosporin oint.   antibioitic ointm. prevent inf.        

(cream)              
neomycin/              
polymyxin              
bacitracin (lidocane)              

Neurontin   analgesic , Ajunct seizures A:PO well M: confusion,drowsy reduc. Consentra

Gabapentin   anti convultant chronic pain D:bbb,lact. E: renal of depression contraceptive
      prevent   unch. Drug ataxia effectiveness,
      migraine HA       bleed risk;K defi.
   anti-ulcer GERD, reduc A:90% M: liver HA, constipation 1 hr before meal
Nexium     acid in gastr D:? E:<1% unch Diarrhea, flatul.  
esomeprazole     lumen   in urine dry mouth  
               

  smoking manage A: small intes M:liver, lung HA, insomnia, apply AM

Patch Nicotine   deterrant nicotine w/d D:? kidney burning @patch remove PM
          E: kidney erythema,  
            pruritis  
               

  antiHTN rapid low BP A:IV rapid com M:RBC&tissue cyanide toxidity ck: BP,HR,ECG
Nipride/Nitropress   peripheral vaso   D:? then liver dizzy, HA,abd.pn HCO3,PCO2,pH
nitropusside   dilation       nausea plas. thiocyanate
               

  anti-anginal dilate coron A:PO,SL,Buccal M: rapid,com dizzy, HA, hypoT check q 5min x3
Nitroglycerin   nitrate artery for PO less bioav. plete by liver tackycardia for chestpain if
      angina pect. D:? & blood enzy   sbp >90
               

  opioid agonist mod. Severe A:well M:liver confusion, seda- no MAO inhibitor
Norco (5/325)   nonopioid anal- pain D:? E: tion, hypoTN no alc. A-hista-
hydrocodone/tylenol   gesic       constipation mines or sedativ.
narcotic (opioid)             check respir.
hold for resp<10              

  hypotonic fluid cell dehydrat        

Normal Saline              
0.45%              
Normal Saline   isotonic fluid fluid loss        
0.90%   acidifying Na balance A:well   arrythmia's  
KCL   potassium supp low K+level D:ECF into cell M: abd. Pain;NV w. or p. meals
    arryth maintain   E:kidneys flatulence, diarr ass low,high K
970     acid/base balance     irrit. IV site BP, HR, Labs
BP,HR,lab,K              
           
   anti-HTN vasodilation A:Well M:liver HA, peripheral wh if sBP< 90
  Ca channel bloc lower BP D:place. E: edema, hypoTN  
Norvasc 128              
amlodipine              
check PB, HR              

  anti-diabetic DM A:well M:liv,spleen Hypoglycemia assess for

Novolin   pancreatic horm   D:well E:Kid, muscl anaphylaxis hypogl, anaph.
insulin              

  opioid analgesi mod/sev pn A: well M:liver dizzy;HA;sedat. NOT w/ MAO inh.

      D:placenta cr E:feces/bile dry mouth;N&V CNS depression
Nubain 832         kidneys clammy; sweat ass pain
nalbuphine              
hold < 10 resp              

  antifungal fungus A:local   D,N&V irritation of

Nystatin   topical/vaginal   D:? E:fecal p PO steve/Johns.syn mucous membr.
               

  diuretic FVE, HTN A:IV complete M:liver,minim FVD risk VS,I&O, ass. For
Osmitrol   increase   D:ECF E:kidneys pulm. Edema dehydration or
mannitol   osmotic pressur       blurred vision fluid overload
               
OxyFAST, Opiod. Binds to For severe pain. A: well M: liver Confusion, sedation, dizziness, Assess pain, BP,
Oxycodone opiate receptors in Supresses withdrawl D: widely respiratory depression, low BP, HR, RR vitals,
CNS. Alters pain symptoms in opiod constipation, nausea, vomiting. bowel function
perception detox. because it causes
constipation.

  antiarrythmic irregular HR A:slow variable M: liver dizzy, fatigue asess lungs

      D:fat,muscle E: bile CHF,worse arryth ck labs; K Mg
Pacerone/cordarone       lungs,spleen   ARDS (adult  
amiodarone           resp. distress syndrom)  
               
check heart rate              
   pancreatic break down A:not abs. M: allergies (pork) no ER to accute
Pancrease   enzyme replace lipid,starch, D:acts in GI E: feces   pancreatitis pt.
pancrelipase     protein       1-2° before meal
lipase,amylase,              
protease              

  anti parkinson stimulates A: M:complete hallucinations; w meds;no ETOH

Parlodel   dopamine agon dopamine D:90-96% E:fecal 85% HypoTN;dizzy; monitor:BP,GI
Bromocriptine     receptors protein bind. renal 2-5% HA;NV;constip. bleed,labs,& for
mesylate           fatigue agromegaly
               

  anti-anxiety depression A:50-100% M:liver anxiety:dizzy; am admin, with

Paxil (CR)   SSRI anxiety D:wide,CNS E:2%unch drowsy;insomn.; food to minimiz
paroxetine     panic disord. fluid,tissue kidneys weak,constip. irritation
hydrochloride           dry mouth;sweat  
               

  anti infective gram+, some A: GI tract M:liver seizures,anaphyl superinfections

Pentids   bacteria cell- gram- D:wide,plac,lac E:unch.kidney serum sickness W meals,no juice
penicillin G   wall death       N&V, phlebitis IV hives, itch
              diff. swall&breath
               

  gen. anesthesia anesthesia A:into fat M:liver inj. Site reaction seizures, ICP,
Pentothal   barbiturate up ICP D:plac;lact; E: myocard.dysfx BP; resp. depr.
thiopental     seizures bbb   apnea, laryngeal arrythmias
      st. epileptic.     spasm, resp.dep  
               

  pain M:liver give before

Percocet     A:GI tract   resp. depress pain is severe
Oxycodone/tylenol     D:placenta   confusion check respiration
narcotic, sch II   opoid analgesic       sedation  
hold resp. <10           constipation  

  allergies M:liver monitor VS freq.

Phenergan   anti emetics motion sick A: well PO   neuroleptic resp. depression
promethazine   anti histamine N&V D:wide,bbb   malignant synd W/food PO
    sedative/hypno reduce histam placenta   confusion, sedate IV admin 1min.
    phenothiazine       disorientation  
 hypocalcemiaA:need
  s vit D M: check labs, BP
Phoslo     E: feces,kidn cardiac arrest HR, vasodil.
calcium acetate   mineral/electrol       arrythmias, bradycardia
    replacement   D:well   constipation, heartburn, abd.
            phlebitis (IV)  

  open-angle   blurred vision-

Pilocarpine   cholinergic eye glaucoma;   bronchospasm fall preq.HA,
    drops miosis     sweating,up urin stinging,eye pain
            salivation  

  reduce M:rapid,liver ass.for fever,chil

plavix   anti-platelet atheroscle- A:well E:50%urine Bleeding, sore throat,bleed
clopidogrel   aggregation inhi rotic risks D:? 45% feces neutropenia no aspirin/NSAID
            Thr,thrcyt,purpura  
comp.w low K+level M: w. or p. meals
potassium chloride D,NS, potassium supp   A:well E:kidneys arrythmia's ass low,high K
  LR,   maintain D:ECF into cell   abd. Pain;NV BP, HR, Labs
970 cipro, arryth, due to acid/base balance     flatulence, diarr infuse slowly
BP,HR,lab,K vanco digoxin toxid       irrit. IV site 10mEq hr
               
 

  hypercholes- M:liver grapefruit increas

Pravachol   terolemia A:14%bioav. E:20%unch rhabdomyolysis toxidity; HS adm.
pravastatin   lipid-lowering a.   D:liver/lact. kidneys abd.cramp. Diar  
            constip. Rash  
Prednisone   anti-asthmatic adenocortical A:well M:liver CNS depression not w/infections
intermediate act.   corticosteroid insufficiency D:wide   euphoria, HA, risk for infections
corticosteroids     for bronchitis     HTN,peptic ulcer fungal, pneumon
      cancer agent     thrombo-embol UTI, cushing syn
      reduces     muscle waisting peptic ulcers
      inflammation     osteoperosis  
       
  replacement M:liver,other with food,BP,wt,
Premarin     E: MI;thromboemb vasomotor symp
estrogen,conjugated     A:skin: well   HA;edema,HTN affect lab values
    hormone   D:plac, lact.   weight change HDL,P-lipids,etc.
            hypercalcemia  
   GERD(short- M:liver inac. before meals
Prevacid   term),erosive E:  
lansoprazole   esophagus A:80%    
    antiulcer agent ulcers D:?   dizzy,HA, diarrh  
               

  diminish M:liver before meal

Prilosec   acid in stom A:well   don't crush
omeprazole   and esophag D:gastric    
    anti ulcer for GERD parietal cells   abd. Pain, dizzy  
               
  inf of: lower M: ck for anaphylaxi
  resp,UTI, gyn E: 70% seizures, ck druk book for
  skin, bone A: well IM unch. Kidney Pseudomemb. reconstitution
  joint, abd. complete IV   colitis; rash &infusion
Primaxin   anti-infective endocarditis D:wide, plac   anaphylaxis  
imipenem/cilastatin   carbapenem   lact.   N,V,Diarrhea  

  hypertention M:rapid,liver VS, I&O,wt, pill

Procardia XL   a-anginal,a-HTN red. Angina A:well E: HA, arrythmias coating in stool;
nefidipine XL   vasodilation freq&severity D:?   edema,flushing no grapefr. juice
BP, pulse   Ca ch. Block       steven-johns syn  

  maintenance M&E:? monitor BP,

Procrit 462   of RBC prod.   anemia, and
epoetin   anti anemics (renal failure) A:well subQ   seizures, HTN dialysis shunts
    hormone   D:?   (thrill and bruits) don't shake vial
               

  acute/chronic M:liver, recirc don't touch med

Prolixin 542   psychosis E: Extraypyramidal use dry syringe
fluphenazine   antipsychotic   A: Well   photosensitivity dilute PO meds
    phenothiazine   D:bbb,plac.lac   agranulocytosis  
            many drug interactions  
  allergies M:liver assess sedation
  motion sickn E: and vital signs
Promethazine   antiemetics N&V A:Well   neurol. Mal. Syn monit. For EPS
    antihistamine anastesia ajunct D:wide BBB   confusion, disor. admin w food
    sedative/hypno   placenta   sedation  
check resp.   phenothiazine          
       
   prostatic M: impared urinary
Proscar   hair regrowth hyperplasia A:63% E:39% urine impotence, red. elimination
finasteride   androgen inhib   D:prostate   libido & ejacul.  

  GERD M:liver don't crush/break

Protonix   anti-ulcer heartburn A:intestines E:71%urine HA;abd. Pain; tablest;
pantoprazole   proton pump   D:? 18%feces diarrhea; flatul; w/wo food
    inhibitor       hyperglycemia  

  depression M:liver mood changes

Prozac pg540   bulimia nerv. E: kidneys seizures;anxiety suicidal tend.
fluoxetine   antidepressant premenstral A:Well   HA;insomnia; wt loss;AM food
    SSRI panic disord. D:BBB   diarrhea;itching no tryptophan
            sex disf.;tremor  

  decrease s&s M:liver ass:cervical lymp

PTU   anti-thyroid hyperthyroid A:rapid Gitrac E: agranulocytosis rash, WBC,diff.
propylthiouracil   inhibits thyr. H   D:thyroid   hypothyroidism thyroid lab val.
            NV, rash  

Pyridium 944
phenazopyridine   urinary pain, M:rapid with or following
    urinary tract itching,burnin A:well oral unchanged bright orange meal, don't crush,
  analgesic urgency, freq. D:? Cross plac kidney urine break,chew tab.
             
  post surge M:liver part 30 min bef. Meal
Reglan   gastric stasis E:25% unch IM end of surg.
metoclopramide   & NV; A:GI tract urine neuroleptic Mal. 30 min bef. Chem
    chemo Vom.: D:BBB, plac,   drowsi, restless, check side effect
    anti-emetics esoph reflux lact.   extra pyrram. Sy tardive dyskinesia
               

  depression 85% proteinb give at HS

Remeron pg802     A: well,50% M:liver up suicide ideas slow position chg
mirtazapine   antidepressant   availability E:urine75% drowsy, constip. (orthost. hypoTN)
    tetracyclic anti-D   D:? feces 25% dry mouth, up up fluids (const.)
            appitite,wt gain  
 assess BP
  mng parkins M:liver drowsiness -
Requip   antiparkinson tremor/rigid E:<10% sleep attacks avoid driving
ropinirole   dopamine restless leg A:55% oral unch. Urine dizzy; syncope ETOH& CNS
    agonist syndrome D:wide   dry mouth depr.
               

  insomnia M:liver supervise ambul.

Restoril pg 1109   sedative/hypno.   A:well   admin w food
temazepam   benzodiazepine   D:wide BBB   hangover  
        plac. Lact.      

  reduced sign M:liver fragile tablet

Risperdal   of psychosis A:70% E:kidneys aggressive beh. made sure pt.
risperidone   antipsychotic   D?   dizzy, HA, dreams swallows pill
            extrapyramidial  
Ritalin CNS and Treatment of ADHD, A: M: liver Hyperactivity, insomnia, Monitor vitals
(methylphenidate) respiratory narcolepsy, for some D: unknown restlessness, tremor, dizziness,
stimulant with types od depression, headache, irritability,
weak increase attention hypertension, tachycardia,
sympathomemetic span cramps, dry mouth
activity

  m. spasm M:liver superv. Ambul;

  with acc.pain E: W food;no alc.
Robaxin   skeletal muscle   A:GI tract   seizures,dizzy, urine black;BP
methocarbamol   relaxant   D:plac. Lact   drowsy,Giupset,  
            anaphylaxis(IV)  

dizzy,HA assess lungs

Robitussin   allerg,cold,coug cough A:well M:    
guaifenesin       D:? E:kidney    

  skin,joint, M:partly anaphylaxis;

Rocephin   anti-infective bone,UTI, A:well E:partly urin seizures;colitis superinfection;
ceftriaxone   cephalosprin resp.,abd. D:plac,lact   phlebitis; anaph  
    3rd gen   CSF   serum sickness  
     d/c w infection &
RoferonA   a-proliferac- A:IM&subc M:kidneys neuropsych diso. colitis, up fluids
Interferon Alpha2A   tive against 80% filtered/degr ishemic, disord. ass. CV disord.
    interferon tumor cells & D: E:bile, urine colitis,pancreat. check CBC, diff.
      a-viral activity     dry mouth N&V  

  reversal of M:liver airway, seizure

Romazicon 529   antidote for benzodiazep. E: precaution;
flumazenil   benzodiazepines effects A: IV complet   Seizures, dizzy  
    Is a benzod.   D:?   N&V  
    derivative          
  a-transplant M:1stpass W meal, avoid
  rejection; E:bile,sm am grapfruit and oth.
Sandimmune   immuno- severe arthr. unch urine seizures,tremor juices & crowds
cyclosporine   suppressant psoriasis A:10-60%1stp   HTN,diarrh,N&V seizure precaut.
    a-rheumatic   D:ECF -blood   kidneytoxic  
    polypeptide       hirsutism, infec.  

  eyedrops for    
Scopolamine 1299   cycloplegic   irritation,photophobia not for glaucoma
isopto hyoscine   cycloplegic refraction   blurred vision  
    mydriatics mng: uveitis     anticholer. Effect  
               

  anest. Ajunct   depressed CNS

Seconal   barbiturate insomnia   laryngosmasm " respiration
secobarbitol   sedative/hypno seizures     apnea addiction
               

  constipation M:? take at HS w full

Senokot (S)     A:minimal   glass of water
senna (+   laxative   D:?   cramps, diarrh  
docusate sodium)              

  schizophren. M:liver fever, resp.distr

Seroquel   bipolar A:Well PO E:<1% unch seizures, up HR, seizures
quetiapine   antipsychotic mania D:Wide by kidney neuroleptic mal. HTN
            syndrome  
Sevelamar (renagel) Give Electrolyte Binds to phosphate in A: no absorbed M, E: feces Diarrhea, dyspepsia, vomiting, Assess gi for side
with modifier g.i. tract preventing D: unknown constipation , nausea effects. Labs (Ca
meals (phosphate binder) its absorption. and phos)
Reduces
hyperphosphatemia,
ectopic Calcification

  up dopam. M:GI tract & check vs w dose

Sinemet   anti parkinson levels in A: well liver toxidity: muscle adjustement,
carbidopa/levodopa   dopamine agent corpus stratium D:BBB   twitching,winking liver & kidn func
            beh.change, food after med.
            tongue protrude  

  less sever M:liver ass. Lungs,resp.

Singulair   allergy,cold, inflamm proc A:rapid E:bile-feces no abrupt d/c
montelukast   cough remedy Leukotriene inhibitor D:?   chur-straus synd. take HS
    bronchodilator          

CI:hypermagnes
& hypocalemia
check lab values

    M:no info
Slow Mag   electrolyte repl.   A:PO 30% E:Kidneys
magnesium Cl   laxative   D:Wide, plac.   diarrhea
        lact.      

Sodium Citrate   mng acidosis M:bicarbonat admin w chilled

(1083)   alk. Agent prev aspirati E:kidneys water.
    anti -urolithics pneumonia A:well 5% lungs 30 min. p meals
    electrolyte repl. & urin calculi D: rapid, wide      
               

  COPD M:25% rinse mouth

Spiriva   brochodilator asthma A:19.5% E:74% urine dry mouth after use
Tiotropium INH   anticholinergic   D:extensive   angio edema  
   constipation M: with full glass of
Surfak pg416   laxative prvt straining A:small intes. E:bile mild cramp water or juice
Docusate Calcium   stool softener   D:?   throat irritation not w other lax
               
  up dopamine M: orthost. Hypotn
Symmetrel 111   action E: unch. Urin ataxia;dizzy; oral care;
amantadiine   reduce viral   insomnia;hypoT no ETOH, no CNS
    anti-parkinson infection A:GI tract well   blurred vision stimulants
    anti-viral(infl.A)   D:bbb & lact   dry mouth no adm.at HS
               

  narrow spect   pain, infl @ inj

Synercid   vancomycin   myalgia,diarrhea site;orthroalgia
quinupristin   anti-infective resist. Inf.     joint muscle pain  
dalfopristin           hepatotoxidity  

  substitute/ M:liver,other admin, before

Synthroid   replace H E:bile - feces insomnia,irritab. breakfast
levothyroxine   thyroid CA A:50-80%   CV collapse, check lab
    thyroid hormone incr. metabolism D:most tissue   arrythm, tackyc. caution Heart d.
            wt. loss, nervous  

  reduce gastr M:30%liver IV: 5 min admin.

Tagamet   secretions A:well E: unch kidn arrythmias, conf. & dilute
cimetidine   anti ulcer   D:lact, cerebro   agranulocytosis monitor CBC diff
    anti histamine   spinal fluid   aplastic anemia  
            black tongue  

  mod/severe M:liver Overdose-fatal

Talwin   pain E: small am dizzy,euphoria P emboli,vasc.
pentazocine     A:well unch. Kidney hallucination,HA occlusion,tissue
CNS depression   opioid analgesic   D:wide,plac.   sedation, nausea damage,depend
hold for resp.<10           resp. depression  

  flue M:liver finish full course

Tamiflu   anti viral   A:rapid GI trac E:urine insomnia, NV still need fluesho
oseltamivir       D:?      
   prevents M: liver No MAO inh.;ass
Tasmar   breakdown E:unch urine HA;sleep disord. BP, liver labs;
tolcapone   of levadopa   hepatotoxicity adm w levodopa
      A:65 bioav.   const;diarrhea slow position chg
    antiparkinson   D:?   dyskinesia/ avoid ETOH
            dystonia  

  Seizure M:liver with food,

Tegretol XR 239   anticonvulsant prevention   Ataxia, drowsin. pill coating feces
(with food)   neurogenic pain used for bi- A: slow, compl   agranulosytosis no alc., no sun
    mood stabilizer polar disorder D:bbb,pl,lac   aplastic anemia ctn:heart,liver pr.
            thrombocytopenia  

  stomach M: don't take with

Tetracycline   anti-infective ulcer A:60-80% E:unchanged teeth discolorat. milk, iron, Mg
achromycin   stops bacteria   D:some into kidneys sunburn, super& laxatives
    protein synthes   CSF,plac. Lact.   candida inf.  
    broad spectrum          

  psychosis M:liver & ass EPS, NMS

Thorazine pg274   anti emetic N&V,hickups A:variable GI mucosa NMS, agranulo- don't touch solut.
chlorpromazine   anti psychotic vasc. HA D:wide pla, lac E: cytosis, sedation sure pt. swallows
    phenothiazine       blurred vis. Etc  

  occular HTN;   not w/opth.

Timoptic   eyedrop open angle   occul. Burning epinepherine;
timolol   beta blocker glaucoma   down vis.accuity bronchspasm;
    decr. Aq.hum.       conjunctivitis, delirium (geri)
    formation       HypoTN,bradyc.  
25mg PO monit:BP,ECG,HR
BID prevent MI M:liver I&O, CHF;w meal
Toprol XL 786   anti anginal HTN;angina A: well PO E: fatigue, weakn. check labs;
motoprolol   anti HTN pectoris D:bbb;plac;   bradycardia;CHF IV DOSE
hold sbp<110 ck apical beta blocker   lact.   pulm. Edema CALCUL
hold HR<50 pulse         impotence  
 
  short term M:<50%liver anaphylexis.
Toradol   non-steroidal pain mgmt A:Rapid E:92%kidn. GI bleeding, use lowest dose
katorolac   anti inflamm. no longer complete 6%feces dermatitis, not for asthma &
    non-opioid than 5 days D:lact.small #   S-J syndr.; epid. asprin allergy pt.
    analgesic       necrolysis,drowsy  
Travatan   prostaglandin Glaucoma   local irrit; foreign body sensation  
travoprost   agonist lower pressur     up eyelash growth,  
            brown pigmentation  
  anticonvulsant seizures M:converted monitor CNS
Trileptal pg 898   Nachannel block trigeminal - to MHd dizzy, drowsy change-cognitive
oxkarbasepine   stabilize neuralgia E:kidneys fatigue,HA seizure precaut.
    hyperexcitable   A:rapid   abn. Vision  
    state   D:breast milk   nystagmus, N&V  
            ataxia, tremors  

  pain,fever M:liver liver, renal prob.

Tylenol   analgesic inh. Prostagl A: well E:kidneys livertoxidity w/ other pn meds
acetaminophen   anti-pyretic synthesis D: wide   max 650mg q4° give w food
    (no GI toxidity)   placenta,lact.   renal failure  

  electrolyte M: 1-1.5 hr p meal

Tums   Ca Carbonate replacement A:needs vit.D   abd. Pain,heart- w full glass water
        D:ECF   burn,indigestion  

  mod/sev. M:liver ass. VS, bowel

Ultram   pain E:30% unch seizures, dizzy sounds, prevent
tramadol   analgesic   A:PO75% kidneys HA,somnolance atelectasis.
    centrally acting   D:plac. Lac   constip. Nausea orth. hypoTN?
               

  anxiety M:liver CI:glaucoma,

Valium pg376   antianxiety muscle relax E: kidney prob.
diazepam   anticonvulsant less seizures A:GI tract   dizzy, drowsy reduc opioid dose
CNS depressant   sedative/hypn   D:bbb,plac,lac   lethargy fall rsk; VS check
    benzodiazepine          
Valtrex Antiviral Treatment of shingles A: bioavailable M and E: Liver Headache, dizziness, weakness, Monitor for
(valacyclovir) (herpes zoster virus), D: CSF, nausea, abd. Pain, constipation anemia, renal
genital herpes, cold placenta, breat dysfunction
sores (herpes labialis) milk
   #1 MRSA M: red man syndrom
Vancocin   gram + A:poor Gitract E:PO feces anaphylaxis check hearing &
vancomycin   anti-infective   D:25% plac. IV kidneys nephrotoxic, oto kidney labs.
            toxic, phlebitis  

  manage HTN M:liver risk for hypoTN

Vasotec   anti-HTN CHF, reduce E: 60% check wt, fluid
enalapril   ACE inhibitor MI risk A:60%,IV comp kidneys cough, hypoTN overload
    vasodilation migraine HA D:plac., lact.   taste disturbanc 1st dse effectBP
               

HTN,angina M:liver check BP,HR,

Verapamil 1192   a-angina;a-HTN pectoris; A:bioa.20-25% E: CHF,arrythmias signs of CHF
    antiarrhythmia arrythmias D:lact   S-J syndrom  
    Ca channel bloc          

  moderate M:85-95%liv w full glass water

Vicodin/   antipyretic pain A:GI tract E:kidneys liver failure no alc.; Constip.
Hydrocodone   analgesic comb.   D:plac. Lact.   with overdose depressed resp.
narcotic III           CNS depression  

  eye infection   don't touch app.

Vigamox   bacterial       red. Visual acuit tip
mexifloxacin   conjunctivitis   D: plac?; Lact?   dry eye;discomf  
hydrochloride   strep/staph       superinfections  

  anxiety, M:compl.liver shake suspens

Vistaril (612)   anti anxiety preop. Sedat A:well E:bile feces drowsy, dry mth deep IM Ztrack
hydroxyzine   anti histamine anti emetic D: unknown   pain at IM site Painful-don't use
    sedative/hypnot anti pruritic       deltoid
               

  deficiency M:liver ass. Nutr. Status

Vit.B1   (beriberi) A:well, GI E:unch.kidn. vasc. Coll.;  
thiamine   vitamin   D:wide,lac.   angioedema  
            extremely rare  
   prevent    
Vit.C   vitamin deficiency     fatigue,HA,N&V  
ascorbic acid           cramp,Diar,insomnia  

  high cholest. M:liver.1st p with food @HS

Vytorin     A:rapid E:bile - feces abd. Cramps, no grapefr. Juice
ezetimibe 10mg   lipid-lowering a.   14% bioavail.   consti.D.rashes  
simvastatin … mg       D:lac.   rhabdomyolysis  

  depression M: admin w food

Wellbutrin XL   anti-depressant nic. Addict. A: Well E: renal seizures, agitate equal intervals
bupropion   smoking deterr   D: ?   HA, dry mouth not @ HS; sedat.
    aminoketones       N&V, tremor  

  up outflow M: no info don't use with

Xalantan   prostaglandin aqueous h   can change thimerosal
latanoprost   agonist down press. A:no info   eye color to  
            brown  

  panic att. M:liver,rapid fall preq. Caffeine

Xanax   PMS mgmt E: interferes w effec
alprazolam     A:90%   dizzy, drowsy, dependence
    antianxiety a.   D:bbb,plac.lac   lethargy/sedatio check labs
               

  broncho- M: liver assess VS

  spasm E: urine unch check sputum
Xopenex   bronchodilator   A:some   don't use w MAO note bronchosp.
levalbuterol   adrenergics   D:unknown   inh.;drug-drug  
               

  anti -ulcer inhibit gastr M:1stpass,liv IV: 5 min admin.

Zantac   anti -histamine secretions A:50% PO,IM E:PO30% unc arrythmias, conf. & dilute
ranitidine   acting on H2- red. Reflux D:lact, cerebro Im 75%unch agranulocytosis monitor CBC diff
    receptors heals ulcers spinal fluid   aplastic anemia caut:renal impair
            black tongue  
   raises thresh   ass.for resp. dep
Zarontin   anticonvulsant for petit mal   drowsiness drug level,
Ethosuximide   succinimide seizures     depression no abr. Withdraw
    supp. Ca influx          

  vasodilation M: check labs

Zestri/Prinivil   anti HTN reduce BP A:25%PO E:100% kid. cough, HypoTN DC if neutrophil
Lisinopril 147   ACE inhibitor   D: place,CNS   taste disturbanc <1000/mm3
check HR/BP           protein urea  

  high cholest. M:liver.1st p with food @HS

Zetia     A:rapid E:bile - feces abd. Cramps, no grapefr. Juice
ezetimibe   lipid-lowering a.   14% bioavail.   consti.D.rashes  
        D:lac.   rhabdomyolysis  

  respt tract M: anaphylexis;not

Zithromax   anti-infective infection;skin A:40%PO E:bile/urine colitis;angio- w meals;drowsy
azithromycin   atypical myco-   100%IV   edema;abd.pain photosensitive
    bacterium   D:wide, lowCSF   diarrhea, nausea  

  high cholest. M:liver.1st p with food @HS

Zocor     A:rapid E:bile - feces abd. Cramps, no grapefr. Juice
simvastatin   lipid-lowering a.   D:liver   consti.D.rashes  
            rhabdomyolysis  
Zofran   anti-emetics (caused N&V A:complete M:liver HA, constip. IV: admin over
ondansetron   by chemo)   D:? E:kidneys diarrhea 30 seconds
    blocks 5-HT3 Recp      
  blocking serotonin      
action (which causes
N/V)

  depression M:liver Not w/MAO inh.&

Zoloft pg 1070   panic attack A:well E: feces caution w/liver suicide tendency
sertraline   antidepressant OCD, soc anx D:extensive   kidney impairm.  
SSRI           & mania  
Zovirax   anti viral Herpes A:poor M:10%liver seizures,renal check neuro stat
acylclovir   stops DNA synth   D:wide, CSF E:90% unch failure, thrombo adequae hydrate
        plasma,plac.l kidneys cytopenia,NV&D up fluid intake

  skin/joint/ M: check allergies

Zosyn   anti-infective bone/resp/ A:80%IM E:10%bile seizures,colitis anaphylaxis
piperacillin   ext.spec.penic. abd/urinary D:wide:CSF 90%unch.k. rash,hypokalem. superinf.
    cell-wall:death   plac.,lact.   pain,phlebitis  

  anti gout prev gouty   increase fluids

Zyloprim 104   a-hyperuricemic arthitis A:PO 80% E:12% unch dc with rash
Allopurinol   reduce uric acid   D: in ICF   rash, drowsy  
    formation          

  decrease M: 1st pass fragile tablet

Zyprexa   antipsychotic psychosis A:well E: unch kidn. seizures, NMS made sure pt.
olanzapine   thienobenzo   D: extensive 7% agitation, dizzy swallows pill
    diazepine       weak constip. Etc  

  allergies, M: with or without

Zyrtec   antihistamine chronic urti- A:well E:unch. dizzy,drowsy, food
cetirizine   allergy,cold, caria (hives) D:? kidneys dry mouth  
    cough remedy          

Zyvox   anti-infective MRSA M:65%liver colitis, lactic d/c W vision chan

linezolid   inhibit bac. Protein   A:100% E:30%unch acidosis,optic no W MAOinh.
    systhesis   D:well kidneys neuropathy