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NAME OF THE DRUG GENERIC BRAND Mosegor Vita Pizotifen tab ODHS hydrogen maleate

ACTIONS

INDICATIONS - Under weight due to lack of appetite associated with vitamin B deficiency secondary to impaired dietary intake or absorption - Appetite stimulation - Migraine prophylaxis - Prevention of vascular headache - Relief of moderate to moderately severe pain - Relief of moderate to severe chronic pain

CONTRAINDICATIONS - Allergy to pizotifen - Pt with gastric outlet obstruction - Angle-closure glaucoma - Renal and hepatic impairment - Prostatic hypertrophy -

ADVERSE EFFECTS Anxiety Aggression Depression Difficulty sleeping Hallucinations Joint pain Parasthesia Urticaria Seizures Confusion Dreaming Anxiety Tachycardia / bradycardia Pruritus Urticaria Anaphylactoid reactions seizures

SIDE EFFECTS Dizziness Drowsiness Dry mouth Increased appetite Nausea Tiredness Sleepiness

NURSING RESPONSIBILITIES -

Tramadol 50mg/cap TID

Ultram ER

Binds to muopioid receptors and inhibits the reuptake of norepinephrine and serotonin

- Allergy to tramadol or opioids - Acute intoxication with alcohol, opioids, or psychoactive drugs Precaution with: - Seizures - Renal impairment - Hepatic impairment

- Sedation - Dizziness or vertigo - Headache - Sweating - Hypotension - Rash - Pallor - Nausea - Vomiting - Dry mouth - Constipation - Flatulence Dizziness Headache Drowsiness Fatigue Rash Cramping Diarrhea Dry mouth Thirst Vomiting Hyperkalemi a - Hyponatrem ia

Spironolactone

Aldactone 25mg/tab tab OD after breakfast

Competitively blocks the effects of aldosterone in the renal tubule, causing loss of sodium and water and retention of potassium

- Maintenance of primary hyperalderonism - Adjunctive therapy in edema associated with HF, nephritic syndrome, hepatic cirrhosis - Treatment of hypokalemia or prevention of hypokalemia - Pt with cardiac arrhythmias

- Allergy to spironolactone - Hyperkalemia - Renal disease - Anuria - Amiloride or triamterene use

Ataxia Confusion Urticaria Impotence Agranulocytos is - Hirsutism - gynecomastia

Levothyroxine sodium

Euthyrox 150mcg tab OD before breakfast

Increases the metabolic rate of body tissues, thereby increasing oxygen consumption; respiration and HR; rate of fat, protein, and carbohydrate

- Essential hypertension - Treatment of hirsutism - Palliation of symptoms of PMS - Treatment of familial male precocious puberty - Short-term treatment of acne vulgaris - Replacement therapy - Allergy to active or in hypothyroidism extraneous - Pituitary TSH constituents of drug suppression in the - Thyrotoxicosis treatment and - Acute MI prevention of uncomplicated by euthyroid goiters and hypo thyroidism in the management of thyroid cancer Precaution with: - Thyrotoxicosis in - Addisons disease conjunction with - Pt with coronary artery antithyroid drugs disease or angina - Prevention of goitrogenesis, hypothyroidism and thyrotoxicosis - Treatment of myxedema coma

Tremors Insomnia Tachycardia Angina Cardiac arrest Allergic skin reactions - Esophageal atresia

Headache Nervousness Palpitations Diarrhea Nausea Vomiting Gagging

Dibencozide

Heraclene forte tab OD after breakfast

Warfarin sodium Coumadin 1mg/tab OD

Interferes with the hepatic synthesis of vitamin K dependent

- Venous thrombosis (treatment and prophylaxis) - Treatment of

Allergy to Warfarin Hemorrhagic disorders TB Hepatic disease

- Retroperitone al hematoma - Urticaria - hepatitis

Nausea Vomiting Alopecia Dermatitis

factors, resulting in their eventual depletion and prolongation of clotting times

thromboembolic complications of atrial fibrillation with embolization and cardiac valve replacement - Pulmonary embolism (treatment and prophylaxis) - Prophylaxis of systemic embolization after acute MI

GI ulcers Renal disease Indwelling cathaters Spinal puncture Aneurysm Diabetes Visceral carcinoma Uncontrolled HPN Severe trauma

jaundice priapism, nephropathy granulocytosis leukopenia eosinophilia hemorrhage

- Anorexia - Abdominal cramping - Diarrhea - Mouth ulcers - Fever - purple toes syndrome

Precaution with: - HF - Diarrhea - Fever - Thyrotoxicosis - Senile - Psychotic - Depressed patients