Prescription Drug Cards Review (1-75)

8/3/2019 Prescription Drug Cards Review (1-75)

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PRESCRIPTION DRUG CARDS 1-75 REVIEW (QUIZ 3 )

Anti-Anxiety Agents

Anti-Anxiety Agent

Rank Subclass Brand Name Generic Name(s) Dosage Range

16 Anti-anxiety Xanax (XR) Alprazolam 0.25mg to 0.5 mg initially, given 3 times a day

31 Anti-anxiety Ativan Lorazepam Usual dose is 2 to 6 mg orally per day in divided doses

67 Anti-anxiety Valium Diazepam2 to 10 mg orally, IM, IV initially, repeat in 3 to 4

hours if needed. Use tablets orally 2 to 4 times a day

Patient Consultation:

Xanax:

1) May cause drowsiness. Use caution while operating machinery or when mental alertnessis required

2) Avoid alcohol while taking this medication3) WARNING: This medication may be habit-forming4) Store in a cool, dry place away from sunlight and children5) Contact a physician if the above side effects are severe or persistent6) If a dose is missed, skip it and return to normal dosing schedule7) XR (extended release) tablets should not be discontinued abruptly8)

XR tablets should be swallowed whole

do not crush, chew, or break

Ativan


2) Avoid alcohol while taking this medication3) WARNING: This medication may be habit-forming4) Store in a cool, dry place away from sunlight and children5) Contact a physician if the above side effects are severe or persistent6) If a dose is missed, skip it and return to normal dosing schedule

Valium

1) Oral concentrate must be diluted prior to use2) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required

3) Avoid alcohol while taking this medication


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4) WARNING: This medication may be habit-forming5) Store in a cool, dry place away from sunlight and children6) Contact a physician if the above side effects are severe or persistent7) If a dose is missed, skip it and return to normal dosing schedule


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4) Contact a physician if symptoms worsen or if the effectiveness of short-acting beta-2-agonists decreases

5) If a dose is missed, skip it and return to normal dosing schedule6) Not intended to provide immediate relief of bronchospasm7) To receive the full benefits of therapy, use on a regular basis. Although benefits can be

seen after two days of treatment, up to four weeks may be needed to observe benefits.

8) It is important that the patient understands how to use the Diskus device and the HFAinhaler appropriately


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Anti-depressants

Antidepressants


7 Antidepressant Zoloft Sertraline Hydrochloride Start with 50 mg once daily

9 Antidepressant Cymbalta Duloxetine Hydrochloride 40 mg 60 mg daily

12 AntidepressantWellbutrin

Bupropion Hydrochloride 150 to 300 mg given once per dayZyban

17 Antidepressant Celexa Citalopram Hydrobromide 20 mg given once a day

22 Antidepressant Lexapro Escitalopram Oxalate

Begin with a dose of 10 mg given once a day

and gradually increase to a dose of 20 mg once

a day

45 Antidepressant Elavil Amitriptyline Hydrochloride40 mg to 150 mg per day in divided doses or at

bedtime

64 Antidepressant

Effexor

Venlafaxine hydrochloride

75 mg/day administered in a single dose

(Effexor XR) or 2-3 divided doses (Effexor

tablets), taken with foodEffexor XR

73 Antidepressant Prozac Fluoxetine HCl 10 mg to 40 mg


Zoloft

1) Continued therapy may be needed to show noticeable improvement. Do not stop therapybefore consulting with a physician

2) Sertraline oral concentrate must be diluted prior to use. Place the proper dose in 4 oz. ofwater, ginger ale, lemon/lime soda, lemonade, or orange juice ONLY. Do not mix in any

other beverage. Take immediately after mixing. Do not premix doses

3) Avoid alcohol while taking this medication4) Use caution when performing tasks that require mental alertness5) Consult with your physician or pharmacist before taking nonprescription medications6) Do not abruptly discontinue medication7) Store in a cool, dry place away from sunlight and children8) Contact a physician if the above side effects are severe or persistent9) If a dose is missed, skip it and return to normal dosing schedule10)Pay close attention to any changes, especially sudden changes, in mood behaviors,thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions.

Cymbalta

1) Therapeutic effects may take as long as 4 weeks to appear2) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required


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3) Avoid alcohol while taking this medication4) Consult with your physician or pharmacist before taking nonprescription medications5) Do not abruptly discontinue medication6) Store in a cool, dry place away from sunlight and children7) Contact a physician if the above side effects are severe or persistent8) If a dose is missed, skip it and return to normal dosing schedule9) Pay close attention to any changes, especially sudden changes, in mood behaviors,

thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions

10)Continued therapy of up to 2 weeks may be needed to show noticeable improvementWellbutrin, Zyban

1) Take at immediate-release tablets at regular intervals no sooner than three to four times aday

2) Take extended-release tablets in the morning if possible to avoid insomnia3) Swallow SR and XL tablets whole do not crush or chew4) If a dose is missed, wait until the next scheduled dose DO NOT DOUBLE DOSE5) Do not take OTC medications without first consulting a physician or pharmacist6) Avoid alcohol while taking this medication7) Store in a cool, dry place away from sunlight and children8) Contact a physician if the above side effects are severe or bothersome or if a seizure

occurs

9) Weight loss or gain may be temporary contact your physician if bothersome10)Pay close attention to any changes, especially sudden changes, in mood behaviors,

thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions.

11)Continued therapy of up to 2 weeks may be needed to show noticeable improvementCelexa

1) May impair cognitive and motor performance. Use caution while operating machinery orwhen mental alertness is required

2) Up to 2 weeks may be needed before therapeutic effects are seen3) Do not abruptly discontinue medication4) Avoid alcohol while taking this medication5) Store in a cool, dry place away from sunlight and children6) Contact a physician if the above side effects are severe or persistent7) If a dose is missed, skip it and return to normal dosing schedule8) Pay close attention to any changes, especially sudden changes, in mood behaviors,


Lexapro


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1) May impair cognitive and motor performance. Use caution while operating machinery orwhen mental alertness is required

2) Avoid alcohol while taking this medication3) Consult with your physician or pharmacist before taking nonprescription medication4) Do not abruptly discontinue medication5) Store in a cool, dry place away from sunlight and children6) Contact a physician if the above side effects are severe or persistent7) If a dose is missed, skip it and return to normal dosing schedule8) Pay close attention to any changes, especially sudden changes, in mood behaviors,


9) Continued therapy of up to 2 weeks may be needed to show noticeable improvementElavil

1) Do not discontinue therapy unless otherwise directed2) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required

3) Avoid alcohol while taking this medication4) Store in a cool, dry place away from sunlight and children5) Contact a physician if the above side effects are severe or persistent6) If a dose is missed, skip it and return to normal dosing schedule

Effexor & Effexor XR

1) Avoid alcohol while taking this medication2) Patients should be advised to inform their physician if they are taking, or plan to take, any

prescriptions or over-the-counter drugs, since there is a potential for interactions

3) Store in a cool, dry place away from children4) Contact a physician if the above side effects are severe or persistent5) Swallow capsules whole; do not crush, chew, dissolve, or divide6) Do not stop therapy before consulting with a physician7) Pay close attention to any changes, especially sudden changes, in mood behaviors,


8) Continued therapy of up to 2 weeks may be needed to show noticeable improvementProzac

1) Pay close attention to any changes, especially sudden changes, in mood behaviors,thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions



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3) Avoid alcohol while taking this medication4) Up to 2 weeks may be needed before therapeutic effects are seen5) Do not abruptly discontinue medication6) Notify a physician if rash or hives develop7) Store in a cool, dry place away from sunlight and children8) Contact a physician if the above side effects are severe or persistent9) If a dose is missed, skip it and return to normal dosing schedule


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Anti-diabetic Agents

Anti-diabetic agents


10 Antidiabetic

Glucophage

Metformin Hydrochloride

One 500 mg tablet given twice a day

with meals or one 850 mg tablet givenwith the morning mealGlucophage XR

74 Antidiabetic Lantus Insulin Glargine, rDNA origin Dosage must be individualized

75 Antidiabetic Actos Pioglitazone Hydrochloride 15 mg to 30 mg given once daily


Glucophage, Glucophage XR

1) Should be taken with meals2) Avoid excessive alcohol consumption during treatment. This includes drinking alcoholall the time or binge drinking for short periods.3) Closely follow recommended diet and exercise4) Stop treatment and notify your physician if you experience any of the following

symptoms: unexplained hyperventilation, myalgia, malaise, or unusual somnolence

5) If a dose is missed by more than a couple of hours, skip it and return to your dosingschedule. Do not double dose

6) Contact a physician if the above side effects are severe or persistent7) Keep well hydrated during therapy by drinking plenty of fluids

Lantus

1) Follow prescribed diet carefully2) Do not change insulin brands, syringe brands, or dose without first notifying a physician3) Consult a physician during any illness4) Do not dilute or mix Lantus with any other insulin or solution5) Lanuts should be clear and colorless with no particles visible6) Unopened vials should be stored in the refrigerator (36F-46F). Do not freeze. Lantus

can be kept at room temperature ( < 86F) for 28 days.

7) Continually monitor blood or urine glucose as described8) Wear or carry diabetic identification in case of emergencies9) If a dose is missed, take it as soon as possible10)Patient should be aware of the signs of hypoglycemia including sweating, tremor, blurred

vision, weakness, hunger, and confusion. When two or more of these effects are seen,

treat with oral glucose or contact a physician.

Actos


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1) May be taken without regards to meals2) Closely follow recommended dietary and exercise instructions3) Quarterly HbA-1c testing should be performed4) Store in a cool, dry place away from sunlight and children5) If a dose is missed, take it as soon as possible but do not double doses6) Call physician if above side effects are persistent or severe


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Anti-hypertensives and anti-anginals

Antihypertensives and Antianginals


5 AntihypertensivePrinivil

Lisinopril20 -40 mg per day administered in a

single daily doseZestril11 Antihypertensive Norvasc Amlodipine 10 mg once daily (max)

33 Antihypertensive Toprol-XL Metoprolol Succinate Start with 25 100 mg daily

47 Antihypertensive CarvedilolCoreg

12.5 mg twice a dayCoreg CR

57 Antihypertensive Tenormin Atenolol 50 mg to 100 mg a day for maintenance

60 Antihypertensive Lopressor Metoprolol Tartrate100 mg to 450 mg per day in a single or

divided dose

62Antihypertensive/

Antianginal

CardizemDiltiazem

Hydrochloride

Usual optimum dosage range is 240 to

360 mg per day in one or two dosesCartia

Tiazac


Prinivil, Zestril

1) May be taken with or without meals2) Do not discontinue medication unless otherwise directed by your physician3) Avoid non-prescription cough, cold, and allergy medications unless otherwise directed4) Avoid salt substitutes containing potassium5) Store in a cool, dry place away from sunlight and children6) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose

than the dose you missed, skip the missed dose and return to your dosing schedule. Do

not double dose

7) Contact a physician if the above side effects are severe or persistent8) Contact a physician if signs of swelling occur

Norvasc

1) May be taken with or without meals2) Contact a physician if the above side effects are severe or persistent3) Store in a cool, dry place away from sunlight and children4) If a dose is missed take it as soon as possible. If taken within 12 hours of the next dose,

skip the next dose and return to schedule

5) Do not take OTC cough and cold remedies without first checking with your physician orpharmacist

6) Do not stop therapy unless directed to do so by a physician


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Toprol-XL

1) Contact a physician if the above side effects are severe or persistent2) Patients with heart failure should contact their physician if their symptoms (weight gain,

shortness of breath) worsens

3) Do not discontinue therapy without first consulting physician4) Take with food to increase absorption5) Take whole or halved tablets without crushing or chewing6) May cause dizziness. Use caution while operating machinery7) Patients with diabetes need to be aware that this agent can cause masking of

hypoglycemic symptoms

8) Store in a cool, dry place away from the sun9) If a dose is missed skip it and return to your dosing schedule. Do not double dose

Carvedilol

1) Store in a cool, dry place away from sunlight and children2) If a dose is missed, take it as soon as possible. If it closer to the time of your next dose


not double dose

3) Take with food to decrease orthostatic hypotension4) Contact a physician if the above side effects are severe or persistent5) Contact lens wearers may experience decreased lacrimation6) Do not discontinue therapy without first consulting a physician. Treatment must be

tapered over 1 to 2 weeks


8) Patients with diabetes need to be aware that this agent can cause masking ofhypoglycemic symptoms

9) Avoid nonprescription cough, cold, and allergy medications unless otherwise directedTenormin

1) May be taken with food or milk if GI upset occurs2) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required3) Avoid abrupt withdrawal from therapy4) Patients with diabetes need to be aware that this agent can cause masking of


5) Contact a physician if the above side effects are severe or persistent6) Store in a cool, dry place away from sunlight and children


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7) If a dose is missed, take it as soon as possible. If it closer to the time of your next dosethan the dose you missed, skip the missed dose and return to your dosing schedule. Do

not double dose

Lopressor

1) Contact a physician if the above side effects are severe or persistent2) Do not discontinue therapy without first consulting a physician3) Take with food to increase absorption4) May cause dizziness. Use caution while operating machinery5) Patients with diabetes need to be aware that this agent can cause masking of


6) Store in a cool, dry place away from sunlight and children7) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose.

Caridzem, Cartia, Tiazac

1) Take each dose on an empty stomach at least one hour before or two hours after a mealunless otherwise directed by physician

2) Do not discontinue therapy without first consulting physician3) May cause dizziness. Use caution while operating machinery or when mental alertness is

required

4) Store in a cool, dry place away from sunlight and children5)

If a dose is missed take it as soon as possible. If it is closer to the time of your next dosethan the dose you missed, skip the missed dose and return to your dosing schedule. Do

not double dose.

6) Contact a physician if the above side effects are severe or persistent


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Anti-Psychotics

Anti-Psychotics


38 Antipsychotic Seroquel Quetiapine Fumerate300 mg 400 mg daily, given in 2 or 3 divided

doses, or one extended release tablet

48 Antipsychotic Risperdal RisperidoneBegin with 1 mg twice daily. For maintenance

use the lowest effective dose


Seroquel

1) Use caution when rising from a prone position, especially during initial dose-titrationperiod

2) May cause drowsinessuse caution when performing activities that require alertness3) May be taken without regards to meals4) Seroquel XR should be swallowed whole and not crushed, divided, or chewed5) Do not change dosage except on the orders of your physician6) Store in a cool, dry place away from sunlight and children7) Contact a physician if the above side effects are severe or persistent8) If a dose is missed, skip it and return to normal dosing schedule

Risperdal

1) May cause fainting during initial doses use caution when getting up from a sitting orlying position

2) May impair judgmentuse caution when operating machinery including automobiles3) Avoid alcohol during therapy4) May take with food or milk if GI upset occurs5) Solution is compatible with orange juice, coffee, and low-fat milk6) Risperdal M-Tab tablets must be used immediately after opening their blister. Do not try

to push the tablet through the blister. Open with dry hands and do not try to split or store

tablets after the blister is opened

7) Avoid overexposure to sunlight and extreme temperatures during therapy8) Do not take OTC medications without first checking with a physician or pharmacist9) Store in a cool, dry place away from sunlight and children10)If a dose is missed take it as soon as possible. If it closer to the time of your next dose


not double dose

11)Contact a physician if the above side effects are severe or persistent


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Anti-ulcer Agents

Antiulcer Agent

Rank Subclass Brand Name Generic Name(s) Dosage Range4 Gastric Antisecretory Prilosec Omeprazole 20 mg give once daily

26 Gastric Antisecretory Nexium Esomeprazole Magnesium 20 40 mg daily for 4 to 8 weeks

51 Gastric Antisecretory Protonix Pantoprazole Sodium 40 mg taken once a day for up to 8 weeks

55 Gastric Antisecretory Prevacid Lansoprazole 30 mg daily


Prilosec

1) Take 30 minutes prior to eating2) Antacids may be taken at the same time3) Store in a cool, dry place away from sunlight and children4) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose

5) Contact a physician if the above side effects are severe or persistent6) For patients who have difficulty swallowing capsules, the contents of Prilosec capsule

can be added to one tablespoon of applesauce, swallowed immediately and followed with

a glass of cool water. The contents of the capsule should not be crushed or chewed

Nexium

1) Take at least 60 minutes prior to eating2) Swallow capsules whole, or carefully empty the contents by opening the capsule and

sprinkling the enteric-coated granules over one tablespoonful of applesauce. Ingest the

applesauce/drug mixture without chewing

3) Nexium granules should be mixed with one tablespoonful (15 mL) of water, stirred, leftfor 2-3 minutes, then taken orally. Water can be taken to the container a second time if

any medication is remaining. The dose should be taken within 30 minutes of mixing.

4) Antacids may be taken at the same time5) Store in a cool, dry place away from sunlight and children6) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose



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Protonix

1) May be taken without to regard to meals2) Swallow tablet whole; do not split, chew, or crush3) Granules should be mixed with applesauce or apple juice and swallowed immediately4) Antacids may be taken at the same time5) Store in a cool, dry place away from sunlight and children6) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose

7) Contact a physician if the above side effects are severe or persistentPrevacid

1) Take on an empty stomach one hour before a meal2)

The capsules should be swallowed whole or the contents sprinkled onto soft food andswallowed without chewing

3) Store in a cool, dry place away from sunlight and children4) Contact a physician if the above side effects are severe or persistent5) If a dose is missed, skip it and return to normal dosing schedule


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GI Anit-Cholinergics

GI ANTI-CHOLINERGICS


49 Urinary Bladder Modifier

Detrol

Tolterodine Tartrate

Starting adult dose is 4 mg a day

in one (Detrol LA 4mg) or two

(Detrol 2 mg) dosesDetrol LA

Patient Consultation

Detrol & Detrol LA

1) May cause dizziness or drowsiness. Use care when operating machinery or when mentalalertness is required

2) Avoid alcohol while taking this medication3) May cause dry mouth or blurred vision4) Store in a cool, dry place away from sunlight and children5) Contact a physician if the above side effects are severe or persistent6) If a dose is missed, skip it and return to normal dosing schedule


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Macrolides, Tetracyclines, and Fluoroquinolones

Macrolides, Tetracyclines, and Fluoroquinolones


18 Macrolide Antibiotic

Zithromax

Azithromycin Dihydrate

500 mg as a single dose on the first day

followed by 250 mg once daily for 4more daysZmax

41Fluoroquinolone

Antiobiotic

CiproCiprofloxacin HCl 250 to 500 mg every 12 hours

Cipro XR

50 TetracyclineVibramycin

Doxycycline Hyclate 100 mg every 12 hoursDoryx


Zithromax, Zmax

1) May be taken without regard to food or meals2) Do not take antacids within one hour of administration3) Store in a cool, dry place away from sunlight and children4) Report severe or persistent diarrhea to a physician5) Take a missed dose as soon as possible and continue dosing schedule6) Shake suspensions well before each dose

Cipro & Cipro XR

1) Store in a cool, dry place away from sunlight and children2) Avoid prolonged exposure to sunlight3) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose

4) Contact a physician if the above side effects are severe or persistent5) Discontinue use and contact a physician if a rash develops6) Finish medication unless otherwise instructed7) Drink a full glass of water (240 mL) after each dose8) May be taken without regard to food or meals9) Do not take antacids during therapy10)Suspension may stored at room temperature or in the refrigerator and is stable for 14 days

after reconstitution. Shake vigorously for 15 seconds before each dose

11)May cause dizziness or light headedness. Use caution while operating machinery orwhen mental alertness is required

12)Do not take antacids or products containing calcium calcium, zince, or iron at the sametime. Can be taken 2 hours before or 6 hours after these products


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13)Do not chew, crush, or split XR tabletsVibramycin, Doryx

1) Preferably taken on an empty stomach one hour before or two hours after meals witha full glass of water (240 mL)2) May be taken with food or milk if GI upset occurs

3) Taken at even intervals, preferably around the clock4) Complete full course of therapy unless otherwise directed5) Shake suspension well before using6) Avoid prolonged exposure to sunlight7) Store in a cool, dry place away from sunlight and children8) If a dose is missed take it as soon as possible and return to dosing schedule9) Contact a physician if the above side effects are severe or persistent


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Misc. Agents

MISCELLANEOUS AGENTS

Rank Subclass

Brand

Name Generic Name(s) Dosage Range

43 OsteoporosisAgent Fosamax Alendronate Sodium 10 mg once a day or 70 mg once a week


Fosamax

1) Fosamax must be swallowed with 6-8 ounces of plain water immediately upon arising forthe day (at least30 minutes before the first food, beverage, or medication for the day). Do

not lie down for 30 minutes after swallowing that tablet and not until the first food of the

day has been consumed

2) Promptly report any upper GI distress to your physician or pharmacist3) Swallow whole; do not crush, chew or suck on the tablet4) If a dose is missed, skip it and return to your normal schedule. Do not double dose5) Contact a physician if the above side effects are severe or persistent6) Store in a cool, dry place away from sunlight and children


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Misc. Analgesic and Anti-inflammatory Agents

Misc. Analgesic and Anti-Inflammatory Agents

Rank Subclass Brand NameGeneric

Name(s)Dosage Range

13 Anti-inflammatory Deltasone Prednisone MUST BE INDIVIDUALIZED. Normaldoses range from 5 mg to 60 mg per

day

23 Analgesic

Ultram

Tramadol HCl

Give 50 mg to 100 mg as needed for

the relief of pain every four to six

hours, not to exceed 400 mg per day

Ultram ER

Ryzolt

69 Prostate Anti-inflammatory FloxmaxTamsulosin

HydrochlorideOne 0.4 mg capsule daily

72 Agent for Gout Zyloprim Allopurinol 200 mg to 300 mg per day


Deltasone

1) Take medication only as prescribed2) Do not discontinue medication without first consulting physician3) May take with food or milk if GI upset occurs4) Notify physician if any adverse effects occur5) Store in a cool, dry place away from sunlight and children6) If a dose is missed, take it as soon as possible

Ultram, Ultram ER, Ryzolt

1) May cause drowsiness. Use caution while operating machinery or when mental alternessis required

2) Avoid alcohol while taking this medication3) Do not split, crush, or chew extended-release tablets4) May take with food or milk if GI upset although analgesia may be delayed5) Continuous use may produce psychic and physical dependence of the morphine-type6) Do not exceed prescribed dosage7) Contact a physician if the above side effects are severe or persistent8) Store in a cool, dry place away from sunlight and children9) If a dose is missed, skip it and return to normal dosing schedule

Flomax

1) Take dose one-half hour following the same meal every day. If a dose is missed, skip itand return to normal dosing schedule


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2) May cause dizziness, especially when rising from the sitting position. Use caution whenperforming any hazardous task.

3) Store in a cool, dry place away from sunlight4) Do not discontinue or skip therapy without first consulting physician5) Contact a physician if adverse effects become severe or bothersome

Zyloprim

1) Compliance with therapy is essential. May take one or more weeks to reach maximumeffectiveness

2) May be taken with food or milk if GI upset occurs3) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required

4) Avoid alcohol while taking this medication5) High fluid intake during therapy is beneficial to help prevent kidney stone formation6) Store in a cool, dry place away from sunlight and children7) If a dose is missed, skip it and return to normal dosing schedule8) Contact a physician if the above side effects are severe or persistent


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Misc. Anti-infective

Misc. Anti-Infectives


25 Antibiotic

BactrimSulfamethoxazole with

Trimethoprim

160 mg trimethoprim / 800 mg

sulfamethoxazole every 12 hours for 10 to14 daysSeptra

37 Antifungal Diflucan Fluconazole 150 mg as single oral dose


Bactrim, Septra

1) Preferably taken on an empty stomach one hour before or two hours after meals with afull glass (240 mL) of water

2) Complete the full course of therapy unless otherwise directed3) Avoid prolonged exposure to sunlight4) Shake suspension well before using5) Contact a physician if the above side effects are severe or persistent6) Store in a cool, dry place away from sunlight and children7) If a dose is missed, take it as soon as possible

Diflucan

1) Suspensions should be reconstituted prior to dispensing2) Store in a cool, dry place away from sunlight and children3) Shake suspension well before each dose4) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose.

5) Contact your physician if a rash develops during therapy


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Misc. Cardiovascular Agent

Misc. Cardiovascular Agents

Rank Subclass Brand Name Generic Name(s) Dosage Range3 Antihyperlipidemic Zocor Simvastin 10 to 40 mg per day

15 Antihyperlipidemic Lipitor Atorvastatin Calcium 10 mg to 80 mg per day

19 Diuretic Microzide Hydrochlorothiazide 25 to 100 mg daily in a single or divided dose

24 Diuretic Lasix Furosemide 20 to 80 mg per day in one or two doses

36 AnticoagulantCoumadin Warfarin Sodium

(Crystalline)2 to 10 mg per day

Jantoven

44 Antihyperlipidemic Crestor Rosuvastatin Calcium 5 to 40 mg once daily

65 Hematological Agent - Aspirin, enteric-coated 81 mg to 325 mg once daily


Zocor

1) Contact physician if symptoms of myopathy occur (e.g., muscle pain or tenderness,especially if accompanied by malaise or fever).

2) Closely follow prescribed diet3) Avoid overexposure to sunlight due to possibility of photosensitivity. Use a sunscreen

and wear appropriate clothing until the level of sensitivity is determined

4) Do not become pregnant during therapy. If pregnancy occurs or is suspected, discontinuemedication and consult a physician

5) Limit alcohol intake during therapy6) Store in a cool, dry place away from sunlight and children7) If a dose is missed take it as soon as possible. If taken within 12 hours of the next dose,

skip the next dose and return to schedule

8) Grapefruit juice increases plasma levels and should be avoidedLipitor


2) Closely follow prescribed diet3) Avoid overexposure to sunlight due to possibility of photosensitivity. Use a sunscreen

and wear appropriate clothing until the level of sensitivity is determined

4) Do not become pregnant during therapy. If pregnancy occurs or is suspected, discontinuemedication and consult a physician

5) Limit alcohol intake during therapy


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6) Store in a cool, dry place away from sunlight and children7) If a dose is missed take it as soon as possible. If more than 8 hours has lapsed between

the time the dose was to be taken, skip it and return to normal dosing schedule

Microzide

1) May be taken with food or milk if GI upset occurs2) Timing of dose is important because of increased 25ieresis. Usually given in early a.m.3) Avoid excessive exposure to sunlight4) Store in a cool, dry place away from sunlight and children5) Contact a physician if the above side effects are severe or persistent6) If a dose is missed, skip it and return to normal dosing schedule

Lasix

1) May be taken with food or milk if GI upset occurs2) Timing of dose is important because of increased 25ieresis. Usually given in early a.m.3) Avoid excessive exposure to sunlight4) Do not take any non-prescription cough or cold medicines, antacids, laxatives, or

antidiarrheals without first consulting your physician or pharmacist

5) May cause orthostatic hypotension; take appropriate precautions6) Store in a cool, dry place away from sunlight and children7) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose

8)

Contact a physician if the above side effects are severe or persistent

Coumadin, Jantoven

1) Contact a physician if the above side effects are severe or persistent2) Do not exceed prescribed dosage, take medication only as directed3) Avoid alcohol and aspirin or aspirin-containing medications4) Do not begin or discontinue therapy with other medications unless directed to do so by

your physician

5) Store in a cool, dry place away from sunlight and children6) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose


not double

Crestor



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2) Closely follow prescribed diet3) Do not become pregnant during therapy. If pregnancy occurs or is suspected, discontinue

medication and consult a physician

4) Limit alcohol intake during therapy5) Store in a cool, dry place away from sunlight and children6) If a dose is missed take it as soon as possible. If more than 8 hours has lapsed between

the time the dose was to be taken, skip it and return to normal dosing schedule

Aspirin, enteric-coated

1) Many nonprescription medications contain aspirin-read labels to avoid toxic levels2) Stop use if rash appears or if patient has difficulty in breathing after administration3) Do not take during the last trimester of pregnancy4) Do not take for pain for more than 10 days or for fever for more than 3 days unless

directed to do so by a physician

5) Medication should be swallowed whole and followed with a glass of water6) Do not give to children with chicken pox or flu-like symptoms


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Misc. CNS Agents

Misc. CNS Agent


6 SedativeAmbien

Zolpidem Tartrate5 to 12.5 mg immediately before

bedtimeAmbien CR

20 Antiepileptic Klonopin Clonazepam

Adults: 0.5 mg given three times a day

initially

29 Muscle Relaxant

Amrix

Cyclobenzaprine HCl 10 mg three times a dayFlexeril

Fexmid

30Anticonvulsant / Antineuralgic Neurontin Gabapentin

The effective dose is 900 mg to 1800 m

per day in three divided doses

40Antiepileptic Topamax Topiramate

200 mg to 400 mg given in two divided

doses

52 Anticonvulsant / Antineuralgic Lyrica Pregabalin75 mg twice daily or 50 mg three times

day (150 mg/day)

53

CNS Agent for ADHD

Adderall Amphetamine with

Dextroamphetamine

Salts

20 mg per dayAdderall XR

59 Anticonvulsant / AntipsychoticDepakote

Divalproex Sodium250 mg three times a day (Depakote) o

25 mg/kg (Depakote ER) give once dailDepakote ER

63 AntiepilepticLamictal

Lamotrigine 25 mg to 200 mg once dailyLamictal XR

68 Sedative Lunesta Eszopiclone2 mg (nonelderly) or 1 mg (elderly)

immediately before bedtime

70 Agent for AlzheimersDementia

Aricept DonepezilHydrochloride

10 mg given at bedtime


Ambien, Ambien CR

1) CR tablets should be swallowed whole, and not divided, crushed, or chewed2) Contact a physician if the above side effects are severe or persistent3) Because of induced drowsiness, do not operate machinery or engage in activities when

mental alertness is required4) Avoid alcohol while taking this medication5) WARNING: This medication may be habit-forming6) Store in a cool, dry place away from sunlight and children

Klonopin


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2) Avoid alcohol while taking this medication3) WARNING: This medication may be habit-forming4) Do not stop medication abruptly5) Store in a cool, dry place away from sunlight and children6) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose

7) Contact a physician if the above side effects are severe or persistentAmrix, Flexeril, Fexmid


2) Avoid alcohol while taking this medication3) May cause dry mouth4) Store in a cool, dry place away from sunlight and children5) Contact a physician if the above side effects are severe or persistent6) If a dose is missed, skip it and return to normal dosing schedule

Neurontin


2)

Avoid alcohol while taking this medication3) Do not abruptly discontinue therapy, dose should be tapered over a one week period4) May be taken without regard to meals5) Store in a cool, dry place away from sunlight and children6) Contact a physician if the above side effects are severe or persistent7) If a dose is missed, skip it and return to normal dosing schedule

Topamax

1) May be taken without regard to meals2) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required

3) Avoid alcohol while taking this medication4) Store in a cool, dry place away from sunlight and children5) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose

than the dose you missed, skip the missed dose and return to your normal dosing

schedule. Do not double dose



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7) Contact a physician immediately upon experiencing blurred vision or periorbital pain8) Keep well hydrated during therapy to decrease the risk of kidney stone formation9) Topamax Sprinkle Capsules may be swallowed whole or by carefully opening the capsule

and sprinkling the contents onto a small amount (one teaspoon) of soft food. This

mixture should be swallowed immediately and not chewed

Lyrica


2) Avoid alcohol while taking this medication3) Do not abruptly discontinue therapy, dose should be tapered over a one week period.4) May be taken without regards to meals5) Store in a cool, dry place away from sunlight and children6) The oral solution must be used within 45 days of opening the stock container7) Contact a physician if the above side effects area severe or persistent8) Report unexplained muscle pain, tenderness, or weakness, especially if accompanied by

fever or malaise

9) If a dose is missed, take it as soon as possible. Do not double dose.Adderall & Adderall XR

1) May cause dizzinessuse caution when performing activities that require coordination.2) Do not exceed prescribed dosage3) This prescription cannot be refilled4)

WARNING

this medication may be habit forming5) Store in a cool, dry place away from sunlight and children6) Contact a physician if the above side effects are severe or persistent7) If a dose is missed, skip it and return to normal dosing schedule8) Adderall XR can be swallowed whole or the capsule carefully opened and the contents

sprinkled on applesauce. The applesauce/drug mixture should be immediately swallowed

whole without chewing

Depakote & Depakote ER

1) Do not abruptly discontinue therapy without first consulting physician2) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required. Alcohol will increase this effect

3) May take with food or milk to avoid GI upset4) Capsules may be swallowed whole or the contents sprinkled over soft food and ingested.

Sprinkle the contents on a teaspoonful of the soft food and ingest without chewing

5) Store in a cool, dry place away from sunlight and children


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6) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dosethan the dose you missed, skip the missed dose and return to your dosing schedule. Do

not double dose

7) Contact a physician if the above side effects are severe or persistent or if any of thefollowing adverse effects are seen: facial edema, weakness, malaise, lethargy, abdominal

pain, nausea, vomiting, and/or anorexia

Lamictal & Lamictal XR

1) Patient should promptly report and signs of hypersensitivity (fever, lymphadenophathy)or rash to a physician

2) Do not increase or change dosage without specific instructions from a physician3) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required

4) Patients should inform their physician if they become pregnant, intend to becomepregnant,, or intend to breast-feed an infant during therapy

5) If a dose is missed, take it as soon as possible but do not double the next dose6) Contact a physician if the above side effects are severe or persistent7) Lamictal chewable tablets may be chewed or dispersed in a teaspoonful of water or

diluted fruit juice

Lunesta

1) Preferably taken on an empty stomach. High fat meals delay onset of action2) Because of the rapid onset of action, take immediately before bedtime3)

Because of induced drowsiness, do not operate machinery or engage in activities whenmental alertness is required

4) Avoid alcohol while taking this medication5) WARNING: This medication may be habit-forming6) A rapid decrease or abrupt discontinuation of therapy may precipitate withdrawal

symptoms

7) Store in a cool, dry place away from sunlight and children8) Contact a physician if the above side effects are severe or persistent

Aricept

1) May be taken with or without food2) Take in the evening, just prior to retiring3) Store in a cool, dry place away from sunlight and children4) Contact a physician if the above side effects are severe or persistent5) If a dose is missed, skip it and return to normal dosing schedule. Do not double doses.


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Misc. Gastrointestinal Agents

Misc. Gastrointestinal Agents


54 Antiemetic Zofran Ondansetron HCl 8 mg given three times a day

71 Antiemetic Reglan Metoclopramide HCl5 to 10 mg taken 30 minutes before each

meal and at bedtime for 2 to 8 weeks

Zofran

1) Do not remove chewable tablets from the blister until just prior to use. Do not try to pushthe tablet through the foil, peel the blister apart to remove

2) Store in a cool, dry place away from sunlight and children3) If a dose is missed, take it as soon as possible4) Contact a physician if the above side effects are severe or persistent

Reglan

1) May cause drowsiness. Use care when operating machinery or when mental alertness isrequired

2) Avoid alcohol while taking this medication3) Should be taken 30 minutes before meals4)

Store in a cool, dry place away from sunlight and children5) Contact a physician if the above side effects are severe or persistent

6) If a dose is missed, skip it and return to normal dosing schedule


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Misc. Hormone and Electrolyte Agents

Misc. Horomone and Electrolyte Agents


2 Hormone/Thyroid

SynthroidLevothyroxine

Sodium

Adults: 25 to 300 mcg

orally once per dayLevoxyl

Levothroid

35 Electrolyte

Klor-ConPotassium Chloride

(Oral)

16 to 80 mEq per day

in one or two divided

doses

K-Dur

Micro-K


Synthroid, Levoxyl, Levothroid

1) Do not discontinue therapy without first consulting a physician2) Notify physician if signs of hyperthyroidism (overdosage) occurs3) Transient loss of hair may be seen in children, but recovery usually occurs4) Store in a cool, dry place away from sunlight and children5) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose


not double dose

Klor-Con, K-Dur, Micro-K

1) Take with or after meals and with a full glass (240 mL) of water2) Swallor tablets (except K-Dur) whole3) K-Dur tablets may be halved or dispersed into 4 ounces of water4) Avoid salt substitutes containing potassium5) The unabsorbable wax matrix from Slow K, K-Tab, and Klor-Con may be found in the

stool following administration

6) Store in a cool, dry place away from sunlight and children7) Contact a physician if the above side effects are severe or persistent8) If a dose is missed take it as soon as possible


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Narcotic Analgesics

NARCOTIC ANALGESIC


1 Opioid Analgesic

Lortab

Hydrocodone Bitartratewith Acetaminophen

1 to 2 tablets or 3teaspoonsful every four to six

hours as needed for pain

Vicodin

Lorcet

Norco

42 Opioid Analgesic

TylenolAcetaminophen with

Codeine

1 or 2 No.2 or No.3 tablets

every 4 hours as neededPhenaphen

(with Codeine)

56 Opioid Analgesic

PercocetOxycodone with

Acetaminophen

1 tablet every 6 hours as

neededRoxicet

Endocet


Lortab, Vicodin, Lorcet, Norco


2) Avoid alcohol while taking this medication3) May be taken with food or milk to avoid GI upset4) WARNING: This medication may be habit-forming5) Store in a cool, dry place away from sunlight and children6) Contact a physician if the above side effects are severe or persistent7) If a dose is missed, skip it and return to normal dosing schedule

Tylenol and Phenaphen (with Codeine)


2) Avoid alcohol while taking this medication3) May take with food or milk to avoid GI upset4) Do not exceed prescribed dosage5) WARNING: This medication may be habit-forming6) Store in a cool, dry place away from children7) Contact a physician if the above side effects are severe or persistent8) If a dose is missed, skip it and return to normal dosing schedule

Percocet, Roxicet, Endocet


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2) Avoid alcohol while taking this medication3) May take with food or milk to avoid GI upset4) Do not exceed prescribed dosage5) WARNING: This medication may be habit forming6) This prescription cannot be refilled7) Store in a cool, dry place away from sunlight and children8) Contact a physician if the above side effects are severe or persistent9) If a dose is missed, skip it and return to normal dosing schedule


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Nonsteroidal Anit-Inflammatory

Nonsteroidal Anti-Inflammatory

Rank Subclass Brand NameGeneric

Name(s)Dosage Range

34 Nonsteroidal Anti-Inflammatory Mobic Meloxicam 7.5 mg once daily

39 Nonsteroidal Anti-InflammatoryNaprosryn

Naproxen 250 mg to 500 mg twice a dayEC Naprosyn

61 Nonsteroidal Anti-InflammatoryVoltaren Diclofenac

Sodium (oral)

50 mg 3-4 times a day, 75 mg twice a

day, or 100 mg XR once or twice a dayVoltaren XR

66 Nonsteroidal Anti-Inflammatory Celebrex Celecoxib200 mg given once a day or 100 mg given

twice a day


Mobic

1) Compliance with therapy is essential, may require up to 2 weeks to see noticeableimprovement in arthritic conditions

2) May take with food or milk if GI upset occurs3) Shake suspension well before using4) Concurrent ingestion of alcohol may increase ulcerogenic effect5) Avoid aspirin or products containing aspirin without first consulting a physician6)

Store in a cool, dry place away from sunlight and children

7) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dosethan the dose you missed, skip the missed dose and return to your dosing schedule

8) Contact a physician if signs of hepatic failure (fatigue, lethargy, pruritus, jaundice, upperright quadrant tenderness, flu-like symptoms), GI ulceration, skin rash, edema, or weight

gain occur

Naprosryn and EC Naprosyn

1) May require up to 2 weeks to see noticeable improvement in arthritic condition2) Take on an empty stomach for better absorption, may take with food to reduce GI upset3) Concurrent ingestion of alcohol may increase ulcerogenic effect4) Avoid aspirin or products containing aspirin without first consulting your physician5) May cause drowsinessuse caution when performing activities that require alertness6) Store in a cool, dry place away from sunlight and children7) To maintain the integrity of enteric coating, the delayed release tablets should not be

broken, crushed or chewed during ingestion


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8) If a dose is missed take it as soon as possible. If it closer to the time of your next dosethan the dose you missed, skip the missed dose and return to your dosing schedule

9) Contact a physician if the above side effects are severe or persistentVoltaren & Voltaren XR

1) May take with food or milk if GI upset occurs2) Concurrent ingestion of alcohol will increase ulcerogenic effect3) Avoid aspirin or products containing aspirin without first consulting your physician4) Swallow wholedo not crush or chew5) Store in a cool, dry place away from sunlight and children6) If a dose is missed take it as soon as possible. If it closer to the time of your next dose

than the dose you missed, skip the missed dose and return to your dosing schedule

7) Contact a physician if the above side effects are severe or persistentCelebrex

1) May be taken without regard to meals2) Promptly report any signs of ulcerations and bleeding (intense GI pain, dark stools) to a

physician

3) Avoid aspirin or products containing aspirin without first consulting physician4) Store in a cool, dry place away from sunlight and children5) If a dose is missed take it as soon as possible. If it closer to the time of your next dose

than the dose you missed, skip the missed dose and return to your dosing schedule



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Penicillins and Cephalosporins

Penicillins and cephalosporins


14 Antibiotic

Amoxil

Amoxicillin TrihydrateAdults: 250 mg to 500 mg every 8 hours or

500 mg to 875 mg every 12 hoursMoxatag

Trimox

28 AnitbioticAugentin

Amoxicillin with

Clavulanate Potassium

Adults (more severe infections): 1 Augmentin

500 every 8 hours or 1 Augmentin 875

tablet every 12 hoursAugmentin XR


Amoxil, Moxatag, Trimox

1) Preferably taken on an empty stomach one hour before or two hours after meals witha full glass (240 mL) of water2) Take at even intervals, preferably around the clock3) Complete full course of therapy unless otherwise directed4) Keep suspension refrigerated, discard after 14 days5) Shake suspension well before using6) If a dose is missed, take it as soon as possible7) Contact a physician if the above side effects are severe or persistent

Augmentin and Augmentin XR

1) Preferably taken at the start of a meal to enhance absorption and decrease GI upset2) Take at even intervals, preferably around the clock3) Complete full course of therapy unless otherwise directed4) Follow chewable tablets with a full glass of water5) Keep suspension refrigerated, discard after 10 days6) Shake suspension well before each dose7) If a dose is missed, take it as soon as possible8) Contact a physician if the above side effects are severe or persistent


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Upper Respiratory Agents

Upper Respiratory Agents

Rank Subclass Brand Name Generic Name(s) Dosage Range21 Anti-allergy Flonase Fluticasone Propionate (nasal) two sprays in each nostril once a day

46 Anti-allergy Allegra Fexofenadine Hydrochloride60 mg twice a day as needed or 180

mg once a day as needed

58 Anti-allergy NasonexMometasone Furoate

Monohydrate (Intranasal)Two sprays in each nostril once a day


Flonase

1) Therapeutic effects are not seen at once. Benefits are usually seen in a few days but maytake as long as three weeks. If no improvement is evident by that time, discontinue

medication and consult physician

2) Use medication at regular intervals for prevention of symptoms or when needed fortreatment of symptoms

3) Do not exceed prescribed dosage; take medication only as directed4) Clear nasal passages of secretions prior to use. Oral decongestants may be used if needed5) Shake container well before use6) Store in a cool, dry place away from sunlight and children7) If a dose is missed, administer it as soon as possible and return to your normal dosing

schedule.

Allegra

1) May be taken without regard to meals2) Shake suspension well before use3) May rarely cause drowsiness, use caution when performing activities that require

alertness until effects are known

4) Store in a cook, dry place away from sunlight and children5) If a dose is missed, take it as soon as possible and return to normal dosing schedule. Do

not double dose

Nasonex

1) Shake the bottle well before each use


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2) Therapeutic effects are not seen at once, benefits are usually seen in a few days but maytake as long as three weeks. If no improvement is evident by that time, use should be

discontinued

3) Contact a physician if the above side effects are severe or persistent4) If a dose is missed by more than 12 hours, skip it and return to normal dosing schedule5) Clear nasal passages of secretions prior to use. Oral decongestants may be used if needed6) Use at regular intervals7) Store in a cool, dry place away from children

Documents

Prescription Drug Cards Review (1-75)