Contraindications/Black Box Warnings - Pain/GU Flashcards
Baclofen contraindications
Hypersensitivity
Buprenorphine/Naloxone contraindications
Hypersensitivity
Carisoprodol contraindications
Hypersensitivity; acute intermittent porphyria
Celecoxib contraindications
Asthma, urticaria, or allergic-type reaction following aspirin or other NSAID administration; CABG surgery, treatment of perioperative pain, hypersensitivity to sulfonamides
Codeine/Acetaminophen contraindications
Hypersensitivity, use in age < 12 y of age, use in age 12-18 y postoperatively after tonsillectomy
Cyclobenzaprine contraindications
Hypersensitivity, concomitant MAOI use, heart failure, acute coronary phase of AMI, heart block, hyperthyroidism
Diclofenac contraindications
Hypersensitivity to diclofenac, concurrent ketorolac use, asthma, allergic type reaction following other NSAID use, CABG
Etodolac contraindications
Hypersensitivity; concurrent use of ketorolac or pentoxifylline; allergic-type reaction following NSAID; CABG surgery, treatment of perioperative pain
Fentanyl Transdermal contraindications
Acute or postoperative pain, bronchial asthma, hypersensitivity to fentanyl, mild or intermittent pain, opioid nontolerant patient, paralytic ileus
Hydrocodone (w/o acetaminophen) contraindications
Hypersensitivity, paralytic ileus, respiratory depression, severe asthma
Ibuprofen contraindications
Hypersensitivity, concurrent use with ketorolac or pentoxifylline; asthma, urticaria, or allergic-type reaction following aspirin or other NSAID administration; CABG surgery, treatment of perioperative pain
Indomethacin contraindications
Hypersensitivity, concurrent use with ketorolac or pentoxifylline; asthma, urticaria, or allergic-type reaction following aspirin or other NSAID administration; CABG surgery, treatment of perioperative pain
Lidocaine contraindications
Hypersensitivity
Meloxicam contraindications
Hypersensitivity; concurrent ketorolac, pentoxifylline use, asthma, allergic-type reaction following other NSAID use, CABG
Methadone contraindications
Bronchial asthma, hypersensitivity to opioids, paralytic ileus, respiratory depression, hypercarbia
Methocarbamol contraindications
Hypersensitivity
Morphine contraindications
Hypersensitivity to opioids, acute or severe asthma, paralytic ileus, respiratory depression, GI obstruction, concurrent use or use within 14 days of MAOI
Nabumetone contraindications
Hypersensitivity to nabumetone, other NSAIDs, aspirin, or sulfonamides; concurrent use of ketorolac, or pentoxifylline; asthma, CABG surgery
Naproxen contraindications
Hypersensitivity to naproxen, other NSAIDs, aspirin or sulfonamides; asthma or allergic-type reaction following aspirin or other NSAID administration, CABG surgery, treatment of perioperative pain
Oxycodone contraindications
Hypersensitivity to oxycodone or other opioids, asthma, paralytic ileus, respiratory depression, hypercarbia
Pentosan contraindications
Hypersensitivity
Tramadol contraindications
Hypersensitivity to tramadol or other opioids, paralytic ileus, respiratory depression, bronchial asthma, age <12 y, hypercapnia, MAOI use or use within last 14 d
Darifenacin contraindications
Hypersensitivity to darifenacin, gastric retention, glaucoma, urinary retention
Dutasteride contraindications
Hypersensitivity to dutasteride, pregnancy, use in children
Finasteride contraindications
Hypersensitivity to finasteride, pregnancy, or use in children
Mirabegron contraindications
Hypersensitivity
Oxybutynin contraindications
Hypersensitivity to oxybutynin, gastric retention, glaucoma, urinary retention
Sildenafil contraindications
Hypersensitivity to phosphodiesterase inhibitors, concurrent nitrates, concurrent HIV protease inhibitors when used for treating pulmonary HTN, concurrent guanylate cyclase stimulators
Solifenacin contraindications
Hypersensitivity to solifenacin, gastric retention, uncontrolled glaucoma, urinary retention
Tadalafil contraindications
Hypersensitivity to phosphodiesterase inhibitors, concurrent nitrates, concurrent guanylate cyclase stimulators
Tamsulosin contraindications
Hypersensitivity
Tolterodine contraindications
Hypersensitivity to tolterodine or fesoterodine, gastric retention, uncontrolled narrow-angle glaucoma, urinary retention
Vardenafil contraindications
Hypersensitivity to PDE inhibitors, concurrent use of nitrates and guanylate cyclase stimulators
Phenazopyridine contraindications
Hypersensitivity and renal failure
Baclofen BBW
Avoid abrupt discontinuation of oral or intrathecal product
Celecoxib BBW
GI toxicity, cardiotoxicity, CABG
Codeine/Acetaminophen BBW
Hepatotoxicity; Children who are CYP2D6 ultrarapid metabolizers; serious risks of misuse, abuse, addiction, overdose, and death; concurrent use with benzodiazepines; immediate release only, serious risk of misuse, accidental ingestion, neonatal opioid withdrawal syndrome
Diclofenac BBW
Cardiovascular, GI risk, CABG
Etodolac BBW
Cardiovascular and GI risk
Fentanyl Transdermal BBW
Addiction, CYP 3A4/5 interactions, respiratory depression, fatalities in children, formulations not interchangeable, fever, care with disposal, REMS program, concurrent use with benzodiazepines or other CNS depressants, neonatal withdrawal, medication errors, heat exposure
Hydrocodone (w/o acetaminophen) BBW
Addiction, abuse, misuse, REMS, respiratory depression, accidental ingestion, neonatal opioid withdrawal, alcohol, CYP3A4/5 interactions, hepatotoxicity, concurrent use with benzodiazepines
Ibuprofen BBW
Cardiovascular events, GI toxicity, CABG
Indomethacin BBW
Cardiovascular events, GI toxicity, CABG
Meloxicam BBW
Cardiovascular thrombotic events, serious GI bleeding and perforation, CABG
Methadone BBW
Accidental ingestion; addiction, abuse, and misuse; QTc prolongation; respiratory depression; concurrent use with benzodiazepines; REMS; neonatal opioid withdrawal; conditions for use in opioid addiction; CYP interactions
Morphine BBW
Ethanol, addiction, abuse, and misuse, REMS, respiratory depression, neonatal opioid withdrawal, accidental ingestion, concurrent use with benzodiazepines, medication errors
Nabumetone BBW
Thrombotic events; GI bleeding
Naproxen BBW
Cardiovascular and GI risk; thrombotic events
Oxycodone BBW
Addiction, abuse potential; REMS, respiratory depression, accidental ingestion, neonatal withdrawal, CYP3A4/5 interaction, concurrent use with benzodiazepines, medication errors with oral solution
Tramadol BBW
Addiction, abuse, misuse, REMS, respiratory depression, accidental ingestions, CYP2D6 in children, neonatal withdrawal syndrome, drug interactions, concurrent benzodiazepines, medication errors, drug interactions with P450s