Top 400 Flashcards
Bumex
bumetanide (sulfa allergy, 1mg PO Bumex = 40mg PO lasix)
Lasix
furosemide (PROTECT FROM LIGHT)
Demadex
torsemide
chlorthalidone
Hygroton, Thalitone
HCTZ
Microzide, Hydrodiuril (triamterene/hctz: maxzide, dyazide)
Zaroxolyn
metolazone (can use in renal failure)
aldactone
Spironolactone (SE: gynecomastia, HF dose = 50mg QD)
Lotensin
benazepril
Vasotec
enalapril (ONLY ACEI THAT HAS IV FORM)
Zestril, Prinvil
lisinopril
Zestoretic
lisinopril/HCTZ
Accupril
Quinapril
Altace
ramipril (ONLY ACEI THAT COMES IN CAPSULES)
Avapro
irbesarten
Cozaar
Losartan
Hyzaar
Losartan/HCTZ
Diovan
valsartan
Diovan HCT
Valsartan/HCTZ
Benicar
olmesartan
Micardis
telmisartan
Normodyne
Labetalol (Take with food, safe in preggo)
Bystolic
Nebivolol (Inc NO = vasodilation)
Tenormin
Atenolol
Coreg, Coreg CR
Carvedilol (take with food)
Inderal
Propranolol (take with food)
Lopressor
metoprolol tartrate (IR=take with food)
Toprol XL
metoprolol succinate (can split in half for HF, start = 12.5mg inc to target of 200mg/d)
Zebeta
bisoprolol ( bisoprolol/HCTZ = Ziac)
Calan SR, Veralan, Verlan PM
Verapamil ( for rate control, inhibitor/substrate of 3A4)
Cardizem, Tiazac, Taztia XT
diltiazem ( for rate control, inhibitor/substrate of 3A4)
Norvasc
amlodipine (substrate of 3A4)
Plendil
felodipine (sustrate of 3A4, ER=DO NOT CRUSH/CHEW, QD)
Procardia, Procardia XL
nifedipine (substrate 3A4)
Catapres, Catepres TTS, Kapvay
clonidine (1 patch Q7d, Kapvay = clonidine ER for ADHD)
Tenex, Intuniv
guanfacine ( Tenex = for HTN, Intuniv = for ADHD)
Apresoline
hydralazine (safe in preggo, BiDil = hydralazine/isosorbide dinitrate for HF)
Minipress
prazosin (short acting for HTN)
Cardura, Cardura XL
doxazosin (for HTN and BPH, titrate due to risk of orthostatic dec BP)
Hytrin
terazosin (for HTN and BPH, titrate due to risk of orthostatic dec BP)
Flomax
Tamsulosin (SULFA, take 30min after meal each day)
Rapaflo
silodosin (QD with FOOD, caps can be opened/sprinkled on applesause)
Uroxatral
alfuzosin (take with same meal each day)
Avodart
dutasteride (0.5mg QD or in combo with tamsulosin)
Proscar, Propecia
finasteride (Proscar = 5mg BPH, Propecia = 1mg male baldness)
Lotrel
amlodipine/benazepril
Tarka
Verapamil/Trandolapril (with food)
Prestalia
Amlodipine/Perindopril
Exforge
amlodipine/valsartan
Twynsta
Amlodipine/telmisartan
Azor
amlodipine/olmesartan
caduet
amlodipine/atorvastatin
Consensi
amlodipine/celecoxib
Isosorbide Mononitrate
Imdur, ISMO, Monoket (IR = 20mg BID 7hrs apart)
Isordil
isosorbide dinitrate (nitrate free interval prevent tolerance IR = 14hr+ SR = > 18hr)
Nitrostat, Nitrobid
Nitroglycerin (IV must be in GLASS bottle)
Ranexa
ranolazine (chronic stable angina, CI in hepatic impairment
heparin
IV (monitor)/SQ, heparin lock flush keep line open
Lovenox
enoxaparin (prophylaxis: hip/knee/abd surgery, dvt tx, MI/UA/PCI/ thrombo adj)
Pradaxa
dabigatran (block 2a, antidote idarucizumab (prazbind), keep in original bottle 4M)
Eliquis
apixaban (BID, antidote Andexanet alfa (Andexxa))
Xarelto
rivaroxaban (DVT prophylaxis knee/hip/stroke (novalv afib), dvt/pe tx, antidote Andexanet alfa (Andexxa))
Jantoven
warfarin (drug interactions, CYP inhibitors inc INR, CYP inducers dec INR, antidote VItK (phytonadione, Mephyton)
Plavix
clopidogrel (LD: 300mg then 75mg QD, prodrug: 2C19i dec plavix)
Effient
prasugrel (LD: 60mg, then 10mg QD)
Brilinta
Ticagrelor (LD: 180mg MD: 90mg BID BW: asprin > 100mg dec effectiveness)
Aggrenox
Dipyridamole/Aspirin (CI: pt with salicylate allergy)
Pacerone, Nexterone
amiodarone (drug interaction with warfarin, inc INR, don’t give sofosbuvir)
Multaq
dronedarone (with FOOD, avoid grapefruit juice, watch liver failure and HF)
Betapace, Betapace AF
sotalol
flecainide
Tambocor (PO)
Tikosyn
dofetilide (PO, CI: < 20, HCTZ, citalopram (QT prolongation)
Lanoxin, Digitek, Digox
Digoxin (Antidote: DigiFAB)
Lipitor
atorvastatin (Max: 80mg, Caduet (atorvastatin/amlodipine))
Crestor
rosuvastatin (Max 40mg asians start at 5mg and max 20mg)
Zocor
simvastatin (Max 40mg, Vytorin (simvastatin/ezetimibe))
Pravachol
pravastatin (Max 80mg)
Mevacor
Lovastatin (IR with evening meals, Max: 80mg)
Lopid
gemfibrozil (do not use with statins inc risk myopathy)
Tricor, Lipofen, Antara, Lofibra
fenofibrate (Antara and Lipofen take with FOOD)
Trilipix, Fibricor
fenofibric acid
Praluent
Alirocumab (SQ Q2wks, in the refrigerator)
Repatha
Evolocumab (SQ 140mg Q2wks or 420 once monthly, in the refrigerator)
Zetia
Ezetimibe (10mg QD)
Vytorin
ezetimibe/simvastatin
Vit B3, Niacor, Niaspan
niacin (with food, take ASA 325mg 30min before reduce flushing)
Lovaza
omega 3 (inc risk of bleeding with warfarin)
Synthroid, Levoxyl, Levothyroid
levothyroxine (T4) (TAKE ON EMPTY STOMACH)
Cytomel, Triostat
Liothyronine (T3, rapid absorption, rapid onset)
PTU
propylthiouracil (1st trimester of prego)
Tapazole
methimazole (2nd and 3rd trimester of preggo)
Androgel, Androderm
testosterone (comes in gel and transdermal patch, C3 med)
Estrace, Premarin
Estradiol (Formulation: oral tablet and vaginal cream)
Provera, Depo-Provera
Medroxyprogesterone (Oral tabs; Depo-Provera-Contraceptive; IM/SQ Q3months)
Prometrium
progesterone (CI: peanut allergy)
CombiPatch
estradiol/norethindrone (1 patch twice weekly, regrigerate)
Proventil HFA, ProAir HFA, Ventolin HFA, RespiClick
Albuterol (prime: 3x ProAir, Proventil/Ventolin 4x, reprime >14d, RespiClick discard 13M)
Xopenex
levalbuterol ( Neb good for 2wk once foil open, 1wk out of foil, HFA prime 4x & after 3d of no use)
Flovent HFA, Flovent Diskus, Arnuity Ellipta
fluticasone (all ellipta formulations are QD)
Asmanex
mometasone (discard 45d after removal from pouch)
Dulera
mometasone/formoterol
Pulmicort, Pulmicort Flexhaler
budesonide (DOC during preggo)
Symbicort
budesonide/formoterol (MDI, good fo 90d after opening foil wrap)
QVAR RediHaler
beclomethasone (breath actuated aerosol inhaler DO NOT USE spacer or prime/shake)
Serevent
Salmeterol (expires 6wk after opening)
Singulair
montelukast (granules cannot be mixed in liquid other than baby formula or breast milk, SE: flu like sx, mood change, restlessness)
Accolate
zafirlukast (AccoLATE- EAT LATER, must be taken on an empty stomach)
Zyflo CR
Zileuton (LFT)
Atrovent HFA
Ipratropium (Solution, Shaking NOT needed)
Combivent Respimat
ipratropium/albuterol (Respimat (PTOP) shaking not needed discard 3M after cartridge inserted)
DuoNeb
ipratropium/albuterol
Spiriva Handihaler, Spiriva Respimat
Tiotropium (Handihaler: inhale 1 capsule QD) (Spiriva Respimat: inhale 2 puffs QD)
Incruse Ellipta
Umeclidinium (Ellipta: dry powders No shaking, no priming: discard 6 weeks after removal from foil)
Tudorza Pressair
Aclidinium (NO SHAKING, discard 45d after removal from pouch)
Seebri Neohaler, Lonhala Magnair
Glycopyrrolate (anticholinergic, IV Rubinul, Glyrx-P reverse brady, IM dec secretions, PO Glycate, Cuvposa-sol drooling and hyperhidrosis)
Striverdi Respimat
Olodaterol
Perforomist
formoterol (requires refrigeration and is not to be mixed with other drugs)
Advair, Wixela
fluticasone/salmeterol (good for 30d after opening)
Breo Ellipta
fluticasone/vilanterol (expires 6wk after removal from pouch)
Anoro Ellipta
umeclidinium/vilanterol (expires 6wk after removal from pouch)
Stiolto Respimat
tiotropium/olodaterol
Trelegy Ellipta
fluticasone/umeclidinium/vilanterol (expires 6wks after removal from pouch)
Daliresp
Roflumilast (QD, CI in liver impairment, 3A4 substrate, suicidal events, weight loss)
Apidra
Glulisine (rapid, room temp 28d, vial = 100U/ml (10ml), pen = 100U/ml (3ml))
Humalog
Lispro (rapid, room temp 28d, vial = 100U/ml (10ml), pen = 100U/ml (3ml))
Novolog
Aspart (rapid, RT 28d, vial = 100U/ml (10ml), pen = 100U/ml (3ml))
Humulin R, Novolin R
regular insulin( short, SQ/IV, Humulin R: RT 31 days, Novolin R: RT 42 days)
Humulin N, Novolin N
insulin NPH (SQ, Humulin N RT: 31d, Novolin N RT: 42d)
NPH/Regular (70/30)
70% NPH + 30% regular
Levemir
Detemir (SQ)
Lantus, Basaglar
Glargine (SQ, Lantus RT: 28d DO NOT MIX)
Tresiba
Degludec (SQ, RT 56d (8wk) DO NOT MIX)
SymlinPen
Pramlintide (SQ TID immediately before meals)
Glucophage (XR)
metformin (hold if contrast dye 48hr after, CI: CrCl <30)
Glynase
Glyburide (Long Acting = more hypoglycemia; Avoid in pt > 65 years old, Glyburide + Metformin = Glucovance)
Glucotrol (XL)
glipizide (DOC in renal failure among sulfonylureas)
Amaryl
glimepiride (8mg QD)
Actos
pioglitazone (BBW: HF, fractures, fluid retention, liver fail, Max 45mg QD)
Byetta, Bydureon, BCise
Exenatide (Bydur once wkly, frigerate, 4wks RT, Bye bid, fridge 30d RT, BCise susp shake 15 sec)
Victoza, Saxenda
Liraglutide ( 1.8mg QD for DM, 3mg QD Saxenda for wtloss, refrig RT 30d)
Trulicity
dulaglutide (weekly, refrig RT 14d)
Onglyza
saxagliptin (inc risk of HF 3A4 substrate)
Januvia
Sitagliptin (25/50/100mg QD, dose adjust in renal)
Nesina
alogliptin (inc risk of HF)
Tradjenta
Linagliptin (no dose adjustment renal/hepatic/CYP3A4 substrate)
Janumet XR
sitagliptin/metformin
Kombiglyze
saxagliptin/metformin
Kazano
alogliptin/metformin
Invokana
canagliflozin (do not initiate if GFR <30)
Jardiance
empagliflozin (do not initiate if GFR <30)
Farxiga
dapagliflozin (do not initiate if GFR <30, FDA approved HF)
Steglatro
ertugliflozin (do not initiate if GFR <45)
Moxatag, Amoxil
Amoxicillin (with or without food)
Augmentin
amoxicillin/clavulanate (with food, susp refrigerate)
Zosyn
piperacillin/tazobactam (anti-pseudomonal)
keflex
cephalexin
omnicef
Cefdinir (Do not refrigerate oral suspension; separate form vitamins/antacids)
fortaz
Ceftazidime (IM/IV)
Avycaz
ceftazidime/avibactam (IV intra-abdominal infection and HAP)
ceftriaxone
Rocephin (N. gonorrhoeae tx monotherapy, <150kg 500mg IM x1, >/= 150kg 1g IM 1)
Zithromax, Azasite
Azithromycin (AzaSite: ophthalmic; refrigerate- discard after 14 days) (do not refrigerate oral suspension)
EES, Ery-tab
Erythromycin (most macrolides are strong 3A4 inhibits = C/I warfarin and Theophylline; refrigerate suspension)
Biaxin/Biaxin XL
Clarithromycin (XL with food)
Cleocin
Clindamycin (BBW: c diff, do not refrigerate susp)
cubicin
Daptomycin (Gram + with SE neuropathy, myopathy = hold statin, IV in NS; Do not use for pneumonia)
vancocin
Vancomycin (Gram + with SE of nephrotoxicity, ototoxicity, and red man syndrome if infused <1 hr)
Gentamicin
Garamycin (gram-, ototoxicity, nephrotoxicity)
amikacin
Amikin
zyvox
Linezolid (PO/IV 600mg BID Thrombocytopenia, MAOI, Eyes, renal)
Septra, Bactrim DS
sulfamethoxazole/trimethoprim 1:5 sulfa allergy, Hydrate to dec risk of crystaluria IV D5W Don’t refrigerate, dc 6hr
MacroBid, Macrodantin
Nitrofurantoin (UTI; with food) (Note: Macro BID = Nitrofurantoin monohydrate + macrocrystals BID) (vs Macrodantin which is just the nitrofurantoin macrocrystals)
Cipro
Ciprofloxacin (BBW: tendon rup, peripheal neuopathy, CNS (avoid hx seizure), UTI, do not use susp in NG tube)
Leavquin
levofloxacin (BBW: tendon rup, peripheal neuopathy, CNS (avoid hx seizure)
Avelox, Vigamox (ophthalmic)
Moxifloxacin (BBW: tendon rup, peripheal neuopathy, CNS (avoid hx seizure, CAP, greatest risk of QT prolongation)
floxin
ofloxacin (BBW: tendon rup, peripheal neuopathy, CNS (avoid hx seizure)
minocin, solodyn
minocycline (avoid in preggo, CI pt </=8 toot discoloration)
Vibraymycin, Doryx
Doxycycline (avoid in preggo, CI pt </=8 toot discoloration, use in renal impairment)
Flagyl
metronidazole (ER on empty stomach)
tamiflu
oseltamivir (flu: star within 2d of sx 75mg BID x5d, prevention 75mg QD x7d)
zovirax
Acyclovir (HSV, PO/IV/Topical)
valtrex
valacyclovir (HSV, prodrug)
diflucan
Fluconazole (vag candidiasis 150mg x1)
Nizoral
Ketoconazole (BBW: hepatotoxicity)
Mycostatin
nystatin (oral yeast infection, swish and swallow 4-5x daily)
Terbinafine
Lamisil (1st line PO tx for Onychomycosis)
Itraconazole
Sporanox (PO tx for Onychomycosis)
Ciclopirox
Penlac (Topical tx for Onychomycosis)
Efinaconazole
Jublia (Topical tx for Onychomycosis)
Tavaborole
Kerydin (Topical tx for Onychomycosis)
Baraclude
Entecavir
Viread
tenofovir disoproxil (renal tox and reduced bone density)
Vemlidy
tenofovir alafenamide (25mg QD WITH FOOD)
Epclusa
sofosbuvir/velpatasvir (do not give with amiodarone, 1 tab QD for 12wks, separate from antacids)
Mavyret
Glecaprevir/Pibrentasvir (3tabs with FOOD for 8 wks, 3A4 sub)
Isoniazid
300mg PO QD empty stomach, give with pyridoxine (vitb6 10-50mg PO QD)
rifadin
rifampin (empty stomach, hepatotox, thrombocytopenia, inducer, red/orange body fluid)
neosporin
Bacitracin, Neomycin, Polymixin B
bactroban
Mupirocin (MRSA, impetigo, topical apply 2-3x daily x5d)
Nolvadex
tamoxifen ( used in premeno breast cancer, inc risk of clots, endometrial cancer, metab by 2D6 into active metabolite, paroxetine/fluoxetine dec levels
Arimidex
anastrozole (1mg QD)
femara
letrozole (2.5mg QD)
aromasin
Exemestane (25mg QD)
Herceptin
Trastuzumab (IV, cardotox (CHF), pul tox, infusion rxn)
Lupron
Leuprolide (Prostate cancer, endometriosis, breast cancer, premenopausal ovarian suppression)
Avastain, Mvasi, Zirabev
Bevacizumab
Zyloprim (aloprim)
Allopurinol (Rash [HLA-B*5801]; 100-800mg QD; adjust dose in renal patients)
Uloric
febuxostat (box warning CV death)
Colycrys, Mitigare, Gloperba
Chlchicine (acute gout attack & prevention of recurrences, 1.2mg then 0.6mg 1hr later, max 1.8mg, 3A4 sub)
imipramine
Tofranil (night time bed wetting episodes)
Sinequan, Silenor
Doxepin (Silenor is indicated for insomnia)
Amitriptyline
Elavil
Pamelor
Nortriptyline
Celaxa
citalopram (inc QT prolong, Max 40mg QD if >60YO and Max 20mg QD)
lexapro
escitalopram
Prozac, Sarafem
fluoxetine (2D6 inhibitor, Sarafem for PMDD, wait 5wk when switching)
Paxil, Brisdelle
paroxetine (2D6 inhibitor, Brisdelle QAM for meno pausal hot flashes)
Zoloft
sertraline (25-200mg/d)
Trintellix
vortioxetine ( do not use MAOIs within 21d of stopping
Effexor XX
venlafaxine (take with food)
Pristiq
desvenlafaxine
Cymbalta
duloxetine (2D6 inhibitor, for neuropathic pain, GAD, depression, fibromyalgia)
trazodone
Desyrel
Vilbbryd
Vilazodone (slowly increase dose, take with food)
Remeron, Remeron SolTab
mirtazapine (SE= Somnolence and Weight gain; available as ODT)
Wellbutrin XL/SR, Zyban Idc), Aplenzin, Forfivo XL
bupropion (CI: bulimia, alcholics, seizure disorder, Zyban (d/c) for smoking cessation, Contrave (bupropion/naltrexone for weight loss)
seroquel, seroquel XR
quetiapine (XR = empty stomach, IR: 25-800mg QD/XR 300-800 mg/d)
Zyprexa, Zydis
Olanzapine (weight gain and DM; max 20 mgQD; Off-label used for chemo induced N/V)
Risperdal
Risperidone (Tabs 1-8mg BID; ODT, solution, long acting SQ, long acting IM; Consta- IM every 2 weeks overlap with oral for 3 weeks; Perseris-SQ monthly with no overlap required)
Geodon
ziprasidone (take with food, max 160mg BID)
Latuda
Lurasidone (take with food 350 calories)
abilify
aripiprazole (bipolar disorder, MDD, and schizophrenia; 15mgQD for depression/ 30mgQD for schizophrenia)
Saphris, Secuado
Asenapine (Secuado patch 24 hours QD) (Saphris tablet sublingual BID)
Invega
Paliperidone (3-12mg tabs daily for OROS (3mg if CrCL <50mg)) (Invega sustenna = 117mg IM monthly no overlap time) (Invega Trinza IM Q3 months need sustenna for 4 months first before using this)
Haldol
Haloperidol (2-30mg QD; long acting 10-15 oral given monthly)
Lithobid
Lithium carbonate (with food, thiazide, acei nsaids, increase lithium levels)
Cogentin
Benztropine (anticholinergic, tx drug induced EPSE, dystonic rxns: IV/IM?po 1-2mg once)
Sinemet
carbidopa/levodopa (cabidopa >/= 75mg/d needed to be effective, avoid in protein diet)
Requip XL
ropinirole (RLS)
Mirapex, Mirapex ER
Pramipexole (RLS, adjust for renal)
Neupro
rotigotine (Transdermal 24HR patch)
Stalevo
carbidopa/levodopa/entacapone
selegiline
eldepryl, emsam patch, zelapar ODT
rasagiline
Azilect
safinamide
Xadago
Aricept
donepezil (ACEHI, best taken at bedtime due to nausea, swallow whole do not crush)
Exelon
rivastigmine (ACHEI only for mild-mod Alzh, patch (less GI SE) and oral caps)
Namenda
memantine (only for mod-sev Alzh)
Namzaric
donepezil/memantine (mod-sev Alzh)
Xanx
Alprazolam
klonopin
Clonazepam (also for seizures)
Ativan
Lorazepam (IV 2mg/min, safer in elderly, pt with liver dysfun)
Onfi, Sympazan
Clobazam (seizures causes by Lennox-Gastaut syndrome)
Valium, Diastat, AcuDial
Diazepam (PO/rectal/Nasal/IV) (indicated for alcohol withdrawal, spasm, and status epilepticus; Diastat AcuDial rectal; ready green ban visible. Place patient on side with top leg bent forward. Insert rectal tip, push med over 3 seconds; hold 3 seconds; remove and hold buttocks together while counting to 3)
Halcion
triazolam
Restoril
Temazepam (safe in elderly, pt with liver dysfun)
Vistaril
Hydroxyzine (sedating antihistamine used short term for anxiety)
buspirone
Buspar (for anxiety, take 4wks to work, comes in dividose tablets scored to be accurately cut)
Ambien
zolpidem (C4, Ambien CR, Zolpimist, Edluar 5, 10mg (SL), Intermezzo (1.75, 3.5mg (SL)) (>/=4hrs left to waking)
Lunesta
eszopiclone (C4 start 1mg max 3mg)
Dilantin
Phenytoin (take with food when given PO, NS, <50mg/min corrected Phen = total phen/(.2xalbum)+0.1)
Tegetrol, Carbatrol
cArbamazepine (HLA-B1502 test for asians due to skin reaction; Aplastic anemia SE)
Trileptal
oxcarbazepine (test for HLAB*1502 allele)
Depakote (ER)
divaLProex (alopecia, inc ammonia, Liver, Pancreatitis, thrombocytopenia)
Keppra (XR)
Levetiracetam (weight loss, IR-500mg BID max dose of 1.5g BID)
Lamictal (XR)
Lamotrigine (watch for rash; Blue Kit= pt take valproic start 25mg QOD x 2 wks) (green kit: carbamazepine, phenytoin, primidone, phenobarbital, rifampin start 50mg QD) (Orange kit= pt not taking any of the above start 25mg QD x 2 weeks then increase)
Topomax
Topiramate (migraine prophylaxis, kidney stones, weight loss)
Zonegran
zonisamide (SULFA, kidney stones, weight loss)
Neurontin
Gabapentin (renal elim; SE= edema, myopathy, opthalmic effects-nystagmus)
Lyrica
pregabalin (cv, renal)
Imitrex
sumatriptan (5HT1b/1d receptor agonist, PO 50-100mg may repeat in 2hr, max 200mg/d, SQ 6mg may repeat in 1hr max 12mg/d)
Maxalt, Maxalt MLT
rizatriptan (wait 2hrs btw doses)
Relpax
eletriptan (3A4 sub, do not use within 72hr of inhibitors)
Amege
naratriptan (wait 4hr btw doses)
Fioricet
butalbital/acetaminophen/caffeine (C3 in cali)
Adderall (IR, XR)
amphetamine/dextroamphetamine (XR capsules can be opened and sprinkled)
Focalin (IR, XR)
dexmethylphenidate (Can be taken whole or sprinkled over applesauce)
Vyvanse
lisdexamfetamine (can be mixed with water and drink immediately)
Ritalin (LA), Aptenso XR, Methylin (ER), Concerta, Metadate (ER), Quillvant XR, QuilliChew ER, Daytrana
Methylphenidate (Concerta OROS: 18, 27, 36, 54mg QD, Methylin po solu, Quillvant XR ER po solu, Daytrana patch apply to hip for 9hr (2hr before desired effect), replace patch every morning alt sites)
Dexedrine
dextroamphetamine (for narcolepsy)
Strattera
Atomoxetine (BBW suicidal ideation, CI severe liver disease, do not chew/open cap, swallow whole, initial 40mg/d inc after min of 3d to 80mg/d may admin as a QD dose in morning or as 2 divided doses in morning and evening max 100mg/d)
Evista
Raloxifene (CI risk of blood clots, not for pre-menopau women 60mg QD)
Fosamax, Bbinosto
alendronate (1st thing in morning before breakfast with water, stay upright for 30min, osteo prevention 35mg Qwk, Tx 70mg once weekly)
Boniva
ibandronate (before breakfast with water, upright for 60min, oral 150mg Qmonth/IV Q3months)
Actonel, Atelvia DR
risedronate (Atelvia DR take after breakfast, rest of formulations on empty stomach)
Plaquenil
Hydroxychloroquine (admin with food monitor baseline eye exam)
Trexall, Otrexup Rasuvo, RediTrex
methotrexate (indicated psoriasis, cancer, RA) (antidote leucovorin/glucarpidase (voraxaze))
Humira
adalimumab (SQ refridg and protect from light, 40mg SQ QOW with MTX/40mg SQ weekly without MTX)
Simponi
Golimumab (IV; SQ/BBW- risk of TB invasive fungi infection; 50mg SQ once a month with MTX)
Remicade
infliximab (for CD, UC, RA, Psoriasis; fridge; IV; NS: begin IV infusion within 3hrs of reconstitution; infuse over 2 hrs)
Azulfidine
Sulfasalazine (Don’t give in: SULFA and salicylate allergy
Orange skin/urine RA: 1g BID; Colitis: 1 g QID)
Neupogen, Granix, Nivestym, Zarxio
filgrastim (IV, SC refridge (RT 24HR), do not place in freezer)
Neulasta
Pegfilgrastim (SC / refrigerate [RT 48H] )
Procrit, Epogen
Epoetin alfa (IV/SC; refrigerate (discard after 21 days); don’t shake)
Aranesp
Darbepoetin (IV/SC; refrigerated (Single-use vials))
Tylenol, Ofirmev (IV)
Acetaminophen (Max 4g/day; Antidote: N-acetylcysteine NAC) (Hepatotoxicity)
Motrin, Advil
Ibuprofen
Naprosyn, Aleve
Naproxen
Voltaren/Voltaren gel
diclofenac
Toradol
ketorolac
eye gtt: Acular, Acuvail
ketorolac (Due to increased risk of GI bleed max use is 5d except ophthalmic is 2 wks)
indocin
Indomethacin
sulindac
Clinoril (no dose adjust needed in renal impairment, PRODRUG)
Feldene
[orpxoca, (MOST GI SEs)
Relafen
Nabumetone
Mobic
Meloxicam
Celebrex
celecoxib (SULFA, least GI SEs, HIGHEST CV RISK)
aspirin
ASA (acetylsalicylic acid, NSAIDS (ibuprofen) dec cardioprotective effects of aspirin)
Lidoderm
Lidocaine patch (Patches may be cut: Applied 12 hours on and 12 hours off)
Flector
diclofenac patch (applied to the most painful area, Q12HR (bid))
Ultram
Tramadol (C4; CI seizures and <12 years old; Serotonin syndrome)
Nucynta, Nucynta ER
tapentadol (C2, no alcohol with ER form, seizures, 5HT syndrome)
Tylenol with Codeine
acetaminophen/codeine (C3, codeine turns into morphine through 2D6)
Demerol
Meperidine (C2, seizures, drug interactions 5HT syndrome with SSRI)
MS Contin
Morphine (C2; Oral to IV 3 to 1; Do not use in renal impaired)
Norco, Vicodin, Lortab
hydrocodone/acetaminophen (C2)
OxyContin
oxycodone (C2, OxyContin Q12)
Dolophine
Methadone (C2 BBW inc QT; 40mg does is used for detoxification)
Dilaudid
hydromorphone (C2)
Duragesic
Fentanyl (C2; patch Q72 hours; CYP3A4 substrate; Serotonin syndrome)
Butrans Patch
Buprenorphine patch (Change patch once a week)
Suboxone
buprenorphine/naloxone (for chronic pain or opioid dependence tx)
Timoptic/Timoptic-XE
Timolol (Timoptic -XE = Gel which you turn upside down 1x before use)
Trusopt
dorzolamide
Cosopt
dorzolamide/timolol
Xalatan
latanoprost (refrig, once open RT discard after 6wks)
Travatan Z
travoprost (store at RT, discard 6wks after opening)
Lumigan, Latisse
bimatoprost (Latisse used for eyelash growth)
Alphagan P
brimonidine (alpha2agonist, dec aqueous fluid production and inc outflow, CI in pt taking MAOIs)
Azopt
brinzolamide (Shake it is a suspension)
Pred Mild, Pred Forte
prednisolone
Pataday
olopatadine OTC
Astelin, Astepro, Optivar
azelastine
Flonase
fluticasone (nasal) OTC
Qnasl, Beconase
beclomethasone (nasal)
Nasacort
triamcinolone (nasal) OTC
Atarax
Hydroxyzine (for hives)
Benadryl
diphenhydramine (1st gen antihist (sedating) OTC)
Allegra
Fexofenadine (LEAST SEDATING OTC)
Claritin
Loratadine (CYP sub, OTC)
Allergy Relief-D (OTC); Claritin-D 12 hour allergy & Congestion; Claritin-D 24 hour Allergy & Congestion (OTC)
loratadine/pseudoephedrine (12H L5mg/P 120mg 1tab Q12 max 2tab/d, 24H L10mg/P240mg max 1tab/d pt must be 18+ daily max 3.6g monthly max 9g)
Zyrtec
cetirizine OTC
Zyzal
levocetirizine OTC
Naphcon A, Opcon A, Visine A
Naphazoline/pheniramine (Due to potential rebound effect do not recommend use for longer than 3d at a time, OTC)
Delsym
dextromethorphan (must be 18+ to buy, inc 5HT do not give with MAOI, OTC)
Tessalon Perles
Benzonatate (swallow capsule whole; if caps are chewed or dissolved in the mouth, oral mucosa anesthesia may occur and lead to chocking)
TussiCaps, Tussionex
hydrocodone/chlorpheniramine (C2)
Mucinex, Robitussin
Guaifenesin (take with a glass of water and maintain adequate hydration; OTC)
Ditropan (XL), Oxytrol TD
Oxybutynin (Oxytrol TD-OTC patch for women; patch has less anticholinergic SE)
Detrol (LA)
tolterodine (anticholinergic)
Vesicare
solifenacin (anticholinergic)
Myrbertiq
mirabegron (beta3 agonist, watch for HTN)
Anusol-HC, Protosol-HC
hydrocortisone (rectal) (indicated for hemorrhoids)
Temovate
Clobetasol (topical)
Decadron
Dexamethasone
Medrol
methylprednisolone
Prednisolone
Millipred, Orapred ODT (oral), Pred Forte, Pred Mild (ophthalmic)
Deltasone, Rayos
Prednisone
Kenalog
triamcinolone (systemic & topical)
mometasone
Nasonex (medium potency topical steroid)
Prilosec
Omeprazole
Nexium
esomeprazole
Prevacid
lansoprazole
Dexilant
dexlansoprazole (take any time of day, with or without food)
Protonix
pantoprazole
Aciphex
rabeprazole
Pepcid
famotidine
Reglan
Metoclopramide (only for short term use, long term leads to EPSE (tardive dyskinesia)
carafate
sucralfate (empty stomach, contains aluminum avoid in pt with renal disease)
Creon, Pancreaze, Pertzye, Zenpep
pancrelipase lipase, pancrelipase protease, pancrelipase amylase (tale w/meals or snacks with water or juice, do not crush or chew, caps can be opened and added to small amount of an acidic food (pH </=4.5 ~ applesauce), the food should be RT and swallowed immediately)
Bentyl
dicyclomine (used as antispasmodics)
Lomotil
diphenoxylate/atropine (for diarrhea)
Asacol, Pentasa, Lialda, Canasa, Rowasa, Apriso
Mesalamine (CI in patients with salicylate allergies)
Linzess
Linaclotide (CIC, IBSC, empty stomach before 1st meal of the day)
Amitiza
Lubiprostone (CIC, IBSC, opioid induced constipation, take BID with food)
Relistor
Methylnaltrexone (only for use with OPIODs in patients who have failed bisacodyl or docusate + senna)
Colace
Docusate (lowest risk in preggo)
Senna-KOT, Senna-LAX
senna (QD)
Miralax
PEG 3350
Avonex, Rebif
Interferon Beta-1a (must refrigerate; Avonex is IM; Rebif is SQ)
Tysabri
Natalizumab (IV; only used for 2 years due to PML)
Gilenya
fingolimod (PO; Observe for 6h after 1st dose to monitor for bradycardia)
Viagra, Revatio
sildenafil
Cialis, Adcirca
Tadalafil (“the weekender” erectile function improved for p to 36HR)
Prograf, Astagraf XL
tacrolimus (monitor levels; Astagraf XL empty stomach and avoid with alcohol; 3A4 sub avoid grapefruit juice)
Sandimmune, Neoral, Gengraf
Cyclosporine (monitor levels; sandimmune- cyclosporine non-modified/neoral, gengraf-cyclosporine modified; restasis= dry eyes at room temp and 3A4 sub)
Cellcept
Mycophenolate mofetil (take on empty stomach and monitor CBC/Pregnancy)
Phenergan
Promethazine (Also for cough, combined with dextromethorphan or codeine, don’t give promethazine to kids < 2YO)
Zofran
ondansetron (available in ODT)
Antivert, Bonine
meclizine (for motion sickness)
Robaxin
methocarbamol (urine discoloration (brown, brown/black, or green)
soma
carisoprodol (C4)
Lioresal
baclofen
Amrix, Fexmid, Flexeril
cyclobenzaprine (anticholinergic 5HT syndrome, looks like TCA and carbamazepine)
Zanaflex
tizanidine (alpha2 agonist)
Vitamin C
ascorbic acid (antioxidant, helps with collagen synthesis, lack of it causes scurvy (fatigue, bleeding gums))
Rocaltrol
calcitriol (vit D def)
Vitamin D2, Drisdol
ergocalciferol (vit D def)
Vitamin D3
cholecalciferol (vit D def)
Vitamin B12
Cyanocobalamin (Megaloblastic anemia, def causes neurologic sx, metformin & strict vegan diet can also cause Bb12 def)
Fergon
Ferrous gluconate (12% of elemental iron)
Feosol, Fer-in-sol, Fer-Iron
Ferrous sulfate (20% of elemental iron)
Ferrerts, Ferrimin, Hemocyte
ferrous fumarate (33% elemental iron)
folic acid
Folvite (Megaloblastic anemia, given in preggo to prevent neural tube defects)
Peridex, Periogard oral rinse
chlorhexidine gluconate (for gingivitis, periodontitis, and oropharyngeal decontamination)
EpiPen & EpiPen Jr.
ephinephrine auto injector (0.3 mg for pt >/= 30kg, Jr. 0.15mg for pt <30kg)