PRESCRIPTION DRUG CARDS 1-100 REVIEW (QUIZ 3 )

Anti-Anxiety Agents
Anti-Anxiety Agent Generic Name(s) Dosage Range Alprazolam 0.25mg to 0.5 mg initially, given 3 times a day Lorazepam Usual dose is 2 to 6 mg orally per day in divided doses 2 to 10 mg orally, IM, IV initially, repeat in 3 to 4 Diazepam hours if needed. Use tablets orally 2 to 4 times a day

Rank 16 31 67

Subclass Anti-anxiety Anti-anxiety Anti-anxiety

Brand Name Xanax (XR) Ativan Valium

Patient Consultation: Xanax: 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) WARNING: This medication may be habit-forming 4) Store in a cool, dry place away from sunlight and children 5) 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 7) XR (extended release) tablets should not be discontinued abruptly 8) XR tablets should be swallowed whole do not crush, chew, or break Ativan 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) WARNING: This medication may be habit-forming 4) Store in a cool, dry place away from sunlight and children 5) 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 Valium 1) Oral concentrate must be diluted prior to use 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication

4) 5) 6) 7)

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

Antiasthmatic
Antiasthmatic Generic Name(s) Albuterol Sulfate (inhalation) Montelukast Sodium Fluticasone Propionate with Salmeterol Xinafoate Tiotropium Bromide

Rank 8 27 32 93

Subclass Antiasthmatic Antiasthmatic Antiasthmatic Antiasthmatic

Brand Name Proventil Ventolin Proair Singulair Advair Spiriva

Dosage Range 2 inhalations 4 times a day Ages 15 and older take one 10 mg tablet daily to be taken in the evening One diskus inhalation or two HFA inhalations twice daily, approximately 12 hours apart Inhalation of the contents 1 Spiriva capsule, once a day ,with the HandiHaler inhalation device

Patient Consultation Proventil, Ventolin, and Proair: 1) Do not take more frequently than recommended Aerosol Inhaler: 2) 3) 4) 5) Avoid contact with eyes Shake canister well before each inhalation Follow enclosed instructions for inhalation technique Clean mouthpiece at least once a week by removing the canister, running warm water through it for 30 seconds, and letting it air dry thoroughly

Singulair 1) Singulair is indicated for chronic treatment of asthma and should be taken regularly even when the patient is asymptomatic 2) Singulair is not intended to treat asthma attacks and patients should have appropriate measures at hand to treat attacks 3) Phenylketonurics should be aware that Singulair chewable tablets contain phenylalanine 4) If a dose if missed, take it as soon as possible and return to normal dosing schedule 5) Store in a cool, dry place away from sunlight and children

6) Contact a physician if the above side effects are severe or persistent Advair 1) 2) 3) 4) 5) 6) 7) 8) Avoid contact with the eyes Rinse mouth after each use Contact a physician if the above side effects are severe or persistent Contact a physician if symptoms worsen or if the effectiveness of short-acting beta-2agonists decreases If a dose is missed, skip it and return to normal dosing schedule Not intended to provide immediate relief of bronchospasm 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. It is important that the patient understands how to use the Diskus device and the HFA inhaler appropriately

Spiriva 1) Store in a cool, dry place away from sunlight and children. Unused capsules should remain in the blister strip and be used over the next 2 consecutive days 2) 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. 3) Contact a physician if the above side effects are sever or persistent 4) This form is not intended for occasional use. Use daily for maximum effectiveness 5) Directions for HandiHaler use: a. Open one blister strip to expose one capsule only b. Open the dust cap and mouthpiece to expose the center chamber c. Place the capsule in the center chamber and close the mouthpiece until you hear a click d. Press the piercing button completely in once and release e. Exhale completely. Do not breath into the mouthpiece at any time f. Place your lips tightly around the mouthpiece and breath in slowly and deeply until your lungs are full. You should hear the capsule vibrate. g. Remove the mouthpiece from your lips and exhale h. Repeat f and g up to 5 more times i. Open the mouthpiece and discard the empty capsule

Anti-depressants
Antidepressants Generic Name(s) Sertraline Hydrochloride Duloxetine Hydrochloride Bupropion Hydrochloride Citalopram Hydrobromide Escitalopram Oxalate Amitriptyline Hydrochloride Venlafaxine hydrochloride Fluoxetine HCl

Rank 7 9 12 17 22 45 64 73

Subclass Antidepressant Antidepressant Antidepressant Antidepressant Antidepressant Antidepressant Antidepressant Antidepressant

Brand Name Zoloft Cymbalta Wellbutrin Zyban Celexa Lexapro Elavil Effexor Effexor XR Prozac

Dosage Range Start with 50 mg once daily 40 mg 60 mg daily 150 to 300 mg given once per day 20 mg given once a day Begin with a dose of 10 mg given once a day and gradually increase to a dose of 20 mg once a day 40 mg to 150 mg per day in divided doses or at bedtime 75 mg/day administered in a single dose (Effexor XR) or 2-3 divided doses (Effexor tablets), taken with food 10 mg to 40 mg

Patient Consultation: Zoloft 1) Continued therapy may be needed to show noticeable improvement. Do not stop therapy before consulting with a physician 2) Sertraline oral concentrate must be diluted prior to use. Place the proper dose in 4 oz. of water, 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 medication 4) Use caution when performing tasks that require mental alertness 5) Consult with your physician or pharmacist before taking nonprescription medications 6) Do not abruptly discontinue medication 7) Store in a cool, dry place away from sunlight and children 8) Contact a physician if the above side effects are severe or persistent 9) If a dose is missed, skip it and return to normal dosing schedule 10) 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 appear 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required

3) 4) 5) 6) 7) 8) 9)

Avoid alcohol while taking this medication Consult with your physician or pharmacist before taking nonprescription medications Do not abruptly discontinue medication Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects are severe or persistent If a dose is missed, skip it and return to normal dosing schedule 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 improvement Wellbutrin, Zyban 1) Take at immediate-release tablets at regular intervals no sooner than three to four times a day 2) Take extended-release tablets in the morning if possible to avoid insomnia 3) Swallow SR and XL tablets whole do not crush or chew 4) If a dose is missed, wait until the next scheduled dose DO NOT DOUBLE DOSE 5) Do not take OTC medications without first consulting a physician or pharmacist 6) Avoid alcohol while taking this medication 7) Store in a cool, dry place away from sunlight and children 8) 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 bothersome 10) 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 improvement Celexa 1) May impair cognitive and motor performance. Use caution while operating machinery or when mental alertness is required 2) Up to 2 weeks may be needed before therapeutic effects are seen 3) Do not abruptly discontinue medication 4) Avoid alcohol while taking this medication 5) Store in a cool, dry place away from sunlight and children 6) Contact a physician if the above side effects are severe or persistent 7) If a dose is missed, skip it and return to normal dosing schedule 8) Pay close attention to any changes, especially sudden changes, in mood behaviors, thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions Lexapro

1) May impair cognitive and motor performance. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) Consult with your physician or pharmacist before taking nonprescription medication

4) Do not abruptly discontinue medication 5) 6) 7) 8) Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects are severe or persistent If a dose is missed, skip it and return to normal dosing schedule Pay close attention to any changes, especially sudden changes, in mood behaviors, thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions 9) Continued therapy of up to 2 weeks may be needed to show noticeable improvement Elavil 1) Do not discontinue therapy unless otherwise directed 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication 4) Store in a cool, dry place away from sunlight and children 5) 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 Effexor & Effexor XR 1) Avoid alcohol while taking this medication 2) 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 children 4) Contact a physician if the above side effects are severe or persistent 5) Swallow capsules whole; do not crush, chew, dissolve, or divide 6) Do not stop therapy before consulting with a physician 7) Pay close attention to any changes, especially sudden changes, in mood behaviors, thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions 8) Continued therapy of up to 2 weeks may be needed to show noticeable improvement Prozac 1) Pay close attention to any changes, especially sudden changes, in mood behaviors, thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions

2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication 4) Up to 2 weeks may be needed before therapeutic effects are seen 5) Do not abruptly discontinue medication 6) Notify a physician if rash or hives develop 7) Store in a cool, dry place away from sunlight and children 8) Contact a physician if the above side effects are severe or persistent 9) If a dose is missed, skip it and return to normal dosing schedule

Anti-diabetic Agents
Anti-diabetic agents Generic Name(s) Metformin Hydrochloride Glucophage XR Lantus Actos Insulin Glargine, rDNA origin Pioglitazone Hydrochloride

Rank 10 74 75

Subclass Antidiabetic Antidiabetic Antidiabetic

Brand Name Glucophage

Dosage Range One 500 mg tablet given twice a day with meals or one 850 mg tablet given with the morning meal Dosage must be individualized 15 mg to 30 mg given once daily

Patient Consultation: Glucophage, Glucophage XR 1) Should be taken with meals 2) Avoid excessive alcohol consumption during treatment. This includes drinking alcohol all the time or binge drinking for short periods. 3) Closely follow recommended diet and exercise 4) 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 dosing schedule. Do not double dose 6) Contact a physician if the above side effects are severe or persistent 7) Keep well hydrated during therapy by drinking plenty of fluids Lantus 1) 2) 3) 4) Follow prescribed diet carefully Do not change insulin brands, syringe brands, or dose without first notifying a physician Consult a physician during any illness Do not dilute or mix Lantus with any other insulin or solution

5) Lanuts should be clear and colorless with no particles visible 6) 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 described 8) Wear or carry diabetic identification in case of emergencies 9) If a dose is missed, take it as soon as possible 10) 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 1) 2) 3) 4) 5) 6) May be taken without regards to meals Closely follow recommended dietary and exercise instructions Quarterly HbA-1c testing should be performed Store in a cool, dry place away from sunlight and children If a dose is missed, take it as soon as possible but do not double doses Call physician if above side effects are persistent or severe

Anti-hypertensives and anti-anginals

Antihypertensives and Antianginals Brand Name Generic Name(s) Dosage Range Prinivil 20 -40 mg per day administered in a Lisinopril single daily dose Zestril Norvasc Toprol-XL Carvedilol Tenormin Lopressor Cardizem Cartia Tiazac Prinzide Zestoretic Benicar Altace Amlodipine Metoprolol Succinate Coreg Coreg CR Atenolol Metoprolol Tartrate Diltiazem Hydrochloride Lisinopril with Hydrochlorothiazide Olmesartan Medoxomil Ramipril 10 mg once daily (max) Start with 25 100 mg daily 12.5 mg twice a day 50 mg to 100 mg a day for maintenance 100 mg to 450 mg per day in a single or divided dose Usual optimum dosage range is 240 to 360 mg per day in one or two doses One tablet daily 20 mg once daily 2.5 to 20 mg/day in 1 or 2 doses

Rank 5 11 33 47 57 60 62

Subclass Antihypertensive Antihypertensive Antihypertensive Antihypertensive Antihypertensive Antihypertensive Antihypertensive/ Antianginal Antihypertensive Antihypertensive Antihypertensive

81 84 89

Patient Consultation: Prinivil, Zestril 1) 2) 3) 4) 5) 6) May be taken with or without meals Do not discontinue medication unless otherwise directed by your physician Avoid non-prescription cough, cold, and allergy medications unless otherwise directed Avoid salt substitutes containing potassium Store in a cool, dry place away from sunlight and children 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 persistent 8) Contact a physician if signs of swelling occur Norvasc 1) 2) 3) 4) May be taken with or without meals Contact a physician if the above side effects are severe or persistent Store in a cool, dry place away from sunlight and children 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 or pharmacist 6) Do not stop therapy unless directed to do so by a physician Toprol-XL 1) Contact a physician if the above side effects are severe or persistent 2) 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 physician 4) Take with food to increase absorption 5) Take whole or halved tablets without crushing or chewing 6) May cause dizziness. Use caution while operating machinery 7) 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 sun 9) 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 children

2) 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. Do not double dose 3) Take with food to decrease orthostatic hypotension 4) Contact a physician if the above side effects are severe or persistent 5) Contact lens wearers may experience decreased lacrimation 6) Do not discontinue therapy without first consulting a physician. Treatment must be tapered over 1 to 2 weeks 7) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 8) Patients with diabetes need to be aware that this agent can cause masking of hypoglycemic symptoms 9) Avoid nonprescription cough, cold, and allergy medications unless otherwise directed Tenormin 1) May be taken with food or milk if GI upset occurs 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid abrupt withdrawal from therapy 4) Patients with diabetes need to be aware that this agent can cause masking of hypoglycemic symptoms 5) Contact a physician if the above side effects are severe or persistent 6) 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 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 Lopressor 1) 2) 3) 4) 5) Contact a physician if the above side effects are severe or persistent Do not discontinue therapy without first consulting a physician Take with food to increase absorption May cause dizziness. Use caution while operating machinery Patients with diabetes need to be aware that this agent can cause masking of hypoglycemic symptoms 6) 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 dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double dose. Caridzem, Cartia, Tiazac

1) Take each dose on an empty stomach at least one hour before or two hours after a meal unless otherwise directed by physician 2) Do not discontinue therapy without first consulting physician 3) 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 children 5) 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. 6) Contact a physician if the above side effects are severe or persistent Prinzide, Zestoretic 1) May be taken without regards to meals 2) Timing of dose is important because of increased dieresis. Usually given in the early a.m. 3) Avoid excessive exposure to sunlight 4) Do not discontinue medication unless otherwise directed by your physician 5) Avoid non-prescription cough, cold, and allergy medications unless otherwise directed 6) Avoid salt substitutes containing potassium 7) Store in a cool, dry place away from sunlight and children 8) 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. 9) Contact a physician if the above side effects are severe or persistent 10) Contact a physician if signs of swelling occur Benicar 1) 2) 3) 4) 5) Altace 1) Do not discontinue medication unless otherwise directed by your physician 2) Altace capsules may be swallowed whole or their contents sprinkled over soft food and consumed (without chewing). They also may be mixed into water or apple juice and consumed. Pre-mixed solutions are stable for 24 hours at room temperature and 48 hours under refrigeration 3) Avoid nonprescription cough, cold, and allergy medications unless otherwise directed May be administered with or without food May cause dizziness. Use care when operating machinery If pregnancy is detected, discontinue use as soon as possible Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects are severe or persistent

4) Avoid salt substitutes containing potassium 5) Report any sign of facial swelling, difficulty in breathing, or infection (unexplained fever or sore throat) to your physician 6) 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 dose than the dose you missed, skip the missed dose and return to your dosing schedule. Do not double doses. Anti-Psychotics
Anti-Psychotics Generic Name(s) Quetiapine Fumerate Risperidone Ziprasidone HCl Aripiprazole Memantine Hydrochloride

Rank 38 48 83 86 98

Subclass Antipsychotic Antipsychotic Antipsychotic Antipsychotic Agent for Alzheimers Dementia

Brand Name Seroquel Risperdal Geodon Ablify Namenda Namenda XR

Dosage Range 300 mg 400 mg daily, given in 2 or 3 divided doses, or one extended release tablet Begin with 1 mg twice daily. For maintenance use the lowest effective dose 40 mg to 80 mg twice a day 10 to 15 mg once a day 10 mg twice a day

Patient Consultation:

Seroquel 1) Use caution when rising from a prone position, especially during initial dose-titration period 2) May cause drowsiness use caution when performing activities that require alertness 3) May be taken without regards to meals 4) Seroquel XR should be swallowed whole and not crushed, divided, or chewed 5) Do not change dosage except on the orders of your physician 6) Store in a cool, dry place away from sunlight and children 7) Contact a physician if the above side effects are severe or persistent 8) 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 or lying position 2) May impair judgment use caution when operating machinery including automobiles

3) 4) 5) 6)

Avoid alcohol during therapy May take with food or milk if GI upset occurs Solution is compatible with orange juice, coffee, and low-fat milk 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 therapy 8) Do not take OTC medications without first checking with a physician or pharmacist 9) Store in a cool, dry place away from sunlight and children 10) 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. Do not double dose 11) Contact a physician if the above side effects are severe or persistent Geodon 1) This drug can cause serious heart arrhythmias, please inform your physician of any past history of heart problems 2) Inform your physician of any prescription or noprescription medications you currently take 3) Take this medication with food to help its absorption 4) Use caution when performing tasks that require mental alertness 5) Avoid alcohol while taking this medication 6) Do not discontinue this medication abruptly 7) If may take several weeks to see symptom improvement after starting this medication 8) Use appropriate precautions against heat exposure and dehydration 9) Store in a cool, dry place away from sunlight and children 10) Contact a physician if the above side effects are severe or persistent or if you experience fainting, palpitations, or dizziness 11) If a dose is missed, skip it and return to normal dosing schedule Abilify 1) 2) 3) 4) 5) 6) 7) Use caution when performing tasks that require mental alertness Avoid alcohol while taking this medication Use appropriate precautions against heat exposure and dehydration Store tablets in a cool, dry place away from sunlight and children Store oral solution in the refrigerator and use within 6 months or opening the bottle Contact a physician if the above side effects are severe or persistent If a dose is missed, skip it and return to normal dosing schedule

Namenda, Namenda XR

1) May be taken with or without food 2) Capsules may be taken whole or opened and sprinkled on applesauce and taken without chewing 3) Store in a cool, dry place away from sunlight and children 4) Contact a physician if the above side effects are severe or persistent 5) If a dose is missed, skip it and return to normal dosing schedule

Anti-ulcer Agents
Antiulcer Agent Generic Name(s) Omeprazole Esomeprazole Magnesium Pantoprazole Sodium Lansoprazole Ranitidine Hydrochloride Famotidine

Rank 4 26 51 55 87 94

Subclass Gastric Antisecretory Gastric Antisecretory Gastric Antisecretory Gastric Antisecretory Gastric Antisecretory Gastric Antisecretory

Brand Name Prilosec Nexium Protonix Prevacid Zantac Pepcid

Dosage Range 20 mg give once daily 20 40 mg daily for 4 to 8 weeks 40 mg taken once a day for up to 8 weeks 30 mg daily 150 mg twice a day or 300 mg at bedtime 20 to 40 mg twice a day for 6 to 12 weeks

Patient Consultation: Prilosec 1) 2) 3) 4) Take 30 minutes prior to eating Antacids may be taken at the same time Store in a cool, dry place away from sunlight and children 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 5) Contact a physician if the above side effects are severe or persistent 6) 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 eating 2) 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, left for 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 time 5) Store in a cool, dry place away from sunlight and children 6) 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 persistent Protonix 1) 2) 3) 4) 5) 6) May be taken without to regard to meals Swallow tablet whole; do not split, chew, or crush Granules should be mixed with applesauce or apple juice and swallowed immediately Antacids may be taken at the same time Store in a cool, dry place away from sunlight and children 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 persistent Prevacid 1) Take on an empty stomach one hour before a meal 2) The capsules should be swallowed whole or the contents sprinkled onto soft food and swallowed without chewing 3) Store in a cool, dry place away from sunlight and children 4) Contact a physician if the above side effects are severe or persistent 5) If a dose is missed, skip it and return to normal dosing schedule Zantac 1) 2) 3) 4) 5) 6) May be taken with food or milk if GI upset occurs Complete full course of therapy unless otherwise directed Store in a cool, dry place away from sunlight. Do not freeze syrup Effervescent tablets MUST be dissolved in water prior to ingestion If a dose is missed, take it as soon as possible. If it is almost time for the next dose, skip the next dose and return to dosing schedule

Pepcid

1) 2) 3) 4)

Shake suspension well and discard unused portion after 30 days Antacids may be given concomitantly to relieve acute pain Store in a cool, dry place away from sunlight and children 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 doses 5) Contact a physician if the above side effects are severe or persistent

Antitussives
Antitussives Generic Name(s) Codeine Phosphate with Guaifenesin

Rank 95

Subclass Antitussive / Expectorant

Brand Name Mytussin AC Robitussin AC

Dosage Range Take 1 to 2 teaspoonful every 4 to 6 hours, not to exceed 12 teaspoonful in 24 hours

Patient Consultation: Mytussin AC, Robitussin AC 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required. 2) Avoid alcohol while taking this medication 3) May take with food or milk to avoid GI upset 4) If cough persists for more than one week, tends to recur, or is accompanied by fever, rash, or persistent headache, notify a physician 5) WARNING: This medication may be habit forming 6) Store in a cool, dry place away from sunlight and children 7) Contact a physician if the above side effects are severe or persistent 8) If a dose is missed, skip it and return to normal dosing schedule

Estrogens and Oral Contraceptives

Rank 96

Subclass Oral Contraceptive

Estrogens and Oral Contraceptives Brand Name Generic Name(s) Tri-Cyclen Norgestimate & TriSprintec Ethinyl Estradiol Trinessa

Dosage Range Take 1 tablet daily

Tri-Cyclen, TriSprintec, Trinessa 1) Store in a cool, dry place away from sunlight and children 2) Contact a physician if the above side effects are severe or persistent 3) Breakthrough bleeding may occur during first few months, notify a physician if it continues 4) If 1 tablet is missed at any time during therapy, take it as soon as possible or take 2 tablets the next day and then continue regular cycle. If 2 tablets are missed, take 2 tablets daily for two days then continue normal schedule. If 3 tablets are missed, stop taking medication and begin new packet 7 days following the last dose. 5) Use a second method of birth control during the first 3 weeks of oral contraceptive use and during treatment with a broad-spectrum antibiotic. Breakthrough bleeding and/or diarrhea may be signs of decreased birth control effect 6) Oral contraceptives are intended to prevent pregnancy. They do not protect against sexually transmitted diseases including HIV infection (AIDS)

GI Anit-Cholinergics

Rank 49

Subclass Urinary Bladder Modifier

GI ANTI-CHOLINERGICS Brand Name Generic Name(s) Detrol Tolterodine Tartrate Detrol LA

Dosage Range Starting adult dose is 4 mg a day in one (Detrol LA 4mg) or two (Detrol 2 mg) doses

Patient Consultation Detrol & Detrol LA 1) May cause dizziness or drowsiness. Use care when operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) May cause dry mouth or blurred vision 4) Store in a cool, dry place away from sunlight and children 5) 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

Macrolides, Tetracyclines, and Fluoroquinolones

Macrolides, Tetracyclines, and Fluoroquinolones Brand Name Generic Name(s) Dosage Range 500 mg as a single dose on the first day Zithromax Azithromycin Dihydrate followed by 250 mg once daily for 4 Zmax more days Cipro Ciprofloxacin HCl 250 to 500 mg every 12 hours Cipro XR Vibramycin Doxycycline Hyclate 100 mg every 12 hours Doryx Levaquin Levofloxacin 500 mg q24h for 7 days

Rank 18 41 50 79

Subclass Macrolide Antibiotic Fluoroquinolone Antiobiotic Tetracycline Fluoroquinolone Antibiotic

Patient Consultation: Zithromax, Zmax 1) May be taken without regard to food or meals 2) Do not take antacids within one hour of administration

3) 4) 5) 6)

Store in a cool, dry place away from sunlight and children Report severe or persistent diarrhea to a physician Take a missed dose as soon as possible and continue dosing schedule Shake suspensions well before each dose

Cipro & Cipro XR 1) Store in a cool, dry place away from sunlight and children 2) Avoid prolonged exposure to sunlight 3) 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 4) Contact a physician if the above side effects are severe or persistent 5) Discontinue use and contact a physician if a rash develops 6) Finish medication unless otherwise instructed 7) Drink a full glass of water (240 mL) after each dose 8) May be taken without regard to food or meals 9) Do not take antacids during therapy 10) 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 or when mental alertness is required 12) Do not take antacids or products containing calcium calcium, zince, or iron at the same time. Can be taken 2 hours before or 6 hours after these products 13) Do not chew, crush, or split XR tablets Vibramycin, Doryx 1) Preferably taken on an empty stomach one hour before or two hours after meals with a 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 clock 4) Complete full course of therapy unless otherwise directed 5) Shake suspension well before using 6) Avoid prolonged exposure to sunlight 7) Store in a cool, dry place away from sunlight and children 8) If a dose is missed take it as soon as possible and return to dosing schedule 9) Contact a physician if the above side effects are severe or persistent Levaquin 1) Store in a cool, dry place away from sunlight and children

2) 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 doses 3) Contact a physician if the above side effects are severe or persistent 4) Discontinue use and contact a physician if a rash develops or you experience pain, inflammation, or rupture of a tendon 5) Finish medication unless otherwise instructed by a physician 6) Drink a full glass of water (240 mL) after each dose 7) May be taken without regards to meals 8) Do not take antacids, sucralfate, metal cations such as iron, and multi-vitamins containing zinc within 2 hours of dose 9) Avoid prolonged exposure of skin to sunlight 10) Continually monitor blood glucose if taking an antidiabetic medications and stop Levaquin if a hypoglycemic reaction occurs and contact a physician

Misc. Agents
MISCELLANEOUS AGENTS Rank 43 Subclass Osteoporosis Agent Brand Name Fosamax Generic Name(s) Alendronate Sodium Dosage Range 10 mg once a day or 70 mg once a week

Patient Consultation

Fosamax 1) Fosamax must be swallowed with 6-8 ounces of plain water immediately upon arising for the 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 pharmacist 3) Swallow whole; do not crush, chew or suck on the tablet 4) If a dose is missed, skip it and return to your normal schedule. Do not double dose 5) Contact a physician if the above side effects are severe or persistent 6) Store in a cool, dry place away from sunlight and children

Misc. Analgesic and Anti-inflammatory Agents

Misc. Analgesic and Anti-Inflammatory Agents Generic Subclass Brand Name Dosage Range Name(s) MUST BE INDIVIDUALIZED. Normal Anti-inflammatory Deltasone Prednisone doses range from 5 mg to 60 mg per day Ultram Give 50 mg to 100 mg as needed for Analgesic Ultram ER Tramadol HCl the relief of pain every four to six hours, not to exceed 400 mg per day Ryzolt Tamsulosin Prostate Anti-inflammatory Floxmax One 0.4 mg capsule daily Hydrochloride Agent for Gout Zyloprim Allopurinol 200 mg to 300 mg per day

Rank 13

23 69 72

Patient Consultation: Deltasone 1) 2) 3) 4) 5) 6) Take medication only as prescribed Do not discontinue medication without first consulting physician May take with food or milk if GI upset occurs Notify physician if any adverse effects occur Store in a cool, dry place away from sunlight and children 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 alterness is required 2) Avoid alcohol while taking this medication 3) Do not split, crush, or chew extended-release tablets 4) May take with food or milk if GI upset although analgesia may be delayed 5) Continuous use may produce psychic and physical dependence of the morphine-type 6) Do not exceed prescribed dosage 7) Contact a physician if the above side effects are severe or persistent 8) Store in a cool, dry place away from sunlight and children 9) 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 it and return to normal dosing schedule

2) May cause dizziness, especially when rising from the sitting position. Use caution when performing any hazardous task. 3) Store in a cool, dry place away from sunlight 4) Do not discontinue or skip therapy without first consulting physician 5) 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 maximum effectiveness 2) May be taken with food or milk if GI upset occurs 3) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 4) Avoid alcohol while taking this medication 5) High fluid intake during therapy is beneficial to help prevent kidney stone formation 6) Store in a cool, dry place away from sunlight and children 7) If a dose is missed, skip it and return to normal dosing schedule 8) Contact a physician if the above side effects are severe or persistent

Misc. Anti-infective
Misc. Anti-Infectives Generic Name(s) Sulfamethoxazole with Trimethoprim Fluconazole

Rank 25 37

Subclass Antibiotic Antifungal

Brand Name Bactrim Septra Diflucan

Dosage Range 160 mg trimethoprim / 800 mg sulfamethoxazole every 12 hours for 10 to 14 days 150 mg as single oral dose

Patient Consultation: Bactrim, Septra 1) Preferably taken on an empty stomach one hour before or two hours after meals with a full glass (240 mL) of water 2) Complete the full course of therapy unless otherwise directed 3) Avoid prolonged exposure to sunlight 4) Shake suspension well before using 5) Contact a physician if the above side effects are severe or persistent 6) Store in a cool, dry place away from sunlight and children 7) If a dose is missed, take it as soon as possible

Diflucan 1) 2) 3) 4) Suspensions should be reconstituted prior to dispensing Store in a cool, dry place away from sunlight and children Shake suspension well before each dose 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. 5) Contact your physician if a rash develops during therapy

Misc. Cardiovascular Agent

Rank 3 15 19 24 36 44 65 76 80 82 90 91 92

Subclass Antihyperlipidemic Antihyperlipidemic Diuretic Diuretic Anticoagulant Antihyperlipidemic Hematological Agent Diuretic Antihyperlipidemic Antihyperlipidemic Hematological Agent Antihyperlipidemic Diuretic

Misc. Cardiovascular Agents Brand Name Generic Name(s) Dosage Range Zocor Simvastatin 10 to 40 mg per day Lipitor Atorvastatin Calcium 10 mg to 80 mg per day Microzide Hydrochlorothiazide 25 to 100 mg daily in a single or divided dose Lasix Furosemide 20 to 80 mg per day in one or two doses Coumadin Warfarin Sodium 2 to 10 mg per day (Crystalline) Jantoven Crestor Dyazide Maxzide Niaspan Tricor Plavix Zetia Aldactone Rosuvastatin Calcium Aspirin, enteric-coated Triamterene with Hydrochlorothiazide Niacin (ER) Fenofibrate (nanocrystallized) Clopidogrel Bisulfate Ezetimibe Spironolactone 5 to 40 mg once daily 81 mg to 325 mg once daily One to two doses twice a day Start with 500 mg at bedtime for 4 weeks 145 mg daily with meals 75 mg once daily with or without food Daily dose is 10 mg Initially 100 mg per day with adjustments at 5 day intervals to a maintenance does of 25 to 200 mg per day

Patient Consultation 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 diet 3) 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, discontinue medication and consult a physician 5) Limit alcohol intake during therapy 6) Store in a cool, dry place away from sunlight and children 7) 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 avoided Lipitor 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 diet 3) 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, discontinue medication and consult a physician 5) Limit alcohol intake during therapy 6) Store in a cool, dry place away from sunlight and children 7) 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) 2) 3) 4) 5) 6) Lasix 1) 2) 3) 4) May be taken with food or milk if GI upset occurs Timing of dose is important because of increased 24ieresis. Usually given in early a.m. Avoid excessive exposure to sunlight 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 precautions 6) Store in a cool, dry place away from sunlight and children May be taken with food or milk if GI upset occurs Timing of dose is important because of increased 24ieresis. Usually given in early a.m. Avoid excessive exposure to sunlight Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects are severe or persistent If a dose is missed, skip it and return to normal dosing schedule

7) 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 8) Contact a physician if the above side effects are severe or persistent Coumadin, Jantoven 1) 2) 3) 4) Contact a physician if the above side effects are severe or persistent Do not exceed prescribed dosage, take medication only as directed Avoid alcohol and aspirin or aspirin-containing medications 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 children 6) 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 doses Crestor 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 diet 3) Do not become pregnant during therapy. If pregnancy occurs or is suspected, discontinue medication and consult a physician 4) Limit alcohol intake during therapy 5) Store in a cool, dry place away from sunlight and children 6) 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) 2) 3) 4) Many nonprescription medications contain aspirin-read labels to avoid toxic levels Stop use if rash appears or if patient has difficulty in breathing after administration Do not take during the last trimester of pregnancy 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 water 6) Do not give to children with chicken pox or flu-like symptoms

Dyazide, Maxzide 1) Timing of dose is important because of increased dieresis. Usually given in early a.m.

2) 3) 4) 5)

May take with food or milk if GI upset occurs Avoid prolonged exposure to sunlight Store in a cool, dry place away from sunlight and children 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. 6) Contact a physician if the above side effects are severe or persistent Niaspan 1) Take at bedtime with a low-fat snack. Taking on an empty stomach is not recommended 2) Carefully follow the prescribed titration schedule to minimize adverse effects 3) Flushing is a common adverse effect and usually subsides after a few weeks of therapy. Apirin or NSAIDs taken shortly before bedtime may minimize flushing 4) Avoid alcohol around the same time as NIASPAN, to avoid flushing reactions 5) Do not take OTC vitamins or supplements containing niacin without first checking with a physician or pharmacist 6) Swallow tablets whole, do not break, crush, or chew 7) If a dose is missed, skip it and return to normal dosing schedule 8) Notify physician if any of the above side effects are severe or persistent 9) Contact a physician if symptoms of myopathy occur (e.g., muscle pain or tenderness, especially if accompanied by malaise or fever). 10) Closely follow prescribed diet 11) Store in a cool, dry place away from sunlight and children Tricor 1) Closely follow prescribed diet 2) Contact a physician if the above side effects are severe or persistent 3) Call a physician if signs of myositis show. This includes muscle pain, tenderness, or weakness. 4) Store in a cool, dry place away from sunlight and children 5) 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. Plavix 1) Contact your physician if the above side effects are severe or persistent 2) Contact your physician if you notice any indication of infection including fever, chills, or sore throat (neutropenia) or signs of TTP including fatigue, weakness, anorexia, nausea, diarrhea, and abdominal pain 3) Can be taken without regard to meals 4) Bleeding time will be increased during therapy-report unusual bleeding to your physician 5) Tell your physicians and dentists about your therapy before elective surgery

6) Do not exceed prescribed dosage; take medication only as directed 7) Store in a cool, dry place away from sunlight and children 8) 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 doses Zetia 1) Do not take within 2 hours before or 4 hours after the administration of a bile acid sequestrant (cholestyramine) 2) Closely follow prescribed diet 3) May be taken without regard to meals 4) Contact physician if symptoms of myopathy occur (e.g., muscle pain or tenderness, especially if accompanied by malaise or fever) when Zetia is used with an HMG-CoA redcutase inhibitor 5) Store in a cool, dry place away from sunlight and children 6) 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 Aldactone 1) Timing of dose is important because of increased dieresis. Usually given in early morning 2) May be taken with food or milk if GI upset occurs 3) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 4) Store in a cool, dry place away from sunlight and children 5) 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

Misc. CNS Agents

Misc. CNS Agent Brand Name Generic Name(s) Ambien Zolpidem Tartrate Ambien CR Klonopin Amrix Flexeril Fexmid Neurontin Topamax Lyrica Adderall CNS Agent for ADHD 53 59 63 68 70 Anticonvulsant / Antipsychotic Antiepileptic Sedative Agent for Alzheimers Dementia Adderall XR Depakote Depakote ER Lamictal Lamictal XR Lunesta Aricept Clonazepam Cyclobenzaprine HCl Gabapentin Topiramate Pregabalin Amphetamine with Dextroamphetamine Salts Divalproex Sodium Lamotrigine Eszopiclone Donepezil Hydrochloride

Rank 6 20 29

Subclass Sedative Antiepileptic Muscle Relaxant Anticonvulsant / Antineuralgic Antiepileptic Anticonvulsant / Antineuralgic

Dosage Range 5 to 12.5 mg immediately before bedtime Adults: 0.5 mg given three times a day initially 10 mg three times a day The effective dose is 900 mg to 1800 mg per day in three divided doses 200 mg to 400 mg given in two divided doses 75 mg twice daily or 50 mg three times a day (150 mg/day) 20 mg per day 250 mg three times a day (Depakote) or 25 mg/kg (Depakote ER) give once daily 25 mg to 200 mg once daily 2 mg (nonelderly) or 1 mg (elderly) immediately before bedtime 10 mg given at bedtime

30 40 52

Patient Consultation: Ambien, Ambien CR 1) CR tablets should be swallowed whole, and not divided, crushed, or chewed 2) Contact a physician if the above side effects are severe or persistent 3) Because of induced drowsiness, do not operate machinery or engage in activities when mental alertness is required 4) Avoid alcohol while taking this medication 5) WARNING: This medication may be habit-forming 6) Store in a cool, dry place away from sunlight and children Klonopin

1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) WARNING: This medication may be habit-forming 4) Do not stop medication abruptly 5) Store in a cool, dry place away from sunlight and children 6) 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 persistent Amrix, Flexeril, Fexmid 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) May cause dry mouth 4) Store in a cool, dry place away from sunlight and children 5) 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 Neurontin 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) Do not abruptly discontinue therapy, dose should be tapered over a one week period 4) May be taken without regard to meals 5) Store in a cool, dry place away from sunlight and children 6) Contact a physician if the above side effects are severe or persistent 7) If a dose is missed, skip it and return to normal dosing schedule Topamax 1) May be taken without regard to meals 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication 4) Store in a cool, dry place away from sunlight and children 5) 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 6) Contact a physician if the above side effects are severe or persistent

7) Contact a physician immediately upon experiencing blurred vision or periorbital pain 8) Keep well hydrated during therapy to decrease the risk of kidney stone formation 9) 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 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) Do not abruptly discontinue therapy, dose should be tapered over a one week period. 4) May be taken without regards to meals 5) Store in a cool, dry place away from sunlight and children 6) The oral solution must be used within 45 days of opening the stock container 7) Contact a physician if the above side effects area severe or persistent 8) 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) 2) 3) 4) 5) 6) 7) 8) May cause dizziness use caution when performing activities that require coordination. Do not exceed prescribed dosage This prescription cannot be refilled WARNING this medication may be habit forming Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects are severe or persistent If a dose is missed, skip it and return to normal dosing schedule 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 physician 2) 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 upset 4) 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

6) 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 persistent or if any of the following 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 physician 3) 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 become pregnant,, 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 dose 6) Contact a physician if the above side effects are severe or persistent 7) 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 action 2) Because of the rapid onset of action, take immediately before bedtime 3) Because of induced drowsiness, do not operate machinery or engage in activities when mental alertness is required 4) Avoid alcohol while taking this medication 5) WARNING: This medication may be habit-forming 6) A rapid decrease or abrupt discontinuation of therapy may precipitate withdrawal symptoms 7) Store in a cool, dry place away from sunlight and children 8) Contact a physician if the above side effects are severe or persistent Aricept 1) 2) 3) 4) 5) May be taken with or without food Take in the evening, just prior to retiring Store in a cool, dry place away from sunlight and children Contact a physician if the above side effects are severe or persistent If a dose is missed, skip it and return to normal dosing schedule. Do not double doses.

Misc. Gastrointestinal Agents

Misc. Gastrointestinal Agents Brand Name Generic Name(s) Zofran Reglan Miralax 77 Laxative Glycolax Ondansetron HCl Metoclopramide HCl Polyethylene Glycol 3350, NF

Rank 54 71

Subclass Antiemetic Antiemetic

Dosage Range 8 mg given three times a day

5 to 10 mg taken 30 minutes before each meal and at bedtime for 2 to 8 weeks 17 grams (about one heaping tablespoonful) of powder per day in 8 ounces of water, juice, soda, coffee, or tea

Zofran 1) Do not remove chewable tablets from the blister until just prior to use. Do not try to push the tablet through the foil, peel the blister apart to remove 2) Store in a cool, dry place away from sunlight and children 3) If a dose is missed, take it as soon as possible 4) 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 is required 2) Avoid alcohol while taking this medication 3) Should be taken 30 minutes before meals 4) Store in a cool, dry place away from sunlight and children 5) 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 Miralax, Glycolax 1) Each dose should be dissolved in 8 ounces of water, juice, soda, coffee, or tea immediately prior to administration 2) Consult your physician if the above adverse effects are persistent or severe 3) Two to four days may be required to produce a bowel movement 4) Do not use for more than 2 weeks unless directed to do so by a physician. Prolonged or excessive use may result in electrolyte imbalance and dependence on laxatives 5) Exercise and a diet high in fiber and with adequate fluid intake will produce more regular bowel habits

Misc. Hormone and Electrolyte Agents

Misc. Horomone and Electrolyte Agents Brand Name Generic Name(s) Synthroid Levothyroxine Levoxyl Sodium Levothroid Klor-Con Potassium Chloride K-Dur (Oral) Micro-K Armour Thyroid Thyroid, dessicated ---Folic Acid

Rank 2

Subclass Hormone/Thyroid

Dosage Range Adults: 25 to 300 mcg orally once per day 16 to 80 mEq per day in one or two divided doses 60 mg to 180 mg per day Up to 1 mg per day

35 85 99

Electrolyte Hormone/Thyroid Vitamin

Patient Consultation: Synthroid, Levoxyl, Levothroid 1) 2) 3) 4) 5) Do not discontinue therapy without first consulting a physician Notify physician if signs of hyperthyroidism (overdosage) occurs Transient loss of hair may be seen in children, but recovery usually occurs Store in a cool, dry place away from sunlight and children 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

Klor-Con, K-Dur, Micro-K 1) 2) 3) 4) 5) Take with or after meals and with a full glass (240 mL) of water Swallor tablets (except K-Dur) whole K-Dur tablets may be halved or dispersed into 4 ounces of water Avoid salt substitutes containing potassium 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 children 7) Contact a physician if the above side effects are severe or persistent 8) If a dose is missed take it as soon as possible Armour Thyroid 1) Do not discontinue therapy without first consulting physician 2) Notify physician if signs of hyperthyroidism (overdosage) occurs 3) Transient loss of hair may be seen in children, but recovery usually occurs

4) Store in a cool, dry place away from sunlight and children 5) 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 doses 6) Contact a physician if the above side effects are severe or persistent. Folic acid 1) Store in a cool, dry place away from sunlight and children 2) If a dose is missed, take it as soon as possible 3) Do not discontinue therapy without first consulting a physician

Narcotic Analgesics
NARCOTIC ANALGESIC Brand Name Generic Name(s) Lortab Vicodin Hydrocodone Bitartrate with Acetaminophen Lorcet Norco Tylenol Acetaminophen with Phenaphen Codeine (with Codeine) Percocet Oxycodone with Roxicet Acetaminophen Endocet Oxycodone HCl OxyContin (controlled release)

Rank 1

Subclass Opioid Analgesic

Dosage Range 1 to 2 tablets or 3 teaspoonsful every four to six hours as needed for pain 1 or 2 No.2 or No.3 tablets every 4 hours as needed 1 tablet every 6 hours as needed 10 mg to 20 mg given twice a day

42

Opioid Analgesic

56 88

Opioid Analgesic Opioid Analgesic

Patient Consultation Lortab, Vicodin, Lorcet, Norco 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) May be taken with food or milk to avoid GI upset 4) WARNING: This medication may be habit-forming 5) Store in a cool, dry place away from sunlight and children

6) Contact a physician if the above side effects are severe or persistent 7) If a dose is missed, skip it and return to normal dosing schedule Tylenol and Phenaphen (with Codeine) 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) May take with food or milk to avoid GI upset 4) Do not exceed prescribed dosage 5) WARNING: This medication may be habit-forming 6) Store in a cool, dry place away from children 7) Contact a physician if the above side effects are severe or persistent 8) If a dose is missed, skip it and return to normal dosing schedule Percocet, Roxicet, Endocet 1) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 2) Avoid alcohol while taking this medication 3) May take with food or milk to avoid GI upset 4) Do not exceed prescribed dosage 5) WARNING: This medication may be habit forming 6) This prescription cannot be refilled 7) Store in a cool, dry place away from sunlight and children 8) Contact a physician if the above side effects are severe or persistent 9) If a dose is missed, skip it and return to normal dosing schedule Oxycodone HCl 1) Tablets must be taken whole, and are not to be broken, chewed or crushed. Taking broken, chewed, or crushed OxyContin tablets could lead to the rapid release and absorption of potentially toxic dose of oxycodone 2) May cause drowsiness. Use caution while operating machinery or when mental alertness is required 3) Avoid alcohol while taking this medication 4) May take with food or milk to avoid GI upset 5) WARNING: This medication may be habit-forming 6) This prescription cannot be refilled 7) Store in a cool, dry place away from sunlight and children 8) Contact a physician if the above side effects are severe or persistent 9) If a dose is missed, take it as soon as possible and reschedule your remaining doses based upon the schedule your physician prescribed. Do not double doses.

Nonsteroidal Anit-Inflammatory
Nonsteroidal Anti-Inflammatory Generic Brand Name Name(s) Mobic Meloxicam Naprosryn Naproxen EC Naprosyn Voltaren Diclofenac Sodium (oral) Voltaren XR Celebrex Motrin Celecoxib Ibuprofen

Rank 34 39 61 66 97

Subclass Nonsteroidal Anti-Inflammatory Nonsteroidal Anti-Inflammatory Nonsteroidal Anti-Inflammatory Nonsteroidal Anti-Inflammatory Nonsteroidal Anti-Inflammatory

Dosage Range 7.5 mg once daily 250 mg to 500 mg twice a day 50 mg 3-4 times a day, 75 mg twice a day, or 100 mg XR once or twice a day 200 mg given once a day or 100 mg given twice a day 1200 mg to 3200 mg daily in 3 to 4 divided doses

Patient Consultation:

Mobic 1) Compliance with therapy is essential, may require up to 2 weeks to see noticeable improvement in arthritic conditions 2) May take with food or milk if GI upset occurs 3) Shake suspension well before using 4) Concurrent ingestion of alcohol may increase ulcerogenic effect 5) Avoid aspirin or products containing aspirin without first consulting a physician 6) 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 dose than 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, upper right quadrant tenderness, flu-like symptoms), GI ulceration, skin rash, edema, or weight gain occur Naprosryn and EC Naprosyn 1) 2) 3) 4) 5) 6) May require up to 2 weeks to see noticeable improvement in arthritic condition Take on an empty stomach for better absorption, may take with food to reduce GI upset Concurrent ingestion of alcohol may increase ulcerogenic effect Avoid aspirin or products containing aspirin without first consulting your physician May cause drowsiness use caution when performing activities that require alertness Store in a cool, dry place away from sunlight and children

7) To maintain the integrity of enteric coating, the delayed release tablets should not be broken, crushed or chewed during ingestion 8) 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 9) Contact a physician if the above side effects are severe or persistent Voltaren & Voltaren XR 1) 2) 3) 4) 5) 6) May take with food or milk if GI upset occurs Concurrent ingestion of alcohol will increase ulcerogenic effect Avoid aspirin or products containing aspirin without first consulting your physician Swallow whole do not crush or chew Store in a cool, dry place away from sunlight and children 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 persistent Celebrex 1) May be taken without regard to meals 2) 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 physician 4) Store in a cool, dry place away from sunlight and children 5) 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 6) Contact a physician if the above side effects are severe or persistent Motrin 1) Compliance with therapy is essential, may require up to 2 weeks to see noticeable improvement in arthritic conditions 2) May take with food or milk if GI upset occurs 3) Concurrent ingestion of alcohol will increase ulcerogenic effect 4) Avoid aspirin or aspirin-containing products without first consulting a physician 5) Store in a cool, dry place away from sunlight and children 6) Notify physician if adverse effects are both bothersome or if a rash develops 7) 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

Penicillins and Cephalosporins

Penicillins and cephalosporins Brand Name Generic Name(s) Dosage Range Amoxil Adults: 250 mg to 500 mg every 8 hours or Amoxicillin Trihydrate Moxatag 500 mg to 875 mg every 12 hours Trimox Adults (more severe infections): 1 Augentin Amoxicillin with Augmentin 500 every 8 hours or 1 Augmentin Clavulanate Potassium Augmentin 875 tablet every 12 hours XR Omnicef Keflex Cefdinir Cephalexin Monohydrate 600 mg daily in one or two doses 250 mg to 1 gram every six hours

Rank 14

Subclass Antibiotic

28 78 100

Anitbiotic Cephalosporin antibiotic Cephalosporin antibiotic

Patient Consultation: Amoxil, Moxatag, Trimox 1) Preferably taken on an empty stomach one hour before or two hours after meals with a full glass (240 mL) of water 2) Take at even intervals, preferably around the clock 3) Complete full course of therapy unless otherwise directed 4) Keep suspension refrigerated, discard after 14 days 5) Shake suspension well before using 6) If a dose is missed, take it as soon as possible 7) Contact a physician if the above side effects are severe or persistent Augmentin and Augmentin XR 1) 2) 3) 4) 5) 6) 7) 8) Preferably taken at the start of a meal to enhance absorption and decrease GI upset Take at even intervals, preferably around the clock Complete full course of therapy unless otherwise directed Follow chewable tablets with a full glass of water Keep suspension refrigerated, discard after 10 days Shake suspension well before each dose If a dose is missed, take it as soon as possible Contact a physician if the above side effects are severe or persistent

Omnicef 1) Store in a cool, dry place away from sunlight and children 2) Shake suspension well before using

3) 4) 5) 6) 7) Keflex

Do not take antacids or iron supplements within 2 hours of each dose Discard unused suspension after 10 days of mixing Contact a physician if the above side effects, especially diarrhea, are severe or persistent If a dose is missed, take it as soon as possible and return to normal dosing schedule Complete full course of therapy unless otherwise directed

1) Preferably taken on an empty stomach (one hour before or two hours after meals) with a full glass (240 mL) of water 2) Take at even intervals; preferably around the clock 3) Complete full course of therapy unless otherwise directed 4) Keep suspension refrigerated. Discard unused portion after 14 days 5) Shake suspension well before using 6) Report persistent or severe diarrhea to a physician 7) Store in a cool, dry place away from sunlight and children 8) If a dose is missed, take it as soon as possible 9) Contact a physician if the above side effects are severe or persistent

Upper Respiratory Agents

Upper Respiratory Agents Generic Name(s) Fluticasone Propionate (nasal) Fexofenadine Hydrochloride Mometasone Furoate Monohydrate (Intranasal)

Rank Subclass 21 Anti-allergy 46 58 Anti-allergy Anti-allergy

Brand Name Flonase Allegra Nasonex

Dosage Range two sprays in each nostril once a day 60 mg twice a day as needed or 180 mg once a day as needed Two sprays in each nostril once a day

Patient Consultation: Flonase 1) Therapeutic effects are not seen at once. Benefits are usually seen in a few days but may take 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 for treatment of symptoms 3) Do not exceed prescribed dosage; take medication only as directed

4) 5) 6) 7)

Clear nasal passages of secretions prior to use. Oral decongestants may be used if needed Shake container well before use Store in a cool, dry place away from sunlight and children 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 meals 2) Shake suspension well before use 3) 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 children 5) 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 2) Therapeutic effects are not seen at once, benefits are usually seen in a few days but may take 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 persistent 4) If a dose is missed by more than 12 hours, skip it and return to normal dosing schedule 5) Clear nasal passages of secretions prior to use. Oral decongestants may be used if needed 6) Use at regular intervals 7) Store in a cool, dry place away from children