PHRM 822 Med List #3 - Allergy, Asthma, Cough and Cold, Cholesterol

generic: loratadine (OTC)

Category: allergy

Brand: Claritin

Frequency: once daily

Indication: allergy symptoms (runny nose, watery eyes, sneezing, drainage), acute and chronic urticaria (itching) and rash, allergic reaction to medication

Counseling: headache

generic: diphenhydramine (OTC)

Category: allergy

Brand: Benadryl

Frequency: q4-6h prn (allergies), 50 mg at bedtime (sleep)

Indication: allergy symptoms (runny nose, watery eyes, sneezing, drainage), insomnia, itching, motion sickness

Counseling: drowsiness, alcohol intensifies drowsiness, paradoxical hyperactivity in children, dry mouth

generic: fluticasone (OTC)

Category: allergy

Brand: Flonase

Frequency: 1-2 sprays in each nostril once daily

Indication: chronic nasal allergy symptoms

Counseling: gently shake before each use, may take several days for full effect, headache, sore throat

generic: montelukast

Category: asthma

Brand: Singulair

Frequency: once daily

Indication: chronic nasal allergy symptoms, asthma

Counseling: don't use for acute asthma attack, headache, take dose in the evening to enhance efficacy (airways are more relaxed)

generic: albuterol sulfate

Category: asthma

Brand: ProAir HFA, Proventil HFA, Ventolin HFA

Frequency: 2 puffs PO q4-6h as needed (acute asthma attack), 2 puffs PO 15-30 minutes prior to exercise (prevention of exercise induced asthma)

Indication: acute asthma attack, prevention of exercise induced asthma

Counseling: shake well, increased heart rate, clean mouthpiece with water regularly

generic: fluticasone and salmeterol

Category: asthma

Brand: Advair, Diskus

Frequency: 1 puff PO BID

Indication: asthma, COPD

Counseling: do not shake before use, inhale sharp and fast, rinse out mouth after each use to prevent oral thrush

generic: benzonatate

Category: cough and cold

Brand: Tessalon, Perles

Frequency: TID

Indication: cough suppressant to relieve dry cough

Counseling: drowsiness, do not chew (numbing and choking)

generic: dextromethorphan (OTC)

Category: cough and cold

Brand: Delsym

Frequency: q12h

Indication: cough suppressant to relieve dry cough

Counseling: shake well, potential for abuse (hallucinogen in high dose)

generic: guaifenesin (OTC)

Category: cough and cold

Brand: Mucinex

Frequency: q12h

Indication: expectorant to loosen chest congestion

Counseling: drink lots of water to thin mucus, nausea

generic: pseudoephedrine (BTC)

Category: cough and cold

Brand: Sudafed

Frequency: 60 mg q4-6h prn, 120 mg q12h prn, 240mmg q24h prn

Indication: nasal decongestant

Counseling: increased heart rate, jitteriness, insomnia

generic: emtricitabine / tenofovir disoproxil fumarate

Category: antiretroviral

Brand: Truvada

Frequency: once daily

Indication: HIV pre-exposure prophylaxis

Counseling: chance for decrease bone mineral density and kidney injury (PCP should monitor), headache, abdominal pain

generic: omega-3 fatty acids

Category: hypertriglyceridemia

Brand: Lovaza

Frequency: 4g once daily, 2g BID

Indication: hypertriglyceridemia, dietary supplement

Counseling: burping and taste disturbances, swallow whole/do not open, refrigerate to reduce taste and smell

generic: fenofibrate

Category: hypertriglyceridemia

Brand: Trilipix, Tricor

Frequency: once daily

Indication: hypertriglyceridemia, hypercholesterolemia/mixed HLD

Counseling: increased liver enzymes, discontinue if gallstones form, photosensitivity, upset stomach, report unusual muscle pain/tenderness/weakness/dark urine (rhabdomyolysis)

generic: atorvastatin

Category: hyperlipidemia

Brand: Lipitor

Frequency: once daily

Indication: hyperlipidemia (reduce LDL, reduce triglycerides, increase HDL), cardiovascular disease prevention

Counseling: increased liver enzymes, avoid excess alcohol that can lead to liver damage, report unusual muscle pain/tenderness/weakness/dark urine (rhabdomyolysis), avoid grapefruit juice (increases drug concentration), contraindicated in pregnancy, diarrhea

generic: ezetimibe

Category: hyperlipidemia

Brand: Zetia

Frequency: once daily

Indication: hyperlipidemia

Counseling: increased liver enzymes (low incidence liver damage), report unusual muscle pain/tenderness/weakness/dark urine (rhabdomyolysis), diarrhea