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albuterol and levalbuterol ( (SABA) - asthma short acting beta agonists)
Brand Names: ProAir, Xopenex,Proventil,Ventolin
Function: short-acting inhaled bronchodilator, beta- 2 receptors that cause relaxation in the lungs
Rescue Inhaler : only treats acute attacks
Drug Interaction: beta blockers
available as a tablet, syrup, MDI, or sterile solution for nebulizers
Montelukast ( Leukotriene Receptor Inhibitor)
brand name : Singular
Function: prevents and treats the symptoms of asthma and allergies decreasing inflammation in the airways ; used for long term control of moderate to severe asthma
Boxed Warning : neuropsychiatric symptoms ( suicidal thoughts, abnormal behavior , or depression)
SE: HA N/V, indigestion, diarrhea, back and generalized pain
to be taken in the evening because symptoms worsen at night
Tiotropium
anticholinergics - neurotransmitter that stimulates smooth muscle in the lungs to constrict
Brand Name - Spiriva
Function: causes long- acting smooth muscle relaxation
Side Effects- sore throat , cough, dry mouth, HA
DI - other anticholinergics
*do NOT swallow capsules whole , they are to be used only in the handihaler
Corticosteroids: Prednisone, Fluticasone, Beclomethasone
Brand Name(s) - Deltasone, Flovent, QVAR
Function - acts as an inflammatory agent and produces smooth muscle relaxation by suppressing the immune response
Side Effects - osteoporosis, fluid retention, mood swings, upset stomach , increased blood pressure, increased blood sugar
*if inhaled - causes sore throat and an increased risk of oral and pharyngeal candidiasis
*TAKE WITH FOOD
*must rinse mouth after using to prevent fungal infections in the mouth.
Oral Steroids Dose Pack
Methylprednisolone ( Medrol DP)
Prednisone ( Sterapred)
should finish entire course of therapy
Combination Agent - Ipratropium and Albeuterol
Brand Name- Combivent
a corticosteroids and a bronchodilator
treats COPD only
Combination Agent ( Flucticasone and Salmeterol)
Brand Name- Advair Diskus
two bronchodilators
treats COPD and ASTHMA
Combination Agent ( Budesonide and Formoterol)
Brand Name - Symbicort
two bronchodilators
treats COPD and ASTHMA
Omalizumab
Brand Name - Xolair
Function - used to treat : severe persistent asthma inadequately controlled by inhaled corticosteroids and other asthma medications
biological drug that is designed to target and block parts of the immune system that trigger inflammation, immunoglobulin ( E) IgE
administered by subcutaneous injection
SE : rash, fever, joint pain, dizziness , bone fractures, injection site pain
BW : anaphylaxis
Premetrexed
Brand Name - Alimta
used to treat non - small cell lung cancer and mesothelioma, a form of lung cancer associated with exposure to asbestos
antineoplastic chemotherapy drug
given as an infusion into the vein
SE: fatigue, N/V, diarrhea,mloss of appetite, change in taste, hair loss
DI: NSAIDS ( because of kidney damage) , and vaccines
Diphenhydramine
Brand Name - benadryl
treatment/intervention : seasonal rhinitis and ALLERGIC REACTIONS
1st Generation Antihistamine
Loratadine
Brand Name - Claritin
treatment/ intervention: seasonal rhinitis
SE: dry mouth, headache (HA), hoarseness, and possible drowsiness
2nd Generation Antihistamine
Fexofenadine
Brand Name - Allegra
treatment / intervention: seasonal rhinitis
SE: dry mouth, headache (HA), hoarseness, and possible drowsiness
2nd Generation Antihistamine
Cetirizine
Brand Name - Zyrtec
treatment/ intervention: seasonal rhinitis
SE: dry mouth, headache (HA), hoarseness, and possible drowsiness
2nd Generation Antihistamine
Pseudoephedrine ( Nasal Decongestant)
Brand Name - Sudafed ( BTC)
treatment/ intervention: nasal congestion
SE: nervousness, restlessness, insomnia, increased heart rate, increased blood pressure, stimulation, agitation, tremor, and headaches
DI: antihypersensitives ( blood pressure medications)
PSE is often combined with antihistamines ( Claritin - D , Allegra - D, Zyrtec- D)
Used to make methamphetamine
Laws limit purchase amounts
3.6 grams/day
9 grams/month
Kept behind pharmacy counter
Phenylephrine ( Nasal Decongestant)
Brand Name - Sudafed PE ( OTC)
treatment/ intervention: nasal congestion
SE: nervousness, restlessness, insomnia, increased heart rate, increased blood pressure, stimulation, agitation, tremor, and headaches
DI: antihypersensitives ( blood pressure medications)
Available OTC
Not as effective
Less side effects
No purchase limits
Fluticasone ( Intranasal Decongestant)
Brand Name - Flonase
treatment/ intervention: allergies
*a intranasal steroid to prevent / control inflammation from seasonal allergies ( can relieve many symptoms and allergy eye symptoms )
SE : nasal dryness, irritation, and N/V
Mometasone ( Intranasal Decongestant)
Brand Name - Nasonex
treatment/ intervention: allergies
*a intranasal steroid to prevent / control inflammation from seasonal allergies ( can relieve many symptoms and allergy eye symptoms )
SE : nasal dryness, irritation, and N/V
Oxymetazoline ( Intranasal Decongestant)
Brand Name - Afrin
treatment/ intervention: nasal congestion
*should only be used for a max of 3 days due to the risk of rebound congestion
SE : nasal dryness, irritation, and N/V
Guaifenesin ( Expectorants)
Brand Name - Mucinex
treatment/ intervention: chest congestion
*drink plenty of fluids to aid in expectoration
SE: N/V, upset GI, drowsiness
Benzonatate ( Antussive)
Brand Name - Tessalon Perles
treatment/ intervention: cough
SE: sedation, HA, “ chilli” sensation in chest, dizziness, and drowsiness
*must swallow capsules whole- chewing or dissolving may result in temporary local anesthesia or choking
*drink lots of water
Hydrocodone w / Chlorpheniramine ( CS II ) ( Antussive)
Brand Name - Tussionex Suspension ( option / antihistamine )
treatment / intervention: cough and upper respiratory symptoms associated with allergy and cold
BW: do not use with benzodiazepines or other CNS depressants, or alcohol. This could result in respiratory depression, coma, or death
SE: drowsiness, dizziness, upset stomach, nausea, constipation, dry mouth/nose/ throat, HA
DI: benzodiazepines, opioids, antihistamines, alcohol, antipsychotics, anti anxiety agents, or other CNS depressants
Guaifenesin w / Codeine ( CS V) ( Antussive)
treatment/ intervention: it suppresses the activity in the brain that controls coughing
may be purchased in some states with a prescription, dispensing must be done by a pharmacist
SE: nausea , constipation, drowsiness, lightheadedness
*take with food to decrease an upset GI
Dextromethorphan ( Antussive) ( OTC)
Brand Name : Robitussin DM Delsym
treatment/intervention: cough
*must be 18 years old to purchase
SE: dizziness, drowsiness, upset GI, nausea
Metoprolol Tartrate/ Succinate
Class: Beta Blocker
Brand Name : Lopressor, Tropol XL
Treats: HTN ( hypertension= high blood pressure) and angina.
**metoprolol tartrate–IR dosage form (Lopressor) and metoprolol succinate–ER dosage form (Toprol XL, do not cut, crush or chew). These are NOT interchangeable
Carvedilol
Class: Beta Blocker
Brand Name: Coreg
Treats : Hypertension
Atenolol
Class: Beta Blocker
Brand Name: Tenormin
Treats : HTN and Angina
Propanolol
Class: Beta Blocker
Brand Name: Inderal
Treats : HTN and Angina
Nebivolol
Class: Beta Blocker
Brand Name: Bystolic
Treats : HTN
Amlodipine
Class: Calcium Channel Blockers
Brand Name: Norvasc
Treats: HTN, angina, dysrhythmias
Diltiazem
Class: Calcium Channel Blockers
Brand Name: Cardizem
Treats: HTN, angina, dysrhythmias
Nifedipine
Class: Calcium Channel Blockers
Brand Name: Procardia
Treats: HTN, angina, dysrhythmias
Do NOT drink with grapefruit juice if taking CCB- it will increase the levels of the CCB in the blood
Verapamil
Class: Calcium Channel Blockers
Brand Name: Calan, Verelan
Treats: HTN, angina, dysrhythmias
Lisinopril
Class: ACE Inhibitors
Brand Name: Prinivil, Zestril
Treats: HTN and Heart Failure
Benazepril
Class: ACE Inhibitors
Brand Name: Lotensin
Treats: HTN and Heart Failure
Enalapril
Class: ACE Inhibitors
Brand Name: Epaned, Vasotec
Treats: HTN and Heart Failure
Ramipril
Class: ACE Inhibitors
Brand Name: Altace
Treats: HTN and Heart Failure
Irbesartan
Class: Angiotensin 2 Receptor Blockers ( A2RBS)
Brand Name: Avapro
Treats: HTN and Heart Failure
Losartan
Class: Angiotensin 2 Receptor Blockers ( A2RBS)
Brand Name: Cozaar
Treats: HTN and Heart Failure
Olmesartan
Class: Angiotensin 2 Receptor Blockers ( A2RBS)
Brand Name: Benicar
Treats: HTN and Heart Failure
Valsartan
Class: Angiotensin 2 Receptor Blockers ( A2RBS)
Brand Name: Diovan
Treats: HTN and Heart Failure
Doxazosin
Class: Alpha Adrenergic Blocker
Brand Name: Cardura
Treats: HTN
Terazosin
Class: Alpha Adrenergic Blocker
Brand Name: Hytrin
Treats: HTN
Furosemide
Type of Diuretic: Loop Diuretic
Brand Name: Lasix
Treats: HTN and Heart Failure
Hydrochlorothiazide ( HCTZ)
Type of Diuretic: Thiazide Diuretic
Brand Name: Microzide or Hydrodiuril
Treats: HTN and Heart Failure
Spironolactone
Type of Diuretic: Potassium- Sparing Diuretic
Brand Name: Aldactone
Treats: HTN and Heart Failure
Triameterene
Type of Diuretic: Potassium- Sparing Diuretic
Brand Name: Dyrenium
Treats: HTN and Heart Failure
Irbesartan with HCTZ
Brand Name: Avalide
Triameterene with HCTZ
Brand Name: Dyazide
Losartan with HCTZ
Brand Name: Hyzaar
Lisinopril with HCTZ
Brand Name: Zestoretic or Prinizide
Amlodipine/ Benazepril
Brand Name: Lotrel
Potassium Chloride ER
Class: Miscellaneous Cardiovascular Drug
Brand Name : Slow-K or Micro- K
Treats: Hypokalemia
Give with or after meals and take with a full glass of water to decrease GI upset. If possible do not lie down immediately after taking.
Atorvastatin
Class: Antihyperlipidemics : Statins ( HMG-COA Reductase Inhibitors)
Brand Name: Lipitor
Treats: High Cholesterol
Simvastatin
Class: Antihyperlipidemics : Statins ( HMG-COA Reductase Inhibitors)
Brand Name: Zocor
Treats: High Cholesterol
Pravastatin
Class: Antihyperlipidemics : Statins ( HMG-COA Reductase Inhibitors)
Brand Name: Pravachol
Treats: High Cholesterol
Rosuvastatin
Class: Antihyperlipidemics : Statins ( HMG-COA Reductase Inhibitors)
Brand Name: Crestor
Treats: High Cholesterol
Lovastatin
Class: Antihyperlipidemics : Statins ( HMG-COA Reductase Inhibitors)
Brand Name: Mevacor
Treats: High Cholesterol
Ezetimibe
Class: Antihyperlipidemics: Cholesterol Absorption Inhibitor
Brand Name: Zetia
Treats: High Cholesterol
Used to prevent the small intestine from absorbing cholesterol, lowering LDL and triglycerides.
SE: abdominal cramps, diarrhea, HA, back pain, muscle/joint pain
DI: blood thinners (warfarin), fibrates
May use with statins
Fenofibrate
Class: Antihyperlipidemics: Cholesterol Absorption Inhibitor
Brand Name: TriCor
Treats: High Cholesterol
Used to prevent the small intestine from absorbing cholesterol, lowering LDL and triglycerides.
SE: abdominal cramps, diarrhea, HA, back pain, muscle/joint pain
DI: blood thinners (warfarin), fibrates
May use with statins
Gemfibrozil
Class: Antihyperlipidemics : Fibrates
Brand Name: Lopid
Treats: High Cholesterol
They work by decreasing your triglycerides (a type of fat transported
in the blood, mostly after a meal and then stored in the fat cells) . They can also increase HDL.
SE: abdominal pain, diarrhea, HA, leg cramps, nausea
DI: anticoagulants (warfarin), other drugs that lower cholesterol
Do NOT use in patients with liver, kidney or gallbladder disease.
Omega-3-acid ethyl esters
Class: Antihyperlipidemics: Omega 3
Brand Name: Lovaza
Treats: High Cholesterol
Helps to decrease the amount of triglycerides the body makes and increase HDL levels.
Used to help lower levels of certain triglycerides. Thought to decrease the amount of triglyceride the body makes and increase HDL levels.
It is a type of fat found in fish oil (salmon)
Take with food, swallow capsules whole. Do not crush, chew, or dissolve the capsules. Do not take if allergic to fish or shellfish
SE: upset stomach, burping, strange taste in mouth may occur
Niacin
Class: Antihyperlipidemics: Niacin ( water - soluble B vitamin)
Brand Name: Niaspan
Treats: High Cholesterol and trigylceride levels as well as niacin deficiency. not used as frequently now.
SE: flushing, stomach upset
Heparin
Class: Anticoagulant Agent; Thrombin Inhibitor
Enoxaparin
Class: Low- molecular weight heparin
Brand Name: Lovenox
Dabigatran
Class: Direct oral anticoagulant
Brand Name: Pradaxa
Dalteparin
Class: low - molecular weight heparin
Brand Name: Fragmin
Warfarin
Class: Oral Anticoagulant ( Vitamin K Antagonist)
Brand Name: Coumadin
Clopidogrel
Class: Antiplatelet
Brand Name: Plavix
Aspirin
Class: Antiplatelet
Brand Name: Bayer
Rivaroxaban
Class: Direct Oral Anticoagulant
Brand Name: Xarelto
Apixaban
Class: Direct Oral Anticoagulant
Brand Name: Eliquis
Nitroglycerin
Class: Vasodilator
Brand Name: Nitrostat ( SL)
Treats: Angina
Isosorbide Mononitrate
Class: Vasodilator
Brand Name: Ismo or Imdur
Treats: Angina and Heart Failure
Isosorbide Dinitrate
Class: Vasodilator
Brand Name: Isordil
Treats: Angina and Heart Failure
Hydralazine
Class: Vasodilator
Brand Name: Apresoline
Treats: Angina and Heart Failure
Amiodarone
Class: Antiarrhythmic
Brand Name: Cordarone
Therapeutic Effect: manage electrical problems in your heartbeat that cause irregular heart rhythms by blocking the sodium, potassium, and calcium channels or the adrenergic receptors in the heart’s muscle.
Treats: Arrhythmia and heart failure
SE: N/V, diarrhea, dizziness, and HA
Digoxin
Class: Antiarryhtmic
Brand Name: Lanoxin
Therapeutic Effect: manage electrical problems in your heartbeat that cause irregular heart rhythms by blocking the sodium, potassium, and calcium channels or the adrenergic receptors in the heart’s muscle.
Treats: Arrhythmia and heart failure
SE: N/V, diarrhea, dizziness, and HA
digoxin will need monitoring as it has a very narrow therapeutic index ( medications where small differences in dose or blood concentration may lead to adverse reactions or therapeutic failures.)
in a case of overdose, use the antidote Digibind ( stored in the refrigerator)
Bismuth Subsalicylate ( OTC Antacid)
Brand Name: Pepto Bismol and Kaopectate
Do not give if allergic to aspirin
Do not give if there are bleeding problems, ulcers, or blood in stools
Use caution when giving to children under 18
Using this medicine in a child or teenager with flu symptoms or chickenpox can cause a serious or fatal condition called Reye's syndrome.
Antidiarrheal: salicylate/absorbent
Calcium Carbonate ( OTC Antacid)
Brand Name: Tums
also used as a calcium supplement and can cause constipation
Aluminum, Magnesium, Simethicone ( gas)
Brand Name : Mylanta
Magnesium causes diarrhea and Aluminum causes constipation
Cimetidine ( H2 Receptor) ( OTC/RX)
Brand Name : Tagamet
Treats: GERD
taken at bedtime or twice daily
Famotidine ( H2 Receptor) ( OTC/RX)
Brand Name : Pepcid
Treats : GERD
taken at bedtime or twice daily
Omeprazole ( Proton Pump Inhibitor PPI)
Brand Name : Prilosec ( OTC/ RX)
Treats: GERD and Ulcers
Pantoprazole ( PPI)
Brand Name : Protonix ( RX)
Treats : GERD
Esomeprazole (PPI)
Brand Name : Nexium ( OTC/ RX)
Treats: GERD and ulcers
Rabeprazole (PPI
Brand Name : Aciphex ( RX)
Treats : GERD
Dexlansoprazole ( PPI)
Brand Name : Dexilant ( RX)
Treats : GERD and Ulcers
Lansoprazole ( PPI)
Brand Name : Prevacid ( OTC/ RX)
Treats: GERD and Ulcers
Aluminum Hydroxide and Magnesium Hydroxide
Brand Name: Maalox
OTC Antacids: neutralizes stomach acidity
Magneisum Hydroxide
Brand Name: Milk of Magnesia ( MOM)
OTC Antacids: neutralizes stomach acidity
Aluminum hydroxide and Magnesium carbonate
Brand Name: Gaviscon
OTC Antacids: neutralizes stomach acidity
Sodium Bicarbonate
Brand Name: Alka-seltzer
OTC Antacids: neutralizes stomach acidity
Nizatidine ( OTC/RX)
Brand Name: Axid
Treats: ulcers
taken at bedtime or twice daily
Omeprazole and Sodium Bicarbonate
Brand Name: Zegerid
Treats: GERD and Ulcers
Remicade
Brand Name:Infliximab
Decreases irritation and inflammation in the intestines
anti-TNF (tumor necrosis factor) drug: targets a specific protein in the body that causes inflammation
BW: serious infections (TB, fungal, bacteria), cancer risk
SE: respiratory infections (sinus, throat), HA, coughing, joint pain, stomach pain
Infusion SE: fever, chills, chest pain, increase or decrease in BP, SOB, rash, Itching
IV Infusion
Stelera
Brand Name: Ustekinumab
Monoclonal antibody: made from living organisms, mimic the effects of proteins produced by your immune system; binds to two small proteins (cytokines) that support the body’s immune response, therefore, decreases inflammation.
SE: nasal congestion, upper respiratory infection, multiple infections, fever, HA, tiredness, itching, N/V
Subcutaneous injection
Refrigerated
Metoclopramide
Brand Name:Reglan
Treats: Gastroparesis
Dicyclomine
Anticholingeric/ Antispasmodic Agent
Brand Name: Bentyl
take 30- 60 minutes before a meal
Promethazine
Brand Name: Phenergan
causes drowsiness/disorientation
do not take with alcohol or CNS depressants
comes as a suppository
treats : N/V