Drug Class Indications/Counseling Points/Adverse Effects/Dosing

SABA Indication(s)

Asthma, COPD

SABA Dosing

1-2 puffs q 4-6 hrs prn

SABA Symptoms

Tremor, nervousness, throat irritation, tachycardia

SABA Counseling Point(s)

Counsel on use of device.

Inhaled Corticosteroid Indication(s)

Asthma, COPD

Inhaled Corticosteroid Dosing

x puff(s) bid, titrates up as needed

Inhaled Corticosteroid(/LABA) Symptoms

Candidiasis, throat irritation, arthralgia, headache

Inhaled Corticosteroid(/LABA) Counseling Point(s)

Counsel on mouth rinsing as well as device use.

Anticholinergics(/BAs) Indication(s)

COPD, Asthma

Anticholinergics(/BAs) Dosing

Inhale x puff(s) (x)d

Anticholinergics(/BAs) Side Effects

• Can’t See (blurred vision);

• Can’t pee (urinary retention);

• Can’t spit (dry mouth);

• Can’t Shit (constipated)

Anticholinergics(/BAs) Counseling Points

Counsel on device use, mouth rinsing, side effects (blurred vision/dry eyes, constipation)

Oral Corticosteroids Indications

Inflammation, allergies

Oral Corticosteroids Dosing

~4-64mg po daily in 2-4 divided doses, titrates down and can come in dospaks.

Oral Corticosteroids Side Effects

GI Upset, impaired skin healing, euphoria, hyperglycemia

Oral Corticosteroids Counseling Points

Take with meals or milk in the morning to prevent GI upset and insomnia. Make sure they understand instructions.

Leukotriene Receptor Antagonist Dosing

5-10mg po daily

Leukotriene Receptor Antagonist Side Effects

Dizziness, fatigue, nausea, rash, depression

Leukotriene Receptor Antagonist Counseling Points

Counsel on monitoring for mood changes (if using long term).

ACE Inhibitor Indications

HTN, Heart Failure

ACE Inhibitor Dosing

2.5-10mg po daily

ACE Inhibitor Adverse Effects

Dizziness, hypotension, facial swelling, cough

ACE Inhibitor Counseling Points

Use caution when getting up from a seated/lying position. Avoid Pregnancy. Don’t start new supplements or salt substitutes without talking to a doctor.

ARB Indications

HTN, Heart Failure, Diabetic Management

ARB Dosing

20-50mg po daily, valsartan is more

ARB Adverse Effects

Headache, Dizziness, Back Pain, Hyperkalemia

ARB Counseling Points

Avoid sudden discontinuation, consult doctor before using salt substitutes, avoid pregnancy.

SGLT-2 Inhibitors Indications

Diabetes mellitus, heart failure, kidney disease

SGLT-2 Inhibitors Dosing

Dapagliflozin: 5-10mg in the morning

Canagliflozin: 100-200mg daily before first meal (if albumin excretion is >300mg/d)

SGLT-2 Inhibitors Adverse Effects and Counseling Points

GU Fungal Infection, Hypoglycemia

Take before first meal of the day to reduce post-meal hyperglycemia, be aware of ulcer symptoms.

Calcium Channel Blockers Indications

HTN, Angina

Calcium Channel Blockers Dosing

30-120mg po once daily, bid or tid depending on drug

amlodipine: 5-10mg po daily

Calcium Channel Blockers Side Effects and Counseling Points

Edema, dizziness, hypotension, fatigue

Monitor for symptoms of edema and/or hypotension.

Beta Blockers Indications

Angina, HTN, AMI

Beta Blockers Dosing

Usual range is 25-50mg or 100mg. Taken po once daily, bid, or tid, qid depending on drug.

Carvedilol: 3.125-6.25mg po bid

Beta Blockers Adverse Effects and Counseling Points

Dizziness, fatigue, cold extremities, bradyarrhythmia

Do not drink alcohol, avoid stopping medication abruptly.

Carvedilol: Take with food

Propranolol: Take on an empty stomach

Thiazide Diuretics Indications

Edema, HTN

Thiazide Diuretics Dosing

12.5-25mg po daily

Thiazide Diuretics Adverse Effects and Counseling Points

Hypotension, dizziness, headache, constipation, hyperuricemia

Take early in the morning to avoid nocturia (having to wake to pee). Take with food. Report signs of hypotension.

Statin Indications

Arteriosclerosis, hyperlipidemia, hypercholesterolemia

Statin Dosing

In the range of 10-80mg po daily.

Rosuvastatin: 5-40mg po daily.

Statin Adverse Effects and Counseling Points

Arthralgia, headache, abdominal pain, increased liver enzymes

Avoid grapefruit, avoid alcohol, take in evening.

Fibrates Indications

Hyperlipidemia, hyperlipoproteinemia

Fibrates Dosing

Gemfibrozil: 600mg po bid

Fenofibrate: 35-200mg po daily

Fibrates/Cholesterol Absorption Inhibitor Adverse Effects and Counseling Points

Abdominal Pain, Constipation, Diarrhea

Gemfibrozil: Monitor for signs of rhabdomyolysis, yellowing of skin.

Fenofibrate/Ezetimibe: Tk 1 hr before or 4-6 hrs after bile acid binding resin.