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Acetaminophen with codeine
no brand name
Pain Management
Combination opioid analgesic
Opioid: Central Opioid Receptor agonists
APAP: Central analgesia via inhibition of prostaglandins in the CNS
schedule 3
Acyclovir
Zovirax
Antiviral agents
A synthetic purine nucleotide that is selectively taken up by HSV-infected cells. Once it converted to the active triphosphate form, it interferes with HSV DNA polymerase and inhibits viral replication
Acyclovir AEs and CP
Upset stomach, throwing up, feeling tired, weak
Behavior problems, mood changes, feeling confused, seizures, shakiness
May cause upset stomach, throwing up, feeling tired, weak
Administer with or without food
Alendronate
Binosto; Fosamax
Osteoporosis agents
Bisphosphonate derivative
Alendronate AEs and CP
Headache, nausea, vomiting, abdominal pain, constipation, diarrhea
Administer in the AM > 30 minutes before food
Do not lie down for 30 minutes
Ensure adequate calcium and vitamin D intake
Amantadine hydrochloride
Gocovri; Osmolex ER [DSC]
Antiviral agents
Anti-parkinson's agent
Dopamine agonist
In Parkinsons it increases dopamine release in the brain.
Amoxicillin
no brand
Antibacterial agents
Penicillin antibiotic
Inhibition of transpeptidase to prevent bacterial cell wall formation
Amoxicilin AEs and CP
Diarrhea, upset stomach, throwing up
Headache
Shake well before use
Finish full course
May be administered without regard to food ; may administer at the start of a meal to reduce GI intolerance
Amoxicillin with clavulanate potassium
Augmentin
Antibacterial agents
Penicillin antibiotic
Inhibition of transpeptidase to prevent bacterial cell wall formation + beta lactamase inhibitor
Amoxicillin with clavulanate potassium AEs and CP
Diarrhea, upset stomach, or throwing up
Finish course
Take with food
Shake well before use
ER tablets can be split in half
Azelastine
Astepro
Allergy medications
Histamine H1 Antagonist
Azithromycin
Zithromax
Antibacterial agents
Macrolide antibiotic
Binds to the 50S ribosomal subunit and suppresses protein synthesis
Azithromycin AEs and CP
Headache
Stomach pain, diarrhea
Upset stomach, throwing up
may be taken without regard to food
Shake well before use
Finish full course
Benzonatate
Tessalon Perles
Cough agents
Anesthetic on stretch receptors of airways, thus reducing cough reflex
Benzonatate AEs and CP
Constipation
Dizziness
Fatigue
Stuffy nose
Nausea
Headache
Swallow whole, can cause oral mucous anesthesia if capsules are broken in mouth
Betamethasone dipropionate
Diprolene, Luxiq, Sernivo
Steroids/Anti-inflammatory
Corticosteroid
Cytoplasmic receptor agonist, the drug then forms a steroid/receptor complex and translocated to the nucleus where it exerts it's anti-inflammatory properties
Buprenorphine with naloxone
Bunavail, Suboxone, Zubsolv
Opioid analgesic
Opioid partial agonist
Mu-Receptor partial agonist and kappa-receptor antagonist
schedule 3
Buprenorphine with naloxone AEs and CP
Dizzy, sleepy, tired
NVD
Constipation
Headache
Trouble sleeping
Sweating
Flushing
Back pain
Burning under tongue
numbness/tingling in the mouth
Don't cut film
Moisten inside of cheek with tongue or water
Apply film with dry finger
Press and hold film in place for 5 seconds
Do not chew or swallow film
Liquids and foods can be consumed once the film is dissolved
No more than 2 films should be applied to the inside of 1 cheek at at a time
Butalbital, acetaminophen, and caffeine
BAC, Esgic, Fioricet, Vtol LQ, Zebutal
Pain management
Nonopiod analgesic
Barbiturate
APAP: Central analgesia via inhibition of prostaglandins in the CNS
Butalbital: CNS inhibition via Inhibition of conduction through the reticular formation in the thalamus
Caffeine: CNS stimulation via inhibition of PDE resulting in increased cAMP
schedule 3
Calcitriol
Rocaltrol
Vitamins and elements
Vitamin D analog
Canagliflozin
Invokana
Anti-diabetes agents
SGLT2 Inhibitor
Inhibits SGLT2 found in proximal renal tubules and is responsible for reabsorption of filtered glucose. By reducing reabsorption of glucose in lumen, it increases urinary excretion of glucose
Canagliflozin AEs and CP
Tender genitals
Infections in legs/feet
Fluid and electrolyte problems
Acidosis
UTI
Kidney problems
Yeast infection
Bone pain
Low blood sugar
Take with or without food
Take before 1st meal of the day
Cefdinir
Omnicef
Antibacterial agents
3rd generation cephalosporin
Inhibits bacterial cell wall synthesis
Cedfinir AEs and CP
Diarrhea
May be administered with or without food
Administer at least 2 hours before or after antacids or iron supplements
Shake well before use
Finish full course
Celecoxib
CeleBREX; Elyxyb
NSAID
Inhibits the formation of pro-inflammatory cytokines and prostaglandins via inhibition of COX enzymes
Celecoxib AEs and CP
GI Issues
GI bleed
May be administered without regard to meals
Capsule contents can be put into apple sauce
Aware of GI issues
Cephalexin
Keflex
Antibacterial agents
1st generation cephalosporin
Inhibits bacterial cell wall synthesis
Cephalexin AEs and CP
Stomach pain or diarrhea
Upset stomach or throwing up
Can take with food for GI upset
Give around-the-clock to promote less variation in peak and trough serum levels
Finish full course
Shake well before use
Chlorhexidine
Peridex, Bactoshield, Betasept surgical scrub, biopatch protective disk, Dyna-Hex, Hibiclens, Tegaderm
antibiotic
cell membrane inhibitor
Chlorhexidine AEs and CP
Dryness
Itching
Skin irritation
Keep out of eyes, ears, mouth
Solution may be flammable
Do not routinely apply to wounds that involve more than superficial layers of skin
Ciprofloxacin
Cipro
Antibacterial agents
Fluoroquinolone
prevents bacterial DNA synthesis by interfering with DNA gyrase and topoisomerase, enzymes essential for the duplication, transcription and repair of bacterial
Ciprofloxacin AEs and CP
NVD
Administer with food to avoid GI upset
Avoid antacid use
Maintain proper hydration
Separate calcium by 2 hours before or 6 hours after
Shake well before use
Finish full course
Swallow whole
Clindamycin (oral and topical)
Oral = Cleocin; Cleocin Phosphate
Topical = cleocin, clindacin, clindagel, clindesse, evoclin, xaciato
Antibacterial agents
Lincosamide
Binds to the 50S ribosomal subunit and suppresses protein synthesis
Clobetasol propionate (topical)
Clobetavix, clobex, clodan, impeklo, impoyz, olux, tasoprol, temovate
Steroids/Anti-inflammatory
Corticosteroid
Topical Corticosteroid that inhibits formation of proinflammatory cytokines
Clotrimazole with betamethasone
no brand
Antifungal agents
Betamethasone: Cytoplasmic receptor agonist, the drug then forms a steroid/receptor complex and translocated to the nucleus where it exerts its anti-inflammatory properties
Clotrimazole: Increases membrane permeability of chitin cells walls found in fungi
Codeine phosphate with guaifenesin
Coditussin, G Tussin AC, Guaiatussin AC, M-Clear WC, Mar-Cof CG Expectorant, Maxi-Tuss AC, Ninjacof-XG, Virtussin, Robitussin AC/Mytussin AC
Cough agents
Guaifenesin: Promotes lower respiratory tract drainage via thinning secretions and lubricating airways via increased mucous flow, expectorant
Codeine: Opiod Agonist
Cyclosporine emulsion (ophthalmic)
Cequa; Restasis; Restasis MultiDose; Verkazia; Vevye
eye drops
Calcineurin inhibitor
Immunosuppressant agent
Immunomodulator that can suppress inflammation . Used for Dry Eye syndrome
Dapagliflozin
Farxiga
Anti-diabetic agents
SGLT2 Inhibitor
Inhibits SGLT2 found in proximal renal tubules and is responsible for reabsorption of filtered glucose. By reducing reabsorption of glucose in lumen, it increases urinary excretion of glucose
Dapagliflozin AEs and CP
Tender genitals
Infections in legs/feet
Fluid and electrolyte problems
Acidosis
UTI
Kidney problems
Yeast infection
Bone pain
Low blood sugar
Take with or without food
Take before 1st meal of the day
Diclofenac (oral and topical)
Aspercreme Arthritis Pain, Diclogen, Dicloprep-100, Diclotrex, Flextor, Licart, Lixofen, Motrin arthritis pain, Pennsaid, Profinac, ValcoPrep-100, VennGel, Xiclo, Voltaren
NSAID
Inhibits the formation of pro-inflammatory cytokines and prostaglandins via inhibition of COX enzymes
Diclofenac (oral and topical) AEs and CP
Dizziness or headache
Constipation, diarrhea, stomach pain, upset stomach, tthrowing up
Gas
Heartburn
Skin irritation
Do not apply to open wounds
Do not apply heat
GI bleed
Doxycycline
Acticlate, Avodoxy, Doryx, Lymepak, mondoxyne, morgidox, oracea, targadox, vibramycin
Antibacterial agents
Tetracycline
prevents bacterial protein synthesis through the inhibition of the 30s ribosomal subunit
Doxycycline AEs and CP
Diarrhea, upset stomach, or throwing up
Decreased appetite
Oral preferred unless significant nausea
Take with meals for GI upset
Do not lie down for 30 or 1-2 hours to reduce esophageal irritation and ulceration
If capsule, do not open or crush
Dulaglutide
Trulicity
Anti-diabetes agents
GLP-1 Receptor agonist
Increases intraceullar cAMP which results in release of insulin from pancreatic beta cells. Decreases glucagon secretion and delays gastric emptying. Increases satiety
Dulaglutide AEs and CP
Not hungry
Feeling tired or weak
Diarrhea, upset stomach, throwing up, stomach pain
Inject SUBQ
Use different injection site each week
Without regards to meals
Monitor serum calcitonin
Empagliflozin
Jardiance
Anti-diabetes agents
SGLT2 Inhibitor
Inhibits SGLT2 found in proximal renal tubules and is responsible for reabsorption of filtered glucose. By reducing reabsorption of glucose in lumen, it increases urinary excretion of glucose
Empagliflozin AEs and CP
Tender genitals
Infections in legs/feet
Fluid and electrolyte problems
Acidosis
UTI
Kidney problems
Yeast infection
Bone pain
Low blood sugar
Take in the morning
With or without food
Estradiol
Alora, Climara, Delestrogen, Depo-estradiol, divigel, dotti, elestrin, estrace, estrogel, evamist, femring, Lyalla, menostar, minivelle, vivelle-dot
Hormones
Estrogen derivative
Suppression of LH and FSH resulting in the inhibition of ovulation
Estradiol AEs and CP
Dizziness or headache
Hair loss
Upset stomach or throwing up
Constipation
Stomach pain or cramps
Bloating
Enlarged breasts
Tender breasts
Vaginal beeding or spotting
Painful periods
Signs of a common cold
Nose or throat irritation
Weight gain or loss
Join pain
Leg cramps
Change in sex itnerest
Dark patches of skin on your face
Injection, patch or ring = irritation
Can be IM, topical, SUBQ, intravaginal,
Ensure adequate calcium and vitamin D intake when used for the prevention of osteoporosis
Estrogens (conjugated)
Menest
Hormones
Suppression of LH and FSH resulting in the inhibition of ovulation
Estrogens (conjugated) AES and CP
Dizziness or headache
Hair loss
Upset stomach or throwing up
Constipation
Stomach pain or cramps
Bloating
Enlarged breasts
Tender breasts
Vaginal beeding or spotting
Painful periods
Signs of a common cold
Nose or throat irritation
Weight gain or loss
Joint pain
Leg cramps
Change in sex itnerest
Dark patches of skin on your face
NIOSH drug - hazardous
Fentanyl
Actiq, Duragesic, Fentora, Lazands, Subsys
Pain management
Opioid
Opioid receptor agonist
schedule 2
fentanyl AEs and CP
Dizzy, sleepy, tired, or weak
Dry mouth
Constipation, diarrhea, stomach pain, stomach upset, throwing up
Decreased appetite
Headache
Feeling cold
Trouble sleeping
Sweating a lot
Irritation where this drug was used
Can be IV, IM, oral, topical, SUBQ, intranasal
Oral = lozenge, buccal tablet, sublingual spray
Not for mild pain
Addictive
Fluconazole
Diflucan
Antifungal agents
Azole derivative
highly selective inhibitor causing fungostatic activity
Fluconazole AEs and CP
Dizziness or headache
Stomach pain or diarrhea
Upset stomach or throwing up
Change in taste
Can be administered without regards to meals
Shake suspension well before use
NIOSH
Fluticasone propionate (nasal)
Flonase, Flonase sensimist
Allergy medications
Corticosteroid
Cytoplasmic receptor agonist, the drug then forms a steroid/receptor complex and translocated to the nucleus where it exerts it's anti-inflammatory properties
Fluticasone propionate (nasal)
AEs and CP
Headache
Nose or throat irritation
Nosebleed
Cough
Upset stomach or throwing up
Stuffy nose
Sneezing
Use in nostrils only
Shake gently before use
Blow nose
Keep bottle upright and head tilted downward and close off the other nostril
Breath in through nose
Prime pump
Folic acid
True folic acid
Vitamins and elements
Necessary for the normal synthesis of DNA in erythropoiesis. The deficiency of the vitamin can result in megaloblastic anemia.
Glimepiride
Amaryl
Anti-diabetes agents
Sulfonylurea
Stimulates insulin release from beta cells in the pancreatic islets & may also increase sensitivity of tissues to insulin
Glimepiride
AEs and CP
Upset stomach
Feeling dizzy, tired or weak
Headache
Flu like symptoms
Weight gain
Upset stomach
Feeling dizzy, tired or weak
Headache
Flu like symptoms
Weight gain
Administer once daily with breakfast
Monitor for symptoms of hypoglycemia
Glipizide
Glucotrol XL
Anti-diabetes agents
Sulfonylurea
Stimulates insulin release from beta cells in the pancreatic islets & may also increase sensitivity of tissues to insulin
Glipizide
AEs and CP
Dizziness
Diarrhea
Feeling nervous and excitable
Gas
Immediate release: administer 30 min be4 meal
Extended release: administer with breakfast
Do not crush
Monitor for symptoms of hypoglycemia
Glyburide
Glynase
Anti-diabetes agents
Sulfonylurea
Stimulates insulin release from beta cells in the pancreatic islets & may also increase sensitivity of tissues to insulin
Hydrocodone with acetaminophen
Lortab, Norco, vicodin
Pain management
Combination opioid
Opioid: Central Opioid Receptor agonists
APAP: Central analgesia via inhibition of prostaglandins in the CNS
schedule 2
Hydrocodone with ibuprofen
Ibudone, reprexain
Pain management
Combination opioid
Opioid: Central Opioid Receptor agonists
IBU: Inhibits the formation of pro-inflammatory cytokines and prostaglandins via inhibition of COX enzymes
schedule 2
Hydrocortisone (rectal)
Hemmorex-HC, Hydrocort, Preparation H, Proctocor
Steroids/anti-inflammatory
Corticosteroid
Topical Corticosteroid that inhibits formation of proinflammatory cytokines
Hydromorphone
Dilaudid
Pain management
Opioid
Opioid receptor agonist
schedule 2
Hydromorphone
AEs and CP
Constipation, diarrhea, stomach pain, upset stomach ,throwing up ,decreased appetite
Feeling dizzy, sleepy, tired, or weak
Dry mouth
Flushing
Sweating a lot
Headache
Itching
Trouble sleeping
ER:
Joint pain
Tablet shell in stool
Can be used for IV, IM, oral
Administer with or without food
Do not crush ER
Addictive
Hydroxyzine hydrochloride
Vistaril, Atarax
Allergy medication
Histamine-1 receptor antagonist both in CNS and PNS
Hydroxyzine hydrochloride
AEs and CP
Dry mouth
Fatigue
Can be IM or oral
Administer without regard to food
IV administration is contraindicated
Hydroxyzine pamoate
Vistaril
Allergy medication
Histamine-1 receptor antagonist both in CNS and PNS
Hydroxyzine pamoate
AEs and CP
Dry mouth
Fatigue
Can be IM or oral
Administer without regard to food
IV administration is contraindicated
Ibuprofen
Advil, Motrin
NSAID
Inhibits the formation of pro-inflammatory cytokines and prostaglandins via inhibition of COX enzymes
Ibuprofen
AEs and CP
Constipation, diarrhea, stomach pain, upset stomach or throwing up
Heartburn
Gas
Dizziness
Administer with food or milk to decrease GI upset
Shake suspension well before use
Monitor for GI bleed
Insulin aspart
Fiasp, Merilog, Novolog
Anti-diabetes agents
Rapid acting insulin
In adipose and muscle tissue, insulin activates specific enzymes, promotes the transport of monosaccharides (including glucose) across cell membranes and facilitates the transformation of intracellular amino acids into proteins.
Insulin aspart
AEs and CP
Weight gain
Irritation where the shot is given
Nose or throat irritation
Signs of a common cold
Use only if solution is clear and colorless
Do not administer insulin mixtures IV
SUBQ administration
Thighs, upper arms, abdomen
Novolog can be administered into buttocks
Rotate injection sites
Store in the fridge (36°F and 46°F) or at room temp and use within 28 days
Prefilled = prime needle before injection with 2 units of insulin
Once injected, hold there for at least 6 seconds
Monitor glucose levels
Fiasp = beginning or within 20 minutes of starting meal
Novolog = administered within 5-10 minutes before a meal
Insulin degludec
Tresiba
Anti-diabetes agents
Long acting insulin
In adipose and muscle tissue, insulin activates specific enzymes, promotes the transport of monosaccharides (including glucose) across cell membranes and facilitates the transformation of intracellular amino acids into proteins.
Insulin degludec
AEs and CP
Weight gain
Irritation where the shot is given
Nose or throat irritation
Signs of a common cold
Headache
Diarrhea
Use only if solution is clear and colorless
Do not administer insulin mixtures IV
SUBQ administration
Thighs, upper arms, abdomen
Novolog can be administered into buttocks
Rotate injection sites
Store in the fridge (36°F and 46°F) or at room temp and use within 56 days
Prefilled = prime needle before injection with 2 units of insulin
Once injected, hold there for at least 6 seconds
Monitor glucose levels
Insulin detemir
Levemir
Anti-diabetes agents
Long acting insulin
In adipose and muscle tissue, insulin activates specific enzymes, promotes the transport of monosaccharides (including glucose) across cell membranes and facilitates the transformation of intracellular amino acids into proteins.
Insulin detemir
AEs and CP
Weight gain
Irritation where the shot is given
Nose or throat irritation
Signs of a common cold
Headache
Stomach pain
Back pain
Upset stomach or throwing up
Use only if solution is clear and colorless
Do not administer insulin mixtures IV
SUBQ administration
Rotate injection sites
Store in the fridge (36°F and 46°F) or at room temp and use within 28 days
Prefilled = prime needle before injection with 2 units of insulin
Once injected, hold there for at least 6 seconds
Monitor glucose levels
Administer with evening meal if doing once daily
Insulin glargine
Basaglar, Lantus, Rezvoglar, Semglee, Toujeo
Anti-diabetes agents
Long acting insulin
In adipose and muscle tissue, insulin activates specific enzymes, promotes the transport of monosaccharides (including glucose) across cell membranes and facilitates the transformation of intracellular amino acids into proteins.
Insulin glargine
AEs and CP
Weight gain
Irritation where the shot is given
Nose or throat irritation
Signs of a common cold
Headache
Joint pain
Pain in arms or legs
Back pain
Use only if solution is clear and colorless
Do not administer insulin mixtures IV
SUBQ administration
Rotate injection sites
Store in the fridge (36°F and 46°F) or at room temp and use within 28 days
Prefilled = prime needle before injection with 2 units of insulin
Once injected, hold there for at least 5-10 seconds
Monitor glucose levels
Insulin lispro
Admelog, Humalog, Lyumjev
Anti-diabetes agents
In adipose and muscle tissue, insulin activates specific enzymes, promotes the transport of monosaccharides (including glucose) across cell membranes and facilitates the transformation of intracellular amino acids into proteins.
Insulin lispro
AEs and CP
Weight gain
Irritation where the shot is given
Nose or throat irritation
Signs of a common cold
Headache
Cough
Upset stomach
Stomach pain or diarrhea
Feeling tired or weak
Use only if solution is clear and colorless
Do not administer insulin mixtures IV
SUBQ administration
Rotate injection sites
Store in the fridge (36°F and 46°F) or at room temp and use within 28 days
Prefilled = prime needle before injection with 2 units of insulin
Once injected, hold there for at least 5-10 seconds
Monitor glucose levels
Administer within 15 minutes before or immediately after a meal
Ketoconazole
no brand
Antifungal Agent
impairs the synthesis of ergosterol which is the main sterol of of fungal cell membranes causing permeability and leakage of cellular components
Levofloxacin
no brand
Antibiotic
Fluoroquinolone
prevents bacterial DNA synthesis by interfering with DNA gyrase and topoisomerase, enzymes essential for the duplication, transcription and repair of bacterial DNA
Levofloxacin
AEs and CP
Constipation, nausea, diarrhea
Take with or w/out food at the same time each day. Store at room temperature.
Levothyroxine
Ermeza, Euthyrox, levoxyl, synthroid, thyquidity, tirosint, unithroid
Thyroid product
protein synthesis control resulting in a regulation of growth and development, an increase in metabolic rate, and inhibition ofr the secretion of thyrotropin by the pituitary.
Levothyroxine
AEs and CP
Increased BP, tachycardia, NVD
Take with a full glass of water 30-60 minutes before eating breakfast (on an empty stomach). Do not chew, break, crush. Store in a cool, dry place, protect from light.
Lidocaine (transdermal)
Lidoderm
analgesic
VG Na channel blocker, thus inhibiting repolarization
Lidocaine (transdermal)
AEs and CP
Hypersensitivity reactions, local anesthetic systemic toxicity, methemoglobinemia
Do not take this drug by mouth. Use on your skin only. Keep out of your mouth, nose, and eyes (may burn).
•If you get this drug in any of these areas, rinse well with water.
•Wash your hands before and after use. If your hand is the treated area, do not wash your hand after use.
•Put on clean, dry, healthy skin.
Linagliptin
Tradjenta
Antidiabetic agent
Dipeptidyl Peptidase (DPP-4) inhibitor
Liothyronine
Cytomel, Triostat
Thyroid product
Increase the metabolic rate, increase metabolism of carbohydrates, lipids, proteins and increase the use of oxygen in tissues throughout the body.
Liothyronine
AEs and CP
Headache
-irritability
-nervousness
-sweating
-arrhythmia
-increased bowel motility
- menstrual irregularities
May be taken without regard to food or meals
If a dose is missed, skip and return to normal dosing schedule
Liraglutide
Saxenda, Victoza
GLP-1 receptor Agonist
GLP-1 increases glucose-dependent insulin secretion, decreases inappropriate glucagon secretion, increases B-cell growth, slows gastric emptying, and decreases food intake
Liraglutide
AEs and CP
Signs of allergic reaction
Signs of kidney problems: unable to pass urine, change in amount urine passed, blood in urine, big weight gain
Gallbladder problems: pain in right belly area, right shoulder area, change in stools, dark urine, yellow skin/eyes, fever with chills
Severe dizziness or passing out
Fast heartbeat
Change in eyesight
Low blood sugar
Stomach problems
Take at least 30 minutes before the first food, drink, or drugs of the day
Take with plain water only, do not take more than 4 ounces of water
Swallow whole, do not chew, break, crush
Do not take more than 1 tablet each day
Keep taking as told by provider even if you feel better
Skip missed dose and go back to normal time
Do not take 2 doses at the same time
Medroxyprogesterone
Depo-Provera
Contraceptive, progestin
Progestins increase the synthesis of RNA by interacting with chromatin causing the transformation of proliferative endometrium to secretory endometrium
Medroxyprogesterone
AEs and CP
Bone loss
Menstrual bleeding irregularities
Weight gain
May be taken with food/milk for GI upset
Use caution in diabetic patients as glucose tolerance may decrease
If you missed a dose take it ASAP unless close to the next scheduled dose. DO NOT DOUBLE DOSE
Report severe/persistent side effects including: Severe pain in leg/calf (DVT), Loss of Vision, Difficulty breathing, Breast lumps, Changes in Speech, abnormal vaginal bleeding, numbness in leg or arms
Meloxicam
Anjeso, Mobic, Qmiiz, Vivlodex
NSAID
Inhibits the formation of pro-inflammatory cytokines and prostaglandins via inhibition of COX enzymes
Meloxicam
AEs and CP
Constipation, diarrhea, stomach upset, throwing up, feeling less hungry, dizziness, or headache, gas, common cold
Monitoring CBC renal function, signs of bleeding