Top 25 drugs

Atorvastatin

Brand-Lipitor
Class- HMG-CoA reductase inhibitor (Statin)
Approved drug uses- Hypercholesterolemia
Common adverse rxns-Diarrhea, arthalgia,nasopharyngitis,nausea, UTI, insomnia, limb pain, myalgia, pharyngolaryngeal pain
Normal adult dose- 10-80mg po qd
Crush- Yes
Black Box warning- none

Levothyroxine

Brand-Levoxyl, Levothroid, Synthroid
Class- Hormone, thyroid
Approved drug uses- hypothyroidism
Common adverse rxns- palpitations, nervouseness, tremor,diarrhea, insomnia, fever, alopecia, heat intolerance, nausea, rash, disphoresis
Normal adult dose- individualized po qd
Crush- Yes
Black box warning- not to be used for weight loss

lisinopril

Brand- Prinivil, Zestril
Class-Angiotensin converting enzyme inhibitor (ACE)
Approved drug uses- Hypertension, heart failure
Common adverse rxns- Dizziness, hypotension, hyperkalemia, cough, headache, fatigue, photosensitivity
Normal adult dose- 5-40mg po qd
Crush- yes
Black box warning- Do not use during pregnancy

metformin

Brand- glucophage, glucophage XR, glumetza, fortamet
Class-biguanides
Approved drug uses- Diabetes type 2
Common adverse rxns- diarrhea, nausea, vomiting, flatulence, abdominal discomfort, dyspepsia, headache, asthenia
Normal adult dose- 500-1000mg po BID
Crush- ER form- No
Black box warning- none

amlodipine

Brand-norvasc
Class- Calcium Channel Blocker (CCB)
Approved drug uses- Hypertension, heart failure
Common adverse rxns- peripheral edema, fatigue,flushing, palpitations,dizziness, nausea, abdominal pain, pruritus
Normal adult dose- 5-10mg po qd
Crush- Yes
Black box warning- none

metoprolol

Brand- lopressor, toprol-XL
Class- Selective beta- adrenergic blocker (B1)
Approved drug uses- Hypertension, angina, cardiovascular event prevention, migrain
Common adverse rxns- hypertension, bradycardia, pruritus, diarrhea, dizziness, depression, bronchospasm
Normal adult dose- 50-100 mg po qd; 20-200 mg po qd
Crush- ER form- no
Black Box warning- Do not stop abruptly- taper dose

albuterol inhaled

Brand- Proventil HFA, Ventolin HFA, ProAir HFA
Class-Beta-2 agonists, inhaled short acting (SABAs)
Approved drug uses- Bronchospasm
Common adverse rxns- Nervousness, tremor, exacerbation of asthma, pharyngitis, tachycardia, dizziness, inc serum glucose, nausea, throat irritation, diarrhea
Normal adult dose- 1-2 puffs q4-6hr prn
Crush- DNA
Black Box Warning- none

Omeprazole

Brand- Prilosec
Class-PPI
Approved drug uses- GERD, gastric ulcer, H. pylori infection
Common adverse rxns- Diarrhea, headache, abdominal pain, nausea, flatulence, dizziness, rash, upper resp infx
Normal adult dose- 20mg po qd
Crush- No

Losartan

Brand-Cozzar
Class-Angiotension receptor blockers (ARB)
Approved drug uses- Hypertension, diabetic neurpathy, stroke prevention
Common adverse rxns- upper respiratory infx, hypotension, dizziess, nephropathy, cough, headache, vertigo
Normal adult dose- 50-100 mg po qd
Crush- Yes
Black Box Warning- Not to be used during pregnancy

Simvasratin

Brand- Zocor
Class-HMG- CoA reductase inhibitors (statins)
Approved drug uses- hypercholesterolemia, hypertriglyceridema, Cv event prevent
Common adverse rxns- Upper resp. infx, headache, abdominal pain, constipation, gastritis, atrial fibrillation, vertigo
Normal adult dose- 5-40mg po qPM
Crush- yes
Black box warning- none

gabapentin

Brand- neurontin, horizant
Class- anticonvulsant
Approved drug uses- partial seizures, neualgia
Common adverse rxns- dizziness, ataxia, fatigue, nystagmus, tremor, diarrhea, headache, depression, amnesia, asthenia, hostility, amblyopia
Normal adult dose- 300-1200 mg po tid
Crush- Xr form- no
black box warning-none

hydrocodone and acetaminophen

Brand- lortab, norco
Class-opiod combinations, narcotic + non-narcotic
Approved drug uses- Pain,moderate to severe
Common adverse rxns- consipation, nausea, headache, vomiting, anxiety, UTI, insomnia, dizziness, fatigue, diarrhea
Normal adult dose- 2.5-10mg hydrocodone po qd q4-6hrs prn
Crush- yes
Black Box Warning- avoid doses of APAP that are higher than 4000mg per a day

hydrochlorothiazide

Brand- Esidrix, Microzide
Class-Thiazide diuretic
Approved drug uses- hypertension, peripheral edema
Common adverse rxns- hypokalemia, hypochloremia, hyponatremia, hypouricemia, hyperlipidemia, hyperglycemia, dizziness, headache, rash, photosensitivity
Normal adult dose- 12.5-50 mg po qd
Crush- yes
Black box warning- none

Sertraline

Brand-Zoloft
Class- Selective serotonin reuptake inhibitor (SSRI)
Approved drug uses- Major depressive disorders, obsessive-compulsive disorder, panic disorder
Common adverse rxns- nausea, diarrhea, xerotomia, palpitations, fatigue, dizziness, tremor, agitation, constipaion, decreased libido, dec appetite
Normal adult dose- 50-200 mg po qd
Crush- yes
black box warning- may cause suicidal thoughts in young adults and children

montelukast

Brand- singulair
Class-leukotriene inhibitor
Approved drug uses- bronchospasm, allergic rhinitis
Common adverse rxns- headhaches, abdominal pain, cought, diarrhea, dyspepsia, rash, anxiety, tremor
Normal adult dose- 10mg po qd
Crush- yes
black box warning- serious neuropsych events. agitation, aggression, depression, hallucinations, suicidal thoughts

fluticasone inhaled

Brand- flovent diskus, flovent HFA
Class- corticosteroid inhaled
Approved drug uses- asthma
Common adverse rxns- headaches, throat irritation, candidiasis, cough, nausea, arthralgia
Normal adult dose- disk- 1-2 puffs BID; HFA 2-4 puffs BID
Crush- DNA
Black box warning- none

amoxicillin

Brand- Amoxil, Moxatag
Class- Penicillin Antibiotic
Approved drug uses- Bacterial infections
Common adverse rxns- Nausea, vomiting, diarrhea, rash
Normal adult dose- 250-500mg po q8h
Crush- Er form- no
Black box warning- none

furosemide

Brand- Lasix
Class- loop diuretics
Approved drug uses- edema
Common adverse rxns- dizziness, nausea, muscle cramps, hypokalemia, rash, hypomagnesemia
Normal adult dose- 40-120 mg po divided qd-BID
Crush- yes
Black box warning- can cause proufound water and electrolyte depletion

Pantoprazole

Brand- Protonix
Class- PPI
Approved drug uses- GERD, H. pylori infection
Common adverse rxns- diarrhea,headache, abdominal pain, nausea, flatulence, dizziness, vertigo, myalgia
Normal adult dose- 20mg po/iv qd
Crush- no
black box warning- none

Prednisone

Brand-Sterapred, Sterapred DS
Class- corticosteroid
Approved drug uses- asthma, inflammation, adrenal insufficiency, gout, multiple-sclerosis
Common adverse rxns- hirsutism, weight gain, erythema, abdominal discomfort,rash, nausea, vomiting, fluid retention, dizziness, anxiety, depression
Normal adult dose- 5-60 mg po qid
Crush- DR form- no

escitslopram

Brand-lexapro
Class--Selective serotonin reuptake inhibitor (SSRI)
Approved drug uses- major depressive disorder, generalized anxiety disorder
Common adverse rxns- nausea, headache, ejacuatory dysfxn, insomnia, diarrhea, fatigue, dizziness, constipation, anorexia, abnormal dreams, abdominal pain
Normal adult dose- 10mp po qd
Crush- yes
Black Box warning- May cause suicidal thoughts in children and young adults

fluoxetine

Brand- prozac, prozac weekly, sarafem
Class-Selective serotonin reuptake inhibitor (SSRI)
Approved drug uses- major depressive disorder, obessive compulsive disorder, panic disorder, premenstrual dysphoric disorder
Common adverse rxns- nausea, headache, diarrhea, dizziness, constipation, anorexia, abnormal dreams, nervousness, tremor, anxiety, drowsiness
Normal adult dose- 20-80mg po qAM
Crush- DR form- No
Black Box warning- May cause suicidal thoughts in children and young adults

amphetamine + dextroamphetamine

Brand-Adderall, Adderall XR
Class- Noewpinephrine- dopamine reuptake inhibitors (NDRIs), ADHD
Approved drug uses- ADHD, narcolepsy
Common adverse rxns- anorexia, insomnia, headache, emotional lability, anxiety, agitation, nervousness, diarrhea, tachycardia, visual disturbance, photosensitvity
Normal adult dose- 5-40 mg po qd tidEr; 20mg po qAM
Crush- ER form NO
Black Box Warning- high abuse potential, monitor for signs of abuse or dependence

Tramadol

Brand- ConZip, Qdolo
Class-Opiod agonist
Approved drug uses-Pain, moderate to moderate-severe
Common adverse rxns- Somnolence, constipation, vomiting, dizziness, anxiety, dysphoria, confusion, headache, asthenia
Normal adult dose- 50-100mg po q4-6hr
Crush- ER form- No
Black Box warning- high addiction/misuse risk
opioid analgesic REMS
Life threatening respiratory depression can occur
Concomitant use with BZDP

insulin glargine

Brand- Lantus, basaglar, toujeo
Class- Insulin (long acting)
Approved drug uses- Diabetes type 1 and 2
Common adverse rxns- Hypoglycemia, inj, site reaction, site lipodystrophy, myalgia, rash
Normal adult dose- individualized given SC qd
Crush- DNA
Black Box warning- none