Counseling Closeout Drugs

Lisinopril

(Zestril, Prinivil)

Class: Ace Inhibitors

Indications: HTN, Heart Failure, Arrythmia

Common Administration: 2.5-10mg po daily, may titrate up

Side Effects: Dizziness, Hypotension, dry cough, swelling of face

Counseling Points: Use potassium supplements or salt substitutes only under medical supervision. May cause dizziness that may worsen if dehydrated.

Losartan

(Cozaar)

Class: Angiotensin Receptor Blockers (ARBs)

Indications: HTN, Stroke Prevention, Diabetic Nephropathy

Common Administration: 25-50mg po daily, may titrate up

Side Effects: Headache, Back Pain, Back Pain, Anorexia, Angioedema

Counseling Points: Avoid sudden discontinuation (rebound HTN), don’t use salt substitutes, look for signs of angioedema (fluid swelling in face or extremities)

Hydrochlorothiazide

(Hydrodiuril)

Class: Thiazide Diuretics

Indications: Edema, HTN

Common Administration: 12.5-100mg po daily in single or divided doses, may titrate up

Side Effects: Hypotension, Dizziness, Headache, Constipation, Cardiac Arrythmias

Counseling Points: Take early in day to avoid nocturia, may cause dizziness, eat high-potassium foods and report signs of hypotension. Avoid alcohol, calcium and vitamin D supplements.

Amlodipine

(Norvasc)

Class: Calcium Channel Blockers

Indications: HTN, Angina

Common Administration: 5-10mg po daily

Side Effects: Peripheral Edema, Abdominal Pain, Arthralgia, Dizziness, Hypersensitivity

Counseling Points: Report signs of hypotension, edema, or exacerbation of angina. Avoid activities where it would be dangerous if you were dizzy, which may worsen if dehydrated.

Carvedilol

(Coreg)

Class: Beta Blockers

Indications: Heart Failure, HTN

Common Administration: 3.125-25mg po bid

Side Effects: Cold extremities, dizziness, diarrhea, fatigue, bradyarrythmias

Counseling Points: Take w/ food or milk. Report signs of exacerbation of heart conditions or bronchospasm. Avoid operating machinery if not feeling alert. If diabetic, could mask symptoms of hypoglycemia.

Metoprolol Succinate

(Toprol XL)

Class: Beta Blockers

Indications: Angina, Heart Failure, HTN

Common Administration: 25-100mg po daily, may titrate up

Side Effects: Dizziness, Fatigue, Hypotension, Arthralgia, Bradyarrhythmia

Counseling Points: Avoid alcohol, avoid abrupt discontinuation, report signs of heart problem exacerbations, may mask signs of hypoglycemia in diabetic patients.

Rosuvastatin

(Crestor)

Class: HMG-CoA Reductase Inhibitors (Statins)

Indications: Hyperlipidemia, High Cholesterol

Common Administration: 5-40mg po daily

Side Effects: Arthralgia, Abdominal Pain, Weakness, Constipation, Rhabdomyolysis

Counseling Points: Do not drink alcohol, monitor signs of muscle weakness or pain.

Montelukast

(Singulair)

Class: Leukotriene Receptor Antagonist

Indications: Asthma, exercise-induced bronchoconstriction, seasonal congestion

Common Administration: 5-10mg po daily, if for exercise-induced bronchoconstriction then take 2hrs before exercise.

Side Effects: Dizziness, fatigue, nausea, rash, mood changes

Counseling Points: Not for acute bronchospasm (report increased use of rescue inhaler), dose in the evening, monitor for mood changes.

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