key drugs - counseling

Naphazoline HCL

local irritation

Phenylephrine HCL

Flushing, loss of appetite, feeling restless/excited; do not use for >7 days

Doxazosin

orthostatic hypotension, tachycardia, sexual dysfunction

Brimonidine tartrate

local irritation

Clonidine

drowsy, dizzy, dry

Labetalol hydrochloride

hypotension, bradycardia

Dopamine hydrochloride

arrhythmia, vasoconstriction

Norepinephrine bitartrate

arrhythmia, anxiety

Epinephrine

anxiety

Atenolol

bradycardia, hypotension, fatigue

Metoprolol succinate

bradycardia, hypotension, fatigue

Metoprolol tartrate

bradycardia, hypotension, fatigue

Nebivolol hydrochloride

hypotension, bradycardia

Carvedilol

bradycardia, hypotension, fatigue, weight gain

Propranolol

bradycardia, bronchospasm

Benazepril

hyperkalemia, cough, hypotension

Enalapril maleate

hyperkalemia, cough, hypotension

Lisinopril

hyperkalemia, cough, hypotension

Ramipril

hyperkalemia, cough, hypotension

Irbesartan

hyperkalemia, hypotension

Losartan

hyperkalemia, hypotension

Olmesartan

hyperkalemia, hypotension

Valsartan

hyperkalemia, hypotension

Sacubitril; Valsartan

hypotension

Amlodipine; Benazepril

edema, hypotension, cough, hyperkalemia

Amlodipine

edema, hypotension

Nifedipine extended release

edema, hypotension; avoid grapefruit

Diltiazem

heart failure, bradycardia, hypotension, skin reaction

Verapamil hydrochloride

edema, constipation

Bumetanide

dizziness, electrolyte abnormalities; take in morning

Furosemide

dizziness, electrolyte abnormalities; take in morning

Torsemide

dizziness, electrolyte abnormalities; take in morning

Chlorthalidone

hypotension, dizziness; do not take close to bed

Hydrochlorothiazide

hypotension, dizziness, electrolyte abnormalities; do not take close to bed

HCTZ lisinopril

hyperkalemia or hypokalemia, cough, hypotension, increased urination

HCTZ losartan

hypokalemia or hyperkalemia, hypotension, dizziness; take in morning

HCTZ triamterene

hypokalemia or hyperkalemia, dizziness, hypotension; take in morning

Spironolactone

gynecomastia, increased urination; take in morning consistently

Vasopressin

drink 1–2 glasses of water

Atropine

drowsy, dizzy, dry

Hydralazine

lupus-like syndrome, edema

Isosorbide mononitrate

hypotension, dizziness, bradycardia

Nitroglycerin

hypotension, dizziness

Sodium nitroprusside

bradycardia

Flecainide

ventricular arrhythmia, dizziness

Lidocaine hydrochloride (IV)

bradycardia, hypotension

Amiodarone

keratopathy, hypotension, nausea

Adenosine

chest pain

Digoxin

mental and visual disturbances

Heparin sodium unfractionated

major bleeding, osteoporosis, thrombocytopenia

Enoxaparin sodium (LMWH)

anemia, hemorrhage

Rivaroxaban

bleeding, vomiting

Apixaban

bleeding

Argatroban

bleeding

Warfarin

bleeding; keep vitamin K intake consistent

Aspirin

GI ulcer, hypersensitivity reactions

Clopidogrel

hemorrhage, bruising, hematoma

Alteplase

bleeding

Atorvastatin

diarrhea, myalgia; avoid grapefruit juice

Lovastatin

diarrhea, myalgia; avoid grapefruit juice

Pravastatin

diarrhea, myalgia; avoid grapefruit juice

Rosuvastatin

constipation, myalgia

Simvastatin

constipation, myalgia; avoid grapefruit juice

Fenofibrate

abdominal pain, muscle pain

Ezetimibe

myalgia, arthralgia

Evolocumab

flu-like symptoms, edema, bruising

Clobetasol propionate

local irritation, nasopharyngitis, upper respiratory infection

Hydrocortisone topical

local irritation

Methylprednisolone

stomach upset, mood changes

Prednisolone sodium or prednisolone acetate

stomach upset, mood changes

Prednisone

stomach upset, mood changes

Adalimumab

local irritation, infection, upper respiratory infection

Infliximab

stomach upset

Hydroxyzine hydrochloride tablets

drowsy, dizzy, dry

Hydroxyzine pamoate capsules

drowsy, dizzy, dry

Chlorpheniramine maleate

drowsy, dizzy

Olopatadine hydrochloride ophthalmic

headache, blurred vision

Ketotifen fumarate ophthalmic

local irritation

Lidocaine hydrochloride topical

skin blanching

Pramoxine hydrochloride

numbing

Bacitracin neomycin polymyxin B

use on skin only 1–3 times daily, wash hands, avoid eyes nose mouth

Benzoyl peroxide

local irritation, bleaching

Adapalene

apply thin film at bedtime, use sunscreen, drying

Salicylic acid

local irritation

Terbinafine hydrochloride topical

cleanse and dry area before application, wash hands after use

Ketoconazole shampoo

local irritation

Miconazole nitrate

local irritation

Tolnaftate

local irritation

Timolol maleate ophthalmic

local irritation

Bimatoprost

conjunctival hyperemia, headache, local irritation

Latanoprost

local irritation

Carbamide peroxide otic

local irritation

Dextromethorphan polistirex

drowsy, dizzy, restless

Guaifenesin

take with water, stomach upset

Nicotine polacrilex gum and nicotine patches

local irritation, abnormal dreams, flatulence, headache

Phytonadione

hypotension, dizziness

Potassium chloride

bradycardia, pain

Magnesium sulfate

flushing, hypotension, vasodilation

Sodium bicarbonate

edema, flatulence

Sodium chloride

acid-base imbala