Generic (Brand) Counseling Pts and ADEs

buprenorphine/naloxone (Suboxone, Zubsolv)

Counseling: High-alert medication; do not stop abruptly; ADEs: Constipation, nausea, headache, diaphoresis, withdrawal symptoms

carisoprodol (Soma, Vanadom)

Counseling: Avoid alcohol and activities requiring alertness; ADEs: Drowsiness, dizziness, headache

celecoxib (Celebrex, Elyxyb)

Counseling: Take with food or milk; ADEs: Diarrhea, HTN, headache, GI upset, bronchospasm

codeine (Tylenol with Codeine)

Counseling: Take with food; avoid grapefruit and driving; ADEs: Nausea, vomiting, constipation, drowsiness, euphoria

cyclobenzaprine (Flexeril)

Counseling: Avoid activities requiring mental alertness; ADEs: Dizziness, drowsiness, dry mouth, weakness, blurry vision, constipation

diclofenac (Cambia, Voltaren, Zipsor, Zorvolex)

Counseling: Take with food or milk; ADEs: GI upset, headache, dizziness, constipation, GI ulcer

fentanyl (Duragesic)

Counseling: Do not cut patch; remove old patch before applying new patch; avoid alcohol and heat; use stimulant laxative; ADEs: Constipation, nausea, confusion, headache, urinary retention, sedation

hydrocortisone

Counseling: Apply thin layer; avoid eyes; wash hands after use; ADEs: Dry skin, burning, stinging, pruritus, headache

ibuprofen (Motrin, Advil)

Counseling: Take with food or milk; avoid in heart failure; ADEs: GI upset, edema, dizziness, tinnitus, rash

indomethacin (Indocin, Tivorbex)

Counseling: Take with food or milk; ADEs: Headache, vomiting, rash, dizziness, tinnitus, heartburn

lidocaine patch (Lidoderm, Lidotral)

Counseling: Apply to intact skin only; avoid heat; max 12 hours/day; ADEs: Skin irritation, nausea, dizziness, headache, confusion

meloxicam (Mobic)

Counseling: Take with food or milk; ADEs: GI upset, edema, dizziness, gastric ulcer, melena

methadone (Dolophine)

Counseling: Avoid alcohol, driving, and grapefruit; use stimulant laxative; ADEs: Constipation, hypotension, dizziness, sedation, diaphoresis

methocarbamol (Robaxin, Tanlor)

Counseling: Avoid activities requiring alertness; ADEs: Sedation, nausea, dizziness, blurred vision, headache

morphine (MS Contin, Avinza, Kadian)

Counseling: Do not crush ER products; use stimulant laxative; avoid alcohol and driving; ADEs: Constipation, nausea, hypotension, sedation, pruritus, urinary retention

naproxen (Naprosyn, Naprelan)

Counseling: Take with food or milk; ADEs: Dyspepsia, headache, edema, dizziness, increased blood pressure

oxycodone (OxyContin, Roxicodone)

Counseling: Use laxative; avoid alcohol and driving; ADEs: Constipation, nausea, sedation, pruritus, hypotension

pentosan (Elmiron)

Counseling: Take 1 hour before or 2 hours after meals; monitor for bleeding; ADEs: Nausea, alopecia, rash, dizziness, headache, bruising

sumatriptan (Imitrex, Onzetra, Sumavel, Tosymra, Zembrace)

Counseling: Avoid activities requiring alertness; ADEs: Dizziness, tingling, nausea, diaphoresis, chest discomfort

tramadol (ConZip, Ultram, Qdolo)

Counseling: Avoid alcohol; do not crush ER products; use laxative; ADEs: Constipation, dizziness, sedation, sweating, orthostatic hypotension

acyclovir (Zovirax)

Counseling: Complete full therapy; stay hydrated; start treatment ASAP for HSV outbreaks; ADEs: Malaise, nausea, vomiting, headache, diarrhea

albendazole (Albenza)

Counseling: Take as directed and complete therapy; ADEs: GI upset, headache, elevated liver enzymes

amoxicillin/clavulanate (Augmentin)

Counseling: Take with food; complete full therapy; refrigerate suspension; ADEs: Diarrhea, rash, nausea, vomiting, candidiasis

amoxicillin (Amoxil, Moxatag)

Counseling: Take with food; complete full therapy; refrigerate suspension; ADEs: Diarrhea, nausea, rash, vomiting, headache

atazanavir (Reyataz)

Counseling: Take with food; avoid PPIs; do not skip doses; ADEs: Rash, hyperbilirubinemia, abdominal pain, nausea, diarrhea

azithromycin (Zithromax, Z-Pak)

Counseling: Complete full therapy; may take with food; ADEs: Diarrhea, nausea, abdominal pain, vomiting, headache

baricitinib (Olumiant)

Counseling: Monitor for infection, bruising, bleeding, and blood clots; ADEs: Elevated LFTs, infections, DVT, PE, acne, headache

cefdinir (Omnicef)

Counseling: Complete full therapy; separate from iron and antacids by 2 hours; ADEs: Diarrhea, nausea, vomiting, headache, yeast infection

cefuroxime (Ceftin, Zinacef)

Counseling: Complete full therapy; refrigerate suspension; ADEs: Diarrhea, nausea, vomiting, rash, elevated LFTs

cephalexin (Keflex, Daxbia)

Counseling: Complete full therapy; report rash; ADEs: Nausea, vomiting

chlorhexidine (Peridex, Paroex, Hibiclens, Periogard)

Counseling: Swish and spit; do not swallow; use after brushing teeth; ADEs: Mouth irritation, tooth discoloration, tongue irritation

ciprofloxacin (Cipro, Cipro XR)

Counseling: Avoid dairy alone; separate from antacids and minerals; ADEs: Tendinitis, diarrhea, dizziness, headache, nausea

clarithromycin (Biaxin)

Counseling: Complete full therapy; ER tablets with food; ADEs: Taste disturbances, headache, diarrhea, nausea, vomiting

clindamycin (Cleocin)

Counseling: Take with full glass of water and remain upright for 30 minutes; ADEs: Nausea, diarrhea, vomiting, rash

doxycycline (Vibramycin, Doxy 100)

Counseling: Wear sunscreen; avoid calcium/dairy near dose; take with water; ADEs: Photosensitivity, esophageal irritation, nausea, diarrhea

efavirenz (Sustiva)

Counseling: Take on empty stomach at bedtime; practice safe sex; ADEs: Anxiety, depression, dizziness, insomnia, rash

elbasvir/grazoprevir (Zepatier)

Counseling: Monitor glucose, CBC, LFTs; ADEs: Fatigue, headache, elevated LFTs

emtricitabine/tenofovir (Truvada)

Counseling: Take with or without food; consider calcium/vitamin D supplementation; ADEs: Rash, nausea, diarrhea, fatigue, headache

entecavir (Baraclude)

Counseling: Take on empty stomach; complete full therapy; ADEs: Edema, elevated LFTs, nausea, diarrhea, headache

erythromycin (Erythrocin)

Counseling: Take on empty stomach; avoid grapefruit juice; ADEs: Diarrhea, nausea, vomiting, vaginitis

fidaxomicin (Dificid)

Counseling: May be mixed with applesauce; ADEs: Fever

fluconazole (Diflucan)

Counseling: Avoid starting new medications without checking interactions; ADEs: Headache

gatifloxacin (Zymaxid)

Counseling: Complete full therapy; ADEs: Minimal/common ocular irritation

glecaprevir/pibrentasvir (Mavyret)

Counseling: Take with food; do not chew pellets; ADEs: Fatigue, nausea

hydroxychloroquine (Plaquenil, Sovuna)

Counseling: Take with food or milk; ADEs: GI upset, headache, retinal toxicity (long-term)

imiquimod (Zyclara)

Counseling: Apply at bedtime and leave on 8 hours; ADEs: Local itching, burning, pain, dry skin

ketoconazole (Nizoral, Ketodan)

Counseling: Avoid eyes; flammable; ADEs: Application site irritation

levofloxacin (Levaquin)

Counseling: Avoid dairy and antacids; wear sunscreen; ADEs: Photosensitivity, tendinitis

maraviroc (Selzentry)

Counseling: Avoid grapefruit and St. John's Wort; ADEs: Fever, cough, rash, upper respiratory infection

metronidazole (Flagyl, Likmez)

Counseling: ABSOLUTELY NO ALCOHOL; take with food; ADEs: GI upset, metallic taste

minocycline (Minocin, Emrosi)

Counseling: Avoid pregnancy; wear sunscreen; ADEs: Dizziness, tooth discoloration

mupirocin (Bactroban)

Counseling: Avoid eyes and open wounds; ADEs: Local irritation

nitrofurantoin (Macrobid)

Counseling: Complete full therapy; urine may turn brown; ADEs: Urine discoloration, GI upset

oseltamivir (Tamiflu)

Counseling: Take with food; complete therapy; ADEs: Nausea, vomiting, headache

trimethoprim/sulfamethoxazole (Bactrim)

Counseling: Complete full therapy; wear sunscreen; ADEs: Nausea, vomiting, photosensitivity, rash

valacyclovir (Valtrex)

Counseling: Maintain hydration; monitor urination; ADEs: Malaise, neutropenia

darifenacin (Enablex)

Counseling: May cause anticholinergic effects; ADEs: Constipation, dry mouth, blurred vision, abdominal pain, urinary retention

dexlansoprazole (Dexilant)

Counseling: Do not take with antacids; ADEs: Nausea, vomiting, diarrhea, abdominal pain, flatulence

diphenoxylate/atropine (Lomotil) (CV)

Counseling: Avoid alcohol and activities requiring alertness; ADEs: Abdominal discomfort, nausea, vomiting, sedation, dry mouth

esomeprazole (Nexium)

Counseling: Take 1 hour before meals; ADEs: Headache, abdominal pain, flatulence, diarrhea, nausea

famotidine (Pepcid)

Counseling: Take at bedtime; ADEs: Constipation, diarrhea, dizziness, agitation (infants)

finasteride (Proscar, Propecia)

Counseling: Avoid handling if pregnant; may take 6-12 months to see benefit; ADEs: Impotence, decreased libido, gynecomastia, edema, hypotension

lansoprazole (Prevacid)

Counseling: Take on empty stomach 1 hour before eating; separate from antacids; ADEs: Diarrhea, dizziness, nausea

linaclotide (Linzess)

Counseling: Take on empty stomach 30 minutes before first meal; ADEs: Diarrhea, abdominal pain, fatigue, GERD, vomiting

lubiprostone (Amitiza)

Counseling: Take with food and water; ADEs: Nausea, vomiting, diarrhea, headache, dizziness, dyspnea

metoclopramide (Reglan, Gimoti)

Counseling: Take on empty stomach before meals and bedtime; avoid long-term use; ADEs: Drowsiness, restlessness, fatigue, visual disturbances

omeprazole (Prilosec)

Counseling: Take 1 hour before meals; ADEs: Abdominal pain, headache, diarrhea, cough

ondansetron (Zofran)

Counseling: Allow ODT to dissolve on tongue; handle with dry hands; ADEs: Dry mouth, constipation, diarrhea, dizziness, increased LFTs

pantoprazole (Protonix)

Counseling: Best taken before meals; ADEs: Abdominal pain, headache, flatulence, diarrhea, edema

phenazopyridine (Pyridium)

Counseling: May turn urine and tears orange; can stain contacts and clothing; take with food; ADEs: GI upset, rash, itching, urine discoloration

polyethylene glycol (Miralax, GoLYTELY, NuLYTELY, MoviPrep, Plenvu)

Counseling: Avoid solid food before bowel prep; drink as directed; ADEs: Bloating, cramping, nausea, vomiting, thirst

rabeprazole (AcipHex)

Counseling: Take 30 minutes before meals; ADEs: Abdominal pain, constipation, diarrhea, rash, elevated LFTs

rifaximin (Xifaxan)

Counseling: Seek care for severe or bloody diarrhea; ADEs: Edema, dizziness, joint pain, anemia, elevated LFTs

sucralfate (Carafate)

Counseling: Take on empty stomach; separate other medications by 2-4 hours; ADEs: Constipation

tamsulosin (Flomax)

Counseling: Take 30 minutes after the same meal daily; rise slowly; ADEs: Orthostatic hypotension, dizziness, abnormal ejaculation, rhinitis, blurred vision

tizanidine (Zanaflex)

Counseling: Avoid driving; rise slowly from sitting or lying positions; ADEs: Dry mouth, hypotension, dizziness, muscle weakness

albuterol (ProAir, Proventil, Ventolin)

Counseling: Review inhaler technique; ADEs: Tremor, nervousness, nausea, throat irritation, upper respiratory infection

budesonide/formoterol (Symbicort, Breyna)

Counseling: Rinse mouth and spit after each use; review inhaler technique; ADEs: Upper respiratory infection, headache, cough, candidiasis, tremor, HTN

budesonide (Pulmicort)

Counseling: Rinse mouth and spit after each use; review inhaler technique; ADEs: Oral candidiasis, cough, upper respiratory infection, throat irritation, diarrhea

cetirizine (Zyrtec)

Counseling: Avoid activities requiring mental alertness until effects are known; ADEs: Drowsiness, headache, dry mouth, nausea

fexofenadine (Allegra)

Counseling: Avoid grapefruit juice; take suspension with water; ADEs: Headache, nausea, vomiting, dry mouth, mild sedation

fluticasone nasal (Flonase, Xhance)

Counseling: Relief may take several days; ADEs: Nosebleeds, headache, nasal irritation, burning, dizziness

fluticasone inhaled (ArmonAir, Arnuity Ellipta, Flovent Diskus)

Counseling: Rinse mouth after use; monitor growth in children; ADEs: Oral candidiasis, throat irritation, headache, nosebleeds, HTN

fluticasone/salmeterol (Advair, AirDuo, Wixela)

Counseling: Rinse mouth after each use; monitor for signs of toxicity; ADEs: Headache, pharyngitis, upper respiratory infection, candidiasis, bronchitis

hydroxyzine (Atarax, Vistaril)

Counseling: Avoid alcohol and activities requiring alertness; ADEs: Sedation, headache, dry mouth

ipratropium/albuterol (Combivent)

Counseling: Re-prime inhaler if unused for 21 days; ADEs: Tachycardia, cough, tremor, insomnia, urinary retention, blurred vision

levalbuterol (Xopenex)

Counseling: Do not expose inhaler to excessive heat; ADEs: Palpitations, tremor, chest pain, rash, rhinitis

mometasone nasal (Nasonex, Propel, Sinuva)

Counseling: Avoid spraying directly on nasal septum; ADEs: Nasal irritation, nosebleeds, cough, altered smell, muscle aches

mometasone inhaled (Asmanex)

Counseling: Not for acute asthma attacks; ADEs: Fatigue, joint pain, oral candidiasis, fever, bronchitis

montelukast (Singulair)

Counseling: Not for acute asthma attacks; oral granules should not be mixed with liquids; ADEs: Dyspepsia, dizziness, fatigue, rash, elevated LFTs

tiotropium (Spiriva)

Counseling: Not for rescue therapy; capsules are for inhalation only, not swallowing; ADEs: Dry mouth, constipation, sinusitis, upper respiratory infection, application site irritation