FIPP 5 Common Medications

Acetaminophen

Brand Name: Tylenol

Drug Class: Analgesic; non-opioid

Uses: Fever, pain

Dosing: 325-650mg Q4-6hrs PRN

Adverse Reactions: Nausea, vomiting, skin reaction (blister, rash)

BBW: Risk of medication errors (dosing devices), hapatotoxicity

Alubterol

Brand Name: ProAir HFA, Ventolin HFA, Proventil HFA

Drug Class: SABAs

Uses: Asthma, COPD, Bronchospasm

Dosing: 1-2 puffs Q4-6hrs PRN

Adverse Reactions: Nervousness, tremor, tachycardia, pharyngitis, throat irritation, hypokalemia

BBW: None

Amlodipine

Brand Name: Norvasc

Drug Class: CCB, DHP

Uses: Hypertension

Dosing: 5-10mg daily

Adverse Reactions: Peripheral edema, flushing, papitations, fatigue, and dizziness

BBW: None

Amoxicillin

Brand Name: Amoxil

Drug Class: Penicillin antibiotic

Uses: Bacterial infection

Dosing: 500-1000mg Q8-12hr

Adverse Reactions: Nausea, vomiting, diarrhea, rash

BBW: None

Atorvastatin

Brand Name: Lipitor

Drug Class: HMG-CoA Reductase Inhibitor

Uses: Hypercholestolemia

Dosing: 10-80mg daily

Adverse Reactions: Myalgia, diarrhea, nausea

BBW: None

Dextroamphetamine + Amphetamine

Brand Name: Adderall, Adderall XR

Drug Class: CNS stimulant, NDRI

Uses: ADHD, narcolepsy

Dosing: 5-40mg divided daily- TID

• ER: 20mg qAM

Adverse Reactions: Increased blood pressure, tachycardia, anorexia, insomnia, anxiety, agitation, nervousness

BBW: High abuse potential- monitor signs of abuse or dependence. Cardiovascular events (sudden death)

Dextromethorphan

Brand Name: Delsym, Robitussin

Drug Class: Antitussive, NMDA receptor antagonist

Uses: Cough, suppresant

Dosing: 10-20mg Q4hr

ER: 60mg BID

Adverse Reactions: Dizziness, drownsiness, nauesea, vomiting

BBW: None

Escitalopram

Brand Name: Lexapro

Drug Class: SSRI

Uses: Major depressive disorder, generalized anxiety disorder

Dosing: 10-20mg daily

Adverse Reactions: Nausea, headache, hyponatremia, QT prolongation, serotonin syndrome, sexual dysfunction

BBW: May cause suicidal thoughts in children and young adults

Fluoetine

Brand Name: Prozac, Sarafem

Drug Class: SSRI

Uses: Major depressive disorder, OCD, panic disorder, prementrual dysphoric disorder, bulimia

Dosing: 20-80mg qAM

Adverse Reactions: Nausea, headache, hyponatremia, serotonin syndrome, sexual dysfunction

BBW: May cause suicidal thoughts in children and young adults

Fluticasone (inhaled)

Brand Name: Flovent Diskus, Flovent HFA

Drug Class: Corticosteroid, inhaled

Uses: Asthma

Dosing: Diskus: 1-2 puffs BID

HFA: 2-4 puffs BID

Adverse Reactions: Headache, throat irritation, hoarseness, cough, oral thrush, nausea

BBW: None

Fluticasone (intranasal)

Brand Name: Flonase

Drug Class: Corticosteroid, nasal

Uses: Allergic Rhinitus

Dosing: 2 spray IEN once daily

Adverse Reactions: Headache, epistaxis (nosebleed)

BBW: None

Furosemide

Brand Name: Lasix

Drug Class: Loop diuretic

Uses: Edema (assoiciated with heart failure, cirrhosis, kidney disease, or pulmonary edema)

Dosing: 40-120mg divided daily- BID

Adverse Reactions: Increased urination, hypotension, dizziness, hypokalemia, hypomagnesemia, muscle cramps, rash

BBW: In excess amounts can cause profound water and electrolyte depletion

Gabapentin

Brand Name: Neurontin, Horizant

Drug Class: Anticonvulsant

Uses: Partial seizures, neuralgia

Dosing: 300-1200mg TID

Adverse Reactions: Dizziness, ataxia, nystagmus, fatigue, diarrhea

BBW: None

Guaifenesin

Brand Name: Mucinex

Drug Class: Expectorant

Uses: Loosen phlehm

Dosing: 200-400mg Q4hrs PRN

ER: 600-1200MG Q12hr PRN

Adverse Reactions: Dizziness, drowsiness, headache

BBW: None

Hydrochlorothiazide

Brand Name: Microzide

Drug Class: Thiazide diuretic

Uses: Hypertension, edema

Dosing: 12.5-50mg daily

Adverse Reactions: Increased urination, hypotension, dizziness, photosensitivity, rash, hypokalemia, hyponatermia, hypercalcemia, hyperuricermia (gout)

BBW: None

Hydrocodone/acetaminophen

Brand Name: Lortab

Drug Class: Analgesic, opioid combination

Uses: Pain, moderate to severe

Dosing: 2.5-10mg hydrocodone Q4-6hr PRN

Adverse Reactions: Constipation, nausea, vomiting, dizziness, fatigue

BBW: Potential abuse (addiction), life threatening respiratory depression, drug interactions, hepatotoxicity

Ibuprofen

Brand Name: Advil, Motrin

Drug Class: Analgesic, NSAID

Uses: Fever, pain

Dosing: 200-400mg Q4-6hr PRN

Adverse Reactions: Bleeding, increased risk of kidney damage, nausea, vomiting

BBW: Serious cardiovascular thrombotic events, serious GI bleeding, ulcerations, perforation

Insulin glargin

Brand Name: Lantus, Basaglar, Toujeo

Drug Class: Insulins (Long acting)

Uses: Diabetes, type 1 and 2

Dosing: Individualized given subQ daily

Adverse Reactions: Hypoglycemia, injection site reaction

BBW: None

Insulin lispro

Brand Name: Humalog

Drug Class: Insulins (Short acting)

Uses: Diabetes, type 1 and 2

Dosing: Individualized given subQ TID to QID

Adverse Reactions: Hypoglycemia, injection site reaction

BBW: None

Levothyroxine

Brand Name: Levoxyl, Synthroid

Drug Class: Hormone, thyroid

Uses: Hypothyroidism

Dosing: Individualized (25- 300mcg) daily

Adverse Reactions: Palpitations, tremor, insomnia, nervousness, diaphoresis, alopecia, diarrhea

BBW: Not to be used for weight loss

Lisinopril

Brand Name: Prinivil, Zestril

Drug Class: ACEi

Uses: Hypertension, heart failure

Dosing: 5-40mg daily

Adverse Reactions: Hypotension, dizziness, hyperkalemia, dry cough, photosensitivity

BBW: Do not use during pregnancy

Loratadine

Brand Name: Claritin

Drug Class: Antihistamine, 2nd generation

Uses: Allergic rhinitus

Dosing: 10mg daily

Adverse Reactions: headache

BBW: None

Losartan

Brand Name: Cozaar

Drug Class: ARB

Uses: Hypertension

Dosing: 500-100mg daily

Adverse Reactions: Hypotension, dizziness, hyperkalemia

BBW: Do not use during pregnancy

Metformin

Brand Name: Glucophage, Glucophage XR, Glumetza, Fortamet

Drug Class: Biguanide

Uses: Diabetes, type 2

Dosing: 500-1000mg BID

Adverse Reactions: Diarrhea, flatulence, abdominal discomfort, nausea, vomiting, dyspepsia, headache

BBW: May cause lactic acidosis

Metoprolol

Brand Name: Metoprolol tartrate= Lopressor

Metoprolol succinate= Toprol XL

Drug Class: Beta- adrenergic blocker (B1 selective)

Uses: Angina, heart failure, myocardial infarction, hyprtension

Dosing: 50-100mg BID or 50-200mg ER daily

Adverse Reactions: Bradycardia, dizziness, hypotension, masks hypoglycemia, diarrhea

BBW: Do not stop abruptly- taper dose

Omeprazole

Brand Name: Prilosec

Drug Class: PPI

Uses: GERD, gastric ulcer, H. pylori infection, Zollinger-Ellison syndrome

Dosing: 20-40mg daily

Adverse Reactions: Headache, diarrhea, nausea

BBW: None

Pantoprazole

Brand Name: Protonix

Drug Class: PPI

Uses: GERD, gastric ulcer, H. pylori infection, Zollinger-Ellison syndrome

Dosing: 20-40mg daily

Adverse Reactions: Headache, diarrhea, nausea

BBW: None

Pseudoephedrine

Brand Name: Sudafed

Drug Class: Decongestant, alpha/beta agonist

Uses: Nasal congestion

Dosing: 60mg Q4-6hr

ER: 120mg Q12hrs

Adverse Reactions: Hypertension, chest tightness, palpitation, excitability

BBW: None

Sertraline

Brand Name: Zoloft

Drug Class: SSRI

Uses: Major depressive disorder, OCD, panic disorder

Dosing: 50-200mg daily

Adverse Reactions: Nausea, headache, hyponatremia, serotonin syndrome, sexual dysfunction

BBW: May cause suicidal thoughts in children and young adults