Professional Documents
Culture Documents
Medication
Drug Class
Indications
Contraindications/ Use
Caution With
Recent use of alcohol,
sedatives, tranquilizers, or
narcotics; use of MAO
inhibitors; liver disease,
cirrhosis, IBD, bowel
obstruction, colostomy or
ileostomy, kidney disease,
hypotension, dehydration,
TBI, stroke, brain tumor,
COPD, asthma, breathing
problems
Heart disease, HTN, CHF,
arrhythmias, epilepsy,
DM, hyperthyroidism,
hypokalemia, <4 years old
NutritionRelated Side
Effects
Drug-Nutrient
Interactions
Upset stomach,
constipation, dry
mouth
Acetaminophen and
Oxycodone
(Endocet, Percocet,
Primlev, Roxicet,
Xartemis XR)
Analgesic, narcotic,
opioid combination
drug
Relieve moderate to
severe pain
Albuterol
Bronchodilator
Bronchospasm
Allopurinol
Reduces production
of uric acid
Allergies to the
medication
Vomiting,
diarrhea, change
in taste
Antianxiety,
Antipanic
Anxiety disorders,
panic disorders,
anxiety caused by
depression
Pregnancy, narrow-angle
glaucoma, allergies to
benzodiazepines
Anorexia, wt loss,
increased
appetite, wt gain
Ventricular
tachycardia,
ventricular
fibrillation
N/V, constipation
Allergies to amlodipine
Stomach pain
Bacterial infections
of bladder, stomach,
N/V, stomach
pain
Alprazolam
(Xanax)
Amiodarone
(Cordarone)
Amlodipine
(Norvasc)
Ampicillin
(Principen)
Nausea, diarrhea,
upset stomach
Apixaban (Eliquis)
Anticoagulant
intestines;
gonorrhea, PNA,
meningitis
Lower risk of stroke
caused by blood clot
in atrial fibrillation,
prevent DVT or
pulmonary embolism
Antihyperlipidemic
Lower cholesterol,
LDL, and TGs
Avoid grapefruit
Azithromycin
(Zithromax)
Antibiotic
Treat bacterial
infections
Diarrhea, nausea,
vomiting,
stomach pain
Bisacodyl
(Dulcolax)
Laxative
Stimulates BM
Nausea, belching,
cramping,
diarrhea
Candesartan
(Atacand)
Angiotensin II
Receptor Antagonist
HTN, kidney
problems caused by
DM
Stomachache,
diarrhea
Carvediol (Coreg)
Beta-Blocker
HTN, CHF
Diarrhea, wt gain
Antibiotic
Bacterial infections,
including severe or
life-threatening
forms
Stomach pain,
anorexia,
Contains sodium
consider this for
sodium restricted
patients
Atorvastatin
(Lipitor)
Cefazolin (Ancef,
Kefzol)
Cefriaxone Sodium
(Rocephin)
Antibiotic
Treat infections of
lower respiratory
tract, skin,
bone/joint, and
Oral candidiasis,
sore mouth,
anorexia, N/V,
diarrhea
Avoid alcohol
Cinacalcet
(Sensipar)
Antianxiety
(Benzodiazepine)
Decreases level of
PTH, Ca, and P in
body
Increased thirst
Hyperthyroidism in
those with ESRD;
hypercalcemia in
those with
parathyroid CA or
overactive
parathyroid
Hypocalcemia
N/V
Divalent or
trivalent cations,
milk, yogurt,
enteral product or
calcium fortified
foods decrease
drub abs
&bioavailability;
adequate
hydration; bad
taste, N/V, abd
pain, diarrhea
Avoid/limit caffeine
(increases caffeine
effects), avoid
grapefruit/citrus
Avoid alcohol
Ciprofloxacin
(Cipro)
Antibiotic
Bacterial infections;
exposure to anthrax
Clonidine
Decreases levels of
certain chemicals in
blood to lower BP
HTN
Dry mouth,
increased thirst
Dyspepsia, N/V,
abdominal pain,
GI bleeding,
diarrhea,
constipation
N/V, upset
Clopidogrel
(Plavix)
Platelet aggregation
inhibitor
Lactation, decreased
hepatic function, bleeding
disorders or conditions,
peptic ulcer
Cyclobenzaprine
Muscle relaxant
Tx skeletal muscle
Food significantly
increases
bioavailability; take
w/food if GI distress
occurs; avoid
grapefruit/related citrus
Avoid alcohol
Diltiazem
Diphenhydramine
(Benadryl)
Docusate (Colace)
days
stomach,
constipation
Ca channel blocker
Nausea
Antihistamine, Sleep
aid, Antivertigo
Sneezing, itchy,
watery eyes, runny
nose, hives, cold
allergy symptoms,
motion sickness,
symptoms of
Parkinsons disease
Anorexia, dry
mouth,
constipation, N/V
Alcohol
Stool softener
Constipation relief
Enoxaparin
(Lovenox)
Anticoagulant
Escitalopram
(Lexapro)
Antidepressant,
SSRI
Anxiety, Major
Depressive Disorder
Ezetimibe (Zetia)
Antihyperlipidemia
Famotidine
(Pepcid)
Antiulcer,
AntiGERD,
Antisecretory
Reduces amount of
cholesterol absorbed
ty the body
Treat and prevent
ulcers in stomach
and intestines,
Gas, bloating,
mild diarrhea,
rectal irritation
Nausea, diarrhea
None noted
Nausea, gas,
heartburn,
constipation, wt
changes
Avoid tryptophan,
avoid alcohol
Mild stomach
pain, diarrhea
N/V, diarrhea,
constipation
GERD
Fenofibrate
(TriCor)
Filgrastim
(Neupogen)
Fluoxetine (Prozac)
Furosemide (Lasix)
Galantamine
decreases absorption
B12 & Fe, Mg or Al
decreases drug
absorption
Avoid alcohol, caution
with soy allergy, adjust
fats, cholesterol, and
kcals
Antihyperlipidemic
Reduce cholesterol
and TG in blood; can
be used to treat gout
N/V, diarrhea,
flatulence
Colony stimulating
factor
Increases production
and activity of
neutrophils; treat
neutropenia caused
by cancer, bone
marrow transplant,
chemotherapy
Allergic to filgrastim or
meds containing E. coli
N/V
None
Major depressive
disorder, bulimia
nervosa, OCD, panic
disorder
Upset stomach,
anorexia, N/V,
diarrhea, dry
mouth, changes in
weight or appetite
None
Selective Serotonin
Reuptake Inhibitor
Antidepressant
Diuretic (KDepleting),
Antihypertensive
Edema associated
with CHF, renal or
hepatic diseases
Unable to urinate
Anorexia,
increased thirst,
oral irritation,
cramps, N/V,
diarrhea,
constipation
AntiAlzheimers,
Acetylcholinesterase
Inhibitor
N/V, anorexia, wt
loss, abd pain,
flatulence,
diarrhea
Glimpepiride
(Amaryl)
Guaifenesin
(Mucinex)
Habitrol (Nicotine)
Hydralazine
Aids in BG control
DMt2
In state of DKA
Nausea
Expectorant
Loosen congestion in
chest and throat
N/V, upset
stomach
None
Aid in smoking
cessation and reduce
in withdrawal
symptoms
Caffeine minor
interaction
Constipation,
N/V, stomach
pains, dry mouth
Avoid alcohol,
Primary ingredient
in tobacco products
Antihypertensive,
CHF treatment,
Vasodilator
Hydromorphone
(Dilaudid)
Analgesic, opioid
pain med (narcotic)
Hyoscyamine
(Levsin)
Anticholinergic
agent
HTN
Decreases motion of
stomach and
intestines and
secretions of
stomach fluids,
including acids; tx
Hx of drug abuse or
addiction, severe asthma
or breathing problems,
blockage in stomach or
intestines, paralytic ileus,
use of MAO inhibitor,
TBI, brain tumor,
seizures, liver or kidney
disease, Addisons
disease, problems with
thyroid, pancreas, or
gallbladder, pregnancy,
lactation
Esophageal problems,
blockage of
stomach/bowel/bladder,
bowel motility problems,
glaucoma, myasthenia
gravis, heart problems,
stomach/bowel
problems (ulcers,
spasms, cramping,
IBD, bladder
problems, and
pacreatitis
severe bleeding
Ketorolac (Sprix)
Lactobacillus
acidophilus
Biotherapeutic
agent; antidiarrheal,
live microbial
supplement
Lactulose
Laxative; to treat
increased ammonia
levels
Severe constipation,
portal systemic HTN
Levemir (insulin
Detemir)
Antidiabetic,
Hypoglycemic
Diabetes, lower
blood glucose
Levofloxacin
(Levaquin)
Antibiotic
Bacterial infections
of skin, sinuses,
kidneys, bladder, or
prostate; exposure to
anthrax or plague;
Throat irritation
Avoid alcohol
Burping,
vomiting,
diarrhea
Belching, cramps,
flatulence
Avoid alcohol
bronchitis or
pneumonia
liberal fluid
intake
Levothyroxine
(Levothyroid)
Replacement
hormone for thyroid
gland
Hypothyroidism,
goiter
To treat obesity or wt
problems,
Linezolid (Zyvox)
Antibiotic
Bacterial infections
Oral candidiasis
taste changes,
N/V, diarrhea
Anorexia, wt loss,
dysgeusia, dry
mouth, N/V, and
pain,
constipation,
diarrhea
Lisinopril
ACE Inhibitor,
Antihypternsive
Angioedema
Lorazepam (Ativan)
Antianxiety
Benzodiazepine
Anxiety disorders
Glaucoma,
N/V, constipation,
appetite changes
Losartan (Cozaar)
Antihypertensive,
Type 2 Diabetic
Nephropathy
Treatment
HTN, T2DM
neuropathy
Pregnancy
Stomach pain,
diarrhea
Maalox
Antacid,
Antiflatulent
Heartburn, upset
stomach, indigestion,
bloatin
Allergies to the
medication
Chalky taste
Laxative, Antacid
Occasional
constipation,
indigestion, upset
stomach, and
heartburn
Chalky taste,
nausea, cramping,
diarrhea
Children <12
Dry mouth,
vomitting
Magnesium
Hydroxide
Meclizine
Antihistimine,
Antiemetic
Reduces effect of
natural histamine in
body, prevent N/V r/t
motion sickness,
treat symptoms of
vertigo
Memantine
(Namenda XR)
Methlynaltrexone
(Relistor)
NMDA Receptor
Antagonist
Blocks effects of
opioid medication
Alzheimers disease,
vascular dementia
Reduces constipation
caused by narcotic
medication (usually
used after laxatives
have not been
effective)
Prevent release of
substances that cause
inflammation;
arthritis, lupus,
psoriasis, UC,
allergic disorders
Methylprednisolone
(Medrol)
Steroid
Metoclopramide
(Reglan)
Increases muscle
contractions in upper
GI tract
GERD,
gastroparesis,
Metoprolol
(Lopressor, Toprol)
Antihypertensive,
Antiangina, CHF
Tx, MI Tx
Cardio-selective
beta-blocker, affect
heart and circulation
Metrondazole
Antibiotic
Bacterial infections
of vagina, stomach,
skin, joints, and
respiratory tract
Anorexia, dry
mouth, N/V, GI
pain, constipation
Blockage in stomach or
intestines
Stomach pain,
gas, mild nausea,
diarrhea,
Fungal infection
Bleeding or blockage in
stomach or intestines,
epilepsy, adrenal gland
tumor, perforation in
stomach or intestines
Serious cardiac conditions
like sick sinus
syndrome or AV block,
bradycardia, uncontrolled
heart failure, unable to
urinate
First trimester of
pregnancy, liver disease,
stomach or intestinal
disease, Crohns disease,
anemia, leukopenia,
Avoid alcohol
Stomach
discomfort,
bloating
N/V, diarrhea
Avoid alcohol
Stomach pain,
diarrhea, dry
mouth, metallic
taste, swollen or
sore tongue
Midodrine
(ProAmatine)
Antihypotensive
Mirtazapine
(Remeron)
Antidepressant,
NaSSa
Major Depressive
Disorder
Increase appetite,
increase wt,
increase thirst,
anorexia
Avoid alcohol
Mupirocin Topical
(Bactroban)
Antibiotic
Skin infections
None noted
None noted
Naloxone (Narcan)
Blocks or reverses
effects of
opioids/narcotics
Opioid/narcotic
overdose
Heart disease
N/V, diarrhea,
stomach pain,
stomach cramps
None noted
Nifedipine
Antihypertensive,
Antiangina, Ca
Channel Blocker
HTN, angina
Constipation,
diarrhea,
flatulence
Norco
Acetomenophen and
hydrocodone
(opiod/narcotic) pain
med
Relieve moderate to
severe pain
Upset stomach,
constipation, dry
mouth
Avoid alcohol
Antiemetic
Preventing non-cancer
induced N/V, liver
disease, PKU, <4 years
old
Oxandrolone
(Oxandrin)
Antiwasting,
Anabolic steroid
To promote wt gain
after surgery, trauma,
infection; to offset
protein catabolism
from corticosteroids
Oxycodone
(OxyContin)
Analgesic, narcotic,
opioid
Relieve moderate to
severe pain
Severe asthma or
breathing problems,
Ondansetron
(Zofran)
nausea
Diarrhea,
constipation, dry
mouth, abdominal
pain
N/V, diarrhea,
increase appetite,
increase wt,
increase LBM,
increased protein
synthesis
Dry mouth, N/V,
diarrhea,
obstruction in stomach or
intestines, hx of addition,
allergies to narcotics
constipation
Lack of pancreatic
enzymes, cystic
fibrosis, pancreatitis,
blockage of
pancreatic ducts
N/V, stomach
pain, diarrhea,
constipation,
bloating, gas,
steatorrhea, rectal
irritation, wt loss
Proton pump
inhibitor decreases
amount of stomach
acid produced
Erosive esophagitis,
Zollinger-Ellison
syndrome,
gastric/duodenal
ulcer, GERD, H.
pylori infection
Allergies to
benzimidazole
medications, atazanavir,
or nelfinavir, severe
decline of hepatic
function, immediate relief
of heartburn symtpoms,
osteoporosis or
osteopenia, low
magnesium
Man-made vitamin
D
Prevent
hyperparathyroidism
in people w/CKD
Vomiting,
diarrhea
Avoid calcium
supplements or
antacids, do not take
other MVI unless
prescribed by MD
Piperacillin and
Tazobactam
(Zosyn)
Antibiotic
Bacterial infections
(i.e. UTI, bone and
joint infections,
vaginal infections,
stomach infections,
pneumonia etc.)
Penicillin antibiotic
allergies, kidney disease,
bleeding or blood clotting
disorders, low serum
potatssium, CF, low
sodium diet,
cephalosporin antibiotic
allergies
N/V, stomach
pain,
constipation,
diarrhea, anorexia
Potassium
Phosphate &
Sodium Phosphate
(Neutra-Phos)
Prevent kidney
stones
N/V, stomach
pain, diarrhea,
increased thirst
Pancrelipase
Pantoprazole
(Protonix)
Paricalcitol
(Zemplar)
Pancreatic hormone
replacement (lipase,
protease, amylase)
Pravastatin
(Pravachol)
Prochlorperazine
(Compazine)
Promethazine
(Phenergan)
HMG CoA
Reductase Inhibitor;
statins
Antipsychotic,
Antiemetic
Antihistamine,
antiemetic, sedative,
sleep aid
Lower cholesterol
and TGs
diarrhea
Schizophrenia,
anxiety, severe N/V
Treat allergy
symptoms, prevent
motion sickness/N/V,
Dry mouth,
constipation
Avoid alcohol
Dry mouth
Avoid alcohol
IV infusion rate
of 30 mL/hr
provides 790
kcals, for use
<72 hrs low fat
enteral feed or
low fat TPN
Propofol (Diprivan)
Anesthesia, sedative
Slows activity of
brain and nervous
system, before and
during surgery, for
intubated pts on a
ventilator
Pseudoephedrine
(Sudafed)
Decongestant
Sinus congestion
Antipsychotic
Schizophrenia,
bipolar disorder,
major depressive
disorder
Hx of a blood clot,
pregnancy, or breastfeeding
none
Travelers diarrhea
none
none
Quetiapine
(Seroquel)
Raloxifene (Evista)
Rifaxmin (Xifran)
Osteoporosis
treatment &
prevention, breast
cancer prevention in
post-menapausal
women
Antibiotic
Allergies to it
Anorexia, dry
mouth
Increased
appetite, weight
gain, obesity,
anorexia, dry
mouth, abd pain,
constipation
Limit caffeine
Risperidone
(Risperda)
Antipsychotic,
Antimanic
Schizophrenia,
bipolar disorder
Senna (Senokot)
Laxative (alternative
medicine)
Relieve constipation
Pregnancy
Antidepressant,
SSRI
Anorexia, wt loss,
dry mouth, N/V
Phosphate binder
Prevent
hypocalcemia caused
by elevated P,
control P in ERSD
Bowel obstruction
N/V, loss of
appetite, stomach
pains, gas,
bloating, diarrhea,
constipation
Sertraline (Zoloft)
Sevelamer
(Renagel, Renvela)
Simthicone
Antiflatulent
Simvastatin (Zocor)
Antihyperlipidemic,
HMG-CoA
Reductase Inhibitors
Sotalol (Betapace)
Beta- blocker
Relieve painful
pressure caused by
excess gas in
stomach and
intestines
Decrease total &
LDL cholesterol;
decrease risk of
CVD, stroke, etc.
Ventricular
tachycardia &
ventricular
fibrillation
Avoid alcohol,
tryptophan supplement,
grapefruit or citrus
Serious illness
Pregnancy, breast-feeding,
acute liver disease
Avoid alcohol
Avoid grapefruit,
decrease fat and
cholesterol in diet
Antacids can make it
harder to absorb drug,
separate MVI by 2 hrs,
hypercholesterolemia,
avoid alcohol
Spironolactone
(Aldactone)
Antihypertensive,
Diuretic (Ksparing);
Hyperaldosterone
Tx
HTN, hypokalemia,
cirrhosis w/ascites,
PCOS, PMS,
hirsutism, nephrotic
syndrome, K-sparing
adjunct CHF
treatment
Anorexia, wt loss,
increased thirst,
dehydration, dry
mouth, N/V
Sucralfate
(Carafate)
Anti-ulcer
Active duodenal
ulcer
Constipation,
cramps
Tamsulosin
(Flomax)
Alpha-blocker
Improve urination in
men with enlarged
prostate
Nausea, diarrhea
Insomnia, sleep
troubles
Anorexia, wt loss,
increased
appetite,
polydipsia, dry
mouth, increased
salivation, N/V,
constipation,
diarrhea
N/V, diarrhea,
stomach pains,
anorexia, wt loss,
indigestion
Tempazepma
(Restoril)
Topiramate
(Topamax)
Tramadol
Sleep aid
Anticonvulsant
Seizures, migraine
headaches
Narcotic-like pain
reliever
Relieve moderate to
severe pain
Use of alcohol or
sedatives w/in a few
hours, asthma or severe
breathing problems,
Constipation,
N/V, diarrhea,
stomach pain
Avoid excessive K
intake, K supplement,
and salt subs; low Na
and low kcals may be
recommended. Avoid
natural licorice
Avoid alcohol, bland
diet recommended; take
Ca or Mg supplement
or antacids separately
more than 30 mins
Avoid alcohol, take
approx.. 30 mins after
meal at same time each
day
Limit caffeine (<400500 mg/d), caution with
grapefruit and citrus,
caution with soy or egg
allergies, avoid alcohol
Take with adequate
fluid to prevent kidney
stones and electrolyte
embalances; avoid
ketogenic diets
Avoid alcohol
obstruction in stomach or
intestines, <16 years old,
PKU
Trazodone
(Desyrel)
Antidepressant
(heterocyclic)
Valsartan (Diovan)
Angiotensin II
receptor antagonist
Major depressive
disorder, insomnia,
aggression, panic
attacks
HTN, heart failure,
reduce risk of heart
attack
Constipation, dry
mouth, altered
taste
Avoid alcohol
Stomach pain,
diarrhea