FINASTERIDE

Used to treat male patterned baldness

As well As
Enlarged prostate gland

FINASTERIDE

C Hormone, androgen inhibitor, hair stimulant. Used to treat benign prostatic hyperplasia
(enlargement of prostate gland) also to treat male-pattern baldness

H Results will show increased urinary flow; decreased post-voiding dribbling; hair growth within
3-6 months

E may be taken with or without food

C -

side effects may include impotence, decreased libido, sexual dysfunction; consult health care
provider if symptoms are severe or dont go away.
Take at the same time everyday
There are two brand names Propecia results may not occur for 3 months and Proscar results
may take 6-12 months

K -
Pregnant women or women who may become pregnant should not touch crush tablets for
coming contact with the semen of the patient taking this product

Possible secondary malignancy side effect; monitor for symptoms in change of breast size,
lumps, pain, or discharge
Vasopressin

to treat diabetes insipidus
Vasopressin

C Pituitary hormone. And anti-diuretic hormone; Used to treat diabetes insipidus as well as
abnormal Post operative distention

H Results will show absence of severe thirst, decreased urine output
Monitor pulse and blood pressure
Measure I/O ratio, daily weight, fluid electrolyte balance, check for edema in extremities

E IM/SUBCUT bib-qid as needed continuous IV INF 0.0005 units/ kg/hr

C teach patient to measure and record I&O
Avoid alcohol and all over-the-counter medications unless approved by prescriber

K
May cause drowsiness, headache, vertigo, if you experience irregular heartbeat, chest
pain, trouble breathing notify healthcare provider
Monitor for behavioral changes, disorientation, and lethargic as they may be signs of
water intoxication.























Levothyroxine

Levothyroxine

C - Thyroid hormone, used to treat hypothyroidism

H
absence of depression; increased weight loss, absence of constipation;
Periodically monitor blood pressure, pulse, weight and height, routine blood work to
check levels.
E
take at the same time everyday preferably in the morning on an empty stomach,
Separate in acids, iron, and calcium products by four hours

C
Treatment is like long; full effect may take up to six wks
Hyperthyroid child will show immediate behavior/personality change
Avoid OTC preparations with iodine and iodine rich foods
Soy I can decrease thyroid hormone that

K -
can cause anxiety, insomnia, tachycardia, nausea, diarrhea, weight loss, menstrual
irregularities
Contact medical provider if experiencing increased nervousness, excitability, and
irritability which indicate over dosage


PTU propylthiouracil
Used for Hyperthyroidism
& preparation of thyroidectomy
PTU (propylthiouracil)

C Thyroid hormone antagonist; Used for preparation of thyroidectomy, thyrotoxic crisis,
hyperthyroidism

H evaluate therapeutic response by weight gain decreased pulse, decreased T
4
,
decreased BP

E
take with meals to decrease GI upset
Take medication at the same time each day to maintain product level
C
Take pulse daily; keep a graph of weight, pulse and mood
Avoid OTC products and foods containing iodine
Do not discontinue product without consulting healthcare professional because thyroid
crisis may occur
Do not skip doses or double dose
Carry emergency ID listing condition and medication
K
May cause liver disease
Consult healthcare provider if experiencing swelling, sore throat, mouth lesions
Report any fluid buildup around the eyes, mental depression, cold intolerance

famotidine
Pepcid
C:
H2 Histamine receptor antagonist
(H2RAs)- used for treatment of GERD,
peptic ulcer disease, erosive esophagitis,
and also combined to help control upper
GI tract bleeding.
H:
decreased abdominal pain

famotidine
Pepcid
E:
Take exactly as prescribed with water
15mins-1hr before eating
IV form also available
C:
Inform patient that smoking decreases drugs effectiveness
Advise pt. that H2 receptors antagonist are not to be taken within 1 hour of antacids
K:
Remarkably low incidence of adverse effects
Medication can have a narrowing therapeutic range on certain meds such as theophylline,
warfarin, lidocaine and phenytoin.
Inform doctor or pharmacist of any medical history of kidney, liver or long problems.


lansoprazole
Protonix
C:
Proton Pump Inhibitors (PPIs).- 1
st
line
of therapy for erosive esophagitis,
symptomatic GERD that are poorly
responsive to other medical
treatments such as therapy with H2
receptors antagonists, short-term
treatment of active duodenal ulcers
and active benign gastric ulcers,
gastric hypersecretory conditions,
NSAID induced ulcers, and for stress
ulcer prophylaxis.

lansoprazole
Protonix
H:
Decrease in epigastric pain, fullness, and abdominal swelling associated with
peptic ulcer, gastritis, esophagitis, gastric hyperacidity, or hiatal hernia.
Also available as Prevpac for a combined treatment of H. Pyloric infections.
E:
PO take 30 mins before meal
NG Route capsule can be opened and poured of granules in NG feeding syringe
with plunger removed
Oral syringe can be dissolved 15mg/4mL or 30mg/10mL water


lansoprazole
Protonix
C:
Well tolerated
Granules may be sprinkled from the capsule into a tablespoon of applesauce
if needed
K:
Long-term use of PPIs arise new concern of developing osteoporosis
May increase serum levels of diazepam and phenytoin


diphenoxylate/atropine
Lomotil


C:
Antidiarrheals used to treat
diarrhea
Synthetic opiate agonist used to
reduce bowel motility combined
with atropine to dry up body
fluids and slow gut movement.

diphenoxylate/atropine
Lomotil

H:
Decreased diarrhea or constipation
Return of normal bowel patterns
E:
Must be given with adequate fluids
Take exactly as prescribed
Not to exceed maximum amount in a 24hr period


diphenoxylate/atropine
Lomotil
C:
Avoid OTC unless prescribed
Do not use alcohol or CNS depressants
Not to exceed recommended dose
Do not operate heavy machinery due to dizziness or drowsiness
K:
Do not take with MAOIs
Do not give to pregnant women, hepatic disease, ulcerative colitis and severe
hepatic disease.
Product maybe habit forming


lactulose
Enulose
C:
Laxative; ammonia detoxicant
(hyperosmotic). used to chronic
constipation, portalsystemic
encephalopathy in patients with hepatic
disease.
H:
Decreased constipation, decreased
blood ammonia levels, and clearing of
mental state

lactulose
Enulose
C:
Do not use laxatives for long term
To dilute with water or fruit juice to counteract sweet taste
Take on empty stomach for rapid action
Report diarrhea because it may indicate over-dose
K:
Breastfeeding, Pregnancy, geriatric patients, debilitated patients, DM


lactulose
Enulose
E:
Given PO with 8oz with fruit juice, water, milk. May also be taken on an
empty stomach to increase effectiveness.
Kristalose can be dissolved in 4oz water
Rectal route enema has to be diluted with 300ml lactose/700ml of water.
Administer by using rectal balloon catheter.
Metformin
C- Endocrine drug. The purpose: inhibits hepatic glucose production and
increases sensitivity of peripheral tissue to insulin.
H- therapeutic response: decrease in polyurea, absence of dizziness, stable
gait, A1c at normal level, clear sensorium
Giving with meals to reduce GI upset. Can be taking in the morning and
evening.
Do not use with dofetilide; may cause lactic acidosis.


Metformin
C- regularly sel-monitor blood glucose
Must be continued on daily basis
Avoid OTC medications, alcohol unless approved by prescriber
Metformin is not a cure, only controls symptoms. Take with meals
Carry emergency ID and glucagon emergency kit.
Side effects are headache, weakness, dizziness, drowsiness, tinnitus, fatigue,
vertigo, agitation

Metformin
K- assess CBC ( baseline, q3mo) during treatment, check LFTs periodically,
AST, LDH, renal stuies: BUN, creatinine during treatment, glucose, A1c, folic
acid

Glipizide
C- use for type 2 diabetes mellitus. Causes functioning B cells in pancreas to
release insulin, leading to drop in blood glucose levels.
H- Improved serum glucose, absence of dizziness, stable gait, clear
sensorium, decrease in polyurea. Precautions: in pregnancy, cardiac disease,
severe renal/hepatic disease



Glipizide
E- take 30 min before meals. Comes in tablets form. Max 40 mg/day in
divided dose or 15 mg/dose.
C- report bleeding, bruising, weight gain, edema, sore throat. Product must
be continued on daily basis. use sunscreen or stay out of the sun, wear
protective clothing. Do not drink alcohol

Glipizide
K- assess blood glucose, for severe hypoglycemia give IV D50W, then IV
dextrose solution.

Sildenafil
Viagra
C: Erectile agent, antihypertensive, peripheral vasodilator. Phosphodiesterase
type-5 inhibitor.

H: Decreasing pulmonary hypertension, improved exercise tolerance; ability
to perform sexually (male)
Sildenafil
Viagra
E:
Increased fluids, bulk in diet for constipation, urinary
retention
With food, milk for GI symptoms
Crushed if patient unable to swallow
Oral conc: dilute prior to use with 4 oz (1/2 cup) of water,
orange juice, ginger ale, or lemon/lime soda; do not mix with
other liquids
Avoid use with other CNS depressants

Sildenafil
Viagra
C:
Product does not protect against sexually transmitted diseases, including
HIV
Product absorption is reduced with high-fat meal
Notify doctor and stop taking product if vision occurs or erection lasts > 4 hr.
Sildenafil
Viagra
K: Do not to pregnant women, anatomical penile deformities, sickle cell
anemia, leukemia, multiple myeloma, retinitis pigmentosa, bleeding
disorders, active peptic ulceration, CV/renal/hepatic didease, multiproduct
antihypertensive regimens, geriatric patients
Isotretinoin
Accutane
C: Antiacne agent, retinoid. Used for severe recalcitrant
nodulocystic acne
H: Decreased acne production and facial oil
E:
Recommended dosage range for accutane is 0.5-1.0
mg/kg/day givin in two divided doses with food for 15-20
weeks
By mouth: swallow capsule whole, do not crush or chew,
take with full glass of water and do not lie down for 10 min


Isotretinoin
Accutane
C:
Take recommended doses, long term treatment not recommended
Store at controlled room temperature (59-86 F, 15-30 C). Protect from light
Stop using product and call doctor if: depressed mood, sleep problems,
aggression or agitation, change in behavior, hallucination, thought of
suicide, blurred vision, difficulty breathing, swelling of face, lips, tongue or
throat
Isotretinoin
Accutane
K:
Do not give to pregnant women, skeletal, bone mineral density,
hyperostosis, premature epiphyseal closure
Do not flush down toilet or pour in drain
Calcium Acetate
Phoslo
C: Antacid, calcium supplement, calcium product. Used for hypertension
during pregnancy, hyperphosphatemia, not suitable for therapy,
osteoporosis, hypoparathyroidism

H: Decreased acidity, absence of pain, also decreased hyperphosphatemian
with renal failure
Calcium Acetate
Phoslo
E:
PO Route: Do not give enteric-coated within 1 hr of calcium
carbonate
Ulcer treatment: give 1 and 3 hr after meals and at bed time
Phosphate binder: 1 hr after each meal, snack, and at bed
Supplement: 1-1.5 hr after meals; avoid oxalic acid foods
(spinach), phytic acid (cereals) or phosphorous (milk), may
decrease Ca absorption
Suspension: shake well, use calibrated measuring device




Calcium Acetate
Phoslo
C:
Increased fluids to 2L unless contraindictated add; add bulk to diet for
constipation; notify prescriber of constipation
Do not switch unless directed by doctor
Avoid excessive use of alcohol, caffeine, tobacco
Avoid spinach, cereals, diary products in large
amount
Calcium Acetate
Phoslo
K: Do not give to pregnant women, breast feedind, geriatric patients, fluid
restriction, decreased GI mobility, GI obstruction, dehydratation, renal
disease
Alendronate
Fosamax
C:
Bone-resorption inhibitor, bisphosphonate. Used for
treatment and prevention of osteoporosis in postmenopausal
women
Treatment of osteoporosis in men, Pagets disease
Treatment of corticosteroid-induced osteoporosis in
postmenopausal women not receiving estrogen and in men
who are on continuing corticosteroid treatment with low
bone mass
Alendronate
Fosamax
H: Increased bone mass, absence of fractures
E:
Tablet: take with 8 oz water 30 min before 1
st
meal, beverage, or medication of the
day
Do not lie down for 30 min or over after dose, do not take at bedtime or before
rising
Liquid: use oral syringe or calibrated device, give in AM with 2 or more oz water for
30 min or more before meal, beverage, or med
Alendronate
Fosamax
C:
Remain upright for 30 min after dose to prevent esophageal
irritation
If dose is missed, skip, do not double or take later in day. Take in
the AM before meal and other meds with 6-8 oz water (no
mineral)
Perform weight-bearing exercise to increase bone density
Let doctor know if pregnant, breastfeeding. Inform dentist of the
use of this product
Maintain good oral hygiene


Alendronate
Fosamax
C: Do not give to pregnant women, breastfeeding, children, CCr <35 ml/min,
esophageal disease, ulcers, gastritis, poor dental health, increased
esophageal cancer risk
Phenergan
C- Antihistamine. It blocks the effects of the naturally occurring chemical histamine
in your body.

H- Prevent nausea and vomiting

E- Can take with or without food or milk.

C- May cause drowsiness and dizziness, avoid alcohol, and avoid getting sunburn
Do not use CHILDREN younger than 2 years old.

K- Severe allergic reactions; tightness in the chest; swelling of the mouth, face, lips,
or tongue; confusion; excessive sweating; fainting; fever, chills, or sore throat;
hallucinations, and mental or mood changes.

Meclizine
C- Antihistimine. used to treat or prevent nausea, vomiting, and dizziness caused by motion
sickness. Also, used to treat symptoms of vertigo.
H- Prevent nausea and vomiting
E- To prevent motion sickness, take meclizine about 1 hour before you travel or engage in
activity that causes motion sickness.
C-
Be careful if you drive or do anything that requires you to be alert.
Headache; vomiting; dry mouth; tired feeling; or drowsiness.
K- hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Scopolamine
C- anticholinergic. used to relieve nausea, vomiting, and dizziness associated with motion
sickness and recovery from anesthesia and surgery.
H- Prevent nausea and vomiting
E- Take each dose with a full glass of water.
C
Use caution when driving, operating machinery.
Drowsiness, Dizziness, dry mouth, restlessness, blurred vision, dilated pupils, dry or itchy
eyes, flushing, or fast heartbeats.
K- pain and redness of the eyes with dilated pupils; or difficulty urinating.
Tigan
C- Anticholinergic. Treatment of post-op or gastroenteritis-associated nausea and vomiting.

H- Prevent nausea and vomiting

E- Take by mouth on an empty stomach at least 1 hour before or 2 hours after eating
C- Depression, shakiness or tremors, skin rash, sore throat or fever, and unusual tiredness.
Avoid alcohol.

K- Extrapyramidal reactions, may mask emetic signs of disease, drowsiness, blood
dyscrasias, blurred vision, coma, seizures, depression, diarrhea, dizziness, jaundice,
hypotension, headache, muscle cramps, opisthotonos.