Generic Name Brand Name Dosage Frequency Indications Contraindications Nx Consideration

Atorvastatin Lipitor • To reduce the risk of • Contraindicated in • Monitor patient’s lipid and
MI, stroke, angina, patients hypertensive liver function levels at baseline
and revascularization to the drug and in and periodically thereafter.
procedures in patients those with active liver • Monitor patient for signs of
with no evidence of disease or conditions rhabdomyolyis, especially if
CAD with multiple linked with taking more than one class of
risk factors. unexplained persistent lipid lowering drugs.
• Heterozygous familial increases in • Asses patient’s and family’s
hypercholesterolemia. transaminase levels. knowledge of drug therapy.
• Adjunct to diet to • Adolescent girl must
reduce elevated LDL, be at least 1 year post-
total cholesterol, apo menarche
B, and triglyceride
levels to increase
HDL level in patients
with primary
hypercholesterolemia
and mixed
dyslipidemia.
Diazepam Valium • Anxiety • Contraindicated in • Obtain history of patient’s
• Acute alcohol patients hypersensitive underlying condition before
withdrawal to the drug or any of therapy, and reassess regularly
• Sedation its components and in thereafter.
• Cardioversion those with angle- • Periodically monitor liver,
closure glaucoma, kidney, and hematopoietic
• Adjunct in seizure
shock, coma, or acute function studies in patient
disorders
alcohol intoxication. receiving repeated or
• Use cautiously in prolonged therapy.
patients with hepatic • Look for adverse reactions and
or renal impairment, drug abuse.
depression, or chronic • Asses patient’s and family’s
open angle glaucoma. knowledge of drug therapy.
Lactulose Cephulac, • Constipation • Contraindicated in • Obtain history of patient’s
Cholac, • To induce bowel patient with low- underlying condition before
Constilac, evacuation in glucose diet. starting therapy, and reassess
Contulose, geriatric patients with • Use cautiously on regularly thereafter to monitor
Enulose colonic retention of patients with diabetes effectiveness.
barium and severe mellitus because drug • Test patient with HBV or HIV
constipation after a contains lactose, before and throughout therapy
barium meal galactose and other because drug isn’t appropriate
examination. sugars. for those dully infected.
• To restore bowel • Monitor renal function before
 movements after
hemorrhoidectomy.
Levocetirizine Xyzal • Seasonal and • Contraindicated in
dihydrochloride perennial allergic patients hypersensitive
rhinitis. to drug or cetirizine.
• Uncomplicated skin • Contraindicated in
manifestations of patients with
chronic idiopathic creatinine clearance
urticaria. less than 10ml/min or
those under
hemodialysis.
• Contraindicated in
patient ages 6 to 11
with impaired renal
function.
Amlodipine Norvasc 5mg/tab 1 tab OD • Chronic stable • Contraindicated to
besylate angina; vasospatic patient hypersensitive
angina. to the drug.
• Hypertension • Use cautiously in
patients taking other
peripheral vasodilators
and those with heart
failure.
• In patients with severe
hepatic disease, use
cautiously and in
reduce dosage because
drug is metabolized by
liver.
Felodipine Plendil, Renedil 5mg/tab 1 tab OD • Hypertension • Contraindicated in
patients hypersensitive
to the drug or any of
its components.
• Use cautiously in
patients with heart
failure, particularly
and during therapy.
• Monitor patient’s CBC,
platelet count, and liver
function. Report any
abnormalities to prescriber.
• Asses patient’s and family’s
knowledge of drug therapy.
• Asses renal function before
and during use.
• Monitor patient for adverse
reaction.
• Asses patient’s and family’s
knowledge of drug therapy.
• Assess patient’s blood pressure
or angina before therapy and
regularly thereafter.
• Monitor patient carefully for
pain. In some patients,
especially those with severe
obstructive coronary artery
disease, increased frequency,
duration, or severity of angina
or even acute MI has
developed after using calcium
channel blocker increase in
dosage.
• Be alert for adverse reactions.
• Asses patient’s and family’s
knowledge of drug therapy.
• Assess patient’s blood pressure
before starting therapy, and
reassess regularly.
• Be alert for adverse reactions
and drug interactions.
• Assess patient’s and family’s
knowledge of drug therapy.
 those receiving beta
blockers, and in
patients with impaired
hepatic function.
Acetaminophen Tempra, 500mg/tab 1 tab q4 P.R.N. • Mild pain and fever • Contraindicated in
(APAP, Biogesic, • Osteoarthritis patients hypersensitive
Paracetamol) Tylenol, Advil to the drug.
• Use cautiously in
patients with a history
of chronic alcohol
abuse because of
hepatotoxicity may
occur after therapeutic
effect.
• Assess patient’s pain or
temperature before or during
therapy.
• Assess patient’s drug history,
and calculate total daily
dosage accordingly.
• Be alert for adverse reactions
and drug interventions.
• Assess patient’s and family’s
knowledge of drug therapy.