GENERIC BRAND DRUG DOSAGE HOW MECHANIS INDICATION CONTRAINDICATI SIDE - NURSING

NAME NAME CLASS AND SUPPLIED M OF ON EFFECTS RESPONSIBILITI

FREQUENC ACTION ES
Y
Gemfibrozil Lopid Antilipemic 600 mg/tab Tablets Chemical Type IV and V Contraindicated in CNS: blurred Before:
OD q Hs Effect: hyperlipidemia pts hypersensitive vision, - Obtain pt’s
Inhibits unresponsive to the drug, those dizziness, triglyceride and
peripheral to diet and with hepatic or fatigue, HDL levels before
starting therapy
lipolysis and other drugs: severe renal dys. headache and regularly
also reduction of Or gallbladder dis. thereafter
reduces risk of GI:
- Be alert for
triglyceride coronary heart abdominal adverse reactions
synthesis in disease and and drug
liver. epigastric interactions
pain, - Assess pt,s and
Therapeutic diarrhea, family, knowledge
: Lowers flatulence, about the drug
therapy
triglyceride nausea,
levels and taste During:
raises HDL perversion,
- Give drug 30 min.
vomiting before breakfast
and dinner
Hematologic:
- Make sure pt is
bone marrow following standard
hypoplasia, low cholesterol
leucopenia, level
severe After:
anemia,
thrombocyto - Teach pt. dietary
management of
penia. lipids (restricting
total fat and
Hepatic: bile cholesterol intake)
ducts - Encourage pt. to
obstruction, exercise and stop
gallstones smoking if he/she
smokes

Musculoskele - Tell pt to observe

tal: painful bowel movt;s and
to report signs of
limbs,
 rhabdomyoly steatorrhea
( nausea, vomiting,
sis abdominal pain
and diarrhea)
Skin:
dermatitis

Source: Springhouse Nurse’s Drug Guide 2008