Brand Name Generic Name Indication Usual Dose Dose Side Effects
Lorcet; Lortab; Norco; Pain, moderate/ 1-2 tab Q4-6 prn; N/V/C, rash, prurits, urinary
1 hydrocodone/ apap moderately-severe MDD 8 tablets QD
Tablet
retention
Vicodin
abdominal pain, constipation,
2 Lipitor atorvastatin Dyslipidemia 10-80 mg QD Tablet
flatulence, hepatotoxicity
initial 10mg QD,
cough, dizziness, HA, N/V,
Hypertension, CHF, acute maint' 20-40mg QD,
3 Zestril; Prinivil lisinopril MI 5-20mg QD, 5-10mg
Tablet hypotension, angioedema, renal
dysfunction
QD
angina 50-100 mg QD,
Acute MI, angina dizziness, depression, insomnia,
4 Tenormin atenolol pectoris, hypertension
arrythmia 50-100 mg Tablet, IV solution
tiredness, hypotension, lupus
QD, MDD 200mg
1.7 mcg/kg/day
Synthroid; Levothroid; no common decreased bone
5 levothyroxine Hypothyroidism maintenance 100-200 Tablet, powder for IV
density, MI, seizures
Levoxyl mcg QD
Bacterial infection, 500 mg q12h or 250
Capsule, tablet, oral
6 Amoxil; Trimox amoxicillin endocarditis prophylactic, mg q8h, 2g 1 hr prior,
suspension
N/V/D, rash, hypersensitivity
gonorrhea, etc. 3g single dose
25-100 mg QD or BID, hypotension, dizziness,
12.5-25mg initial QD, N/V/D/C, HA, anorexia,
7 Esidrix; Hydrodiuril hydrochlorothiazide Edema, hypertension
increase to 50-100mg
Tablet
impotence, xanthopsia,
QD arrhythmias, lupus
500 mg QD 3 days,
Bacterial infection
8 Zithromax azithromycin (sinusitis, tonsilitis, etc.)
500 mg day 1 250mg Capsule, tablet, poder abdominal pain, N/V/D
days 2-5
anorexia, N/V/D/C, dizziness,
Hypertension, edema, 40mg BID, 20-80mg Tablet, oral solution,
9 Lasix furosemide CHF QD, 250-4000mg QD IV solution
HA, hypotension, aplastic
anemia
5-10mg QD, initial
dizziness, fatigue, flushing, HA,
10 Norvasc amlodipine Angina, hypertension 5mg QD increase to Tablet
MI, angina, arrhythmia
10mg prn
100-400mg QD, 12.5- dizziness, HA, tiredness,
Angina, CHF,
11 Lopressor; Toprol XL metoprolol hypertension
200mg QD, 50-100mg Tablet, IV solution depression, diarrhea,
QD bronchospasm
0.25-0.5mg TID, 0.5-
Anxiety, panic disorders, C, decreased libido, depression,
12 Xanax alprazolam alcohol withdrawal
1mg BID(3-6mg), 0.5- Tablet
dizziness, increased appetite
1mg BID 7-10days
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
2g 1h prior to
Endocarditis prophylaxis,
procedure, 250-500mg N/V/D, rash, hemolytic anemia,
79 Pen-Vee K; Veetids penicillin VK pneumo infections,
Q6, 125-250mg Q6-8
Tablet
hypersensitivity reactions
strepto. infections
for 10 days
abdominal pain, arthralgias,
Hypercholesterolemia,
80 Zetia ezetimibe sitosterolemia
10mg QD Tablet back pain, cough, D, HA,
fatigue, sinusitis
cataracts, Cushing's syndrome,
4-48mg QD, MS
Adrenal insufficiency, euphoria, depression, ulcer,
160mg QD for 1 week
81 Medrol; Solu-Medrol methylprednisolone inflammatory conditions,
then 64mg QOD for 1
Tablet growth depression, HTN,
multiple sclerosis hypokalemia, osteoporosis,
month
glaucoma
anorexia, N, bitter/bad taste,
folic acid deficiency,
1mg QD, 0.5-5mg QD, irritability, confusion, altered
82 Folvite folic acid hyperhomocysteinemia,
0.8-1mg QD
Tablet, IV solution
sleep pattern, allergic
neural tube defects
sensitization
20mg QD for 4-8
Duodenal ulcer, GERD,
weeks, hypersecretory- abdominal pain, N/D, HA,
83 Aciphex rabeprazole H. pylori eradication,
60-120mg QD up to
Tablet
insomnia
hypersecretion
100mg in 1 dose
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
0.125-0.5mg QD,
Capsule, tablet, IV anorexia, N/V/D, HA, visual
101 Digitek; Lanoxin digoxin CHF titrate doses every 2
solution disturbances, arrhythmias
weeks
blurred vision, confusion,
7.5-30mg HS,
fatigue, hangover, lethargy,
102 Restoril temazepam Insomnia gradually taper to Capsule, gel capsule
dependence, N/D, drowsiness,
discontinue
HA, hypotension
400mg QD, 150mg
Bone marrow transplant
single dose, 400mg on Tablet, oral suspension, elevated liver enzymes, HA,
103 Diflucan fluconazole prphylaxis, candidiasis,
first day and 200mg IV solution N/V, rash, itching, anaphylaxis
cryptococcal meningitis
QD for 10 -12 days
Osteoporosis prevention, hot flashes, leg cramps, retinal
104 Evista raloxifene treatment
60mg QD Tablet
vein occlusion
blurred vision, eyelash changes,
1 drop in affected eyes
105 Xalatan latanoprost Glaucoma
QPM
Othphalmic solution eyelid skin darkening, iris
pigmentation, macular edema
allergic skin reactions, injection
individualized,
site pain, lipodystrophy, rash,
106 Lantus insulin glargine Diabetes administered QD same IV solution
diabetic ketoacidosis, severe
time every day
hypoglycemia
angina, atrioventricular block,
bradycardia, fatigue, dizziness,
Angina, CHF,
3.125mg BID initially HA, N/V/D, erectile
107 Coreg carvedilol hypertension, post
up to 50 mg BID
Tablet
dysfunction, rhinitis,
myocardial infarction
hepatotoxicity,
thrombocytopenia
MDI- 2 inhalations
N/V/D, hypertension,
QID, MDD 12/ 24hrs,
tachycardia, HA, dry mouth,
108 Combivent; DuoNeb albuterol/ipratropium COPD inhalation solution- 1- Inhaled solution
dyspepsia, coughing, sinusitis,
3ml vial QID, MDD 6
URI, arrhythmias
doses/24hr
asthenia, GI problems, headache,
109 Crestor rosuvastatin hypercholesterolemia 5-40mg QD tablet myalgia, pharyngitis, upper
respiratory infections
N/V, anorexia, rash, urticaria,
chronic bronchitis,
trimethoprim/ 1 DS tablet or 2 SS Tablet, suspension, IV severe allergic reactions,
110 Bactrim; CoTrim; Septra shigellosis, traveler's
tablets Q12 for 14 days solution fulminant hepatic necrosis,
sulfamethoxazole diarrhea, UTI
aplastic anemia
1g BID for 7-10 days,
N/V, HA, thrombotic
Genital herpes, herpes 1g QD for 5 days, 2g
111 Valtrex valacyclovir labialis, herpes zoster BID for 1 day, 1g TID
Capsule thrombocytopenic purpura,
hemolytic uremic syndrome
for 7 days
abnormal gait, accidental injury,
2.5-10mg IM Q4
Agitation, bipolar asthenia, C, dry mouth,
(MDD 10mg), 5-20mg
112 Zyprexa olanzapine disorder, bipolar mania,
QD, 10-15mg QD, 1-
Tablet dyspepsia, dizziness,
borderline, schizophrenia parkinsonism, tardive
5mg QD, 5-10mg QD
dyskinesia
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
edema, hypotension,
palpitations, anxiety, dizziness,
113 Cardura doxazosin BPH, hypertension 1-16mg QD tablet
fatigue, headache, somnolence,
vertigo, abdominal pain, nausea
asthenia, dizziness, sedation,
10-30 mg IR Q4 prn, N/V/C, dry mouth, pruritis,
114 OxyContin oxycodone Pain
10-40mg CR Q12
Tablet
apnea, respiratory depression,
hypotension
Cushing's syndrome, euphoria,
Dermatoses, neoplastic 8-16mg QD, neo/neph depression, osteoporosis,
Aristocort; Azmacort;
115 triamcinolone disease, nephrotic 16-40mg QD, lupus 3- Tablet, syrup hypertension, GI distress,
Kenalog; Nasocort AQ syndrome, rhinitis, lupus 30mg QD cataracts, glaucoma,
hyperglycemia
amenorrhea, breakthrough
bleeding, spotting, breast
Atropic urethritis,
enlargement, breast tenderness,
vaginitis, breast cancer, Cream, ointment, gel,
Climara; Estrace; Tablet 0.5mg QD, chloasma, melasma, pruritis,
116 estradiol postmenopausal insert, tablet,
depression, headache, edema,
Estraderm; Vivelle osteoporosis, prostate
Patch 0.025mg QD
transdermal patch
weight changes, leukorrhea,
cancer, vulvar atrophy
vaginal discomfort, nausea,
vomiting, skin irritation
abdominal pain, dyspepsia,
fexofenadine/ 1 tablet BID
117 Allegra-D Seasonal allergic rhinitis
(60/120mg)
Tablet agitation, HA, insomnia, nausea,
pseudoephedrine palpitation, URI
abdominal pain, D, flatulence,
Hyperlipidemia, reduction dyspepsia, muscle pain, rash,
118 Lopid gemfibrozil of coronary risk
600mg BID Tablet, capsule
xerostomia, abnormal liver
funtion tests, rhabdomyolysis
Ortho Tri-Cyclen; Ortho abdominal pain, N, HA, breast
1 patch Qweek for 3
ethinyl estradiol/ symptoms, emotional lability,
119 Tri-Cyclen Lo; TriNessa; Contraception weeks, week 4 is patch Tablet
venous thrombosis,
norgestimate free
Tri-Sprintec hypertension, MI
constipation, drowsiness,
Gastroesophageal reflux dystonic reactions, fatigue, fluid
0.15mg/kg, Solution IV, Syrup,
120 Reglan metoclopramide disease, Nausea and
0.25mg/kg/dose IV Tablet
retention, restlessness, sedation,
vomiting tremors
Anxiety, pruritus
121 Atarax; Vistaril hydroxyzine 50-100mg QD Capule, suspension drowsiness, dry mouth, headache
Hypertension, 150mg QD, MDD D, HA, dyspepsia,/heartburn,
122 Avapro irbesartan nephropathy 300mg
Tablet
fatigue, URI, angioedema
asthenia, fatigue, tremor, ataxia,
25-50mg QD initial, confusion, dizziness, diplopia,
200mg BID N, speech or language problems,
123 Topamax topiramate Seizures
maintenance, MDD
tablet, capsule
hyperthermia, anemia,
1600mg leukopenia, dyspnea, hepatic
failure
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
5-10mg/kg/day, MDD
anorexia, alopecia, asthenia,
60mg/kg/day,
Epilepsy, mania, migraine ataxia, N/V/D, HA, diplopia,
134 Depakote divalproex prophylaxis
750mg/day, 250mg capsule
weight changes, hepatic failure,
BID, MDD
thrombocytopenia
1000mg/day
10mg QD,
maintenance 20-40mg cough, dizziness, edema,
135 Lotensin benazapril Hypertension, CHF QD, MDD 80mg QD, Tablet hyperkalemia, hypotension,
5mg QD maintenance angioedema
5-10mg QD
Initial 200mg, then dizziness, light-headedness,
136 Minocin minocycline Infection, Acne
100mg BID
capsule
vertigo
abnormal dreams/thinking,
somnolence, C, increased
15mg HS, MDD 45mg
137 Remeron mirtazapine Depression
HS
Tablet appetite, weight gain,
agranulocytopenia, mania,
seizures
Cushing's syndrome, epistaxis,
2 sprays each nostril HA, nasal dryness/stinging,
138 Pulmicort; Rhinocort Aqua budesonide Rhinitis
BID
Inhaler, spray
throat irritation, cataract,
glaucoma, adrenal suppression
bradycardia, AV block,
Angina, anxiety, 80-320mg IR QD cognitive dysfunction,
139 Inderal propranolol arrhythmias, CHF, divided doses, low Tablet, capsule, IV depression, insomnia, parethesia,
hypertension, migraine initial titrate to dose anorexia, N/V, dyspnea,
bronchospasm
N/V/C, sedation, heart rate
Cough, upper respiratory 5ml orally Q4-6 not to changes, blood pressure
140 Phenergan/ Codeine promethazine/ codeine symptoms exceed 30ml/day
Syrup
changes, respiratory
depression
1mg HS initial, 1- edema, hypotension, palpitation,
Benign prostatic 10mg HS MDD 20mg tachycardia, asthenia, dizziness,
141 Hytrin terazosin hyperplasia, hypertension QD, 1-5mg QD-BID
Capsule
nasal congestion, blurred vision,
MDD 20-40mg QD blood dyscrasias, priapism
N, HA, abdominal pain, back
1 tablet QD
conjugated estrogens/ Menopausal symptoms, pain, depression, deep vein
142 Premphase; Prempro osteoporosis
(0.625/2.5mg) or Tablet
thrombosis, stroke, myocardial
medroxyprogesterone (0.625/5mg)
infarction
anorexia, N/V/D, fatigue,
143 Aricept donepezil Alzheimers type dementia 5-10mg HS Tablet, solution
insomnia, muscle cramps
blurred vision, dizziness,
headache, nausea, nervousness,
144 BuSpar buspirone Anxiety 5-7.5mg BID Tablet
excitement, anger/hostility,
confusion, numbness, weakness
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 50 Drugs Used in Hospitals in 2004
Brand Name Generic Name Dosage Forms Indication Dose Side Effects
anemia in cancer,
150u/kg iv/sc 3xwk
HIV, renal failure, arthralgias,clotted
1 Epogen; Procrit (erythropoietic) epoetin alfa SC x8wks, then access,HA,CVA,DVT,HTN,MI,s
reduction of blood eizure
300u/kg 3xwk
transfusion
DVT, ischemic-
non-QT post-MI, 1mg/kg sq q12h x erythema, pain, anemia, fever,
2 Lovenox (anticoagulant/LMWH) enoxaparin deep SC diarrhea, nausea, confusion,
ischemic unstabe 5-17days dyspnea, edema
angina
gram(-) infection
(bone/joint;
gonorrhea; lower
Rocephin (3rd gen A=1-2g q12- diarrhea;pain@injec;rash;↑liver
3 ceftriaxone IV/IM resp; meningitis; enzyme;revserse gallbladder
cephalosporin) 24h;max 4g/day dx;hemolysis (rare)
otitis media; PID;
septicemia; UTI;
skin
nausea/vomit post- 32mg/IV q30 min
Zofran (antiemtic;CNS & 5-HT
4 ondansetron SC;tab;ODT;sol op; prior; 8mg q30 min diarrhea; constipation; dry mouth;
HA; malaise/fatigue; anaphylaxis
receptor antagonist)
chemo/radiation prior then q8h
anemia in cancer,
2.25mcg/kg qwk;
renal edema; fatigue; diarrhea; N/V;
5 Aranesp (erthyropoietic) darbepoetin alfa SC may ↑ to 4.5 HA; HTN; dehydration; dyspnea;
failure/insufficienc fever; arrthymia; sepsis; CHF;
mcg/kg
y
RA; crohn's dx; 3mg/kg over 2h at
Remicade (tumor necrosis factor ab pain; N/V; hepatotox (rare);
6 infliximab IV ankylosing wks0,2,6 then fungal infection; lymphoma;
α neutralizer) blood dyscrasias
spondylitis q8wks
prevention of
Neulasta (hematopoietic/colony 6 mg once per bone pain; N/V; flu-like sx; adult
7 pegfilgrastim SC febrile neutropenia resp distress syndrome; sickle cell
stim factor) chemo cycle crisis; splenic rupture (rare)
in chemo pts
B-cell, non-
Rituxan 375 mg/m2 qwk x4- lyphopenia;
N/V; HA; dizziness; rash;
8 rituximab IV hodgkins angina; sepsis; renal
(antineoplastic/monoclonal Ab) 8 doses tox; steven-johnson syndrome;
lymphoma
PCN resistant β-
lactamase
organism;
9 Zosyn (extended spectrum PCN) piperacillin/tazobactam IV (pwd) 3.375 g/iv q 6h allergicrash;
rxn; N/V; diarrhea; HA;
injection rxn
appendicitis; PID;
peritonitis;
pneumonia
myeloid leukemia
10mcg/kg/day
receiving chemo;
Neupogen hematopoietic/colony given IV over 4- resp
bone pain; N/V; flu-like sx; adult
10 filgrastim IV/SC pbone marrow distress syndrome; sickle cell
stim factor) 24h; 5mcg/kg/day crisis; splenic rupture (rare)
transplant;
SC
neutropenia
2mcg/kg bolus then
Natrecor CHF (acutely hypotension; CNS; solmnolence;
11 nesiritide IV 0.001mcg/kg/min tremor; nausea; facial itching
(adrenergic/cardiovascular) decompenstated
contin IV
induction=20-40mg
anesthesia; q10sec
12 Diprivan (anesthetic adjunct) propofol IV injection pain; invol. Muscle move; N/V; anaphylaxis
sedation maintain=50-
200mcg/kg/min
IV bolus=
Integrilin (iibiiia 180mcg/kg; MD minor bleeding; hypotension;
ACS w/ or w/o
13 inhibitor/platelet aggregation eptifibatide IV 22.6mg; maintain= major bleeding; hemorrhagic
PCI stroke
inhibitor) 2mcg/kg/min;MD
15mg/hr x72hr
measles; rubella;
varicella; ped HIV; facial flushing; infusion
Carimune NF; Gammar-P IV; B-cell lymphoma; depends on dx rxn(fever,HA; N/V); local pain;
14 immune globulin IV acute renal failure; anaphylaxis;
Polygam S/D (immune serum) bone marrow being treated anemia; thrombosis; steven-
transplant; johnson; acute resp. distress
Hepatitis A
HC=4mg
hypercalcemia of infusion>15min; ab pain; N/V/D; alopecia;
malignancy; repeat in 7 days dermatitis; arthraglia; bone pain;
Zometa (Ca regulator;
++
myalgia; chills; fever; fatigue;
19 zoledronic acid IV (pwd) multiple myeloma prn; MM=4mg cough; dyspnea; HA; UTI; URTI;
bisphosphonate)
& metastatic bone infusion>15min 3- hypophosphatemia; hypoK;
hypoMG; anemia; renal tox
lesion 4x wk + oral Ca
w/vitD
aspergillosis;
candida infection; 70mg infusion day
candidemia; 1; then 50mg/day; facial swelling; fever; HA; ↑ liver
20 Cancidas (antifungal/systemic) caspofungin IV (pwd) enzyme; N/V; infusion rxn;
empirical tx for duration depends pruritus; rash
fugnal infection in on dx & response
febrile neutropenia
B=1250mg/m2 on
days 1 & 8 of each
21 day cycle;
L=same for 3wk tx; cutaneous rxn; flu-like sx; N/V;
breast cancer; lung
Gemzar 4wk peripheral edema; proteinuria;
21 gemcitabine IV (pwd) cancer; pancreatic hepatotoxicity; arrhythmia; CHF;
(antineoplastic/antimetabolite) tx=1000mg/m2 on MI; pulm toxicity; renal failure;
cancer myleosuppression; vasculitis
days 1,8,&15 of
28day cycle;
P=1000mg/m2/wk
for 7 wks
0.25mg/kg bolus
PCI; unstable over 5min; then
ReoPro (iibiiia inhibitor/platelet hypotension; minor bleeding;
22 abciximab IV angina undergoing 0.125mcg/kg/min N/V; major bleeding;
aggregation inhibitor) thrombocytopenia
PCI (max 10
mcg/min)for 10hr;
hemostatis of
Thrombin-JMI (topical 100units /ml allergic rxn; antibody
23 thrombin sol; pwd accessible formation(rare)
hemostatic) topically prn
capillaries/venules
gram(-) infection
(bone/joint;
dose depends on
endocarditis; lower
where infection;
resp;
mild/mod infection injection
N/V/D; thrombophelbitis;
24 Primaxin (antibiotic) cilastatin/imipenem IV; IM (pwd) gynecological; pain; anaphylaxis(rare);
= 250-500mg q6h seizures(high doses)
intra-ab;
IV; IM=500-750mg
polymicrobic;
q12hr
septicemia; skin;
UTI;
gram(+)infection
(entercoccus-
resistant
strain/S.aureas-
resistant strain 600mg IV/oral
only); S.agalactiae, q12h-duration N/V/D; optic & peripheral
25 Zyvox (anti-infective/antibiotic) linezolid tab; oral susp; IV neuropathy; myleosuppression
S.pneumoniae, depends on
S.pyogenes infection type
infections;
pneumonia; skin &
skin structure
infection
severe fungal
Abelcet; Ambisome anemia; chills; fever; N/V/D;
infection
(antiinfective; systemic 5mg/kg/day x2 dyspnea; hypoK; hypotension;
41 amphotericin B oral susp/IV susp refractory/intolera anaphylaxis(rare); multiple organ
antifungal; antiprotozoal; wks+ failure; nephrotoxicity; resp.
nt to conventional failure
polyene antibiotic)
amphotericin B
asthenia; HA; ab pain; anorexia;
constipation; diarrhea; stomatits;
Avastin (antineoplastic; nausea; dyspnea; upper resp
humanized monoclonal antibody; colorectal 5mg/kg over 90min infection; epistaxis; exfoliative
42 bevacizumab IV dermatitis; proteinurea; arterial
vascular endothelial growth carcinoma every 2wks thrombosis; CHF; gastro
factor antagonist) perforation; hypertensive crisis;
nephrotic syndrome; wound heal
comps
acute coronary 0.4mcg/kg/min x minor bleeding; bradycardia;
syndrome 30mins; then dizziness; major bleeding;
43 Aggrastat tirofiban IV coronary artery dissection;
undergoing 0.1mcg/kg/min x thrombocytopenia
angioplasty 24-48hours
0.6 mg/kg; then
Zemuron (non-depolarizing intubation; skeletal injection pain; anaphylatic
44 rocuronium IV 0.01-0.012 rxn(rare); arrhythmia(rare); HTN;
neuromuscular blocker) muscle relaxation
mg/kg/min infusion hypotension; tachycardia(rare)
PO=800-1600mg
QD x3wks; then bradycardia; corneal deposits;
titrate down to 600- hypotension; malaise; fatigue;
800 mg QD N/V; constipation; anorexia;
periph. Neuropathy; photosens;
Cordarone; Pacerone (group iii ventricular x1mon; poor coord/gait; tremor; visual
45 amiodarone tab/IV disturb; arrhythmia; CHF;
antiarrhythmic) arrhythmias IV=15mg/min hepatotoxicity; pulm tox; shock;
x10min; 1mg/kg steven-johnson syndrome;
x6hr; 0.5mg/min thrombocytopenia; thyroid
abnorm
x18hr; then
0.5mg/min
infection(S.M.&C.
pneumoniae
S.aureus;
S.pyogenes;
H.influenzae; 400mg 1-10days
M.catarrhalis; depending type nausea; diarrhea; dizziness; HA;
vaginitis; hyper/hypoglycemia;
46 Tequin; Zymar (fluoroquinolone) gatifloxacin tab/IV/ eye gtt E.coli; infection;gttts=1q2 periph. Neuropathy; tendon
N.gonorrheae) hx2days; rupture; torsades de pointes(rare)
chronic bronchitis; 1QIDx5days
pneumonia; bact
conjuctivitis;
sinusitis; skin/skin
structure; UTI
0.3-
0.35mg/k+F45g IV
balance anesthesia
over 20-30 sec; full
supplementation; hicoughs; N/V; cough;
effect 2min; "oversedation"; HA; drowsiness;
induction general
Versed (anesthetic sed=0.25mg/kg 20- agitation; invol. Movements;
47 midazolam IV/IM; tab anesthesia; apnea; ↓tidal volume & resp rate;
adjunct/benzo/sedative/hypnotic) 30sec 1hr before; oxygen desaturation(esp child);
sedation of mech resp arrest (rare); cardiac arrest
intubated pts=0.05-
vent pts; sedation; (rare); hypotensive crisis
0.2mg/kg loading
amnesia
then 1-
2mcg/kg/min
acute liver failur;
acute nephrosis;
adult resp distress
burns= 5-25%until
syndrome; burns;
reach albumin
Albuminar-5; Albuminar-25 cardiopulm
2.5g/100ml; serious= hypersensitivity (chills;
48 (blood modifier/volume albumin human IV bypass; newborn fever; urticaria(rare))
HoP=200-300ml
expander) hemolytic dx;
25% sol; max
hypoproteinemia;
2g/kg/day
hypovolemic
shock; renal
dialysis
S.aureus;
S.epidermidis;
group A beta-
hemolytic
streptococci;
S.pneumoniae;
N/V/D; thrombocytopenia;
E.coli; biliary tract mild=250-500mg
Ancef (1st generation leukopenia(rare);
49 cefazolin IV/IM infection; bone & Q8hr; mod/sev= pseudomembranous colitis;
cephalosporin) hepatoxicity; steven-johnson
joint; endocarditis; 0.5-1g Q6-8hr syndrome
genital;
perioperative
prophylaxis; resp
tract; skin/skin
struc infections;
UTI
acromegaly;
diarrhea & ab discomfort; constipation;
A= 50mcg TID;
flushing due to diarrhea; flatulence; nausea;
Sandostatin 100-500mcg TID; biliary tract abnorm; dizziness;
carcinoid tumor; HA; hyper/hypoglycemia;
50 (endocrine/metabolic/somatostati sevoflurane IV/SC/IM doses depend what hypothyroid; injection pain;
diarrhea assoc
n analogue) treating for & pancreatitis; arrhythmia;
w/vasoactive conduction abnorm; sinus
IV/SC/IM bradycardia; worsening CHF
intestinal peptide
tumor
allergic
rhinitis,common
cold,fever,HA,inso 1 ta or cap PO hs or as directed by a
acetaminophen/diphenhydramine Tylenol PM mnia,mild physician. drowsiness
pain,myalgia,pruritu
s,rhinorrhea,sneezin
g
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
relieves heartburn
famotidine/calcium associated with acid
Pepcid Complete chew 1 tablet,mdd2 constipation, flatulence
carbonate/magnesium hydroxide indigestion and sour
stomach
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
relieves heartburn
associated with acid skin rash, pruritus, diarrhea,N &
10 ranitidine Zantac 400 mg bid V,constipation
indigestion and sour
stomach
diarrhea, travelers
11 bismuth Pepto-Bismol diarrhea prevention, 525mg 30m-1 hr, mdd 4.2 g GI
h pylori infection
LAXATIVE, granules, oral: 1 to 2
constipation,anal rounded teaspoons (6 grams per
12 psyllium Metamucil fissures,hemorrhoids teaspoon) in the evening and/or before abdominal distention, flatulence
,IBS breakfast
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
nasal congestion,
nervousness
sinus pressure, sinus
apap/doxylamine/pseudoephedrin pain,ha, runny
Tylenol Sinus Night
e nose,sneezing, itchy
15 watery eyes,itching 2 every 4-6 hrs,mdd 8
nose/throat
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
17 docosanol Abreva herpes labialis apply 5 times a day until lesions healed application site reaction, ha
diarrhea,
take 2 with water after first loose stool,
loperamide/simethicone Imodium Advanced bloating,pressure,cra then 1 if needed, mdd4
mps (gas)
bacitracin/polymyxin B Polysporin antibacterial apply small amount 1-3 x daily rash
19
neomycin/polymixin B/bacitracin Neosporin antibacterial apply small amount 1-3 x daily rash
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
arhtritis, diabetic
21 capsaicin Icy Hot; Zostrix neuropathy,postherp apply thin film 3-5x day irritation, burning, stinging,erythema
etic neuralgia
Constipation: 5-15 mg ORALLY once
constipation, prep daily up to 30 mg/day, pediatric (6-
22 bisacodyl Dulcolax 11yrs) 5 mg once daily
GI
for bowel procedure
allergic
Coricidin HBP Cold & rhinitis,ha,mild/mod
acetaminophen/ chlorpheniramine 2 po q 4 hrs,mdd 8 rash
Flu erate,
rhinorrhea,sneezing
23 allergic
rhinitis,common
acetaminophen/chlorpheniramine/
cold, cough,
dextromethorphan/pseudoephedri Theraflu Severe Cold every 4-6 hours nervous, dizzy, sleepless
fever,ha,mild
ne
pain,congestion,rhin
orrhea, sneezing
aspirin/citric acid/sodium dyspepsia,ha,mild 1-2 tabs dissolved in 120 mls q 4-
24 Alka-Seltzer 6,mdd8
bicarbonate pain,myalgia
arthalgia,bursitis,mil
25 methylsalicylate BenGay d pain, apply 3-4 xday
myalgia,tendinitis
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
Relieves: heartburn,
sour stomach, acid ROLAIDS is generally well tolerated.
indigestion, upset Chew 2 to 4 tablets, hourly if needed. Constipation or stomach cramps may occur.
30 calcium/magnesium Rolaids Tell your doctor immediately if any of these
stomach due to these serious side effects occur: loss of appetite,
symptoms. vomiting, dizziness, headache.
LAMISIL AT is an
antifungal used on For athlete's foot between the toes spray
the skin to treat skin twice a day (morning and night) for 1 burning, redness or irritation the first few
week or as directed by a doctor. For days as your body adjusts to the medication.
32 terbinafine Lamisil AT infections such as jock itch and ringworm spray affected Notify your doctor if your develop: swelling,
athlete's foot, jock area once a day (morning or night) for 1 oozing, blistering.
itch or ringworm. week
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
constipation, upset
stomach caused by
heartburn, acid
indigestion or sour
stomach; for peptic 1 to 2 tablespoonsful. Children 6 to 11 diarrhea. If diarrhea persists or worsens,
Phillips Milk of Magnesia ulcer, hiatal hernia years: 1/2 to 1 tablespoonful. Children inform your doctor. Notify your doctor if the
33 magnesium hydroxide under 6 years: ask a doctor. following effects occur: black/tarry stools or
(MOM) or other conditions rectal bleeding.
caused by excess
stomach acid; and to
prevent ulcers or
bleeding from
ulcers.
To regrow hair on
top of the scalp
If excessive amounts of ROGAINE are
(vertex only). Not Apply 1 mL with dropper or sprayer (6 absorbed through the skin, headache, nausea,
34 minoxidil Rogaine intended for frontal sprays) 2 times a day directly onto the vomiting, dizziness, change in heart rate or
scalp in the hair loss area. blood pressure, chest pain, swelling of hands
baldness or receding or feet, or fatigue may occur.
hairline.
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
40
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
Temporarily relieves
40 cough due to minor
throat and bronchial
Irritation and nasal Do not exceedperiod.
6 doses in a 24-hour
congestion as may Adult Dose: 2 teaspoonfuls every 4 hrs. Mild dizziness, mild drowsiness, headache,
occur with a cold. Child Dose: 6yrs. to under 12yrs. loss of appetite, nausea, dry mouth or
dextromethorphan/guaifenesin/ nervousness may occur. Notify your doctor if
Robitussin CF Helps loosen 1 teaspoonful every 4 hours. you develop: chest pain, rapid pulse, skin
pseudoephedrine 2yrs. to under 6yrs.
phlegm (mucus) and rash, painful or difficult urination, tremors,
1/2 teaspoonful every 4 hrs. extreme nervousness, trouble sleeping.
thin bronchial Under 2-Consult Your Doctor.
secretions to make
coughs more
productive.
Calcium
Supplement:
Antacid/Antigas: nausea, loss of appetite, constipation or
Calcium Supplement: Chew 2 tablets
For the relief of acid twice diarrhea, weakness, or headache.Notify your
aluminum/magnesium Maalox daily. Antacid/Antigas: Chew 1 doctor if you notice black, tarry stools while
indigestion, to 2 tablets as symptoms occur taking MAALOX.
heartburn, sour
42 stomach, upset
stomach
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
42 Top 50 OTC Products in 2004
Relieves bloating, Take 1-2 softgels as needed after meals generally well tolerated. Notify your doctor
aluminum/magnesium/simethicon if you develop: loss of appetite, vomiting,
Mylanta pressure, and and at bedtime. Do not exceed 4 dizziness, headache. Constipation and
e softgels per day
discomfort of gas stomach cramps may occur.
sinus congestion.
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
one hour before travel starts. take 1 to May cause drowsiness, blurred vision,
48 meclizine Bonine motion sickness. 2 tablets once daily stomach upset, headache or dry mouth.
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
Temporary relief of
itching and pain temporary redness or minor irritation when
associated with Apply to affected area not more than 3 first applied. Notify your doctor if you
50 calamine/pramoxine Caladryl to 4 times daily. develop: swelling/itching/rash where the
rashes; dries medication was applied.
oozing/weeping
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 30 Common Herbals/Dietary Supplements
1.CHF
2.prevent cardiotoxicity
100mg BID or TID; 50
assoc w/doxorubicin chemotherapeutic
mg QD; 300,600,1200mg
3.huntington's dx well tolerated; most are agents=specifically alkylating
5 Coenzyme-Q10 in 4 divided dose; 200mg agents warfarin=↓ anticoagulation
4.parkinson's dx GI(<1%)
QD; 150-160 mgQD or effects
5.stimulate HIV pt
2mg/kg/day
immune fxn
6.mitochondrial disorder
* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements
1.UTI
generally well tolerated;
2.prevention urinary UTI preven=1-10oz
large doses induce GI
catheter blockage juice/day; DM=6 caps cyp450 2c9 substrates=
6 Cranberry upset & diarrhea; long ↓metabolism; warfarin=↑INR
3.DM type 2 (240ml juice equiv)/day
term causes uric acid
4.scurvy for 12 wks
kidney stone
5.antipyretic
1.hypertriglyceridemia
2.RA
approx 3-4 grams/day GI- belching; N/D; heart anticoagulants= ↑effect; vit E=↓vit
11 Fish Oil (Omega-3) 3.HTN E levels
(upto 6 gm/d) burn
4.psorisis
5.CV risk
* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements
1.hyperlipidemia
15-30ml/day;
12 Flaxseed Oil 2.laxative 3.EFA diarrhea; allergic rxn anticoag/antiplat=↑ effect
(>30gm/day)
source
1.motion sickness
2.morning sickness 500-2000mg dried pwd ab discomfort; heartburn; anticoag/antiplat= theoretical risk
(inhibition); BP
14 Ginger 3.vertigo root in 3-4 times/day; or diarrhea; pepper-like antidiabetic/cardiac meds=may
4.others (OA, migraine, 1g 1-4hrs prior to travel irritation; interfere w/effect of each
post-op N/V)
GI=nausea; heartburn;
1500mg po QD or in 3 antidiabetics=may ↑ insulin
1.osteoarthritis 2.TMJ diarrhea; constipation;
16 Glucosamine / Chondroitin doses (OA); 500mg TID resistance/↓ production; etoposide
arthritis caution in patients with and doxorubicin
(TMJ)
shellfish allergy
1.prevention of
dried root/tea=0.5-1g b-vits=↓ absorption;
infection/GI disorder GI upset; hallucination;
17 Goldenseal TID; mouthwash=2 tsp in PPI/H2RA/antacid= ↓ effect;
2.mouthwash & eyewash delirium; ↓BP; skin ulcer sedative= ↑ effect; inhibit 3A4
150 ml TID-QID
for inflammed tissue
* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements
1.antioxidant 2.venous
18 Grapeseed 150-300mg/day some hepatotoxicity warfarin= ↑ bleeding risk
insufficiency
1.improved cognitive fxn dyspepsia; flatulence; caffeine/cimetidine=↑ ADR;
2.GI disorder nausea; vomiting; iron=↓ absorption;
240-320mg polyphenols warfarin=↓effect; CNS
19 Green Tea Extract 3.headache agitation; dizziness;
(3 cups tea) depressents=↓effect;
4.cancer insomnia; tremors; antiplat=↑effect; lithium= abrupt
5.hypercholesteremia restlessness withdrawal↑ levels
CI=pregnancy/lactation;
general use= (dried GI disturbances; digoxin=↑toxicity risk;
fruit)=0.3-1g or tea TID palpitation; HA; dizziness; vasodilator= additive effect; cardio
20 Hawthorne 1.heart failure
po; HF=12-15mg divided sleeplessness; agitation; med= may enhace/interfere others;
TID po x6 wks bronchospasm; chest pain; CNS depress=additive effect
derm rxn
1.insomnia
2.jet lag
1&2=0.3-5mg qHS; INH/immunosup/BDZ=↑ effect
3.BDZ & nicotine ↑HR; sedation; HA;
22 Melatonin 3=2MG qHS x6wks; BDZ; β-block/CCB=↓ effect of
withdrawal confusion; ↓BP; irritability BP; SSRI/steroid/TCA= ↓ effect
4&5=10-50mg QD
4.antioxidant
5.chemotherapy
* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements
1.chronic pain
MSM
24 2.arthritis 1000-3000mg po QD GI; HA; pruritis; allergy none
(Methylsulfonylmethane)
3.joint inflammation
antidepres=additive serotonergic
1.depression flatulence; N/V/D; effect; dextromethorphan=possibly
2.heart disease constipation; dry mouth; additive sertonergic effects;
25 SAM-e 3.fibormyalgia 400-1600mg/day; HA; insomnia; anorexia; levodopa=↓ effect; meperidine=
4.osteoarthritis sweating; dizziness; additive sero effect;
MAOI=serotonin syndrome;
5.alzheimer's dx/dementia nervousness
tramadol=additive sero effect
anticoag/antiplat=↑ bleeding;
1.treatment sx BPH 160mg BID lipophilic rare=well tolerated mild
26 Saw Palmetto hormone tx=may interfere
2.treatment of alopecia extract 80-90% fatty acids GI intolerance w/effects
1.menopausal sx
constipation; bloating; antibiotics= ↓AB efficacy;
27 Soy Isoflavones 2.hyperlipidemia 3.OP 20-60 g/day tamoxifen= ↓ T efficacy
nausea; allergic rxn
prevention
triptan=serotonin syndrome;
insomnia; vivid dreams; antidep=↑ serotogenic; cyp3a4
1.depression 2.antiviral
28 St. John's Wort 300 mg TID anxiety; GI disturbance; inducer==↓ CBZ; cyclosporine;
3.OCD NNRTI; oral contracept; protease
photoderm
inhib; digoxin; theophyl
* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.