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135 Cards in this Set

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Hydrocodone/APAP

Avoid alcohol. Use caution when performing tasks that require mental alertness.
Atorvastatin
Can be taken w/o regard to food or time of day. Advise avoidance of excessive alcohol consumption. Recommended daily limit = 2 drinks / day for men and 1 drink / day for women. Counsel women of childbearing age to let their doctor know if they become pregnant or plan to become pregnant. Tell patient to report any abnormal muscle pain, cramping, or weakness, or brown urine (signs of rhabdomyolysis). Report yellowing of the skin or eyes (signs of liver damage).
Levothyroxine
Take on empty stomach 30 min to 1 hr before the first meal with a full glass of water. Counsel on signs of hypo- and hyperthyroidism. Signs of Hypothyroidism: increases sensitivity to cold, constipation, depression, fatigue, heavier menstrual periods, muscle or joint soreness, pailness or dry skin, thin brittle hair or fingernails, unintentional weight gain. Patients who have diabetes will need to monitor their blood glucose more closely, especially during initial treatment.
Lisinopril
Suggest taking first dose at bedtime to reduce risks associated with hypotension. Common side effects are GI upset, headache, and dizziness. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Contact doctor if dry, unproductive cough develops. Avoid salt substitutes containing potassium. Counsel women of childbearing age to contact their doctor if they become pregnant or plan to become pregnant. Seek medical attention in the event of angioedema (development of welts or swelling of face, lips, throat, or tongue).
Amoxicillin
Taking with food may reduce GI upset. Counsel patients to take the entire prescription, even if they feel better. Talk to the doctor if condition worsens or does not improve upon completing the prescription. Can decrease the effectiveness of birth control, so recommend using a backup form of contraception.
Esomeprazole
Take 1 hr before breakfast each day. Swallow capsules whole. Contents of the capsule can be mixed w/ a tablespoon of applesause, but do not chew or warm the mixture.
Clopidogrel
May take longer to stop bleeding. Seek medical help if they have bleeding that won't stop. Report any abnormal chest pain, shortness of breath, or rash.
Metoprolol Tartrate
Do not stop taking metoprolol w/o talking with your doctor (danger of rebound hypertension). Continue to take the medication, even if you feel better. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Avoid alcohol, which may increase sedation and dizziness with metoprolol. If diabetic, warn that BBs can mask the s/s of hypoglycemia, except sweating.
Montelukast
Tell patients to take every evening, even if they feel better. Let them know it may take several weeks to see an effect. Remind it is not for use for a current asthma attack (use a fast acting inhaler instead). Granules may be taken directly or may be mixed with applesause, carrots, rice, ice cream, baby formula or breast milk. Report any mood or behavioral changes, such as anxiety, depression, or suicidal thoughts, to a doctor.
Escitalopram
Tell the patient not to stop taking the medication or change the dose without talking with the doctor first, even if they feel better. Avoid caffeine or alcohol. Avoid tasks that require mental alertness until response to the medication is known. Doses can be taken w/ or w/o regard to food or time of day. Counsel women of childbearing age to inform their doctor if they become pregnant or plan to become pregnant.
Albuterol Inhaler
Go over how to use the inhaler and how to prime it, i.e. 4 test sprays into the air. Prime before 1st use and if the inhaler hasn't been used in 2 wks. Exhale, inhale deeply while accuating the inhaler, hold breath for 10 sec, and wait for 1 min before repeating. Patients should always keep their inhaler with them.
Simvastatin
Take simvastatin in the evening. Advise avoidance of excessive alcohol consumption. Recommended daily limit = 2 drinks / day for men and 1 drink / day for women. Tell patient to report any abnormal muscle pain, cramping, or weakness, or brown urine (signs of rhabdomyolysis). Report yellowing of the skin or eyes (signs of liver damage).
Amlodipine
Can be taken w/ or w/o food. Tell patient to take the medication every day, even if they feel better. Tell them to call their doctor if they experience abrupt unintentional weight gain (3 to 5 lbs / wk) as it could be a sign of edema.
Azithromycin
Advise patients to take all of the medicine, even if they feel better. Taking with food may help decrease GI upset. Report any severe or persistent GI upset. If taking the suspension, shake well before use.
Metformin
Go over the main ADRs (mainly diarrhea). Take metformin with meals to decrease GI effects. Do not crush or chew the tablets. Avoid excess alcohol. Go over the signs and symptoms of hypoglycemia: feeling ill, headache, hunger, sweating, confusion, irritability, and rapid heart rate.
Metoprolol Succinate
Do not stop taking metoprolol w/o talking with your doctor (danger of rebound hypertension). Continue to take the medication, even if you feel better. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Avoid alcohol, which may increase sedation and dizziness with metoprolol. If diabetic, warn that BBs can mask the s/s of hypoglycemia, except sweating.
Hydrochlorothiazide
Take in the morning to avoid nocturnal diuresis. Can cause hypotension, so go from lying or sitting to standing slowly. Can cause photosensitivity, so wear sunscreen and avoid prolonged direct sunlight. If the patient has diabetes, monitor blood glucose closely, especially during the initiation of therapy.
Rosuvastatin
Can be taken any time of day. Avoid excess alcohol (do not exceed two drinks a day in men or one a day in women). Common side effects include headache and GI upset. Counsel women of childbearing age to let their doctor know if they become pregnant or plan to become pregnant. Report any abnormal muscle pain, tenderness, weakness, or brown urine (signs of rhabdomyolysis). Report any yellowing of the skin or eyes (signs of liver damage).
Furosemide
Take in the morning, w/ food to decrease GI upset. Postural hypotension may occur, so go slowly from lying or sitting to standing. The medication needs to be protected from light. Can cause photosensitivity, so wear sunscreen and avoid prolonged direct sunlight. Report any significant weight gain or loss. If the patient has diabetes, monitor blood glucose closely, especially during the initiation of therapy.
Warfarin
Do not start or stop taking any medication (including OTCs and herbals) w/o consulting a doctor or pharmacist. Do not stop taking Warfarin w/o talking to the doctor. Make sure the patient knows both the brand and generic names of the medication as well as the color(s) of the tablet(s) they will be taking. Take at the same time each day, w/ or w/o food. Emphasize the importance of not missing appointments for INR checks. Keep vitamin K and alcohol intake consistent. Vitamin K is mainly found in green, leafy vegetables. Report any abnormal bleeding immediately.
Fluticasone & Salmeterol
Patients should take 2 inhalations, twice a day, 12 hrs apart, even if they feel better. It can take up to a month to see full benefits from Advair. Advair should not be used to treat a current asthma attack. Use a short acting albuterol inhaler instead. Go over how to use the diskus. Exhale completely (not into the diskus). Inhale quickly and forcefully. Hold breath for 10 secs. Wait approximately 1 minute before the next inhalation. Wash the mouth out afterwards to prevent thrush. Let the doctor know if Advair seems to make the condition worse or, if after a month, it stops working as well as it used to.
Ibuprofen
Patients should not self-treat for more than 10 days w/o seeing a doctor. Take with food to reduce GI effects. Report any ringing of the ears, severe GI upset, any GI bleeding, unusual bruising or bleeding, or any chest pain or heartbeats that are abnormally fast or irregular. Do not take ibuprofen during the last 3 months of pregnancy.
Sertraline
Tell patients not to stop taking the medication or change the dose without talking with the doctor first, even if they feel better. It may take up to 3 months to see the full effect. Avoid alcohol. Common side effects include GI upset, sexual dysfunction, dry mouth, sweating. If sertraline causes insomnia, it can be taken in the morning.
Valsartan
Tell women of childbearing age to inform their doctor if they become pregnant or plan to become pregnant. Common side effects include headache and dizziness. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Avoid salt substitutes that contain potassium. Avoid excess alcohol. Tell patients to keep taking valsartan, even if they feel better.
Zolpidem
Do not crush or chew Ambien CR. Edluar should be placed under the tongue and allowed to dissolve. Take all doses right before bed. Avoid alcohol while on zolpidem. And let the patient know that it can be habit forming.
Oxycodone/APAP
Avoid alcohol. Consuming alcohol and taking APAP increases the risk of liver damage. Alcohol also increases CNS depression. Use caution when performing tasks that require mental alertness. Overdose can lead to fatal respiratory depression. Common side effects include CNS depression, dysphoria (anxious, restless, dissatisfied) or euphoria (intense feeling of well being), and GI upset. Most side effects will diminish over time, except constipation.
Duloxetine
Swallow the pill whole. Do not discontinue duloxetine w/o talking to the doctor first. It may take up to 1 month to see the full effects of duloxetine. Common side effects include GI upset, either drowsiness or insomnia, headache, decreased appetite, and dry mouth. Avoid tasks that require mental alertness until response to the medication is known. If the patient is diabetic, then they should monitor their glucose closely.
Quetiapine
Don't change the dose without talking with the doctor. Common side effects include drowsiness, constipation, dry mouth, dizziness, and postural hypotension. Use caution when performing activities that require mental alertness as well as when going from lying or sitting to standing (do so slowly).
Venlafaxine
Do not stop taking venlafaxine without talking to the doctor. Take each dose with food. Capsules can be opened and sprinkled on applesause, but don't chew the mixture and follow with a glass of water. Avoid alcohol as it can have an additive effect on CNS depression. Common side effects include headache, dizziness, either drowsiness or insomnia, nausea, constipation, dry mouth, anorexia / weight loss, abnormal ejaculation, and sweating.
Tamsulosin
Swallow capsules whole. Do not crush or chew. Each dose should be taken at the same time each day, about 30 minutes after a meal. Common side effects include headache, dizziness, abnormal ejaculation, postural hypotension, and rhinitis.
Alprazolam
Avoid alcohol. The extended release tablets should be taken in the morning. Use caution when performing tasks that require mental alertness, especially at the initiation of therapy. Do not stop taking or change frequency of dosing w/o talking to the doctor first.
Valsartan / Hydrochlorothiazide
Tell women of childbearing age to inform their doctor if they become pregnant or plan to become pregnant. It is best to take each dose in the morning to avoid nocturnal diuresis, i.e. needing to run to the bathroom to urinate throughout the night. Common side effects include hypotension, dizziness, and diarrhea. Caution regarding postural hypotension (go slowly from lying or sitting to standing).
Trazodone
Take each dose directly after a meal or snack. For treatment of insomnia, take each dose before going to bed. For treatment of depression, be aware that it may take several weeks to see benefit. Don't stop taking trazodone w/o talking to the doctor first. Avoid alcohol while on trazodone. It can increase CNS depression. Common side effects include headache, sedation, nausea, dry mouth, and blurred vision. If prolonged erection occurs, discontinue immediately and contact the doctor. Let the doctor know if you become pregnant or plan to become pregnant.
Pioglitazone
Alcohol can increase the risk of hypoglycemia, so drink w/ caution. Counsel on the signs and symptoms of heart failure (edema, rapid weight gain, shortness of breath). Counsel on the signs and symptoms of hypoglycema (feeling ill, headache, hunger, sweating, confusion, irritability, rapid heartbeat). If hypoglycemia occurs, check blood glucose and if it is less than 70 mg/dL, consume a glucose source (3 glucose tabs, 1/2 a cup of fruit juice, 5 to 6 pieces of hard candy, or 6 to 8 oz of a non-diet soft drink. Recheck blood glucose in 20 minutes and if it is still low, then consume more sugar. After raising their glucose, it is recommended to eat a small meal to stabilize glucose levels.
Alendronate
Take dose in the morning at least 30 minutes before eating. Drink with a full glass of water and stay upright (don't lay down) for at least 30 minutes. Do not take any other oral medications within 30 minutes of taking alendronate. If a weekly dose is missed, the missed dose can be taken the next day. But if more than a day has passed, wait and take the next regularly scheduled dose. Common side effects include GI upset and headache. Advise Vitamin D intake of 800 to 1000 Units/day and calcium intake of 1200 to 1500 mg/day.
Sulfamethoxazole/Trimethoprim
Take each dose, w/ a full glass of water, on an empty stomach (1 hr before or 2 hrs after a meal). If using the oral suspension, shake well. Instruct the patient to take all of the prescription, even if they feel better. Avoid prolonged exposure to sunlight. Common side effects include GI upset, dizziness, and decreased appetite.
Lansoprazole
Once daily dosing should be taken first thing in the morning on an empty stomach (about 30 min to an hr before breakfast). It is not recommended for patients to self-treat for GERD (or heartburn) for more than 2 weeks: patients should talk to their doctor if longer treatment is needed. If capsules cannot be swallowed, the contents of the capsules can be mixed in w/ 1 tablespoon of applesause or ~60 mL of orange or apple juice. Take the mixture immediately and do not crush or chew the granules. The tablets should be placed on the tongue and allowed to dissolve.
Clonazepam
Avoid alcohol (CNS depressant). Use caution when performing tasks that require mental alertness, especially with initial therapy. Do not stop taking or change the frequency of dosing w/o talking with the doctor first.
Tramadol
It can be taken w/ or w/o food, but be consistent (always take w/ or always take w/o). If GI upset is an issue, taking with food may help. Swallow the extended release tablets whole (do not crush or chew). Do not take more than the recommended dose (can lead to overdose). Avoid alcohol (CNS depressant). Common side effects include headache, flushing, either drowsiness or insomnia, and GI upset. Take w/ food if GI upset is a problem. Tramadol is a CNS depressant, so advise caution when performing tasks that require mental alertness.
Levofloxacin
Take the entire prescription, even if you feel better. The oral solution should be taken on an empty stomach, so 1 hr before or 2 hrs after a meal. Avoid taking levofloxacin w/ milk, antacids, iron, calcium, or multivitamins. Separate dosing by at least 2 hrs from those agents. Common side effects include GI upset, headache, and insomnia. Avoid direct sunlight for prolonged periods of time due to increased sensitivity to sunlight that can occur. Advise use of sunscreen when out in the sun. Patients w/ diabetes should monitor glucose closely.
Fluoxetine
It may take 3 months to see full effect of fluoxetine. Do not stop taking fluoxetine w/o talking to the doctor first. Avoid alcohol. Common side effects include headache, drowsiness, and GI upset. Decreased libido may also occur.
Prednisone
Take each dose w/ food to decrease GI upset. Also avoid taking w/ alcohol to decrease GI upset. Patients who have diabetes should monitor their blood glucose closely. Common side effects include headache, insomnia, and edema.
Omeprazole
Once daily dosing should be taken first thing in the morning on an empty stomach (about 30 min to an hr before breakfast). Avoid alcohol (alcohol can add to GI irritation). It is not recommended for patients to self-treat for GERD (or heartburn) for more than 2 weeks: patients should talk to their doctor if longer treatment is needed. If capsules cannot be swallowed, the contents of the capsules can be mixed in w/ 1 tablespoon of applesause. Common side effects include GI upset and headache.
Atenolol
Do not stop taking atenolol w/o taking to the doctor. Doing so can result in cardiovascular complications (Very Important)! Continue to take the medication, even if you feel better. Avoid alcohol, as it may increase sedation and dizziness. Common side effects include GI upset, slow heart rate, hypotension, and drowsiness. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Warn diabetics that BBs can makes the signs and symptoms of hypoglycemia, except sweating.
Insulin Glargine
Take each dose at the same time each day. Keep track of blood glucose. Go over the signs and symptoms of hypoglycemia: feeling ill, headache, hunger, sweating, confusion, irritability, and rapid heart rate. If hypoglycemia occurs, check blood glucose and if it is less than 70 mg/dL, consume a glucose source (3 glucose tabs, 1/2 a cup of fruit juice, 5 to 6 pieces of hard candy, or 6 to 8 oz of a non-diet soft drink. Recheck blood glucose in 20 minutes and if it is still low, then consume more sugar. After raising their glucose, it is recommended to eat a small meal to stabilize glucose levels. If hypoglycemia occurs, check blood glucose and if it is less than 70 mg/dL, consume a glucose source (3 glucose tabs, 1/2 a cup of fruit juice, 5 to 6 pieces of hard candy, or 6 to 8 oz of a non-diet soft drink. Recheck blood glucose in 20 minutes and if it is still low, then consume more sugar. After raising their glucose, it is recommended to eat a small meal to stabilize glucose levels.
Amoxicillin / Clavulanate
Each dose should be taken w/ food to increase absorption and decrease GI upset. Counsel patients to take the entire prescription, even if they feel better. Talk to the doctor if condition worsens or does not improve upon completing the prescription. Can decrease the effectiveness of birth control, so recommend using a backup form of contraception.
Fenofibrate
Take each dose w/ food to increase absorption. Common side effects include headache and GI upset. Counsel to report any unexplained muscle pain or weakness, as well as brown urine, to their doctor as this could be a sign of rhabdomyolysis.
Celecoxib
Take w/ food to reduce GI upset. The other common side effect is headache. Talk w/ your doctor before taking other NSAIDs.
Donepezil
Donepezil is not a cure for Alzheimer's disease, but may slow the progression and reduce the symptoms. Take each dose at night before bed. If taking the orally disintegrating tablets, allow them to dissolve and then follow w/ a glass of water. Common side effects include GI upset, insomnia, and headache (GI upset should resolve w/i 3 wks).
Ezetimibe & Simvastatin
Take each dose in the evening. Avoid excess alcohol. Recommended daily limit = 2 drinks / day for men and 1 drink / day for women. Common side effects include headache, and GI upset. Counsel women of childbearing age to let their doctor know if they become pregnant or plan to become pregnant. Report any abnormal muscle pain, cramping, weakness, or brown urine as these could be signs of rhabdomyolysis. And report any yellowing of the skin or eyes as these could be signs of liver damage.
Cephalexin
Take the entire prescription, even if you feel better. Common side effects include GI upset, headache, and dizziness. Take w/ food if GI upset is an issue. Talk to the doctor if your condition worsens or does not improve upon completing the prescription. Caution that it can decrease the effectiveness of birth control. Recommend using a backup form of contraception to be safe.
Mometasone
Prime the pump before first use. Shake well and then pump the bottle about 10 times until a mist comes out. Pump the bottle 2 times, until a mist appears, if the bottle has not been used in a week or longer. Counsel on how to administer: 1) Tilt head forward and insert applicator into one nostril. 2) Close the other nostril. 3) Spray into the nostril and inhale through the nose, then exhale out the mouth. 4) Repeat if using 2 sprays per nostril. 5) Do the same with the other nostril. 6) Clean the tip and replace the cap after use. Each bottle of Nasonex should be discarded after 120 actuations (usually 30 days of use), even if there is still liquid in the bottle. Common side effects include headache, cough, and nose bleeds.
Drospirenone & Ethinyl Estradiol
Use a backup form of contraception for the first 7 days on Yaz. Missing doses increases the risk of pregnancy. Review the rather complicated instructions regarding what to do about a missed dose, which can be found in the package insert. Avoid smoking. Smoking increases the risk of adverse effects. Common side effects include GI upset, altered menstrual flow, breast tenderness, weight gain, and headache. Most side effects will subside after 3 months of therapy. Patients should report any persistent or severe side effects. Stop taking Yaz, and meet w/ the doctor immediately, if any of the following ADRs, often referred to as ACHES, are experienced: severe abdominal pain, chest pain or shortness of breath, severe headache, eye problems or vision disturbances, and severe pain in the calf or thigh.
Vitamin D3
[None listed in the podcast.]
Ezetimibe
Take ezetimibe at the same time every day. If a dose is missed by 8 hrs, skip that dose and return to normal dosing schedule upon next dose. Common side effects include diarrhea, fatigue, arthralgia, and upper respiratory tract infections.
Gabapentin
Gabapentin can cause CNS depression, so use caution performing tasks that require physical and mental alertness, especially during initial therapy. Avoid alcohol due to additive CNS depression. Do not stop taking gabapentin w/o talking to the doctor first (this is especially important if the patient is taking gabapentin for seizures). Common side effects include drowsiness, dizziness, and GI upset.
Pregabalin
Do not stop taking pregabalin w/o talking w/ the doctor first. Common side effects include weight gain, dry mouth, and blurred vision. Report any unexplained muscle pain or weakness. Pregabalin can cause CNS depression, so use caution when performing tasks that require mental alertness. Avoid alcohol as it can add to the CNS depression.
Sildenafil
Advise patient that it is important to remind doctors and pharmacists about Sildenafil use when considering the safety of any new medications. Avoid grapefruit juice while taking Sildenafil. Don't combine Sildenafil w/ other erectile dysfunction treatments w/o discussing their use together with the doctor or pharmacist. Common side effects include headache, stomach upset, flushing, and insomnia. Seek medical attention if an erection lasts longer than 4 hrs after taking Sildenafil. Stop taking Sildenafil and contact the doctor right away if any hearing or vision loss occurs.
APAP/Codeine
Avoid alcohol. Consuming alcohol w/ codeine and APAP can increase CNS depression and the risk of liver damage. Do not exceed the recommended dose. Use caution when performing tasks that require mental alertness. Common side effects include CNS depression, euphoria or dysphoria, and GI upset. Patients can take each dose w/ food if nausea is an issue. Most side effects will diminish over time, except constipation.
Fluconazole
Counsel patients to take as directed and to take the entire dose, even if they feel better. If taking a suspension, shake well before each dose. Common side effects include headache, and GI upset. Report any persistent or severe side effects, such as yellowing of the skin or eyes, irregular heartbeat, or rash.
Intranasal Fluticasone
Let patients know that they should expect to see relief of symptoms in a few days, but it can take as long as 3 wks in some cases. Use fluticasone nasal spray every day as prescribed to get maximum benefit. Go over how to properly use the nasal spray: 1) shake the bottle well before each use, 2) blow your nose to try to clear your nostrils, 3) insert the tip into one nostril and close the other, 4) breathe in through your nose while pressing the pump to release the spray, 5) repeat for the number of instructed doses. Go over how and when to prime the pump. Prime the pump before the first use and if the pump has not been used for a week or longer. Do so by depressing it 6 times, until you see a fine spray. Common side effects include headache, dizziness, and nasal irritation.
Losartan
Let the doctor know if you become pregnant or plan to become pregnant. Common side effects include diarrhea, fatigue, nasal congestion, and cough. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Avoid salt substitutes containing potassium. Avoid excess alcohol. Counsel patients to keep taking losartan, even if they feel better.
Propoxyphene-N/APAP
Avoid alcohol. Consuming alcohol w/ Propoxyphene can increase CNS depression and risk of liver damage. Avoid grapefruit juice, it can increase the concentration of Propoxyphene. Do not exceed the recommended dosing. Due to the CNS depression that can occur, use caution when performing tasks that require mental alertness, especially during initial therapy. Common side effects include CNS depression, euphoria or dysphoria, and GI upset. If GI upset is an issue, the dose can be taken w/ food. Most side effects will diminish over time, except constipation.
Valacyclovir
Valacyclovir is not a cure for genital herpes and does not prevent transmission to others. Start taking Valacyclovir at the first sign of herpes onset. Stay well hydrated while taking Valacyclovir. Common side effects include headache and GI upset.
Lorazepam
Avoid alcohol while taking lorazepam. Lorazepam can be habit forming and the recommended dose should not be exceeded. Common side effects include drowsiness, dizziness, weakness). Use caution when performing tasks that require mental alertness, especially w/ initial therapy.
Pantoprazole
Take each dose at the same time each day. Swallow the tablets whole (do not split, crush, or chew). Avoid alcohol (alcohol can add to GI irritation). Antacids can be taken at the same time as pantoprazole if instant relief is needed. Common side effects include headache and GI upset.
Amlodipine/Benazepril
Let the doctor know if you become pregnant or plan to become pregnant. Do not stop taking the medication w/o talking with the doctor first. Avoid salt substitutes that contain potassium. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Common side effects include headache and GI upset. Let the doctor know if a dry, unproductive cough develops. Seek medical attention in the event of angioedema (development of welts or swelling of face, lips, throat, or tongue).
Conjugated Estrogens
Take conjugated estrogens at bedtime to minimize experience of ADRs. Continue to get annual gynecological exams and perform self breast exams at least monthly. Common side effects include headache; breast, abdominal, or back pain; and abnormal menstrual bleeding. Report any ACHES: severe abdominal pain, chest pain or shortness of breath, severe headache, eye problems or vision disturbances, and severe pain in the calf or thigh.
Oseltamivir
Oseltamivir is not a substitute or replacement for the flu shot. Treatment w/ oseltamivir does not decrease the possibility of transmission to others. Counsel patients to take the entire prescription, even if they feel better. The main side effect is GI upset, which usually subsides after 2 days of treatment. If GI upset is an issue, take each dose w/ food. Let the doctor know if any hallucinations or abnormal confusion are experienced.
Tiotropium
Take each dose at the same time every day. Tiotropium should not be used for current bronchospasm as it does not act fast enough: a short acting, rescue inhaler should be used instead. The most common side effect is dry mouth. The capsules should only be inhaled using the HandiHaler inhaler and should not be swallowed. Go over how to use the HandiHaler: 1) Remove capsule from the foil pack right before use. 2) Open the dust cap and mouthpiece and place capsule in the chamber at the base of the inhaler. 3) Close the mouthpiece (should hear a click when closed). 4) Hold the inhaler so that the mouthpiece is facing upwards and depress the green piercing button one time (this punctures the capsule). 5) Exhale fully (not into the inhaler). 6) Place your lips around the mouth piece and inhale slowly and deeply (should hear and/or feel the capsule vibrating). 7) Hold your breath as long as possible (at least 5 to 10 sec). 8) Repeat the inhalation, at least one time, until no powder remains in the capsule. 9) Discard the used capsule after use.
Aripiprazole
Avoid alcohol as it can increase CNS depression. Use caution performing tasks that require mental alertness, especially during initial therapy. Oral solution should be used within 6 months of opening the bottle. Common side effects include headache, agitation, GI upset, and weight gain.
Methylphenidate
Do not stop taking or change the dose w/o talking w/ the doctor first. Take w/ water, milk, or juice, however it does not need to be taken w/ food. Avoid alcohol and caffeine. Methylphenidate can cause decreased appetite or weight loss, so make sure to maintain adequate nutrition. The tablet shell can show up in the stool (this is normal). Report any persistent or intolerable side effects, and especially if any of the following: fast heartbeat, chest pain, nervousness, insomnia, tremors, skin rash, or black stool.
Digoxin
Do not stop taking digoxin w/o talking w/ the doctor. Counsel patients to check and record their pulse rate at the same time each day and let the doctor know of any sudden changes. Maintain adequate potassium intake. Common side effects include GI upset, headache, and decreased heart rate. Tell patients to contact their doctor if they experience any swelling, fast or irregular heart rhythms, persistent diarrhea, visual disturbances, or any other severe or persistent side effects.
Fluticasone
Let patients know that they should expect to see relief of symptoms in a few days, but it can take as long as 3 wks in some cases. Use fluticasone nasal spray every day as prescribed to get maximum benefit. Go over how to properly use the nasal spray: 1) shake the bottle well before each use, 2) blow your nose to try to clear your nostrils, 3) insert the tip into one nostril and close the other, 4) breathe in through your nose while pressing the pump to release the spray, 5) repeat for the number of instructed doses. Go over how and when to prime the pump. Prime the pump before the first use and if the pump has not been used for a week or longer. Do so by depressing it 6 times, until you see a fine spray. Common side effects include headache, dizziness, and nasal irritation.
Fexofenadine
Do not take any more frequently than every 12 hrs. Side effects are mild. Patients may experience headache or a little drowsiness.
Olmesartan
Let the doctor know if you become pregnant or plan to become pregnant. Common side effects include headache and dizziness. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Avoid salt substitutes containing potassium. Avoid excess alcohol. Counsel patients to keep taking olmesartan, even if they feel better.
Pravastatin
Avoid excess alcohol. Recommended daily limit = 2 drinks / day for men and 1 drink / day for women. Counsel women of childbearing age to let their doctor know if they become pregnant or plan to become pregnant. Common side effects include headache, fatigue, and GI upset. Tell patient to report any abnormal muscle pain, cramping, or weakness, or brown urine (signs of rhabdomyolysis). Report yellowing of the skin or eyes (signs of liver damage).
Triamterene/Hydrochlorothiazide
Take each dose in the morning (b/c of increased diuresis). Avoid excess exposure to sunlight (photosensitivity can develop). Caution regarding postural hypotension (go slowly from lying or sitting to standing). Common side effects include fatigue, muscle cramps, and GI upset. Taking each dose w/ food should help if GI upset is an issue.
Methylprednisolone
Do not stop taking methylprednisolone w/o talking w/ the doctor first. Common side effects include headache, GI upset, and sleep disturbances. Take each dose w/ food if GI upset is an issue.
Cyclobenzaprine
Cyclobenzaprine can impair both physical and mental abilities. Use caution performing tasks that require mental alertness, especially during initial therapy. Avoid alcohol while taking cyclobenzaprine, b/c it can have additive effects. Common side effects include drowsiness, dizziness, and dry mouth.
Clonidine
Do not stop taking clonidine w/o talking with the doctor first. This is very important b/c abrupt discontinuation can lead to rapid increases in blood pressure. The transdermal patch, as well as its location, should be changed every week. Common side effects include dry mouth, drowsiness, headache, and dizziness.
Risedronate
Take dose in the morning at least 30 minutes before eating. Drink with a full glass of water and stay upright (don't lay down) for at least 30 minutes. Do not take any other oral medications within 30 minutes of taking alendronate. For daily dosing, if a dose is missed, patients should skip that dose and return to the regular schedule on the following day. For weekly dosing, if a weekly dose is missed, the missed dose can be taken the next day. But if more than a day has passed, wait and take the next regularly scheduled dose. For monthly dosing, if a dose is missed, the missing dose can be taken up to 7 days before the next dose. Common side effects include GI upset & headache). Advise Vitamin D intake of 800 to 1000 Units/day and calcium intake of 1200 to 1500 mg/day.
Diazepam
Avoid alcohol while taking diazepam. Diazepam can be habit forming and the recommended dose should not be exceeded. Do not stop taking diazepam w/o talking to the doctor first, especially w/ long term therapy due to possible withdrawal symptoms. Common side effects include drowsiness, loss of coordination, and fatigue. Use caution when performing tasks that require mental alertness, especially w/ initial therapy.
Carisoprodol
Carsioprodol can cause drowsiness and dizziness. Use caution performing tasks that require mental alertness, especially w/ initial therapy. Also avoid alcohol, which can add to the drowsiness caused by carsioprodol. Other common side effects include headache and GI upset. Take each dose w/ food if GI upset is an issue.
Promethazine
If taking for motion sickness, the 1st dose should be taken 30 to 60 min before departure. Common side effects include drowsiness, dizziness, dry mouth, and GI upset. If GI upset is an issue, then taking each dose w/ food should help.
Memantine
Each dose can be taken w/ or w/o food. Common side effects include dizziness, headache, and GI upset.
Potassium Chloride
Swallow long acting dosage forms whole (do not crush or chew). Take the dose w/ a full glass of water. The powdered form may be dissolved in water before use. The liquid dosage form can be diluted in water or juice. Avoid salt substitutes that contain potassium. GI upset is a common side effect. Contact the doctor about any severe, persistent or intolerable side effects occur, especially unexplained muscle weakness, leg cramps, or irregular heartbeat.
Citalopram
It may take up to 3 months to see full effects of citalopram. Tell the patient not to stop taking the medication or change the dose without talking with the doctor first, even if they feel better. Avoid alcohol. Common side effects include GI upset, sleep disturbances, and dry mouth. Sexual dysfunction may occur, but is reversible upon discontinuation. Counsel women of childbearing age to inform their doctor if they become pregnant or plan to become pregnant.
Meloxicam
Take each dose w/ food or milk to decrease GI upset. Avoid use of aspirin and other NSAIDs, such as naproxen or ibuprofen, unless told otherwise by your doctor. Common side effects include nausea, vomiting, and diarrhea (N/V/D). Do not take meloxicam during the last 3 months of pregnancy.
Latanoprost
Remove contacts and wait 15 min after administration before reinserting. Common side effects include blurred vision, burning/stinging, itching, and increased pigmentation of the iris.
Carvedilol
Counsel patients to take carvedilol every day, even if they feel better. Abruptly stopping the medication can cause serious cardiovascular effects. Check pulse daily and let the doctor know if it becomes abnormally slow. Patients who have diabetes should monitor their blood glucose more closely, especially w/ initial therapy. Common side effects include hypotension, diarrhea, muscle weakness, and weight gain. Caution regarding postural hypotension (go slowly from lying or sitting to standing).
Oxycodone
Avoid alcohol b/c it can increase the risk of CNS and respirator depression. Take oxycodone scheduled, every 12 hrs, and do not exceed the recommended dosing. Overdose can lead to fatal respiratory depression. Use caution performing tasks requiring mental or physical alertness, especially during initial therapy. Common side effects include drowsiness, dizziness, nausea, vomiting, and constipation. Most side effects will decrease over time, except constipation. Of constipation is an issue, the patient should take a laxative, stool softener, or both.
Paroxetine
It may take 3 months to see full effects of paroxetine. Counsel patients to keep taking paroxetine, even if they feel better. Avoid alcohol while on paroxetine. Common side effects include sleep disturbances, headache, GI upset, dry mouth, and decreased libido.
Olmesartan/Hydrochlorothiazide
Let the doctor know if you become pregnant or plan to become pregnant. Common side effects include headache and dizziness. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Avoid salt substitutes containing potassium. Avoid excess alcohol. Counsel patients to keep taking the medication, even if they feel better. HCTZ can cause photosensitivity, so wear sunscreen and avoid prolonged direct sunlight. If the patient has diabetes, monitor blood glucose closely, especially during the initiation of therapy.
Tadalafil
Advise patient that it is important to remind doctors and pharmacists about tadalafil use when considering the safety of any new medications. Don't combine tadalafil w/ other erectile dysfunction treatments w/o discussing their use together with the doctor or pharmacist. Common side effects include headache, shortness of breath, nausea, muscle pain, and back pain. Seek medical attention immediately if an erection lasts longer than 4 hrs or severe chest pain after taking tadalafil.
Sitagliptin
Common side effects include GI upset, edema, and hypoglycemia. Counsel on the signs and symptoms of hypoglycemia: feeling ill or lethargic, headache, hunger, sweating, confusion, irritability, and rapid heart rate. If hypoglycemia occurs, check blood glucose and if it is less than 70 mg/dL, consume a glucose source (3 glucose tabs, 1/2 a cup of fruit juice, 5 to 6 pieces of hard candy, or 6 to 8 oz of a non-diet soft drink. Recheck blood glucose in 20 minutes and if it is still low, then consume more sugar. After raising their glucose, it is recommended to eat a small meal to stabilize glucose levels.
Ciprofloxacin
Take each dose w/ a full glass of water. Avoid taking ciprofloxacin w/ milk, antacids, iron, calcium, or multivitamins. Separate dosing by at least 2 hrs from those agents. Take the entire prescription, even if you feel better. Common side effects include GI upset, headache, and photosensitivity. Avoid direct sunlight for prolonged periods of time due to increased sensitivity to sunlight that can occur. Advise use of sunscreen when out in the sun. Ciprofloxacin can cause tendon rupture. Its rare, but patients should stop taking ciprofloxacin and contact the doctor immediately if tendon swelling or pain is noticed.
Amitriptyline
It may take 6 wks to see effects of amitriptyline and longer to see full effects. Counsel patients to keep taking amitriptyline, even if they feel better. Avoid alcohol while on amitriptyline. Common side effects include constipation, dry mouth, blurred vision, urinary retention, and sedation. Amitriptyline may lower blood pressure, especially w/ initial therapy, so exercise caution when going from lying or sitting to standing.
Naproxen
Do not self treat for more than 10 days w/o consulting your doctor. Do not take naproxen if you are pregnant, especially during the last 3 months. Take each dose w/ food to decrease GI upset. If taking for a chronic disease, the dosing should be scheduled. Common side effects include GI upset, fluid retention, itching, and dizziness. Report any ringing of the ears, GI upset, GI bleeding, unusual bruising or bleeding, chest pain, or any irregularities of heartbeat.
Niacin ER
Do not take niacin w/ alcohol. This increases the risk of flushing and liver damage. If flushing is an issue, try taking aspirin 325 mg or an NSAID about an hour before taking niacin. Niacin should be taken at night, before bed. Common side effects include flushing, itching, and GI upset.
Allopurinol
Take each dose after meals and w/ a full glass of water. GI upset is the most common side effect.
Losartan/Hydrochlorothiazide
Let the doctor know if you become pregnant or plan to become pregnant. Common side effects include dizziness, upper respiratory tract infection, cough, and rash. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Avoid salt substitutes containing potassium. Avoid excess alcohol. Counsel patients to keep taking the medication, even if they feel better. HCTZ can cause photosensitivity, so wear sunscreen and avoid prolonged direct sunlight. If the patient has diabetes, monitor blood glucose closely, especially during the initiation of therapy.
Tolterodine
Take each dose w/ food. Swallow the capsules whole (do not break, crush, or chew). Common side effects include dry mouth, headache, dizziness, and abdominal pain. Impairment of physical and mental abilities may occur, so use caution when performing tasks that require alertness, especially at the initiation of therapy. Report any difficulty urinating or painful urination.
Lisinopril/Hydrochlorothiazide
Caution regarding postural hypotension (go slowly from lying or sitting to standing). Seek medical attention in the event of angioedema (development of welts or swelling of face, lips, throat, or tongue). Contact doctor if dry, unproductive cough develops. Can cause photosensitivity, so wear sunscreen and avoid prolonged direct sunlight. If the patient has diabetes, monitor blood glucose closely, especially during the initiation of therapy.
Norgestimate & Ethinyl Estradiol
Use a backup form of contraception for the first 7 days on Trinessa-28. Missing doses increases the risk of pregnancy. If one dose is missed, take it as soon as it is remembered or take two doses the next day. If two consecutive doses are missed during the first or second week, take two tablets as soon as it is remembered and two tablets the next day, then take one tablet a day until the packet is empty. Use a backup contraceptive for 7 days after the missed dose. If two consecutive doses are missed during week three, then a "Sunday starter" should take one tablet until the upcoming Sunday and then discard the rest of the current pack and start a new pack that Sunday. A "Day 1 Starter" should instead discard the current pack and start a new pack that day. Again, use a backup contraceptive for 7 days after the missed dose. Avoid smoking. Smoking increases the risk of adverse effects. Common side effects include GI upset, altered menstrual flow, breast tenderness, weight gain, and headache. Most side effects will subside after 3 months of therapy. Patients should report any persistent or severe side effects. Stop taking Trinessa, and meet w/ the doctor immediately, if any of the following ADRs, often referred to as ACHES, are experienced: severe abdominal pain, chest pain or shortness of breath, severe headache, eye problems or vision disturbances, and severe pain in the calf or thigh.
Penicillin VK
Take penicillin VK as directed at scheduled intervals until all of the prescription is gone. Take each dose on an empty stomach (1 hr before or 2 hrs after meals). The most common side effect is GI upset (N/V/D). Take w/ small meals if GI upset is an issue.
Codeine & Guaifenesin
Avoid alcohol while taking codeine as it can add to CNS depression. Take each dose w/ a full glass of water. This will help the guaifenesin thin the mucous and make it easier to expel. Common side effects include drowsiness, headache, and GI upset. Taking each dose w/ food should help if GI upset is an issue.
Glyburide
Take each daily dose w/ the first main meal of the day. If taking two doses a day, separate the doses by 12 hrs. Keep track of blood glucose. The most common side effects include hypoglycemia and weight gain. Counsel on the signs and symptoms of hypoglycemia: feeling ill or lethargic, headache, hunger, sweating, confusion, irritability, and rapid heart rate. If hypoglycemia occurs, check blood glucose and if it is less than 70 mg/dL, consume a glucose source (3 glucose tabs, 1/2 a cup of fruit juice, 5 to 6 pieces of hard candy, or 6 to 8 oz of a non-diet soft drink. Recheck blood glucose in 20 minutes and if it is still low, then consume more sugar. After raising their glucose, it is recommended to eat a small meal to stabilize glucose levels.
Fluticasone Inhaler
The fluticasone inhaler is for long term management of asthma and should not be used to treat a current asthma attack. Full therapeutic benefits may not be seen for up to 2 wks. Counsel patients to use as directed, twice a day, 12 hrs apart, even if they feel better. Rinse out the mouth w/ water and spit after each use to prevent oral candida, a.k.a. thrush. If using a bronchodilator at the same time, use the bronchodilator first. This opens the airway and makes the subsequent delivery of fluticasone more effective. Counsel the patient on how to use the particular inhaler that they have. The most common side effects include headache, cough, throat irritation, and upper respiratory tract infections.
Rabeprazole
Take 1 hr before breakfast each day. Swallow capsules whole (do not crush or chew). Antacids can be taken w/ rabeprazole if needed. Sice effects are rare, but may include headache and GI upset.
Lisdexamfetamine
Take lisdexamfetamine every morning. Psychological as well as physical dependence can occur, especially w/ prolonged use. The most common side effects include headache, decreased appetite, insomnia, and dry mouth.
Isosorbide Mononitrate
Take the immediate release tablets twice daily, about 7 hrs apart (8 am & 3 pm). Take the extended release tablets in the morning. Do not take phosphodiesterase-5 inhibitors while taking isosorbide mononitrate. Doing so can cause a serious drop in blood pressure. The phosphodiesterase-5 inhibitors include Sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra). Caution regarding postural hypotension (go slowly from lying or sitting to standing). The most common side effects include headache, flushing, GI upset, and cough.
Lamotrigine
Tablets should be swallowed whole (do not crush or chew). Counsel patients to take lamotrigine everday, even if they feel better. Do not stop taking lamotrigine w/o talking w/ the doctor first. Doing so could cause or increase seizures. Common side effects include GI upset, sleep disturbances, weight loss, dry mouth, rash, and fatigue.
Olanzapine
It may take up to a month to see full effects. Avoid alcohol while on olanzapine. Avoid activities that require physical or mental alertness until response to the medication is know. Talk w/ a doctor or pharmacist know before starting any new medications. Common side effects include feeling tired, headache, dizziness, dry mouth, constipation, muscle weakness, or weight gain. Contact the doctor right away in the event of fast or irregular heartbeat, tremor or muscle rigidity, or a severe feeling of restlessness or distress.
Lovastatin
Take lovastatin in the evening. To be optimally effective, most statins need to be taken at night b/c the body produces the majority of its cholesterol at this time. Avoid excess alcohol. The recommended limit is no more than 2 drinks / day for men and no more than 1 / day for women. Common side effects include headache and GI upset. Counsel women of childbearing age to let their doctor know if they become pregnant or plan to become pregnant. Tell patient to report any abnormal muscle pain, cramping, or weakness, or brown urine (signs of rhabdomyolysis). Report yellowing of the skin or eyes (signs of liver damage).
Ethinyl Estradiol & Etonogestrel Vaginal Ring
Go over when to insert the ring. Its inserted vaginally and should be left in place for 3 wks, then the ring should be removed and a new ring should be inserted after 1 week w/ no ring. The new ring should be left in for 3 wks and the process repeats. For initiation of therapy, if the patient has had no hormonal contraceptive use in the previous month, insert the ring on the first day of the menstrual cycle and use a backup contraceptive for the first 7 days. If the patient is switching from an oral combination contraceptive, then the ring should be inserted within 7 days of the last active tablet in a cycle and no backup contraceptive is needed. The Nuvaring can be stored at room temperature and is only good for 4 months after it has been dispensed. [Note: The Nuvaring should be kept in the refrigerator prior to dispensing.] Common side effects include headache, nausea, sinusitis, vaginal secretions, and weight gain.
Bupropion
Counsel patients to take bupropion every day, as prescribed, even if they feel better. Avoid alcohol as bupropion may reduce alcohol tolerance and risk of seizures is heightened as the sedative effects of the alcohol wear off. Talk w/ the doctor or pharmacist before starting any new medications. Patients may notice the tablet shell in their stool. This is normal and of no concern. Common side effects include headache, dizziness, insomnia, dry mouth, weight loss, and nausea.
Doxycycline
Counsel patients to take all of the medication, even if they feel better. GI upset is common. Taking w/ food should help. Esophogeal/throat irritation can occur. Take each dose w/ a full glass of water and do lay down directly afterwards. Other side effects include joint pain, menstrual pain, and photosensitivity (avoid prolonged sunlight exposure). Avoid alcohol, which can decrease doxycycline's effectiveness, and stay well hydrated.
Enalapril
Suggest taking first dose at bedtime to reduce risks associated with hypotension. Common side effects are GI upset, headache, and dizziness. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Contact doctor if dry, unproductive cough develops. Avoid salt substitutes containing potassium. Counsel women of childbearing age to contact their doctor if they become pregnant or plan to become pregnant. Seek medical attention in the event of angioedema (development of welts or swelling of face, lips, throat, or tongue).
Irbesartan
Tell women of childbearing age to inform their doctor if they become pregnant or plan to become pregnant. Common side effects include dizziness, hypotension, and fatigue. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Avoid salt substitutes that contain potassium. Avoid excess alcohol. Tell patients to keep taking irbesartan, even if they feel better.
Amphetamine & Dextroamphetamine
Take as directed. Do not crush or chew an extended-release capsule. Do not take Adderall in the evening b/c it may cause insomnia. Avoid drinking fruit juice with the dose as it can reduce absorption of the medicine. Common side effects include headache, dizziness, insomnia, dry mouth, and loss of appetite. Stop using Adderall and call the doctor right away in the event of fast or irregular heartbeats, fainting, tremors, hallucinations, severe headaches, or seizures.
Ibandronate
Take each dose first thing in the morning w/ a full glass of water and stay upright (don't lay down) for at least 60 minutes. Do not take any other oral medications within 60 minutes of taking ibandronate. Common side effects include GI upset, upset stomach, headache, insomnia, and back pain. Advise Vitamin D intake of 800 to 1000 Units/day and calcium intake of 1200 to 1500 mg/day.
Eszopiclone
Take immediately before going to bed. Eszopiclone may cause CNS depression and impair physical and mental abilities, so use caution when performing tasks that require mental alertness. Common side effects include drowsiness, dizziness, dry mouth, headache, and unpleasant taste.
Ipratropium & Albuterol Inhaler
If using the inhaler for the 1st time, or if it has not been used in the past 24 hrs, the inhaler will need to be primed. 1st, shake the inhaler for approximately 10 seconds. Then spray 3 actuations into the air. Counsel on proper inhalation technique. 1st breath in deeply through the mouth. Place the mouthpiece in the mouth and close the lips tightly around it. Breath in slowly and deeply while, at the same time, pressing down the actuator. Hold breath for about 10 seconds, then breath out slowly. Wait approximately 2 minutes b/w puffs. Each canister contains about 200 puffs, so discard after 200 puffs even if there may be a few puffs left in the container. Common side effects include headache, throat irritation, cough, dizziness, and nausea. Contact the doctor right away in the event of fast or irregular heartbeats, increased breathing difficulty after using the inhaler, or if the inhaler doesn't seem to work as well as it did in the past.
Folic Acid
All women of childbearing age should get adequate folic acid intake (at least 400 mcg/day). This is recommended to help prevent neural tube defects. Folic acid is generally well tolerated w/ very minimal side effects.
Meclizine
May impair physical and mental abilities, especially if taken w/ sedatives or alcohol, so use w/ caution until response to the medication is known. Common side effects include drowsiness and thickening of bronchial secretions. Let the doctor know if it does not relieve motion sickness or vertigo symptoms.
Ethinyl Estradiol & Norethindrone
Use a backup form of contraception for the first 7 days on Loestin 24 Fe. Missing doses increases the risk of pregnancy. Doses should be taken at the same time every day for the medication to be most effective. Go over what to do if doses are missed, found on the package insert. Patients should avoid smoking. Smoking increases the risk of adverse effects and is contraindicated while on this medication. Common side effects include GI upset, altered menstrual flow, breast tenderness, weight gain, and headache. Most of these will subside after 3 months of therapy. Stop taking Loestrin 24 Fe and meet w/ the doctor immediately, if any of the following ADRs, often referred to as ACHES, are experienced: severe abdominal pain, chest pain or shortness of breath, severe headache, eye problems or vision disturbances, and severe pain in the calf or thigh
Buprenorphine & Naloxone
Explain to patients that suboxone has an opioid antagonist in it, which will decrease the effects of other opioids. Patients should avoid other opioids as well as alcohol. Go over the dosing and the main side effects, which include headache, vomiting, increased sweating, and possible hypotension. Counsel patients to use caution when performing anything that requires physical or mental abilities as suboxone can cause CNS depression. Counsel patients to report any signs of liver damage, such as jaundice (yellowing of the skin and eyes), dark brown urine, sharp stabbing pain in the right upper quadrant of the abdomen.
Raloxifene
Common side effects include edema/welling, hot flashes, and muscle cramps/spasms. Avoid prolonged periods of restricted movement, due to risk of DVT or PE. Contact the doctor immediately, if any of the following ADRs, often referred to as ACHES, are experienced: severe abdominal pain, chest pain or shortness of breath, severe headache, eye problems or vision disturbances, and severe pain in the calf or thigh.
Omega-3-Acid Ethyl Esters
May be taken w/ or w/o food. Take w/ food if stomach upset is an issue. Take Lovaza at the same time each day. Common side effects include belching, fishy taste, and rash.
Lidocaine Patch 5%
The lidocaine patch should only be applied to intact skin. Do not apply to swollen skin areas or deep puncture wounds. Do not cover the patch w/ a bandage or plastic wrap unless directed to do so by the doctor. Common side effects include mild irritation, redness, or swelling. Stop using the patch and seek medical help in the event of hives, difficulty breathing, swelling of the face, lips, tongue, or throat. Also, stop using the patch and contact the doctor in the event of irregular heartbeats, drowsiness, tremors, seizures, or blurred vision.
Ramipril
Suggest taking first dose at bedtime to reduce risks associated with hypotension. Common side effects include GI upset and dizziness. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Contact doctor if dry, unproductive cough develops. Avoid salt substitutes containing potassium. Counsel women of childbearing age to contact their doctor if they become pregnant or plan to become pregnant. Seek medical attention in the event of angioedema (development of welts or swelling of face, lips, throat, or tongue).
Benazepril
Suggest taking first dose at bedtime to reduce risks associated with hypotension. Common side effects include headache, dizziness, fatigue, drowsiness, and nausea. Caution regarding postural hypotension (go slowly from lying or sitting to standing). Contact the doctor if dry, unproductive cough develops. Avoid salt substitutes containing potassium. Counsel women of childbearing age to contact their doctor if they become pregnant or plan to become pregnant. Seek medical attention in the event of angioedema (development of welts or swelling of face, lips, throat, or tongue).
Verapamil
Counsel patients to keep taking verapamil, even if they feel better. Do not crush or chew extended release tablets. Swallow them whole. Avoid alcohol as it can lower blood pressure and worsen the side effects of verapamil. Verapamil may impair physical and mental abilities. Caution patients to avoid tasks that require alertness until response to the medication is known. Common side effects include slow heart rate, dizziness, headache, and nausea.
Ranitidine
Ranitidine can be taken w/ or w/o food. Take the dose as directed by the doctor, regularly, at the same time each day in order to get the maximum benefit. Common side effects include headache, dizziness, constipation, and diarrhea. Contact the doctor if the condition worsens or does not improve.