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Brand nameGeneric nameIndicationContraindicationSide effectDrug interactionNursing considerations

Lazuli

Pregnancy Category BLanzoprazoleTreatment for peptic ulcer disease and in other conditions where inhibition of gastric acid secretion may be beneficial.Contraindicated in patients with known severe hypersensitivity to any component of the formulation. Hypersensitivity reactions may includeanaphylaxis,anaphylactic shock,angioedema, bronchospasm, acuteinterstitialnephritis, andurticariaUse cautiously with pregnancy, lactation.HeadacheDiarrheaskin rashpruritusdizziness fatigueconstipation nauseavomiting flatulence abdominal pain arthralgia, dry mouthDiazepamPhenytoinWarfarinKetoconazoleItraconazoleAntacids and sucralfateAdminister before meals. Caution patient to swallow capsules whole, not to open, chew, or crush. If patient has difficulty swallowing, open capsule and sprinkle granules on apple sauce, Ensure, yogurt, cottage cheese, or strained pears; for NG tube, mix granules from capsule with 40 mL apple juice and inject through tube, flush tube with additional apple juice; or granules for oral suspension can be added to 30 mL water, stir well, and have patient drink immediately.Arrange for further evaluation of patient after 4 wk of therapy for acute gastro reflux disorders if symptomatic improvement does not rule out gastric cancer, which did occur in preclinical studies.

Brand nameGeneric nameIndicationContraindicationSide effectDrug interactionNursing implications

Benadryl

*with or with no food*25-50 mg tid-qiddiphenhydramineHay feverUrticaria RhinitisAngioneurotic edemaDrug sensitizationSerum and penicillin reactionDermatitis Atopic eczemaParkinsonismMotion sickness

cardiac disease or hypertension glaucoma gastric or duodenal ulcersCNS: headache, fatigue, anxiety, tremors, vertigo, confusion, depression, seizures,hallucinationsCV: tachycardia, palpitations, orthostatic hypotension, heart failureEENT: blurred vision GI: dry mouth, nausea, vomiting, constipation, flatulence GU: urinary hesitancy or frequency, urine retention Hematologic: leucopenia Skin: photosensitivity, dermatitisPossible increased and prolongedanticholinergiceffects with MAO inhibitorsCaution the client that the medication may cause drowsiness, creating difficulties or hazards or other activities that require alertness. Tell the client to take the medication with food to decrease GI upset. Explain to the client that arising quickly forms a lying or sitting position may cause orthostatic hypotension. When taking these medications, the client needs to have blood cells counts, renal function, hepatic function, and blood pressure monitored. Adverse effects of these drugs occur more commonly in elderly clients. Explain to the client that use of these drugs in warm weather may increase the likelihood of heatstroke.


Biogesic

*with or without food

500mg 4-6 hrs

ParacetamolRelieve of feverMinor achesPains

AnemiaCardiac

pulmonary disease

hepatic or severe renal failureAllergic skin reactions

GI disturbance

Hemolytic Anemia

Neutropenia

Thrombocytopenia

Pancytopenia

Leukopenia

Urticaria

CNS stimulation

Hypoglycemic coma

Jaundice

Glissitis

Drowsiness

Liver DamageAnticonvulsant

Aspirin

Inh

PhenothiazinesAlcoholPain in > 5 days for children and 10 days for adultsFever of >3 days


Euro-med

slow IV / IM. Adult 10mg 8hrly.Metoclopramide HCLNausea and vommiting due to GI disorders,after surgery and cancer chemotherapy.GI motility disorders.GERD and non-ulcer dyspepsia.Radiodiagnostic procedures in the GIT.history of siezures, peptic ulcer desease and pheochromocytoma feeling restless, drowsy, tired, or dizzy; headache, sleep problems (insomnia); nausea, vomiting, diarrhea; breast tenderness or swelling; changes in your menstrual periods; or. urinating more than usual.

antagonism w/ antimuscarinic agents and opioid analgesics. May effect absorption of other drugs given concomitantlypatients receiving drugs that cause extrapyramidal effects eg antipsychotis or antimanic drugs eg lithium , antidepressants,antiepileptics and sympathomimetics.elderly and young chldn.renal and hepatic impairment.DI


Losec

Pregnancy Category:C

40 mg powder and solvent for solution for injectioOmeprazoleDuodenal and gastric ulcer. Gastroesophageal reflux disease including severe erosive esophagitis (4 to 8 wk treatment). Long-term treatment of pathologic hypersecretory conditions such as Zollinger-Ellison syndrome, multiple endocrine adenomas, and systemic mastocytosis. In combination with clarithromycin to treat duodenal ulcers associated with Helicobacter pylori.Long-term use for gastroesophageal reflux disease, duodenal ulcers; lactation.Suppresses gastric acid secretion relieving gastrointestinal distress and promoting ulcer healing.CNS:Headache, dizziness, fatigue.GI:Diarrhea, abdominal pain, nausea, mild transient increases in liver function tests.Urogenital:Hematuria, proteinuria.Skin:Rash.

Antacids may be administered with omeprazole.Lab tests: Monitor urinalysis for hematuria and proteinuria. Periodic liver function tests with prolonged use. Report any changes in urinary elimination such as pain or discomfort associated with urination, or blood in urine.Report severe diarrhea; drug may need to be discontinued.Do not breast feed while taking this drug.


Xyzal

with or without food

adult 5mg dailyLEVOCETIRIZINELevocetirizine is an antihistamine used to relieve allergy symptoms such as watery eyes, runny nose, itching eyes/nose, sneezing, hives, and itching. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reactionend stage of renal disease patients undergoing dialysisDry mouth,FatigueNasopharyngitisPharyngitisCNS depressionDrowsinessSedation ranging from mild drowsiness to deep sleepDizzinessLassitudeDisturbed coordinationRestlessnessInsomniaTremorsEuphoriaNervousnessDeliriumPalpitationseizures is less commonEpigastric distressAnorexiaNauseaVomitingDiarrheaConstipation

Alcohol and other CNS depressant hereditary problems of galactose intolerance.lapp-lactase deficiency or glucose-galactose malabsorption.pregnancy and lactation. May cause allergic reaction.may impair ability to drive or operate machinery.


Immunomax

therapeutic use 4 - 8 capsules three times per daySodium carboxymetyl

Dietary supplement that modulates immune function. May be used as adjuvant to prevent & reduce duration & severity of asthma & allergic rhinitis, upper resp tract infections & other diseases of immunologic imbalance. May be used together w/ anti-infectives & pre- & postsurgical procedures to help prevent & reduce post-op infections.Enhances immune function and helps in reducing infection. It may be given as adjuvant to antimicrobial, antiviral and antifungal agents.Helps reduce severity and duration of allergic rhinitis and asthma or as an adjunct to antiasthma medications.

Hypersensitivity to -glucans. Pregnancy & lactationNo toxicity or bad effects notedNo changes in kidney and liver functions found in patients after CM-glucan administration and no effects on heart rate and blood pressure.


Alanerv

1 softgel capsule daily. Take Alanerv on a full stomach.Alpha-lipoic acid, -linolenic acid, selenium and vitamin B-complex with vitamin E.Food supplement with antioxidant effect on free radicals, with action on cell trophism and helps protect the nervous cells.Shots may hurt a little, but the diseases they can prevent are a lot worse. Some are even life-threatening. Immunization shots, or vaccinations, are essential. They protect against things like measles, mumps, rubella, hepatitis B, polio, diphtheria, tetanus, and pertussis (whooping cough). Immunizations are important for adults as well as children.Your immune system helps your body fight germs by producing substances to combat them. Once it does, the immune system "remembers" the germ and can fight it again. Vaccines contain germs that have been killed or weakened. When given to a healthy person, the vaccine triggers the immune system to respond and thus build immunity.

Depressed level of consciousness

Dysarthria

sumnolence


Quinosyn

500mg per oremciprofloxacinFor the treatment of infections caused by susceptible gram-negative bacteria, includingE. coli, P. mirabilis, K.pneumoniae,Enterobactercloacae, P.vulgaris, P.rettgeri, M.morganii, P.aeruginosa,Citrobacterfreundii, S.aureus, S.epidermidis,group D streptococciOtic: Treatment of acuteotitisexternaTreatment of chronic bacterialprostatitisIV:TreatmentofosocomialpneumoniacausedbyHaemophilusinfluenzae,K.pneumoniaeOral: Typhoid feverOral: STDs caused byN.gonorrheaePrevention of anthrax following exposure to anthraxbacilla(prophylactic use in regions suspected of using germ warfare)Unlabeled use: Effective in patients with cystic fibrosis who have pulmonary exacerbations

Contraindicated with allergy to ciprofloxacin,norfloxacinor other fluoroquinolones, pregnancy, lactation.Use cautiously with renal dysfunction, seizures,tendinitisor tendon rupture associated withfluoroquinoloneuse.

CNS:Headache,dizziness, insomnia, fatigue, somnolence, depression, blurred visionCV:Arrhythmias,hypotension, anginaEENT:Dry eye, eyepain, keratopathyGI:Nausea,vomiting,dry mouth,diarrhea,abdominal painHematologic:Elevated BUN, AST,ALT, serumcreatinineand alkalinephosphatase; decreased WBC,neutrophilcount,HctOther:Fever, rash

Decreasedtherapeticeffect with iron salts,sucralfateDecreased absorption with antacids,didanosineIncreased serum levels and toxic effects oftheophyllinesif taken concurrently with ciprofloxacinIncreased effects of coumarin or its derivatives

History:Allergy to ciprofloxacin,norfloxacinor other quinolones; renal dysfunction; seizures; lactationPhysical:Skin color, lesions; T; orientation, reflexes, affect; mucous membranes, bowel sounds; renal and liver function tests

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