TEACHING PHARMACOLOGY
A
Adderall (Amphetamine/Dextroamphetamine)
SN instructed patient/caregiver on Adderall (Amphetamine/Dextroamphetamine). This combination medication is used to treat attention deficit hyperactivity disorder – ADHD. It works by changing the amounts of certain natural substances in the brain. Also used to treat a certain sleeping disorder (narcolepsy) to help you stay awake during the day. It should not be used to treat tiredness or to hold off sleep in people who do not have a sleep disorder. Side effects include: loss of appetite, weight loss, dry mouth, stomach upset/pain, nausea/vomiting, dizziness, headache, diarrhea, fever, nervousness, and trouble sleeping may occur. This medication may raise your blood pressure. If any of these effects persist or worsen, tell your doctor promptly.
Aquacel AG dressing
SN instructed patient/caregiver regarding the use of Aquacel AG dressing. The dressing absorbs and interacts with wound exudate to form a soft, hydrophilic, gas-permeable gel that traps bacteria and conforms to the contours of the wound whilst providing a micro-environment that is believed to facilitate healing. Aquacel Ag should not be used on individuals who are sensitive to or who have had an allergic reaction to the dressing or its components.
Albuterol (Generic Ventolin) I
SN instructed patient/caregiver on Albuterol. SN explained that albuterol is a bronchodilator indicated in COPD for opening of the airways and decrease shortness of breath. SN explained that side effects include: nervousness, restlessness, tremor, chest pain, palpitations, headache, insomnia. SN instructed to notify physician immediately if shortness of breath is not relieved or is accompanied by diaphoresis, dizziness, palpitations, or chest pain.
Albuterol (Generic Ventolin) II
SN instructed patient/caregiver on Albuterol. Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Albuterol belongs to a class of drugs known as bronchodilators. It works in the airways by opening breathing passages and relaxing muscles. Side effects: Nervousness, shaking (tremor), headache, nausea or dizziness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Albuterol (Generic Ventolin) III
SN instructed patient/caregiver this the albuterol it is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. SN instructed patient that albuterol belongs to a class of drugs known as bronchodilators. It works in the airways by opening breathing passages and relaxing muscles. Side effects: Nervousness, shaking (tremor), headache, nausea or dizziness may occur. Understanding was verbalized.
Albuterol (Generic Ventolin) IV
SN instructed patient/caregiver to perform oral inhalation correctly: Shake the inhaler. Clear nasal passages and throat. Breathe out, expelling as much air from lungs as possible. Place mouthpiece well into mouth as dose from inhaler is released and inhale deeply. Hold breath for several seconds, remove mouthpiece and exhale slowly. Or, inhaler may be held about 1 inch (two finger widths) from open mouth; inhale while dose is released.
Amlodipine (Generic Norvasc)
SN educated patient/caregiver that Norvasc is an antianginal medication that works on heart to decrease its demand for oxygen & also dilates coronary arteries & arterioles. The side effects of Norvasc; to note & report to RN or MD any headache, fatigue, edema, dizziness, paresthesia, flushing, palpitations, agitation, nausea, abdominal pain, muscle pain, dyspnea, rash or pruritus. Please contact your Physician or Nurse if any of these occur.
Allopurinol (Generic Zyloprim)
SN instructed patient/caregiver about Allopurinol reduces the production of uric acid in your body. Uric acid buildup can lead to gout or kidney stones. Take once daily as ordered with a full glass of water. Medication may weaken your immune system, avoid sick persons. Common side effects are vomiting, diarrhea; drowsiness, headache; changes in your sense of taste; or muscle pain. Notify SN/MD if experiencing bothersome or unusual side effects.
Alprazolam (Generic Xanax) I
SN instructed patient/caregiver about Alprazolam to manage anxiety. In addition, warned of possible S/E such as drowsiness, light-headedness, headache, confusion, tremor, dizziness, syncope, depression, insomnia, memory impairment, nervousness, minor changes in EEG patterns, hypotension, tachycardia, blurred vision, nasal congestion, dry mouth, nausea, vomiting, diarrhea, constipation, increased salivation, weight gain or loss, muscle rigidity, dermatitis. Avoid hazardous activities that require alertness and good psychomotor coordination until CNS effects of drug are known. Avoid alcohol while taking drug. Smoking may decrease effectiveness of drug. Do not stop using drug abruptly because withdrawal symptoms or seizures may occur.
Alprazolam (Generic Xanax) II
SN instructed patient/caregiver about Alprazolam. Which is a medication in the class of benzodiazepines. Explained that this medication is indicated in the management of anxiety and panic attacks and that it works by acting on the CNS to decrease anxiety. Explained to patient that the side effects include: dizziness, drowsiness, lethargy, headache, rashes, nausea, vomiting. Explained that abrupt discontinuation of this medication can cause withdrawal symptoms such as: sweating, nausea, vomiting, muscle cramps, tremors and seizures. Instructed patient to avoid ETOH, CNS depressants, and grapefruit juice while taking Xanax. Instructed to notify Physician if experiencing unrelieved anxiety or if experiencing persistence or worsening of medication side effects.
Amiodarone
SN instructed patient/caregiver that Amiodarone is a class of antiarrhythmic agent used for various types of cardiac dysrhythmias, both ventricular and atrial. Despite relatively common side-effects, it is used in arrhythmias that are otherwise difficult to treat with medication. The most serious reaction that is due to amiodarone is interstitial lung disease. Hypothyroidism and hyperthyroidism. Corneal micro-deposits. Abnormal liver enzyme results. Much rarer are jaundice, hepatomegaly, and hepatitis. Low-dose amiodarone has been reported to cause pseudo-alcoholic cirrhosis. Long-term administration of amiodarone is associated with a light-sensitive blue-grey discoloration of the skin, and peripheral neuropathies. Gynecomastia and an association between amiodarone and an increased risk of cancer, especially in males.
Amlodipine (Generic Norvasc)
SN instructed patient/caregiver about Amlodipine that is used alone or in combination with other medications to treat high blood pressure in adults and children 6 years and older. It is also used to treat certain types of angina (chest pain) and coronary artery disease (narrowing of the blood vessels that supply blood to the heart). Amlodipine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: swelling of the hands, feet, ankles, or lower, legs, headache, upset stomach, nausea, stomach pain, dizziness or lightheadedness, drowsiness, excessive tiredness, flushing.
Amoxicillin I
SN instructed patient/caregiver about Amoxicillin that is used to treat certain infections caused by bacteria, such as pneumonia; bronchitis (infection of the airway tubes leading to the lungs); and infections of the ears, nose, throat, urinary tract, and skin. It is also used in combination with other medications to eliminate H. pylori, a bacterium that causes ulcers.
Amoxicillin II
SN instructed patient/caregiver about Amoxicillin. Side effects such as lethargy, hallucinations, seizures, anxiety, confusion, agitation, depression, dizziness, fatigue, nausea, vomiting, diarrhea, glossitis, stomatitis, gastritis, abdominal pain, enterocolitis, pseudomembranous colitis, black tongue, interstitial nephritis, nephropathy, vaginitis, anemia, thrombocytopenia, thrombocytopenic purpura, eosinophilia, leukopenia, hemolytic anemia, agranulocytosis, hypersensitivity reactions, anaphylaxis, and overgrowth of nonsusceptible organisms. Notify MD if rash, fever, or chills develop. A rash is the most common allergic reaction, especially if allopurinol is also being taken.
Atenolol (Generic Tenormin) I
SN instructed patient/caregiver about Atenolol to manage hypertension. In addition, warned of possible side effects such as fatigue, lethargy, vertigo, drowsiness, dizziness, fever, bradycardia, hypotension, heart failure, intermittent claudication, nausea, diarrhea, thrombocytopenia, hyperkalemia, hypoglycemia, increased risk of developing type-two diabetes, dyspnea, bronchospasm, rash and leg pain. Instructed to take drug exactly as prescribed at the same time every day. Do not stop drug suddenly but do call prescriber if unpleasant adverse reactions occur. If pulse rate is below 60 beats/minute, stop taking drug and call prescriber. Women: notify prescriber if pregnancy occurs. Drug usage might be discontinued.
Atenolol (Generic Tenormin) II
SN instructed patient/caregiver how Atenolol blocks stimulation of receptors within vascular smooth muscle. It also decreases heart rate, decreases consumption of oxygen by myocardium and it is used to treat hypertension, prophylaxis of angina pectoris, suspected or known myocardial infarction. Atenolol should be stored away from light, moisture and should be placed in a cool environment. It may be crushed, chewed or swallowed whole; preferably taken with food to prevent gastrointestinal discomfort.
Atorvastatin (Generic Lipitor) I
SN instructed patient/caregiver on Atorvastatin which is used to lower cholesterol, some side effects include confusion, memory problems; fever, unusual tiredness, and dark colored urine; swelling, weight gain, urinating less than usual or not at all, increased thirst, increased urination, hunger, dry mouth, and fruity breath odor.
Atorvastatin (Generic Lipitor) I
SN instructed patient/caregiver on Atorvastatin which is used to treat high cholesterol, and to lower the risk of stroke, heart attack, or other heart complications in people with type 2 diabetes, coronary heart disease, or other risk factors. Take once daily with or without food in the evening at the same time. Avoid eating foods that are high in fat or cholesterol. Atorvastatin will not be as effective in lowering your cholesterol if you do not follow a cholesterol-lowering diet plan. Minimize drinking alcohol. It can raise triglyceride levels and may increase your risk of liver damage. Grapefruit and grapefruit juice may interact with atorvastatin and lead to potentially dangerous effects. Avoid drinking more than 1 liter per day of grapefruit juice while taking this medicine.
Augmentin (Amoxicillin/Potassium Clavulanate)
SN instructed patient/caregiver about Augmentin (Amoxicillin/Potassium Clavulanate) that is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. It works by stopping the growth of bacteria. Seek medical attention if you have signs of an allergic reaction to Augmentin such as: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe stomach pain, diarrhea that is watery or bloody; pale or yellowed skin, dark colored urine, fever, confusion or weakness; loss of appetite, upper stomach pain, jaundice (yellowing of the skin or eyes); easy bruising or bleeding; little or no urination; or severe skin reaction – fever, sore throat, swelling in your face or tongue, burning in your eyes, skin pain followed by a red or purple skin rash that spreads (especially in the face or upper body) and causes blistering and peeling.
Azithromycin (Generic Zithromax) I
SN educated patient/caregiver that Azithromycin is used to treat bacterial infections. Take your medicine as directed. Take all of the medicine in your prescription to clear up your infection, even if you feel better after the first few doses.
Azithromycin (Generic Zithromax) II
SN instructed patient/caregiver that Zithromax (Azithromycin) is an antibiotic useful for the treatment of bacterial infections. Most common side effects are diarrhea, nausea, abdominal pain and vomiting. Nervousness, dermatologic reactions, and anaphylaxis have been reported. As with all antimicrobial agents, pseudomembranous colitis can occur during and up to several weeks after azithromycin therapy.
B
Budesonide (Pulmicort) I
SN instructed patient/caregiver on Budesonide that is used to treat Crohn’s disease (a condition in which the body attacks the lining of the digestive tract, causing pain, diarrhea, weight loss, and fever). Budesonide is in a class of medications called corticosteroids. It works by decreasing inflammation (swelling) in the digestive tract of people who have Crohn’s disease.
Budesonide (Pulmicort) II
SN instructed patient/caregiver on Budesonide that to manage asthma. In addition, warned of possible S/E such as headache, pain, insomnia, asthenia, rhinitis, voice alteration, sinusitis, pharyngitis, dry mouth, nausea, vomiting, abdominal pain, taste perversion, cough, etc. Budesonide comes as a capsule to take by mouth. It is usually taken once a day in the morning. Take budesonide at around the same time every day. Your doctor will tell you how long to take budesonide.
Bupropion
SN instructed patient/caregiver on Bupropion. This medication is used to treat major depression. This medication works by helping to restore the balance of natural chemicals in the brain. Take this medication by mouth, usually once daily with or without food. If nausea occurs, you may take this drug with food. Do not crush, chew or break the tablets. Swallow tablets whole. Since this drug may cause sleeplessness at first, it is best not to take near bedtime. The dosage is based on your medical condition and response to therapy. Do not take more or less medication than prescribed. Taking more than the recommended dose of bupropion will increase your risk of having a seizure. side effects may include dry mouth, nausea, vomiting, stomach/abdominal pain, flushing, headache/migraine, loss of appetite, trouble sleeping, increased sweating, strange taste in mouth, weakness, drowsiness, or blurred vision may occur. If any of these effects persist or worsen, notify your doctor promptly.
C
Carvedilol (Generic Coreg)
SN instructed patient/caregiver about Carvedilol that is used to treat heart failure (condition in which the heart cannot pump enough blood to all parts of the body) and high blood pressure. It also is used to treat people whose hearts cannot pump blood well as a result of a heart attack. Carvedilol is in a class of medications called beta-blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure. Tell your doctor if any of these symptoms are severe or do not go away: tiredness, weakness, lightheadedness, dizziness, headache.
Cephalexin (Generic Keflex)
SN instructed patient/caregiver about Cephalexin is a cephalosporin (SEF a low spor in) antibiotic. It works by fighting bacteria in your body. Cephalexin is used to treat infections caused by bacteria, including upper respiratory infections, ear infections, skin infections, urinary tract infections and bone infections. Cephalexin is used to treat infections in adults and children who are at least 1-year-old. SN explained that the side effects of this medication includes: diarrhea, dizziness, headache, indigestion, joint pain, stomach pain and tiredness. SN explained that the drug can also cause yellowing of the eyes or skin; red, blistered, swollen or peeling skin, unusual bruising or bleeding, decreased urination, severe cramps and confusion. SN instructed to notify physician if experiencing persistence or worsening of side effects.
Cetirizine (Generic Quzyttir) I
SN instructed patient/caregiver about Cetirizine that is used to temporarily relieve the symptoms of hay fever (allergy to pollen, dust, or other substances in the air) and allergy to other substances (such as dust mites, animal dander, cockroaches, and molds). These symptoms include sneezing; runny nose; itchy, red, watery eyes; and itchy nose or throat. Cetirizine is also used to treat itching and redness caused by hives. However, cetirizine does not prevent hives or other allergic skin reactions.
Cetirizine (Generic Quzyttir) II
SN instructed patient/caregiver on Cetirizine may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: drowsiness, excessive tiredness, dry mouth, stomach pain, diarrhea, vomiting. Some side effects can be serious such as difficulty breathing or swallowing.
Ciprofloxacin
SN instructed patient/caregiver Ciprofloxacin HCL, which is used to manage tract infection. In addition, warned of possible side effects such as, headache, restlessness, tremor, dizziness, fatigue, drowsiness, insomnia, depression, light-headedness, confusion, hallucinations, seizures, paresthesia, thrombophlebitis, edema, nausea, diarrhea, vomiting, abdominal pain or discomfort, oral candidiasis, pseudomembranous colitis, dyspepsia, flatulence, constipation, crystalluria, interstitial nephritis, eosinophilia, leukopenia, neutropenia, thrombocytopenia, arthralgia, arthropathy, joint or back pain, joint inflammation, joint stiffness, tendon rupture, aching, neck or chest pain, rash, photosensitivity, Stevens-Johnson syndrome, toxic epidermal necrolysis, exfoliative dermatitis, burning, pruritus, erythema, hyperpigmentation.
Citalopram (Generic Celexa) I
SN instructed patient/caregiver on Citalopram is an antidepressant and it produce side effects such as nausea, vomiting, diarrhea, loss of appetite, feeling unsteady, loss of coordination; or headache, trouble concentrating, memory problems, weakness, confusion, hallucinations, fainting, seizure, shallow breathing or breathing that stops and drowsiness.
Citalopram (Generic Celexa) II
SN instructed patient/caregiver on Citalopram that is used to treat depression. Citalopram is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It is thought to work by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. It is usually taken once a day, in the morning or in the evening, with or without food, around the same time every day. Take citalopram exactly as directed.
Clopidogrel (Generic Plavix) I
SN instructed patient/caregiver about Clopidogrel that is also used to prevent serious or life-threatening problems with the heart and blood vessels in people who have peripheral arterial disease (poor circulation in the blood vessels that supply blood to the legs). It is in a class of medications called antiplatelet medications. It works by preventing platelets (a type of blood cell) from collecting and forming clots that may cause a heart attack or stroke.
Clopidogrel (Generic Plavix) II
SN instructed patient/caregiver about Clopidogrel (Plavix) to reduce atherosclerotic events. Clopidogrel is used alone or with aspirin to prevent serious or life-threatening problems with the heart and blood vessels in people who have had a stroke, heart attack, or severe chest pain. In addition, warned of possible side effects such as headache, dizziness, fatigue, depression, pain, edema, hypertension, rhinitis, epistaxis, abdominal pain, gastritis, constipation, diarrhea, ulcers, arthralgia, coughing, rash, pruritus and others.
Cyclobenzaprine (Generic Fexmid)
SN instructed patient/caregiver about Cyclobenzaprine that is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries. Cyclobenzaprine is in a class of medications called skeletal muscle relaxants. It works by acting in the brain and nervous system to allow the muscles to relax. May cause side effects such as: dry mouth, dizziness, nausea, constipation, heartburn, extreme, tiredness.
D
Dextroamphetamine (Generic Dexedrine)
SN instructed patient/caregiver on Dextroamphetamine is used as part of a treatment program to control symptoms of attention deficit hyperactivity disorder (ADHD; more difficulty focusing, controlling actions, and remaining still or quiet than other people who are the same age) in adults and children. Dextroamphetamine is also used to treat narcolepsy (a sleep disorder that causes excessive daytime sleepiness and sudden attacks of sleep). Dextroamphetamine is in a class of medications called central nervous system stimulants. It works by changing the amounts of certain natural substances in the brain. Dextroamphetamine may cause side effects such as: headache, dry mouth, unpleasant taste, constipation, weight loss, changes in sex drive or ability.
Duoneb (Ipratropium bromide/albuterol)
SN instructed patient / caregiver about Ipratropium Bromide/Albuterol(Duoneb); get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using albuterol and ipratropium and call your doctor at once if you have a serious side effect such as: wheezing, choking, or other breathing problems, chest pain, pounding heartbeats or fluttering in your chest, dangerously high blood pressure (severe headache, anxiety, uneven heart beat), swelling of your ankles or feet, eye pain, or seeing halos around lights, painful or difficult urination. Other common side effects may include: mild headache, or cold symptoms such as stuffy nose, sneezing, cough, or sore throat.
Duloxetine (Generic Cymbalta)
SN instructed patient/caregiver on Duloxetine is used to treat major depressive disorder in adults. It is also used to treat general generalized anxiety disorder. It is also used in adults to treat fibromyalgia (a chronic pain disorder), or chronic muscle or joint pain (such as low back pain and osteoarthritis pain). Take duloxetine exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. You may take duloxetine with or without food. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.
E
Enoxaparin (Generic Lovenox)
SN instructed patient/caregiver about the Enoxaparin (Lovenox) is used as an anticoagulant that helps prevent the formation of clots within the body. Because anticoagulants effect clotting time patients on anticoagulant therapy must be careful not to fall or injure themselves in anyway. The most common side effects from the use of Lovenox / Enoxaparin are mild pain, irritation, bruising, or redness of the skin at the site of injection.
Ergocalciferol (Generic Vitamin D) I
SN instructed patient/caregiver about the Ergocalciferol that is used in the treatment of hypoparathyroidism (condition in which the body does not produce enough parathyroid hormone), refractory rickets (softening and weakening of bones that does not respond to treatment), and familial hypophosphatemia (rickets or osteomalacia caused by an inherited condition with a decreased ability to break down vitamin D in the body). Ergocalciferol is in a class of medications called vitamin D analogs. It works by helping the body to use more of the calcium found in foods or supplements.
Ergocalciferol (Generic Vitamin D) II
SN instructed patient/caregiver about the Ergocalciferol is vitamin D2. Vitamin D is important for the absorption of calcium from the stomach and for the functioning of calcium in the body. Possible hypervitaminosis D effects: polyuria, nocturia, polydipsia, hypercalciuria, reversible azotemia, hypertension, nephrocalcinosis, generalized vascular calcification, irreversible renal insufficiency (may be fatal), mental retardation, widespread soft tissue calcification, osteoporosis, dwarfism, vague aches, stiffness, weakness, nausea, anorexia, constipation, mild acidosis, anemia, weight loss.
Escitalopram (Generic Lexapro)
SN instructed patient/caregiver about the Escitalopram. This medication is used to treat depression in adults and children and teenagers 12 years or older. Escitalopram is also used to treat generalized anxiety disorder (GAD; excessive worry and tension that disrupts daily life for 6 months or longer) in adults. It works by increasing the amount of serotonin, a natural substance in the brain that helps maintain mental balance. Escitalopram may cause side effects such as nausea, diarrhea, constipation, changes in sex drive or ability, drowsiness, increased sweating, dizziness, heartburn, stomach pain, excessive tiredness, dry mouth, decreased appetite, weight loss, flu-like symptoms, runny nose, sneezing. Tell your doctor if any of those symptoms are severe or do not go away.
Ertapenem
Instructed patient/caregiver on Ertapenem that is an antibiotic that fights bacteria. It is used to treat severe infections of the skin, lungs, stomach, pelvis, and urinary tract. It is also used to prevent infection in people having certain types of surgery. Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Estradiol (Generic Alora, Estrace, Climara, Dotti, Menostar, Minivelle) I
SN instructed patient/caregiver about Estradiol that is a form of estrogen, a female sex hormone that regulates many processes in the body. It is available as an oral tablet, a topical gel or patch, vaginal cream, or as an injection. Estradiol is used to treat menopause symptoms such as hot flashes and vaginal changes, and to prevent osteoporosis (bone loss) in menopausal women. Estradiol is also used to treat low estrogen levels in women with ovarian failure. It is also indicated to treat certain types of breast cancer and prostate cancer.
Estradiol (Generic Alora, Estrace, Climara, Dotti, Menostar, Minivelle) II
SN instructed patient/caregiver about Estradiol. You should not use estradiol if you have: undiagnosed vaginal bleeding, liver disease, a bleeding disorder, or if you have ever had a heart attack, a stroke, a blood clot, or cancer of the breast, uterus/cervix, or vagina. Do not use estradiol if you are pregnant. Estradiol may increase your risk of developing uterine cancer. Report any unusual vaginal bleeding right away.
Ethinyl Estradiol/Norethindrone (Generic Junel, Microgestin, Loestrin, Aurovela)
SN instructed patient/caregiver about Ethinyl Estradiol/Norethindrone. This combination hormone medication is used to prevent pregnancy. It contains 2 hormones: Norethindrone (a progestin) and Ethinyl estradiol (an estrogen). It works mainly by preventing the release of an egg (ovulation) during your menstrual cycle. It also makes vaginal fluid thicker to help prevent sperm from reaching an egg (fertilization) and changes the lining of the uterus (womb) to prevent attachment of a fertilized egg. Nausea, vomiting, headache, bloating, breast tenderness, swelling of the ankles/feet (fluid retention), or weight change may occur.
F
Forteo (teriparatide)
SN instructed patient/caregiver about Forteo (teriparatide) that is a man-made form of parathyroid hormone that exists naturally in the body. Teriparatide increases bone mineral density and bone strength, which may prevent fractures. Forteo is used to treat osteoporosis caused by menopause, steroid use, or gonadal failure. Forteo is for use when you have a high risk of bone fracture due to osteoporosis. Forteo may interact with digoxin (digitalis, Lanoxin). Common side effects of Forteo include dizziness or fast heartbeat within 4 hours after using this medication. These symptoms may persist for a few minutes to a few hours. This effect should go away after several doses as your body adjusts to the medication.
Fluoxetine (Generic Prozac)
SN instructed patient/caregiver about Fluoxetine (Prozac). This medication is used to treat depression, obsessive-compulsive disorder (bothersome thoughts that won’t go away and the need to perform certain actions over and over), some eating disorders, and panic attacks (sudden, unexpected attacks of extreme fear and worry about these attacks). Fluoxetine (Sarafem) is used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Fluoxetine may cause side effects: nervousness, anxiety, difficulty falling asleep or staying asleep, nausea, diarrhea, dry mouth, heartburn, yawning, weakness, uncontrollable shaking of a part of the body, loss of appetite.
Fluticasone I
SN instructed patient/caregiver that Fluticasone is used to relieve seasonal and year-round allergic and non – allergic nasal symptoms, such as stuffy / runny nose, itching, and sneezing. It can also help relieve allergy eye symptoms such as itchy, watery eyes. This medication belongs to a class of drugs known as corticosteroids. It works in your nose to block the effects of substances that cause allergies (such as pollen, pet dander, dust mites, mold) and to reduce swelling. SN instructed that Nasal dryness / irritation, nausea, or vomiting may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Fluticasone II
SN instructed patient/caregiver about Flonase (Fluticasone). It is used to treat asthma, allergic rhinitis, nasal polyps, various skin disorders and Crohn’s disease and ulcerative colitis. If taken correctly, the nasal spray and oral inhaler formulation have less corticosteroid side effects than the tablet formulation because they limit systemic absorption. However, if the spray or inhaler is used at higher than recommended doses or with other corticosteroids, serious side effects can occur. These systemic corticosteroid side effect include weakened immune system, increased risk of systemic infections, osteoporosis, and elevated pressure in the eyes. Nasal spray common side effects may include nasal irritation, HA, nausea, vomiting, diarrhea, nosebleed, and cough. Rare side effects include painful white patches in nose or throat, sore throat, bruising, vision problems, swelling of face or neck, and difficulty breathing or swallowing.
Furosemide (Generic Lasix) I
SN instructed patient/caregiver that Furosemide is used to treat fluid retention and high blood pressure and it causes increased urination. SN instructed patient to watch out for side effects of this medication such as headache, dizziness, blurred vision, constipation, diarrhea, and numbness/burning/tingly feeling and to notify physician (MD) if experiencing these side effects persistently. SN informed that Lasix may deplete potassium in the body, thus needing potassium supplement or increased potassium intake (oranges, bananas). SN instructed to report to physician (MD) if patient experiences vomiting, fast/uneven heartbeat, lightheadedness or increased weakness, muscle pains, or urinating less or not at all.
Furosemide (Generic Lasix) II
SN instructed patient/caregiver that Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen. This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. Furosemide is a “water pill” (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt. SN also instructed patient that Dizziness, lightheadedness, headache or blurred vision may occur as your body adjusts to the medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly. To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.
G
Gabapentin (Generic Neurontin)
SN instructed patient/caregiver about Gabapentin (Neurontin). It is a medication used to treat epilepsy, neuropathic pain and hot flashes. It is also used for restless leg syndrome. It is a first line agent for the treatment of neuropathic pain arising from diabetic neuropathy, post-herpetic neuralgia, and central neuropathic pain. Most common side effects of gabapentin in adult patients include dizziness, fatigue, drowsiness, weight gain, and peripheral edema. It may also produce sexual dysfunction in some patients, symptoms of which may include loss of libido, inability to reach sexual climax, and erectile dysfunction. It should be used carefully in patients with renal impairment due to possible accumulation and toxicity. Warning of an increased risk of depression and suicidal thoughts and behaviors in patients taking gabapentin. Report to Physician or nurse if any of those side effect/adverse reaction occurs.
Gentamicin
SN instructed patient/caregiver about Gentamicin. SN explained that Gentamicin is an antibiotic that fights bacteria. Gentamicin is used to treat severe or serious bacterial infections. You should not use this medicine if you are allergic to gentamicin or similar antibiotics such as amikacin, kanamycin, neomycin, paromomycin, streptomycin, or tobramycin. Common side effects may include: vision problems; nausea, vomiting, loss of appetite, weight loss; a light-headed feeling, like you might pass out; itching or rash; pain where the medicine was injected; a headache, mood changes; or joint pain. Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
H
Hydrochlorothiazide I
SN instructed patient/caregiver on medication Hydrochlorothiazide. It is used alone or in combination with other medications to treat high blood pressure. Hydrochlorothiazide is used to treat edema (fluid retention; excess fluid held in body tissues) caused by various medical problems, including heart, kidney, and liver disease and to treat edema caused by using certain medications including estrogen and corticosteroids. Hydrochlorothiazide is in a class of medications called diuretics (‘water pills’). It works by causing the kidneys to get rid of unneeded water and salt from the body into the urine.
Hydrochlorothiazide II
SN instructed patient/caregiver on medication Hydrochlorothiazide. SN explained that Hydrochlorothiazide (HCTZ) is a medication indicated for edema and hypertension. That it is a diuretic that reduces fluid volume overload which, in turn, lowers blood pressure. Explained that side effects of this medication includes dizziness, dehydration, weakness, pancreatitis, anemia and nausea. SN instructed patient / caregiver to notify physician (MD) if experiencing persistence or worsening of side effects.
I
Ibuprofen I
SN instructed patient/caregiver that Ibuprofen is a nonsteroidal anti-inflammatory drug used for relieving pain, helping with fever and reducing inflammation. Ibuprofen may be a weaker anti-inflammatory than other NSAIDs. Compared to other NSAIDs it may have fewer side effects such as gastrointestinal bleeding. However, if stomach upsets occur patient was advised to take with food. Swallow the tablet whole; do not chew or crush it.
Ibuprofen II
SN instructed patient/caregiver that the ibuprofen at low doses it does not appear to increase the risk of myocardial infarction; however, at higher doses it may. It may result in worsened asthma. Like other NSAIDs it works by inhibiting the synthesis of prostaglandins, which are fat-like molecules that are derived from the omega-6 fatty acid, arachidonic acid, which are involved in mediating inflammation, pain and fever.
Insulin Glargine (Generic Lantus)
SN instructed patient/caregiver regarding medication Lantus insulin. SN instructed that insulin is used by the body to remove and use glucose from the blood and produce energy and that it is used in type 2 diabetes to overcome the resistance of the cells to insulin. SN explained that Lantus insulin starts working after 1 – 2 hours and peaks after 6 hours after injection, and has a duration of 18 – 26 hours. SN informed that hypoglycemia is the most common side effect that may occur during insulin therapy. SN instructed to patient/caregiver to rotate insulin injection sites to avoid bruising and injury.
J
Januvia (Sitagliptin)
SN instructed patient/caregiver about the use of Januvia (Sitagliptin) is used along with diet and exercise and sometimes with other medications to lower blood sugar levels in patients with type 2 diabetes. It works by increasing the amounts of certain natural substances that lower blood sugar when it is high. Over time, people who have diabetes and high blood sugar can develop serious or life – threatening complications, including heart disease, stroke, kidney problems, nerve damage, and eye problems. Taking medication, making lifestyle changes, and regularly checking your blood sugar may help to manage your diabetes and improve your health. This therapy may also decrease your chances of having a heart attack, stroke, or other diabetes – related complications such as kidney failure, nerve damage, eye problems, including changes or loss of vision, or gum disease.
K
Kenalog-40
SN instructed patient/caregiver about Kenalog-40 that is a steroid medicine that is used to treat many different types of inflammatory conditions, including severe allergic reactions, skin disorders, severe colitis, inflammation of the joints or tendons, blood cell disorders, inflammatory eye disorders, lung disorders, and problems caused by low adrenal gland hormones. Also used to treat certain skin disorders caused by autoimmune conditions such as lupus, psoriasis, lichen planus, and others. Kenalog-40 is given through a needle and can be injected into different areas of the body. Common side effects may include: skin changes (acne, dryness, redness, bruising, discoloration); increased hair growth, or thinning hair; nausea, bloating, appetite changes; stomach or side pain.
Ketoconazole
SN instructed patient/caregiver about ketoconazole cream; use this medication on the skin only. Clean and thoroughly dry the area to be treated, apply enough medication to cover the affected skin and some of the surrounding skin. After applying this medication, wash your hands. Do not wrap, cover or bandage the area unless directed to do so by your doctor. Do not apply this medication in the eyes, nose, mouth, or vagina. If this medication gets in the eyes (e.g., when used to treat dandruff), rinse thoroughly with water.
L
Levothyroxine (Generic Levo-T, Synthroid) I
SN instructed patient/caregiver about Levothyroxine. SN taught that Levothyroxine is a replacement for a hormone that is normally produced by the thyroid gland to regulate the body’s energy and metabolism. SN explained that Levothyroxine is given when the thyroid does not produce enough of this hormone on its own. SN explained that Levothyroxine treats hypothyroidism (low thyroid hormone). SN explained that Levothyroxine is also used to treat / prevent goiter. Also SN taught about the side effects of this medication such as headache, insomnia, nervous or irritable feeling, fever, hot flashes, sweating, changes in your menstrual periods, appetite changes and weight changes. SN Instructed patient/caregiver to notify physician (MD) if experiencing persistent or worsening of side effects.
Levothyroxine (Generic Levo-T, Synthroid) II
SN instructed patient/caregiver about Levothyroxine is a medication used to treat hypothyroidism. Labs will need to be drawn routinely to check effectiveness & dose may need to be changed. Patient instructed to take this medication 30 min. before breakfast & all other meds. Swallow the tablet or capsule whole, with a full glass (8 ounces) of water. The tablet may dissolve very quickly and could swell in your throat. Avoid the following food products, which can make your body absorb less levothyroxine: grapefruit juice, infant soy formula, soybean flour, cotton seed meal, walnuts, and high-fiber foods.
Levemir (insulin Detemir)
SN instructed patient/caregiver that Levemir is a long lasting insulin that treats diabetes. When used as prescribed, it should provide 12-24 hr. control over high blood sugar levels. Take medication as prescribed and notify SN/MD right away if you notice any of these side effects: shaking, trembling, sweating, lightheadedness, fast or pounding heartbeat confusion, restlessness, headache, hunger, slurred speech and vision changes.
Lisinopril (Generic Prinivil, Zestril) I
SN instructed patient/caregiver about Lisinopril. It is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension ACE is important because it is an enzyme responsible for producing the chemical, angiotensin II. Angiotensin II causes muscles in most arteries, including the arteries of the heart, to contract, thereby narrowing the arteries and elevating blood pressure. ACE inhibitors such as Lisinopril lower blood pressure by reducing the production of angiotensin II, thereby relaxing arterial muscle and enlarging arteries. When the blood pressure is lower, the heart – including the failing heart – does not have to work as hard to pump blood. The arteries supplying the heart with blood also enlarge during treatment with ACE inhibitors. This increases the flow of blood and oxygen to the heart, further improving the ability of the heart to pump blood side effects include: dizziness due to a drop in blood pressure, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools.
Lisinopril (Generic Prinivil, Zestril) II
SN instructed patient/caregiver that the Lisinopril is a drug of the angiotensin-converting enzyme inhibitor class used primarily in treatment of hypertension. If any of the following side effects occur please report to physician or nurse: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, blistering, peeling, red skin rash, confusion, weakness, uneven heartbeat, trouble breathing, numbness or tingling in your hands, feet, or lips, dark urine or pale stools.
Lorazepam (Generic Ativan)
SN instructed patient/caregiver about Lorazepam. This medication is a benzodiazepine a medication used to treat anxiety disorder. Patient was instructed to take medication exactly as indicated by physician and to avoid the consumption of alcohol. Patient was instructed on side effects such as: drowsiness, dizziness, tiredness; blurred vision; sleep problems (insomnia); muscle weakness, lack of balance or coordination; amnesia or forgetfulness, trouble concentrating; nausea, vomiting, constipation; appetite changes; or skin rash. If side effect become persistent or worsen contact physician immediately.
Losartan (Generic Cozaar) I
SN instructed patient/caregiver about Losartan. This medication is used alone or in combination with other medications to treat high blood pressure. Losartan is also used to decrease the risk of stroke in people who have high blood pressure and a heart condition called left ventricular hypertrophy (enlargement of the walls of the left side of the heart). Losartan may not decrease the risk of stroke in African Americans who have these conditions. This medication is also used to treat kidney disease in people who have type 2 diabetes (condition in which the body does not use insulin normally and therefore cannot control the amount of sugar in the blood) and high blood pressure. Losartan is in a class of medications called angiotensin II receptor antagonists. It works by blocking the action of certain natural substances that tighten the blood vessels, allowing the blood to flow more smoothly and the heart to pump more efficiently.
Losartan (Generic Cozaar) II
SN instructed patient/caregiver about Losartan. This medication is used to treat hypertension and reducing the risk of stroke in patients with hypertension and left ventricular hypertrophy. Possible SE/AR may include: diarrhea, muscle cramps, dizziness, insomnia, nasal congestion. Losartan also may cause: a persistent cough, an increase serum potassium and Impotence.
M
Meloxicam (Generic Mobic)
SN instructed patient/caregiver that Meloxicam is a not steroidal anti-inflammatory drug with analgesic and fever reducer effects. Possible can result in gastrointestinal toxicity and bleeding, headaches, rash, and very dark or black stool. Like other NSAIDs, its use is associated with an increased risk of cardiovascular events such as heart attack and stroke. It has fewer gastrointestinal side effects than diclofenac, piroxicam, and naproxen, and perhaps all other NSAIDs.
Meropenem
SN instructed patient/caregiver about Meropenem injection that is used to treat skin and abdominal (stomach area) infections caused by bacteria and meningitis (infection of the membranes that surround the brain and spinal cord) in adults and children 3 months of age and older. Meropenem injection is in a class of medications called antibiotics. It works by killing bacteria that cause infection. Antibiotics such as meropenem injection will not work for colds, flu, or other viral infections. Taking antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment.
Metformin (Generic Riomet) I
SN instructed patient/caregiver about Metformin that is an oral anti – diabetic medication and is used to treat type 2 diabetes mellitus. SN explained that it is the first-line drug of choice for the treatment of type 2 diabetes, particularly in overweight and obese people. SN explained that using metformin alone will help to lower blood sugar when it is too high and help restore the way food is used to make energy. SN instructed patient to notify physician (MD) if experiencing symptoms and signs of hypoglycemia such as shakiness, nervousness, sweating associated with dizziness.
Metformin (Generic Riomet) II
SN instructed patient/caregiver that the Metformin is used with a proper diet and exercise program and possibly with other medications to control high blood sugar. It is used in patients with type 2 diabetes. Controlling high blood sugar helps prevent kidney damage, blindness, nerve problems, loss of limbs, and sexual function problems. Proper control of diabetes may also lessen your risk of a heart attack or stroke. Metformin works by helping to restore your body’s proper response to the insulin you naturally produce. It also decreases the amount of sugar that your liver makes and that your stomach/intestines absorb.
Metoprolol (Generic Toprol, Lopressor) I
SN instructed patient/caregiver regarding medication Metoprolol. This is used for treating high blood pressure, heart pain, abnormal rhythms of the heart, and some neurologic conditions; it reduces the force of contraction of heart muscle and thereby lowers blood pressure. Side effects to report to physician (MD) when taking Metoprolol including diarrhea, constipation, fatigue, insomnia, nausea, depression, memory loss, fever, lightheadedness, slow heart rate, low blood pressure, cold extremities, sore throat, and shortness of breath or wheezing. If experiencing any of these side effects notify physician (MD).
Metoprolol (Generic Toprol, Lopressor) II
SN instructed patient/caregiver regarding medication Metoprolol. Call your doctor at once if you have any of these serious side effects: chest pain, pounding heartbeats or fluttering in your chest, feeling light – headed, fainting; feeling short of breath, even with mild exertion, swelling of your hands or feet, nausea, upper stomach pain, itching, loss of appetite, dark urine, clay – colored stools, jaundice ( yellowing of the skin or eyes ), easy bruising, unusual bleeding ( nose, mouth, vagina, or rectum ), purple or red pinpoint spots under your skin, wheezing, trouble breathing. Less serious side effects may include: dry mouth, constipation, heartburn, vomiting, diarrhea, headache, drowsiness, tired feeling, sleep problems (insomnia), or anxiety, nervousness. Do not suddenly stop taking metoprolol tartrate. Sharp chest pain, irregular heartbeat, and sometimes heart attack may occur if you suddenly stop metoprolol tartrate. The risk may be greater if you have certain types of heart disease. Tell your doctor or dentist that you take metoprolol tartrate before you receive any medical or dental care, emergency care or surgery.
Montelukast (Generic Singulair)
SN instructed patient/caregiver regarding medication Montelukast that is used to prevent wheezing, difficulty breathing, chest tightness, and coughing caused by asthma in adults and children 12 months of age and older. Montelukast is also used to prevent bronchospasm (breathing difficulties) during exercise in adults and children 6 years of age and older. Montelukast may cause side effects such as: headache, heartburn, stomach pain, tiredness, diarrhea.
Mucinex
SN educated patient/caregiver that Mucinex is used to relieve the symptoms of cough and mucus in the chest due to colds, flu, or hay fever. Mucinex is an expectorant. It works by thinning mucus (phlegm) in the lungs and making it less sticky and easier to cough up. This reduces chest congestion by making coughs more productive.
Mupirocin (Generic Bactroban)
SN instructed patient/caregiver about Mupirocin (Bactroban) to manage wound care. In addition, warned of possible S/E such as headache, rhinitis, pharyngitis, burning or stinging with intranasal use, taste perversion, upper respiratory tract congestion, cough with intranasal use, burning pruritus, stinging, rash, pain, and erythema with topical use. Instructed to notify prescriber immediately if no improvement occurs in 3 to 5 days or if condition worsens. Advised not to use other nasal products with Bactroban. Warned patient about local adverse reactions related to drug use. Advised not to use cosmetics or other skin products on treated area.
N
Namenda
SN instructed patient/caregiver on Namenda that is an extended-release capsules are approved for the treatment of moderate to severe Alzheimer’s disease, and that the most common side effects associated with Namenda treatment are headache, diarrhea, and dizziness. Namenda can be taken with or without food. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.
Neomycin
SN instructed patient/caregiver about of Neomycin. Neomycin is an antibiotic that is used to prevent bacterial infection in the intestines. Neomycin is also used to reduce the symptoms of hepatic coma. Used topically in fixed combination with other anti-infective (i.e., polymyxin B with or without bacitracin) for prevention of superficial bacterial skin infections associated with minor cuts, scrapes, or burns. Hypersensitivity reactions, including contact dermatitis, burning, erythema, rash, and urticaria, reported following topical application of neomycin in patient’s sensitive to the drug or other ingredients in the formulation.
Nitroglycerin (sublingual tablets) I
SN instructed patient/caregiver on Nitroglycerin sublingual tablets are used to treat episodes of angina (chest pain) in people who have coronary artery disease (narrowing of the blood vessels that supply blood to the heart). It is also used just before activities that may cause episodes of angina in order to prevent the angina from occurring. Nitroglycerin is in a class of medications called vasodilators. It works by relaxing the blood vessels so the heart does not need to work as hard and therefore does not need as much oxygen. Some side effects can be serious. If you experience any of the following symptoms, call your doctor immediately: blurred vision, dry mouth, rash, blistering, or peeling of the skin; hives; itching; difficulty breathing or swallowing; nausea; vomiting; weakness; sweating; pale skin.
Nitroglycerin (sublingual tablets) II
SN instructed patient/caregiver on Nitroglycerin sublingual tablets usually give relief in 1 to 5 minutes. If the pain is not relieved, you may use a second tablet 5 minutes after you take the first tablet. If the pain continues for another 5 minutes, a third tablet may be used. If you still have chest pain after a total of 3 tablets, contact your doctor or go to a hospital emergency room right away. Do not drive yourself and call 911 if necessary.
O
Octreotide
SN instructed patient/caregiver that Octreotide immediate-release injection is used to decrease the amount of growth hormone (a natural substance) in some conditions. Some side effects can be serious: pain in the upper right part of the stomach, center of the stomach, back, or shoulder yellowing of the skin or eyes slowed or irregular heartbeat. If patient experience any of these symptoms, call the doctor immediately
Omeprazole (Generic Prilosec)
SN instructed patient/caregiver on Omeprazole is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions caused by excess stomach acid. It is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid). Omeprazole is usually taken before eating (at least 1 hour before a meal). Follow all directions on your prescription label and read all medication guides or instruction sheets. Use the medicine exactly as directed. The most common side effects such as; diarrhea, nausea, vomiting, headaches, rash and dizziness. Nervousness, abnormal heartbeat, muscle pain, weakness, leg cramps, and water retention occur infrequently.
Ondansetron (Generic Zofran)
SN instructed patient/caregiver about Ondansetron (Zofran). This medication blocks the actions of chemicals in the body that can trigger nausea and vomiting. Zofran is used to prevent nausea and vomiting that may be caused by surgery, cancer chemotherapy, or radiation treatment. Serious side effects include blurred vision or temporary vision loss (lasting from only a few minutes to several hours), slow heart rate, trouble breathing, anxiety, agitation, shivering, feeling like you might pass out, and urinating less than usual or not at all. Stop taking Zofran and call your doctor at once if you have any of these side effects. Ondansetron may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be alert. Zofran side effects get emergency medical help if you have signs of an allergic reaction to Zofran: rash, hives, fever, chills, difficult breathing, swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: severe constipation, stomach pain, or bloating, headache with chest pain and severe dizziness, fainting, fast or pounding heartbeats, fast or pounding heartbeats, jaundice ( yellowing of the skin or eyes ); blurred vision or temporary vision loss ( lasting from only a few minutes to several hours ); high levels of serotonin in the body – agitation, hallucinations, fever, fast heart rate, overactive reflexes, nausea, vomiting, diarrhea, loss of coordination, fainting.
P
Pantoprazole (Generic Protonix)
SN instructed patient/caregiver about Pantoprazole or Protonix, it is used for short-term treatment of erosion and ulceration of the esophagus caused by gastroesophageal reflux disease. Pantoprazole may also be used in combination with antibiotics to treat ulcers caused by helicobacter pylori. Possible side effect / adverse reaction may include, Infection: Stomach acid plays a role in killing ingested bacteria. Use of pantoprazole may increase the chance of developing infections such as pneumonia, particularly in hospitalized patients. Gastrointestinal: abdominal pain, diarrhea, flatulence. Neurologic: headache. Serious side effect: Gastrointestinal: atrophic gastritis, clostridium difficile diarrhea; Hematologic: thrombocytopenia; Immunologic: Stevens-Johnson syndrome, toxic epidermal necrolysis; Musculoskeletal: Muscle disorders, bone fracture and infection, clostridium difficile infection, osteoporosis-related hip fracture, rhabdomyolysis; Renal: interstitial nephritis (rare), Nutrition: may reduce the absorption of important nutrients, vitamins and minerals, as well as medications.
Potassium Chloride
SN instructed patient/caregiver about Potassium Chloride. This is a mineral that is found in many foods and is needed for several functions of your body, especially the beating of your heart. Potassium chloride is used to prevent or to treat low blood levels of potassium (hypokalemia). Potassium levels can be low as a result of a disease or from taking certain medicines, or after a prolonged illness with diarrhea or vomiting. Serious side effects of potassium include uneven heartbeat, muscle weakness or limp feeling, severe stomach pain, and numbness or tingling in your hands, feet, or mouth. Do not stop taking this medicine without first talking to your doctor. If you stop taking this medicine suddenly, your condition may become worse.
Pravastatin Sodium (Generic Pravachol)
SN instructed patient/caregiver about Pravastatin that is used to lower cholesterol and triglycerides (types of fat) in the blood. Pravastatin is also used to lower the risk of stroke, heart attack, and other heart complications in people with or without coronary heart disease or other risk factors. Pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. This condition may be more likely to occur in older adults and in people who have kidney disease or poorly controlled hypothyroidism (underactive thyroid). Get emergency medical help if you have signs of an allergic reaction to pravastatin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, pravastatin can cause a condition that results in the breakdown of skeletal muscle tissue, leading to kidney failure. Stop using and call your doctor at once if you have: unexplained muscle pain, tenderness, or weakness; fever, unusual tiredness; dark colored urine; chest pain; upper stomach pain, loss of appetite; or jaundice (yellowing of the skin or eyes). Common pravastatin side effects may include: muscle or joint pain; nausea, vomiting, diarrhea; headache; or cold symptoms such as stuffy nose, sneezing, sore throat.
Prednisone I
SN instructed patient/caregiver that Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat some types of cancer, but has significant adverse effects. It is used for many different indications including: Pericarditis, multiple sclerosis, nephrotic syndrome, to relieve the effects of shingles, lupus, myasthenia gravis, poison oak exposure, Meniere’s disease and as part of a drug regimen to prevent rejection after organ transplant. Possible side effect may include: Abdominal pain, peptic ulcer, painful hips or shoulders, steroid-induced osteoporosis, stretch marks, osteonecrosis – same as avascular necrosis, insomnia, severe joint pain, cataracts or glaucoma, anxiety, black stool, stomach pain or bloating, severe swelling among others. Take prednisone as ordered.
Prednisone II
SN instructed patient/caregiver that Prednisone is a synthetic corticosteroid drug that is particularly effective as an immunosuppressant drug. It is used to treat certain inflammatory diseases and for many different indications including: asthma, COPD, CIDP, rheumatic disorders, allergic disorders, ulcerative colitis and Crohn’s disease, adrenocortical insufficiency, hypercalcemia due to cancer, thyroiditis, laryngitis, severe tuberculosis, urticaria (hives), lipid pneumonitis. Possible side effect may include: increased blood sugar for diabetics, difficulty controlling emotion, difficulty in maintaining train of thought, weight gain, immunosuppression, facial swelling, severe depression, mania, psychosis, or other psychiatric symptoms, unusual fatigue or weakness, mental confusion/indecisiveness, memory and attention dysfunction (Steroid Dementia Syndrome), blurred vision. Take prednisone as medical ordered.
Propranolol (Generic Hemangeol)
SN instructed patient/caregiver on Propranolol that is used to treat high blood pressure, irregular heart rhythms, pheochromocytoma (tumor on a small gland near the kidneys), certain types of tremor, and hypertrophic subaortic stenosis (a heart muscle disease). It is also used to prevent angina (chest pain), migraine headaches, and to improve survival after a heart attack. Propranolol is in a class of medications called beta blockers. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure. Propranolol may cause side effects: dizziness or lightheadedness, tiredness, diarrhea, constipation. Call your doctor immediately or get emergency medical treatment: difficulty breathing or swallowing, rash, blistering or peeling skin, hives, itching; swelling of the face, throat, tongue, or lips; feeling faint, weight gain, irregular heartbeat.
Q
Quetiapine (Generic Seroquel)
SN instructed patient/caregiver about Quetiapine (Seroquel), it is an atypical antipsychotic approved for the treatment of schizophrenia, bipolar disorder, and along with an antidepressant to treat major depressive disorder. Possible SE/AR may include, dry mouth, dizziness, headache, somnolence. Some common adverse effects, high blood pressure, orthostatic hypotension, high pulse rate, high blood cholesterol, elevated serum triglycerides, abdominal pain, constipation, increased appetite, vomiting, among others.
R
Rosuvastatin (Generic Crestor) I
SN instructed patient/caregiver about Rosuvastatin. This is used together with diet, weight-loss, and exercise to reduce the risk of heart attack and stroke and to decrease the chance that heart surgery will be needed in people who have heart disease or who are at risk of developing heart disease. Rosuvastatin is also used to decrease the amount of cholesterol such as low-density lipoprotein (LDL) cholesterol (‘bad cholesterol’) and triglycerides in the blood and to increase the amount of high-density lipoprotein (HDL) cholesterol (‘good cholesterol’) in the blood. Rosuvastatin is in a class of medications called HMG-CoA reductase inhibitors (statins). It works by slowing the production of cholesterol in the body to decrease the amount of cholesterol that may build up on the walls of the arteries and block blood flow to the heart, brain, and other parts of the body.
Rosuvastatin (Generic Crestor) II
SN instructed patient/caregiver about Rosuvastatin. SN taught that Crestor should be taken regularly, at the same time each day and as directed by MD, in order to get the most benefit from it. You may need to stop using Rosuvastatin for a short time if you have: uncontrolled seizures; an electrolyte imbalance (such as high or low potassium levels in your blood); severely low blood pressure; a severe infection or illness; dehydration; or surgery or a medical emergency. You should not stop using Rosuvastatin unless your doctor tells you to.
S
Santyl (Generic Collagenase)
SN instructed patient/caregiver about the Collagenase that is an enzyme that breaks down collagen in damaged tissues within the skin and helps the body generate new healthy tissue. Collagen is a type of protein that connects and supports fibers in body tissues such as skin, tendons, muscles, and bone. Santyl (for the skin) is applied to severe burns or skin ulcers to help remove dead skin tissue and aid in wound healing. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if your skin condition gets worse, or you have new symptoms of illness or infection. Less serious side effects may include redness of the skin around the treated area where Santyl was applied.
Sertraline (Generic Zoloft) I
SN instructed patient/caregiver about Sertraline that is used to treat depression, obsessive-compulsive disorder, panic attacks, posttraumatic stress disorder, and social anxiety disorder. It is also used to relieve the symptoms of premenstrual dysphoric disorder, including mood swings, irritability, bloating, and breast tenderness. Sertraline is in a class of antidepressants called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the amounts of serotonin, a natural substance in the brain that helps maintain mental balance.
Sertraline (Generic Zoloft) I
SN instructed patient/caregiver about Sertraline. This medication may cause side effects (tell your doctor if any of these symptoms are severe or do not go away): nausea; diarrhea; constipation; vomiting; difficulty falling asleep or staying asleep; dry mouth; heartburn; loss of appetite; weight changes; dizziness. Call your doctor immediately: seizures; abnormal bleeding or bruising; agitation, hallucinations, fever, sweating, confusion, fast heartbeat, shivering, severe muscle stiffness or twitching, loss of coordination, nausea, vomiting, or diarrhea; headache, weakness, unsteadiness, confusion, or memory problems; rash; hives; swelling; difficulty breathing.
Simvastatin (Generic Zocor) I
SN instructed patient/caregiver about Simvastatin is a cholesterol-lowering medicine. It inhibits the production of cholesterol by the liver. High blood cholesterol is first treated with exercise, weight loss, and a diet low in cholesterol and saturated fats. When these measures fail, cholesterol-lowering medications such as Simvastatin can be added. Simvastatin is generally well-tolerated and side effects are rare. Minor side effects of Simvastatin include constipation, diarrhea, fatigue, gas, heartburn, and headache. Major side effects of Simvastatin include abdominal pain or cramps, blurred vision, dizziness, easy bruising or bleeding, itching, muscle pain or cramps, rash, and yellowing of the skin or eyes.
Simvastatin (Generic Zocor) II
SN instructed patient/caregiver on Simvastatin that is used along with a proper diet to help lower “bad” cholesterol and fats (such as LDL, triglycerides) and raise “good” cholesterol (HDL) in the blood. It belongs to a group of drugs known as “statins.” It works by reducing the amount of cholesterol made by the liver. A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
Silver sulfadiazine
SN instructed patient/caregiver on Silvadene that is used with other treatments to help prevent and treat wound and skin infections. Silver sulfadiazine (Silvadene) works by stopping the growth of bacteria. Silver sulfadiazine belongs to a class of drugs known as sulfa antibiotics. Possible S/E may include: pain, burning, or itching of the treated skin. Skin and mucous membranes (such as the gums) may become blue/gray in color. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
T
Tamsulosin (Generic Flomax)
SN instructed patient/caregiver regarding Tamsulosin. This medication is used to relieve the symptoms of benign prostatic hyperplasia (BPH) such as difficult urination and inability to empty your bladder completely, common symptoms of enlarged prostate. Tamsulosin works by relaxing bladder neck muscles and muscle fibers in the prostate itself and make it easier to urinate. Common side effects include dizziness, nasal congestion, rhinitis, rhinorrhea, sinus congestion and seasonal allergic rhinitis, drowsiness. Take this medication at bedtime to avoid becoming sleepy during the day. This medication may also cause you to become dizzy when standing up from a sitting or lying position, so rise slowly. Call 911 or get immediate emergency help if you have any signs of allergic reaction such as blistering rash, swelling of face; tongue, throat, or difficulty breathing.
Trazodone
SN instructed patient/caregiver regarding Trazodone that is used to treat depression. It may help to improve your mood, appetite, and energy level as well as decrease anxiety and insomnia related to depression. Trazodone works by helping to restore the balance of a certain natural chemical (serotonin) in the brain. Common side-effects include dry mouth, feeling faint, vomiting, and headache. More serious side effects may include suicide, mania, irregular heart rate, and pathologically prolonged erections. It is unclear if use during pregnancy or breastfeeding is safe.
U
V
Venlafaxine
SN instructed patient/caregiver on Venlafaxine that is an antidepressant belonging to a group of drugs called selective serotonin and norepinephrine reuptake inhibitors (SSNRIs). Venlafaxine affects chemicals in the brain that may be unbalanced in people with depression. Venlafaxine is a prescription medicine used to treat major depressive disorder, anxiety, and panic disorder. Tell your doctor if you have ever had: bipolar disorder (manic depression); liver disease; kidney disease; heart disease, high blood pressure, high cholesterol; diabetes; glaucoma; a thyroid disorder; a seizure; bleeding problems; or low blood levels of sodium.
Valproic acid (Generic Depakene)
SN instructed patient/caregiver about Valproic acid. It is used to treat various types of seizure disorders. Valproic acid is sometimes used together with other seizure medications. Valproic acid is also used to treat manic episodes related to bipolar disorder (manic depression), and to prevent migraine headaches. Common side effects may include: nausea, vomiting, stomach pain, diarrhea; dizziness, drowsiness, weakness; headache; tremors, problems with walking or coordination; blurred vision, double vision; hair loss; or changes in appetite, weight gain.
Verapamil
SN instructed patient/caregiver about Verapamil that is used to treat high blood pressure and to control angina (chest pain). The immediate-release tablets are also used alone or with other medications to prevent and treat irregular heartbeats. Verapamil is in a class of medications called calcium-channel blockers. It works by relaxing the blood vessels so the heart does not have to pump as hard. It also increases the supply of blood and oxygen to the heart and slows electrical activity in the heart to control the heart rate. Verapamil may cause side effects: constipation; heartburn; dizziness or lightheadedness; headache. Call your doctor immediately or get emergency medical treatment: swelling of the hands, feet, ankles, or lower legs; difficulty breathing or swallowing; slow heartbeat; fainting blurred vision; rash.
W
Warfarin (Generic Jantoven) I
SN instructed patient/caregiver about Coumadin (Warfarin). SN explained Warfarin is an anticoagulant which is prescribed to people with an increased tendency for thrombosis or as secondary prophylaxis (prevention of further episodes) in those individuals that have already formed a blood clot (thrombus). Explained that Warfarin treatment can help prevent formation of future blood clots and help reduce the risk of embolism. Informed that Warfarin will prolong bleeding time, instructed to avoid activities that increase risks of trauma. The adverse effects of this medication includes: hemorrhage, nosebleeds and blood in urine or stool (black tarry stools). Instructed to notify physician if experiencing unusual bleeding while on this medication.
Warfarin (Generic Jantoven) II
SN instructed patient/caregiver about Coumadin (Warfarin). One nutrient that can lessen warfarin’s effectiveness is vitamin K. It’s important to be consistent in how much vitamin k you get daily. While eating small amounts of foods that are rich in vitamin K should not cause a problem, avoid consuming large amounts of certain foods or drinks, including kale, spinach, brussels sprouts, collards, mustard greens, chard, broccoli, asparagus, green tea.
Wellbutrin
SN instructed patient/caregiver about Wellbutrin to manage depression. In addition, warned of possible side effects such as headache, seizures, anxiety, confusion, delusions, euphoria, hostility, impaired sleep quality, insomnia, sedation, tremor, akinesia, akathisia, agitation, dizziness, fatigue, syncope, fever, arrhythmias, hypertension, hypotension, palpitations, tachycardia, auditory disturbances, blurred vision, dry mouth, taste disturbance, increased appetite, constipation, dyspepsia, nausea, vomiting, anorexia, diarrhea, impotence, menstrual complaints, urinary frequency, urine retention, weight loss, weight gain, arthritis, pruritus, rash, cutaneous temperature disturbance, excessive diaphoresis, chills and decreased libido. Advised to avoid prolonged sun exposure and to use sun block.
X
Xarelto
SN instructed patient/caregiver on Xarelto that is used to prevent or treat a type of blood clot called deep vein thrombosis (DVT), which can lead to blood clots in the lungs (pulmonary embolism). A DVT can occur after certain types of surgery. Xarelto is also used in people with atrial fibrillation (a heart rhythm disorder) to lower the risk of stroke caused by a blood clot. If you take Xarelto 1 time each day: Take the missed dose as soon as you remember. Take your next dose the following day and stay on your once-daily schedule. Do not take extra medicine to make up the missed dose.
Z
Zolpidem Tartrate (Generic Ambien)
SN instructed patient/caregiver on Zolpidem (Ambein) that is a sedative, also called a hypnotic. It affects chemicals in the brain that may be unbalanced in people with sleep problems (insomnia). Ambein is used to treat insomnia symptoms, such as trouble falling asleep or staying asleep. Ambien works by slowing down the central nervous system (brain), causing drowsiness which helps patients fall asleep. Stop using this medicine and call your doctor at once if you have: chest pain, fast or irregular heartbeat, feeling short of breath; trouble breathing or swallowing; or feeling like you might pass out.
Y
BRANDS
