Drug Study

  • June 2020
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Generic Name Atorvastatin

Brand Name Lipitor

Dosage

Frequency

Indications •





Diazepam

Valium

• • • • •

To reduce the risk of MI, stroke, angina, and revascularization procedures in patients with no evidence of CAD with multiple risk factors. Heterozygous familial hypercholesterolemia. Adjunct to diet to reduce elevated LDL, total cholesterol, apo B, and triglyceride levels to increase HDL level in patients with primary hypercholesterolemia and mixed dyslipidemia. Anxiety Acute alcohol withdrawal Sedation Cardioversion Adjunct in seizure disorders

Contraindications •







Lactulose

Cephulac, Cholac, Constilac, Contulose, Enulose

• •



Constipation To induce bowel evacuation in geriatric patients with colonic retention of barium and severe constipation after a barium meal examination. To restore bowel

• •

Nx Consideration

Contraindicated in patients hypertensive to the drug and in those with active liver disease or conditions linked with unexplained persistent increases in transaminase levels. Adolescent girl must be at least 1 year postmenarche



Contraindicated in patients hypersensitive to the drug or any of its components and in those with angleclosure glaucoma, shock, coma, or acute alcohol intoxication. Use cautiously in patients with hepatic or renal impairment, depression, or chronic open angle glaucoma.



Contraindicated in patient with lowglucose diet. Use cautiously on patients with diabetes mellitus because drug contains lactose, galactose and other sugars.









• •





Monitor patient’s lipid and liver function levels at baseline and periodically thereafter. Monitor patient for signs of rhabdomyolyis, especially if taking more than one class of lipid lowering drugs. Asses patient’s and family’s knowledge of drug therapy.

Obtain history of patient’s underlying condition before therapy, and reassess regularly thereafter. Periodically monitor liver, kidney, and hematopoietic function studies in patient receiving repeated or prolonged therapy. Look for adverse reactions and drug abuse. Asses patient’s and family’s knowledge of drug therapy. Obtain history of patient’s underlying condition before starting therapy, and reassess regularly thereafter to monitor effectiveness. Test patient with HBV or HIV before and throughout therapy because drug isn’t appropriate for those dully infected. Monitor renal function before

movements after hemorrhoidectomy.



• Levocetirizine dihydrochloride



Xyzal



Seasonal and perennial allergic rhinitis. Uncomplicated skin manifestations of chronic idiopathic urticaria.







Amlodipine besylate

Norvasc

5mg/tab

1 tab OD





Chronic stable angina; vasospatic angina. Hypertension

• •



Felodipine

Plendil, Renedil

5mg/tab

1 tab OD



Hypertension





Contraindicated in patients hypersensitive to drug or cetirizine. Contraindicated in patients with creatinine clearance less than 10ml/min or those under hemodialysis. Contraindicated in patient ages 6 to 11 with impaired renal function. Contraindicated to patient hypersensitive to the drug. Use cautiously in patients taking other peripheral vasodilators and those with heart failure. In patients with severe hepatic disease, use cautiously and in reduce dosage because drug is metabolized by liver.

Contraindicated in patients hypersensitive to the drug or any of its components. Use cautiously in patients with heart failure, particularly

• • •





• •

• • •

and during therapy. Monitor patient’s CBC, platelet count, and liver function. Report any abnormalities to prescriber. Asses patient’s and family’s knowledge of drug therapy. Asses renal function before and during use. Monitor patient for adverse reaction. Asses patient’s and family’s knowledge of drug therapy.

Assess patient’s blood pressure or angina before therapy and regularly thereafter. Monitor patient carefully for pain. In some patients, especially those with severe obstructive coronary artery disease, increased frequency, duration, or severity of angina or even acute MI has developed after using calcium channel blocker increase in dosage. Be alert for adverse reactions. Asses patient’s and family’s knowledge of drug therapy. Assess patient’s blood pressure before starting therapy, and reassess regularly. Be alert for adverse reactions and drug interactions. Assess patient’s and family’s knowledge of drug therapy.

Acetaminophen (APAP, Paracetamol)

Tempra, Biogesic, Tylenol, Advil

500mg/tab

1 tab q4 P.R.N.

• •

Mild pain and fever Osteoarthritis

• •

those receiving beta blockers, and in patients with impaired hepatic function. Contraindicated in patients hypersensitive to the drug. Use cautiously in patients with a history of chronic alcohol abuse because of hepatotoxicity may occur after therapeutic effect.

• • • •

Assess patient’s pain or temperature before or during therapy. Assess patient’s drug history, and calculate total daily dosage accordingly. Be alert for adverse reactions and drug interventions. Assess patient’s and family’s knowledge of drug therapy.

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