Common Medications - in Categories

Cardiovascular

Generic Generic Pronunciation Brand Brand Pronunciation Class Indication Contraindication Notes
Hydrochlorothiazide Microzide Thiazide Diuretics Hypertension Sulfa allergy Not effective when CrCl < 30
Atenolol Tenormin Beta Blocker Hypertension HF, Heart block Taper over 2 wks
Metoprolol Succinate Toprol XL Beta Blocker HTN, HF Heart Block Taper over 2 wks
Metoprolol Tartrate Lopressor Beta Blocker HTN Heart Block, HF Taper over 2 wks
Nebivolol Bystolic Beta Blocker HTN Heart Block, HF Taper over 2 wks
Carvedilol Coreg Beta Blocker HTN, HF Heart Block Beta1, beta2, and alpha1 blocker. Taper over 2 wks
Enalapril Vasotec ACE Inhibitor HTN, HF Pregnancy, Angioedema, Hyperkalemia May switch to ARB if has intolerable dry cough
Lisinopril Prinivil, Zestril ACE Inhibitor HTN, HF Pregnancy, Angioedema, Hyperkalemia May switch to ARB if has intolerable dry cough
Ramipril Altace ACE Inhibitor HTN, HF Pregnancy, Angioedema, Hyperkalemia May switch to ARB if has intolerable dry cough
Benazepril/amlodipine Lotrel ACE-I/CCB HTN
Lisinopril/hydrochlorothiazide Prinzide, Zestoretic ACE-I/diuretic HTN
Losartan Cozaar ARB HTN, HF Pregnancy, Angioedema, Hyperkalemia Risk of angioedema cross sensitivity with ACE-Is is controversial
Olmesartan Benicar ARB HTN, HF Pregnancy, Angioedema, Hyperkalemia Risk of angioedema cross sensitivity with ACE-Is is controversial
Valsartan Diovan ARB HTN, HF Pregnancy, Angioedema, Hyperkalemia Risk of angioedema cross sensitivity with ACE-Is is controversial
Olmesartan/hydrochlorothiazide Benicar HCT ARB/diuretic
Valsartan/hydrochlorothiazide Diovan HCT ARB/diuretic
Valsartan/amlodipine Exforge ARB/CCB
Amlodipine Norvasc Calcium Channel Blocker Hypertension Peripherial edema; ingival hyperplasia. No grapefruit juice
Nifedipine Adalat, Procardia Calcium Channel Blocker Hypertension Peripherial edema; ingival hyperplasia. No grapefruit juice
Diltiazem Cardizem CCB, no DHP Hypertension BradycardiaPeripherial edema; ingival hyperplasia. No grapefruit juice
Doxazosin Cardura Alpha1 Blocker HTN, BPH Phosphodiesterase-5 Inhibitors Take at bedtime. 25% increase in Cardiovascular events.
Terazosin Hytrin Alpha1 Blocker HTN, BPH Phosphodiesterase-5 Inhibitors Take at bedtime to minimize orthostatc hypotension
Clonidine Catapres Alpha2 Agonist HTN When starting clonidine patch, overlap with oral for 2-3 days.
Colesevelam Welchol Bile Acid Resin High LDL-C Complete biliary obstruction Do not use in patients with high TG.
Niacin Niaspan Niacin Dislipidemia Liver disease, Gout, Ulcer Flushing. Do not increase dose > 500 mg per month. OTC-SR products: hepatotoxicity
Fenofibrate Tricor Fibric Acid Dislipidemia Liver disease, Renal failure, Gallbladder disease Renal dose adjustment
Fenofibric Acid Trilipix Fibric Acid Dislipidemia Liver disease, Renal failure, Gallbladder disease Renal dose adjustment
Gemfibrozil Lopid Fibric Acid Dislipidemia Liver disease, Renal failure, Gallbladder disease Not used with statins due to increased risk of myopathy. Renal dose adjustment
Omega-3-Acid Ethyl Esters Lovaza Fish Oil High TG Fish allergy Fishy taste; dyspepsia. May increase LDL-C
Atorvastatin Lipitor Statins Dislipidemia Pregnancy, Liver disease 3A4 substrate. Pregnancy X.
Pravastatin Pravachol Statins Dislipidemia Pregnancy, Liver disease Not metabolized by CYP enzymes. Pregnancy X.
Pravastatin Pravachol Statins Dislipidemia Pregnancy, Liver disease Not metabolized by CYP enzymes. Pregnancy X.
Lovastatin Mevacor Statins Dislipidemia Pregnancy, Liver disease, Use with strong 3A4 inhibitors 3A4 substrate: lower max dose when used with amiodarone, dronedarone, verapamil, amlodipine, diltiazem, lomitapide, ranolazine, or niacin. Pregnancy X.
Simvastatin Zocor Statins Dislipidemia Pregnancy, Liver disease Use with strong 3A4 inhibitors, gemfibrozil, cyclosorine, or danazol 3A4 substrate: lower max dose when used with amiodarone, dronedarone, verapamil, amlodipine, diltiazem, lomitapide, ranolazine, or niacin. Pregnancy X.
Rosuvastatin Crestor Statins Dislipidemia Pregnancy, Liver disease Most effective drug for reduce LDL-C. Adjust dose if CrCl < 30. 3A4 substrate: lower max dose when used with cyclosporine, lopinavir/ritonavir, or atazanavir/ritonavir. Pregnancy X.
Ezetimibe Zetia Cholesterol Absorption Inhibitor Dislipidemia Headache, diarrhea
Ezetimibe/simvastatin Vytorin CAI/statins Dislipidemia
Furosemide Lasix Loop Diuretics Heart Failure Sulfa allergy If initial dose not effective, double dose, add metolazone, or use IV. PO dose = 2x IV dose
Digoxin Lanoxin Digoxin Heart Failure 2-3 degree heart block Decrease dose by half when starting amiodarone or dronedarone. Renal dose adjustment. Target: 0.5-0.9 ng/mL. Improves symptoms, reduce hospitalization, but no effect on mortality.
Spironolactone Aldactone Aldosterone Receptor Antagonists Heart Failure K+ > 5, CrCl <=30 Gynecomastia. Stop or decrease dose of potassium supplements.
Amiodarone Cordarone, Pacerone Class III Antiarrhythmics Arrhythmia Heart block (2-3) Safe to use in HF. Take with food. Stop if pulmonary fibrosis or blurred vision. Decrease dose if LFTs are elevated. T1/2 = 40-60 days.
Enoxaparin Lovenox Anticoagulants Clots Active bleeding, History of HIT, Recent Stroke Monitor anti-Xa in obese or renal dysfunction. Reduce dose to 1 mg/kg Qday if CrCl <30. Not used for HIT. Protamine only partially reverse effects.
Bivalirudin Angiomax Anticoagulants Clots Active bleeding Monitor PT/aPTT or ACT. Can be used in patients with HIT.
Alteplase Activase Fibrinolytics Clots Active bleeding, Intracranial hemorrhage, Intracranial tumor or arteriovenous malformation. Aortic dissection Closed head or facial trauma within 3 months Tissue plasminogen activator (tPA) approved for acute ischemic stroke and PE.

Infectious

Generic Generic Pronunciation Brand Brand Pronunciation Class Indication Contraindication Notes
Tenofovir Viread NRTIs HIV, Hepatitis B None Fanconi syndrome. Reduce BMD. Oral powder available.
Atazanavir Reyataz Protease Inhibitor HIV None Acid dependent absorption. Must be taken with food.
Darunavir Prezista Protease Inhibitor HIV None Must be taken with food. Oral suspension available.
Ritonavir Norvir Protease Inhibitor HIV None Only used for boosting. Taken with food. Oral solution available (43% alchohol). 3A4, 2D6 substrate and inhibitor. 2C9, 2C19 and UGT inducer.
Raltegravir Isentress Integrase Inhibitor HIV None No CYP metabolism. Only UGT1A1 glucuronidation. Rhabdomyolysis
Efavirenz/emtricitabine/tenofovir Atripla HIV 1 tablet PO Qday.
Emtricitabine/rilpivirine/tenofovir Complera HIV 1 tablet PO Qday. High failure rate
Emtricitabine/tenofovir Truvada HIV 1 tablet PO Qday.
Abacavir/lamivudine Epzicom HIV 1 tablet PO Qday.
Penicillin VK Penicillins Streps, Mouth anaerobes Allergy Take 1 hour before or 2 hours after meals. Renal dose adjustment.
Amoxicillin Amoxil Aminopenicillins S. pneumoniae, H. influenzae, E. coli, Proteus mirabilis, Salmonella, Shigella Allergy Take 1 hour before or 2 hours after meals. Renal dose adjustment. Can be used in three drugs regimen for H. pylori
Amoxicillin/clavulanate Augmentin Aminopeicillins/Beta-lactamase Inhibitor MSSA, H. influenzae, E. coli, M. catarrhalis, K. pneumoniae, Anaerobes Allergy Renal dose adjustment. Good anaerobic coverage
Piperacillin/tazobactam Zosyn Antipseudomonal Penicillins/Beta-lactamase Inhibitor MSSA, H. influenzae, E. coli, M. catarrhalis, K. pneumoniae, Anaerobes, Pseudomonas aeruginosa Allergy Renal dose adjustment. Good anaerobic coverage. Used for Pseudomonas infections
Cephalexin Keflex 1st Generation Cephalosporins Staph. aureus, Staph. epidermidis, Strep. pyogens, Strep. pneumoniae, E. coli, P. mirabilis, K. pneumoniae Allergy Renal dose adjustment. 250 - 500 mg PO q6h. Caps, suspension, tabs
Cefuroxime Ceftin 2nd Generation Cephalosporins Staph. aureus, Staph. epidermidis, Strep. pyogens, Strep. pneumoniae, E. coli, P. mirabilis, K. pneumoniae, Acinetobacter, Citrobacter, Enterobacter, Neisseria, Serratia, H. influenzae Allergy Take with food to increase absorption. Renal dose adjustment. 250 - 500 mg PO q12h or 500 - 1500 mg IV q8h. Injection, suspension, tabs
Cefdinir Omnicef 3rd Generation Cephalosporins Limited Gram+, more Gram- activity Allergy Only available generically. Renal dose adjustment. Caps, suspension
Azithromycin Zithromax Macrolides Gram+ esp. Streps. Gram-. Atypical (Chlamydia pneumoniae, Legionella, Mycoplasma pneumoniae), Mycobacteria QT prolongation Take with food. Good alternative when allergic to penicillins. Take ER suspension 1 hour before or two hours after meals.
Clarithromycin Biaxin Macrolides Gram+ esp. Streps. Gram-. Atypical (Chlamydia pneumoniae, Legionella, Mycoplasma pneumoniae), Mycobacteria QT prolongation Take with food to decrease GI effects and increase absorption. Can be used in three drug regimen for H. pylori.
Doxycycline Vibramycin Tetracycline Gram+. Gram-. Atypical. <= 8 yrs old. Pregnant or breast feeding Drug of choice for Lyme disease. Used for acne. Photosensitivity
Minocycline Solodyn Tetracycline Gram+. Gram-. Atypical. <= 8 yrs old. Pregnant or breast feeding Used for acne. Photosensitivity. Vertigo. Renal dose adjustment.
Linezolid Zyvox Oxazolidinones VRE, MRSA. Use of MAO-Is (within 2 wks). Use of SSRI, tricyclic antidepressants, triptans, meperidine or buspirone. With uncontrolled HTN, pheochromocytoma, thyrotoxicosis or taking sympathomimetic or dopaminergic agents Avoid high tyramine food or drink. Use with tramadol may increase risk of seizure. Myelosuppression if therapy >2wks. Peripheral/optic neuropathy if therapy >4wks. Weak MAO-I
Ciprofloxacin Cipro Fluoroquinolones Gram+. Gram- active aganist Pseudomonas aeruginosa. Atypical. <18 yrs old. Pregnant or breast-feeding. QT prolongation Renal dose adjustment. Monitor blood glucose. Photosensitivity. Tendinitis/tendon rupture
Levofloxacin Levaquin Fluoroquinolones Gram+ active against Streptococcus. Gram-. Atypical. <18 yrs old. Pregnant or breast-feeding. QT prolongation Take oral solution 1 hour before or 2 hours after meals. Renal dose adjustment. Monitor blood glucose. Photosensitivity. tendinitis/tendon rupture
Moxifloxacin Avelox, Vigamox Fluoroquinolones Gram+ active against streps. Gram-. Atypical. <18 yrs old. Pregnant or breast-feeding. QT prolongation Monitor blood glucose. Photosensitivity. Tendinitis/tendon rupture
SMZ/TMP Bactrim, Septra Sulfonamides Gram+ include MSSA, MRSA. Gram-. PJP (first line) Sulfa allergy. Porphyria. Megaloblastic anemia. Infants, pregnant/breast-feeding women. G6PD deficiency Take with a full glass of water. Renal dose adjustment. Rashes. Photosensitivity. Hypoglycemia
Daptomycin Cubicin Cyclic Lipopeptide MSSA, MRSA, VRE None Muscle pain. Peripheral neuropathy. Renal dose adjustment. Stop statin therapy throughout therapy. Monitor Creatine kinase levels weekly.
Clindamycin Cleocin Licosamide Gram+, Anaerobes History of pseudomembranous colitis or ulcerative colitis Topical for acne. Avoid intercourse if using intravaginally. C. diff.
Metronidazole Flagyl Nitromidazole Anaerobes Pregnancy (1st trimester) Drug of choice for C. diff. Used in four drug regiment for H. pylori. Disulfiram-like rxn if drinking alcohol. Metallic taste. Peripheral neuropathy.
Fluconazole Diflucan Azole (Triazole) Antifungals Candida spp. Coccidioides spp. Histoplasma spp. Cryptococcus spp. None Renal dose adjustment. IV to PO is 1:1. Monitor LFTs.
Acyclovir Zovirax Anti-HSV & VZV Herpes Simplex Virus(HSV1, herpes labialis; HSV2, genital herpes). Varicella-Zoster Virus(Chickenpox & shingles) None Renal dose adjustment. IV infuse slowly and keep well hydrated. Seizures.
Valganciclovir Valcyte Anti-CMV Cytomegalovirus Neutropenia, Thrombocytopenia, Anemia Take with food. Prodrug of ganciclovir. Renal dose adjustment. Use effective contraception during and 90 days after therapy. Seizures.
Oseltamivir Tamiflu Anti-Influenza Influenza A and B. H1N1 influenza None Initiate therapy within 2 days of contact with infected persion or of onset of symptoms. Renal dose adjustment. Use for >= 1 yrs old. Neuropsychiatric events.

Pulmonary

Generic Generic Pronunciation Brand Brand Pronunciation Class Indication Contraindication Notes
Fluticasone Flovent Trifluorinated Corticosteroid Asthma Primary treatment for acute bronchospasm 44-440 mcg BID. Throat irritation. Oral candidiasis
Budesonide Pulmicort, Respules Corticosteroid Asthma Primary treatment for acute bronchospasm 200-800 mcg BID. Throat irritation. Oral candidiasis. Respules is the only nebulized corticosteroid
Beclomethasone QVAR Corticosteroid Asthma Primary treatment for acute bronchospasm 40-320 mcg BID. Throat irritation. Oral candidiasis.
Mometasone Nasonex Corticosteroid Allergic Rhinitis Known hypersensitivity maximum benefit is achieved within 1 to 2 weeks
Omalizumab Xolair Monoclonal anti-IgE antibody Asthma Acute bronchospasm 150-375mg q2-4wks based on weight and SIgE. Be prepared for anaphylaxis. Do not administer more than 150 mg per injection site.
Montelukast Singulair Leukotriene D4 and E4 antagonist Asthma Hypersensitivity For 1 yr or older. Rare Churg-Strauss syndrome (allergic granulomatosis). 2C8 and 2C9 inhibitors.
Albuterol Proair, Ventolin, Proventil Beta2 Agonist Asthma Tachycardia MDI: 90mcg/puff; Neb: 2.5mg/mL. Excessive use increases risk of death. Nebulizer is compatible with budesonide. cromolyn, ipratropium.
Levalbuterol Xopenex Beta2 Agonist Asthma Fewer cardiac side effects. Prime the inhaler 4 puffs prior to use.
Fluticasone/salmeterol Advair Asthma 1 puff BID (100/50, 200/50, 500/50)
Budesonide/formoterol Symbicort Asthma 1 puff BID (100/50, 200/50, 500/50)
Albuterol/ipratropium Combivent Asthma
Varenicline Chantix Partial alpha4B2 Nicotinic Agonist Smoking Cessation Hypersensitivity Start 1 week prior to target stop day with 0.5 mg/day. Insomia; Headache; Abnormal dreams; Nausea.
Bupropion Wellbutrin, Zyban Norepinephrine and Dopamine Uptake Inhibitor Smoking Cessation, Depression Seizure, Anorexia/bulimia, Use of MAO-I within 14 days Can be co-administered with nicotine replacement patches. Do not inhibit MAO.
Tiotropium Spiriva Long Acting Antimuscarinic COPD, Asthma Hypersensitivity Contains lactose. Not for initial treatment of acute bronchospasm. Be careful in BPH, narrow-angle glaucoma, and myasthenia gravis. Substrate of 2D6, 3A4. 18mcg/puff, 1 puff Qday.
Varenicline Chantix Partial alpha4B2 Nicotinic Agonist Smoking Cessation Hypersensitivity Start 1 week prior to target stop day with 0.5 mg/day. Insomia; Headache; Abnormal dreams; Nausea.

Endocrine

Generic Generic Pronunciation Brand Brand Pronunciation Class Indication Contraindication Notes
Insulin Aspart Novolog Rapid Acting Insulin Diabetes Onset 5-15 min, Peak 30-90 min, Duration <5 hrs. Should be given at the time of Ingestion, no more than 15 minutes before eating. Dose is 0.5-1.0 units/kg/day for the average non-obese patient.
Insulin Lispro Humalog Rapid Acting Insulin Diabetes Onset 5-15 min, Peak 30-90 min, Duration <5 hrs. Should be given at the time of Ingestion, no more than 15 minutes before eating. Dose is 0.5-1.0 units/kg/day for the average non-obese patient
Insulin Detemir Levemir Long Acting Insulin Diabetes Onset 3-8 hrs, No peak, Duration 6-24 hrs. Duration of action is prolonged in renal failure
Insulin Glargine Lantus Long Acting Insulin Diabetes Onset 2-4 hrs, No peak, Duration 20-24 hrs. Duration of action is prolonged in renal failure
Insulin NPH Humulin N (OTC) Intermediate Acting Insulin Diabetes Onset 2-4 hrs, Peak 4-10 hrs, Duration 10-16 hrs. Blood Glucose < 70 mg/dL must be treated as soon as possible.
Glyburide Micronase, Biabeta 2nd Generation Sulfonylureas Type 2 Diabetes Type 1 DM, Sulfa allergy Hypoglycemia; Weight gain. Response plateaus after half maximum dose. Chronic ethanol intake may decrease effect.
Glipizide Glucotrol 2nd Generation Sulfonylureas Type 2 Diabetes Type 1 DM, Sulfa allergy Hypoglycemia; Weight gain. Response plateaus after half maximum dose. Chronic ethanol intake may decrease effect.
Glimepiride Amaryl 2nd Generation Sulfonylureas Type 2 Diabetes Type 1 DM, Sulfa allergy Hypoglycemia; Weight gain. Response plateaus after half maximum dose. Chronic ethanol intake may decrease effect.
Metformin Glucophage Biguanide Diabetes sCr >= 1.5 for male, >=1.4 for female. Lactic acidosis. Severe heart failure, renal failure, radiolographic dyes. Hypoglycemia; BBW: Lactic acidosis. Flatulence, Diarrhea.
Rosiglitazone Avandia Thiazolidinediones Diabetes History of liver disease. Unstable HF. Previous MI. Fluid retention and hepatotoxicity. Potential link to the increase in CV events.
Pioglitazone Actos Thiazolidinediones Diabetes History of liver disease. Unstable HF. Previous MI. Fluid retention and hepatotoxicity.
Exenatide Byetta GLP-1 Inhibitor Type 2 Diabetes Type I DM. Pancreatitis, DKA BBW: acute pancreatitis. Nause, Decreased appetite, Hypoglycemia. Byetta: 5-10 mg SC BID; Bydureon: 2mg SC/week.
Liraglutide Victoza GLP-1 Inhibitor Type 2 Diabetes Family History of medullary thyroid carcinoma. Multiple endocrine neoplasia syndrome. Diarrhea. Thyroid tumor. May affect absorption of concomitantly given medications.
Sitagliptin Januvia Dipeptidyl-peptidase 4 Inhibitor Type 2 Diabetes Type I DM. Headache. Renal dose adjustment.
Saxagliptin Onglyza Dipeptidyl-peptidase 4 Inhibitor Type 2 Diabetes Type I DM. Headache. Peripheral edema. Reduce dose by half if given with strong 3A4/5 inhibitors. Pregnancy B.
Sitagliptin/metformin Janumet DPP4I/Biguanide Diabetes Maximum dose metformin is 2000 mg in combination products.
Levothyroxine Synthroid, Levoxyl T4 Hypothyroidism Recent MI or thyrotoxicosis. Uncorrected adrenal insufficiency. Narrow therapeutic index drug. Used to augment depression treatment.
Finasteride Proscar, Propecia 5-alpha Reductase Inhibitor Polycystic Ovarian Syndrome, BPH, Prostate cancer. Pregnancy. Absolute need for dual forms of birth control. Hirsutism.

Neurological

Generic Generic Pronunciation Brand Brand Pronunciation Class Indication Contraindication Notes
Interferon-Beta 1a Avonex, Rebif Interferon Multiple Sclerosis Hypersensitivity, Severe Depression. Acetaminophen or NSAIDs can decrease flu-like symptoms. Neutralizing antibodies may develop.
Interferon-Beta 1b Avonex, Rebif Betaseron Multiple Sclerosis Hypersensitivity, Severe Depression. Acetaminophen or NSAIDs can decrease flu-like symptoms. Neutralizing antibodies may develop.
Glatiramer Acetate Copaxone synthetic polypeptides - immune modifier Multiple Sclerosis Hypersensitivity to the drug or to mannitol. Does not produce neutralizing antibodies.
Fingolimod Gilenya Sphingosine 1-phosphate receptor modulator Multiple Sclerosis Hypersensitivity. HR < 55 bpm. Zoster vaccination prior to adminstration. Bradycardia, Hypertension, macular edema, immunosuppression.
Natalizumab Tysabri Anti alpha4-integrin monoclonal antibody Multiple Sclerosis Hypersensitivity Reserve for patients not responding to other DMD; Combining with other DMDs increase risk of PML (leukoencephalopathy). Available only through a restrictive prescribing program (TOUCH)
Carbamazepine Tegretol Anti-Epileptic Epilepsy Hypersensitivity. Bone marrow suppression, porphyria First line for partial seizures and generalized tonic-clonic seizures. Therapeutic: 4-12 mcg/mL. Common: Dizziness, drowsiness, unsteadiness, nausea, vomitting. Rare: aplastic anemia, agranulocytosis.
Phenytoin Dilantin Anti-Epileptic Epilepsy Hypersensitivity First line for partial seizures and generalized tonic-clonic seizures. Therapeutic: 10-20 mcg/mL, must be corrected for hypoalbuminemia * (1/((0.2*albumin) +0.1)). Avoid abrupt discontinuation. Common: Dizziness, drowsiness, unsteadiness, nausea, vomitting. Rare: aplastic anemia, agranulocytosis.
Oxycarbazepine Trileptal Anti-Epileptic Epilepsy Hypersensitivity Hyponatremia. CrCl<30: use half of initial dose.
Lamotrigine Lamictal Anti-Epileptic Epilepsy Hypersensitivity. History of Stevens-Johnson rash. First line for partial seizures. Risk of rash increased when combined with VPA. Slow dose titration.
Lacosamide Vimpat Anti-Epileptic Epilepsy Adjunctive therapy for partial-onset seizures. Only for adults. Should not be discontinued abruptly.
Gabapentin Neurontin Epilepsy Hypersensitivity. No known drug interaction. Renal dose adjustment. Weight gain.
Levetiracetam Keppra Anti-Epileptic Epilepsy Hypersensitivity. No known drug interaction. Renal dose adjustment if CrCl < 80. Adjunctive therapy for partial seizures and for generalized tonic-clonic seizure.
Carbidopa/levadopa Sinemet Anti-Parkinson Pakinson's Disease Hypersensitivity. Narrow-angle glaucoma. IR and CR tabs often used simultaneously. IR for wearing -off of CR. CR is about 30% less bioavailable than IR. Pyridoxine (V6) decreases effectiveness of levodopa.
Acetaminophen/Butalbital/Caffeine Fioricet Anti-Migraine Migraine Hypersensitivity. Limit to 4 tablets per day and use max of 2 days per week.
Aspirin/Butalbital/Caffeine Fiorinal Anti-Migraine Migraine Hypersensitivity. Limit to 4 tablets per day and use max of 2 days per week.
Sumatriptan Imitrex Triptans Migraine Ischemic cardiac disease. Peripheral vascular disease. Cerebrovascular disease. Also available in combination with naproxen (Treximet).
Rizatriptan Maxalt Triptans Migraine Ischemic cardiac disease. Peripheral vascular disease. Cerebrovascular disease. Rapidly disintegrating tablets offer faster-onset option.
Eletriptan Relpax Triptans Migraine Ischemic cardiac disease. Peripheral vascular disease. Cerebrovascular disease. 3A4 substrate. Hydrobromide salt 24.2mg = 20mg base).

Gastrointestinal

Generic Generic Pronunciation Brand Brand Pronunciation Class Indication Contraindication Notes
Famotidine Pepcid H2 Blocker Peptic Ulcer Renal dose adjustment. Pepcid Complete also contains calcium carbonate plus magnesium hydroxide.
Ranitidine Zantac H2 Blocker Peptic Ulcer Renal dose adjustment.
Dexlansoprazole Dexilant Proton Pump Inhibitor Peptic Ulcer May be associated with Osteoporosis-related fractures. Decreases magnesium. Increases risk of C. diff.
Esomeprazole Nexium Proton Pump Inhibitor Peptic Ulcer May be associated with Osteoporosis-related fractures. Decreases magnesium. Increases risk of C. diff.
Lansoprazole Prevacid Proton Pump Inhibitor Peptic Ulcer May be associated with Osteoporosis-related fractures. Decreases magnesium. Increases risk of C. diff.
Omeprazole Prilosec Proton Pump Inhibitor Peptic Ulcer May be associated with Osteoporosis-related fractures. Decreases magnesium. Increases risk of C. diff.
Pantoprazole Protonix Proton Pump Inhibitor Peptic Ulcer May be associated with Osteoporosis-related fractures. Decreases magnesium. Increases risk of C. diff.
Rabeprazole Aciphex Proton Pump Inhibitor Peptic Ulcer May be associated with Osteoporosis-related fractures. Decreases magnesium. Increases risk of C. diff.
Mesalamine Asacol, Lialda Aminosalicylates Ulcerative Colitis, Crohn's Disease Aspirin allergy. G6PD deficiency. Not sulfa derivative. Poorly absorbed.
Prednisone Deltasone Corticosteroids Ulcerative Colitis, Crohn's Disease None Should be used to treat acute exacerbation (4-8 wks) and then tapered.
Methotrexate Rheumatrex Immunosuppressants Crohn's Disease Pregnancy. Bone marrow suppression. Severe renal or hepatic dysfunction. Useful for steroid dependent and steroid refractory CD. Renal dose adjustment. NSAIDs, Salicylates, Penicillins, Sulfonamides, and Tetracycline may increase rsk of toxicity.
Adalimumab Humira Biologics - TNFalpha Inhibitor Ulcerative Colitis, Crohn's Disease None Heart failure exacerbation. Do not administer live vaccines. PPD should be done prior to therapy. For moderately to severely active CD or UC in patients who have not responded to a corticosteroid or immunosuppressant.
Certolizumab Pegol Cimzia Biologics - TNFalpha Inhibitor Ulcerative Colitis, Crohn's Disease None Heart failure exacerbation. Do not administer live vaccines. PPD should be done prior to therapy. For moderately to severely active CD or UC in patients who have not responded to a corticosteroid or immunosuppressant.
Infliximab Remicade Biologics - TNFalpha Inhibitor Ulcerative Colitis, Crohn's Disease NYHA class III or IV heart failure (for dose > 5mg/kg). Active infection. Delayed hypersensitivity reaction may occur 3-10 days after injection. Do not administer live vaccines. PPD should be done prior to therapy.For moderately to severely active CD or UC not respond to a corticosteroid or immunosuppressant.

Oncology

Generic Generic Pronunciation Brand Brand Pronunciation Class Indication Contraindication Notes
Oxaliplatin Eloxatin Platinum Based Agents Cancers Hypersensitivity. Renal insufficiency. Moderate emetogenic potential. Wear a scarf during cold weather to prevent laryngeal spasms.
paclitaxel Abraxane Antimitotic Cancers Neutrophils < 1500. Unlike Taxol, Abraxane does not need pretreatment.
Bendamustine Treanda Alkylating Agents Cancers Hypersensitivity. Bone marrow suppression.
Pemetrexed Alimta Antimetabolite - folate analog Cancers Hypersensitivity. Moderate emetogenic potential. Wear a scarf during cold weather to prevent laryngeal spasms.
Ondansetron Zofran Antiemetic - 5HT3 Blocker Vomitting Prevention 3A4 substrate
Palonosetron Aloxi Antiemetic - 5HT3 Blocker Vomitting Prevention Effective in preventing delayed N/V. 3A4 substrate.
Dexamethasone Decadron Corticosteroid Systemic fungal infection 3A4 substrate.
Hydromorphone Dilaudid Narcotics Pain Increased intracranial pressure. Severe respiratory depression. Severe or acute asthma. Paralytic ileus. Short half life, requires frequent dosing.
Oxycodone OxyContin Narcotics Pain Increased intracranial pressure. Severe respiratory depression. Severe or acute asthma. Paralytic ileus.
Oxycodone/acetaminophen Percocet, Tylox, Roxicet, Endocet Narcotics Pain Increased intracranial pressure. Severe respiratory depression. Severe or acute asthma. Paralytic ileus.
Fentanyl Duragesic Narcotics Pain Increased intracranial pressure. Severe respiratory depression. Severe or acute asthma. Paralytic ileus. Actiq, Fentora, Lazanda, Abstral, Subsys, and Onsolis should be used for breakthrough pain only. Duragesic for chronic pain and opioid tolerant.
Acetaminophen/Hydrocodone Lortab, Norco, Vicodin. Narcotics Pain Increased intracranial pressure. Severe respiratory depression. Severe or acute asthma. Paralytic ileus.
Acetaminophen/Codeine tylenol with codeine Narcotics Pain Increased intracranial pressure. Severe respiratory depression. Severe or acute asthma. Paralytic ileus.
Oxymorphone Opana Narcotics Pain Increased intracranial pressure. Severe respiratory depression. Severe or acute asthma. Paralytic ileus.
Filgrastim Neupogen Colony-Stimulating Factor Low neutrophil counts Hypersensitivity to E. coli. Requires daily administration. Neutrophil-specific
PEG-Filgrastim Neulasta Colony-Stimulating Factor Low neutrophil counts Hypersensitivity to E. coli. Given once per chemotherapy cycle. Neutrophil-specific

Psychiatric

Generic Generic Pronunciation Brand Brand Pronunciation Class Indication Contraindication Notes
Citalopram Celexa SSRI Depression MAO-I, Pimozide, Hypersensitivity Abnormal bleeding. Racemic. Withdrawal symptoms
Escitalopram Lexapro SSRI Depression MAO-I, Pimozide, Hypersensitivity Abnormal bleeding. S-isomer of citalopram. Withdrawal symptoms
Fluoxetine Prozac SSRI Depression MAO-I, Pimozide, Hypersensitivity Allow 5 wks washout prior to MAO-I due to long half-life
Paroxetine Paxil SSRI Depression MAO-I, Pimozide, Thioridazine, Hypersensitivity Abnormal bleeding. Interaction with other serotonergic drugs.
Sertraline Zoloft SSRI Depression MAO-I, Pimozide, Disulfiram-like compounds (oral concentrate), Hypersensitivity Oral concentrate contains alcohol. Abnormal bleeding. Interaction with other serotonergic drugs.
Amitriptyline Elavil SSRI Depression. Sleep disorder. MAO-I, Post-MI acute recovery, Hypersensitivity Monitor ECG in patients with cardiac disease or hyperthyroidism. Avoid in patients with high suicidality. Avoid dispensing large quantities.