Clinician's Pocket Drug Reference 2015 (Clinicians by Leonard Gomella

By Leonard Gomella

Competently PRESCRIBE AND ADMINISTER greater than 1,400 OF the medicine most of the time utilized in medical perform WITH THIS ULTRA-CONVENIENT POCKET GUIDE!

UPDATED ANNUALLY!

* equipped alphabetically by means of ordinary drug name

* universal makes use of, mechanisms of motion, dosages (adult and pediatric), warnings/precautions, shape provided, and notes/common facet effects

* Summaries of FDA "Black Box" precautions and contraindications

* encompasses a directory of the drugs geared up by way of drug classification

* Covers traditional and natural agents

* up to date to mirror new medicinal drugs, elimination of gear taken off the industry, new formulations, and adjustments in licensed use of latest medicines

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125 mcg/kg/min max 10 mcg/ min IV for 12 h; w/ heparin. ] w/ Scr > 2 mg/dL; can affect digoxin levels CI: IBD, colonic ulceration, partial intestinal obst; cirrhosis Disp: Tabs 25, 50, 100 mg SE: Abd pain, D, flatulence, ↑ LFTs, hypersens Rxn Notes: OK w/ sulfonylureas; ✓ LFTs q3mo for 1st y Acebutolol (Sectral) Uses: *HTN, arrhythmias* chronic stable angina Acts: Blocks β-adrenergic receptors, β1, & ISA Dose: HTN: 400–800 mg/d 2 ÷ doses Arrhythmia: 400–1200 mg/d 2 ÷ doses; ↓ 50% w/ CrCl < 50 mL/min, elderly; max 800 mg/d ↓ 75% w/ CrCl < 25 mL/min; max 400 mg/d W/P: [B, + M] Can exacerbate ischemic heart Dz, do not D/C abruptly CI: 2nd-/3rd-degree heart block, cardiac failure, cardiogenic shock Disp: Caps 200, 400 mg SE: Fatigue, HA, dizziness, ↓ HR Acetaminophen [APAP, N-acetyl-p-Aminophenol] (Acephen, Ofirmev, IV [Rx], Tylenol, Other Generic) [OTC] BOX: May cause acute liver failure; associated w/ doses > 4000 mg/d & taking APAP in > 1 product Uses: *Mild–mod pain, HA, fever* Acts: Nonnarcotic analgesic; ↓ CNS synth of prostaglandins & hypothalamic heat-regulating center Dose: Adults.

Initial 25 g IV; then based on response; 250 g/48 h max Peds. ] Severe anemia; cardiac, renal, or hepatic Insuff d/t protein load & hypervolemia avoid 25% albumin in preterm infants CI: CHF, severe anemia Disp: Soln 5%, vials 20%, 25% SE: Chills, fever, CHF, tachycardia, ↑↓ BP, hypervolemia Notes: Contains 130–160 mEq Na+/L; may cause pulm edema; max Inf rates: 25% vial: 2–3 mL/min; 5% soln: 5–10 mL/min Albuterol (Proventil, Ventolin, ProAir) Uses: *Asthma, COPD, prevent exercise-induced bronchospasm* Acts: β-Adrenergic sympathomimetic bronchodilator; relaxes bronchial smooth muscle Dose: Adults.

5 Cream Miconazole (Monistat 1 combination pack, Monistat 3, Monistat 7) [OTC], (Monistat-Derm) Nystatin (Mycostatin) Terconazole (Terazol 3, Terazol 7, generic) Tioconazole (generic [OTC]) Miscellaneous OB/GYN Agents Clomiphene (Clomid) Dinoprostone (Cervidil Vaginal Insert, Prepidil Gel, Prostin E2) Doxylamine & pyridoxine (Diclegis) Leuprolide (Lupron) Leuprolide acetate and norethindrone acetate kit (Lupaneta Pack) Tranexamic acid (Lysteda, generic) Magnesium sulfate (various) Medroxyprogesterone (Provera, DepoProvera, Depo-SubQ Provera) Methylergonovine (Methergine) Mifepristone [RU 486] (Mifeprex) Nafarelin, metered spray (SYNAREL) Ospemifene (Osphena) Oxytocin (Pitocin, generic) Paroxetine (Brisdelle) Terbutaline (generic) Tranexamic acid (Lysteda) Aspirin/butalbital/ caffeine compound (Fiorinal) Aspirin/butalbital/ caffeine/codeine (Fiorinal w/ Codeine) Eletriptan (Relpax) Frovatriptan (Frova) Naratriptan (Amerge, generic) Sumatriptan (Alsuma, Imitrex, Imitrex Statdose, Imitrex Nasal Spray, generic) PAIN MEDICATIONS Antimigraine Agents Acetaminophen/ butalbital, w/ and w/o caffeine (Fioricet, Margesic, Esgic, Dologic Plus, Bupap, Sedapap, Phrenilin) Almotriptan (Axert) 29 Classification Sumatriptan/naproxen sodium (Treximet) Sumatriptan needleless system (Sumavel DosePro) Rizatriptan (Maxalt, Maxalt-MLT, generic) Zolmitriptan (Zomig, Zomig ZMT, Zomig Nasal) Local/Topical (See also Local Anesthetics Table 1, p 318) Benzocaine (Americaine, Lanacane, Hurricane, various [OTC]) Benzocaine/antipyrine (Auralgan) Bupivacaine (Marcaine) Capsaicin (Capsin, Zostrix, others) [OTC] Cocaine Dibucaine (Nupercainal) Lidocaine, lidocaine/ epinephrine (Anestacon Topical, Xylocaine, Xylocaine Viscous, Xylocaine MPF, others) Lidocaine/ prilocaine (EMLA, ORAQIX) Lidocaine/tetracaine transdermal patch (Synera) and cream (Pliaglis) Mepivacaine (Carbocaine) Procaine (Novocaine) Pramoxine (Anusol Ointment, ProctoFoam NS, others) Narcotic Analgesics Acetaminophen/codeine (Tylenol 2, 3, 4) [C-III, C-IV] Alfentanil (Alfenta) Buprenorphine (Buprenex) (C-III) Buprenorphine/ naloxone (Suboxone, Zubsolv) (C-III) Buprenorphine, transdermal (Butrans) Butorphanol (Stadol) [C-IV] Codeine [C-II] Fentanyl (Sublimaze) [C-II] Fentanyl, transdermal (Duragesic, generic) [C-II] Fentanyl, transmucosal (Abstral, Actiq, Fentora, Lazanda, Onsolis, generic) [C-II] Hydrocodone, extended release (Zohydro) [C-II] Hydrocodone/ acetaminophen (Lorcet, Vicodin, Hycet, others) [C-II] Hydrocodone/ibuprofen (Vicoprofen, generic) [C-II] Hydromorphone (Dilaudid, Dilaudid HP, generic) [C-II] Hydromorphone, extended-release (Exalgo) [C-II] Levorphanol (Levo-Dromoran) Meperidine (Demerol, Meperitab, generic) [C-II] Methadone (Dolophine, Methadose, generic) [C-II] Morphine (Avinza XR, Astramorph/PF, Duramorph, Infumorph, MS Contin, Kadian SR, Oramorph SR, Roxanol) [C-II] Morphine/naltrexone (Embeda) [C-II] 30 Nalbuphine (generic) Oxycodone (OxyContin, Roxicodone, generic) [C-II] Oxycodone/ acetaminophen (Percocet, Primlev, Tylox) [C-II] Clinician’s Pocket Drug Reference 2015 Oxycodone/ acetaminophen ER (Xartemis XR) [C-II] Oxycodone/aspirin (Percodan) [C-II] Oxycodone/ibuprofen (Combunox) [C-II] Oxymorphone (Opana, Opana ER) [C-II] Pentazocine (Talwin) [C-IV] Tapentadol (Nucynta) Nonnarcotic Analgesics Acetaminophen, oral [N-acetyl-paminophenol (APAP)] (Acephen, Tylenol, other generic) Acetaminophen, injection (Ofirmev) Acetaminophen/ butalbital/± caffeine (Fioricet, Medigesic, Repan, Sedapap-10, Two-Dyne, Triapin, Axocet, Phrenilin Forte) Aspirin (Bayer, Ecotrin, St.

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