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Top 150 Prescriptions for 2004 - Retail

P
T Brand Name Generic Name Indication Dose Dosage Form Side Effects
Lorcet; Lortab; Norco; Pain, moderate/ 1-2 tab Q4-6 prn; MDD 8
Tablet N/V/C, rash, prurits, urinary retention
1 Vicodin hydrocodone / apap moderately-severe tablets QD
1.7 mcg/kg/day
Tablet, powder no common decreased bone density,
Synthroid; Levothroid; Hypothyroidism maintenance 100-200 mcg
for IV MI, seizures
2 2 Levoxyl levothyroxine QD
abdominal pain, constipation,
Dyslipidemia 10-80 mg QD Tablet
3 2 Lipitor atorvastatin flatulence, hepatotoxicity
100-400mg QD, 12.5-
Angina, CHF, dizziness, HA, tiredness, depression,
200mg QD, 50-100mg Tablet
hypertension diarrhea, bronchospasm
4 2 Lopressor; Toprol XL metoprolol QD

Bacterial infection,
500 mg q12h or 250 mg
endocarditis
q8h, 2g 1 hr prior, 3g N/V/D, rash, hypersensitivity
prophylactic,
single dose Capsule,
Amoxil; Trimox amoxicillin gonorrhea, etc.
5 suspension
initial 10mg QD, maint' cough, dizziness, HA, N/V,
Hypertension, CHF,
20-40mg QD, 5-20mg Tablet hypotension, angioedema, renal
acute MI
6 2 Zestril; Prinivil lisinopril QD, 5-10mg QD dysfunction

25-100 mg QD or BID, hypotension, dizziness, N/V/D/C, HA,


Edema, hypertension 12.5-25mg initial QD, Tablet anorexia, impotence, xanthopsia,
increase to 50-100mg QD arrhythmias, lupus
7 2 Esidrix; Hydrodiuril hydrochlorothiazide
Bacterial infection
500 mg QD 3 days, 500 Capsule, Tablet,
(sinusitis, tonsilitis, abdominal pain, N/V/D
mg day 1 250mg days 2-5 Powder
8 Zithromax azithromycin etc.)

angina 50-100 mg QD,


Acute MI, angina Tablet, IV dizziness, depression, insomnia,
arrythmia 50-100 mg QD,
pectoris, hypertension infusion tiredness, hypotension, lupus
MDD 200mg
9 2 Tenormin atenolol
1-2 puffs Q4-6h prn, 2 hypokalemia, N/V, nervousness,
Asthma, Inhaled solution,
puffs 15-30 min prior to tachycardia, tremor, Stevens-Johnson
bronchospasm tablet
exercise syndrome
10 2 Proventil; Ventolin albuterol
500mg BID initially, asthenia, flatulence, N/V/D, Vit B 12
Diabetes
MDD 2550mg QD deficiency, lactic acidosis
11 2 Glucophage metformin Tablet, oral soln

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Tablet, oral
Hypertension, edema, 40mg BID, 20-80mg QD, anorexia, N/V/D/C, dizziness, HA,
solution, IV
CHF 250-4000mg QD hypotension, aplastic anemia
12 2 Lasix furosemide solution

Anxiety, panic 0.25-0.5mg TID, 0.5-1mg


C, decreased libido, depression,
disorders, alcohol BID(3-6mg), 0.5-1mg Tablet
dizziness, increased appetite
13 Xanax alprazolam withdrawal BID 7-10days

5-10mg QD, initial 5mg dizziness, fatigue, flushing, HA, MI,


Angina, hypertension Tablet
QD increase to 10mg prn angina, arrhythmia
14 2 Norvasc amlodipine
40-100mEq divided into N/V/D, flatulence, abdominal pain,
K-Dur; K-Tab; Klor-Con; Hypokalemia
2-3 doses cardiac arrest, hyperkalemia
15 1 Micro-K; Slow-K potassium chloride Tablet
50mg QD, 50mg QD, anorexia, dry mouth, dizziness, HA,
Depression, OCD, Tablet, oral
25mg increase to 50mg tremor, sweating, fatigue, seizures,
panic disorder solution
QD, MDD 200mg abnormal bleeding
16 Zoloft sertraline
Depression, GAD,
sleep disorders, ejaculation disorder,
anxiety with 10mg QD, 10-20mg QD
diaphoresis, fatigue, N/D
Lexapro escitalopram depression
17 Tablet

Fever, mild to 200-400mg Q4-6h, 400mg Tablet, capsule, abdominal pain, N/V/D/C, HA,
moderate pain, Q4h, 1200-3200mg/day, oral drops, tinnitus, edema, GI bleeding,
rheumatoid arthritis MDD 3200mg suspension hepatitis
18 Motrin ibuprofen
Cystitis, skin 250mg Q6h, 500mg
Capsule, tablet, abdominal pain, D, transient liver
infections, strepto. Q12h, range 250-1000mg
oral suspension enzyme elevation
infections Q6h
19 Keflex cephalexin
D, dizziness, drowsiness, dry mouth,
Insomnia 10mg QHS Tablet
20 Ambien zolpidem tartrate drugged feeling

Inflammatory 5-60mg QD, 5-10mg QD, euphoria/depression, GI distress,


conditions, adrenal 200mg QD 1x week then Tablet impaired healing, osteoporosis,
hyperplasia, MS 80mg QOD 1x month hyperglycemia, cataracts
21 Deltasone; Orasone prednisone
GERD, H pylori 20-40mg QD for 4-8 Enteric coated abdominal pain, N/D/C, dry mouth,
Nexium esomeprazole eradication weeks, 20mg QD capsule HA
22
HCTZ 25mg, triam
chest pain, hypotension, tachycardia,
Hypertension 37.5mg QD, MDD Capsule, talet
anxiety, drowsiness, arrhythmias
50/75mg QD
23 2 Dyazide; Maxzide triamterene / HCTZ

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

APAP 650mg/Propoxy abdominal pain, N/V/C, dizziness,


propoxyphene napsylate Pain 100mg Q4h prn, MDD tablet liver dysfunction, renal papillary
propoxy 600mg necrosis
24 Darvocet-N / apap
Fever, pain, primary 200mg q8-12h, 500mg
N/D/C, dizziness, edema, tinnitus, HA,
dysmenorrhea, Q12h, 250-500mg Q12h, Tablet, oral
vertigo, jaundice, CHF, GI
osteoarthritis, MDD 1500mg QD for up suspension
perforation
rheumatoid arthritis to 6 months
25 Anaprox; Naprosyn naproxen
hemorrhage, purple toe, hepatitis,
2-5mg QD dose adjust Tablet, IV
Anticoagulation skin necrosis, hypersensitivity,
according to INR solution
cholesterol embolization
26 2 Coumadin warfarin
Hypercholesterolemia,
C, GI upset, HA, hepatotoxicity,
hyperlipidemia, 5-80mg QPM Tablet
myalgia
Zocor simvastatin Stroke/TIA
27 2
Allergic rhinitis, Churg-Struass syndrome, cholestatic
10mg QHS Tablet
28 2 Singulair montelukast asthma hepatitis

Duodenal ulcer, GERD 15mg QD, 15-30mg QD Capsule abdominal pain, D/C, HA, fatigue
29 Prevacid lansoprazole

N/V/C, dizziness, dysphoria,


1 tablet Q6, daily dose not Tablet, capsule,
Pain lightheadedness, sedation, skin rash,
Endocet; Percocet; to exceed 60/4000mg solution
pruritis, respiratory depression
30 Roxicet oxycodone / apap

Depression, bulemia, abnormal ejaculation, anorexia, dry


20mg Qam, 20-60mg QD,
obsessive-compulsive, Capsule, syrup mouth, anxiety, tremor, mania,
20mg QD, 20-80mg QD
body dysmorphic suicide, seizure
31 Prozac fluoxetine

Ortho Tri-Cyclen; Ortho 1 tablet QD for 21 days abdominal pain, N, HA, breast
Contraception followed by7 days 1 Tablet symptoms, emotional lability, venous
Tri-Cyclen Lo; TriNessa; ethinyl estradiol / inactive tablet thrombosis, hypertension, MI
32 Tri-Sprintec norgestimate
Allergic rhinitis,
5-10mg QD Syrup, tablet dry mouth, fatigue, HA, somnolence
33 2 Zyrtec cetirizine chronic urticaria

Susceptible infections,
community acquired 500mg Q12, 250 mg TID Tablet, powder rash, urticaria, N/V/D, hepatic toxicity
amoxicillin / clavulanate pneumonia
34 Augmentin potassium

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Depression, GAD,
panic disorder, social 20mg QD, MDD 75mg Tablet, anorexia, C, dry mouth, anxiety,
anxiety disorder, QD suspension abnormal bleeding, mania, seizures
35 Paxil paroxetine PTSD

Alcohol withdrawl,
2mg Q6h then 1mg Q6h,
anxiety disorders, Tablet, IV depression, dizziness, drowsiness, HA,
2-6mg/day, 2-4mg Qhs,
insomnia, solution nausea, weakness, unsteadiness
0.05mg/kg
36 Ativan lorazepam preanesthetic

minor bleeding, abdominal pain,


Platelet aggregation
75mg QD tablet edema, HA, chest pain, GI ulcer,
inhibitor
atrial fib, CHF
37 2 Plavix clopidogrel

Inhaled solution, Cushing's syndrome, HA, hoarseness,


Asthma, COPD 100/50, 250/50, 500/50
diskus asthma related death
38 2 Advair fluticasone / salmeterol
agitation, anxiety, confusion, C, dry
Depression, smoking 150mg initially for 3 days
Tablet mouth, tremor, psychosis,
cessation then 150mg BID
arrhythmias
39 Wellbutrin bupropion
Glucocorticoid abdominal pain, D/C, HA,
5 mg QD, 35-70mg
induced osteoporosis, tablet, solution musculoskeletal pain, esophagitis,
Qweekly
osteoporosis ulcer
40 Fosamax alendronate
Asthma, dermatoses, 500-1000mcg BID, 2 Inhaled powder epistaxis, oropharyngeal candidiasis,
rhinitis sprays/nostril QD solution adrenal suppression, anaphylaxis
41 2 Flonase; Flovent fluticasone
Depression, 75mg QD to max 225mg anorgasmia, anorexia, D, dry mouth,
generalized anxiety QD, 37.5-75mg QD, Tablet sweating, rash, bleeding,
42 Effexor venlafaxine disorder, PMDD 25mg QD max 200mg QD hypertension

0.25mg BID X 3 days aggravation of seizures, ataxia,


Panic disorder, seizure
then 0.5mg BID, 0.5mg Tablet drowsiness, dizziness, increased
disorders
TID MDD 20 mg/day salivation, respiratory depression
43 Klonopin clonazepam
Chronic idiopathic dizziness, drowsiness, fatigue,
60mg BID, 60mg BID or
urticaria, seasonal capsule, tablet dysmenorrhea, dyspepsia, HA, otitis
180mg QD
44 2 Allegra fexofenadine allergic rhinitis media, URI

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Muscle spasm, 5mg TID, may increase to


asthenia, blurred vision, drowsiness,
temporomandibular 10mg TID, 10mg TID, Tablet
HA, confusion, hepatitis, arrhythmia
disorders MDD 60mg/day
45 Flexeril cyclobenzaprine
40mg QD, 40-80mg QD, Enteric coated
GERD, peptic ulcer D, HA, hyperglycemia
MDD 240mg QD tablet
46 Protonix pantoprazole
APAP 300-1000mg, dizziness, lightheadedness, sedation,
Pain Tablet, Capsule
codeine 15-60mg Q4 N/V, SOB, respiratory depression
47 Tylenol / Codeine acetaminophen / codeine

chronic bronchitis, Tablet, N/V, anorexia, rash, urticaria, severe


1 DS tablet or 2 SS tablets
shigellosis, traveler's suspension, IV allergic reactions, fulminant hepatic
trimethoprim / Q12 for 14 days
diarrhea, UTI solution necrosis, aplastic anemia
48 Bactrim; CoTrim; Septra sulfamethoxazole
Epilepsy, migraine, 300mg TID to 1800mg ataxia, dizziness, somnolence,
peripheral neuropathy, QD, 800mg TID, 900- Capsule, tablet diplopia, myalgia, tremor, seizures, S-
social phobia 3600mg/day J syndrome
49 Neurontin gabapentin

Postmenopausal abdominal cramps, bloating,


0.625mg QD continuous
osteoporosis, Tablet depression, HA, migraine, breast
or cyclic, 0.3-1.25mg QD
vulvar/vaginal atrophy cancer, hypercalcemia
50 Premarin conjugated estrogens

N/V/D/C, anorexia, dry mouth, blurred


150mg QD in divided
Depression Tablet vision, dizziness, insomnia, lethargy,
doses, MDD 400mg/day
arrhythmias, priapism, seizures
51 Desyrel trazodone
blurred vision, drowsiness, dizziness,
Depression, 75mg QD, maintenance Tablet, IV
weakness, fatigue, weight gain,
polyneuropathy 50-100mg HS solution
52 Elavil amitriptyline seizure, jaundice

Chronic bronchitis, headache, N/D, blurred vision,


500mg QD, 250mg QD, Tablet, IV
community-acquired torsades de points, hyperglycemia,
750mg QD solution
pneumonia, sinusitis tendon rupture
53 Levaquin levofloxacin
0.125-0.5mg QD, titrate Capsule, tablet, anorexia, N/V/D, HA, visual
CHF
54 2 Digitek; Lanoxin digoxin doses every 2 weeks IV solution disturbances, arrhythmias

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

anxiety, confusion, fatigue, HA,


50mg tablets Q4-6 prn,
Pain, acute short term Tablet somnolence, tremors, diaphoresis,
MDD 8 tabs/day
rash, puritus, albuminuria, seizures
55 Ultram tramadol

500-750mg Q12, 500mg


Susceptible infections,
Q12 for 10 days, 250mg Powder for N/D, HA, restlessness, dizziness, rash,
sinusitis, UTI,
Q12, 250mg QD, 500mg suspension, IV convulsions, increased intracranial
gonorrhea, infectious
Q12 for 5-7 days, 500mg solution pressure
diarrhea, anthrax
Q12 60days
56 Cipro ciprofloxacin

Initial 5mg QD, MDD allergic skin reactions, dizziness, HA,


Type 2 diabetes
40mg QD, MDD of XR Tablet hypoglycemia, N/D, severe
mellitus
20mg QD hypoglycemic episode
57 2 Glucotrol glipizide
2.5/10mg QD, 5/10mg cough, dizziness, edema, HA,
Hypertension Capsule
58 2 Lotrel amlodipine / benazepril QD, 5/20mg QD angioedema

N/V/D/C, bradycardia, HA, anemia,


Duodenal ulcer, GERD 150mg QHS, 150mg BID Tablet, syrup, IV
59 Zantac ranitidine pancreatitis

80-160mg BID, MDD cough, dizziness, fatigue, HA,


CHF, hypertension Tablet
60 2 Diovan valsartan 320mg QD hypotension, angioedema

CHF, hypertension,
2.5mg QD-BID, asthenia, cough, dizziness,
left ventricular Tablet, IV
maintenance 2.5-20mg hypotension, hyperkalemia, N/V, rash,
dysfunction, solution
BID, MDD 20mg angioedema, hepatic failure
nephropathy
61 2 Vasotec enalapril

abdominal pain, amoroexia, dry


5-60mg/day in divided mouth, weight loss, dysphoria,
Narcolepsy, ADHD doses, 10mg QD MDD Tablet euphoria, HA, tremor, insomnia, chest
40mg QD pain, hyperthermia, irregular
Adderall; Dexedrine; amphetaimine salts; heartbeat
62 DextroStat dextroamphetamine
Anxiety, skeletal Tablet, gel, ataxia, drowsiness, fatigue,
muscle spasms, 2-10mg BID-QID emulsion, hypotension, respiratory depression,
seizures suppository, IV sedation
63 Valium diazepam

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Bone marrow
400mg QD, 150mg single
transplant prphylaxis, Tablet, oral
dose, 400mg on first day elevated liver enzymes, HA, N/V, rash,
candidiasis, suspension, IV
and 200mg QD for 10 -12 itching, anaphylaxis
cryptococcal solution
days
64 1 Diflucan fluconazole meningitis

initial 10/12.5mg QD, cough, dizziness, HA, N/V,


Hypertension, CHF,
maintenance 20-40/25mg Tablet hypotension, angioedema, renal
acute MI
QD dysfunction
65 2 Prinzide; Zestoretic lisinopril / HCTZ
cough, dizziness, fatigue,
2.5mg initially, up to
CHF, hypertension Gelatin capsule hyperkalemia, N/V, angioedema,
10mg QD
66 2 Altace ramipril hepatic failure

Acute pain, primarry 400mg qd plus 200mg prn abdominal pain, diarrhea, back pain,
dysmennorhea, day 1, 200mg qd, 100- Capsule dizziness, headache, anemia,
osteoarthritis, RA 200mg qd arrhythmias
67 Celebrex celecoxib
25-100mg 1 hour prior to
flushing, dizziness, HA, D, dyspepsia,
Erectile dysfunction sexual activity, MDD 1 Tablet
nasal congestion, MI, priapism
time daily
68 Viagra sildenafil

AV block, bradycardia, dizziness,


30mg QID, MDD 360mg Capsule, tablet, fainting, gingival hyperplasia, HA,
Angina, hypertension
QD, 60-120mg BID IV solution peripheral edema, cardiac conduction
Cardizem; Cartia XT; disturbances
69 2 Tiazac diltiazem
100mg BID day 1 then
gastrointestinal distress,
Susceptible infections, 100mg QD, 100mg BID
photosensitivity, increased BUN,
anthrax, chlamydia, for 60 days, 100mg BID Capsule, tablet
bulging fontanels, benign
cholera, lyme disease for 7 days, 100mg BID for
intracranial hypertension
10-20 days
70 Monodox; Vibramycin doxycycline
Hypercholesterolemia, abdominal pain, arthralgias, back pain,
10mg QD Tablet
sitosterolemia cough, D, HA, fatigue, sinusitis
71 2 Zetia ezetimibe

Dermatoses, neoplastic Cushing's syndrome, euphoria,


8-16mg QD, neo/neph 16-
disease, nephrotic depression, osteoporosis, hypertension,
40mg QD, lupus 3-30mg Tablet, syrup
syndrome, rhinitis, GI distress, cataracts, glaucoma,
Aristocort; Azmacort; QD
lupus hyperglycemia
72 Kenalog; Nasocort AQ triamcinolone

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Type 2 diabetes 4mg QD or in 2 divided anemia, edema, HA, URI, weight gain,
Tablet
73 2 Avandia rosiglitazone mellitus doses hepatotoxicity

Atherosclerosis, CHD-
prevention, initial 20mg QD, diarrhea, constipation, headache,
Tablet
Hypercholesterolemia, maintenance 10-80mg QD nausea, abdominal pain
Mixed dyslipidemia
74 2 Mevacor lovastatin
80/12.5mg QD initially, cough, D, fatigue, hypotension, HA,
Hypertension Tablet
MDD 160/25mg QD angioedema, hepatitis
75 2 Diovan HCT valsartan / HCTZ
drowsiness, dizziness, tremor,
Musculoskletal hypotonia, irritability, HA, N/V,
350mg TID and HS Tablet, capsule
disorders tachycardia, facial flushing,
anaphylactoid shock
76 Soma carisoprodol

abdominal cramps, bloating, N/V,


1 yellow tablet QD for 21
amenorrhea, breast tenderness,
Contraception days and 1 white tab for 7 Tablet
depression, migraine, weight increase
drospirenone / ethinyl days
or decrease, hypertension
77 Yasmin estradiol

Calcium oxalate 200-300mg QD or BID, N/V, prurits, rash, renal failure,


calculi, gout, uric acid MDD 300mg/dose and Tablet, powder agranulocytosis, anemia, bone
calculi 800mg/day marrow supression, hepatotoxicity
78 Zyloprim allopurinol

200mcg QD, 0.2-0.6mg in confusion, dry mouth, hypotension,


Hot flashes,
divided doses (BID), Tablet, IV N/V/C, weakness, somnolence,
hypertension, opiate
0.1mg BID-QID for 2 solution, patch dizziness, sedation, chest pain,
withdrawal
days, then taper, tachycardia
79 2 Catapress clonidine

Adrenal insufficiency, cataracts, Cushing's syndrome,


4-48mg QD, MS 160mg
inflammatory euphoria, depression, ulcer, growth
QD for 1 week then 64mg Tablet
conditions, multiple depression, HTN, hypokalemia,
QOD for 1 month
sclerosis osteoporosis, glaucoma
80 Medrol; Solu-Medrol methylprednisolone

15-30mg QD, MDD 45mg


Type 2 diabetes anemia, edema, HA, myalgia, weight
QD, MDD in combo Tablet
mellitus gain, hepatotoxicity
therapy 30mg QD
81 2 Actos pioglitazone

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Hyperlipidemia, flu-like symptoms, GI disturbances,


40mg QD, 40-80mg QD Tablet
coronary events HA, hepatotoxicity
82 2 Pravachol pravastatin
Osteoporosis
5mg QD, 35mg Qweek, arthralgia, diarrhea, HA, rash,
prevention, treatment, Tablet
30mg QD for 2 months abdominal or stomach pain, colitis
Paget's disease
83 Actonel risedronate

1 patch Qweek for 3 abdominal pain, N, HA, breast


Contraception weeks, week 4 is patch Patch symptoms, emotional lability, venous
ethinyl estradiol / free thrombosis, hypertension, MI
84 Ortho Evra norelgestromin
20mg QD, 10-40mg QD, impotence, fatigue, somnolence,
Depression, headache,
20-30 mg QD, MDD 60 tablet, solution nausea, rhinitis, sweating, dry mouth,
panic disorder
mg/day D, leukopenia, MI
85 Celexa citalopram
IR 80mg TID may
increase to 360mg/day,
Angina, arrhythmias, Capsule, tablet, C, dizziness, edema, HA, hypotension,
240-320mg/day, ER
hypertension, migraine IV solution nausea, MI, angina, syncope
180mg HS, 80mg TID-
Calan; Covera; Isoptin; QID
86 2 Verelan verapamil

Angina pectoris, 20mg IR then 20mg after


gastrointestinal 7 hrs, 30-60mg QD, 10- HA, dizziness, N/V/D/C, tachycardia,
Tablet
bleeding, myocardial 20mg BID w/ beta arrhythmias, cardiac failure
infarction blocker, 20mg QD-TID
87 2 Imdur isosorbide mononitrate
Endocarditis
2g 1h prior to procedure,
prophylaxis, pneumo N/V/D, rash, hemolytic anemia,
250-500mg Q6, 125- Tablet
infections, strepto. hypersensitivity reactions
250mg Q6-8 for 10 days
88 Pen-Vee K; Veetids penicillin VK infections

2.5-5mg QD initially, allergic skin reactions, heartburn,


Type 2 diabetes
1.25-20mg QD or divided, Tablet hypoglycemia, N, severe
mellitus
MDD 20mg QD hypoglycemic episodes
89 2 Diabeta; Micronase glyburide
Difficulty swallowing, swelling of
90 2 Benicar olmesartan Hypertension 20mg QD Tablet extremities

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

asthenia, dizziness, sedation, N/V/C,


10-30 mg IR Q4 prn, 10-
Pain Tablet dry mouth, pruritis, apnea,
40mg CR Q12
respiratory depression, hypotension
91 OxyContin oxycodone
Bacterial infection 150-300 mg Q6hr Capule diarrhea, nausea, rash
92 Cleocin clindamycin

Cream, lotion, burning, epistaxis, HA, viral infection,


Rhinitis 2 sprays each nostril QD
ointment adrenal suppression, glaucoma
93 2 Nasonex mometasone
folic acid deficiency, anorexia, N, bitter/bad taste,
1mg QD, 0.5-5mg QD, Tablet, IV
hyperhomocysteinemia irritability, confusion, altered sleep
0.8-1mg QD solution
, neural tube defects pattern, allergic sensitization
94 1 Folvite folic acid

C, dry mouth, dyspepsia, dizziness,


50mg BID, target dose somnolence, rhinitis, tachycardia,
Acute bipolar mania,
400mg/day, 25mg BID, tablet postural hypotension, weight gain,
schizophrenia
range 300-400mg/day leukopenia, seizures, tardive
dyskinesia
95 Seroquel quetiapine
CHF, diabetic
12.5mg QD titrate at 7 day
nephropathy, asthenia, fatigue, D, dizziness,
intervals to 50mg QD, 25- Tablet
hypertension, stroke hypotension, angioedema
100mg QD
prevention
96 2 Cozaar losartan
N/V/D, flatulence, muscle pain, rash,
Hypercholesterolemia, 160mg QD, 54-160mg
tablet rhinitis, hepatotoxicity,
hypertriglyceridemia QD, MDD 160mg QD
rhabdomyolysis
97 2 Tricor fenofibrate

angina, atrioventricular block,


Angina, CHF,
3.125mg BID initially up bradycardia, fatigue, dizziness, HA,
hypertension, post Tablet
to 50 mg BID N/V/D, erectile dysfunction, rhinitis,
myocardial infarction
hepatotoxicity, thrombocytopenia

98 2 Coreg carvedilol

10-15mg IR or 20mg SR restlessness, behavior disturbances,


ADHD, fatigue, QD, 7.5mg BID titrate up slurred speech, loss of appetite,
Tablet, capsule
narcolepsy to MDD 60 mg/day, 10- hallucinations, hypertension,
60mg/day BID or TID tachycardia, thrombocytopenia
99 Concerta; Ritalin methylphenidate

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Hypercholesterolemia, 10/10, 10/20, 10/40, 10/80 Dark urine, increased urine frequency,
100 2 Vytorin ezetimibe / simvastatin Hyperlipoprotenemia QPM Tablet muscle pain, HA, constipation

individualized, allergic skin reactions, injection site


Diabetes administered QD same IV solution pain, lipodystrophy, rash, diabetic
time every day ketoacidosis, severe hypoglycemia
101 2 Lantus insulin glargine
Allergy, anesthesia
CNS depression, dermatitis,
adjunct, motion 25mg HS, or 12.5mg
Tablet, syrup, drowsiness, EPS, N/V, dry mouth,
sickness, nausea and before meals and HS, 25-
suspension, IV lower seizure threshold,
vomiting, 50mg IM or IV, N/V 25-
solution agranulocytosis, respiratory
postoperative pain, 50mg rectally
depression
sedation
102 1 Phenergan promethazine
Anxiety, pruritus Capule,
50-100mg QD drowsiness, dry mouth, headache
103 Atarax; Vistaril hydroxyzine suspension

abdominal pain, N/D, flatulence,


Osteoarthritis, 7.5mg QD, MDD 15mg edema, HA, dizziness, insomnia,
Tablet
rheumatoid arthritis QD arthralgia, anemia, angina, CHF,
dyspnea, leukopenia
104 Mobic meloxicam
chest pain, asthenia, HA, insomnia,
Benign prostatic 0.4mg QD, may increase
Capsule cough, rhinitis, N/D, arthralgia,
hyperplasia to 0.8mg QD
priapism
105 Flomax tamsulosin

asthenia, GI problems, headache,


hypercholesterolemia 5-40mg QD tablet myalgia, pharyngitis, upper respiratory
infections
106 2 Crestor rosuvastatin

blurred vision, confusion, fatigue,


7.5-30mg HS, gradually Capsule, gel
Insomnia hangover, lethargy, dependence, N/D,
taper to discontinue capsule
drowsiness, HA, hypotension
107 Restoril temazepam
Duodenal ulcer,
20mg QD, doses greater N/V/D/C, dizziness, URI, rash,
GERD, H. pylori
than 80mg QD should be Capsule, tablet abdominal pain, hepatotoxicity,
eradication,
divided pancreatitis
108 Prilosec omeprazole hypersecretion

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Sinusitis, chronic
bronchitis, community 300mg BID for 10 days, Capsule,
N/D, vaginal moniliasis, HA
acquired pneumonia, or 600 mg QD for 10 days suspension
skin infections
109 Omnicef cefdinir

abdominal pain, arthralgia, agitation,


Bipolar mania, 2-3mg QD, 1mg BID Tablet, oral anxiety, HA, N/V, rhinitis, tachycardia,
schizophrenia increase to 4-8mg QD solution, powder hyper/hypothermia, mania,
polydipsia
110 Risperdal risperidone

5-10mg/kg/day, MDD
anorexia, alopecia, asthenia, ataxia,
Epilepsy, mania, 60mg/kg/day, 750mg/day,
capsule N/V/D, HA, diplopia, weight changes,
migraine prophylaxis 250mg BID, MDD
hepatic failure, thrombocytopenia
1000mg/day
111 Depakote divalproex

bradycardia, AV block, cognitive


Angina, anxiety, 80-320mg IR QD divided
Tablet, capsule, dysfunction, depression, insomnia,
arrhythmias, CHF, doses, low initial titrate to
IV parethesia, anorexia, N/V, dyspnea,
hypertension, migraine dose
bronchospasm
112 2 Inderal propranolol
Duodenal ulcer,
20mg QD for 4-8 weeks,
GERD, H. pylori
hypersecretory- 60-120mg Tablet abdominal pain, N/D, HA, insomnia
eradication,
QD up to 100mg in 1 dose
hypersecretion
113 Aciphex rabeprazole

drowsiness, lethargy, gynecomastia,


Edema, hirsutism,
100mg QD initial MDD HA, hyperkalemia, N/V/D, urticaria,
hypertension, Tablet
400mg/day agranulocytosis, gastric bleeding,
hypokalemia
metabolic acidosis
114 2 Aldactone spironolactone

1g BID for 7-10 days, 1g N/V, HA, thrombotic


Genital herpes, herpes
QD for 5 days, 2g BID for Capsule thrombocytopenic purpura,
labialis, herpes zoster
1 day, 1g TID for 7 days hemolytic uremic syndrome
115 Valtrex valacyclovir

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

blurred vision, eyelash changes, eyelid


1 drop in affected eyes Othphalmic
Glaucoma skin darkening, iris pigmentation,
QPM solution
macular edema
116 Xalatan latanoprost
1 tablet QD (50/12.5mg), edema, dizziness, abdominal pain,
Hypertension Tablet
MDD 100/50mg N/D, cough, URI, back pain
117 2 Hyzaar losartan / HCTZ
cough, dizziness, hyperkalemia,
5mg BID, 20-40mg BID,
CHF, hypertension Tablet hypotension, N/V, angioedema,
20-80mg BID
Accupril quinapril hepatic failure
118 2

ataxia, dizziness, headache, peripheral


neuropathy, seizures, anorexia, GI
Cream, gel, discomfort, metallic taste perversion,
Infection 7.5mg/kg IV QD tablet, IV N/V, symptomatic candida
solution cervicitis/vaginitis, vaginal discharge,
disulfiram-like reaction, herxheimer
reaction

119 Flagyl metronidazole

asthenia, fatigue, tremor, ataxia,


25-50mg QD initial, confusion, dizziness, diplopia, N,
Seizures 200mg BID maintenance, tablet, capsule speech or language problems,
MDD 1600mg hyperthermia, anemia, leukopenia,
dyspnea, hepatic failure
120 Topamax topiramate

Acne vulgaris,
amenorrhea, abdominal cramps, bloating, N/V,
contraception, amenorrhea, breast tenderness,
dysfunctional urterine depression, migraine, weight increase
bleeding, or decrease, hypertension
endometriosis,
Apri; Desogen; Kariva; desogestrel / ethinyl hirsutism, polycystic
121 Mircette; Ortho-Cept estradiol ovary syndrome 0.15/0.03mg QD tablet

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

MDI- 2 inhalations QID,


MDD 12/ 24hrs, N/V/D, hypertension, tachycardia, HA,
COPD inhalation solution- 1-3ml Inhaled solution dry mouth, dyspepsia, coughing,
vial QID, MDD 6 sinusitis, URI, arrhythmias
122 2 Combivent; DuoNeb albuterol / ipratropium doses/24hr

10mg QD, maintenance


cough, dizziness, edema,
20-40mg QD, MDD 80mg
Hypertension, CHF Tablet hyperkalemia, hypotension,
QD, 5mg QD
angioedema
maintenance 5-10mg QD
123 2 Lotensin benazapril

Diabetic neuropathy,
digoxin toxicity, Tablet
neuropathic pain, Abdominal pain, anorexia, ataxia,
tachycardia, seizures, bullous rash, coma, NVC, impotence,
124 Dilantin phenytoin status epilepticus 200-400mg QD libido decrease, maculopapular rash

MI, anal fissures,


angina, heart failure,
hemorrhoids, Cyanosis, diaphoresis, flushing, HA,
hypertension, hypotension, methemoglobinemia, NV,
hypotension induction, orthostatic hypotension, palpitations,
pulmonary edema, rash, tachycardia, syncope, tolerance,
125 2 NitroQuick; NitroStat nitroglycerin retained placenta 5mcg Q3-5min Sublingual tablet weakness, xerostomia

abdominal pain, D, flatulence,


Hyperlipidemia,
dyspepsia, muscle pain, rash,
reduction of coronary 600mg BID Tablet, capsule
xerostomia, abnormal liver funtion
risk
tests, rhabdomyolysis
126 2 Lopid gemfibrozil
Hypertension, D, HA, dyspepsia,/heartburn, fatigue,
150mg QD, MDD 300mg Tablet
Avapro irbesartan nephropathy URI, angioedema
127 2

Type 2 diabetes 1-2mg QD initially, 1- asthenia, dizziness, hypoglycemia, N,


Tablet
mellitus 4mg QD, MDD 8mg severe hypoglycemic episode
128 2 Amaryl glimepiride

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

amenorrhea, breakthrough bleeding,


Atropic urethritis,
spotting, breast enlargement, breast
vaginitis, breast Cream, ointment,
tenderness, chloasma, melasma,
cancer, Tablet 0.5mg QD, Patch gel, insert, tablet,
pruritis, depression, headache, edema,
postmenopausal 0.025mg QD transdermal
weight changes, leukorrhea, vaginal
osteoporosis, prostate patch
discomfort, nausea, vomiting, skin
cancer, vulvar atrophy
irritation
Climara; Estrace;
129 Estraderm; Vivelle estradiol

constipation, drowsiness, dystonic


Gastroesophageal
0.15mg/kg, Solution IV, reactions, fatigue, fluid retention,
reflux disease, Nausea
0.25mg/kg/dose IV Syrup, Tablet restlessness, sedation, tremors
and vomiting
130 1 Reglan metoclopramide
abdominal pain, dyspepsia, agitation,
Seasonal allergic
fexofenadine / rhinitis
1 tablet BID (60/120mg) Tablet HA, insomnia, nausea, palpitation,
131 2 Allegra-D pseudoephedrine URI

edema, hypotension, palpitations,


anxiety, dizziness, fatigue, headache,
BPH, hypertension 1-16mg QD tablet
somnolence, vertigo, abdominal pain,
nausea
132 2 Cardura doxazosin
individualized,
allergic skin reactions, hypoglycemia,
Diabetes mellitus administered QD same IV
isophane insulin lipodystrophy, pain
time every day
133 2 Humulin N; Novolin N suspension (human)

anxiety, confusion, fatigue, HA,


2 tablets Q4-6 prn, MDD
Pain, acute short term Tablet somnolence, tremors, diaphoresis,
8 tabs/day
rash, puritus, albuminuria, seizures
134 Ultracet tramadol / apap

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Actinic keratosis,
ankylosing spondylitis,
arthralgia, bone pain,
HA, dysmenorrhea, Abdominal pain, aneamia, aplastic
migraine, mild pain, anemia, blurred vision, confusion,
myalgia, OA, NVDC, edema, dizziness, dyspepsia,
135 Cataflam; Voltaren diclofenac photophobia 50mg TID Tablet dysphagia, gastritis, GI bleeds, HA
Osteoporosis hot flashes, leg cramps, retinal vein
60mg QD Tablet
136 Evista raloxifene prevention, treatment occlusion

blurred vision, C, HA, dry mouth,


Overactive bladder 2mg IR BID, 4mg XR QD Tablet
dyspepsia, anaphylactoid reactions
137 Detrol tolterodine
Suspension,
Candidia infections 1-2 tablet TID, AAA TID, ointment, cream, nausea and vomiting
Mycostatin nystatin powder, tablet
138
Motion sickness,
12.5-25mg BID tablet drowsiness, sedation, xerostomia
139 1 Antivert meclizine vertigo

Anemia, cholestasis, dyspepsia,


erythema, jaundice, malaise, myalgia,
1.25/250mg-10/2000mg NVD, pruritus, photosensitivity,
140 2 Glucovance glyburide / metformin Diabetes mellitus BID Tablet vitB12 deficiency, weight loss

anorexia, N/C, dry mouth, weight loss,


Attention deficit 40mg QD, target 80mg dizziness, HA, insomia, dysmenorrhea,
Capsule
hyperactivity disorder QD, MDD 100mg QD erectile disturbance, tachycardia,
paresthesia, mania
141 Strattera atomoxetine

Depression, diabetic abdominal pain, agitation, anorexia,


neuropathy, blurred vision, NVDC, hot flashes,
fibromyalgia, urinary libido decrease, muscle cramps,
142 Cymbalta duloxetine incontinence 40-60mg QD Capsule nightmares

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail

Abdominal pain, anemia, angina,


chills, confusion, cough, depression,
Assorted bacteria,
50-100mg QID Capsule NVD, pancreatitis, optic neuritis,
UTI peripheral neuropathy, Steven's
Johnson's, vertigo
143 Macrobid; Macrodantin nitrofurantoin
N/V/C, sedation, heart rate changes,
Cough, upper 5ml orally Q4-6 not to
Syrup blood pressure changes, respiratory
respiratory symptoms exceed 30ml/day
depression
144 1 Phenergan / Codeine promethazine / codeine

Blurred vision, chest pain, confusion,


Neurogenic bladder, NVCD, fever, flushing, hallucinations,
overactive bladder, HA, ocular pain, rash, rhinitis, urinary
145 Ditropan oxybutynin urinary incontinence 5mg up to QID Tablets retention, urticaria, rash
abnormal dreams/thinking,
15mg HS, MDD 45mg somnolence, C, increased appetite,
Depression Tablet
HS weight gain, agranulocytopenia,
146 Remeron mirtazapine mania, seizures

bradycardia, chest pain, edema,


hypotension, dizziness, fatigue,
headache, insomnia, hyperglycemia,
Initial 2.5/6.25mg QD,
Hypertension Tablet hyperuricemia, hypokalemia, diarrhea,
titrate to 20/12.5mg QD
dyspepsia, nausea, impotence, cough,
rhinitis, upper respiratory tract
infection, muscle cramps, myalgia
147 Ziac bisoprolol/HCTZ
Allergic rhinitis,
5mg QD Tablet, syrup dizziness, dry mouth, flu like symptom
Clarinex desloratadine seasonal/perennial
148 2
Initial 200mg, then 100mg
Infection, Acne capsule dizziness, light-headedness, vertigo
149 1 Minocin minocycline BID

dizziness, fatigue, asthenia, dyspnea,


25-100mg repeat after 2
flushing, numbness, sweating, N/V/D,
Headache hours if needed, MDD Nasal spray
myocardial infarction, hypertensive
200mg/day
crisis
150 Imitrex sumatriptan

* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 50 Drugs Used in Hospitals in 2004

Brand Name Generic Name Indication Dose Side Effects

acute myocardial
infarction,
peripheral
arterial
thrombosis,
acute
cerebrovascular
accident, over 67 kg total
pulmonary dose is 100 mg
embolism, IV, 67 kg or less
central venous 15 mg IV bolus
catheter then 0.75 mg/kg
occlusion; over 30 mins, bloody urine, bloody or black tarry
dissolves blood then 0.5 mg/kg bowel movements, bloody vomit
clots and is used over 60 mins. Up or vomit that looks like coffee
in treating a to 2mg/2ml (up to grounds, coughing up blood,
heart attack, two doses) for nosebleeds, bleeding from your
stroke, or central venous gums, unexplained bruising or
pulmonary catheter bleeding, heavy vaginal bleeding,
1 Activase alteplase embolism occlusion nausea, dizziness

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn,
blistering/peeling/redness of skin,
blurred vision, seeing halos,
feelings that your eyes are more
sensitive to light, continued or
worsened irregular heartbeat,
cough with blood or chest pain,
dark-colored urine or pale stools,
fast/slow/pounding heartbeat,
lightheadedness, dizziness,
fainting, n/v, loss of appetite, pain
in upper stomach, numbness,
tingling, burning pain in
hands/arms/legs/feet, severe
headache, pain behind eyes,
problems with
balance/walking/speech, shallow
of labored breathing, SOB, cold
sweat, bluish-colored skin,
swelling in hands/ankles/feet,
twitching or muscle movements
antiarrhythmic, mdd = 2.2 you cannot control, unusual
advanced grams,start with bleeding or bruising, unusual
cardiac life 600-1200 mg po tiredness or weakness, yellowing
support, x1-2w, of skin or the whites of eyes, dry
supraventricular, maintenance = eyes, loss of interest in sex,
used when other 200 mg po qd, constipation, trouble sleeping,
antiarrhythmics dose depends on warmth or redness in face, neck,
2 Cordarone amiodarone hcl have failed what it's used for or chest

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn,
blistering/peeling/redness of skin,
severe irritation or soreness
0.25-1 mg/kg/day inside your mouth, mild skin rash,
3 Fungizone amphotericin B antifungal IV over 2-6hrs n/v/d

rash or hives, blistering or peeling


skin, swelling of face/throat/lips,
antibiotic: female 0.75 mg/kg IV wheezing or trouble breathing,
bolus dose,
genital infection, 1.5-3g (1-2 g severe diarrhea (watery or
infection of followed
ampicillinby& 1.75
0.5- bloody) swelling/pain/redness
skin/sc tissue, mg/kg/hr IV
1g sulbactam) where IV is located, v/d, sore
infectious infusion for the
IV/IM q6h, mdd mouth or tongue, vaginal itching
disease of duration
sulbactam of =the or discharge, pain where IM shot
4 Unasyn ampicillin/sulbactam abdomen procedure.
4g/day If ACT was given
is less than 225
after bolus dose
give additional allergic rxn, chest pain, decrease
0.3mg/kg may be in how much/often you urinate,
continued 4 hours fever, lightheadedness, fainting,
post-procedure pain, itching, burning, swelling,
an IV infusion of bleeding, or lump under skin
0.2mg/kg/hr can where needle is placed, slow
then be initiated heartbeat, unusual bleeding,
for up to 20 hours bruising, or weakness, back pain,
if necessary; use HA, n/v, stomach pain, upset
with aspirin 300- stomach, trouble sleeping,
5 Angiomax bilvalirudin anticoagulant 325 mg/day anxiety, or nervousness

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

chest pain, dry mouth, increased


thirst, muscle cramps, problems
0.5-2mg po qd urinating, n/v, fever, chills, cough,
mdd 10 mg/day, pain in side or lower back,
0.5-1 mg IV or IM hearing loss, ringing in the ears,
given over 1-2 lightheadedness, fainting, severe
mins, can give a diarrhea, stomach pain, skin rash
second & third or hives, unusual bleeding or
cardiovascular dose at intervals bruising, blurred vision, loss of
agent, loop of 2-3 hrs mdd = appetite, problems having sex,
6 Bumex bumetanide diuretic 10mg/day stomach cramps

allergic rxn, decrease in how


much or how often you urinate,
dry mouth, increased thirst,
muscle cramps, fast/slow
heartbeat, fever, chills, light-
headedness or fainting, swelling
in hands/ankles/feet, tremors,
shaking, sweating, trouble
breathing or breathing too fast,
unusual bleeding, bruising, or
70 mg IV infusion weakness, yellowing of your skin
on day 1, then 50 or the whites of your eyes, HA,
mg IV daily body aches, mild skin rash, n/v/d,
thereafter until pain in upper stomach, pain,
resolved, can up itching, burning, swelling, or a
other doses to 70 lump under skin where needle is
7 Cancidas caspofungin acetate antifungal mg if necessary placed, trouble sleeping

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, blistering/peeling/red


skin rash, fever, chills, cough,
sore throat, body aches, dark-
colored urin, pale stools, diarrhea
(loose, watery stools) that may
contain blood, n/v, loss of
appetite, pain in upper stomach,
swelling, pain, redness in skin
where iv needle is placed,
unusual bleeding, bruising,
weakness, yellowing of
skin/whites of eyes, stomach
1-1.5 g IV/IM q6h, cramps, loss of appetite, pain
250-500 mg IV/IM where shot is given, sores or
q8h or 0.5-1 g white patches on lips, mouth, or
IV/IM q6-8h, 500 throat, vaginal itching or
8 Ancef cefazolin sodium antibiotic mg IV/IM q12h discharge

2 g IV q6-8h, for rash, hives, swelling of the


life threatening face/throat/lips, wheezing or
infections 2 g IV trouble breathing, severe diarrhea
q4h, 1g IV after (watery or bloody), severe
birth then 1 g vomiting or stomach pain,
IV/IM at 6 and 12 swelling, pain, or redness near
hrs after 1st where your IV is located, mild
dose, 1 g IV/IM diarrhea, nausea, vaginal itching
q12h, 0.5g IM as or discharge, pain where the IM
9 Claforan cefotaxime sodium antibiotic single dose, etc shot was given

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, diarrhea (loose,


watery stools that may or may not
contain blood), severe vomiting or
2g IV q8h, 1g stomach pain, swelling, pain, or
IV/IM q8-12h, redness near where your IV is
250mg IV/IM located, nausea, pain where the
q12h, 500 mg IM shot was given, vaginal itching
10 Fortaz, Tazidime Ceftazidime antibiotic IV/IM q8-12h or discharge

allergic rxn, diarrhea, right sided


stomach pain, nausea, tiredness,
loss of appetite, severe diarrhea
or vomiting, unusual bleeding or
1-2 g IV/IM q24h bruising, yellow skin or eyes,
or divided into dizziness, HA, pain, redness, or
two doses, max swelling where the shot was
11 Rocephin ceftriaxone antibiotic 4g/day given, vaginal itching or discharge

750 mg IV/IM
q8h, 1.5 g IM
once (divided and allergic rxn, blilstering/peeling/red
given in two skin rash, seizures, severe
separate sites) diarrhea (watery or bloody) can
along with 1.0 g happen after stopped taking),
probenecid, 1.5g swelling, pain, or redness where
IV/IM q8h, 750- your IV needle is placed, N/D,
12 Zinacef cefuroxime sodium antibiotic 1.5 IV/IM q8h vaginal itching or discharge

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

adrenal
glucocorticoid, allergic rxn, black/tarry stools,
antiemetic, anti- convulsions/seizures, headache,
inflammatory, blurred vision, increased
weak urination/thirst, muscle weakness
corticosteroid, oral 0.75- or cramps, pain or swelling in
adrenocortical 9mg/day, IV or IM stomach or abdomen,
function 0.5-9 mg/day for unexplained fever/sore throat,
diagnostic agent, allergic disorder, easy buising, small purple spots
endocrine- 10 mg Ivfollowed on your skin, increased hair
metabolic agent, by 4 mg IM q6h, growth, increased sweating,
immune 20 mg IV before irregular menstrual periods, mood
suppressant, chemo, 8 mg changes or trouble sleeping,
dexamethasone sodium opthalmologic IV/PO bid x3d swelling in hands/arms/legs/feet,
13 Decadron phosphate agent, otic agent after chemo thinning skin, weight gain

atrial arrhythmia,
hypertension,
paroxysmal
supraventricular
tachycardia, initial (0.25 mg/kg
chronic stable IV over 2 min
angina, then 0.35 mg/kg
antianginal, after 15 min; IV
antihypertensive, infusion initial 5- chest pain,
benzothiazepine, 10 mg/hr up to 15 fast/slow/irregular/pounding
calcium channel mg/hr heartbeat, skin rash, unusual
blocker, maintenance over tiredness/weakness, wheezing or
cardiovascular 24 hrs; max PO trouble breathing, runny or stuffy
14 Cardizem diltiazem HCL agent 360 mg/day nose, stomach discomfort

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

initial 5-10
mcg/kg/min IV for
3 min increase to
10 mcg/kg/min IV
q 3 min max dose
50 mcg/kg/min IV
for monitoring
cardiac output and testing, initial
monitoring, 0.5-1 mcg/kg/min
cardiac stress IV, maintenance
testing, 2.5-20 slow/fast/irregular heartbeat,
decreased mcg/kg/min IV chest pain, trouble breathing,
cardiac output, max dose 40 hives, severe rash, HA, nausea,
15 Dobutrex dobutamine HCL heart failure mcg/kg/min IV upset stomach

prophylaxis of
chem induced fainting, weakness, slow
nausea and heartbeat, fast/irregular heartbeat,
vomiting, rash, hives, itching, tremors,
prophylaxis of shaking, stiffness, or body
nausea and movements that are hard to
vomiting initial max dose is control, wheezing or trouble
associated with 2.5 mg IM/IV may breathing, confusion, depression,
surgical or repeat 1.25 mg drowsiness, hallucinations,
diagnostic dose based on restlessness, hyperactivity, and
16 Inapsine droperidol procedures patient response anxiety

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, blood in urine,


40 mg sc qd, give bloody/black/tarry stools, chest
initial dose 2 pain, SOB, coughing up blood,
hours prior to fever, numbness/weakness in
surgery and arm/leg/one side of your body,
continue for 7-10 pain in lower leg (calf), sudden or
days, 30 mg sc severe HA, problems with vision,
q12h beginning speech, or walking, unusual
12-24 h after bleeding or bruising, vomiting
surgery and blood or material that looks like
continued for up coffee grounds, confusion, N/D,
to 14 days, other pain, redness, bruising, swelling,
doses too, used or a lump under your skin where
17 Lovenox enoxaparin anticoagulant with aspirin the shot is given

anaphylaxis,
asthma, cardiac
arrest, allergic rxn, asthma attacks that
uncomplicated last longer than 20 mins or get
open-angle 0.3mg IM, units/kg
initial 150 may worse, dryness of mouth or throat,
18 Adrenaline epinephrine glaucoma repeat three times fast heartbeat or nervousness
IV/SC
a week x8w
maintenance up
to 300 units/kg
three times a
week, weekly chest pain, rash or swelling,
dosing 40,000 seizures, trouble breathing,
untis sc qw may irregular heartbeat, diarrhea, flu
increase to like symptoms, mild pain or
60,000 units sc stinging where the injection is
19 Epogen, Procrit epoetin alfa/ erythropoietin anemia qw x4w given, upset stomach, nausea

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

skin rash, hives or itching,


500 mg IV q6h x difficulty breathing, swelling of
3d then 500 mg face/throat/lips, erythromycin
po q12h or 333 estolate (ilosone) can have
mg q8h x 7d, 250 severe stomach pain, weakness,
mg po bid or q6h, or if the skin has a yellow color.
500 mg po q12h, Nausea, upset stomach, diarrhea,
20 Erythrocin erythromycin lactobionate antibiotic mdd 4g/day sore mouth or tongue

loading dose 500 allergic rxn, chest pain, slow


mcg/kg IV bolus heartbeat, sweating, decrease in
over 1 min how much or how often you
followed by urinate, fever, chills,
antiarrhythmic, maintenance lightheadedness, fainting, SOB,
cardioselective dose, cold sweat, bluish-colored skin,
beta-adrenergic maintenance swelling in your
blocker, infusion rates 50, hands/ankels/feet, seizure,
cardiovascular 100, 150, 200, warmth or redness in your
agent, acute 250, and 300 face/neck/arms/upper chest, bad
mycardial mcg/kg/min over taste in your mouth, confusion,
infarction, 4 mins. 80 mg IV dizziness, or agitation, dry mouth,
hypertension, bolus over 30 nausea, vomiting, constipation,
rapid sequence seconds followed upset stomach, pain, itching,
intubation, by 150 swelling, burning, or a lump under
supraventricular mcg/kg/min IV your skin where the needle is
21 Brevibloc esmolol arrhythmia infusion placed

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, chest pain,


fast/slow/irregular heartbeat, dry
mouth, increased thrist, muscle
cramps, fevers, or chills,
lightheadedness, dizziness, or
fainting, skin rash, itching,
redness, or blisters where the
25-100 patch is placed, stomach pain,
mcg/patch severe constipation, or vomiting,
replaced q72h, trouble breathing, slow/shallow
dosing is breathing, trouble urinating, or a
analgesic, dependent on decrease in how much or how
Duragesic, Sublimaze, anesthetic morphine often you urinate, HA, nausea,
22 Actiq fentanyl adjunct requirement tiredness

allergic rxn, dark-colored urin or


pale stolls, decrease in how much
or how often you urinate, diziness,
trouble standing/walking, muscle
3 mg/kg/d IV in twitching, spasms, or weakness,
equally divided seizures, skin tingling, or
doses q8h or up numbness in the
to 5 mg/kg/d IV in hands/arms/legs/feet, trouble
3 or 4 equally hearing, ringing, or buzzing in the
divided doses, 4- ears, yellow skin or eyes, pain,
7 mg/kg/day IV swelling, or redness where the
23 Garamycin gentamicin sulfate antibiotic qd shot is given

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, black/tarry stools,


blood in your urine or stools,
chest pain, SOB, coughing up
blood, increased menstrual
60-70 units/kg IV bleeding, numbness or weakness
bolus (max 5000 in your arm/leg/or one side of your
units) then 12-15 body, pain in lower leg (calf),
units/kg/hr (max redness, pain, swelling, itching,
1000 untis/hr), blistering, sores, or rash where
5000 units sc q8- the needle is placed, sudden or
12h, 10,000 untis severe headache, problems with
bolus then 5000- vision/speech/walking,
10000 units q4- unexplained nosebleeds, unusual
6h or 100 units/kg bleeding/bruising/weakness,
q4h. Looks like vomiting of blood or material that
max is 40,000 looks like coffee grounds,
24 Heparin Sodium heparin sodium anticoagulant units/day wheezing, hair loss

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, bloody/black/tarry


stools, coughing up blood or
vomit that looks like coffee
grounds, dry mouth, increased
thirst, muscle cramps,
nausea/comiting, gainin weight
around your neck, upper back,
breast, face, or waist, pain in a
joint or tendon, such as your
wrist/elbow/ankel, SOB, cold
sweat, bluish-colored skin,
swelling in your
hands/ankles/feet, unusual
bruising, unusual
thoughts/feelings/behavior,
changes in your menstrual
adrenal periods, depression, mood
glucocorticoid, swings, trouble sleeping, HA,
anti- dizziness, increased appetite,
inflammatory, increased hair growth, increased
corticosteroid, sweating, muscle pain or
hydrocortisone sodium immune weakness, nausea, stomach
25 lySolu-Cortef succinate suppressant 20-240 mg po bloating or discomfort

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, decrease in how


much or how often you urinate or
unable to urinate,
fast/slow/unever/pouding
heartbeat, lightheadedness or
fainting, muscle movements you
cannot control, severe stomac
pain, SOB, cold sweat, bluish-
colored skin, tremors, seizure,
severe drowsiness, shallow
breathing, warmth or redness in
your face, neck, hands, or upper
chest, blurred vision, confusion,
agitation, anxiety, or headache,
changes in your mood or
3-4 mg IM/SC q3- behavior, dry mouth, loss of
4h, 2-4 mg po q3- appetite, mild stomach pain,
analgesic, 4h, 1-2 mg IM/SC constipation, feeling sleepy,
anesthetic q 4-6h prn, pca = weakness, mild skin rash, itching,
26 Dilaudid hydromorphone HCL adjunct, opioid 0.2mg/ml n/v

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

fast or irregular heartbeat,


seizures, severe diarrhea (watery
or bloody), skin rash, hives,
hitching, swelling in the face,
throat, or lips, swelling, pain, or
redness near where the IV was
placed, urinating less than one cu
250 mg IV q6h, in a day, wheezing or trouble
500 mg IV q6h, 1 breathing, n/v/d, pain where the
gram q6h, 1 gram im shot was given, sore mouth or
q8h, mdd 50 tongue, vaginal itching or
27 Primaxin imipenem/cilastatin antibiotic mg/kg/day discharge

allergic rxn, changes in vision,


chest paink fast/pouding/uneve
heartbeat, fever, chills, cough,
sore throat, body aches,
irritability, restlessness,
confusion, mood changes, HA,
lightheadedness, dizziness,
fainting, tremors, trouble
breathing, dry mouth, nightmares,
antidiabetic, trouble sleeping, nosebleeds,
pituitary function based on sweating, tingling in your
28 Humulin R, Novolin R Insulin, regular (human) diagnostic agent individual pt hands/feet/lips/tongue

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

fast/slow/irregular heartbeat,
wheezing, trouble breathing,
chest pain/tightness, seizures,
2-3 mg/kg tremors, fainting, passing out,
(divided into 3 bloody uring, stomach pain,
doses), slow nausea, diarrhea, weakness, HA,
release tablets joint/muscle pain, changes in the
50-100 mg color of skin where the shot is
iron supplement elemental given, pain or swelling where the
29 INFeD, DexFerrum iron dextran for anemia iron/day shot is given

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, blistering, pelling, red


skin rash, bloody/black/tarry
stools, change in how much or
how often you urinte, chest pain,
sob, coughing up blood, dar-
colored urine or pale stools, flu-
like symptoms, numbness or
weakness in arm/leg/one side of
body, pain in lower leg/calf,
problems w/
vision/speech/walking, cold
sweat, bluihs-colored skin, skin
rash, blisters with fever, sudden
and severe stomach pain, n/v,
fever, lightheadedness,
sudden/severe headache,
swelling in hands/ankles/feet,
0.5% opthalmic unusual bleeding or bruising,
soln 1 drop qid vomiting blood or somehting that
extraction of starting 24 h looks like coffee ground,
cataract, short post-op x 2w; 120 yellowing of skin/whites of eyes,
term pain, pain in mg mdd x 5 days, changes in vision, diarrhea,
eye, seasonal 30 mg IV once or indegestion, drowsiness,
allergic 30 mg IV q6h, 60 dizziness, light headedness,
conjunctivitis, mg IM once or 30 headache, mild stomach pain,
30 Toradol ketorolac NSAID mg IM q6h ringing in ears

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

apply up to 3
patches topically
at one time for up
to 12 h w/in a 24 allergic rxn, bluish colored
hr period, 4% & 5 lips/fingernails, pale skin, chest
% creams in pain, uneven heartbeat, light-
children less than headedness, fainting, numbness
10 kg, apply in another part of your body that is
topically to an not being treated, unusually
area not larger bleeding/bruising/weakness, back
than 100 cm2, pain, constipation, n/v, headache,
4% and 5% numbness, tingling, burning of
creams in treated areas in the hours or days
local anesthetic, children 10-20 kg after surgery, pain, redness, or
antiarrhythmic, apply topically to swelling where the needle was
posterpetic an area not larger placed, shivering, shaking,
31 Xylocaine lidocaine HCL neuralgia than 200 cm2 tremors

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

antacid,
anticonvulsant,
anti-
inflammatory,
hyperosmotic
laxative,
stimulant
laxative, 2.4 mg/kg
magnesium elemental
supplement, magnesium in 50
renal-urologic ml D5W over 4h
agent, atrial prior to testing, 3-
paroxysmal 4 g (10% soln) IV
tachycardia, over 30 seconds
barium with extreme
poisoning, caution, 1-2g IV,
cerebral edema, 2.5g (10% soln),
hypomagnesemi 1g IM q6h x 4 allergic rxn, rectal bleeding, blood
32 Magnesium Sulfate magnesium Sulfate a, doses in stools, mild diarrhea, cramping

50-100 mg IM/SC
q1-3h prn, 50-150
mg IM/Oral/SC
q3-4h prn, 15-35 allergic rxn, confusion, unusual
mg/hr as required thoughts, hallucinations, extreme
administer slowly, weakness, lightheadedness,
10 mg IV slowly fainting, seizures, sob, shallow
for PCA, 50-100 breathing, slow/fast/irregular
analgesic, mg IM/SC 30-90 heartbeat, n/v, pain, redness, or
anesthetic min before start swelling where the shot is given,
33 Demerol meperidine HCL adjunct, opioid of anesthesia sweating

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

anesthetic
adjunct,
hypnotic,
amnesia
induction ~1-5 mg IM 1
(preoperative hour prior to
sedation), surgery, 0.15-
insomnia, 0.35 mg/kg IV coughing, sob, shallow breathing,
procedural over 20-30 uncontrollable muscle
sedation, seconds and movements or twitching, changes
sedation for a allowing 2 min for in mood or behavior,
mechanically effect, 10-20 mg forgetfulness, nausea, vomiting,
34 Versed midazolam HCL ventilated patient PO qhs restlessness, trouble sleeping

initial loading
dose 50 mcg/kg
IV over 10 min
maintenance
0.375-0.75
mcg/kg/min
CHF, decreased continuous IV slow/fast/irregular heartbeat,
35 Primacor milrinone cardiac output infusion chest pain, headaches

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

continuous
infusion 0.07-0.5
mg/kg/hr IV,
intermittent allergic rxn, confusion,
dosing 0.01-0.15 lightheadedness, fainting,
mg/kg IV q1-2h, decrease in how much/often you
30 mg po qd, urinate, extreme weakness,
mdd 1600 mg, shallow breathing, irregular
10-30 mg PR heartbeat, sweating, cold/clammy
q4h, 5-20 mg skin, fast, slow, irregular
IM/SC q4-6h, 5 heartbeat, swelling in
opioid analgesic, mg epidural hands/ankles/feet, blurred vision,
anesthetic injection max 10 feelings of extreme happiness or
36 Astramorph, Duramorph morphine sulfate adjunct mg per 24 hrs sadness, n/v

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

0.2 mg IV
observe for 30
sec for signs of
withdrawal if
none seen inject
0.6 mg IV and
observe for 20
min, 0.4-2 mg
IV/IM/SC q2-3
min, 0.1-0.2 mg
IV q2-3 min
repeat w/in 1-2
hr, 0.03-0.2
mg/kg IV bolus
opioid over 5 min
dependancy followed by IV
diagnosis, infusion of 0.03- allergic rxn, chest pain,
overdose of 0.3 mg/kg/hr for fast/uneven heartbeat, trouble
opiate, 1-24 hr, 0.4 mg breathing, lightheadedness,
postoperative single IV bolus fainting, seizures, severe
reversal of opiate over 3-5 min headache, anxiety, feeling
activity, septic repeat for 3-5 nervous, increased sweating,
37 Narcan naloxone HCL shock doses nausea or vomiting, shaking

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

allergic rxn, blackish-color in toes,


chest pain, pain, itching, swelling,
burning or a lump under your skin
initial 8-12 where the needle is placed,
mcg/min IV, slow/uneven heartbeat, vomiting,
acute maintenance 2-4 severe stomach pain, anxiety,
38 Levophed norepinephrine bitartrate hypotension mcg/min IV headache, increased sweating

8 mg dissolved
orally on tongue
30 min prior to
chemo repeated
q8h, then 8 mg
antiemetic, q12h for 1-2 days allergic rxn, inability to move
prophylaxis of after, 16 mg eyes, other muscle spasms,
chemo, radiation, dissolved orally especially of the face, neck, or
and post op on tongue 1 hr back, constipation, diarrhea,
induced nausea before anesthesia dizziness, headache, tiredness,
39 Zofran ondansetron HCL and vomiting induction weakness

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004
10 units added to
500 ml of
physiologic saline
or D5W IV soln
after a suction or
sharp curettage,
10-20
milliunits/min IV,
max dose 30
units/12 hr, initial
0.5-1 milliunit/min
IV, gradually
increas to 1-2
milliunits q30-60
min until desired allergic rxn, fast/slow/irregular
contraction heartbeat, extreme thirst,
pattern reached, confusion, agitation, weakness,
10-40 units muscle twitching,
abortion adjunct, oxytocin (max 40 lightheadedness, fainting, seizure,
induction of units to 1000ml iv convulsions, sudden severe
labor, soln), 10 units IM ongoing headache, unusual
postpartum after delivery of bleeding or bruising, headache,
40 Pitocin oxytocin hemorrhage placenta n/v

18-24 million
units/day IV
divided into
doses given q4h allergic rxn, diarrhea (may be
for 14 days, looks watery or contain blood),
like max dose is fast/slow/irregular heartbeat,
80 million seizures, n/v, pain or irritation
lyme disease, units/day IV/IM where your shot is given, vaginal
41 Pfizerpen penicillin G sodium antibiotic q4-6h itching or discharge

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

1 drop of 2.5%
glaucoma, ophthalmic soln,
hypotension, initial dose not to
mydriasis exceed 0.5 mg IV allergic rxn, trouble urinating,
induction, nasal do not repeat decrease in how much/often you
congestion, more often than urinate, fever, chills, cough, sore
paroxymal every 10-15 min, throat, body aches, fainting,
supraventricular 2-5 mg SC/IM (1- unusual bleeding, bruising,
tachycardia, 10 mg), 2-3 drops weakness, headache, mild skin
uveitis, regional or sprays of 0.25- rash, itching, n/v mild stomach
anesthesia 0.5% IEN q4h, pain, nervousness, restlessness,
42 Neo-Synephrine phenylephrine HCL adjunct, shock 10-20 mg po q4h trouble sleeping

2.5-25 mg PO
(rarely up to 50
mg) if
prothrombin time
not satisfactory
acquired within 12-48 h allergic rxn, severe headache,
hypoprothrombin repeat dose, 2.5- sudden vision changes, sharp
emia, 25 mg IV/SC (up pain in your chest or lower leg
anticoagulant to 50) repeat in 6- (calf), trouble breathing, change
AquaMephyton, Vitamin drug action 8 hours if pt time in sense of taste, flushing,
43 K phytonadione reversal not sat. sweating

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

rash/hives, blistering/peeling skin,


swelling of face/throat/lips,
wheezing, trouble breathing,
sever diarrhea (watery or bloody),
3.375 g IV q6h x swelling, pain, or redness near
7-10 days, 4.5 g where IV is located, mild diarrhea,
IV q6h with an nausea, sore mouth or tongue,
aminoglycoside vaginal itching or discharge, pain
44 Zosyn piperacillin/tazobactam antibiotic for 7-14 days where the IM shot was given

5 mg 3-4 times a trouble urinating, skin rash, rapid


day, doses no breathing or heartbeat,
more than 20 convulsions (seizures), spasms of
mg/day or for neck/face/back, muscle twitching
antiemetic, longer than 12 or jerking, unexplained fever,
antipsychotic, weeks, max dose severe mucle stiffness,
non-psychotic 150 mg/.day, drowsiness, dizziness, dry mouth,
anxiety, inject 10-20 mg nausea, changes in vision such
45 Compazine prochlorlperazine edisylate schizophrenia IM q2-6h as difficulty focusing, constipation

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

induction 20-40
mg IV q10
second until
induction onset,
maintenance 50-
200 mcg/kg/min
IV infusion or 20-
50 mg IV bolus
as needed, 5
mcg/kg/min IV
infusion for 5 min
then titrate in 5-
10 mcg/kg/min
increments to
achieve desired
level of sedation
with a min of 5
mins b/t dose
adjustments, 100-
150 mcg/kg/min
IV infusion, 25-75
general mcg/kg/min IV micromedex sucked it up here,
46 Diprivan propofol anesthetic infusion hypotension?

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

325 milligrams-2g
po qid mdd for
less than 60 is
16g and greater
than 60 is 8
antacid, g/day, depends
parenteral on acid-base and
electrolyte, electrolyte values
sodium for the patient
supplement, and must be
treats acidosis, calculated on an
47 Sodium Bicarbonate sodium bicarbonate cardiac arrest individual basis alkalosis?

allergic rxn, severe skin blistering,


peeling, redness, or other rash,
muscle weakness or twitching,
irregular heartbeat, seizures,
convulsions, severe diarrhea
(watery or bloody), nusea,
stomach cramps or bloating (may
200 mg/kg/day IV happen after you stop using
divided q6h, 300 Timentin), swelling, pain, redness
mg/kg/day IV where the needle is inserted,
ticarcillin/clavulanate divided q4h, 3.1 g unusual bleeding or bruising, mild
48 Timentin potassium antibiotic IV q4-6h diarrhea, nausea, gas

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 Drugs Used in Hospitals in 2004

3-6 mg/kg/day
IV/IM divided
q8h, 4-7 mg/kg IV eye irritation that was not there
qd, inhaled 300 before using the medicine,
mg via nebulizer burning or stinging of the eye,
bid (28 days on tearing, blurred vision is common
49 Nebcin tobramycin sulfate antibiotic 28 days off) for the first few mins after using

2g/day IV divided
q6-12h over at
least 60 min, 1g
IV prior to
procedure, 500
mg -2g po divided swelling of face, throat, lips,
q6-8h for 7- wheezing, trouble breathing, rash,
50 Vancocin vancomycin HCL antibiotic 10days hives

* Listed by dollars sold as compiled by NDC Health and found on www.drugtopics.com


Top 50 OTC Products in 2004

Ingredient Common Brand * Indication Usual Dose Common Side Effects


Ibuprofen Advil, motrin fever,arthritis(r,o), ADULT Fever: 200- Body fluid retention, Rash, Abdominal
1 400 mg ORALLY pain, Constipation, Diarrhea, Dyspepsia,
pain,dysmenorrhea Q4-6H PRN (MDD Heartburn, Nausea, Stomatitis, Vomiting,
1200 mg/day); Increased liver function test (up to
Osteoarthritis,Rheu 15%),Dizziness, Headache, Somnolence,
PEDIATRIC 6
matoid arthritis: Tinnitus
2 months-12 years
1200-3200 mg/day
old, 5-10 mg/kg
ORALLY divided in
3 ORALLYQ6-8H
3-4 doses
PRN (MDD 4
Ibuprofen/ Advil Cold & Sinus Common cold, Adults 1-2 po q4-6h Anxiety, restlessness, headache,
doses/day); 12
fever, headache, max dose is lightheadedness, dizziness, insomnia and
years and older,
mild pain and nasal 6tab/day psychological disturbances.
200-400 mg
congestion
ORALLY Q4-6H
pseudoephedrine PRN (MDD 1200
4 mg/day); Juvenile
Omeprazole Prilosec OTC Ulcer, GERD rheumatoid
20mg po qdarthritis: rash,constipation, diarrhea, nausea,ha
30-50 mg/kg/day
5 ORALLY in 3-4
Acetaminophen Feverall; Tylenol Fever pain divided doses;
ADULT MAX: rash, hypothermia
Fever: 650-
6 2.4 g/day
1000 mg ORALLY
Q4H PRN (MDD 4
7 g/day)
Acetaminophen/ Tylenol PM allergic drowsiness
8 rhinitis,common
cold,fever,HA,insom
Diphenhydramine
nia,mild
9 pain,myalgia,pruritu
s,rhinorrhea,sneezin 1 ta or cap PO hs or
g as directed by a
physician.
10

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

Nicotine Commit; Nicoderm smoking cessation Smoking cessation skin & nasal & oral
11 CQ; Nicorette assistance: ORAL irritation,withdrawl,dizziness,ha,insomnia
inhaler,
Smoking(on wk 1-12)
cessation
6-16 cartridges/day,
assistance: NASAL
(on
spray,wk(wk13-24)
1-8)titrate
1
Smoking cessation
to lower
spray in dose,
each then
nostril
12 assistance:
off; MAX
1-2 16 at least
times/hr,
TRANSDERMAL
Smoking cessation
cartridges/day
8 times/day; (wk 9-
patch, smoking
assistance:
14) gradually
history over 10taper
TRANSDERMAL
over 4-6 wk; MAX 5
cigarettes/day:
13 patch, smoking one
times/hr,
21 40
mg patch/day for
history 10 or fewer
loratadine Alavert; Claritin allergic rhinitis, Adult
times/24
4-6 Allergic
hr
wk, then use HA, somnolence, fatigue
cigarettes/day: use
idiopathic urticaria asthma:
one 10-20 mg
one 14 14 mg
mg
-chronic ORALLY
Allergic
patch/day once
rhinitis
for 62 daily
&
wk,
patch/day for wk,
14 for 3 days
urticaria:
then to
10 8
mg
then use one 7 mg
use one 7 mg
weeks
ORALLY once
patch/day
Pediatric for
for 2
patch/dayAllergic 2 daily
wk
wk
15 rhinitis,urticaria: (2-
5yrs)
Allergic5 mg ORALLY
asthma: 10-
once daily,
20 mg ORALLY allergic
rhinitis,urticaria
once daily based(>6 on
yr)
body 10weight:
mg 10 mg
if less than 30 kg;
20 mg if greater
than 30 kg
16
loratadine / Claritin-D
pseudoephedrine

seasonal allergic Asthma: 5/120 mg,


rhinitis 1 tablet ORALLY
twice daily

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

Seasonal allergic
rhinitis: 5/120 mg, 1
tablet ORALLY
twice daily or 10/240
mg, 1 tablet
ORALLY once daily

dizziness,ha,insomnia,somnolence,nervo
17 usness,fatigue
18
naproxen Aleve pain, fever Fever,pain (minor)
19 over-the-counter
dosing, 200 mg
20 ORALLY every 8 to
12 hours as needed;
do not take longer
than 10 days unless
directed by edema,
physician palpitations,rash,GI,anemia,dizziness,ha,
vertigo,tinnitus,dyspnea
21
guaifenesin Robitussin; Mucinex cough expectorant Adult- Cough, n/v
Expectorant:
liquid/syrup/immedia
te-release, 200-400
mg ORALLY every 4
hours

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

Cough, Expectorant:
sustained-release,
600-1200 mg
ORALLY every 12
hours

22
Cough, Expectorant:
maximum dose,
2400 mg/day

Pediatric- Cough,
Expectorant: (6-
12yrs) liquid/syrup,
100-200 mg
ORALLY every 4
hours
23
Cough, Expectorant:
(6-12yrs) maximum
dose, 1200 mg/day
24
Cough, Expectorant:
(2-6yrs) liquid/syrup,
50-100 mg ORALLY
every 4 hours

25

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

Cough, Expectorant:
(2-6yrs) maximum
dose, 600 mg/day
26
Cough, Expectorant:
(under 2yrs) dose
should be
individualized,
common dosage is
25-50 mg ORALLY
every 4 hour
27
Cough, Expectorant:
(under 2yrs)
maximum dose, 300
mg/day
28

29
diphenhydramine Benadryl; Sominex allergic rhinitis, Adult, 25-50 mg po izziness,dyskinesia,sedated,somnolence,
30 insomnia,motion q4-6 dry nose and throat,sputum
sickness,parkinsonis Pediatric <6 6.25-
31 m,hives 12.5 mg q 4-6, >6-
12, 12.5-25 mg q 4-
32 6
aspirin Bayer; Excedrin; pain, fever,
33 (acetylsalicylic acid) Ecotrin arthritis,angina

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
aspirin Bayer; Excedrin; pain, fever,
(acetylsalicylic acid) Ecotrin arthritis,angina
pain, fever- 325-650 dyspepsia,n&v
q 4 prn, mdd 4g,
cardio health-
34 81mg,arthritis- 3g
acetaminohen/aspiri Excedrin Migraine Treats migraine. Adults: take 2 D, frequent urination, HA, N/V,
35 n/caffeine geltabs with a glass nervouseness, restlessness, gas,
of water. If heartburn, mild stomach upset Notify MD
36 symptoms persist or if: anxiety or panic reactions, black, tarry
worsen, ask your stools, confusion, decrease in amount of
doctor. Do not take urine passed, difficulty breathing,
more than 2 geltabs wheezing, dizziness, drowsiness, fast or
in 24 hours, unless irregular breathing or heartbeat
directed by a doctor. (palpitations), fever or sore throat,
Under 18 years of lightheadedness or fainting spells, muscle
age: ask a doctor. twitching, N/V, decreased appetite, pain
on swallowing, tinnitus, seizures, skin
rash or hives, stomach cramps and pain,
trembling, unusual bleeding or bruising,
red or purple spots on the skin, unusual
tiredness or weakness, vomiting up blood,
or what looks like coffee grounds,
yellowing of the skin or eyes.

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

acetaminophen / Vicks DayQuil Common cold, Adults 1-2 po q4-6h Anxiety, restlessness, headache,
dextromethorphan / fever, headache, max dose is lightheadedness, dizziness, insomnia and
phenylephrine mild pain and nasal 6tab/day psychological disturbances.
congestion

37

dextromethorphan / Vicks NyQuil Allergic rhinitis, 2 po q4-6h prn with


doxylamine common cold, water – a total of 4
cough, fever, dose may be taken
headache, mild per day
*pain, nasal
* ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
congestion,
rhinorrhea, sneezing
Top 50 OTC Products in 2004
dextromethorphan / Vicks NyQuil Allergic rhinitis, 2 po q4-6h prn with
doxylamine common cold, water – a total of 4
cough, fever, dose may be taken nervousness or dizziness
headache, mild per day
pain, nasal
famotidine Pepcid AC esophagitis,GERD, Adult, constipation, diarrhea, dizziness
congestion,
38 GERD,esophagitis-
rhinorrhea, sneezing
20-40 mg BID, ucler
ulcer,hyperchlorhydr Pediatric-
39 ia maintenance-
Gastroesophageal 20 mg
hs
reflux disease: (1-16
Gastrointestinal
40 yrs) 1 mg/kg/day
ulcer: (1-16 yrs) 0.5
ORALLY divided
mg/kg/day ORALLY
twice daily up
at bedtime to 40
or twice
41
mg twice daily
daily up to a
famotadine / calcium Pepcid Complete relieves heartburn chew 1 tablet,mdd2 constipation, flatulence
maximum of 40
42 carbonate / associated with acid
mg/day;
magnesium indigestion and sour
43 hydroxide stomach
dextromethorphan / Coricidin HBP Chest Bronchitis, common 20-30 mg po q4h Rare à N/V, abdominal pain or
guaifenesin Congestion & Cough; cold, cough discomfort, dizziness, drowsiness, HA,
Robitussin DM; rash and urticaria
44 Mucinex DM
dextromethorphan / Robitussin CF; Bronchitis, common Adults 10ml po q4h Generally mild à drowsiness, dizziness
45 guaifenesin / Robitussin Cough & cold, cough, nasal not to exceed 60ml and fatigue/weakness.
phenylephrine Cold congestion per day
46
Children 6-12: 5ml
47 po q4h not to
exceed 30ml per
48 day
Children 2-5: 2.5ml
49 po q4h not to
bismuth Pepto-Bismol Diarrhea, duodenal exceed
30ml po15ml per
q30-40m Generally related to dose, at correct dose
50 ulcer, dyspepsia, day don’t exceed 8 the adverse effects are uncommon.
prn
traveler’s diarrhea doses per day

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
bismuth Pepto-Bismol Diarrhea, duodenal 30ml po q30-40m Generally related to dose, at correct dose
ulcer, dyspepsia, prn don’t exceed 8 the adverse effects are uncommon.
traveler’s diarrhea doses per day

docosanol Abreva herpes labialis apply 5 times a day application site reaction, ha
until lesions healed

acetaminophen / Theraflu Daytime Common cold, Aduts: 2t po q6-8h Nervousness, insomnia or dizziness
dextromethorphan / cough, fever, HA, (mdd=8t)
phenylephrine mild pain, nasal
congestion
Children 6-11: 1t po
q6-8h (mdd=4t)

Children <6: N/A

acetaminophen / Theraflu Nighttime Allergic rhinitis, Adults: 2 softgels Nervousness, insomnia or dizziness
diphenhydramine / common cold, po q4h (mdd 4
phenylephrine cough, fever, HA, doses)
mild pain, nasal
congestion,
Children 6-11: 1 po
pharyngitis,
q4h (mdd 4 doses)
rhinorrhea, sneezing

Children <6: N/A

acetaminophen / Theraflu Flu & Chest Common cold, Aduts: 2t po q6-8h Nervousness, insomnia or dizziness
guaifenesin cough, fever, HA, (mdd=8t)
mild pain, nasal
congestion

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
acetaminophen / Theraflu Flu & Chest Common cold, Nervousness, insomnia or dizziness
guaifenesin cough, fever, HA,
Top 50 OTC Products in 2004
mild pain, nasal
congestion
Children 6-11: 1t po
q6-8h (mdd=4t)

Children <6: N/A

acetaminophen / Allergic rhinitis, Nervousness, insomnia or dizziness


pheniramine / common cold, fever,
phenylephrine Theraflu Cold & Sore HA, mild pain, nasal Aduts: 2t po q6-8h
Throat congestion, (mdd=8t)
rhinorrhea, sneezing

Children 6-11: 1t po
q6-8h (mdd=4t)

Children <6: N/A

dextromethorphan / Allergic rhinitis, Aduts: 2t po q6-8h Nervousness, insomnia or dizziness


pheniramine / common cold, fever, (mdd=8t)
phenylephrine Theraflu Cold & HA, mild pain, nasal
Cough congestion,
rhinorrhea, sneezing
Children 6-11: 1t po
q6-8h (mdd=4t)

Children <6: N/A

calcium carbonate Caltrate; Tums Indicated for the constipation, flatulence


symptomatic relief of
hyperacidity
associated with the
diagnosis of peptic
*ulcer, gastritis,
* ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
peptic esophagitis,
gastric hyperacidity,
and hiatal hernia
Top 50 OTC Products in 2004
calcium carbonate Caltrate; Tums Indicated for the constipation, flatulence
symptomatic relief of
hyperacidity
associated with the
diagnosis of peptic
capsaicin Icy Hot; Zostrix arhtritis, diabetic apply thin film 3-5x irritation, burning, stinging,erythema
ulcer, gastritis,
neuropathy,postherp day
peptic esophagitis,
etic neuralgia
gastric hyperacidity,
and hiatal hernia
psyllium Metamucil Constipation,
diarrhea,
diverticulosis,
hypercholesterolemi
a, irritable bowel
syndrome
1 rounded tsp po 1-
3 times a day
acetaminophen / Tylenol Sinus Day sinus pain, ha, nasal 2 every 4-6 hrs,mdd nervousness
phenylephrine and sinus 8
congestion

acetaminophen / Tylenol Sinus Night nasal congestion,


chlorpheniramine / sinus pressure,
phenylephrine sinus pain,ha, runny
nose,sneezing, itchy
watery eyes,itching
nose/throat

acetaminophen / Tylenol Sinus Severe minor aches and 2 every 4-6 hrs,mdd nervous, dizzy, sleepless
guaifenesin / pains, sinus 8
phenylephrine ha,nasal
congestion,promote
s nasal/sinus
drainage,loosen
mucus

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
acetaminophen / Tylenol Sinus Severe minor aches and 2 every 4-6 hrs,mdd nervous, dizzy, sleepless
guaifenesin / pains, sinus 8
phenylephrine ha,nasal
congestion,promote
s nasal/sinus
drainage,loosen
mucus

loperamide Imodium diarrhea, travelers Adult 4 mg followed hyperglycemia,abdominal


diarrhea by 2mg up to pain,N&V,dizziness,somnolence,fatigue
16mg/day

Pediatric Diarrhea,
acute: (2-5 yr, 13 to
20 kg) 1 mg
ORALLY 3 times
daily
Diarrhea, acute: (6-
8 yr, 20 to 30 kg) 2
mg ORALLY twice
daily
Diarrhea, acute: (8-
12 yr, greater than
30 kg) 2 mg
ORALLY 3 times
daily

loperamide / Imodium Advanced diarrhea, take 2 with water hyperglycemia,abdominal


simethicone bloating,pressure,cr after first loose pain,N&V,dizziness,somnolence,fatigue
amps (gas) stool, then 1 if
needed, mdd4

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

bacitracin / Polysporin antibacterial apply small amount rash


polymyxin B 1-3 x daily

neomycin / polymixin Neosporin antibacterial apply small amount rash


B / bacitracin 1-3 x daily

aspirin / citric acid / Alka-Seltzer dyspepsia,ha,mild dyspepsia,ha,mild


sodium bicarbonate pain,myalgia pain,myalgia

Zincum Zicam Common cold, zinc Maximum Dosage N/V, dyspepsia, abdominal pain
deficiency Limits:
The following are
recommended
tolerable upper
intake levels.
•Adults: 40 mg/day
PO.
•Elderly: 40 mg/day
PO.
•Adolescents >= 14
years: 34 mg/day
PO.

•Children 9—13
years: 23 mg/day
PO.
•Children 4—8
years: 12 mg/day
PO.

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

•Children 1—3
years: 7 mg/day PO.
•Infants 7—12
months: 5 mg/day
PO.
•Infants birth to 6
months: 4 mg/day
PO.
<BR

bisacodyl Dulcolax constipation, prep Constipation: 5-15 GI


for bowel procedure mg ORALLY once
daily up to 30
mg/day, pediatric (6-
11yrs) 5 mg once
daily

miconazole Desenex; Monistat candidal Candidal N&V, vaginal discomfort


vulvovaginitis, tinea vulvovaginitis: 200
coroporis, cruris, mg VAGINALLY at
pedis bedtime for 3 days

Candidal
vulvovaginitis: 100
mg VAGINALLY at
bedtime for 7 days
Candidal
vulvovaginitis: 1200
mg VAGINALLY
once

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

Tinea corporis,Tinea
cruris,Tinea pedis:
apply TOPICALLY
to affected areas
twice daily:

methylsalicylate BenGay arthalgia,bursitis,mil apply 3-4 xday Hypersensitivity


d pain,
myalgia,tendinitis

ranitidine Zantac relieves heartburn 400 mg bid skin rash, pruritus, diarrhea,N &
associated with acid V,constipation
indigestion and sour
stomach

hydrocortisone Cortizone; Temporarily relieves Apply to affected D/C, HA, increased appetite, diaphoresis,
Preparation H itching associated area not more than newvousness, restlessness, difficulty
with minor skin 3 to 4 times daily. sleeping, upset stomach, unusual
irritations, increased growth of hair. Notify MD if:
inflammation and bloody or black, tarry stools, confusion,
pseudoephedrine Sudafed allergic rhinits,nasal Allergic rhinitis: SR htn, tachycardia,
rashes excitement, restlessness, a false sense of
congestion 120 mg ORALLY insomnia,anxiety,nervous,restless
well-being, eye pain, decreased or blurred
every 12hrs (alone
Nasal congestion: vision, or bulging, eyes, fever, sore throat,
or
60 in
mgcombination
ORALLY sneezing, cough, or other signs of
with an
every 4-6hrs to infection, wounds that will not heal,
antihistamine)
maximum of 240 frequent passing of urine, hallucinations
mg/day or SR 120 (seeing and hearing things that are not
terbinafine Lamisil AT LAMISIL AT is an For athlete's foot burning, redness or irritation the first few
mg ORALLY every really there), increased thirst, irregular
antifungal used on between the toes days as your body adjusts to the
12hrs heartbeat,
the skin to treat skin spray twice a day medication.menstrual
Notify yourproblems,
doctor if mental
your
infections such as (morning and night) develop: depression, mood oozing,
swelling, swings, blistering.
mistaken
athlete's foot, jock for 1 week or as feelings of self-importance or of being
itch or ringworm. directed by a doctor. mistreated, muscle cramps or weakness,
For jock itch and nausea, vomiting, pain in hips, back, ribs,
ringworm spray arms, shoulders, or legs, rounding out of
affected
* * ranked by dollar sales as area
compiled once a face,
by Information
skin problems, acne, thin and shiny
Resources, Inc. and found on www.drugtopics.com
day (morning or skin, stomach pain, swelling of feet or
night) for 1 week lower legs, unusual bruising, pinpoint red
spots on the skin, unusual tiredness or
Top 50 OTC Products in 2004
terbinafine Lamisil AT LAMISIL AT is an For athlete's foot burning, redness or irritation the first few
antifungal used on between the toes days as your body adjusts to the
the skin to treat skin spray twice a day medication. Notify your doctor if your
infections such as (morning and night) develop: swelling, oozing, blistering.
athlete's foot, jock for 1 week or as
itch or ringworm. directed by a doctor.
For jock itch and
ringworm spray
affected area once a
day (morning or
night) for 1 week

Rolaids Relieves: heartburn, Chew 2 to 4 tablets, ROLAIDS is generally well tolerated.


sour stomach, acid hourly if needed. Constipation or stomach cramps may
c indigestion, upset occur. Tell your doctor immediately if any
alci stomach due to of these serious side effects occur: loss of
um these symptoms. appetite, vomiting, dizziness, headache.
/
ma
gn dextromethorphan Benylin; Delsym; Temporarily relieves 2 teaspoonfuls Dizziness, drowsiness, nausea, vomiting,
esi Vicks Formula 44 cough due to minor every 12 hours, not or stomach ache, Notify your doctor if you
um throat and bronchial to exceed 4 develop chest pain, a rapid pulse,
irritation as may teaspoonfuls in 24 nervousness or become confused while
occur with the hours. Children 6 to taking DELSYM.
common cold or under 12 years of
inhaled irritants. age: 1 teaspoonful
every 12 hours, not
to exceed 2
teaspoonfuls in 24
hours. Children 2 to
under 6 years of
age: 1/2 teaspoonful
every 12 hours, not
to exceed 1
teaspoonful in 24
hours. Children
under 2 years of
* * ranked by dollar sales as compiled
age: consultby a
Information Resources, Inc. and found on www.drugtopics.com
doctor
Top 50 OTC Products in 2004
dextromethorphan Benylin; Delsym; Temporarily relieves 2 teaspoonfuls Dizziness, drowsiness, nausea, vomiting,
Vicks Formula 44 cough due to minor every 12 hours, not or stomach ache, Notify your doctor if you
throat and bronchial to exceed 4 develop chest pain, a rapid pulse,
irritation as may teaspoonfuls in 24 nervousness or become confused while
occur with the hours. Children 6 to taking DELSYM.
common cold or under 12 years of
inhaled irritants. age: 1 teaspoonful
every 12 hours, not
to exceed 2
teaspoonfuls in 24
hours. Children 2 to
under 6 years of
age: 1/2 teaspoonful
every 12 hours, not
to exceed 1
teaspoonful in 24
hours. Children
under 2 years of
age: consult a
doctor

dextromethrophan / PediaCare Common cold, Adults: 20ml po q4h Contraindicated in pts with hypertension
pseudoephedrine Decongestant & cough, nasal prn, mdd 4 or in pts taking monoamine oxidase
Cough; Triaminic congestion doses/day inhibitors.
Cough
Children 2-6: 10ml
po q4h prn, mdd 4
doses/day

epinephrine Primatine Mist asthma start with one Dry mouth, dizziness, headache,
inhalation, then wait heartburn, loss of appetite, altered taste
1 minute. If not sensation, restlessness, anxiety,
relieved, use once nervousness, trembling, Inform your
more. Do not use doctor if you experience: chest pain,
again for at least 3 pounding heartbeat, breathing difficulties.
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
hours.
Top 50 OTC Products in 2004
epinephrine Primatine Mist asthma start with one Dry mouth, dizziness, headache,
inhalation, then wait heartburn, loss of appetite, altered taste
1 minute. If not sensation, restlessness, anxiety,
relieved, use once nervousness, trembling, Inform your
more. Do not use doctor if you experience: chest pain,
again for at least 3 pounding heartbeat, breathing difficulties.
hours.

simethicone Gas-X ; Phazyme Relieves bloating, Swallow 1 or 2 There are no reported side effects with
pressure or fullness softgels as needed simethicone.
commonly referred after a meal. Do not
to as gas. exceed 2 softgels
per day except
under the advice
and supervision of a
physician.

oxymetazoline Afrin 12 hour; Neo- Temporarily relieves 2 to 3 sprays in Stinging, burning, sneezing, increased
Synephrine 12 hour nasal congestion each nostril not nasal discharge, drying of the nostrils, and
more often than altered taste may occur.Notify your doctor
every 10 to 12 if you develop a rapid or pounding
hours. Do not heartbeat, dizziness, trouble sleeping,
exceed 2 doses in shaking of the hands, tremors or unusual
any 24 hour period. weakness ,may cause dizziness.

chlorpheniramine Chlor-trimeton hay fever or other 1 tablet every 4 to 6 drowsiness, dizziness, headache, loss of
upper respiratory hours, not to exceed appetite (less likely with cyproheptadine),
allergies: sneezing; 6 tablets in 24 stomach upset, vision changes, irritability,
runny nose; itchy, hours. dry mouth and nose. Notify your doctor if
watery eyes; itching you develop: breathing difficulties,
of the nose or pounding or irregular heartbeat, ringing in
throat. the ears, difficulty urinating.

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004

acetaminophen / Coricidin HBP Cold & Allergic rhinitis, HA, Adults: 2 po q4h drowsiness, excitability, nervousness,
chlorpheniramine Flu mild pain, moderate mdd 8t per day insomnia, dizziness
pain, rhinorrhea,
sneezing

Children 6-12: 1 po
q4-6h mdd 6t per
day
Children 2-6: ½ po
q4-6h mdd 3t per
day
chlorpheniramine / Coricidin HBP Cough coughs, runny nose 1 tablet every 6 Stinging, burning, sneezing, increased
dextromethrophan & Cold and sneezing due to hours, not more nasal discharge, drying of the nostrils,
the common cold. than 4 tablets in 24 dizziness, Notify your doctor if you
Decongestant-free hours develop a rapid or pounding heartbeat,
cold relief for people dizziness, trouble sleeping, shaking of the
with high blood hands, tremors or unusual weakness
pressure. while taking CORICIDIN.

chlorpheniramine / PediaCare Cold & Allergic rhinitis, 2 po q6h prn Contraindicated in pts with severe
pseudoephedrine Allergy; Triaminic common cold, fever, hypertension or in pts taking monoamine
Cold & Allergy HA, mild pain, nasal oxidase inhibitors.
congestion,
rhinorrhea, sneezing

zinc salts Cold EEZE Reduce Recommended daily caused anosmia, the permanent loss of
duration/severity of dosage of COLD- smell
common cold EEZE
top Cold Remedy
Lozenges is 6 drops
per day (79.8 mg
zinc).
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
zinc salts Cold EEZE Reduce caused anosmia, the permanent loss of
duration/severity of smell
Top 50 OTC Products in 2004
common cold

magnesium Phillips Milk of constipation, upset 1 to 2 diarrhea. If diarrhea persists or worsens,


hydroxide Magnesia (MOM) stomach caused by tablespoonsful. inform your doctor. Notify your doctor if
heartburn, acid Children 6 to 11 the following effects occur: black/tarry
indigestion or sour years: 1/2 to 1 stools or rectal bleeding.
stomach; for peptic tablespoonful.
ulcer, hiatal hernia Children under 6
or other conditions years: ask a doctor.
caused by excess
stomach acid; and
to prevent ulcers or
bleeding from
ulcers.

Midol Temporarily relieves Take 1 caplet every GI Upset, N/V/D/C, heartburn, HA,
minor aches and 8 to 12 hours while drowsiness, and fatigue. Notify MD if:
pa pains due to: symptoms last. Do stomach pain, swelling of the feet or
ma menstrual cramps, not exceed 2 ankles, tinnitus, vision changes, joint pain,
bro muscle aches, caplets in any 8- to muscle pain or weakness, easy bruising
m/ headache, 12-hour period. Do or bleeding, persistent sore throat and
ap backache. Extended not exceed 3 fever, changes in amount or color of
ap relief for up to 12 caplets in a 24-hour urine, yellowing of the eyes or skin.
hours. Maximum period. Adults over
strength. 65 years: Do not
take more than 1
clotrimazole Lotrimin Cures most athlete's caplet every 12
For athlete's foot burning, stinging or redness when first
foot, jock itch, and hours unless use applied to the skin. This should disappear
and ringworm,
ringworm. Relieves directed
daily for 4byweeks;
a doctor.
for in a few days as your body adjusts to the
itching, burning, Children under 12
jock itch, use daily medication
cracking, scaling years: Ask a Ifdoctor.
for 2 weeks.
and discomfort condition persists
which accompany longer, ask a doctor.
these conditions. This product is not
effective on the
* * ranked by dollar sales as compiled
scalp by Information Resources, Inc. and found on www.drugtopics.com
or nails.
Top 50 OTC Products in 2004
clotrimazole Lotrimin Cures most athlete's For athlete's foot burning, stinging or redness when first
foot, jock itch, and and ringworm, use applied to the skin. This should disappear
ringworm. Relieves daily for 4 weeks; for in a few days as your body adjusts to the
itching, burning, jock itch, use daily medication
cracking, scaling for 2 weeks. If
and discomfort condition persists
which accompany longer, ask a doctor.
these conditions. This product is not
effective on the
scalp or nails.

senna Ex Lax; Senokot Relieves occasional Take preferably at diarrhea, nausea, vomiting, rectal
constipation bedtime or as irritation, stomach cramps or bloating.
(irregularity). directed by a doctor. Notify your doctor if you experience: rectal
Generally produces Adults and children bleeding, rapid heart rate, weakness,
a bowel movement 12 years of age or dizziness, fainting, sweating, skin rash,
in 6-12 hours. older: Starting unrelieved constipation. SENOKOT may
Dosage: 2 tablets cause the urine to turn pink, red or
once a day. brownish in color. Do not be alarmed. It is
Maximum Dosage: not harmful. Prolonged, frequent or
4 tablets twice a excessive use of laxatives may lead to
day. Children 6 to dependency
under 12 years:
Starting Dosage: 1
tablet once a day.
Maximum Dosage:
2 tablets twice a
day. Children 2 to
under 6 years:
Starting Dosage: 1/2
tablet once a day.
Maximum Dosage:
1 tablet twice a day.
Children under 2
years: Starting
Dosage/Maximum
Dosage: ask a
doctor.
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
senna Ex Lax; Senokot Relieves occasional Take preferably at diarrhea, nausea, vomiting, rectal
constipation bedtime or as irritation, stomach cramps or bloating.
(irregularity). directed by a doctor. Notify your doctor if you experience: rectal
Generally produces Adults and children bleeding, rapid heart rate, weakness,
a bowel movement 12 years of age or dizziness, fainting, sweating, skin rash,
in 6-12 hours. older: Starting unrelieved constipation. SENOKOT may
Dosage: 2 tablets cause the urine to turn pink, red or
once a day. brownish in color. Do not be alarmed. It is
Maximum Dosage: not harmful. Prolonged, frequent or
4 tablets twice a excessive use of laxatives may lead to
day. Children 6 to dependency
under 12 years:
Starting Dosage: 1
tablet once a day.
Maximum Dosage:
2 tablets twice a
day. Children 2 to
under 6 years:
Starting Dosage: 1/2
tablet once a day.
Maximum Dosage:
1 tablet twice a day.
Children under 2
years: Starting
Dosage/Maximum
Dosage: ask a
doctor.

aluminum / Maalox Calcium Calcium nausea, loss of appetite, constipation or


magnesium Supplement: Supplement: Chew diarrhea, weakness, or headache.Notify
Antacid/Antigas: For 2 tablets twice daily. your doctor if you notice black, tarry stools
the relief of acid Antacid/Antigas: while taking MAALOX.
indigestion, Chew 1 to 2 tablets
heartburn, sour as symptoms occur
*stomach,
* ranked byupset
dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
stomach
Top 50 OTC Products in 2004
aluminum / Maalox Calcium Calcium nausea, loss of appetite, constipation or
magnesium Supplement: Supplement: Chew diarrhea, weakness, or headache.Notify
Antacid/Antigas: For 2 tablets twice daily. your doctor if you notice black, tarry stools
the relief of acid Antacid/Antigas: while taking MAALOX.
indigestion, Chew 1 to 2 tablets
heartburn, sour as symptoms occur
stomach, upset
stomach

aluminum / Mylanta Calcium Calcium nausea, loss of appetite, constipation or


magnesium / Supplement: Supplement: Chew diarrhea, weakness, or headache.Notify
simethicone Antacid/Antigas: For 2 tablets twice daily. your doctor if you notice black, tarry stools
the relief of acid Antacid/Antigas: while taking MAALOX.
indigestion, Chew 1 to 2 tablets
heartburn, sour as symptoms occur
stomach, upset
stomach

tolnaftate Absorbine Jr; Arthralgia, mild pain, Apply topically to AA Hypersensitivity (contact dermatitis)
Desenex; Tinactin moderate pain, not more then 3-4x’s
myalgia per day

pyrethrins and A-200; Pronto; Rid Treatment of Adults, adolescents, Irritation


piperonyl butoxide pediculosis (lice) and children >=2
infestations caused years: InfantsApply liberally
and children
by Pediculus to
< 2 years: Safescalp
dry hair and and
corporis (body or skin. For
effective usehead
has
louse), Pediculus lice, apply first to
not been
capitis (head louse) back of neck and
established.
Phthirus pubis behind ears. Use
(pubic or crab louse) enough product to
cover entire hair
shaft. Allow product
to remain on
affected areas for
10 minutes, but no
longer.
* * ranked by dollar sales as Rinse
compiled by Information Resources, Inc. and found on www.drugtopics.com
thoroughly and dry
affected areas with
Top 50 OTC Products in 2004

methylcellulose Citracel Relieves One scoop up to 3 CITRUCEL is generally well tolerated.


constipation times a day. Bloating, gas, and a feeling of fullness
(irregularity). may occur. If these effects continue or
become bothersome, inform your doctor.
Notify your doctor if you experience:
stomach cramps, nausea, vomiting, rectal
bleeding, unrelieved constipation.

docusate Colace Relieves occasional Adults and children stomach ache, cramping or irritated throat
constipation 12 years and over: (liquid forms). Notify MD if: skin rash,
(irregularity). take 1-6 capsules rectal bleeding, lack of bowel movements.
Generally produces daily. Children 2 to Frequent use of laxatives can cause
bowel movement in under 12 years of dehydration and loss of essential
12 to 72 hours. age: take 1-3 nutrients. Symptoms include muscle
capsules daily. cramps, muscle weakness or dizziness.
Children under 2 Maintain an adequate fluid intake while
years: ask a doctor. using COLACE.

dimenhydrinate Dramamine For prevention and 1 to 2 tablets every drowsiness, dizziness, headache, loss of
treatment of nausea, 4-6 hours; not more appetite (less likely with cyproheptadine),
vomiting, dizziness. than 8 tablets in 24 stomach upset, vision changes, irritability,
hours dry mouth and nose. Notify MD if:
breathing difficulties, pounding or irregular
heartbeat, ringing in the ears, difficulty
urinating.

doxylamine Unisom Helps to reduce 1 softgel (50 mg) at Drowsiness, dizziness, headache, loss of
difficulty in falling bedtime if needed, appetite, stomach upset, vision changes,
asleep. Safe. or as directed by a irritability, dry mouth and nose. Notify MD
Proven effective. doctor. if: breathing difficulties, pounding or
irregular heartbeat, ringing in the ears,
difficulty urinating.

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
doxylamine Unisom Helps to reduce 1 softgel (50 mg) at Drowsiness, dizziness, headache, loss of
difficulty in falling bedtime if needed, appetite, stomach upset, vision changes,
asleep. Safe. or as directed by a irritability, dry mouth and nose. Notify MD
Proven effective. doctor. if: breathing difficulties, pounding or
irregular heartbeat, ringing in the ears,
difficulty urinating.

meclizine Bonine motion sickness. one hour before May cause drowsiness, blurred vision,
travel starts. take 1 stomach upset, headache or dry mouth.
to 2 tablets once
daily

calamine / Temporary relief of Apply to affected temporary redness or minor irritation


pramoxine itching and pain area not more than when first applied. Notify your doctor if
Caladryl associated with 3 to 4 times daily. you develop: swelling/itching/rash where
rashes; dries the medication was applied.
oozing/weeping

* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 30 Common Herbals/Dietary Supplements

Ingredient Indication Usual Dose Side Effects Drug Interactions


Acidophilus Contains a harmless bacteria that Increased flatulence at the No drug interactions of
helps to reestablish the bacteria in start of therapy. significance have been
the human colon Constipation, hiccups, associated
rash and N/V

Asian ginseng 1.improved congnition 200-600mg/d extract 0.6- insomnia; vaginally warfarin=↑INR;
2.↓fasting BG in type 2DM 3g 1-3Xday root powder bleeding; abnormalities; caffeine=↑HTN;
antidiabetics=↓BG; ↑ effect;
3.adaptogen 4.immune fxn 100mg/d tachycardia; palpatation; stimulants=possibly ↑ effect;
stimulation 5.cancer prevention anorexia; diarrhea; HA; immunosuppressants=↓ effect
BP changes;

Black cohosh For the support of symptoms Initially 20mg po bid, Unclear but dyspepsia, Antagonize certain fertility
associated with menopause dosages up to 80-120mg N/V and other GI agents (due to suppressed
po bid have been used. disturbances are relatively luteinizing hormone).
Dosages of 40mg po bid common. Diaphoresis,
have decreased somatic dizziness, HA,
symptoms of menopause hypertention or
to the same degree as hypotension, increased
typical estrogen menstrual flow and heart
replacement therapies rate changes are reported
with high doses.

Chromium Nutritional supplementation and Adult/adolescent Raily causes adverse Chromium as part of the
prevention of chromium pregnant females: 29- effects. glucose tolerance factor
deficiency, chromium allows the 30ug qd molecule facilitates the
body to use and process dietary Case reports of binding of insulin to
sugars properly nephrotoxicity from oral insulin receptors in tissues
supplementation have and to aide in glucose
appeared in the medical metabolism. Those on
literature (at high doses) antidiabetic agents may
need dose adjustments.
* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Chromium Nutritional supplementation and Chromium as part of the
prevention of chromium glucose tolerance factor
deficiency, chromium allows the Top 30 Common Herbals/Dietary Supplements molecule facilitates the
body to use and process dietary binding of insulin to
sugars properly insulin receptors in tissues
Adult adolescent lactating and to aide in glucose
females: 44-45ug qd metabolism. Those on
antidiabetic agents may
Adult males >50: 30ug need dose adjustments.
qd
Adult females > 50: 20ug
qd
Adult and adolescent
females: 25ug qd
Adult and adolescent
males: 35ug qd
Coenzyme-Q10 Heart failure, mitochondrial Supplementation in pts Generally well tolerated, Some reports have claimed
cytopathies, nutritional with heart failure: little nausea has been noted as a decrease in insulin
supplementation and parkinson’s data to support this a reason for requirements, others report
disease. indication discontinuation of no signifigance.
supplementation.
Oral dosage in adults Beta blockers have been
Insomnia and
(non-gel formulation): reported to decrease
asymptomatic hepatic
50-200mg/d taken with a CoQ10 serum
enzyme elevations have
fatty meal concentrations.
also been reported with
Oral dosage in adults (gel higher doses. HMG-CoA reductase
form): 30mg/d taken inhibiotros reduce CoQ10
with a fatty meal serum concentrations.

CoQ10 decreases the


response to warfarin.

Cranberry Nutritional supplementation, UTI Adults: 1-4 tab or Unclear at this time, Amphetamines have
prophylaxis capsules po per day with appear to be minimal. increased renal excretion
meals Cranberry tablets may due to mild acidification of
increase the risk of the urine by cranberry
oxylate type kidney juice.
stones in predisposed
patients

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
prophylaxis appear to be minimal.
Cranberry tablets may
increase the risk of
Top 30 Common Herbals/Dietary Supplements
oxylate type kidney
stones in predisposed
patients
Adults: 90ml of Warfarin is enhanced by
cranberry juice cocktail cranberry.
pot id.

Children: cranberry juice


concentrate had no effect
on the freq of bladder
infections in children

Dong Quai Hot flashes, ischemic stroke, Adjunct treatment of hot Uncertain at this time. Dong quai contains natural
menopause, premenstrual flashes and menopause Gynecomastia has been coumarin derivatives
syndrome symptoms: 3-15g/d of reported in a male who which have a strong anti-
raw herb steeped into teas used dong quai. platelet activity that are
or broths. (the north additive with traditional
American menopause med.
society does not
recomment dong quai for
treating hot flashes or
other symptoms assoc
with menopause)

Echinacea Used for the supportive treatment Adults: 900mg/d po of GI disturbances, No clinically relevant drug
of the common cold, pharyngitis solid dry standardized dyspepsia and N/V. interactions with
or mild influenza type illnesses Echinacea extract tingling or numbness of Echinacea have been
administered in divided the tongue and dysgeusia. reported in humans.
doses.

1-2 tab/cap of a freeze


dried extract po 2-5 times
per day.

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

Allergic reactions are


infrequent but may be
Children 2-12: ½ the severe – 2 cases of
adult dose anaphylactic shock have
been reported.

Children under 2: N/A

Evening primrose Acute respiratory distress ARDS: 18.74g of borage Unclear at this time Unclear at this time
syndrome (ARDS), atopic seed oil per L of feeding.
dermatitis, breast cancer, diabetic
neuropathy, mastalgia, migraine
prophylaxis, PMS, pruritus, RA
Atopic dermatitis: 600
mg/d po
Breast cancer (in addition
to tamoxifen): 2.8g po qd
Diabetic neuropathy:
480mg po qd
Migraine: not available

PMS: 40mg po bid with


food 10 days prior to
onset of menstruation
RA: 540mg – 2.8g po qd
in divided doses

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

Feverfew Dietary supplement that is being Adults: 125-250mg of Primarily mild GI upset May enhance the effects of
promoted for its ability to decrease dried feverfew leaf or abdominal pain, the platelet inhibitors via
the occurrence of migraine extract po qd dyspepsia, flatulence and inhibition of platelet
headaches. It is not helpful in nervousness. Diarrhea aggregation or via
relieving an acute migraine attack. was causally associated antithrombotic activity.
with 1 pt. sinus Feverfew appears to
tachycardia has been inhibit prostaglandin
Continuous use for the reported in a few pts. synthesis.
least four to six weeks is
recommended to assess
efficacy at migraine
prevention.

Fish oil Help lower triglycerides in pts Softgels or capsules both Fishy odor to the breath, Inhibition of platelet
with high triglyceride values, non-Rx: 3-6g/d po in or taste perversion, GI aggregation, risk of
promoted to help reduce heart divided doses upset, diarrhea or N/V at bleeding maybe increased.
disease risk, help with symptoms high doses. Other
of RA. potential adverse events
are less clear.

Flaxseed oil hyperlipidemia laxative 15-30ml/day; diarrhea; allergic rxn anticoag/antiplat=↑ effect
EFA source (>30gm/day)

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

Garlic Promoted to reduce cholesterol or Adults: 300mg pot id Garlic consumed in Garlic may lead to a
prevent hardening of the arteries. lowered total and LDL by moderate amounts on a significant decline in
roughly 6 to daily basis appears to plasma concentrations of
11%respectively after 12 have no adverse effects in protease inhibitor
weeks. normal individuals. Most saquinavir leading to
common SE are GI saquinavir treatment
complaints. Contact failures and the potential
dermatitis may occur development of viral
from exposure. resistance.

Ginger the symptoms of nausea and Adult treatment of motion Generally well tolerated. Inhibiton of arachidonic
motion sickness sickness: 1000mg po No reports of severe acid induced platelet
30min before travel and toxicity related to ginger activation in human whole
every 4 hours thereafter in humans. Larger dose blood. The risk of
(max dose of 2-4g/d) have been reported to bleeding in increased in
Post operative N/V: 500
cause heartburn, patients receiving
to 1000mg po prior to
arrhythmias, bleeding and anticoagulants.
surgery
CNS depression.

Chemo N/V: 1000mg po


prior to chemo
Gingko biloba alzhemier dx memory 120-240mg/day in GI upset; HA; dizziness; anticoag/antiplat=↑ bleeding;
improvement tinnitus divided doses leaf extract; ↑bleeding risk anticovulsant= ↓effect/↑seizure
risk; antidiabetic=possibly ↓
upto 600mg/day used for effect/↑ BG levels
mem improvement

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

Glucosamine/cond Promoted for its ability to ease Oral dose adults: 400- Well tolerated with Case reports have reported
roitin osteoarthritis symptoms. Found 800mg chondroitin with minimal adverse effects. a possible interaction
naturally in the body to help 500-1000mg glucosamine GI tract discomfort was between chondroitin,
maintain healthy joint cartilage po 2-4 times a day for 1-2 minimal. glucosamine and warfarin
months. resulting in an increase in
INR and a need for
warfarin dosage
adjustment.

Goldenseal Aphthous ulcer A tea can be prepared Unclear at this time Unclear at this time
from 6g of the herb in
240ml water when a
mouthwash is needed

Grapeseed antioxidant 150-300mg/day some hepatotoxicity

venous insufficiency warfarin= ↑ bleeding risk

Green tea extract Protective effects against cancer 2.5g of green tea extract Most of the adverse Limit the amount of
and heart disease, some promote (or a minimum of 10cups reactions that may be caffeine that is taken in
green tea for weight loss of brewed green tea daily) experienced after while drinking green tea
showed a delay in the consumption of green tea
onset of cancer are related to caffeine.
Some AR include
diarrhea, excitement,
irritability, insomnia,
headache, muscle
twitches and palpitations

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
onset of cancer are related to caffeine.
Some AR include
diarrhea, excitement,
Top 30 Common Herbals/Dietary Supplements
irritability, insomnia,
headache, muscle
twitches and palpitations
Green tea and MAOI’s
should be avoided.

Hawthorne heart failure general use= (dried CI=pregnancy/lactation; digoxin=↑toxicity risk;


fruit)=0.3-1g or tea TID GI disturbances; vasodilator= additive effect;
cardio med= may
po; HF=12-15mg divided palpitation; HA; enhace/interfere others; CNS
TID po x6 wks dizziness; sleeplessness; depress=additive effect
agitation; bronchospasm;
chest pain; derm rxn

Horse chestnut Promoted to maintain healthy leg Adults: 1 tab/cap pot id May cause Horse chestnut may
vein blood flow after meals (40-50mg) hypersensitivity reactions increase the risk of
and anaphylactoid bleeding if co
reactions including administered with
anaphylactic shock. May anticoagulants,
cause various GI thrombolytic agents or
complaints such as platelet inhibitors.
gastritis, N/V and
Children: not dyspepsia.
recommended

Melatonin Melatonin in the body contributes Adults: 0.3-3mg po hs 1- Appear to be infrequent Increased benzodiazepine
to the natural regulation of sleep. 2 hours before bed. May with a few days of use. binding to receptor sites.
take up to 6mg if needed. Reported AE are Melatonin may pot interact
Don’t exceed 2 weeks headache, depression, with medications that
without MD consultation sinus tachycardia and inhibit serotonin reuptake
pruritus, nightmares, such as duloxetine and
dyspepsia and ab pain. venlafaxine.

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

Milk thistle Maintains healthy liver function Adults: 3g of milk thistle Diarrhea (mild), The use of ethanol
fruits prepared as an arthralgia, HA, pruritus containing beverages and
infusion qd and urticaria. milk thistle is not
recommended because the
the effects of ethanol on
the liver may antagonize
the hepatocytoprotective
actions of milk thistle.

Methylsulfonylmet chronic pain arthritis 1000-3000mg po QD GI; HA; pruritis; allergy none
hane joint inflammation

SAM-e depression heart disease 400-1600mg/day; flatulence; N/V/D; antidepres=additive


fibormyalgia osteoarthritis constipation; dry mouth; serotonergic effect;
dextromethorphan=possibly
alzheimer's dx/dementia HA; insomnia; anorexia; additive sertonergic effects;
sweating; dizziness; levodopa=↓ effect; meperidine=
nervousness additive sero effect;
MAOI=serotonin syndrome;
tramadol=additive sero effect

Saw palmetto treatment sx BPH treatment of 160mg BID lipophilic anticoag/antiplat=↑ bleeding;
alopecia extract 80-90% fatty hormone tx=may interfere
w/effects
acids rare=well tolerated mild
GI intolerance

Soy isoflavones menopausal sx hyperlipidemia 20-60 g/day constipation; bloating;


nausea; allergic rxn
OP prevention antibiotics= ↓AB efficacy;
tamoxifen= ↓ T efficacy

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Soy isoflavones 20-60 g/day constipation; bloating;
nausea; allergic rxn
Top 30 Common Herbals/Dietary Supplements

St. John’s wort depression 300 mg TID

antiviral OCD

insomnia; vivid dreams; triptan=serotonin syndrome;


anxiety; GI disturbance; antidep=↑ serotogenic; cyp3a4
inducer==↓ CBZ; cyclosporine;
photoderm NNRTI; oral contracept;
protease inhib; digoxin;
theophyl
Tea tree oil acne/onychomycosis ring confusion; inability to none
worm & scabies walk; disorientation;
athlete's foot 5-25-100% topically BID ataxia; dermatitis
x6mo

valerian sedative-hypnotic 400-900mg 2h a HS or long term=BDZ long term=BDZ


300-450mg/day TID withdrawal syndrome withdrawal syndrome
insomnia

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.
Top 30 Common Herbals/Dietary Supplements

* Originally compiled by Drs. N. Allie, Brodeur, Grabe, Kane, Schreck, and Zeolla in March 2003. Edited by Dr. Audette in June 2005.

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