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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
* 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
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
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
Duodenal ulcer, GERD 15mg QD, 15-30mg QD Capsule abdominal pain, D/C, HA, fatigue
29 Prevacid lansoprazole
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
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
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
* 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
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
* 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
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
98 2 Coreg carvedilol
* 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
* 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
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
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
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
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
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* 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
* Listed by number of prescriptions dispensed as compiled by NDC Health and found on www.rxlist.com
Top 150 Prescriptions for 2004 - Retail
* 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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?
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?
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
* * 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
* * 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
* * 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)
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
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 6-11: 1t po
q6-8h (mdd=4t)
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
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
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 50 OTC Products in 2004
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
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:
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
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
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.
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
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
* * ranked by dollar sales as compiled by Information Resources, Inc. and found on www.drugtopics.com
Top 30 Common Herbals/Dietary Supplements
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.
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.
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.
* 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
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
* 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.
* 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
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.
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
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
* 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
antiviral OCD
* 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.