Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

his list of confused drug names, which includes look-alike and
sound-alike name pairs, consists of those name pairs that have
been published in the ISMP Medication Safety Alert! and the
ISMP Medication Safety Alert! Community/Ambulatory Care Edition.
Events involving these medications were reported to ISMP through
either the ISMP National Medication Errors Reporting Program (ISMP
MERP) or ISMP National Vaccine Errors Reporting Program (ISMP
VERP). We hope you will use this list to determine which medications

require special safeguards to reduce the risk of errors. This may

include strategies such as: using both the brand and generic names on
prescriptions and labels; including the purpose of the medication on
prescriptions; configuring computer selection screens to prevent lookalike names from appearing consecutively; and changing the appearance of look-alike product names to draw attention to their dissimilarities. Both the FDA-approved and the ISMP-recommended tall man
(mixed case) letters have been included in the list below.
Updated April 2014

Drug Name

Confused Drug Name

Abelcet
Accupril
acetaZOLAMIDE
acetic acid for irrigation
acetoHEXAMIDE
Aciphex
Aciphex
Activase
Activase
Actonel
Actos
Adacel (Tdap)
Adderall
Adderall
Adderall XR
ado-trastuzumab emtansine
Advair
Advicor
Advicor
Afrin (oxymetazoline)
Afrin (saline)
Aggrastat
Aldara
Alkeran
Alkeran
Allegra (fexofenadine)
Allegra

amphotericin B
Aciphex
acetoHEXAMIDE
glacial acetic acid
acetaZOLAMIDE
Accupril
Aricept
Cathflo Activase
TNKase
Actos
Actonel
Daptacel (DTaP)
Inderal
Adderall XR
Adderall
trastuzumab
Advicor
Advair
Altocor
Afrin (saline)
Afrin (oxymetazoline)
argatroban
Alora
Leukeran
Myleran

Allegra Anti-Itch Cream (diphenhydrAMINE/allantoin)

Alora
ALPRAZolam
Altocor
amantadine
Amaryl
Ambisome
Amicar

Allegra Anti-Itch Cream (diphenhydrAMINE/allantoin)

Viagra
Allegra (fexofenadine)
Aldara
LORazepam
Advicor
amiodarone
Reminyl
amphotericin B
Omacor

Drug Name

Confused Drug Name

Amikin
Kineret
aMILoride
amLODIPine
amiodarone
amantadine
amLODIPine
aMILoride
amphotericin B
Abelcet
amphotericin B
Ambisome
Anacin
Anacin-3
Anacin-3
Anacin
antacid
Atacand
Antivert
Axert
Anzemet
Avandamet
Apidra
Spiriva
Apresoline
Priscoline
argatroban
Aggrastat
argatroban
Orgaran
Aricept
Aciphex
Aricept
Azilect
ARIPiprazole
proton pump inhibitors
ARIPiprazole
RABEprazole
Arista AH (absorbable hemostatic agent)
Arixtra
Arixtra
Arista AH (absorbable hemostatic agent)
Asacol
Os-Cal
Atacand
antacid
atomoxetine
atorvastatin
atorvastatin
atomoxetine
Atrovent
Natru-Vent
Avandamet
Anzemet
Avandia
Prandin
Avandia
Coumadin
AVINza
INVanz
AVINza
Evista
Axert
Antivert
azaCITIDine
azaTHIOprine
azaTHIOprine
azaCITIDine
Azilect
Aricept

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.

www.ismp.org

Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

Drug Name

Confused Drug Name

Drug Name

Confused Drug Name

B & O (belladonna and opium)

BabyBIG
Bayhep-B
Bayhep-B
Bayrab
Bayrab
Bayrho-D
Bayrho-D
Beano
Benadryl
benazepril
Benicar
Betadine (with povidone-iodine)
Betadine (without povidone-iodine)
Bextra
Bicillin C-R
Bicillin L-A
Bicitra
Bidex
Brethine
Bio-T-Gel
Brevibloc
Brevital
buPROPion
busPIRone
Capadex [non-US product]
Capex
Carac
captopril
carBAMazepine
CARBOplatin
Cardene
Cardizem
Cardura
carvedilol
Casodex
Cathflo Activase
Cedax
ceFAZolin
cefTRIAXone
CeleBREX
CeleBREX
CeleXA
CeleXA
CeleXA
Cerebyx

Beano
HBIG (hepatitis B immune globulin)
Bayrab
Bayrho-D
Bayhep-B
Bayrho-D
Bayhep-B
Bayrab
B & O (belladonna and opium)
benazepril
Benadryl
Mevacor
Betadine (without povidone-iodine)
Betadine (with povidone-iodine)
Zetia
Bicillin L-A
Bicillin C-R
Polycitra
Videx
Methergine
T-Gel
Brevital
Brevibloc
busPIRone
buPROPion
Kapidex
Kapidex
Kuric
carvedilol
OXcarbazepine
CISplatin
Cardizem
Cardene
Coumadin
captopril
Kapidex
Activase
Cidex
cefTRIAXone
ceFAZolin
CeleXA
Cerebyx
ZyPREXA
CeleBREX
Cerebyx
CeleBREX

Cerebyx
cetirizine
cetirizine
chlordiazePOXIDE
chlorproMAZINE
chlorproMAZINE
chlorproPAMIDE
Cidex
CISplatin
Claritin (loratadine)
Claritin-D
Claritin-D 24
Claritin Eye (ketotifen fumarate)
Clindesse
Clindets
clobazam
clomiPHENE
clomiPRAMINE
clonazePAM
clonazePAM
clonazePAM
cloNIDine
cloNIDine
Clozaril
coagulation factor IX (recombinant)
codeine
Colace
Colazal
colchicine
Comvax
Cortrosyn
Coumadin
Coumadin
Cozaar
Cozaar
cyclophosphamide
cycloSERINE
cycloSPORINE
cycloSPORINE
Cymbalta
DACTINomycin
Daptacel (DTaP)
DAPTOmycin
Darvocet
Darvon
DAUNOrubicin

CeleXA
sertraline
stavudine
chlorproMAZINE
chlordiazePOXIDE
chlorproPAMIDE
chlorproMAZINE
Cedax
CARBOplatin
Claritin Eye (ketotifen fumarate)
Claritin-D 24
Claritin-D
Claritin (loratadine)
Clindets
Clindesse
clonazePAM
clomiPRAMINE
clomiPHENE
clobazam
cloNIDine
LORazepam
clonazePAM
KlonoPIN
Colazal
factor IX complex, vapor heated
Lodine
Cozaar
Clozaril
Cortrosyn
Recombivax HB
colchicine
Avandia
Cardura
Colace
Zocor
cycloSPORINE
cycloSPORINE
cyclophosphamide
cycloSERINE
Symbyax
DAPTOmycin
Adacel (Tdap)
DACTINomycin
Percocet
Diovan
DAUNOrubicin citrate liposomal

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.

www.ismp.org

Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

Drug Name

Confused Drug Name

Drug Name

Confused Drug Name

DAUNOrubicin
DAUNOrubicin
DAUNOrubicin citrate liposomal
Denavir
Depakote
Depakote ER
Depo-Medrol
Depo-Provera
Depo-subQ Provera 104
desipramine
dexmethylphenidate
Diabinese
Diabeta
Diamox
Diflucan
Dilacor XR
Dilaudid
Dilaudid-5
dimenhyDRINATE
diphenhydrAMINE
Dioval
Diovan
Diovan
Diovan
Diprivan
Diprivan
disopyramide
Ditropan
DOBUTamine
DOPamine
Doribax
Doxil
DOXOrubicin
DOXOrubicin
DOXOrubicin
DOXOrubicin liposomal
Dulcolax (bisacodyl)
Dulcolax (docusate sodium)
DULoxetine
Durasal
Durezol
Duricef
Dynacin
Dynacirc
edetate calcium disodium
edetate disodium

DOXOrubicin
IDArubicin
DAUNOrubicin
indinavir
Depakote ER
Depakote
Solu-MEDROL
Depo-subQ Provera 104
Depo-Provera
disopyramide
methadone
Diamox
Zebeta
Diabinese
Diprivan
Pilocar
Dilaudid-5
Dilaudid
diphenhydrAMINE
dimenhyDRINATE
Diovan
Dioval
Zyban
Darvon
Diflucan
Ditropan
desipramine
Diprivan
DOPamine
DOBUTamine
Zovirax
Paxil
DAUNOrubicin
DOXOrubicin liposomal
IDArubicin
DOXOrubicin
Dulcolax (docusate sodium)
Dulcolax (bisacodyl)
FLUoxetine
Durezol
Durasal
Ultracet
Dynacirc
Dynacin
edetate disodium
edetate calcium disodium

Effexor
Effexor XR
Effexor XR
Enablex
Enbrel
Engerix-B adult
Engerix-B pediatric/adolescent
Enjuvia
ePHEDrine
EPINEPHrine
epirubicin
eribulin
Estratest
Estratest HS
ethambutol
ethaverine [non-US name]
Ethmozine
etravirine
Evista
factor IX complex, vapor heated
Fanapt
Fastin (phentermine)
Fastin (dietary supplement)
Femara
Femhrt
fentaNYL
Fioricet
Fiorinal
flavoxATE
Flonase
Floranex
Florastor
Florinef
Florinef
Flovent
flumazenil
FLUoxetine
FLUoxetine
FLUoxetine
fluvoxaMINE
Folex
folic acid
folinic acid (leucovorin calcium)
Foltx
fomepizole
Foradil

Effexor XR
Enablex
Effexor
Effexor XR
Levbid
Engerix-B pediatric/adolescent
Engerix-B adult
Januvia
EPINEPHrine
ePHEDrine
eribulin
epirubicin
Estratest HS
Estratest
Ethmozine
etravirine
ethambutol
ethaverine [non-US name]
AVINza
coagulation factor IX (recombinant)
Xanax
Fastin (dietary supplement)
Fastin (phentermine)
Femhrt
Femara
SUFentanil
Fiorinal
Fioricet
fluvoxaMINE
Flovent
Florinef
Florinef
Floranex
Florastor
Flonase
influenza virus vaccine
PARoxetine
DULoxetine
Loxitane
flavoxATE
Foltx
folinic acid (leucovorin calcium)
folic acid
Folex
omeprazole
Fortical

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.

www.ismp.org

Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

Drug Name

Confused Drug Name

Foradil
Toradol
Fortical
Foradil
gentamicin
gentian violet
gentian violet
gentamicin
glacial acetic acid
acetic acid for irrigation
glipiZIDE
glyBURIDE
Glucotrol
Glycotrol
glyBURIDE
glipiZIDE
Glycotrol
Glucotrol
Granulex
Regranex
guaiFENesin
guanFACINE
guanFACINE
guaiFENesin
HBIG (hepatitis B immune globulin)
BabyBIG
Healon
Hyalgan
heparin
Hespan
Hespan
heparin
HMG-CoA reductase inhibitors ("statins")
nystatin
HumaLOG
HumuLIN
HumaLOG
NovoLOG
HumaLOG Mix 75/25
HumuLIN 70/30
Humapen Memoir (for use with HumaLOG)
Humira Pen
Humira Pen
Humapen Memoir (for use with HumaLOG)
HumuLIN
NovoLIN
HumuLIN
HumaLOG
HumuLIN 70/30
HumaLOG Mix 75/25
HumuLIN R U-100
HumuLIN R U-500
HumuLIN R U-500
HumuLIN R U-100
Hyalgan
Healon
hydrALAZINE
hydrOXYzine
Hydrea
Lyrica
HYDROcodone
oxyCODONE
Hydrogesic
hydrOXYzine
HYDROmorphone
morphine
hydroxychloroquine
hydroxyurea
hydroxyurea
hydroxychloroquine
hydrOXYzine
Hydrogesic
hydrOXYzine
hydrALAZINE
IDArubicin
DAUNOrubicin
IDArubicin
DOXOrubicin
Inderal
Adderall
indinavir
Denavir
inFLIXimab
riTUXimab
influenza virus vaccine
flumazenil
influenza virus vaccine
tuberculin purified protein derivative (PPD)
Inspra
Spiriva
Intuniv
Invega

Drug Name

Confused Drug Name

INVanz
Invega
iodine
Isordil
ISOtretinoin
Jantoven
Jantoven
Janumet
Janumet
Janumet
Januvia
Januvia
Januvia
K-Phos Neutral
Kaopectate (bismuth subsalcylate)
Kaopectate (docusate calcium)
Kadian
Kaletra
Kapidex
Kapidex
Kapidex
Kapidex
Keflex
Keppra
Keppra
Ketalar
ketorolac
ketorolac
Kineret
KlonoPIN
Kuric
Kwell
LaMICtal
LamISIL
lamiVUDine
lamoTRIgine
lamoTRIgine
lamoTRIgine
Lanoxin
Lanoxin
lanthanum carbonate
Lantus
Lantus
Lariam
Lasix
Latuda

AVINza
Intuniv
Lodine
Plendil
tretinoin
Janumet
Januvia
Jantoven
Januvia
Sinemet
Enjuvia
Jantoven
Janumet
Neutra-Phos-K
Kaopectate (docusate calcium)
Kaopectate (bismuth subsalcylate)
Kapidex
Keppra
Capadex [non-US product]
Capex
Casodex
Kadian
Keppra
Kaletra
Keflex
ketorolac
Ketalar
methadone
Amikin
cloNIDine
Carac
Qwell
LamISIL
LaMICtal
lamoTRIgine
lamiVUDine
levETIRAcetam
levothyroxine
levothyroxine
naloxone
lithium carbonate
Latuda
Lente
Levaquin
Luvox
Lantus

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.

www.ismp.org

Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

Drug Name

Confused Drug Name

Lente
Letairis
Letaris [non-US product]
leucovorin calcium
leucovorin calcium
Leukeran
Leukeran
Leukeran
Levaquin
Levbid
levETIRAcetam
Levemir
levETIRAcetam
levETIRAcetam
levOCARNitine
levofloxacin
levoleucovorin
levothyroxine
levothyroxine
levothyroxine
Lexapro
Lexiva
liothyronine
Lipitor
Lipitor
lithium
lithium carbonate
Lodine
Lodine
Loniten
Lopressor
LORazepam
LORazepam
LORazepam
Lotronex
Lovaza
Lovenox
Loxitane
Loxitane
Loxitane
Lunesta
Lupron Depot-3 Month
Lupron Depot-Ped
Luvox
Lyrica
Lyrica

Lantus
Letaris [non-US product]
Letairis
Leukeran
levoleucovorin
Alkeran
Myleran
leucovorin calcium
Lariam
Enbrel
lamoTRIgine
Lovenox
levOCARNitine
levofloxacin
levETIRAcetam
levETIRAcetam
leucovorin calcium
lamoTRIgine
Lanoxin
liothyronine
Loxitane
Pexeva
levothyroxine
Loniten
ZyrTEC
Ultram
lanthanum carbonate
codeine
iodine
Lipitor
Lyrica
ALPRAZolam
clonazePAM
Lovaza
Protonix
LORazepam
Levemir
Lexapro
FLUoxetine
Soriatane
Neulasta
Lupron Depot-Ped
Lupron Depot-3 Month
Lasix
Hydrea
Lopressor

Drug Name

Confused Drug Name

Maalox
Maalox Total Stomach Relief
Maalox Total Stomach Relief
Maalox
Matulane
Materna
Materna
Matulane
Maxzide
Microzide
Menactra
Menomune
Menomune
Menactra
Mephyton
methadone
Metadate
methadone
Metadate CD
Metadate ER
Metadate ER
Metadate CD
Metadate ER
methadone
metFORMIN
metroNIDAZOLE
methadone
dexmethylphenidate
methadone
ketorolac
methadone
Mephyton
methadone
Metadate
methadone
Metadate ER
methadone
methylphenidate
methadone
metolazone
methadone
metoprolol
Methergine
Brethine
methimazole
metolazone
methylphenidate
methadone
metolazone
methadone
metolazone
methimazole
metoprolol
methadone
metoprolol succinate
metoprolol tartrate
metoprolol tartrate
metoprolol succinate
metroNIDAZOLE
metFORMIN
Mevacor
Benicar
Micronase
Microzide
Microzide
Maxzide
Microzide
Micronase
midodrine
Midrin
Midrin
midodrine
mifepristone
misoprostol
Miralax
Mirapex
Mirapex
Miralax
misoprostol
mifepristone
mitoMYcin
mitoXANTRONE
mitoXANTRONE
mitoMYcin
morphine
HYDROmorphone
morphine - non-concentrated oral liquid
morphine - oral liquid concentrate
morphine - oral liquid concentrate morphine - non-concentrated oral liquid
Motrin
Neurontin

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.

www.ismp.org

Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

Drug Name

Confused Drug Name

MS Contin
Mucinex
Mucinex D
Mucinex DM
Mucomyst
Myleran
Myleran
nalbuphine
naloxone
naloxone
Narcan
Natru-Vent
Navane
Neo-Synephrine (oxymetazoline)
Neo-Synephrine (phenylephrine)
Neulasta
Neulasta
Neulasta
Neumega
Neumega
Neupogen
Neurontin
Neurontin
Neutra-Phos-K
NexAVAR
NexIUM
niCARdipine
NIFEdipine
NIFEdipine
niMODipine
Norcuron
Normodyne
Noroxin
Norpramin
Norvasc
NovoLIN
NovoLIN
NovoLIN 70/30
NovoLOG
NovoLOG
NovoLOG Flexpen
NovoLOG Mix 70/30 Flexpen
NovoLOG Mix 70/30
Nuedexta
nystatin
Occlusal-HP

OxyCONTIN
Mucomyst
Mucinex DM
Mucinex D
Mucinex
Alkeran
Leukeran
naloxone
Lanoxin
nalbuphine
Norcuron
Atrovent
Norvasc
Neo-Synephrine (phenylephrine)
Neo-Synephrine (oxymetazoline)
Lunesta
Neumega
Nuedexta
Neupogen
Neulasta
Neumega
Motrin
Noroxin
K-Phos Neutral
NexIUM
NexAVAR
NIFEdipine
niCARdipine
niMODipine
NIFEdipine
Narcan
Norpramin
Neurontin
Normodyne
Navane
HumuLIN
NovoLOG
NovoLOG Mix 70/30
HumaLOG
NovoLIN
NovoLOG Mix 70/30 Flexpen
NovoLOG Flexpen
NovoLIN 70/30
Neulasta
HMG-CoA reductase inhibitors ("statins")
Ocuflox

Drug Name

Confused Drug Name

Ocuflox
Occlusal-HP
OLANZapine
QUEtiapine
Omacor
Amicar
omeprazole
fomepizole
opium tincture
paregoric (camphorated tincture of opium)
Oracea
Orencia
Orencia
Oracea
Orgaran
argatroban
Ortho Tri-Cyclen
Ortho Tri-Cyclen LO
Ortho Tri-Cyclen LO
Ortho Tri-Cyclen
Os-Cal
Asacol
oxaprozin
OXcarbazepine
OXcarbazepine
oxaprozin
OXcarbazepine
carBAMazepine
oxyCODONE
HYDROcodone
oxyCODONE
OxyCONTIN
OxyCONTIN
MS Contin
OxyCONTIN
oxyCODONE
PACLitaxel
PACLitaxel protein-bound particles
PACLitaxel protein-bound particles
PACLitaxel
Pamelor
Panlor DC
Pamelor
Tambocor
Panlor DC
Pamelor
paregoric (camphorated tincture of opium)
opium tincture
PARoxetine
FLUoxetine
PARoxetine
piroxicam
Patanol
Platinol
Pavulon
Peptavlon
Paxil
Doxil
Paxil
Taxol
Paxil
Plavix
pazopanib
ponatinib
PEMEtrexed
PRALAtrexate
penicillin
penicillamine
penicillamine
penicillin
Peptavlon
Pavulon
Percocet
Darvocet
Percocet
Procet
Pexeva
Lexiva
PENTobarbital
PHENobarbital
PHENobarbital
PENTobarbital
Pilocar
Dilacor XR
piroxicam
PARoxetine
Platinol
Patanol
Plavix
Paxil
Plavix
Pradax [Non-US Product]

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.

www.ismp.org

Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

Drug Name

Confused Drug Name

Drug Name

Confused Drug Name

Plavix
Plendil
pneumococcal 7-valent vaccine
pneumococcal polyvalent vaccine
Polycitra
ponatinib
potassium acetate
PRALAtrexate
Pradax [Non-US Product]
Pradaxa
Prandin
Precare
Precose
prednisoLONE
predniSONE
Prenexa
PriLOSEC
PriLOSEC
Priscoline
Pristiq
probenecid
Procan SR
Procanbid
Procanbid
Procardia XL
Procet
Prograf
propylthiouracil
Proscar
Protain XL
protamine
proton pump inhibitors
Protonix
Protonix
Provera
Provera
PROzac
PROzac
PROzac
Purinethol
Pyridium
pyridoxine
QUEtiapine
quiNIDine
quiNINE
Qwell

Pradaxa
Isordil
pneumococcal polyvalent vaccine
pneumococcal 7-valent vaccine
Bicitra
pazopanib
sodium acetate
PEMEtrexed
Plavix
Plavix
Avandia
Precose
Precare
predniSONE
prednisoLONE
Ranexa
Pristiq
PROzac
Apresoline
PriLOSEC
Procanbid
Procanbid
probenecid
Procan SR
Protain XL
Percocet
PROzac
Purinethol
Provera
Procardia XL
Protonix
ARIPiprazole
Lotronex
protamine
Proscar
PROzac
Prograf
PriLOSEC
Provera
propylthiouracil
pyridoxine
Pyridium
OLANZapine
quiNINE
quiNIDine
Kwell

RABEprazole
Ranexa
Rapaflo
Rapamune
Razadyne
Recombivax HB
Regranex
Reminyl
Reminyl
Renagel
Renvela
Reprexain
Restoril
Retrovir
Rifadin
Rifamate
rifampin
rifampin
Rifater
rifaximin
RisperDAL
risperiDONE
Ritalin
Ritalin LA
Ritalin SR
ritodrine
ritonavir
riTUXimab
Robinul
rOPINIRole
Roxanol
Roxanol
Roxicet
Roxicodone Intensol
Rozerem
Salagen
SandIMMUNE
SandoSTATIN
saquinavir
saquinavir (free base)
saquinavir mesylate
Sarafem
selegiline
Serophene
SEROquel
SEROquel

ARIPiprazole
Prenexa
Rapamune
Rapaflo
Rozerem
Comvax
Granulex
Robinul
Amaryl
Renvela
Renagel
ZyPREXA
RisperDAL
ritonavir
Rifater
rifampin
Rifamate
rifaximin
Rifadin
rifampin
Restoril
rOPINIRole
ritodrine
Ritalin SR
Ritalin LA
Ritalin
Retrovir
inFLIXimab
Reminyl
risperiDONE
Roxicodone Intensol
Roxicet
Roxanol
Roxanol
Razadyne
selegiline
SandoSTATIN
SandIMMUNE
SINEquan
saquinavir mesylate
saquinavir (free base)
Serophene
Salagen
Sarafem
SEROquel XR
Serzone

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.

www.ismp.org

Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

Drug Name

Confused Drug Name

SEROquel
SEROquel XR
sertraline
sertraline
Serzone
silodosin
Sinemet
SINEquan
SINEquan
SINEquan
SINEquan
Singulair
sirolimus
sitaGLIPtin
sodium acetate
Solu-CORTEF
Solu-MEDROL
Solu-MEDROL
Sonata
Soriatane
Soriatane
Soriatane
sotalol
Spiriva
Spiriva
stavudine
Sudafed
Sudafed
Sudafed PE
SUFentanil
sulfADIAZINE
sulfADIAZINE
sulfaSALAzine
sulfiSOXAZOLE
SUMAtriptan
SUMAtriptan
Symbyax
T-Gel
Tambocor
Taxol
Taxol
Taxotere
TEGretol
TEGretol
TEGretol
TEGretol XR

SINEquan
SEROquel
cetirizine
Soriatane
SEROquel
sirolimus
Janumet
saquinavir
SEROquel
Singulair
Zonegran
SINEquan
silodosin
SUMAtriptan
potassium acetate
Solu-MEDROL
Depo-Medrol
Solu-CORTEF
Soriatane
Loxitane
sertraline
Sonata
Sudafed
Apidra
Inspra
cetirizine
sotalol
Sudafed PE
Sudafed
fentaNYL
sulfaSALAzine
sulfiSOXAZOLE
sulfADIAZINE
sulfADIAZINE
sitaGLIPtin
ZOLMitriptan
Cymbalta
Bio-T-Gel
Pamelor
Taxotere
Paxil
Taxol
TEGretol XR
Tequin
TRENtal
TEGretol

Drug Name

Confused Drug Name

Tenex
Xanax
Tequin
TEGretol
Tequin
Ticlid
Testoderm TTS
Testoderm
Testoderm TTS
Testoderm with Adhesive
Testoderm with Adhesive
Testoderm
Testoderm with Adhesive
Testoderm TTS
Testoderm
Testoderm TTS
Testoderm
Testoderm with Adhesive
tetanus diptheria toxoid (Td)
tuberculin purified protein derivative (PPD)
Thalomid
Thiamine
Thiamine
Thalomid
tiaGABine
tiZANidine
Tiazac
Ziac
Ticlid
Tequin
tiZANidine
tiaGABine
TNKase
Activase
TNKase
t-PA
Tobradex
Tobrex
Tobrex
Tobradex
TOLAZamide
TOLBUTamide
TOLBUTamide
TOLAZamide
Topamax
Toprol-XL
Toprol-XL
Topamax
Toradol
Foradil
t-PA
TNKase
Tracleer
Tricor
traMADol
traZODone
trastuzumab
ado-trastuzumab emtansine
traZODone
traMADol
TRENtal
TEGretol
tretinoin
ISOtretinoin
Tricor
Tracleer
tromethamine
Trophamine
Trophamine
tromethamine
tuberculin purified protein derivative (PPD)
influenza virus vaccine
tuberculin purified protein derivative (PPD)
tetanus diptheria toxoid (Td)
Tylenol
Tylenol PM
Tylenol PM
Tylenol
Ultracet
Duricef
Ultram
lithium
valACYclovir
valGANciclovir
Valcyte
Valtrex
valGANciclovir
valACYclovir
Valtrex
Valcyte
Varivax
VZIG (varicella-zoster immune globulin)

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.

www.ismp.org

Institute for Safe Medication Practices

ISMPs List of Confused Drug Names

Drug Name

Confused Drug Name

Vesanoid
Vesicare
Vesicare
Vesanoid
Vexol
Vosol
Viagra
Allegra
Videx
Bidex
vinBLAStine
vinCRIStine
vinCRIStine
vinBLAStine
Viokase
Viokase 8
Viokase 8
Viokase
Vioxx
Zyvox
Viracept
Viramune
Viramune
Viracept
Viramune (nevirapine)
Viramune (herbal product)
Viramune (herbal product)
Viramune (nevirapine)
Vosol
Vexol
VZIG (varicella-zoster immune globulin)
Varivax
Wellbutrin SR
Wellbutrin XL
Wellbutrin XL
Wellbutrin SR
Xanax
Fanapt
Xanax
Tenex
Xanax
Zantac
Xeloda
Xenical
Xenical
Xeloda
Yasmin
Yaz
Yaz
Yasmin
Zantac
Xanax
Zantac
ZyrTEC
Zavesca (escitalopram) [non-US product]
Zavesca (miglustat)
Zavesca (miglustat)
Zavesca (escitalopram) [non-US product]
Zebeta
Diabeta
Zebeta
Zetia
Zegerid
Zestril
Zelapar (Zydis formulation)
ZyPREXA Zydis
Zerit
ZyrTEC

Drug Name

Confused Drug Name

Zestril
Zegerid
Zestril
Zetia
Zestril
ZyPREXA
Zetia
Bextra
Zetia
Zebeta
Zetia
Zestril
Ziac
Tiazac
Zocor
Cozaar
Zocor
ZyrTEC
ZOLMitriptan
SUMAtriptan
zolpidem
Zyloprim
Zonegran
SINEquan
Zostrix
Zovirax
Zovirax
Doribax
Zovirax
Zyvox
Zovirax
Zostrix
Zyban
Diovan
Zyloprim
zolpidem
ZyPREXA
CeleXA
ZyPREXA
Reprexain
ZyPREXA
Zestril
ZyPREXA
ZyrTEC
ZyPREXA Zydis
Zelapar (Zydis formulation)
ZyrTEC
Lipitor
ZyrTEC
Zantac
ZyrTEC
Zerit
ZyrTEC
Zocor
ZyrTEC
ZyPREXA
ZyrTEC
ZyrTEC-D
ZyrTEC (cetirizine)
ZyrTEC Itchy Eye Drops (ketotifen fumarate)
ZyrTEC-D
ZyrTEC
ZyrTEC Itchy Eye Drops (ketotifen fumarate)
ZyrTEC (cetirizine)
Zyvox
Vioxx
Zyvox
Zovirax

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. Brand name products
appear in black; generic/other products appear in red.
ISMP 2014. Permission is granted to reproduce material with proper attribution for internal use within healthcare
organizations. Other reproduction is prohibited without written permission from the Institute for Safe Medication
Practices (ISMP). Report actual and potential medication or vaccine errors to the ISMP National Medication Errors
Reporting Program (ISMP MERP) or ISMP National Vaccine Errors Reporting Program (ISMP VERP) via the Web at
www.ismp.org/merp or by calling 1-800-FAIL-SAF(E).

www.ismp.org