Brand name

Lazuli

Pregnancy
Category B

Generic
name

Indication

Contraindication

Side effect

Drug
interaction

Nursing
consideration
s

Lanzoprazole

Treatment
for peptic
ulcer
disease and
in other
conditions
where
inhibition of
gastric acid
secretion
may be
beneficial.

Contraindicated in
patients with known
severe hypersensitivity to
any component of the
formulation.
Hypersensitivity reactions
may
include anaphylaxis, anap
hylactic
shock, angioedema,
bronchospasm,
acute interstitial nephritis,
and urticaria
Use cautiously with
pregnancy, lactation.

Headache
Diarrhea
skin rash
pruritus
dizziness
fatigue
constipation
nausea
vomiting
flatulence
abdominal
pain
arthralgia,
dry mouth

Diazepam
Phenytoin
Warfarin
Ketoconazole
Itraconazole
Antacids
and
sucralfate

Administer
before meals.
Caution patient
to swallow
capsules whole,
not to open,
chew, or crush.
If patient has
difficulty
swallowing,
open capsule
and sprinkle
granules on
apple sauce,
Ensure, yogurt,
cottage cheese,
or strained
pears; for NG
tube, mix
granules from
capsule with 40
mL apple juice
and inject
through tube,
flush tube with
additional apple
juice; or
granules for oral
suspension can
be added to 30
mL water, stir
well, and have
patient drink
immediately.

Arrange for
further
evaluation of
patient after 4
wk of therapy
for acute gastro
reflux disorders
if symptomatic
improvement
does not rule
out gastric
cancer, which
did occur in
preclinical
studies.

Brand
name

Generic name

Indication

Contraindicat
ion

Side effect

Drug interaction

Nursing
implicatio
ns

Benadry
l
*with or
with no
food
*25-50
mg tidqid

diphenhydra
mine

Hay fever
Urticaria
Rhinitis
Angioneurot
ic edema
Drug
sensitizatio
n
Serum and
penicillin
reaction
Dermatitis
Atopic
eczema
Parkinsonis
m
Motion
sickness

cardiac
disease or
hypertension
glaucoma
gastric or
duodenal
ulcers

CNS: headache,
fatigue, anxiety,
tremors, vertigo,
confusion,
depression,
seizures, hallucina
tions
CV: tachycardia,
palpitations,
orthostatic
hypotension,
heart failure
EENT: blurred
vision
GI: dry mouth,
nausea, vomiting,
constipation,
flatulence
GU: urinary
hesitancy or
frequency, urine
retention
Hematologic:
leucopenia
Skin:
photosensitivity,
dermatitis

Possible increased and

prolonged anticholinergic
effects with MAO
inhibitors

Caution the
client that the
medication
may cause
drowsiness,
creating
difficulties or
hazards or
other activities
that require
alertness.
Tell the client
to take the
medication
with food to
decrease GI
upset.
Explain to
the client that
arising quickly
forms a lying
or sitting
position may
cause
orthostatic
hypotension.
When taking
these
medications,
the client
needs to have
blood cells
counts, renal
function,
hepatic
function, and
blood pressure
monitored.
Adverse
effects of
these drugs
occur more
commonly in

elderly clients.
Explain to
the client that
use of these
drugs in warm
weather may
increase the
likelihood of
heatstroke.

Brand name

Generic name

Indication

Contraindicati
on

Side effect

Drug
interaction

Nursing
implications

Biogesic

*with or
without food
500mg 4-6 hrs

Paracetamol

Relieve of
fever
Minor aches
Pains

Anemia
Cardiac

Allergic skin
reactions

pulmonary
disease

GI disturbance

Anticonvulsant
Aspirin

hepatic or
severe renal
failure

Inh
Hemolytic
Anemia
Neutropenia
Thrombocytop
enia
Pancytopenia
Leukopenia
Urticaria
CNS
stimulation
Hypoglycemic
coma
Jaundice
Glissitis
Drowsiness

Phenothiazine
s
Alcohol

Pain in > 5
days for
children and
10 days for
adults
Fever of >3
days

Liver Damage

Bran
d
name
Euro-

Generic
name
Metocloprami

Indication

Nausea and

Contraindicatio
n
history of

Side effect

Drug
interaction

Nursing implications

feeli

antagonism

patients receiving drugs

med
slow
IV /
IM.
Adult
10m
g
8hrly.

de HCL

vommiting due to GI
disorders,after
surgery and cancer
chemotherapy.GI
motility
disorders.GERD and
non-ulcer
dyspepsia.Radiodiag
nostic procedures in
the GIT.

siezures, peptic
ulcer desease
and
pheochromocyt
oma

ng restless,
drowsy,
tired, or
dizzy;
head
ache, sleep
problems
(insomnia);
naus
ea,
vomiting,
diarrhea;
brea
st
tenderness
or swelling;
chan
ges in your
menstrual
periods; or.
urina
ting more
than usual.

w/
antimuscari
nic agents
and opioid
analgesics.
May effect
absorption
of other
drugs given
concomitan
tly

that cause
extrapyramidal effects
eg antipsychotis or
antimanic drugs eg
lithium ,
antidepressants,antiepil
eptics and
sympathomimetics.elde
rly and young
chldn.renal and hepatic
impairment.DI

Brand name
Losec
Pregnancy
Category:C
40 mg powder
and solvent for
solution for
injectio

Generic name
Omeprazole

Indication
Duodenal and
gastric ulcer.
Gastroesopha
geal reflux
disease
including
severe erosive
esophagitis (4
to 8 wk
treatment).
Long-term
treatment of
pathologic
hypersecretor
y conditions
such as
ZollingerEllison
syndrome,
multiple
endocrine
adenomas,
and systemic
mastocytosis.
In combination
with
clarithromycin
to treat

Contraindicati
on
Long-term use
for
gastroesophag
eal reflux
disease,
duodenal
ulcers;
lactation.
Suppresses
gastric acid
secretion
relieving
gastrointestin
al distress and
promoting
ulcer healing.

Side effect
CNS:Headache,
dizziness, fatigue.
GI:Diarrhea,
abdominal pain,
nausea, mild
transient
increases in liver
function tests.
Urogenital:Hemat
uria, proteinuria.
Skin:Rash.

Drug
interaction
Antacids may
be
administered
with
omeprazole.

Nursing
implications
Lab tests:
Monitor
urinalysis for
hematuria
and
proteinuria.
Periodic liver
function tests
with
prolonged
use.
Report any
changes in
urinary
elimination
such as pain
or discomfort
associated
with urination,
or blood in
urine.
Report severe
diarrhea; drug
may need to
be
discontinued.
Do not breast
feed while

duodenal
ulcers
associated
with
Helicobacter
pylori.

Brand name

Generic name

Indication

Xyzal

LEVOCETIRIZI
NE

Levocetirizine
is an
antihistamine
used to
relieve
allergy
symptoms
such as
watery eyes,
runny nose,
itching
eyes/nose,
sneezing,
hives, and
itching. It
works by
blocking a

with or
without food
adult 5mg
daily

taking this
drug.

Contraindicati
on
end stage of
renal disease
patients
undergoing
dialysis

Side effect
Dry mouth,
Fatigue
Nasopharyngi
tis
Pharyngitis
CNS
depression
Drowsiness
Sedation
ranging from
mild
drowsiness to
deep sleep
Dizziness
Lassitude
Disturbed
coordination

Drug
interaction
Alcohol and
other CNS
depressant

Nursing implications
hereditary
problems of
galactose
intolerance.lapplactase deficiency
or glucose-galactose
malabsorption.preg
nancy and
lactation. May cause
allergic
reaction.may impair
ability to drive or
operate machinery.

certain
natural
substance
(histamine)
that your
body makes
during an
allergic
reaction

Brand name

Generic name

Indication

Immunomax

Sodium
carboxymetyl

Dietary
supplement that
modulates
immune
function. May
be used as
adjuvant to
prevent &
reduce duration
& severity of

therapeutic use 4
- 8 capsules three
times per day

Restlessness
Insomnia
Tremors
Euphoria
Nervousness
Delirium
Palpitation
seizures is
less common
Epigastric
distress
Anorexia
Nausea
Vomiting
Diarrhea
Constipation

Contraindicati
on
Hypersensitivit
y to -glucans.
Pregnancy &
lactation

Side effect
No toxicity or
bad effects
noted

Drug
interaction

Nursing
implications
No changes in
kidney and
liver functions
found in
patients after
CM-glucan
administration
and no effects
on heart rate
and blood

asthma &
allergic rhinitis,
upper resp tract
infections &
other diseases
of immunologic
imbalance. May
be used
together w/
anti-infectives &
pre- &
postsurgical
procedures to
help prevent &
reduce post-op
infections.
Enhances
immune
function and
helps in
reducing
infection. It may
be given as
adjuvant to
antimicrobial,
antiviral and
antifungal
agents.
Helps reduce
severity and
duration of
allergic rhinitis
and asthma or
as an adjunct to
antiasthma

pressure.

medications.

Brand name
Alanerv
1 softgel
capsule daily.
Take Alanerv
on a full
stomach.

Generic name
Alpha-lipoic
acid, linolenic acid,
selenium and
vitamin Bcomplex with
vitamin E.

Indication
Food
supplement
with
antioxidant
effect on free
radicals, with
action on cell
trophism and
helps protect
the nervous
cells.

Contraindicati
on

Side effect

Shots may hurt a

little, but the
diseases they can
prevent are a lot
worse. Some are
even lifethreatening.
Immunization
shots, or
vaccinations, are
essential. They
protect against
things like
measles, mumps,
rubella, hepatitis
B, polio,
diphtheria,
tetanus, and
pertussis
(whooping
cough).
Immunizations
are important for
adults as well as
children.
Your immune
system helps your
body fight germs
by producing
substances to
combat them.
Once it does, the
immune system
"remembers" the
germ and can
fight it again.
Vaccines contain
germs that have
been killed or

Depressed
level of
consciousness
Dysarthria
sumnolence

Drug
interaction

Nursing
implications

weakened. When
given to a healthy
person, the
vaccine triggers
the immune
system to
respond and thus
build immunity.

Brand
name

Generic name

Indication

Contraindicatio
n

Side effect

Quinosyn

ciprofloxacin

For the treatment of

infections caused by
susceptible gram-negative
bacteria, including E. coli, P.
mirabilis,
K. pneumoniae, Enterobacte
r cloacae, P. vulgaris,
P. rettgeri, M. morganii,
P. aeruginosa,Citrobacter fre
undii, S. aureus,
S. epidermidis, group D
streptococci
Otic: Treatment of
acute otitis externa
Treatment of chronic
bacterial prostatitis
IV:Treatmentofosocomial pne
umoniacausedby Haemophil
us influenzae,K. pneumoniae
Oral: Typhoid fever
Oral: STDs caused
by N. gonorrheae
Prevention of anthrax

Contraindicated
with allergy to
ciprofloxacin, n
orfloxacin or
other
fluoroquinolone
s, pregnancy,
lactation.
Use cautiously
with renal
dysfunction,
seizures, tendin
itis or tendon
rupture
associated
with fluoroquin
olone use.

CNS: Head
ache, dizzin
ess,
insomnia,
fatigue,
somnolenc
e,
depression,
blurred
vision
CV: Arrhyth
mias,hypot
ension,
angina
EENT: Dry
eye,
eyepain,
keratopath
y
GI: Nausea,
vomiting,dr
y
mouth, diar

500mg per
orem

Drug
interacti
on
Decrease
d therap
etic effec
t with
iron
salts, suc
ralfate
Decrease
d
absorptio
n with
antacids,
didanosi
ne
Increase
d serum
levels
and toxic
effects
of theop
hyllines i
f taken
concurre

Nursing
implications
History: Aller
gy to
ciprofloxacin
, norfloxacin
or other
quinolones;
renal
dysfunction;
seizures;
lactation
Physical: Ski
n color,
lesions; T;
orientation,
reflexes,
affect;
mucous
membranes,
bowel
sounds;
renal and
liver
function

following exposure to
anthrax bacilla (prophylactic
use in regions suspected of
using germ warfare)
Unlabeled use: Effective in
patients with cystic fibrosis
who have pulmonary
exacerbations

rhea, abdo
minal pain
Hematologi
c: Elevated
BUN,
AST,ALT,
serum crea
tinine and
alkaline ph
osphatase;
decreased
WBC, neutr
ophil count,
Hct
Other: Feve
r, rash

ntly with
ciproflox
acin
Increase
d effects
of
coumarin
or its
derivativ
es

tests