Top 200 Patient Consultation all

Top 200 Patient Consultation all Fluoxetine ans: Pay close attention to any changes, especially sudden, in mood behaviors, thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions May cause drowsiness, use caution while operating machinery or when mental alertness is required Avoid alcohol Up to 2 weeks before effects are seen Do not abruptly discontinue medication Notify physician if rash or hives develop Skip missed dose and return to normal dosing Duloxetine ans: Effects may take as long as 4 weeks to appear May cause drowsiness, use caution while operating machinery or when mental alertness is required Avoid alcohol Consult with doctor before taking nonprescription metications Do not abruptly discontinue Skip missed dose and return to normal dosing Antidepressants may increase suicidal thoughts or actions Ibuprofen ans: May take up to 2 weeks to see improvement in arthritic conditions May take with food or milk if GI upset occurs Concurrent ingestion of alcohol will increase ulcerogenic effect Avoid aspirin or aspirin-containing products Notify physician if adverse effects are bothersome or rash develops Missed dose, take as soon as possible Venlafaxine ans: Avoid alcohol Inform physician if they are taking any prescription or OTC drugs Swallow capsules whole, do not crush, chew, dissolve, or divide Do not stop therapy before consulting physician Antidepressants may increase suicidal thoughts or feelings Effect may take up to 2 weeks for improvement Warfarin ans: Drug and diet changes can affect inr. Consult physician before starting or stopping any drugs and avoid drastic changes in diet, especially green leafy vegetables Do not exceed prescribed dose Avoid alcohol, aspirin, and aspirin containing products Missed dose, take as soon as possible Bupropion ans: Take immediate-release tablets are regular intervals no sooner than 3 to 4 times a day Take extended-release tablets in the morning if possible to avoid insomnia Swallow SR and XL tablets whole - do not crush or chew Missed dose, wait til next scheduled dose Do not take OTC medications without talking to your physician Refrain from alcohol Weight loss or gain may be temporary Antidepressants may increase suicidal thoughts or actions Effect may take up to 2 weeks to show improvement Ranitidine ans: May be taken with food or milk if GI upset occurs Complete full course or therapy unless otherwise directed Do not freeze syrup Missed dose, take as soon as possible Lorazepam ans: May cause drowsiness, use caution while operating machinery or when mental alertness is required Avoid alcohol May be habit forming Missed dose, skip and return to normal Oxycodone with Acetaminophen ans: May cause drowsiness, use caution while oeprating machinery or when mental alertness is required Avoid alcohol May take with food or milk to avoid GI upset Do not exceed prescribed dose May be habit forming Cannot be refilled Missed dose, skip and return to normal Ondansetron ans: Do not remove chewable tablets from the blister until just prior to use. Do not try to push the tablet through the foil, peel the blister apart to remove Missed dose, take as soon as possible Oxycodone ans: Extended-release tablets must be taken whole. Taken broken, chewed, or crushed extended release tablets could lead to the rapid release and absorption of toxic dose Concentrate should be diluted prior to administration May cause drowsiness, use caution when operating machinery or when mental altertness is required Avoid alcohol May take with food or milk to avoid GI upset May be habit forming Cannot be refilled Missed dose, take as soon as possible Glipizide ans: Take 30 minutes before meals Compliance with therapy is essential for optimum effect Follow prescribed diet closely Avoid excessive use of alcohol Missed dose, take as soon as possible Trazodone/Desyrel, Oleptro ans: Take with food to enhance absorption May cause drowsiness, use caution with machinery Avoid alcohol Prolonged/inappropriate penile erection should discontinue Missed dose, skip and return to normal Amoxicillin/Amoxil, Moxatag, Trimox ans: Taken on empty stomach 1-2 hours before meal with full glass of water Chewable tabs must be chewed before swallowing, or crushed and mixed with food Take at even intervals, around the clock Complete full course of therapy Keep suspension refrigerated Discard after 14 days Shake suspension well before use Missed dose, take as soon as possible Pantoprazole/Protonix ans: With or without meals Swallow tablet whole, don't split or chew or crush Granules should be mixed with applesauce or apple juice and swallowed immediately Antacids may be taken at the same time Missed dose, take as soon as possible Pravastatin/Pravachol ans: Look for symptoms of myopathy (muscle pain, tenderness, malaise, fever) Closely follow prescribed diet Avoid exposure to sunlight Do not become pregnant Limit alcohol Missed dose, take as soon as possible Zolpidem/Ambien, Intermezzo ans: CR tabs swallowed whole and not divided, chewed, or crushed Causes drowsiness, do not operate machinery Avoid alcohol Maybe habit forming Escitalopram/Lexapro ans: May impair motor and cognitive performance, use caution with machinery Avoid alcohol Consult with someone when taking OTC medications Do not abruptly stop Antidepressants may increase suicidal thoughts or actions Continued therapy of up to 2 weeks to see results Azithromycin/Zithromax, Zmax ans: Tabs and suspensions taken with food Zmax taken on empty stomach, 1 hour before or 2 hours after meals Do not take antacids within one hour of administration Report severe or persistent diarrhea Shake suspensions well Clonazepam/Klonopin ans: May cause drowsiness, use caution with machinery Avoid alcohol May be habit forming Do not stop abruptly Atenolol/Tenormin ans: May be taken with food or milk if GI upset May cause drowsiness, use caution when using machinery Avoid abrupt withdrawal Diabetics- can mask hypoglycemic symptoms Cyclobenzaprine/Amrix, flexeril, fexmid ans: May cause drowsiness, use caution with machinery Avoid alcohol May cause dry mouth Place away from sunlight Clopidogrel/Plavix ans: Indications of infection (fever, chills, sore throat-neutropenia, signs of TTP, fatigue, weakness, anorexia, nausea, diarrhea, abdominal pain With or without food Bleeding time will be increased during therapy Tell physicians about therapy before surgery Do not exceed prescribed dose Do not take OTC omeprazole products Tamsulosin/Flomax ans: Take one half hour following the same meal every day May cause dizziness, use caution from rising from sitting position Lisinopril with hydrochlorothiazide ans: With or without meals Timing is important because of increased diuresis, give early in the am Avoid excessive exposure to sunlight Avoid non-prescription cough cold and allergy medications Avoid salt substitutes containing potassium Contact physician if swelling occurs Hydrochlorothiazide ans: May be taken with food or milk if GI upset Timing of dose is important because of diuresis Usually given in early A.M. Avoid excessive exposure to sunlight Potassium Chloride ans: Take with or after meals and with a full glass of water Swallow tablets (except K-Dur) whole K-Dur may be halved or dispersed in 4 oz of water Avoid salt substitutes containing potassium Unabsorbable wax matrix may be found in stool Missed dose= take as soon as possible Fluticasone Propionate (nasal) ans: Therapeutic effects are not seen at once, within a few days to 3 weeks Use at regular intervals for prevention of symptoms Clear nasal passages of secretions prior to use Can be used with decongestants Shake container before use Missed dose= take ASAP Tramadol ans: Drowsiness Avoid alcohol Do not split, crush, chew XR tabs May take with food or milk to avoid GI upset Continuous use may produce dependence Citalopram ans: May impair cognitive and motor performance Effects may take up to 2 weeks Do not abruptly stop medication Avoid alcohol May increase suicidal thoughts or actions Metoprolol Tartrate ans: Take with food to increase absorption Dizziness Diabetes: may mask hypoglycemic symptoms Missed dose= take ASAP Meloxicam ans: Effects may take up to 2 weeks May take with food or milk if GI upset occurs Shake suspension well Avoid alcohol Avoid aspirin Contact physician if signs of hepatic failure occur Losartan ans: May be taken with or without food Discontinue if pregnant Sertraline ans: Continued therapy is needed for effect Oral concentrate must be diluted prior to use: with water, ginger ale, lemon/lime soda, lemonade, or orange juice only, take immediately Avoid alcohol Use caution when performing task that require mental alterness Do not abruptly stop medication May increase suicidal thoughts or actions Montelukast ans: Take regularly Not intended to treat asthma attacks Phenylketonurics should be aware that chewable tablets contain phenylalanine Granules can be given directly or with soft food Metoprolol Succinate ans: Patients with heart failure should contact doctor if symptoms worsen Take with food to increase absorption Take hole or halved tablets without crushing Dizziness Diabetes: can mask hypoglycemic symptoms Carvedilol ans: Take with food to decrease orthostatic hypotension Contact lens wearers may decrease lacrimation Drowsiness Diabetes: mask hypoglycemic symptoms Avoid cough, cold, and allergy medications Prednisone ans: May take with food or milk if GI upset occurs Missed dose: take ASAP Lisinopril ans: Avoid non-prescription cough, cold, and allergy medications unless otherwise directed Avoid salt substitutes containing potassium Store in a cool, dry place away from sunlight and children Contact physician if signs of swelling occur Omeprazole ans: Take 30 min prior to eating Antacids may be taken at the same time Contents may be added to one tablespoon of apple sauce, swallowed immediately and followed with a glass of water Levothyroxine Sodium ans: Take on an empty stomach, one hour before or two hours after a meal Transient hair loss may be seen in children, but recovery usually occurs Hydrocodone bitartrate with acetaminophen ans: May cause drowsiness, caution while operating machinery Avoid alcohol May take with food or milk to avoid GI upset WARNING: may be habit forming Gabapentin ans: Drowsiness Avoid alcohol Do not abruptly stop taking, taper over a week Atorvastatin Calcium ans: Closely follow prescribed diet Avoid overexposure to sunlight due to photosensitivity. Use sunscreen and clothing Do not become pregnant during therapy Limit alcohol intake Metformin Hydrochloride ans: Should be taken with meals Avoid excessive alcohol consumption Closely follow recommended diet and exercise Keep well hydrated, drink plenty of fluids Amlodipine Besylate ans: Do not take OTC cough and cold remedies without checking with physician or pharmacist Albuterol Sulfate ans: Do not take more frequently than recommended If treatment becomes less effective, symptoms get worse, or more frequent use: seek medical attention Aerosol: avoid contact with eyes Shake canister before use