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Wednesday, January 1, 2014

Top Prescription Medications: 1 - 10

Top Prescription Medications: 1 - 10 

Consult a doctor if you have a medical concern. The following is editorial opinion only and not intended for use in medical diagnosis or treatment.
  1. HYDROCODONE - an opioid agonist used for pain and sedation. Usually combined with acetaminophen, so care must be taken to limit total daily dose of acetaminophen. May cause respiratory depression. Monitor Cr, LFTs at baseline and periodically. Currently Schedule 3.
  2. LEVOTHYROXINE - thyroid hormone replacement. Avoid use for obesity or weight loss. May cause heart problems including arrhythmias and failure. Monitor ECG.
  3. LISINOPRIL - ACE inhibitor for hypertension, congestive heart failure, and after an acute myocardial infarction. Avoid use during pregnancy. May cause angioedema, hyperkalemia, SIADH. Monitor renal function, BP, WBC.
  4. SIMVASTATIN - HMG CoA inhibitor (statin) used for lipid disorders. Avoid use during pregnancy. May cause myopathy, rhabdomyolysis, hepatotoxicity. Monitor Cr, CK, LFTs.
  5. AMOXICILLIN - a penicillin bactericidal antibiotic. May be used for pharyngitis, otitis, sinusitis,  dental infections. Avoid use in patients with mononucleosis. Can lower seizure threshold, result in yeast infection or GI upset. Monitor Cr, CBC, LFTs for prolonged treatment.
  6. AZITHROMYCIN - a macrolide antibiotic. May be used for pharyngitis, COPD, sinusitis (2nd line), pneumonia, chlamydia. May prolong QT interval, cause diarrhea.
  7. ATORVASTATIN - HMG CoA inhibitor (statin) used for lipid disorders. Avoid use during pregnancy. May cause myopathy, rhabdomyolysis, hepatotoxicity. Monitor Cr, CK, LFTs.
  8. METFORMIN - biguanide that decreases hepatic glucose production, decreases intestinal glucose absorption, and increases insulin sensitivity. Used for diabetes type 2 and polycystic ovary syndrome. Watch for lactic acidosis. Use with care in renal disease. Monitor Cr, Hct, HgbA1c, vitamin B-12.
  9. HCTZ - thiazide diuretic that inhibits distal tubule sodium and chloride resorption. Used for hypertension, edema. Watch for hyperglycemia, electrolyte disorders, hypotension. Monitor electrolytes looking for hypokalemia, hyponatremia, hypochloremia, hypomagnesemia, hypercalcemia.
  10. ALPRAZOLAM - benzodiazepine that enhances GABA effects. Used for anxiety and panic. Avoid abrupt withdrawal. Watch for CNS depression. Avoid in pregnancy. Monitor LFTs.
Sources: http://goo.gl/cQ3giB http://goo.gl/rgLZ8 http://goo.gl/zPXa