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Medication Side Effect Quick Referenc: GENERAL MEDICAL/SURGICAL PATIENT

(Your medication may cause other side effects. This is only a general reference highlighting some of the major side effects )

**** Keep your most current medication list with you at all time****

Drug Class & Indicators Most Frequently Common Side Effects Side Effects Which Require
Prescribed Brand Names (Tell your doctor if these Immediate Contact With
symptoms are severe or Your Doctor
do not go away)

ACE INHIBITORS Atlace (Ramipril) o Cough (dry and o Chest Pain


continuing) o Extreme weakness
Angiotensin (AN-jee-oh-ten-sin)- Accupril (Quinapril) o Headache o Fever, chills of sore
converting enzyme (ACE) o Dizziness, light- throat
inhibitors treat high blood Capoten (Captopril) headedness, o Hoarseness
pressure, certain heart fainting, or o Irregular Heartbeat
conditions, and kidney disease Lotensin (Benazepril) tiredness o numbness or tingling
o Nausea or vomiting in hands or feet
Monoporil (Fosinopril) o Diarrhea or o Skin rash, severe
constipation itching or hives
Prinivil/Zestril (Lisinopril) o Swelling of face,
moth, hands or feet
Vasotec (Enalapril)
o Trouble breathing or
swallowing

ANGIOTENSIN RECEPTOR Cozaar (Losartan) o Dizziness o Swelling of face,

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ANTAGONISTS (ARB) o Headache throat, tongue, lips,
Diovan (Valsartan) o Excessive tiredness eyes, hands, feet,
Treats high blood pressure and o Diarrhea ankles, or lower legs
protect kidney Atacand (Candesartan) o Stomach upset o Hoarseness
o Back pain o Difficulty breathing or
Benicar (Olmesartan) o Joint pain swallowing
o Fainting
Avapro (Irbesartan)

Micardis (Telmisartan)
Drug Class & Indications Most Frequently Prescribed Common Side Effects (Tell Side Effects which Require
Brand Names your doctor if these Immediate Contact With
symptoms are severe or do Your Doctor
not go away)
ANTICOAGULANTS Coumadin (Warfarin) o Bleeding problems o Signs of life threatening
o Headaches (Coumadin) reactions (i.e. wheezing,
These medications are used Lovenox (Enoxaparin) o Nausea or vomiting bad cough, chest tightness,
to thin the blood so that (Coumadin) blue skin color, swelling of
Fragmin (Dalteparin) face, lips, tongue, or
clots will not form. Lovenox o Irritation where the shot is
throat)
may be used to treat blood given o Severe dizziness or passing
clots or to decrease heart Arixtra (Fondaparinux)
out
attacks in patients who o Swelling or pain of leg or
have unstable angina or arm
mild heart attacks. o Severe headache
o Severe nausea or vomiting
o Unusual or bleeding
o Any rash
o No improving condition or
feeling worse
ANTI-PLATELET Plavic (Clopidogrel) o Dizziness o Signs of life threatening
o Stomach pain/heart burn reactions (i.e. wheezing,
bad cough, chest tightness,
Aggrenox o Nausea/Vomiting blue skin color, swelling of
(Aspirin/Dipyridamole) o Diarrhea face, lips, tongue, or throat)
o Bleeding problem o Suspected overdose
Pletal (Cilostazol) o Change in strength on one
side greater than the other,
difficulty speaking or
Trental (Pentoxifylline) thinking, change in balance,
or blurred vision.

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Ticlid (Ticlopidine) o Significant change in
thinking clearly and
logically
Aspirin o Severe headache
o Severe nausea or vomiting
o Unusual bruising or
bleeding
o Any rash
o No improving condition or
feeling worse
Drug Class & Indications Most Frequently Prescribed Common Side Effects (Tell Side Effects which Require
Brand Names your doctor if these Immediate Contact With
symptoms are severe or do Your Doctor
not go away)
ANTI-DEPRESSANTS Zoloft (Sertraline) o Upset stomach o Hallucinating (Seeing
o Diarrhea things or hearing voices
Treats depression, mood Paxil (Paroxetine) o Vomiting that do not exist)
disorder o Drowsiness, excessive, o Seizure
Prozac (Fluoxetine) tiredness o Abnormal bleeding or
o Nervousness bruising
Lexapro (Escotalopram) o Difficulty falling asleep or o Blurred vision
staying asleep o Rapid or irregular
Celexa (Citalopram) o Muscle or joint pain heartbeat
o Dry mouth o Skin rash
Wellbutrin (Buproprion) o Excessive sweating
o Changes in sex drive
Cymbalta (Duloxetine)

ANTI-NAUSEA Benadryl (Diphenhydramine) o Drowsiness or dizziness o Lightheadedness or


o Trouble sleeping, fainting.
ANTI-VERTIGO Phenergan (Promethazine) restlessness, depression o Fast, slow, or irregular
o Dry mouth heartbeat
Relieves nausea and/or Compazine o Slow or troubled breathing
o Constipation
o Muscle spasms, weakness,
vomiting. Some are also (Prochlorperazine) o Blurred vision, dry eyes, or or stiffness
used to treat allergic- eyes more sensitive to o Problems with balance or
reactions and itching. Vistaril (Hydroxyzine) light. walking.
o Redness, swelling, pain, or
burning near injection site.
o Severe neck pain.

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o Fever, chills, body aches,
sore throat, or cough.
o Severe sleepiness, trouble
thinking clearly, or a
change in behavior.
o Shaking, twitching, or
muscle movements,
including jerky movement
in face, tongue, or jaw.
Drug Class & Indicators Most Frequently Prescribed Common Side Effects (Tell Side Effects Which
Brand Names your doctor if these Require Immediate Contact
symptoms are severe or do With Your Doctor
not go away)
BETA-BLOCKERS Lopressor (Metoprolol) o Dizziness or o Rapid heart rate or
lightheadedness irregular heartbeat
Treats high blood pressure Toprol-XL (Metoprolol) o Tiredness o Shortness of breath
o gas or bloating o Wheezing
Tenormin (Atenolol) o Heartburn o Swelling of hands, feet,
o Constipation ankles, or lower legs
Inderal (Propranolol) o Rash or itching o Unusual weight gain
o Cold hands and feet o Fainting
Zebeta (Bisoprolol)

Betapace (Sotalol)

Coreg (Carvedilol)

CALCIUM CHANNEL Cardizem (Diltiazem) o Dizziness or o Swelling of face, eyes,


BLOCKERS lightheadedness lips, tongue, arms, or
Norvasc (Amlodipine) o Flushing (feeling of legs
Treats high blood pressure warmth) o Difficulty breathing or
Procardia XL/Adat o Headache swallowing
(Nifedipine) o Excessive tiredness o Fainting

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o Slower heartbeat o Rash
Plendil (Felodipine) o Upset stomach o Fever
o Loss of appetite o Chest pain
Sular (Nisoldipine) o Vomiting
o Constipation
Calan (Verapamil)
Drug Class & Indicators Most Frequently Prescribed Common Side Effects (Tell your Side Effects Which Require
Brand Names doctor if these symptoms are Immediate Contact With Your
severe or do not go away) Doctor

CEPHALOSPORINS Cephalexin (Keflex) o Diarrhea o Difficulty breathing or


o Headache swallowing
o Rash
Antibiotic (treat infection) Cefaclor (Ceclor) o Nausea o Confusion, dizziness,
hallucination
Cefadroxil (Duricef) o Vomiting
o Abdominal pain
Cefuroxime (Ceftin)

Cefdinir (Omnicef)

CORTICOSTERIODS Medrol (Methylprednisoline), o Upset stomach, stomach o Swollen face, lower legs or
irritation ankles
Hydrocortisone, o Vision problems
Treat asthma, serious skin o Vomiting o Colds or infection that lasts a
disorders, arthritis, and other o Headache long time
Prednisone, o Muscle weakness
conditions. o Diziness
o Restlessness, insomnia o Hallucinations or sudden mood
Celestone (Betamethasone) changes
o Depression o Bloody or black stools
Decadron (Dexamethasone) o Anxiety

DIURETICS-THIAZIDES Hydrochlorothiazide, Lasix o Loss of appetite o Allergic reaction: Itching or


(Furosemide) o Mild diarrhea or stomach upset hives, swelling in face or hands,
swelling, numbness or tingling in
Treats high blood pressure and the mouth, throat, hands or
fluid retention (edema). This feet, tightness in chest, trouble
medicine is a diuretic (water breathing
pill). o Blood in urine or stools
o Confusion, weakness, irregular

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heartbeat, shortness of breath
o Dry mouth, increased thirst,
muscle cramps, nausea or
vomiting
o Fever chills, cough, hoarseness
o Problems urinating, pain in side
or lower back
o Skin rash or itching
o Unusual bleeding or bruising
o Yellow eyes or skin
Drug Class & Indicators Most Frequently Prescribed Common Side Effects (Tell Side Effects Which Require
Brand Names your doctor if these Immediate Contact With
symptoms are severe or do Your Doctor
Percocet, not go away)
NARCOTIC-ANALGESIC o Change in o Allergic reaction: Itching
volume/frequency of or hives, swelling in face
Relieves pain Oxycontin (Oxycodone)
urination or hands, swelling or
Vicodin/Lortab/Norco o Cold, clammy skin. tingling in mouth or
(Hydrocodone/Acetamin o Feeling unusually anxious throat, chest tightness,
ophen) excited, fearful, or tied. trouble breathing.
o Nausea, vomiting, o Dizziness.
Darvocet-N 100 constipation, stomach o Seeing or hearing things
(Propoxyphene/Acetamin
ophen) pain or upset, or that are not there.
heartburn. o Very slow heartbeat.
Tylenol w/Codeine o Skin rash.
o Vision changes
MS Contin (Morphine)

Nubain (Nalbuphine)

Stadol (Butorphanol)
NEUROPATHIC PAIN Neurontin (Gabapentin) o Drowsiness o Skin rash
MEDICATIONS o Fatigue o Itching
Lyrica (pregabalin) o Blurred vision o Difficulty moving or
Treats nerve pain o Double vision breathing
o Constipation o Clumsiness
o Flatulence o Fever
o Increased appetite o Flu-like symptoms
o Tremor o Irregular or fast heartbeat

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o Anxiety o Seizures
o Headache
o Peripheral edema
Drug Class & Indicators Most Frequently Prescribed Common Side Effects (Tell your Side Effects Which Require
Brand Names doctor if these symptoms are Immediate Contact With Your
severe or do not go away) Doctor

NON-STERIODAL ANTI- Motrin/Advil (Ibuprofen) o Headache o Rash, itching


INFLAMMATORY AGENTS o Dizziness o Bloody vomit
Naprosyn (Naproxen) o Nervousness o Bloody diarrhea or black, tarry
For pain and/or inflammation. o Upset stomach, pain or cramps stools
Indocin (Indomethacin)
o Vomiting o Ringing in the ears
Voltaren (Diclofenac) o Constipation o Blurred vision
o Diarrhea o Swelling of hands, feet, ankles
Toradol (Ketorolac) o Flatulence or lower legs.
o Toradol is for short term use
Feldene (Piroxicam) only (max 5 days)

Celebrex (Celecoxib)

Mobic (Meloxicam)

Salsalate

QUINOLONES Levaquin (Levaflocaxin) o Feeling nervous, restless, or o Allergic reaction: Itching ir


anxious. hives, swelling in face or
hands, swelling or tingling in
Antibiotic (treat infection) Cipro (Ciprofloxacin) o Headache, bad dreams, mouth or throat, chest
trouble sleeping. tightness, trouble breathing.
Avelox (Moxifloxacin) o Mild sin rash or itching. o Blistering, peeling red skin
o Nausea, vomiting, stomach rash.
o Bloody urine, or change in
pain, gas. volume or frequency
o Sores or white patches in o Chest pain, or a heartbeat
mouth or throat that is fast, pounding or
o Vaginal itching or discharge uneven.
o Confusion, or unusual

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thoughts or behavior.
o Diarrhea that may contain
blood.
o Numbness, tingling, pain,
burning, weakness, or loss of
feeling anywhere in body.
o Seizures, severe headache.
o Tremors or hallucinations
o Unexplained fever.
o Unusual bleeding, bruising, or
weakness.
Drug Class & Indicators Most Frequently Prescribed Common Side Effects (Tell your Side Effects Which Require
Brand Names doctor if these symptoms are Immediate Contact With Your
severe or do not go away) Doctor

SEDATIVES Xanax (Alprazolam) o Drowsiness, dizziness, or tired o Severe weakness, trouble


feeling standing
Treats insomnia (difficulty falling Klonopin (Clonazepam) o Trouble concentrating, memory o Hallucinations, confusion.
asleep), anxiety, nervousness, loss o Uncontrolled body movements
muscle spasms, and seizures. Valium (Diazepam) o Dry mouth, upset stomach, o Yellow skin or eyes
constipation
Restoril (Temazepam) o Vision changed such as trouble
focusing
Dalmane (Flurazepam) o Feeling “hung-over” the
morning after bedtime use

STATIN ANTIHYPERLIPIDEMIC Zocor (Simvastatin) o Constipation or diarrhea. o Allergic reaction: Itching


AGENTS o Dizziness, mood changes, or hives, swelling in face
Lipitor (Atorvastatin) trouble sleeping. or hands, swelling or
Lowers cholesterol levels to o Headache or joint pain. tingling in mouth or
prevent heart attack or other Mevacor (Lovastatin) o Trouble urinating, throat, chest tightness,
problems. Used in combination discomfort when trouble breathing.
with diet program to lower Pravachol (Pravastatin) urinating, or change in o Chest pain or tightness.
cholesterol. volume/frequency o Muscle pain, aches,
Lexcol (Fluvastatin) o Mild stomach upset, gas, weakness, or cramps.
indigestion o New or worsening
Crestor (Rosuvastatin) swelling.
o Stomach pain, nausea,

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vomiting, and loss of
appetite.
o Unexplained fever.
o Unusual bleeding or
bruising.
o Dark, tarry, or bloody
stool.
o Yellow skin or eyes

v References: Lexi-Comp Drug Information


Food and Drug Interaction Reference

Interaction Code

1 Take with food. May cause stomach upset Food Containing Caffeine:

Chocolate, cocoa, coffee, cola, tea


2 Take on empty stomach (1 hour before or 2 hours after meal.

3 Take on empty stomach. If irritation occurs, take with Food Containing Tyramine:
food/milk.
Aged cheese, aged meat, anchovie,
4 Take half hour before meals. avocado, banana, beer, broad bean,
caffeine, chicken liver, chocolate, cola,
5 Take half hour before meals. fig (canned), pickled herring, raisin,
sausage, sour cream, soy sauce, wine,
yeast extract, yoghurt
6 DO NOT take with alcohol. May cause excessive sedation.

7 Do NOT take with alcohol. May cause nausea or vomiting. Food Containing Potassium:

8 Avoid alcohol. Increased side effect of drug. Apricot, artichoke, banana, beans
(dried only), broccoli, brussel sprout,
cantaloupe, carrots, celery, date, dried
9 Potential increase in side effects with food containing Caffeine. fruit, fig, honeydew, milk, orange,
orange juice, potatoe, prune juice,
10 May cause potassium loss. Eat foods high in Potassium. pumpkin, squash, raisin, rhubarb,
spinach, tomato, tomato juice.

11 Take after breakfast, unless otherwise directed. Food Containing Vitamin K:

Broccoli, brussel sprout, cabbage,


12 Avoid foods high in Tyramine. cauliflower, garbanzo beans, green tea,

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herbal tea, kale, lettuce, lentil, liver,
13 Avoid Calcium (Dairy products or Calcium fortified food.) soybean oil, spinach

14 Maintain consistent intake of Vitamin K.

15 Avoid salt substitute (Potassium.) Food Containing Calcium:

16 Avoid antacid Milk, dairy products, hot cocoa,


cheese, ice cream, yoghurt, spinach,
broccoli, collar green, turnip green
17 Take with full glass of water.

18 Avoid grapefruit and grapefruit juice.


Generic Name Brand Name Code Generic Name Brans Name Code

Acetaminophen/Cod Tylenol #2, #3, #4 8 Erythromycin E-Mycin 1


eine

Albuterol Ventolin/Proventil 1 Escitalopram Lexapro 8

Alendroate Fosamax 5, 17 Famitidine Pepcid 4

Alprazolam Xanax 6 Felodipine Pendil 18

Amitriptyline Elavil 1, 8 Ferrous Sulfate Feosol, Slow Fe 3

Amlodipine Norvasc 18 Fluoxetine Prozac 8

Amoxicillin Amoxil 2 Furosemide Lasix 3, 10

Amoxicillin/Clavulana Augmentin 2 Glipizide Glucotrol 8


te

Ampicillin Ampicillin 2 Glyburide Micronase, 8


Diabeta

Alendronate Fosamax 4, 17 Hydrochlorothiazide Hydrouril 3, 10

Atorvastatin Lipitor 18 Hydrocodone/Acetaminophen Vicodin, Lortab, 8


Norco

Benztropine Congentin 8 Hydroxyzine Vistaril, Atarax 1, 6

Bumetanide Bumex 10 Ibandronate Boniva 5, 17

Carbamazepine Tegretol 1, 8 Ibuprofen Motrin/Advil 1

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Carisoprodol Soma 8 Imipramine Tofranil 1, 8

Cefuroxime Ceftin 1 Indomethacin Indocin 1

Cephalexin Keflex 3 Isocarboxazid Marplan 8, 12

Cetrizine Zyrtec 8 Itraconazole (Capsule) Sporonox 1

Chloral Hydrate Nortec 6 Itraconazole (Suspension) Sporonox 2

Chlorpheniramine Chlortrimeton 1, 6 Ketoconazole Nizoral 1, 18


Generic Name Brand Name Code Generic Name Brans Name Code

Citalopram Celexa 8 Ketolorac Toradol 1

Clonazepam Klonopin 1, 6 Entacapone Comptan 8

Clonidine Catapres 6 Lansoprazole Pravacid 4

Cyclobenzaprine Flexiril 8 Levetiracetam Keppra 8

Digoxin Lanoxin 11 Levofloxacin Levaquin 13, 16

Diltiazem Cardizem 5, 18 Levothyroxine Synthroid 4

Diphenhydramine Benadryl 1, 6 Lithium Lithane 1, 6

Diphenoxylate/Atro Lomotil 6 Loratadine Claritin 2, 8


pine

Doxepine Sinequan 1, 8 Lorazepam Ativan 6

Doxycycline Vibramycin 2, 13 Lovastatin Mevacor 8

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Entacapone Comptan 8 Meclizine Antivert 6
Generic Name Brand Name Code Generic Name Brand Name Code

Metoclopramide Reglan 4, 6 Ropinirole Requip 8

Metronidazole Flagyl 1 Sertraline Zoloft 8

Moxiflaxacin Avelox 13, 16 Simvastatin Zocor 18

Niacin Niaspan 8 Spironolactone Aldactone 1, 15

Nifedipine Procadia, Adalat 18 Sucralfate Carafate 2

Nitrofurantoin Macrodantin 1 Sulfameth/Trimethoprim Bactrim/Septra 3, 17

Nitroglycerin Nitro-Dur 18 Tetracycline Sumycin 2, 13

Omeprazile Prilosec 4 Theophylline Theo-Dur 5

Oxacarbazepine Trileptal 8 Thyroid 4

Pantoprazole Protonix 4 Tranylcypromine Parnate 8, 12

Paroxentine Paxil 8 Trazodone Desyrel 1, 8

Penicillin VK Pen VK 2 Triamterene/HCTZ Dyazide 3, 13

Phenelzine Nardil 8, 12 Trihexyphenidyl Artane 8

Phenobarbital 6 Valproic acid Depakene, 1, 6


Depakote

Phentoin Dilantin 5, 8 Venlafaxine Effexor 8

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Potassium K-Dur, Slow K 1, 17 Verapamil Calan 18

Pramipexole Mirapex 1, 8 Voriconazole Vfend 2

Prednisone Deltasone 1 Wafarin Coumadin 8, 14

Risedronate Actonel 5, 17 Zithromax Azithromycin 1

Ropinirole Requip 8
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