0Missed Doses: Usual Method = Take the missed dose as soon as you remember.

If it is close to the next dose, skip the missed dose and go back to your
normal time. Do not take two doses at the same time or take extra doses.

Storage: Store at room temperature in a cool dry place. Do not store in the bathroom. Keep the drugs in a safe place and out of the reach of children and /
or pets.

Common Admin: Take with a full glass of water, Keep taking this drug as you have been told by your doctor or health care provider, even if you feel well.

Signs of an allergic rxn (rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat;
trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat)

http://www.diabetesincontrol.com/wp-content/uploads/PDF/se_insulin_stability_chart.pdf

Anticoagulants
Brand (Generic Indications Dosing / How to Side Effects Warnings / Cautions Interactions Missed Doses/
Name) Admin Storage

Xarelto -DVT Tablet: Severe: •You may bleed more Other 15mg twice a day
(Rivaroxaban) prophylaxis Once or twice daily Signs of allergic reaction easily. Be careful and anticoagulants dosing:
-DVT/PE 10mg tablet - with Signs of bleeding. avoid injury. Use a Take missed dose
treatment or without food •Very bad dizziness or passing out. soft toothbrush and an NSAIDS right away to make
- Nonvalvular 15 - 20mg tablet - •A burning, numbness, or tingling electric razor. Risk of bleeding sure you get 30 mg in
atrial with food feeling that is not normal. •Very bad and one day,
fibrillation - Take with a full •Muscle weakness. sometimes deadly You may take 2
- Secondary glass of water •A fall or crash when you hit your bleeding problems tablets at the same
prevention of -may be crushed head. Talk with your doctor even if have happened with time, then go back to
recurrent deep and mixed with you feel fine. this drug. Talk with the your normal times the
vein applesauce (must •Feeling confused. doctor. next day.
thrombosis take within 4 hours •Very bad headache. •Have blood work
and/or of mixing) •Feeling very tired or weak. checked as you have Other Doses:
pulmonary •Pain, swelling, or new drainage at been told by the - Usual Method
embolism •To gain the most wound sites. doctor. Talk with the
benefit, do not miss doctor. Usual Storage
(Preventing doses. Common: •Stopping this drug
Blood clots by •Keep taking this Nausea , Abdominal Pain, Fatigue before you are
thinning blood drug as you have supposed to may
or used to been told by your raise the chance of
treat blood doctor or other blood clots. Do not
clots) health care stop taking this drug
provider, even if without talking to your
you feel well. DR

Pradaxa - DVT/PE Twice a day Severe: Do not stop taking this Other Usual method:
(Dabigatran) treatment •Signs of an allergic reaction, drug without talking to anticoagulants
 and With or without •Signs of bleeding (throwing up your doctor first. Raise
prevention food blood or throw up that looks like chance of blood clots. NSAIDS • Take a missed
- nonvalvular coffee grounds; coughing up blood; Risk of bleeding dose as soon as you
Atrial Swallow WHOLE blood in the urine; black, red, or If you fall or hurt think about it.
fibrillation (do not crush, tarry stools; bleeding from the yourself, or if you hit •If it is less than 6
- chew, or open) gums; vaginal bleeding that is not your head, call your hours until the next
Postoperative normal; bruises without a reason or doctor right away. dose, skip the missed
thromboproph that get bigger; or any bleeding that Talk with your doctor dose and go back to
ylaxis is very bad or that you cannot stop.) even if you feel fine. the normal time.
(Preventing •Very bad dizziness or passing out. •Do not take 2 doses
Blood clots by •Weakness on 1 side of the body, at the same time or
thinning blood trouble speaking or thinking, change extra doses.
or used to in balance, drooping on one side of
treat blood the face, or blurred eyesight.
clots) •Feeling confused. Usual storage:
•Feeling very tired or weak. THROW AWAY
•Very bad headache. unused capsules left
•Very bad swelling. in the bottle after 4
•Very bad belly pain. months. Do not move
to a pillholder
Common:
•Belly pain.
•Upset stomach.
•Heartburn.

Eliquis - DVT/PE Twice a day •Signs of an allergic reaction Do not stop taking this Other Usual method
(Apixaban) treatment •Signs of bleeding like throwing up drug without talking to anticoagulants Usual storage
- nonvalvular With or without blood or throw up that looks like your doctor first. Raise
Atrial food coffee grounds; coughing up blood; chance of blood clots. NSAIDS
fibrillation blood in the urine; black, red, or Risk of bleeding
-postoperative Can be crushed tarry stools; bleeding from the gums;
venous and mixed vaginal bleeding that is not normal; CYP3A4
thromboproph bruises without a reason or that get substrate
ylaxis Do not miss doses bigger; or any bleeding that is very
following hip to gain the most bad or that you cannot stop. Grapefruit juice -
or knee benefit •Dizziness or passing out. increase risk
replacement •Feeling tired or weak.
surgery •Feeling confused.
•Headache.
(Preventing •Joint pain or swelling.
Blood clots by •Chest pain or pressure.
thinning blood •Wheezing.
or used to
treat blood Common:
clots) Nausea
Cholesterol
Brand / Indications Dosing / How Side Effects Warnings / Cautions Interactions Missed Doses/
Generic Name to Admin Storage

Zocor - Prevention of Take in the Severe: Can't use in CYP3a4 Usual storage
(Simvastatin) coronary events evening •A heartbeat that does not feel normal. pregnancy/ Usual method
- Hyperlipidemia Do not miss •Not able to pass urine or change in how breastfeeding Grapefruit juice
- Heterozygous doses much urine is passed. Limit alcohol to less
famillial •This drug may cause muscle pain, Diet than 3 drinks a day
hypercholesterole With or without tenderness, or weakness. Sometimes,
mia in food a very bad muscle problem may happen Niacin - risk of
adolescents that may lead to kidney problems. muscle problems
(Lower Rarely, deaths have happened in people
cholesterol / slow who get these problems when taking Amlodipine:if used
progress of heart drugs like this one. Call your doctor right together, avoid
disease) away : doses of 20mg/day
- if you have muscle pain, greater of
tenderness, or weakness that is simvastatin
not normal (with or without fever
or feeling out of sorts).
- if you have muscle signs that
last after your doctor has told
you to stop taking this drug.
- Very bad and sometimes deadly
liver problems have happened
with this drug.
- if you have signs of liver
problems like dark urine, feeling
tired, not hungry, upset stomach
or stomach pain, light-colored
stools, throwing up, or yellow
skin or eyes.

Common:
•Headache.
•Belly pain.
•Upset stomach.
•Hard stools (constipation).
•Nose and throat irritation.
•Runny nose.
•Stuffy nose.
•Cough.
Diabetes
Brand / Generic Indications Dosing / How to Side Effects Warnings / Cautions Interactions Missed Doses/
Name Admin Storage

Lantus (Insulin DM1/ DM2 See other chart •Signs of low potassium levels like Low blood sugar may happen Hypoglycemic drugs Usual method
Glargine) for how to muscle pain or weakness, muscle with this drug. Very low blood Monitor
(Lower admin cramps, or a heartbeat that does not sugar can lead to seizures, Vials / pens:
blood sugar) Once Daily feel normal. passing out, long lasting brain Store unopened
SubQ •Signs of infection like fever, chills, damage, and sometimes vials in fridge.
Long acting very bad sore throat, ear or sinus death. Talk with the doctor. Do not freeze
Insulin It is given as a pain, cough, more sputum or change •Low blood potassium may
shot into the in color of sputum, pain with passing happen with this drug. If not May store
fatty part of the urine, mouth sores, or wound that treated, this can lead to a unopened / open
skin on the top will not heal. heartbeat that is not normal, vials outside
of the thigh, •Change in eyesight. very bad breathing problems, throw away any
belly area, or •Very bad dizziness or passing out. and sometimes death. Talk part not used
upper arm. •Very bad headache. with the doctor. after 28 days.
•Seizures.
•Change in skin to thick or thin Hypoglycemia symptoms:
where the shot was given. Shaky, sweating, anxious,
•Shortness of breath, a big weight fast heartbeat, hungry,
gain, or swelling in the arms or legs. blurred vision, headache,
•Low mood (depression). dizzy, fatigue, irritable
•Low blood sugar may occur.
-> Signs may be dizziness, Hypoglycemia Management:
headache, feeling sleepy, feeling Check blood sugar, if
weak, shaking, a fast heartbeat, <70mg/dl
confusion, hunger, or sweating. Call 15 15 15 rule
the doctor right away if any of these Treat with 15gm carbs
signs occur. Follow what you have (3 -4 glucose tabs, half can
been told to do if low blood sugar regular soda, 4 ounce juice, 8
occurs. This may include taking ounce milk)
glucose tablets, liquid glucose, or Check blood sugar again in
some fruit juices. 15 mins.

Common Side effects: Hyperglycemia symptoms:

•Irritation where the shot is given. Polydipsia, polyphagia,
•Back pain. polyuria, always tired,
•Loose stools (diarrhea). wounds that won't heal, blurry
•Headache. vision

Tresiba DM1/DM2 See other chart Same as lantus Same as lantus Same as Lantus Usual method
FlexTouch for admin. BUT
(Insulin Be sure there are
Degludec) SubQ •Signs of an allergic reaction, like at least 8 hours
rash; hives; itching; red, swollen, between the
Long acting blistered, or peeling skin with or doses.
Insulin without fever; wheezing; tightness in
the chest or throat; trouble breathing Storage:
or talking; unusual hoarseness; or Do not freeze.
swelling of the mouth, face, lips, After opening,
tongue, or throat. store in fridge or
•Signs of low potassium levels like room
muscle pain or weakness, muscle temperature.
cramps, or a heartbeat that does not Throw away any
feel normal. part not used
after 8 weeks.
•Change in eyesight. Take off the
needle after each
•Chills. shot. Do not store
•Very bad dizziness or passing out. this device with
the needle on it.
•Seizures.
•Change in skin to thick or thin
where the shot was given.
•Mood changes.
•Slurred speech.
•Shortness of breath, a big weight
gain, or swelling in the arms or legs.
•Low blood sugar can happen. The
chance of low blood sugar may be
raised when this drug is used with
other drugs for high blood sugar
(diabetes). Signs may be dizziness,
headache, feeling sleepy, feeling
weak, shaking, a fast heartbeat,
confusion, hunger, or sweating. Call
your doctor right away if you have
any of these signs. Follow what you
have been told to do if you get low
blood sugar. This may include taking
glucose tablets, liquid glucose, or
some fruit juices

Common side effects:

•Nose and throat irritation.
 •Headache.
•Loose stools (diarrhea).
•Weight gain.
•Irritation where the shot is given.

Levemir DM1/ DM2 See other chart Common Side effect: Same as Lantus Same as Lantus Usual Method
(insulin for Admin •Irritation where the shot is given.
Detemir) Store unopened
Once or Twice Severe: at Room temp /
Daily Same as lantus fridge
Long acting Sub Q
Insulin Vial: store
opened at room
temp/fridge.
Discard after 42
days

Cartridges and
prefilled pens:
store opened at
room
temperature.
discard after 42
days after first
use.

Novolog DM1/DM2 Premeal Common side effect: Same as lantus Same as lantus DOSES BASED
(Insulin Aspart) component Weight Gain ON MEALS.
5-10 mins Irritation where the shot is given if not eating skip
before meal dose
Rapid acting
Severe: If eating less,
Insulin Same as lantus adjust dose
(Rapid Acting) SubQ (VERIFY)

Vials: store at
room temp/
fridge. discard
after 28 days.

Pens: store at
room temp. Do
not store with
 needle on.
Discard after 28
days

Byetta Type 2 Solution Pen- GI symptoms: Most common Hypoglycemia symptoms: Other Hypoglycemic Prior to use store
(Exenatide) Diabetes Injector reactions are gastrointestinal related; Shaky, sweating, anxious, agents in fridge.
GLP 1 Agonist these symptoms may be dose- fast heartbeat, hungry, blurry After use, store at
5mcg / 10mcg related and may decrease in vision, headache, dizzy, room temp/fridge
pen frequency/severity with gradual fatigue, irritiable and discard 30
Twice daily 60 titration and continued use. days after initial
minutes prior to • Headache. Hypoglycemia Management: use.
a meal. •Weight loss. Check blood sugar, if
SubQ •Hard stools (constipation). <70mg/dl Missed dose:
•Loose stools (diarrhea). 15 15 15 rule *****
•Not hungry. Treat with 15gm carbs •Skip the missed
•Upset stomach or throwing up. (3 -4 glucose tabs, half can dose and go back
•Feeling tired or weak. regular soda, 4 ounce juice, 8 to your normal
•Itching where the shot is given. ounce milk) time.
•Small bump where the shot is given. Check blood sugar agian in •Do not take 2
Serious: 15 mins. doses at the
•This drug has been shown to cause same time or
thyroid cancer in some animals. It Hyperglycemia symptoms: extra doses.
is not known if this happens in Polydypsia, polyphagia,
humans. If thyroid cancer happens, it polyuria, always tired,
may be deadly if not found and wounds that wont heal, blurry
treated early. Call your doctor right vision
away if you have a neck mass,
trouble breathing, trouble
swallowing, or have hoarseness that
will not go away.

•Signs of a pancreas problem

(pancreatitis) like very bad stomach
pain, very bad back pain, or very bad
upset stomach or throwing up.
•Very bad dizziness or passing out.
•Very bad headache.
•Not able to pass urine or change in
how much urine is passed.
•Very bad irritation where the shot
was given.
•Area that feels hard, blisters, dark
scab, lumps, open wound, pain,
swelling, or other very bad skin
irritation where the shot was given.
 •Low blood sugar can happen. The
chance of low blood sugar may be
raised when this drug is used with
other drugs for high blood sugar
(diabetes). Signs may be dizziness,
headache, feeling sleepy, feeling
weak, shaking, a fast heartbeat,
confusion, hunger, or sweating. Call
your doctor right away if you have
any of these signs. Follow what you
have been told to do if you get low
blood sugar. This may include taking
glucose tablets, liquid glucose, or
some fruit juices.

Bydureon Type 2 Pen- injector Same as Byetta plus Other Hypoglycemic Storage: 1 time
(Exenatide) Diabetes Same as Byetta agents use
GLP 1 Agonist 2mg once Bydureon™: May be stored at
weekly •Very bad skin problems have room temp/fridge
SubQ happened where the shot was given. up to 4 weeks.
Sometimes surgery was needed for
Needs to be these skin problems. Talk with the
mixed prior to doctor Missed Dose:
use May administer a
missed dose as
See other chart soon as noticed if
the next regularly
With or without scheduled dose is
food due in ≥3 days;
resume normal
schedule thereafter.
To establish a new
day of the week
administration
schedule, wait ≥3
days after last dose
given, then
administer next
dose on new
desired day of the
week.

OR
•If it is 3 or more
 days to the time
of your next dose,
take the missed
dose as soon as
you think about it
and go back to
your normal day.
•If it is 1 or 2 days
to the time of your
next dose, skip
the missed dose
and go back to
your normal day.
•Do not take 2
doses at the
same time or
extra doses

Victoza Type 2 SubQ Daily Same as Byetta plus NOT FOR USE WHILE Other Hypoglycemic Storage
(Liraglutide) Diabetes PREGNANT agents
With or without •Store opened
GLP 1 Agonist •Signs of an allergic reaction, like pens at room
food Hypoglycemia symptoms:
rash; hives; itching; red, swollen, Shaky, sweating, anxious, temperature/
blistered, or peeling skin with or fast heartbeat, hungry, blurry refrigerator. Do
without fever; wheezing; tightness in vision, headache, dizzy, not freeze.
the chest or throat; trouble breathing fatigue, irritiable
or talking; unusual hoarseness; or •After opening,
swelling of the mouth, face, lips, throw away any
Hypoglycemia Management: part not used
tongue, or throat. Check blood sugar, if after 30 days
•Signs of a pancreas problem <70mg/dl
(pancreatitis) like very bad stomach 15 15 15 rule Missed Dose
pain, very bad back pain, or very bad Treat with 15gm carbs •Skip the missed
upset stomach or throwing up. (3 -4 glucose tabs, half can dose and go back
regular soda, 4 ounce juice, 8 to your normal
•Signs of gallstones like sudden pain ounce milk) time.
in the upper right belly area, right Check blood sugar agian in •Do not take 2
shoulder area, or between the 15 mins. doses at the
shoulder blades; yellow skin or eyes; same time or
or fever with chills. Hyperglycemia symptoms: extra doses.
Polydypsia, polyphagia, •If you miss 3
•Signs of liver problems like dark polyuria, always tired,
urine, feeling tired, not hungry, upset days of this drug,
wounds that wont heal, blurry call your doctor to
stomach or stomach pain, light- vision
colored stools, throwing up, or yellow find out what to
do
skin or eyes.
•Signs of kidney problems like
unable to pass urine, change in how
much urine is passed, blood in the
urine, or a big weight gain.
•Dizziness or passing out.
•A fast heartbeat.
•A heartbeat that does not feel
normal.
•New or worse behavior or mood
changes like depression or thoughts
of killing yourself.
•Low blood sugar can happen. The
chance of low blood sugar may be
raised when this drug is used with
other drugs for high blood sugar
(diabetes). Signs may be dizziness,
headache, feeling sleepy, feeling
weak, shaking, a fast heartbeat,
confusion, hunger, or sweating. Call
your doctor right away if you have
any of these signs. Follow what you
have been told to do if you get low
blood sugar. This may include taking
glucose tablets, liquid glucose, or
some fruit juices.

Common Side effects:

•Headache.
•Loose stools (diarrhea).
•Hard stools (constipation).
•Upset stomach or throwing up.
•Not hungry.
•Irritation where the shot is
given.
 Tanzeum Type 2 subQ once Drugs like this one have been shown Hypoglycemia symptoms: Hypoglycemic Drugs Storage:
(Albiglutide) Diabetes weekly to cause thyroid cancer in some Shaky, sweating, anxious, Store unused in
GLP 1 Agonist With or without animals. It is not known if this drug fast heartbeat, hungry, blurry fridge.
meals may cause thyroid cancer in vision, headache, dizzy, May be left at
With or without humans. Call your doctor right away fatigue, irritable room temp for 28
regard to time if you have a neck mass, trouble days prior to
The day of breathing, trouble swallowing, or Hypoglycemia Management: reconstitution.
weekly hoarseness that will not go away. Check blood sugar, if Use within 8
administration <70mg/dl hours of
may be changed, Same as Byetta 15 15 15 rule reconstitution.
as long as the last Treat with 15gm carbs One time use.
dose was Common: (3 -4 glucose tabs, half can
administered ≥4 these side effects or any other side regular soda, 4 ounce juice, 8 Missed Dose:
days before. effects bother you or do not go away: ounce milk) •Take a missed
•Loose stools (diarrhea). Check blood sugar again in dose as soon as
See chart for •Upset stomach. 15 mins. you think about it.
admin •Irritation where the shot is given. •If you miss your
•Back pain. Hyperglycemia symptoms: dose by more
•Joint pain. Polydypsia, polyphagia, than 3 days, skip
•Cough. polyuria, always tired, the missed dose.
•Stuffy nose. wounds that wont heal, blurry Take your next
vision dose on your
normal day.
•Do not take 2
doses at the
same time or
extra doses.

Trulicity Type 2 subQ once Cardiovascular effects: Hypoglycemia symptoms: Hypoglycemic drugs Storage
(Dulaglutide) Diabetes weekly Tachycardia, PR interval Shaky, sweating, anxious,
With or without prolongation, and first-degree AV fast heartbeat, hungry, blurry •Store in a
GLP 1 Agonist refrigerator
meals block have been observed; use vision, headache, dizzy,
With or without caution in patients with, or at risk fatigue, irritiable • may be stored
regard to time (eg, preexisting conduction system at room
The day of abnormalities, underlying structural Hypoglycemia Management: temperature for
weekly heart disease, ischemic heart Check blood sugar, if up to 2 weeks
administration disease, cardiomyopathies) for <70mg/dl before use.
may be changed, developing conduction abnormalities. 15 15 15 rule
as long as the last Treat with 15gm carbs •Store in the
dose was Thyroid Cancer in animals (3 -4 glucose tabs, half can carton to protect
administered ≥4 regular soda, 4 ounce juice, 8 from light.
days before. Serious: ounce milk)
•Signs of a pancreas problem Check blood sugar again in
See chart for (pancreatitis) like very bad stomach 15 mins.
admin pain, very bad back pain, or very bad Missed Dose
upset stomach or throwing up. Hyperglycemia symptoms: •Take a missed
•Signs of kidney problems like Polydypsia, polyphagia, dose as soon as
 unable to pass urine, change in how polyuria, always tired, you think about it.
much urine is passed, blood in the wounds that wont heal, blurry •If it is less than 3
urine, or a big weight gain. vision days (72 hours)
•Very loose stools (diarrhea). until your next
•Very upset stomach or throwing up. dose, skip the
•Very bad belly pain. missed dose.
•Low blood sugar can happen. Take your next
dose on your
Common: normal day.
•Not hungry. •Do not take 2
•Loose stools (diarrhea). doses at the
•Upset stomach or throwing up. same time or
•Belly pain. extra doses.
•Feeling tired or weak.
•This drug may
be stored at room
temperature for
up to 2 weeks
before use.

◦ Invokana Type 2 Tablet Too much acid in the blood or urine It is recommended to take Ace inhibitors: Usual Storage
(Canagliflozin) Diabetes 100-300mg (ketoacidosis) and very bad urinary before the first meal of the Enhancer Usual method
Sodium- Po Daily tract infections (UTIs) have day (may reduce postprandial hyperkalemic effect
happened with this drug. hyperglycemia via delayed Monitor therapy
Glucose Co
It is Ketoacidosis can be deadly. Both of intestinal glucose absorption)
transporter 2 recommended these health problems may need to Loop diuretics:
(SGLT2) to take before be treated in a hospital. Talk with the To lower the chance of May enhance
Inhibitor the first meal of doctor. feeling dizzy or passing out, hypotensive effects
the day (may rise slowly over a few
reduce Severe: minutes when sitting or lying
postprandial •Signs of an allergic reaction, like down. Be careful climbing
hyperglycemia rash; hives; itching; red, swollen, stairs.
via delayed blistered, or peeling skin with or
intestinal without fever; wheezing; tightness in
glucose the chest or throat; trouble breathing
absorption) or talking; unusual hoarseness; or
swelling of the mouth, face, lips,
To get the most tongue, or throat.
benefit, do not •Signs of fluid and electrolyte
miss doses problems like mood changes,
confusion, muscle pain or weakness,
a heartbeat that does not feel
normal, very bad dizziness or
passing out, fast heartbeat, more
thirst, seizures, feeling very tired or
weak, not hungry, unable to pass
urine or change in the amount of
urine produced, dry mouth, dry eyes,
or very bad upset stomach or
throwing up.
•Signs of too much acid in the
blood (acidosis) like confusion; fast
breathing; fast heartbeat; a heartbeat
the does not feel normal; very bad
stomach pain, upset stomach, or
throwing up; feeling very sleepy;
shortness of breath; or feeling very
tired or weak.
•Signs of a urinary tract infection
(UTI) like blood in the urine, burning
or pain when passing urine, feeling
the need to pass urine often or right
away, fever, lower stomach pain, or
pelvic pain.
•Signs of kidney problems like
unable to pass urine, change in how
much urine is passed, blood in the
urine, or a big weight gain.
•For females, vaginal yeast infection.
Report itching or discharge.
•For men, yeast infection of the
penis. Report pain, swelling, rash, or
discharge.
•Bone pain.
•New pain or tenderness, sores or
ulcers, or infections in your legs or
feet.
•Low blood sugar can happen

Common:
Constipation / Falling/ Fatigue
Brand / Generic Name Indications Dosing / How to Side Effects Warnings / Cautions Interactions Missed Doses/
Admin Storage

◦ ProAir HFA Asthma/Bronchosp Q4-6 hours as Severe: If you have high Beta blockers, may Usual Method plus
(Albuterol sulfate) asm needed for •Signs of an allergic blood sugar diminish effects of Usually prn:
shortness of reaction, like rash; (diabetes), you will albuterol. Do not use more
breath or hives; itching; red, need to watch your Monitor often than told by
(open the airways wheezing swollen, blistered, or blood sugar closely. your doctor
in lung diseases peeling skin with or
where spasm may without fever; Storage:
cause breathing wheezing; tightness in Usual storage
problems) the chest or throat;
(prevent exercise- trouble breathing or
induced breathing talking; unusual
problems) hoarseness; or
swelling of the mouth,
face, lips, tongue, or
throat.
•Signs of low
 potassium levels like
muscle pain or
weakness, muscle
cramps, or a heartbeat
that does not feel
normal.
•If you are not able to
get the breathing
attack under control.
Get help right away.
•Chest pain or
pressure or a fast
heartbeat.
•Very nervous and
excitable.
•Very bad headache.
•Very bad dizziness or
passing out.
•Peak flow
measurement low.

Common:
All products:
•Feeling nervous and
excitable.
•Headache.
•Dizziness.
•Upset stomach.
•Shakiness.

◦ Flovent HFA Asthma 1 inhalation BID •Signs of an allergic Rinse out mouth Skip missed dose
(Fluticasone) reaction, after each use. Do and go back to your
Off-label: COPD See chart •Signs of infection not swallow the rinse normal time
like fever, chills, very water. Spit it out.
bad sore throat, ear or Shake well before Do not take 2 doses
sinus pain, cough, use. at the same time or
more sputum or extra doses
change in color of •Prime before first
sputum, pain with use by shaking well Inhaler (aerosol):
passing urine, mouth for 5 seconds and •Throw away when
sores, or wound that then spraying into actuator says zero.
will not heal. the air. Do this again
•Signs of a weak 3 more times. If the Usual Storage
adrenal gland like a puffer (inhaler) has
very bad upset not been used for
stomach or throwing more than 7 days or
up, very bad dizziness is dropped, shake

◦ Asmanex Twisthaler Asthma
(mometasone furoate)
or passing out, muscle well for 5 seconds
weakness, feeling very and then spray into
tired, mood changes, the air 1 time.
not hungry, or weight
loss. Long-term use may
•Signs of Cushing's raise the chance of
disease like weight cataracts or
gain in the upper back glaucoma.
or belly, moon face,
very bad headache, or
slow healing. •It may take a few
•Feeling very tired, weeks to see the full
weak, or touchy; effect.
trembling; having a fast •If you have been
heartbeat, confusion, taking this drug for
sweating, or dizziness many weeks, talk
if you missed a dose or with your doctor
recently stopped this before stopping. You
drug. may want to slowly
•Flushing. stop this drug.
•Redness or white
patches in mouth or
throat.
•Bone or joint pain.
•Change in eyesight.
Common:
•Headache.
•Feeling tired or weak.
•Nose and throat
irritation.
•Flu-like signs.
•Runny nose.
•Nose stuffiness.
Once or Twice Severe: For breathing in only. This puffer (inhaler)
Daily Signs of Allergic •Rinse out mouth has a dose counter
Reaction after each use. Do to keep track of how
Signs of Infection not swallow the rinse many doses are left.
confusion, sweating, or water. Spit it out Throw the inhaler
dizziness if you missed away when the dose
a dose or recently counter has a 0 in it
stopped this drug.
•Redness or white •It may take a few
patches in mouth or weeks to see the full Skip the missed dose
throat. effect. and go back to your
•Bone or joint pain. normal time.
 •Change in eyesight.
•Feeling very tired or •If you have been Usual Storage
weak. taking this drug for
•Very upset stomach or many weeks, talk
throwing up. with your doctor
before stopping. You
Common: may want to slowly
All products: stop this drug.
•Headache.
•Nose and throat
irritation.
Inhaler (powder):
•Belly pain.
•Upset stomach.
•Muscle pain.
•Back pain.

◦ Pulmicort Flexhaler Asthma Twice daily Severe: If you have high Take a missed dose
(Budesonide) Signs of an allergic blood sugar as soon as you think
reaction, like rash; (diabetes), you will about it.
hives; itching; red, need to watch your •If it is close to the
swollen, blistered, or blood sugar closely. time for your next
peeling skin with or dose, skip the
without fever; missed dose and go
wheezing; tightness in Keep using this drug back to your normal
the chest or throat; as you have been time.
trouble breathing or told by your doctor or
talking; unusual other health care Do not take 2 doses
hoarseness; or provider, even if you at once
swelling of the mouth, feel well.
face, lips, tongue, or
throat.
•Signs of high blood •If you have been
sugar like confusion, taking this drug for
feeling sleepy, more many weeks, talk
thirst, more hungry, with your doctor
passing urine more before stopping. You
often, flushing, fast may want to slowly
breathing, or breath stop this drug.
that smells like fruit.
•Signs of infection •Rinse out mouth
like fever, chills, very after each use. Do
bad sore throat, ear or not swallow the rinse
sinus pain, cough, water. Spit it out.
more sputum or
change in color of
sputum, pain with
passing urine, mouth
sores, or wound that
will not heal.
•Signs of a weak
adrenal gland like a
very bad upset
stomach or throwing
up, very bad dizziness
or passing out, muscle
weakness, feeling very
tired, mood changes,
not hungry, or weight
loss.
•Signs of Cushing's
disease like weight
gain in the upper back
or belly, moon face,
very bad headache, or
slow healing.
•Swelling of the ankles.
•Feeling very tired or
weak.
•Bone or joint pain.
•Change in eyesight.
•Any unexplained
bruising or bleeding.
•Redness or white
patches in mouth or
throat.
•A burning, numbness,
or tingling feeling that
is not normal.
•This drug can cause
very bad breathing
problems right after
you take a dose.

Common:
•Signs of a common
cold.
•Stuffy nose.
•Runny nose.
•Nose and throat
irritation.
◦ Breo Ellipta Asthma/COPD 1 puff daily Severe: Do not take out the
(Fluticasone
•Talk with your
doctor before getting inhaler from the foil
furoate/vilanterol) •Signs of an allergic tray until right before
reaction, like rash; any vaccines. Use
with this drug may first use.
hives; itching; red,
swollen, blistered, or either raise the
peeling skin with or chance of an
infection or make the Do not breathe out
without fever; into the puffer
wheezing; tightness in vaccine not work as
well. (inhaler). Close the
the chest or throat; inhaler after you use
trouble breathing or •If you have high your dose.
talking; unusual blood sugar
hoarseness; or (diabetes), this drug
swelling of the mouth, may sometimes raise After opening, throw
face, lips, tongue, or blood sugar. Talk away any part not
throat. with your doctor used after 6 weeks or
•Signs of infection about how to keep when the indicator
like fever, chills, very your blood sugar reads zero,
bad sore throat, ear or under control. whichever comes
sinus pain, cough, first.
more sputum or Usual method
change in color of •There may be a Usual storage
sputum, pain with higher chance of
passing urine, mouth very bad and
sores, or wound that sometimes deadly
will not heal. heart problems like a
heartbeat that does
•Signs of high blood not feel normal with
sugar like confusion, high doses of this
feeling sleepy, more drug. Do not take
thirst, more hungry, more than you are
passing urine more told.
often, flushing, fast
breathing, or breath •Long-term use may
that smells like fruit. raise the chance of
cataracts or
•Signs of low glaucoma. Talk with
potassium levels like the doctor.
muscle pain or
weakness, muscle
cramps, or a heartbeat
that does not feel
normal.
•Chest pain or
 pressure or a fast
heartbeat.
•Bone pain.
•Very bad dizziness or
passing out.
•Very bad headache.
•Very upset stomach
or throwing up.
•A heartbeat that does
not feel normal.
•Feeling nervous and
excitable.
•Shakiness.
•Change in eyesight,
eye pain, or very bad
eye irritation.
•Redness or white
patches in mouth or
throat.
•Feeling very tired or
weak.
Common side effects
•Flu-like signs.
•Headache.
•Runny nose.
•Throat irritation.
•Mouth irritation.
•Change in voice.

◦ Advair Diskus Asthma/COPD Twice a day Severe; •It may take 1 week Skip missed dose
(fluticasone •Signs of an allergic to see the full Go back to normal
propionate/salmeterol) reaction, like rash; effect. time
hives; itching; red,
swollen, blistered, or •If you have high Usual storage
peeling skin with or
without fever; blood sugar
wheezing; tightness in (diabetes), this drug
the chest or throat; may sometimes raise •Put the cap back on
trouble breathing or blood sugar. Talk after you are done
talking; unusual with your doctor using your dose.
hoarseness; or about how to keep
swelling of the mouth, your blood sugar
face, lips, tongue, or under control
throat.
•Signs of infection This drug is not to be
like fever, chills, very used to treat intense
bad sore throat, ear or flare-ups of
sinus pain, cough, shortness of breath.
more sputum or Use a rescue inhaler.
change in color of Talk with the doctor.
sputum, pain with
passing urine, mouth Long-term use may
sores, or wound that raise the chance of
will not heal. cataracts or
•Signs of high blood glaucoma.
sugar like confusion,
feeling sleepy, more •This drug may
thirst, more hungry,
cause weak bones
passing urine more
(osteoporosis) with
often, flushing, fast
long-term use
breathing, or breath
that smells like fruit.
•Signs of low
potassium levels like
muscle pain or
weakness, muscle
cramps, or a heartbeat
that does not feel
normal.
•Signs of a weak
adrenal gland like a
very bad upset
stomach or throwing
up, very bad dizziness
or passing out, muscle
weakness, feeling very
tired, mood changes,
not hungry, or weight
loss.
•Chest pain or
pressure or a fast
heartbeat.
 •Very nervous and
excitable.
•Change in how you
act.
•Change in eyesight.
•A burning, numbness,
or tingling feeling that
is not normal.
•Choking.
•Change in voice.
•Seizures.
•Bone pain.
•Very bad dizziness.
•Very bad headache.
•Not able to sleep.
•Feeling very tired or
weak.
•Vaginal itching or
discharge.
•Weight gain.
•Mouth irritation or
mouth sores.
•Redness or white
patches in mouth or
throat.

Common:
•Headache.
•Upset stomach or
throwing up.
•Throat irritation.:

◦ Flovent Diskus Asthma Once or Twice Severe: Rinse out mouth Skip missed dose
(Fluticasone) daily after each use. Do Go back to normal
•Signs of an allergic not swallow the rinse time. Do not take
reaction, like rash; water. Spit it out. more than 2 doses at
hives; itching; red, Use at same time once
swollen, blistered, or everyday
peeling skin with or Storage:
without fever; If you have high Usual storage
wheezing; tightness in blood sugar
the chest or throat; (diabetes), you will
trouble breathing or need to watch your
talking; unusual blood sugar closely.
hoarseness; or
swelling of the mouth,
face, lips, tongue, or •It may take a few
throat. weeks to see the full
•Signs of infection effect.
like fever, chills, very
bad sore throat, ear or Long-term use may
sinus pain, cough, raise the chance of
more sputum or cataracts or
change in color of glaucoma.
sputum, pain with
passing urine, mouth •This drug may
sores, or wound that cause weak bones
will not heal. (osteoporosis) with
long-term use
•Signs of a weak
adrenal gland like a
very bad upset
stomach or throwing
up, very bad dizziness
or passing out, muscle
weakness, feeling very
tired, mood changes,
not hungry, or weight
loss.
•Signs of Cushing's
disease like weight
gain in the upper back
or belly, moon face,
very bad headache, or
slow healing.
•Feeling very tired,
weak, or touchy;
trembling; having a fast
heartbeat, confusion,
sweating, or dizziness
if you missed a dose or
recently stopped this
drug.
•Flushing.
•Redness or white
patches in mouth or
throat.
•Bone or joint pain.
 •Change in eyesight.

Common:
•Headache.
•Feeling tired or weak.
•Nose and throat
irritation.
•Flu-like signs.
•Runny nose.
•Nose stuffiness.

◦ Spiriva Respimat Asthma/COPD 1 puff Severe: Keep using even if If you take other Take a missed dose
(Tiotropium) •Signs of an allergic you feel well. drugs called as soon as you think
reaction, like rash; anticholinergics, like about it.
hives; itching; red, Prepare before first ipratropium or •If it is close to the
swollen, blistered, or use or when puffer oxybutynin. time for your next
peeling skin with or has not been used dose, skip the
without fever; for more than 21 missed dose and go
wheezing; tightness in days. Spray towards back to your normal
the chest or throat; the ground until mist time.
trouble breathing or is seen. Once the •Do not take 2 doses
talking; unusual mist is seen, repeat at the same time or
hoarseness; or 3 more times. If it extra doses.
swelling of the mouth, has been more than •Do not take more
face, lips, tongue, or 3 days since it has than 1 dose of this
throat. been used, spray drug in 24 hours.
•Change in eyesight, once at the ground.
eye pain, or very bad Usual Storage
eye irritation.
•Eye redness.
•Seeing halos or bright
colors around lights.
•Trouble passing urine.
•Pain when passing
urine.
•Chest pain or
pressure.

Common:
Dry mouth.
 •Upset stomach.
•Nose and throat
irritation.
•Runny nose.
•Stuffy nose.
•Belly pain.
•Dizziness.

◦ Spiriva Handihaler COPD Inhalation Capsule Severe: Don’t swallow Take a missed dose
(Tiotropium) •Signs of an allergic capsule as soon as you think
reaction, like rash; about it.
hives; itching; red, To gain the most •If it is close to the
swollen, blistered, or benefit, do not miss time for your next
peeling skin with or doses. dose, skip the
without fever; missed dose and go
wheezing; tightness in back to your normal
the chest or throat; time.
trouble breathing or •Do not take 2 doses
talking; unusual at the same time or
hoarseness; or extra doses.
swelling of the mouth, •Do not take more
face, lips, tongue, or than 1 dose of this
throat. drug in 24 hours.
•Change in eyesight,
eye pain, or very bad Normal storage:
eye irritation. Store capsules in
•Eye redness. original container
•Seeing halos or bright
colors around lights.
•Trouble passing urine.
•Pain when passing
urine.
•Chest pain or
pressure.

Common:
Dry mouth.
•Upset stomach.
•Nose and throat
irritation.
•Runny nose.
•Stuffy nose.
•Belly pain.
•Dizziness.

◦ Combivent Respimat COPD 1 inhalation qid Severe: Avoid driving and Usual Storage
(Ipratropium Max 6 a day •Signs of an allergic doing other tasks or Beta blockers, may Usual Missed Doses
bromide/Albuterol reaction, like rash; actions that call for diminish effects of
sulfate) hives; itching; red, you to be alert or albuterol.
swollen, blistered, or have clear eyesight Monitor
peeling skin with or until you see how
without fever; this drug affects you.
wheezing; tightness in •Do not take more
the chest or throat; of this drug or use it
trouble breathing or more often than you
talking; unusual have been told.
hoarseness; or Deaths have
swelling of the mouth, happened when too
face, lips, tongue, or much of this drug
throat. was taken. Talk with
•Signs of low your doctor.
potassium levels like
muscle pain or Prepare before first
weakness, muscle use or when puffer
cramps, or a heartbeat has not been used
that does not feel for more than 21
normal. days. Spray towards
•Signs of high blood the ground until mist
pressure like very bad is seen. Once the
headache or dizziness, mist is seen, repeat
passing out, or change 3 more times. If it
in eyesight. has been more than
•Chest pain or 3 days since it has
pressure or a fast been used, spray
heartbeat. once at the ground.
•A heartbeat that does
not feel normal.
•If you are not able to
get the breathing
attack under control.
Get help right away.
•Peak flow
measurement low.
•Very nervous and
excitable.
•Change in eyesight,
eye pain, or very bad
eye irritation.
•Seeing halos or bright
colors around lights.
•Trouble passing urine

Common:
•Feeling nervous and
 excitable.
•Headache.
•Shakiness.

◦ Tudorza (aclidinium COPD Twice Daily Severe: Skip the missed dose
bromide) •Signs of an allergic •Do not get this drug and go back to your
reaction, like rash; powder in your eyes. normal time
hives; itching; red, Side effects like eye Throw away inhaler
swollen, blistered, or pain or redness, after 45 days of
peeling skin with or blurred eyesight, or opening the pouch,
without fever; other eyesight when it says 0, or
wheezing; tightness in problems may locks you from using
the chest or throat; happen. Call your it.
trouble breathing or doctor right away if
talking; unusual you have any of Usual storage
hoarseness; or these signs.
swelling of the mouth,
face, lips, tongue, or
throat. •To gain the most
•Trouble passing urine. benefit, do not miss
•Pain when passing doses.
urine. •Keep using this
•Passing urine more drug as you have
often. been told by your
•Passing urine in a doctor or other
weak stream or drips. health care provider,
•Change in eyesight, even if you feel well.
eye pain, red eyes, or
seeing halos or
bright colors around
lights. These may be
signs of a type of
glaucoma. If left
untreated, this can lead
to lasting eyesight loss.

Common:
•Headache.
•Nose and throat
irritation.

Brand / Indications Dosing / How to Admin Side Effects Warnings / Cautions Interaction Missed Doses/
Generic Name s Storage
 Contraceptio One active tablet/day Signs of an allergic reaction, like rash; CYP3a4 Usual Storage
n for 84 consecutive hives; itching; red, swollen, blistered, or •This drug may raise Inducers
LoSeasonique the chance of blood
(Ethinyl days, followed by 1 low peeling skin with or without fever; wheezing;
It is used to dose estrogen tightness in the chest or throat; trouble clots, a stroke, or a
Estradiol and heart attack. Talk with
prevent tablet/day for 7 days; if breathing or talking; unusual hoarseness; or
Levonorgestr pregnancy. all doses have been swelling of the mouth, face, lips, tongue, or the doctor.
el) taken on schedule and throat. •Talk with your doctor
one menstrual period is •Signs of liver problems like dark urine, if you will need to be
missed, pregnancy feeling tired, not hungry, upset stomach or still for long periods of
should be ruled out stomach pain, light-colored stools, throwing time like long trips,
prior to continuing up, or yellow skin or eyes. bedrest after surgery,
therapy. •Signs of high blood pressure like very or illness. Not moving
bad headache or dizziness, passing out, or for long periods may
Missed doses: change in eyesight. raise your chance of
•Coughing up blood. blood clots.
One dose missed: •Shortness of breath.
Take as soon as •Chest pain or pressure. •If you have high
remembered or take 2 •Very upset stomach or throwing up. blood sugar
tablets the next day •Weakness on 1 side of the body, trouble (diabetes), talk with
speaking or thinking, change in balance, your doctor. This drug
Two consecutive drooping on one side of the face, or blurred may raise blood
doses missed: Take 2 eyesight. sugar.
tablets as soon as •Swelling, warmth, numbness, change of
remembered or 2 color, or pain in a leg or arm.
tablets the next 2 days. •Low mood (depression). Smoking cigarettes
An additional •Feeling very tired or weak. while using this drug
nonhormonal method of •Very bad belly pain. raises the chance of
contraception should be •Swelling. very bad heart and
used for 7 consecutive •Not able to pass urine or change in how blood-related side
days after the missed much urine is passed. effects. This chance is
dose. •A lump in the breast, breast soreness, or raised with age
nipple discharge. (mainly in women
Three or more •Vaginal itching or discharge. older than 35 years of
consecutive doses •Spotting or vaginal bleeding that is very age). It is also raised
missed: Do not take bad or does not go away. with the number of
the missed doses; •Bulging eyes. cigarettes smoked. It
continue taking 1 •Loss of eyesight. is strongly advised not
tablet/day until pack is •Change in how contact lenses feel in the to smoke. Do not use
complete. Bleeding eyes. this drug if you smoke
may occur during the and are older than 35
following week. An Common side effects: years of age.
additional nonhormonal Feeling more or less hungry.
method of •Dizziness. This drug does not
contraception should be •Weight gain. stop the spread of
used for 7 consecutive •Headache. diseases like HIV or
days after the missed •Upset stomach or throwing up. hepatitis that are
dose. •Cramps.
 •Bloating. passed through blood
Any number of pills •Enlarged breasts. or having sex. Do not
during week 13: Throw •Breast soreness. have any kind of sex
away the missed pills •Hair loss. without using a latex
and keep taking •Pimples (acne). or polyurethane
scheduled pills until the •Period (menstrual) changes. These include condom
pack is finished. A spotting or bleeding between cycles.
back-up method of •Lowered interest in sex. •Take with or without
contraception is not food. Take with food if
needed it causes an upset
stomach.

•Certain drugs, herbal

products, or health
problems could cause
this drug to not work
as well. Be sure your
doctor knows about all
of your drugs and
health problems.
•If you throw up or
have diarrhea, this
drug may not work as
well to prevent
pregnancy. Use an
extra form of birth
control, like condoms,
until you check with
your doctor.

•If you have a cycle

longer than 91 days
and you miss one
period, take a
pregnancy test before
starting a new dosing
cycle.

Ortho-Evra Contraceptio Apply one patch each The risk of cardiovascular side effects is Carbohydrate CYP3a4 No bleeding
Transdermal n week for 3 weeks (21 increased in women who smoke cigarettes; intolerance: May Inducers during patch-free
Patch total days); followed by risk increases with age (especially women impair glucose week/missed
one week that is patch- >35 years of age) and the number of tolerance; use caution (grapferuit) menstrual period:
(Ethinyl
free. Each patch should cigarettes smoked; women who use in women with If patch has been
Estradiol and be applied on the same combination hormonal contraceptives diabetes or applied as
Norelgestromi day each week (“patch should be strongly advised not to smoke. prediabetes. directed, continue
n) change day”) and only Use is contraindicated in patients >35 years treatment on usual
one patch should be of age who smoke. The risk of venous “patch change
worn at a time. No thromboembolism day”. If used
more than 7 days Common: (VTE) may be further correctly, no
should pass during the Headache, Breast changes, nausea, local increased with use of bleeding during
patch-free interval. application site reaction: the contraceptive patch-free week
patch due to does not
Schedule 1 (Sunday •Weight gain. increased estrogen necessarily
starter): Dose begins •Upset stomach or throwing up. exposure in indicate
on first Sunday after •Cramps. comparison to oral pregnancy.
onset of menstruation; contraceptives. The However, if no
if the menstrual period
•Bloating. increased estrogen withdrawal
starts on Sunday, apply •Enlarged breasts. exposure may bleeding occurs
one patch that very •Breast soreness. increase the risk of for 2 consecutive
same day. With a •Period (menstrual) changes. adverse events, cycles, pregnancy
Sunday start, an including venous should be ruled
These include lots of bleeding,
additional method of thromboembolism. out. If patch has
spotting, or bleeding between
contraception Discontinue use of not been applied
cycles.
(nonhormonal) must be combination hormonal as directed, and
used until after the first •Lowered interest in sex. contraceptives if an one menstrual
7 days of consecutive •Skin irritation. arterial or venous period is missed,
administration unless •This drug may cause dark patches thrombotic event pregnancy should
the menstrual period of skin on your face. Avoid sun, occurs. be ruled out prior
starts on Sunday. Each sunlamps, and tanning beds. Use to continuing
patch change will then treatment.
occur on Sunday.
sunscreen and wear clothing and •If you have high
eyewear that protects you from the blood sugar
sun. If a patch
Schedule 2 (Day 1 (diabetes), talk with becomes partially
starter): Dose starts on your doctor. This drug or completely
first day of menstrual may raise blood detached for <24
Severe: sugar.
cycle, applying one •Signs of an allergic reaction, like rash; hours: Try to
patch during the first 24 hives; itching; red, swollen, blistered, or reapply to same
hours of menstrual peeling skin with or without fever; wheezing; This drug may raise place, or replace
cycle. Each patch tightness in the chest or throat; trouble the chance of blood with a new patch
change will then occur breathing or talking; unusual hoarseness; or clots, a stroke, or a immediately. Do
on that same day of the swelling of the mouth, face, lips, tongue, or heart attack. Talk with not reapply if
week. The US labeling throat. the doctor. patch is no longer
does not indicate that a •Signs of liver problems like dark urine, sticky, if it is
back-up method of feeling tired, not hungry, upset stomach or sticking to itself or
contraception is needed stomach pain, light-colored stools, throwing
•Certain drugs, herbal another surface,
as long as the patch is up, or yellow skin or eyes. products, or health or if it has material
applied on the first day •Coughing up blood. problems could cause sticking to it.
of cycle •Shortness of breath. this drug to not work
•Chest pain or pressure. as well. Be sure your If a patch
•Put patch on once a •Very bad dizziness or passing out. doctor knows about all becomes partially
week for 3 weeks. Put it •Very upset stomach or throwing up. of your drugs and or completely
on the same day each health problems. detached for >24
 week. Do not use patch •Weakness on 1 side of the body, trouble hours (or time
on the 4th week. speaking or thinking, change in balance, •This drug does not period is
•Put patch on clean, drooping on one side of the face, or blurred stop the spread of unknown): Apply a
dry, healthy skin on the eyesight. diseases like HIV or new patch and
buttock, belly, upper •Swelling, warmth, numbness, change of hepatitis that are use this day of the
arm, or back. color, or pain in a leg or arm. passed through blood week as the new
•Do not put on the •Very bad headache. or having sex. Do not “patch change
breast. •Low mood (depression). have any kind of sex day” from this
•Do not put the patch •Feeling very tired or weak. without using a latex point on. An
on the waistline. •Very bad skin irritation. or polyurethane additional method
•Move the site with •Very bad belly pain. condom. Do not share of contraception
each patch. •Swelling. needles or other (nonhormonal)
•Do not put on open •Not able to pass urine or change in how things like must be used until
wounds, cuts, or much urine is passed. toothbrushes or after the first 7
irritated skin. •Bulging eyes. razors. Talk with your days of
•Do not use patches •Change in eyesight. doctor. consecutive
that are cut or do not •Change in how contact lenses feel in the administration.
look right. eyes.
•Do not use adhesives •A lump in the breast, breast soreness, or Storage:
or wraps to hold the nipple discharge. Store at room
patch in place. •Vaginal itching or discharge. temperature. Do
•Do not put on skin •Spotting or vaginal bleeding that is very not refrigerate or
where you have just bad or does not go away. freeze.
used creams, oils, •Store in pouch
lotions, powder, or until ready for use.
other skin products.
The patch may not stick
as well.
•Avoid sunlight on
treated area.
•Do not skip doses,
even if you do not have
sex very often.
•Do not put on more
than 1 patch at a time.

Brand / Generic Indications Dosing / How to Side Effects Warnings / Cautions Interactions Missed Doses/
Name Admin Storage
 Z-Pak Treat or prevent 250mg Tablet Signs of an allergic Complete the 5 day do not administer Usual storage
(Azithromycin) bacterial infections reaction, like rash; course. with antacids that Usual Method
Mild to moderate hives; itching; red, contain aluminum or
respiratory tract, swollen, blistered, or Do not use longer magnesium.
skin, and soft tissue peeling skin with or than you have been
infections: Oral: 500 without fever; told. A second Prolong QT
mg in a single wheezing; tightness infection may (abnormal
loading dose on day in the chest or throat; happen. heartbeat)
1 followed by 250 mg trouble breathing or
daily as a single talking; unusual Do not take antacids,
dose on days 2 to 5 hoarseness; or milk or dairy products
swelling of the within 2-4 hours of
(Take 2 tablets by mouth, face, lips, this drug.
mouth today and tongue, or throat.
then take 1 tablet by •A fast heartbeat.
mouth daily for the •A heartbeat that
next 4 days) does not feel normal.
May administer •Change in hearing.
without regard to •Hearing loss.
food; •Chest pain or
pressure.
•Ringing in ears.
•Seizures.
•Very bad dizziness
or passing out.
•Trouble swallowing
or speaking.
•Fever.
•Swollen gland.
•Vaginal itching or
discharge.

Common:
Belly pain.
•Loose stools
(diarrhea).
•Headache.
•Upset stomach or
throwing up.
•Itching.
•Not hungry.

Amoxicillin Treat or prevent •Shake well before Severe: If your child's May lower birth •Give a missed dose
suspension bacterial infections use. •Signs of an symptoms or health control efficacy - as soon as you think
•Measure liquid allergic reaction, problems do not get recommend to use about it.
doses carefully. Use like rash; hives; better or if they backup method if •If it is close to the
(Moxatag)
the measuring device itching; red, swollen, become worse, call needed. time for your child's
that comes with this blistered, or peeling your child's doctor. next dose, skip the
drug. If there is none, skin with or without missed dose and go
ask the pharmacist fever; wheezing; back to your child's
for a device to tightness in the chest normal time.
measure this drug. or throat; trouble •Do not give 2 doses
•This drug may be breathing or talking; at the same time or
mixed with formula, unusual hoarseness; extra doses.
milk, water, or other or swelling of the
cold drinks. Have mouth, face, lips, Store liquid
your child drink right tongue, or throat. (suspension) at room
away after mixing. •Signs of liver temperature or in a
problems like dark refrigerator. Do not
Dosing: urine, feeling tired, freeze. Throw away
: Oral: 20 to 40 not hungry, upset any part not used
mg/kg/day in divided stomach or stomach after 2 weeks.
doses every 8 hours pain, light-colored
(maximum dose: 500 stools, throwing up,
mg/dose) or 25 to 45 or yellow skin or
mg/kg/day in divided eyes.
doses every 12 •Any unexplained
hours (maximum bruising or bleeding.
dose: 875 mg/dose) •Redness or white
patches in mouth or
Usually 1-2 throat.
teaspoons by mouth •It is common to
3 times a day. have diarrhea when
taking this drug.
Rarely, a very bad
form of diarrhea
called Clostridium
difficile (C diff)-
associated diarrhea
(CDAD) may occur.
Sometimes, this has
led to a deadly bowel
problem (colitis).
CDAD may happen
while your child is
taking this drug or
within a few months
after he/she stops
taking it. Call your
child's doctor right
away if your child
has stomach pain or
cramps, very loose
or watery stools, or
 bloody stools. Do not
try to treat loose
stools without first
checking with the
doctor.
•A very bad skin
reaction (Stevens-
Johnson
syndrome/toxic
epidermal necrolysis)
may happen. It can
cause very bad
health problems that
may not go away,
and sometimes
death. Get medical
help right away if
your child has signs
like red, swollen,
blistered, or peeling
skin (with or without
fever); red or irritated
eyes; or sores in the
mouth, throat, nose,
or eyes.

Common:
•Upset stomach or
throwing up.
•Loose stools
(diarrhea).

Brand / Generic Indications Dosing / How to Admin Side Effects Warnings / Cautions Interactions Missed Doses/
Name Storage

◦ Ciprodex Acute Otitis Instill 4 drops into affected Severe: If your symptoms or No major Usual method
(Ciprofloxacin and externa/media ear(s) twice daily for 7 days Allergic reaction, health problems do not interactions
Dexamethasone) (ear infection) Very bad ear get better or if they Usual storage +
Wash your hands before irritation. become worse, call your throw away after
and after use. •Dizziness. doctor. treatment is done, do
•Warm suspension in hands •A fast heartbeat. not save.
1 to 2 minutes before putting •A heartbeat that Do not use longer than
drops in ear. does not feel you have been told. A
•Shake well before use. normal. second infection may
•Lie on your side with happen.
problem ear up. Common:
•For children 3 years of age •Ear discomfort.
and older and adults, pull •Itching.
the outer ear outward and •Ear pain.
upward.
•For children younger than 3
years of age, pull the outer
ear outward and downward.
•Put drops in ear without
touching dropper to ear.
Stay on side for 1 minute.
•Do not touch the container
tip to the skin.

Brand / Generic Indications Dosing / How to Admin Side Effects Warnings / Cautions Interactions Missed Doses/
Name Storage
Lumigan Elevated Instill 1 drop in the affected Severe •Do not give to child NSAIDs may Usual method
(Bimatoprost) intraocular eye(s) once daily in the younger than 16 diminish the Usual storage
pressure evening. Do not exceed • Signs of an allergic rxn (rash; effect of + Keep lid
once-daily dosing (may hives; itching; red, swollen, bimatoprost tightly closed
(Treat decrease IOP-lowering blistered, or peeling skin with or •Wash your hands
glaucoma effect) without fever; wheezing; before and after use.
Lower high tightness in the chest or throat; •Take out contact
eye blood If used w/ other topical trouble breathing or talking; lenses before using
pressure) ophthalmic agents, separate unusual hoarseness; or swelling this drug. Lenses may
admin by at least 5 minutes of the mouth, face, lips, tongue, be put back in 15
or throat) minutes after this drug
is given. Do not put
● Change in eyesight, eye
contacts back in if your
pain or very bad eye
eyes are irritated or
irritation
infected.
● If bright light bothers
your eyes •Keep using this drug
● Eye discharge as you have been told
● Eye color change to by your doctor or other
brown after months- health care provider,
years (may be long- even if you feel well.
lasting
•To gain the most
benefit, do not miss
Common: doses.
•Eye irritation. •Blot extra solution
•may cause dark eyelids but will from the eyelid.
usually go back to normal when
drug is stopped
•dark eyelashes, thickness , or
more eyelashes

◦ Xalatan Elevated One drop in the affected Severe: Hypersensitivity to Bimatoprost: Store opened
(Latanoprost) intraocular eye(s) once daily in the •Signs of an allergic reaction, latanoprost, The concomitant bottles at room
pressure evening; do not exceed the like rash; hives; itching; red, benzalkonium chloride, use of temperature.
once daily dosage (may swollen, blistered, or peeling skin or any component of Latanoprost and Throw away
(Treat decrease the IOP-lowering with or without fever; wheezing; the formulation Bimatoprost any part not
glaucoma effect) tightness in the chest or throat; may result in used after 6
Lower high May be used with other eye trouble breathing or talking; Contains increased weeks.
eye blood drops to lower IOP. If more unusual hoarseness; or swelling benzalkonium chloride intraocular •Store in a dry
pressure) than one topical ophthalmic of the mouth, face, lips, tongue, which may be pressure. Risk place. Do not
drug is being used, or throat. absorbed by contact D: Consider store in a
administer the drugs at least •Change in eyesight, eye pain, or lenses; remove therapy bathroom.
5 minutes apart. Remove very bad eye irritation. contacts prior to modification •Protect from
contact lenses prior to •Eye discharge. administration and wait light.
administration and wait 15 •Eye color may change to a 15 minutes before Nonsteroidal
 minutes before reinserting. brown color. This change may be reinserting. Anti-
long-lasting. Eye color changes Inflammatory
may happen a few months to Wash your hands Agents: May
years after starting this drug. If before and after use. diminish the
eye color changes, call the •Take out contact therapeutic
doctor. lenses before using effect of
this drug. Lenses may Prostaglandins
Common: be put back in 15 (Ophthalmic)
•Eye irritation. minutes after this drug
•Blurred eyesight. is given. Do not put
•Burning. contacts back in if your
•Stinging. eyes are irritated or
•Eyelash growth. infected.
•Feeling that something is in the
eye.
•This drug may cause eyelash
changes like dark eyelashes,
thickness, or more eyelashes.
Most of the time, these changes
go back to normal after this drug
is stopped.

Brand / Generic Indications Dosing / How to Admin Side Effects Warnings / Cautions Interactions Missed Doses/
Name Storage

◦ Humira - Psoriatic arthritis SubQ every other week Severe: Live Vaccines •Store in a
(adalimumab) -Rheumatoid (depends on condition) •Signs of an allergic •Very bad and refrigerator. Do not
arthritis reaction, like rash; sometimes deadly Other freeze.
-Juvenile •It is given as a shot into hives; itching; red, infections have immunosuppressant •Do not use if it has
idiopathic arthritis the fatty part of the skin. swollen, blistered, or happened in patients s been frozen.
Ankylosing •If you will be giving peeling skin with or who take this drug. •Store in the original
spondylitis yourself the shot, your without fever; Most people who had container or in
-Ulcerative colitis doctor or nurse will teach wheezing; tightness in these infections were another container
-Crohn disease you how to give the shot. the chest or throat; taking other drugs to that protects this
- Plaque psoriasis •Wash your hands before trouble breathing or lower the immune drug from light.
and after use. talking; unusual system like
-Hidradenitis •Follow how to use as you hoarseness; or swelling methotrexate or •If needed, you may
suppurativa have been told by the of the mouth, face, lips, steroid drugs. If you store at room
(Humira only) doctor or read the tongue, or throat. have any infection, temperature for up to
-Uveitis (Humira package insert. •Signs of infection like are taking antibiotics 14 days. Write down
only) •Do not shake the fever, chills, very bad now or in the recent the date you take this
solution. sore throat, ear or sinus past, or have had drug out of the
•Do not use if the solution
is cloudy, leaking, or has
particles.
•Do not give into red or
irritated skin.
•Move the site where you
give the shot with each
shot.
•If it makes the shot feel
better, this drug can be
taken out of the
refrigerator 15 to 30
minutes before using.
Allow to sit at room
temperature without
removing the cap or
cover. Do not heat this
drug.
pain, cough, more many infections, talk refrigerator. If stored
sputum or change in with your doctor. at room temperature
color of sputum, pain and not used within
with passing urine, •TB (tuberculosis) 14 days, throw this
mouth sores, or wound has been seen in drug away.
that will not heal. patients started on
•Signs of lupus like a this drug. These
rash on the cheeks or patients were Missed doses:
other body parts, exposed to TB in the Usual method
sunburn easy, muscle past, but never got
or joint pain, chest pain the infection. You will
or shortness of breath, be tested to see if
or swelling in the arms you have been
or legs. exposed to TB before
•Chest pain or starting this drug.
pressure.
•Very bad headache. •Lymphoma and
•Feeling very tired or other cancers have
weak. happened in people
•Very bad dizziness or who take this drug or
passing out. drugs like it. This has
•Any unexplained been deadly in some
bruising or bleeding. cases. Talk with the
•Night sweats. doctor.
•A big weight loss. •A rare type of
•Fever that does not go cancer called
away. hepatosplenic T-cell
•Swollen gland. lymphoma (HSTCL)
•A skin lump or growth. has happened with
•Blood in the urine. this drug and other
•Pale skin. drugs like it. These
•Very bad irritation cases have been
where the shot was deadly. Almost all
given. cases were in people
•Red scaly patches or who were using
bumps that are pus drugs like this one
filled. along with certain
•Very bad and other drugs
sometimes deadly liver (azathioprine or 6-
problems have mercaptopurine).
happened with this Most of the time, this
drug. happened during
•Heart failure has treatment for Crohn's
happened with this disease or ulcerative
drug, as well as heart colitis. Also, most
failure that has gotten cases were in male
 worse in people who teenagers or young
already have it. Tell men. Talk with the
your doctor if you have doctor.
heart disease. Call your
doctor right away if you
have shortness of •You may have
breath, a big weight more chance of
gain, a heartbeat that is getting an infection.
not normal, or swelling Wash hands often.
in the arms or legs that Stay away from
is new or worse. people with
infections, colds, or
flu.
Common:
•Headache. •You may bleed
•Stuffy nose. more easily. Be
•Runny nose. careful and avoid
•Belly pain. injury. Use a soft
•Upset stomach. toothbrush and an
•Back pain. electric razor.
•Irritation where the
shot is given.

Brand / Generic Indications Dosing / How to Side Effects Warnings / Cautions Interactions Missed Doses/
Name Admin Storage

◦ Nicoderm CQ Smoking Cessation Start using the patch Erythema, pruritus, CVD: nicotine can Adenisone, Usual Method
(Nicotine on the day you plan or burning at the increase BP and Cimetidine, Usual Storage
transdermal system) - It is used to treat application site heart rate Varenicline
to quit. Remove the
nicotine withdrawal.
backing from the
- It is used to curb Monitor for Signs
the craving to patch and and symptoms of
smoke. immediately press nicotine toxicity (eg,
severe headache,
the sticky side onto
dizziness, mental
skin that is dry, clean confusion, disturbed
and hairless. Hold for hearing and vision,
abdominal pain;
10 seconds. rapid, weak and
irregular pulse;
A new patch should salivation, nausea,
be applied to a vomiting, diarrhea,
different skin site at cold sweat,
the same time each weakness (make
sure to d/c smoking
day, which will help COMPLETELY
you remember when before use)
to put on a new one.
Do not leave the Discontinue and
contact PCP If skin
same patch on for
redness caused by
more than 24 hours the patch does not
as it may irritate your resolve after 4 days
or if inflammation or
skin and lose rash occurs.
strength.
If vivid dreams or
-Do not leave on the other sleep
disturbances occur,
skin for more than 24 remove the patch at
hours. bedtime and apply
another patch in the
- Do not put on more morning.
than 1 patch at a This drug may cause
time. harm if swallowed. If
this drug is
- Do not use patches swallowed, call a
doctor or poison
that are cut or do not control center right
look right. away.

Patients smoking
more than 10
cigarettes/day:
Begin with step 1 (21
mg/day) for 6 weeks,
followed by step 2
(14 mg/day) for 2
weeks; finish with
step 3 (7 mg/day) for
2 weeks.

Patients smoking
10 cigarettes/day or
less: Begin with step
2 (14 mg/day) for 6
weeks, followed by
step 3 (7 mg/day) for
2 weeks