Drug Brand Name 

Classification  Action  Indication  Side/Adverse Contraindications  Nursing Action 

Effects 
Ferrous Feosol Pharmacologic:  Acts to normalize For prevention CNS:  Hemochromatosis, 1. Give iron
Sulfate  Feratab  Hematinic  RBC production by and treatment of Dizziness, Fever, hemolytic anemias, tablets and
Mol-Iron binding with iron deficiency headache, hemosiderosis, capsules with a
Fer-In-Sol Therapeutic:  hemoglobin or by anemia in adults Paresthesia, hypersensitivity to full glass of
Anti-anemic being and children.  Syncope  iron salts or their juice or water.
Nutritional oxidized and stored components and Don’t crush
Supplement  as hemosiderin or CV:  other anemic enteric-coated
aggregated ferritin Chest pain, conditions unless tablets or open
in hypertension, accompanied by capsules.
reticuloendothelial hypotension, iron 2. Dilute and
cells of the bone tachycardia deficiency administer with
marrow, liver, and a straw or place
spleen. Iron is an EENT:  drops in back of
essential Metallic taste, the patient's
component of tooth discoloration throat, because
hemoglobin, iron solutions
myoglobin, and may stain teeth.
several enzymes, GI:  Mix the elixir
including catalase, Abdominal form in water.
cytochromes, cramps, Fer-In-Sol
and peroxidase. constipation, Drops or Syrup
Iron is needed for epigastric pain, may be mixed
catecholamine nausea, stool with juice or
metabolism and discoloration, water.
normal vomiting 3. Know that to
neutrophil function. maximize
HEME: absorption, iron
Hemochromatosis, salts should be
hemolysis, given 1 hour
hemosiderosis before or 2
hours after
RESP: meals. If GI
Dyspnea, irritation occurs,
wheezing give with or just
after meals.
SKIN:  4. Protect liquid
Diaphoresis, form from
flushing, pruritus, freezing.
rash, urticaria

Other:
Anaphylaxis (with
I.V.
administration),
 angioedema,
injection-site
discoloration

Celecoxib  Celebrex  Pharmacologic: Selectively inhibits For the CNS:  Hypersensitivity to 1. Assess range
Nonsteroidal the enzymatic management of Aseptic meningitis, drug, sulfonamides, of motion,
cyclooxygenase-2 activity of signs and cerebral or other NSAIDs,  degree of
(COX-2) inhibitor, cyclooxygenase-2 symptoms of hemorrhage, CVA, Advanced renal swelling, and
NSAID  (COX-2), the osteoarthritis, depression, disease, Severe pain in
enzyme needed to Rheumatoid dizziness, hepatic affected joints
Therapeutic:  convert arachidonic arthritis, Juvenile fever, headache, impairment,  before and
Analgesic, Anti- acid to rheumatoid insomnia, suicidal Sensitivity periodically
inflammatory and prostaglandin. arthritis, ideation, syncope, precipitated by throughout
antirheumatic  Prostaglandins are Ankylosing transient ischemic aspirin, Third therapy.
responsible for spondylitis and attacks, vertigo trimester of 2. Assess
mediating the management of pregnancy, patient for
inflammatory acute pain and CV:  Breastfeeding allergy to
response and dysmenorrhea  Aortic valve sulfonamides,
causing local incompetence, aspirin, or
vasodilation, bradycardia, chest NSAIDs.
swelling, and pain. pain, congestive Patients with
Prostaglandins also heart these
play a role in failure, deep vein allergies
peripheral thrombosis, fluid should not
pain transmission to retention, receive
the spinal cord. By hypertension, MI, celecoxib.
inhibiting COX-2 palpitations, 3. Assess
activity and peripheral edema, patient for
prostaglandin tachycardia, skin rash
production, this thrombosis, frequently
reduces unstable angina, during
inflammatory vasculitis, therapy.
symptoms and ventricular Discontinue at
relieves fibrillation, first sign of
pain. ventricular rash; may be
hypertrophy life-
threatening.
EENT:  SJS may
Conjunctival develop.
hemorrhage, Treat
deafness, symptomatica
labyrinthitis, lly; may recur
nasopharyngitis, once
pharyngitis, treatment is
rhinitis, sinusitis, stopped.
vitreous floaters 4. Monitor for
 signs and
ENDO: symptoms of
Hyperglycemia, DRESS
hypoglycemia (fever, rash,
lymphadenop
GI:  athy, facial
Abdominal pain, swelling)
diarrhea, elevated periodically
liver enzymes, during
esophageal therapy.
perforation, Discontinue
flatulence, GI therapy if
bleeding or symptoms
ulceration, hepatic occur.
failure, ileus, 5. Use lowest
indigestion, effective dose
jaundice, nausea, for shortest
pancreatitis, period of time.
perforation of 6. PO May be
intestines or administered
stomach, vomiting without regard
to meals.
Capsules may
HEME: be opened
Agranulocytosis, and sprinkled
aplastic anemia, on
decreased applesauce
hematocrit and and ingested
hemoglobin, immediately
leukopenia, with water.
pancytopenia, Mixture may
prolonged APTT, be stored in
thrombocytopenia the
refrigerator for
MS:  up to 6 hr.
Arthralgia, back
pain, elevated
serum CK level,
epicondylitis,
tendon
Rupture

RESP:
Bronchospasm,
cough, dyspnea,
pneumonia,
 pulmonary
embolism,
upper respiratory
tract infection

SKIN: 
Erythema
multiforme,
exfoliative
dermatitis,
phototoxicity, rash,
Stevens–Johnson
syndrome, toxic
epidermal
necrolysis,
urticaria
Other:
Anaphylaxis,
angioedema,
hyperkalemia,
hypernatremia,
hyponatremia,
sepsis

Mefenamic Ponstan Pharmacologic: Mefenamic acid For the treatment Common:  Hypersensitivity to 1. Use the lowest
Acid  cyclo-oxygenase binds the of rheumatoid Heartburn, mefenamic acid or effective
(Cox-1 and -2) prostaglandin arthritis, stomach pain, any of its dosage for the
inhibitor, NSAID  synthetase osteoarthritis, gas, nausea, components, shortest
receptors COX-1 dysmenorrhea, vomiting, diarrhea, History of asthma possible
Therapeutic:  and COX-2, and mild to constipation; or, and urticaria, in the duration.
Analgesic, Anti- inhibiting the action moderate pain, dizziness. setting of coronary 2. Avoid
inflammatory and of prostaglandin inflammation, and artery bypass graft  administration
antirheumatic  synthetase. As fever. Other:  of more than
these receptors one NSAID at
have a role as a a time.
major mediator of  Shortness of 3. Avoid use in
inflammation and/or breath (even patients at
a role for prostanoid with mild higher risk
signaling in activity- exertion); unless benefits
dependent  Swelling or are expected
plasticity, the rapid weight to outweigh the
symptoms of pain gain; increased risk
are temporarily  Nausea, of bleeding.
reduced. Diarrhea flu-like For such
symptoms patients, as
(fever, swollen well as those
 glands, muscle with active GI
aches, severe bleeding,
weakness); consider
 Skin rash, no alternate
matter how therapies other
mild; than NSAIDs.
 signs of 4. Remain alert
stomach for signs and
bleeding - symptoms of
bloody or tarry GI ulceration
stools, and bleeding
coughing up during NSAID
blood or vomit therapy.
that looks like 5. If a serious GI
coffee grounds; adverse event
 liver problems - is suspected,
loss of appetite, promptly
stomach pain initiate
(upper right evaluation and
side), treatment, and
tiredness, discontinue
itching, dark mefenamic
urine, clay- acid until a
colored stools, serious GI
Jaundice adverse event
(yellowing of is ruled out.
the skin or
eyes);
 kidney
problems -little
or no urination,
swelling in your
feet or ankles,
feeling tired or
short of breath;
o
 low red blood
cells (anemia)--
pale skin,
unusual
tiredness,
feeling light-
headed or short
of breath, cold
hands and feet.
Co Augmentin Therapeutic: Bactericidal and Given to treat Diarrhea, Nausea, Hypersensitivity to 1. Asses bowel
amoxiclav Clavamox Broad-spectrum works by inhibiting bacterial Vomiting, beta-lactams e.g. treatment
antibiotic the synthesis of infections. It is Redness and penicillins and before and
bacterial cell walls. prescribed for itching in the cephalosporins; in during
Pharmacologic: sinus infections, mouth or vagina patients with a treatment as
Beta lactam and urine infections, previous history of pseudomembr
beta lactamase skin infections, amoxicillin- anous colitis
inhibitor joint infections clavulanate- may occur
and some dental associated 2. Report
infections. It is jaundice/hepatic hematuria or
also given before dysfunction oliguria as high
some surgical doses can be
operations, to nephrotoxic
prevent an 3. Observe for
infection from anaphylaxis
developing. 4. Assess
respiratory
status
5. Ensure that the
patient has
adequate fluid
intake
Cefuroxim Ceftine Pharmacologic: Interferes with To treat CNS: Hypersensitivity to 1. Use
e Zinacef Second-generation bacterial cell wall uncomplicated Chills, fever, cefuroxime, other cefuroxime
cephalosporin synthesis by gonorrhea caused headache, cephalosporins, or cautiously in
Therapeutic: inhibiting the final by Neisseria seizures their components patients
Antibiotic step in the gonorrhoeae CV: hypersensitiv
cross-linking of Edema e to penicillin
peptidoglycan because
strands. EENT: cross-
Peptidoglycan Hearing loss, oral sensitivity has
makes the cell candidiasis occurred in
membrane about 10% of
rigid and protective. GI: such patients.
Without it, bacterial Abdominal 2. Obtain culture
cells rupture and cramps, diarrhea, and
die. elevated liver sensitivity
enzymes, hepatic results, if
failure, possible and
hepatomegaly, as ordered,
nausea, before giving
pseudomembran drug.
ous colitis, 3. Give oral
vomiting form with
food to
decrease GI
GU:
Elevated BUN distress, as
level, needed.
nephrotoxicity, 4. Remember
renal failure, that oral
vaginal forms—
candidiasis tablets and
suspension—
HEME: aren’t
Eosinophilia, bioequivalent.
hemolytic 5. Monitor
anemia, patient for
hypoprothrombin allergic
emia reactions
neutropenia, continuing up
thrombocytopenia to a few days
, unusual after therapy
bleeding starts.
Patients with
MS: a history of
Arthralgia some form of
RESP: allergy,
Dyspnea especially to
SKIN: drugs, are at
Ecchymosis, increased risk
erythema, for an allergic
erythema reaction.
multiforme, 6. Assess bowel
pruritus, rash, pattern daily;
Stevens– severe
Johnson diarrhea may
syndrome indicate
Other: pseudomemb
Anaphylaxis; ranous colitis.
injection-site If it’s
edema, pain, and suspected,
redness; stop drug, as
superinfection ordered, and
provide
treatment as
prescribed.
7. Assess
patient for
arthralgia,
bleeding,
ecchymosis,
and
 pharyngitis,
which may
indicate a
blood
dyscrasia.
8. Monitor
bleeding time
and PT, as
ordered. Be
prepared to
administer
vitamin K, if
ordered, to
treat
hypothrombin
emia.
Losartan Cozaar Pharmacologic: Losartan is a To manage CNS: Dizziness, Concurrent aliskiren 1. Know that in
Angiotensin II competitive hypertension fatigue, therapy (in patients some
receptor blocker angiotensin II headache, with diabetes), patients,
(ARB) receptor antagonist. insomnia, malaise hypersensitivity losartan is
It selectively blocks to losartan or its more effective
Therapeutic: AT1 receptors found CV: Hypotension components when given in
Antihypertensive in many tissues (e.g. 2 divided
vascular smooth doses daily; it
EENT: Nasal
muscle, adrenal may be used
congestion
gland), thereby with other
blocking the antihypertensi
vasoconstricting and GI: Diarrhea, ves.
aldosterone- indigestion, 2. Monitor blood
secreting effects of nausea, vomiting pressure and
angiotensin II. renal function
Additionally, losartan HEME: Thromboc studies, as
does not affect the ytopenia ordered, to
response to evaluate drug
bradykinin and is MS: Back pain, effectiveness.
less likely to be leg pain, muscle 3. Periodically
associated with non- spasms monitor the
renin-angiotensin patient’s
effects (e.g. cough, RESP: Cough, serum
angioedema). upper respiratory potassium
tract infection level, as
ordered, to
detect
SKIN: Erythroder
hyperkalemia.
ma
4. Monitor
patient for
Other:
 muscle pain;
Angioedema, rarely,
hyperkalemia, rhabdomyolysi
hyponatremia s has
developed in
patients taking
another
angiotensin II
receptor
blocker.
WARNING: Be
aware that patients
who have renal
artery stenosis or
severe heart
failure may
experience acute
renal failure from
losartan therapy
because losartan
inhibits the
angiotensin–
aldosterone
system, on which
renal function
depends.

Tramadol ConZip Pharmacologic Binds with mu To relieve pain CNS: Acute or severe 1. Be aware that
Hydrochlo Ultram class: receptors and severe enough to Agitation, anxiety, bronchial asthma in tramadol
ride Ultram ER Opioid agonist inhibits the reuptake require opioid-like asthenia, the absence of shouldn’t be
of norepinephrine treatment and for depression, resuscitative given to
Therapeutic: and which alternative dizziness, equipment or patients with a
Opioid analgesic serotonin, which treatment options emotional lability, unmonitored history of
may account for such as nonopioid euphoria, fatigue, setting, alcohol anaphylactoid
tramadol’s analgesic analgesics or fever, intoxication; reactions to
effect. opioid hallucinations, children under the codeine or
combination headache, age of 12; other opioids.
products are hypertonia, excessive use of 2. Avoid giving
inadequate or not hypoesthesia, central-acting tramadol to
tolerated insomnia, analgesics, patients with
lethargy, hypnotics, opioids, acute
nervousness, or other abdominal
paresthesia, psychotropic drugs; conditions
restlessness, hypersensitivity to because it
rigors, seizures, tramadol or its may mask
serotonin components; known evidence and
syndrome, or disrupt
somnolence, suspected assessment of
suicidal ideation, gastrointestinal the abdomen.
tremor, vertigo, obstruction, 3. Be aware that
weakness including paralytic excessive use
ileus; postoperative of tramadol
CV: Chest pain, management in may lead to
orthostatic children ages 12 to abuse,
hypotension, 18 following addiction,
prolonged QT adenoidectomy misuse,
interval, torsades and/or overdose, and
de tonsillectomy; possibly
pointes, significant death. Monitor
vasodilation respiratory patient’s
depression; use intake of drug
EENT: Blurred within 14 days of closely and for
vision, dry mouth, MAO evidence of
nasal or sinus inhibitor therapy physical
congestion, sore dependence.
throat, vision Alert
Changes prescriber if
patient has a
history of
ENDO: dependence
Adrenal on other
insufficiency, hot opioids. Be
flashes aware that a
GI: Abdominal Risk
pain, anorexia, Evaluation
constipation, and Mitigation
diarrhea, Strategy
indigestion, (REMS) is
nausea, required
Vomiting before
tramadol can
GU: Androgen be prescribed.
deficiency, 4. Know that
decreased libido, chronic
erectile maternal use
dysfunction, of tramadol
impotence, during
infertility, lack of pregnancy
menstruation, can result in
urinary frequency, neonatal
urine retention opioid
withdrawal
 MS: Arthralgia; syndrome
back, limb, or (NOWS),
neck pain which may be
life-
RESP: Cough, threatening if
dyspnea, not
respiratory recognized
depression and treated,
(severe) appropriately.
NOWS occurs
SKIN: when a
Diaphoresis, newborn has
dermatitis, been exposed
flushing, pruritus, to tramadol for
rash a prolonged
period while in
utero.
5. Use tramadol
cautiously in
patients who
are taking
antidepressan
t drugs or
tranquilizers
and in
patients who
use alcohol in
excess or who
suffer from
depression or
emotional
disturbance.
Paracetam Tylenol Pharmacologic: COX inhibitor- Relief of minor Dizziness, Hypersensitivity to 1. Check that the
ol Dymadon exhibits analgesic aches and pains drowsiness, paracetamol. patient is not
Lemsip Therapeutic: and antipyretic such as constipation, Repeated taking any
Panadol Analgesic and activity by inhibiting headache, stomach upset, administration in other
Antipyretic prostaglandin backache, blurred vision, or patients with medication
synthesis. menstrual dry anemia, cardiac, containing
cramps, muscular mouth/nose/throa pulmonary, renal paracetamol.
aches, minor t and hepatic
arthritis pain, damage. 2. Do not take
toothache and for >5days for
pain associated pain in
with common cold children, ten
and flu. days for pain
in adults, or
 more than
three days for
fever in
adults.

3. Take with
food or milk to
minimize GI
upset.

4. Report N&V.
cyanosis,
shortness of
breath, and
abdominal
pain as these
are signs of
toxicity.

Calcium Apo-Cal Pharmacologic Increases levels of To treat CNS: Paresthesia Cardiac 1. Store at room
Carbonate Calci-Mix class: intracellular and hyperphosphatem (parenteral form) resuscitation with temperature,
Calsan Calcium salts extracellular ia CV: Hypotension, risk of existing and protect
Liqui-cal calcium, which is irregular digitalis toxicity or from heat,
Titralac Therapeutic needed to heartbeat presence of moisture, and
class: Antacid, maintain (parenteral form) ventricular direct light.
antihypermagnese homeostasis, GI: Nausea or fibrillation (I.V.), Don’t freeze.
mic, especially in the vomiting concurrent use of 2. Warm solution
antihyperphosphat nervous and (parenteral form) calcium to room
emic, musculoskeletal SKIN: supplements, temperature
antihypocalcemic, systems. Diaphoresis, hypercalcemia, before
calcium Also plays a role in flushing, or hypersensitivity to parenteral
replacement, normal cardiac and sensation of calcium salts or administration
cardiotonic renal function, warmth their components, .
respiration, (parenteral form) hypophosphatemia, 3. Keep patient
coagulation, Other: renal calculi in a
and cell membrane Hypercalcemia; recumbent
and capillary injection-site position for 30
permeability. Helps burning, pain, minutes after
regulate the release rash, or redness parenteral
and (parenteral administration
storage of form) to prevent
neurotransmitters dizziness from
and hormones. Oral hypotension.
 forms also neutralize 4. Check
or buffer regularly for
stomach acid to infiltration
relieve discomfort because
caused by calcium
hyperacidity. causes
necrosis. If
infiltration
occurs, stop
infusion and
tell prescriber
immediately.
5. Monitor serum
calcium level,
as ordered,
and evaluate
therapeutic
response by
assessing for
Chvostek’s
and
Trousseau’s
signs, which
shouldn’t
appear.
6. Be aware that
calcium
chloride
injection
contains three
times as much
calcium per
milliliter as
calcium
gluconate
injection.
Sodium Alka Selzter Pharmacologic Buffers excess To treat Aggravated CHF Loss of chloride 1. Monitor
Bicarbonat class: hydrogen ions, hyperacidity Cerebral through vomiting or sodium intake
e Electrolyte increases plasma hemorrhage continuous of patient
Therapeutic bicarbonate level, Edema gastrointestinal taking sodium
class: Antacid, and raises Hypernatremia suction, use of bicarbonate
electrolyte blood pH, thereby Hypocalcemia diuretic therapy oral powder
replenisher, reversing metabolic Hypokalemia known to produce a contains 952
systemic and acidosis. Sodium Tetany hypochloremic mg of
urinary bicarbonate also Metabolic alkalosis sodium/tsp;
alkalizer increases the alkalosis and tablets
excretion of free Belching contain 325
bicarbonate ions in Gastric distension mg/3.9-mEq
urine, raising urine Pulmonary tablet, 520
pH; edema mg/6.2-mEq
increased alkalinity Hypernatremia tablet, and
of urine may help to Hyperosmolality 650 mg/7.7-
dissolve uric acid Intracranial mEq tablet.
calculi. In addition, it acidosis 2. Monitor urine
relieves symptoms Milk-alkali pH, as
of hyperacidity by syndrome ordered, to
neutralizing or determine
buffering existing drug’s
stomach effectiveness
acid, thereby as urine
increasing the pH of alkalizer.
stomach contents. 3. Know that if
patient on
long-term
sodium
bicarbonate
therapy is
consuming
calcium or
milk, watch for
milk-alkali
syndrome,
characterized
by anorexia,
confusion,
headache,
hypercalcemia
, metabolic
acidosis,
nausea, renal
insufficiency,
and vomiting.
4. Be aware that
parenteral
forms are
hypertonic
and that
increased
sodium intake
can produce
edema and
weight gain.
 5. It is not known
if drug can
cause fetal
harm.
6. Use with
caution only if
benefit to
mother
outweighs
potential risk
to fetus.
7. Be aware that
drug
increases risk
of metabolic
acidosis and
edema in
pregnant
women.
Acetylcyst Acetadote Pharmacologic Decreases viscosity To liquefy CNS: Hypersensitivity to 1. Know that
eine class: of pulmonary abnormal, Chills, dizziness, acetylcysteine or its acetylcysteine
L-cysteine secretions by thickened, or drowsiness, components, no should be
derivative breaking disulfide viscid mucus fever, headache contraindications used
links that bind secretions in when cautiously in
Therapeutic glycoproteins in chronic CV: used as antidote patients with
class: Antidote (for mucus. Reduces pulmonary Edema, asthma or a
acetaminophen liver damage from disorders hypertension, history of
overdose), acetaminophen (including hypotension, bronchospas
mucolytic overdose. bronchiectasis, tachycardia m because
Usually, bronchitis, cystic drug may
acetaminophen’s fibrosis, EENT: adversely
toxic metabolites and emphysema) Rhinorrhea, affect
bind with glutathione and in stomatitis, stridor, respiratory
in the liver, pneumonia, tooth damage function.
which detoxifies pulmonary GI: Anorexia, 2. Repeat dose
them. When complications of constipation, as prescribed,
acetaminophen cardiovascular or hepatotoxicity, if patient
overdose depletes thoracic surgery, nausea, vomiting vomits loading
glutathione and tracheostomy dose or any
stores, toxic care maintenance
metabolites bind RESP: dose within 1
with protein in liver Bronchospasm, hour of
cells, killing them. chest tightness, administration
Acetylcysteine cough, .
maintains or hemoptysis, 3. Keep in mind
restores levels of respiratory that suicidal
distress,
 glutathione or acts shortness of patient may
as its substitute, breath, wheezing not provide
which reduces liver reliable
damage from SKIN: Clammy information
acetaminophen skin, erythema, about
overdose. facial flushing, vomiting.
pruritus, rash, Watch such a
urticaria patient to
Other: ensure that he
Anaphylaxis, ingests all of
angioedema prescribed
dosage.
4. Watch for
signs of
hepatotoxicity
(altered
coagulation,
easy bruising,
and prolonged
bleeding
time), during
treatment for
acetaminophe
n overdose.

Ascorbic Ceelin, Vitamin C Required for Used to treat GI: Use of sodium 1. Ascorbic
Acid Cecon, collagen formation vitamin C Nausea, vomiting, ascorbate in Acid
Enocee, and tissue repair by deficiency, heartburn, patients on sodium (vitamin c)
Poten-cee, acting as a cofactor scurvy, delayed diarrhea, or restriction; use of Injection
in the wound and bone abdominal calcium ascorbate should be
posttranslational healing, urine cramps (high in patients receiving given to a
formation of 4- acidification, and doses). digitalis. Safety pregnant
hydroxyproline in - in general as an during pregnancy woman
Xaa-Pro-Gly- antioxidant. It has Hematologic: (category C) or only if
sequences in also been Acute hemolytic lactation is not clearly
collagens and other suggested to be anemia (patients established. needed.
proteins. Ascorbic an effective with deficiency of
acid is reversibly antiviral agent. G6PD); sickle cell Nursing Mothers
oxidized to crisis.
dehydroascorbic 2. Caution
acid in the body. CNS: Headache should be
These two forms of or insomnia (high exercised
the vitamin are doses). when
believed to be Ascorbic
important in Acid
oxidation-reduction Urogenital:
Urethritis, (vitamin c)
 reactions. The dysuria, Injection is
vitamin is involved in crystalluria, administer
tyrosine metabolism, hyperoxaluria, or ed to a
conversion of folic hyperuricemia nursing
acid to folinic acid, (high woman.
carbohydrate
metabolism,
synthesis of lipids
and proteins, iron
metabolism,
resistance to
infections, and
cellular respiration.
Amlodipin Norvasc, Pharmacologic Binds to To control CNS: Hypersensitivity to 1. Use
e Lopicard,Amlo class: dihydropyridine and hypertension Anxiety, amlodipine or its amlodipine
syl, Amlokard, Calcium channel nondihy-dropyridine dizziness, components cautiously
Danlopin, blocker cell membrane extrapyramidal in patients
Amlonex receptor sites disorder, fatigue, with heart
Therapeutic on myocardial and headache, block,
class: Antianginal, vascular smooth- lethargy, heart
antihypertensive muscle cells and light-headedness, failure,
inhibits influx of paresthesia, impaired
extracellular calcium somnolence, renal
ions across slow syncope, tremor function,
calcium channels. hepatic
This decreases CV: Arrhythmias, disorder,
intracellular calcium chest pain, or severe
level, inhibiting hypotension, aortic
smooth-muscle cell palpitations, stenosis.
contractions and peripheral edema 2. Monitor
relaxing coronary patient
and vascular smooth EENT: Dry with
muscles, decreasing mouth, gingival impaired
peripheral vascular hyperplasia, hepatic
resistance, and pharyngitis function
reducing systolic closely
and diastolic blood because
pressure. ENDO: Hot amlodipine
Decreased flashes is
peripheral vascular extensivel
resistance also GI: Abdominal y
decreases cramps or pain, metabolize
myocardial anorexia, d by the
workload, oxygen constipation, liver, and
demand, and diarrhea, expect to
possibly angina. dysphagia, titrate
elevated liver
Also, by inhibiting enzymes, dosage
coronary artery esophagitis, slowly
muscle cell flatulence, when
contractions and indigestion, administeri
restoring blood flow, jaundice, nausea, ng drug to
drug may relieve pancreatitis, patients
Prinzmetal’s angina. vomiting with
severe
GU: Decreased hepatic
libido, impotence, impairmen
urinary frequency t.
3. Monitor
MS: Myalgia blood
pressure
while
RESP: Dyspnea adjusting
dosage,
SKIN: Dermatitis, especially
flushing, rash in patients
with heart
Other: Weight failure or
loss severe
aortic
stenosis
because
symptomat
ic
hypotensio
n may
occur.
4. Assess
patient
frequently
for chest
pain when
starting or
increasing
the dose
of
amlodipine
, because
worsening
of angina
or an
acute
myocardial
 infarction
can occur,
especially
in patients
with
severe
obstructive
coronary
artery
disease.
Multivitami Conzace, Multivitamins are Common:  Iron metabolism
ns Enervon, used to Constipation, disorder causing 1. Note that there
Berroca provide vitamins t Diarrhea, increased iron is a
Vicon Forte hat are not taken stomach storage recommended
in through Upset  hemolytic dose of
the diet. anemia multivitamins
Multivitamins are Rare effects:  ulcer and minerals.
also used to Rashes, itching, 2. Note that An
 gastritis
treat vitamin defici severe dizziness, overdose of
 ulcerative colitis
encies (lack of trouble breathing vitamins A, D, E,
vitamins) caused or K can cause
by serious or life-
illness, pregnancy threatening side
, poor nutrition, effects if taken in
digestive large doses.
disorders, and Certain minerals
many other may also cause
conditions. serious
overdose
symptoms if you
take too much.
3. Do not make the
patient take this
medication with
milk, other dairy
products,
calcium
supplements,
or antacids that
contain calcium.