Prescription Worksheet

Using the Drug Information Websites (PDF), provide an appropriate response in each box (only one response required per box). There will only be
one correct generic name, but there may be multiple uses, strengths, dosage forms, and common side effects. Ensure the strength and dosage
form you select are compatible. For example (below), Norvasc 5mg is a tablet, whereas Norvasc 1mg/ml is a liquid suspension.
Brand Name Generic Name Indication (Use) Strength with units Dosage Form Common Side Effect
Example:
Norvasc amlodipine Reduce chest pain 5 mg Tablet Flushing

Thyroxine Hypothyroidism 0.025-0.3mg Tablet Weight gain, fatigue,

Synthroid® dry skin and hair

Rosuvastatin Lower cholesterol 5-40mg Tablet Muscle problem, kidney

Crestor® problem, cause or
worsen diabetes (insulin
resistance
Albuterol Prevent 0.09mg Aerosol, metered Uncontrollable shaking,
Ventolin HFA® bronchospasm, dose inhaler nervousness, headache,
wheezing, coughing irritability, rapid heart
rate
Esomeprazole Reduce stomach acid, 20 & 40mg Capsule Kidney injury, diarrhea,
Nexium® magnesium GERD/acid reflux bone fractures

Hydrocodone Pain management 5-325mg Tablet Constipation, nausea,

Norco® acetaminophen 10-325mg respiratory distress,
sedation, dizziness
Insulin glargine Hyperglycemia 100 units/ml Pen/vial Low blood sugar, itching
Lantus Solostar® (injection site reaction),
weight gain
Dextroamphetamine ADHD/BED 30mg Capsule Nausea, loss of
Vyvanse® appetite, mood
changes, insomnia
Pregabalin Epilepsy, anxiety 300mg Capsule Blurred vision,
Lyrica® headache, fatigue,
sedation
Lisinopril Lowering high blood 2.5-40mg Tablet Cough, dizziness,
Zestril® pressure, prevent drowsiness, headache,
strokes, heart depression, nausea
attacks, and kidney
problems
 Metoprolol Treat angina, heart 25-100mg Tablet Rash, diarrhea, chest
Toprol XR® failure, myocardial pain, dizziness
infarction, atrial
fibrillation,
hypertension