Auxiliary label drugs

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1. Abilify Generic: aripiprazole 7. Geodon: Generic: ziprasidone

Therapeutic category: antipsychotic Therapeutic category: antipsychotic (type:
Indications: schizophrenia, bipolar disorder, atypical/novel)
irritability associated with autism, and Indication: schizophrenia and bipolar disorder
depression in patients who are already Auxiliary label: May cause drowsiness. Alcohol
taking an antidepressant may intensify this effect. Use care when
Auxiliary label: May cause drowsiness. operating a car or dangerous machinery
Alcohol may intensify this effect. Use care
8. haloperidol: Therapeutic category:
when operating a car or dangerous
antipsychotic(type:typical/conventional-
machinery
class:butyrophenones)
2. chlorpromazine: Therapeutic category: Auxiliary label: May cause drowsiness. Alcohol
antipsychotic(type:typical/conventional- may intensify this effect. Use care when
class:phenothiazines) operating a car or dangerous machinery
Auxiliary label: May cause drowsiness.
9. Invega: Generic: paliperidone
Alcohol may intensify this effect. Use care
Therapeutic category: antipsychotic (type:
when operating a car or dangerous
atypical/novel)
machinery
Indication: schizophrenia
3. Clozaril, Generic: clozapine Note: active metabolite of risperidone
FazaClo: Therapeutic category: antipsychotic (type: Auxiliary label: May cause drowsiness. Alcohol
atypical/novel) may intensify this effect. Use care when
Indication: treatment resistant schizophrenia operating a car or dangerous machinery
(NEVER use this as a first line drug
10. Latuda: Generic: lurasidone
because...)
Therapeutic category: antipsychotic (type:
BLACK BOX WARNINGS: agranulocytosis,
atypical/novel)
seizures, myocarditis, orthostatic
Indication: schizophrenia
hypotension
Auxiliary label: May cause drowsiness. Alcohol
Dosage forms: tablet, orally disintegrating
may intensify this effect. Use care when
tablet (FazaClo)
operating a car or dangerous machinery
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care 11. Lithium: Therapeutic category: antimanic agent
when operating a car or dangerous Indication: treatment of manic episodes of
machinery bipolar disorder (some people refer to it as a
mood stabilizer)
4. Effexor: Generic: venlafaxine
BLACK BOX WARNING: toxicity is closely
Therapeutic category: antidepressant (class:
related to serum levels
selective serotonin and norepinephrine
Auxiliary label: May cause drowsiness. Alcohol
reuptake inhibitors (SNRIs))
may intensify this effect. Use care when
Indications: depression, anxiety, and panic
operating a car or dangerous machinery
disorder
Auxiliary label: May cause drowsiness. 12. nefazodone: Therapeutic category: antidepressant (class:
Alcohol may intensify this effect. Use care phenylpiperazine)
when operating a car or dangerous BLACK BOX WARNING: hepatotoxicity
machinery Auxiliary label: May cause drowsiness. Alcohol
may intensify this effect. Use care when
5. Fanapt: Generic: iloperidone
operating a car or dangerous machinery
Therapeutic category: antipsychotic (type:
atypical/novel)
Indication: schizophrenia
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
6. fluphenazine: Therapeutic category:
antipsychotic(type:typical/conventional-
class:phenothiazines)
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
13. Oleptro: Generic: trazodone
Therapeutic category: antidepressant
(class: triazolopyridine)
Indications: depression and most common
off label is use is for insomnia
Dosage forms: 150mg, 300mg ER tablets
Dosing interval: Qday
Note: scored so you can break it in half,
the body forms a membrane around the
broken half that protects the ER effect
when you swallow it
Excipient:
19.
hydroxypropyldistarchphosphate
Trade name for this technology: Contramid
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
14. perphenazine: Therapeutic category:
antipsychotic(type:typical/conventional-
class:phenothiazines)
20.
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
15. Pristiq: Generic: desvenlafaxine
Therapeutic category: antidepressant
(class: selective serotonin and
norepinephrine reuptake inhibitors
(SNRIs))
Indication: depression
21.
Note: active metabolite of venlafaxine
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
16. prochlorperazine: Therapeutic category:
antipsychotic(type:typical/conventional-
22.
class:phenothiazines)
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
17. Remeron, Generic: mirtazapine
Remeron SolTab Therapeutic category: antidepressant
23.
(class: tetracyclic)
Indications: depression
Dosage forms: tablet, orally disintegrating
tablet (Remeron SolTab)
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
18. Risperdal, Generic: risperidone
Risperdal M-Tab Therapeutic category: antipsychotic (type:
atypical/novel)
Indications: schizophrenia, bipolar
disorder, irritability associated with autism
Dosage forms: tablet, orally disintegrating
tablet (Risperdal M-Tab)
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
Saphris: Generic: asenapine
Therapeutic category: antipsychotic (type:
atypical/novel)
Indications:schizophrenia, bipolar disorder
Dosage form: sublingual tablet
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
Seroquel: Generic: quetiapine
Therapeutic category: antipsychotic (type:
atypical/novel)
Indications: schizophrenia, bipolar
disorder, and depression in patients who
are already taking an antidepressant
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
thioridazine: Therapeutic category:
antipsychotic(type:typical/conventional-
class:phenothiazines)
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
trifluoperazine: Therapeutic category:
antipsychotic(type:typical/conventional-
class:phenothiazines)
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
Wellbutrin, Generic: bupropion
Wellbutrin SR, Therapeutic category: antidepressant
Wellbutrin XL, (class: aminoketone)
Aplenzin: Dosing intervals...
Wellbutrin:TID
SR:BID
XL:QD
Aplenzin:QD
Indications: depression, and seasonal
affective disorder (SAD)
Auxiliary label: May cause drowsiness.
Alcohol may intensify this effect. Use care
when operating a car or dangerous
machinery
24. Zyban: Generic: bupropion
Therapeutic category: antidepressant (class: aminoketone)
Indication: smoking cessation only
Auxiliary label: May cause drowsiness. Alcohol may intensify this effect. Use care when operating a car or
dangerous machinery
25. Zyprexa, Zyprexa Generic: olanzapine
Zydis Therapeutic category: antipsychotic (type: atypical/novel)
Indications: schizophrenia, bipolar disorder
Dosage forms: tablet, orally disintegrating tablet (Zyprexa Zydis)
Auxiliary label: May cause drowsiness. Alcohol may intensify this effect. Use care when operating a car or
dangerous machinery
 AUXILIARY LABELS
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1. ALL ANTI-INFECTIVES 9.FINISH ALL THIS MEDICATION 12. ALL 3. TAKE WITH PLENTY OF WATER
(ANTIBIOTICS, UNLESS OTHERWISE DIRECTED BY SULFONAMIDES (WHY: TO PREVENT
ANTIVIRAL, & PRESCRIBER. (WHY: TO PREVENT CRYSTALLIZATION IN THE KIDNEY)
ANTIFUNGAL) THE DEVELOPMENT OF RESISTANT 12. AVOID PROLONGED EXPOSURE
BACTERIA, VIRUSES, AND FUNGI) TO SUNLIGHT WHILE TAKING THIS
MEDICATION
2. ALL 5. MAY CAUSE DROWSINESS.
BENZODIAZEPINES ALCOHOL MAY INTENSIFY THIS 13. ALL TAB/CAP 1.TAKE WITH FOOD
EFFECT. USE CARE WHEN CORTICOSTEROIDS
OPERATING A CAR OR DANGEROUS
14. ALL 10.DO NOT TAKE DAIRY PRODUCTS,
MACHINERY.
TETRACYCLINES ANTACIDS, OR IRON PREPARATIONS
6.AVOID TAKING THIS MEDICATION
WITHIN ONE HOUR OF THIS
WITH GRAPEFRUIT OR GRAPEFRUIT
MEDICATION (WHY: PREVENT
JUICE. SPECIFICALLY: DIAZEPAM,
BINDING OF DRUG WHICH AFFECTS
TRIAZOLAM
ABSORPTION)
3. ALL BIRTH CONTROL 8.CERTAIN MEDICATIONS MAY 12. AVOID PROLONGED EXPOSURE
PILLS ALTER THE EFFECTIVENESS OF TO SUNLIGHT WHILE TAKING THIS
BIRTH CONTROL PILLS MEDICATION
(WHY:BECAUSE THE ABSORPTION 4.TAKE ON AN EMPTY STOMACH *
AND OR METABOLISM ARE EXCEPTION=MINOCYCLINE,
AFFECTED IF TAKING ANTIBIOTICS DOXYCYCLINE, AND LONG TERM
TETRACYCLINE
4. ALL CALCIUM 6.AVOID TAKING THIS MEDICATION
CHANNEL BLOCKERS WITH GRAPEFRUIT OR GRAPEFRUIT 15. CIPROFLOXACIN 10.DO NOT TAKE DAIRY PRODUCTS,
JUICE *EXCEPTIONS=DILTIAZEM, ANTACIDS, OR IRON PREPARATIONS
AMLODIPINE WITHIN ONE HOUR OF THIS
MEDICATION
5. ALL HMG-CoA 6.AVOID TAKING THIS MEDICATION
12.AVOID PROLONGED EXPOSURE TO
ENZYME INHIBITORS WITH GRAPEFRUIT OR GRAPEFRUIT
SUNLIGHT WHILE TAKING THIS
"STATINS" JUICE
MEDICATION
*EXCEPTIONS=ROSUVASTATIN
*EXCEPTION=MOXIFLOXACIN- DAIRY
6. ALL INHALED 19.RINSE MOUTH THOROUGHLY DOES NOT MATTER
CORTICOSTEROIDS AFTER EACH USE (WHY:RESIDUE
16. CLOXACILLIN 4.TAKE ON AN EMPTY STOMACH 1
CAN CAUSE FUNGAL INFECTIONS IN
HOUR BEFORE OR 2 TO 3 HOURS
THE MOUTH THROAT)
AFTER A MEAL. (WHY:FOODS
7. ALL MUSCLE 5.MAY CAUSE DROWSINESS. STIMULATE THE PRODUCTION OF
RELAXANTS ALCOHOL MAY INTENSIFY THIS GASTRIC JUICES WHICH WILL
EFFECT. USE CARE WHEN INACTIVATE THE DRUG IN AN ACIDIC
OPERATING A CAR OR DANGEROUS ENVIRONMENT
MACHINERY
17. LEVOTHYROXINE 4. TAKE ON AN EMPTY STOMACH
8. ALL NARCOTICS 5.MAY CAUSE DROWSINESS. 3. TAKE WITH PLENTY OF WATER
ALCOHOL MAY INTENSIFY THIS
18. METRONIDAZOLE- 11.DO NOT DRINK ALCOHOL.
EFFECT. USE CARE WHEN
FLAGYL (WHY:NAUSEA & VOMITING)
OPERATING A CAR OR DANGEROUS
1. TAKE WITH FOOD (WHY: TO HELP
MACHINERY
WITH THE NAUSEA)
9. ALL NARCOTICS 11.DO NOT DRINK ALCOHOL
CONTAINING (WHY:LIVER TOXICITY)
ACETAMINOPHEN
10. ALL NEW 22.MAY CAUSE DROWSINESS AND
PRESCRIPTIONS FOR DIZZINESS (WHY:CAN CAUSE DIZZY
ANTIHYPERTENSIVES SPELLS BECAUSE OF A DROP IN
BLOOD PRESSURE)
11. ALL NSAID'S 1.TAKE WITH FOOD (WHY:TO
MINIMIZE GI IRRITATION)
*EXCEPTION=UNLESS THE
MANUFACTURER STATES
OTHERWISE
3.TAKE WITH PLENTY OF WATER
 PTCB #7 - Auxiliary Labels
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1. Ambien Do Not Drink Alcoholic Beverages 21. Tetracycline Do not take Dairy Products and Antacids 1 hour
May Cause Drowsiness before meals or 2 hours after meals
Caution: Federal law prohibits the Avoid Sunlight
transfer of this drug to any person other
22. TobraDex For Ophthalmic Use Only
than the patient for whom it was
prescribed. 23. Ultram Do Not Drink Alcoholic Beverages
May Cause Drowsiness
2. Amoxicillin Shake Well
suspension Refrigerate 24. Vicodin Do Not Drink Alcoholic Beverages
Discard after 14 days May Cause Drowsiness
Caution: Federal law prohibits the transfer of
3. Antivert Do Not Drink Alcoholic Beverages
this drug to any person other than the patient
May Cause Drowsiness
for whom it was prescribed.
4. Augmentin Take with Food or Milk
25. Vicoprofen Take with Food or Milk
5. Bactrim Suspension Shake Well May Cause Drowsiness
Avoid Sunlight Caution: Federal law prohibits the transfer of
Store at Room Temperature this drug to any person other than the patient
for whom it was prescribed.
6. Benzamycin Refrigerate
Discard after 3 months 26. Xalatan Refrigerate
For Ophthalmic Use Only
7. Biaxin Shake Well
Store at Room Temperature
Discard after 14 Days
8. Cipro Do Not Take with Antacids
Avoid Sunlight
9. Coumadin Do Not Drink Alcoholic Beverages
Do Not Take with Aspirin
Take Exactly as Directed by Physician
10. Deltasone Take with Food or Milk
Take Exactly as Directed by Physician
11. Depakote Take with Food or Milk
May Cause Drowsiness
12. Feldene Do Not Drink Alcoholic Beverages
Take with Food or Milk
13. Glucophage Do Not Drink Alcoholic Beverages
Take with Food or Milk
14. Humulin N Shake Well
Refrigerate
15. Hydrochlorothiazide Take with Orange Juice or Banana
16. Lotrisone cream For External Use Only
17. Minocin Do not take Dairy Products and
Antacids 1 hour before meals or 2 hours
after meals
Avoid Sunlight
18. Motrin Do Not Drink Alcoholic Beverages
May Cause Drowsiness
Take with Food or Milk
19. Proventil Shake Well
20. Ritalin Caution: Federal law prohibits the
transfer of this drug to any person other
than the patient for whom it was
prescribed.
 Master List of Prescription Abbreviations

Abbreviation From the Latin Meaning

aa ana of each
ad ad up to
a.c. ante cibum before meals
a.d. aurio dextra right ear
ad lib. ad libitum use as much as one desires; freely
admov. admove apply
agit agita stir/shake
alt. h. alternis horis every other hour
a.m. ante meridiem morning, before noon
amp ampule
amt amount
aq aqua water
a.l., a.s. aurio laeva, aurio sinister left ear
A.T.C. around the clock
a.u. auris utrae both ears
bis bis twice
b.i.d. bis in die twice daily
B.M. bowel movement
bol. bolus as a large single dose (usually intravenously)
B.S. blood sugar
B.S.A body surface areas
cap., caps. capsula capsule
c cum with (usually written with a bar on top of the "c")
c cibos food
cc cum cibos with food, (but also cubic centimetre)
cf with food
comp. compound
cr., crm cream
D5W dextrose 5% solution (sometimes written as D5W)
D5NS dextrose 5% in normal saline (0.9%)
D.A.W. dispense as written
dc, D/C, disc discontinue
dieb. alt. diebus alternis every other day
dil. dilute

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 Master List of Prescription Abbreviations
disp. dispense
div. divide
d.t.d. dentur tales doses give of such doses
D.W. distilled water
elix. elixir
e.m.p. ex modo prescripto as directed
emuls. emulsum emulsion
et et and
ex aq ex aqua in water
fl., fld. fluid
ft. fiat make; let it be made
g gram
gr grain
gtt(s) gutta(e) drop(s)
H hypodermic
h, hr hora hour
h.s. hora somni at bedtime
ID intradermal
IM intramuscular (with respect to injections)
inj. injectio injection
IP intraperitoneal
IV intravenous
IVP intravenous push
IVPB intravenous piggyback
L.A.S. label as such
LCD coal tar solution
lin linimentum liniment
liq liquor solution
lot. lotion
M. misce mix
m, min minimum a minimum
mcg microgram
mEq milliequivalent
mg milligram
mist. mistura mix
mitte mitte send

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 Master List of Prescription Abbreviations
mL millilitre
nebul nebula a spray
N.M.T. not more than
noct. nocte at night
non rep. non repetatur no repeats
NS normal saline (0.9%)
1/2NS half normal saline (0.45%)
N.T.E. not to exceed
o_2 both eyes, sometimes written as o2
o.d. oculus dexter right eye
o.s. oculus sinister left eye
o.u. oculus uterque both eyes
oz ounce
per per by or through
p.c. post cibum after meals
p.m. post meridiem evening or afternoon
prn pro re nata as needed
p.o. per os by mouth or orally
p.r. by rectum
pulv. pulvis powder
q quaque every
q.a.d. quoque alternis die every other day
q.a.m. quaque die ante meridiem every day before noon
q.h. quaque hora every hour
q.h.s. quaque hora somni every night at bedtime
q.1h quaque 1 hora every 1 hour; (can replace "1" with other numbers)
q.d. quaque die every day
q.i.d. quater in die four times a day
q.o.d. every other day
qqh quater quaque hora every four hours
q.s. quantum sufficiat a sufficient quantity
R rectal
rep., rept. repetatur repeats
RL, R/L Ringer's lactate
without (usually written with a bar on top of the
s sine
"s")

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 Master List of Prescription Abbreviations
s.a. secundum artum use your judgement
SC, subc, subq,
subcutaneous
subcut
sig write on label
SL sublingually, under the tongue
sol solutio solution
s.o.s., si op. sit si opus sit if there is a need
ss semis one half
stat statim immediately
supp suppositorium suppository
susp suspension
syr syrupus syrup
tab tabella tablet
tal., t talus such
tbsp tablespoon
troche trochiscus lozenge
tsp teaspoon
t.i.d. ter in die three times a day
t.d.s. ter die sumendum three times a day
t.i.w. three times a week
top. topical
T.P.N. total parenteral nutrition
tr, tinc., tinct. tincture
u.d., ut. dict. ut dictum as directed
ung. unguentum ointment
U.S.P. United States Pharmacopoeia
vag vaginally
w with
w/o without
X times
Y.O. years old

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 Common Prescription Abbreviations and Symbols
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1. ... uppercase Roman numerals from 1 to 10 40. q.o.d. every other day [NEVER USE: spell out every other
day]- quaque altera die
2. ... four (modified lowercase Roman numeral iv)
41. Rx recipe; prescription
3. ... three (modified lowercase Roman numeral iii)
42. s without- sine
4. ... two (modified lowercase Roman numeral ii)
43. Sig label; instruction to the patient- signa
5. ... one (modified lowercase Roman numeral i)
44. ss one-half [spell out one-half or use 1/2]- semis
6. < less than [spell out less than]
45. STAT immediately- statium
7. > greater than [spell out greater than]
46. t.i.d. three times a day- ter in die
8. a before- ante
47. wa while awake
9. a.c. before meals- ante cibum
48. wk week
10. AD right ear [spell out right ear]- auris dextra
49. x times or for; x6 means six times with x2d means for
11. ad as desired- as libitum
two days
lib.
50. yr year
12. a.m. before noon- ante meridiem
13. amt amount
14. aq water- aqua
15. AS left ear [spell out left ear]- auris sinistra
16. AU both ears [spell out both ears]- auris unitas
17. b.i.d. twice a day- bis in die
18. c with- cum
19. d day
20. h hour- hora
21. h.s. at the hour of sleep (bedtime) [spell out bedtime]- hora
somni
22. noc. night- noctis
23. NPO nothing by mouth- non per os
24. OD right eye [spell out right eye]- oculus dexter
25. OS left eye [spell out left eye]- oculus sinister
26. OU both eyes [spell out both eyes]- oculi unitas
27. p after- post
28. p.c. after meals- post cibum
29. per by or through
30. p.m. after noon- post meridiem
31. p.o. by mouth- per os
32. PR through rectum- per rectum
33. p.r.n as needed- pro re nata
34. PV through vagina- per vagina
35. q every- quaque
36. q2h every 2 hours
37. q.d. every day [NEVER USE: spell out every day or daily]-
quaque die
38. qh every hour- quaque hora
39. q.i.d. four times a day- quater in die
 Auxiliary labels
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1. 1. Amiodarone
2. Anticholinergics
(hydroxyzine)
3. Ethambutol
4. Hydroxychloroquine
5. Isoniazid
6. Telithromycin (Ketek)
7. Voriconazole (Vfend)
8. Isotretinoin
9. PDE 5 I
10. Scopamine patch
11. Tamoxifen
Toxic level of drugs can
cause blurry or double
visions: alcohol, CNS
depressants
Digoxin: yellow halos if toxic
2. 1. Analgesics w CNS effects
2. Antipsychotics
3. Antidepressants
mirtazapine (Remeron),
trazodone (Desyrel)
4. Ropinirole (dopamine
agonist)
5. Antihistamines
6. Antinauseants
7. Anticonsulsants
8. Skeletal muscle relaxants
9. Antihypertensives w CNS
effects
10. All C-II, III, IV, V
depressant or narcotic drugs,
including hypnotics-
controlled & not controlled
3. 1. Drug is not controlled
2. Drug is not a psychotropic
3. Pt received a monthly
supply first & had no
negative repercussions
4. No changes to the quantity
by prescriber during this
time
May cause blurred vision
May cause DROWSINESS.
Use CARE when operating a
car or dangerous machinery.
California Board of Pharmacy
now permits pharmacists to fill
one month prescriptions on a
90-day basis if
4. 1. Liquids azithromycin (Zmax), DO NOT refrigerate
clarithromycin (Biaxin), clindamycin
(Cleocin)
2. Liquids cefdinir
3. Liquids ciprofloxacin (Cipro),
levofloxacin (Levaquin)
4. Liquids doxycycline (Vibramycin)
5. Liquids linezolid (Zyvox)
6. Liquid sulfamethoxazole/
trimethoprim (Septra, Sulfatrim)
7. Liquid voriconazole (Vfend),
fluconazole (Diflucan)
5. 1. Muscle relaxants DO NOT DRINK alcohol
2. Analgesics w CNS depressant when taking this med
effects
3. Antipsychotics, anticonvulsants
4. Antidepressants
5. Disulfiram
6. Nitrates (disulfiram like
reactions)
7. Tinidazole, metronidazole (avoid
alcohol to 48 hours after last dose)
8. Opioids (all, special warning for
Avinza, Opana), tramadol,
tapentadol (Nucynta)
9. Benzo, barbiturates, non-benzo
hypnotics (zolpidem)
10. Insulin, metformin,
sulfonylureas (alcohol has high risk
of lowering BG)
11. Antihistamines, antipruritics,
antinauseants, motion sickness
agents
12. Antihypertensive w CNS
depressant effects
13. C II-V depressants or narcotics
14. Anticholinergic agents for vision
15. MAOIs
6. 1. Progesterone (in Prometrium, not Check for peanut or
other formulations) soy allergy
2. Combivent; NOT Respimat
7. 1. Sulfa antibiotics AVOID prolonged
2. Tetracycline exposure to SUNLIGHT
3. Topical retinoids (newer ones FINISH all med unless
less risk) otherwise directed by
4. Isotretinoin (PO) prescriber
5. Ritonavir & few other HIV drugs
6. NSAIDS (piroxicam, diclofenac,
some risk w ibuprofen, naproxen)
7. Metronidazole
8. Isoniazid
9. Diuretics
8. Abatacept (Orencia) Drugs require filters during admin 10. Acetaminophen (Ofirmev) IV agents that are not
Abciximab (ReoPro) refrigerated
Infliximab Majority of drugs use 0.22 micron filters Acyclovir - refrigeration
(Remicade) causes crystallization
Golimumab 1.2 microns for lipids Clindamycin - crystallization
(Simponi) Metronidazole
Filter needles to prevent particulates Pentamidine
Albumin from glass ampules to get in IV bag Moxifloxacin (Avelox)
Mannitol (Osmitrol) Bactrim
Lipids
Parenteral nutrition Deferoxamine (Desferal)

Amiodarone Furosemide - crystallization

(cont infusion) Hydralazine
Digoxin Immune Fab
(DigiFab) Phenytoin

Diazepam (Valium) Phenylephrine

Lorazepam (Ativan)
11. All suspensions Shake well before using
Most asthma aerosol inhalers
Amphotericin B
Nasal steroid sprays
liposomal
Lidocaine viscous topical
(Ambisome)
liquid

Phenytoin (Dilantin) 12. Alteplase Drugs destroyed by agitation

Rasburicase -swirl only to make foam
9. ACE inhibitors, ARB DO NOT take this drug if you become
-DO NOT shake
Statins PREGNANT
Immune globulins protein -wait for foam to dissolve
Etanercept (Enbrel)
Carbamazepine
Phenytoin
Insulin
Phenobarbital
Topiramate
Zoster vaccine
Valproic aci
Quinupristin/dalfopristin
Lithium
(Synercid)

Isotretinoin 13. Always check PI WARNING! May make birth

Rifampin, rifapentin, rifabutin control less effective
Ribavirin
Barbiturates
Misoprostol Carbamazepine,
Leflunomide oxcarbazepine
Lenalidomide Phenytoin
Thalidomide Topiramate
Felbamate
Methotrexate
St John's wort
Dutasteride,
finasteride Some protease inhibitors
NNRTIs
Warfarin
NSAIDS Bosetan (Tracleer)

Mycophenolate (CellCept,
Myfortic)
14. Amiodarone (infusion> 2 hours) Drugs w sorption 17. Ampicillin IV compatible with saline
Ampicillin/Sulbactam (Unasyn) only
Carmustine Ertapenem (Invanz)
Daptomycin (Cubicin) NS/LR
Thiopental Caspofungin (Cancidas) NS/ LR
Lorazepam
Abatacept (Orencia)
Sufentanil Belimumab (Benlysta)
Bevacizumab (Avastin)
Regular insulin Infliximab (Remicade)
Natalizumab (Tysabri)
Nitroglycerin Trastuzumab (Herceptin)

ACLS TIN Azacitidine (Vidaza) NS or LR

15. Amoxicillin - fridge not req but impr Keep in fridge. Do
Phenytoin
taste not freeze

Iron sucrose (Venofer)

Amox/ clavu (Augmentin)
Sodium ferric gluconate complex
Penicillin VK
(Ferrlecit)
1st gen cefadroxil (Duricef), cephalexin
(Keflex) 18. Ampicillin Take on EMPTY
2nd gen cefprozil (Cefzil), cefuroxime Sulfamethoxazole/trimethoprim STOMACH
(Ceftin), cefaclor (Raniclor) (Bactrim)
3rd gen cefpodoxime (Vantin), Efavirenz (Sustiva or Atripta:
ceftibuten (Cedax) pref qhs)
Didanosine (Videx)
Erythromycin/benzoyl peroxide Indinavir (Crixivan)
(Benzamycin) Zalcitabine (Hivid)
Erythromycin/sulfisoxazole Voriconazole (Vfend)

Lopinavir/ ritonavir solution (Kaletra) Mycophenolate (Cellcept)

Ritonavir softgels (Norvir) Tacrolimus (Prograft)
16. Amphotericin B (Amphotec) IV compatible with
Bisphosphonates (at least 1/2 h
Quinupristin/ Dalfopristin (Synercid) dextrose only
before breakfast or 60 min for
Bactrim
Boniva)
Pentamidine
Levothyroxine (1/2 h before
breakfast)
Lorazepam (Ativan)

Opana (oxymorphone)
Mycophenolate (Cellcept IV)

Tadalafil & sildenafil (light meal,

Carfilzomib (Kyprolis)
avoid fatty food)

Captopril (1h before meals)

Iron (if tolerated)

PPIs (30 min before eating)

Zafirlukast
19. Antibiotics Finish all this med unless
Antivirals otherwise directed by
Antifungals prescriber
20. Any type of irrigation should be labeled so Not to be 24. Brownish May cause
that it is NOT administered intravenously given IV. For 1. Levodopa, methyldopa DISCOLORATION of
IRRIGATION 2. Entacapone urine or feces or skin or
Peritoneal dialysis irrigation solution ONLY sweat. May stain contact
Saline Brown/Yellowish lenses and clothing
Sterile water irrigation solution 1. Metronidazole, tinidazole
(darkened urine)
21. Atazanavir (Reyataz) Take w FOOD
2. Nitrofurantoin
Itraconazole capsules
3. Riboflavin (B2)
Carvedilol (Coreg)
Brown/Black/Greenish
Metformin (IR w breakfast & dinner, XR w
1. Methocarbamol
dinner)

Purple/Organeish/Reddish
Lovastatin (Mevacor w dinner)
1. Chlorzoxazone
Fenofibrate (Lofibra, Lipofen, Fenoglide)
Gemfibrozil (Lopid 30 min before breakfas,
Orange/Yellowish
dinner)
1. Sulfasalazine
Niacins (with food)
Niaspan (at bedtime w low-fat snack)
Orange/Reddish/Brownish
1. Ezogabine
Phosphate binders (when eating)

Yellow-greenish
NSAIDS
1. Propofol
2. Flutamide
Opioids except Opana

Red-Orangeish
Steroids
1. Phenazopyridine
2. Rifapentine
Lithium carbonate (food/milk)
3. Rifampin
22. Bactrim (prevent renal toxicity d/t Should be
precipitation of sulfonamide & its taken w plenty Reddish
metabolites in the urinary tract) of WATER 1. Anthracyclines
Bisphosphonates (must stand or sit upright
for 30 minutes after you take them b/c Blueish
irritation in the upper part of gullet) 1. Mitoxantrone
Sulfasalazine (Azulfidine- w food & water) 2. Methylene blue
25. CAUTION: state and/or federal law Auxiliary labels
Drugs get "Stuck" going down, esp if
prohibits the transfer of this drug All controlled substances
dysphagia is present. Need to take most w a
to any person other than the
full glass of water
patient for whom it was
23. Baseline INR, aPTT, CBC Unfractionated prescribed.
heparin
26. Chemotherapeutic agents require Cytotoxic agent. Dispose
Discontinue all drugs increasing bleeding protocol
special packaging & labeling for of properly
risk
proper handling of med & proper
Monitor for bleeding sxs
disposal of the bag & tubing..
Frequent monitoring 27. Clindamycin Persistent diarrhea due
Use wt-based dosing for initial bolus, Broad-spectrum antibiotics to colitis may occur
infusion rate weeks after using the
Set goal aPTT by condition medication
Rate adjustments based on aPTT -report to PCP
immediately if this occurs
Protamine dosing if needed
Protocol required for use of argatroban
(commonly used as alternative agent for
HIT), bivalirudin, alteplase, reteplase,
eptifibatide, wafarin, dabigatran,
rivaroxaban
28. Defined by Institute for Safe Medication HIGH ALERT 36. IV digoxin, milrinone Inotropic
Practices (ISMP) medications medications
High risk of causing significant harm Monitor BP, HR, hemodynamic parameters
when they are used in error prior to admin and freq during admin

Safeguards must be put to reduce risk of Monitor fluids, admin rate & urine output
errors, including proper use of labeling
37. IVPBs Insulin
29. Define LD Antiarrhythmics
Infusion rate (amiodarone) Protocol includes
Monitor cardiac ECG, BP protocol Initial infusion rate
Rate adjustment based on BG
30. Dexmedetomidine (Precedex) Store at RT
BG monitoring freq
Enoxaparin (Lovenox) ("excursions" to
K+ monitoring
Propofol (Diprivan) cold storage
Notify physician BG> 500 mg/dl, if
permitted, but
hypoglycemic
not required)
31. EC formulations (bisacodyl, others) Do not chew or Do not use vials for >1 pt
crush. Swallow
XR, ER, LA, SR, CR, CRT, SA, TR, TD, whole Label multi-use vial for an indiv pt
24hr, -cont for controlled release (MS
38. Latanoprost (Xalatan) Keep in
Contin, Oxycontin)
Tafluprost (Zioptan, open pouch at RT for 28d) fridge. Do
Trifluridine (Viroptic) not freeze
Timecaps and sprinkles
eye drops
Can cut metoprolol ER & levodopa- 39. Lovastatin, simvastatin, atorvastatin Avoid taking
carbidopa SR at the score but cannot this med w
crush or chew Carbamazepine grapefruit
juice
32. Epinephrine Adrenergic
Cyclosporin, tacrolimus
* drug dose in mg agonist
* use caution to note that epinephrine
Telithromycin
1:1000 = 1 mg/ml
Voriconazole
1:10,000 = 0.1 mg/ml
Fatal mix-ups
Amiodarone
33. Errors in Adrenergic
* same dose IV as PO dose antagonist (beta Verapamil
blocker i.e. Nicardipine, felodipine, nifedipine,
Should be propranolol) nisoldipine
Metoprolol 5 mg IV = 50 mg PO
Buspirone
Monitor: low HR or hypotension Diazepam, triazolam
With additive drugs lower more HR, BP
40. Neuromuscular blocking agents Paralytic
34. Fentanyl (Duragesic) Most patches Cisatracurium, vecuronium, rocuronium, ALWAYS
Buprenorphine (Butrans) should not be pancuronium trace IV line
covered except Succinylcholine
Can be covered with permitted adhesive * can give to pts already on both analgesic
film dressing Bioclusive or Tegaderm (fentanyl) and an anesthetic (propofol) with
pain & sedation accessed continuously
Catapres -TTS comes w own adhesive
cover Elevate head of bed, reg assess possibility of
35. ICU agents to sedate pts on ventilators: Anesthetic weaning off vent
Midazolam (Versed) agents
Dexmedetomidine (Precedex)
Propofol (Diprivan)
=> lower HR, hypotension, over sedatn

Only skilled staff can administer, monitor

via protocol that defines rate (dosed by wt
& desired sedation level), continuous
monitoring BP, airway, sedation level
41. Nitroprusside - orange, dark IV discoloration indicates 42. Oncology Drugs require light protection during admin
brown or blue d/t light oxidation or decomposition 1. via light-resistant packaging or amber-light-
Anthracylines sensitive cover
Chlorpromazine, dopamine - 2. Dacarbazine
anything darker than light 3. Irinotecan Light exposure causes photo-degradation,
yellow 4. Thiotepa increases toxicity
(Tepadina)
Dacarbazine - pink
Abatacept
NorEPI, EPI - brown (Orencia)
Belimumab
Isoproterenol - pink or darker (Benlysta)
Natalizumab
Morphine - dark (Tysabri)

Tigecycline - green/black Argatroban

Phytonadione
Antidote Cyanokit - not dark red (Vit K)

Nitroprusside
(Nitropress)
Bumetanide,
Furosemide
Nicardipine
(Cardene IV)
Verapamil

Esomeprazole
(Nexium IV)

Buprenorphine
(Buprenex)
Butorphanol
Ketorolac
Ketamine
(Ketalar)

Chlorpromazine
Promethazine
Dopamine
Epinephrine
Norepinephrine
(Levophed)

Doxycycline
Linezolid
(Zyvox)
Metronidazole
(Flagyl)
Bactrim
Micafungin
(Mycamine)
Pentamidine

Octreotide
(Sandostatin)
Levothyroxine
Thiamine

Epoprostenol
(Flolan)
Isoproterenol
(Isuprel)
43. Sirolimus (Rapamune Keep in fridge. Do not freeze 46. Tetracyclines Do not take dairy
solution) Fluoroquinolones products, Ca, Mg,
antacids or iron
Filgrastim (Neupogen) preparations within 1
Darbepoetin a (Epogen, hour of this med
Aranesp), epoetin a
47. This drug may impair the ability to Do not drink alcoholic
(Procrit)
drive or operate machinery. Use beverages
care until you become familiar with
Insulins (pt not using)
its effects.

Adalimumab (Humira) 48. Typhoid PO capsules (Vivotif Berna) Keep in fridge. Do not
Etanercept (Enbrel) freeze
Interferon 49. *Use diethylhexyl phthalate (DEHP) IV polyvinyl chloride
Etoposide (VePesid) as a plasticizer & is a potential (PVC) containers
human carcinogen & infertility
Alprostadil (MUSE,
Caverject) Leaching= DEHP leaches from PVC
to solution
Calcitonin NS (Miacalcin)
Chlorabucil (Leukeran) Sorption= drug moves into the PVC
container
Nystatin pastilles
(Mycostatin) 50. Zosyn (piperacillin/ tazobactam) No longer continuous
now with shorter, intermittent infusions
Somatropin (Genotropin, infusons
Humatrope)
Sandostatin (Octreotide) Longer infusion period for higher
MIC to counter drug resistance with
44. Tacrolimus Drugs that leach into PVC common nosocomial Pseudomonas,
Temsirolimus Enterobacter, Acinetobacter.
Can be placed in polyolefin
Teniposide containers, or w some of drugs, in Azithromycin
Etoposide glass containers Ciprofloxacin
Tobramycin
Cabazitaxel Vancomyin
Docetaxel
Paclitaxel Insulin

Ixabepilone Chemotherapeutics

Tic tac toe, craving Vasopressors

decicious, excellent,
irresistible pho
45. Teriparatide (Forteo) Keep in fridge. Do not freeze

Mesalamine (Casana
suppository)

Promethazine
suppository

Lactobacillus (Lactinex)

Formeterol (Foradil
fridge prior to
dispensing; after at RT)
Pulmozyme (dornase a);
RT only if < 24h
 Auxiliary Labels
Study online at quizlet.com/_3q9ar

1. Acetaminophen 1. Do not drink alcohol 14. Corticosteriod 1. Rinse mouth after using - oral fungal
inhaler infections, hoarsness, vocal cord
2. Antibiotic - 1. May reduce effectiveness of oral
disturbances
cephalosporin contraceptives
15. Cox-2 inhibitor 1. Take with food
3. Antibiotic - 1. Take with food - help with nausea
2. Take with plenty of water
metronidazole 2. Do not drink alcohol - will get VERY sick
(Flagyl) 3. Finish all this medication unless 16. HMG CoA 1. Avoid taking this medication with grapefruit
otherwised directed - to prevent enzyme or grapefruit juice - it dramatically increases
development of resistant bacteria, fungus, inhibitor blood level of drug
virus
17. Narcotic 1. May cause drowsiness. Alcohol may
4. Antibiotic - 1.Take on an empty stomach 1hour before analgesic intensify this effect. Use care when operating
penicillin or 2/3 hours after a meal - food stimulates car or dangerous machinery.
the production of gastric juice which will
18. Narcotic with 1. Do not drink alcohol - will get liver toxicity
inactivate drug in an acidic environment
acetaminophen
5. Antibiotic - 1. Do not take dairy products, antacids or
19. NSAID 1. Take with food
quinolone iron preperations within 1 hour of this
2. Take with plenty of water
medication - exception: moxifloxacin (dairy
doesn't matter) 20. Skeletal 1. May cause drowsiness. Alcohol may
2. Avoid prolonged exposure to sunlight Muscle intensify this effect. Use care when operating
Relaxant car or dangerous machinery.
6. Antibiotic - 1. Take with plenty of water - crystals can
2. Do not drink alcohol
sulfonamide be created in kidneys if plenty of fluid is
not drank 21. Thyroid 1. Take on an empty stomach
2. Avoid prolonged exposure to sunlight hormone 2. Take with plenty of water
3. Finish all medication - prevent 22. Urinary Tract 1. May discolor urine or feces
development of resistants analgesic
7. Antibiotic - 1. Do not take dairy products, antacids or
tetracycline iron preperations within 1 hour of this
medication - exceptions mino, doxy
2. Avoid prolonged exposure to sunlight
3. Take on an empty stomach 1 hour
before meals or 2/3 hours after meals -
exception mino, doxy and long term
tetracycline
4.Finish all medication
8. Antigout 1. Drink plenty of fluid
9. Antihypertensive All new prescriptions require:
1. This drug may impair the ability to drive
or operate machinery USE CARE until you
become familiar with its effects - cause
dizzy spells or lack of energy because
drop in BP, the body usually adjusts
10. Bisphosphonates 1. Take on an empty stomach.
2. Drink plenty of water.
3. Patient to sit upright for 30min after
taking alendronate
4. Take 30min before breakfast
11. Calcium Channel 1. Avoid taking this medication with
Blocker grapefruit or grapefruit juice - it dramatically
increases blood level of drug - exception:
diltiazem, amlodipine
12. Canister type Most require, but check box insert first
inhaler 1. Shake well
13. Corticosteriod 1. Take with food