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ราบการยาปี3 1-36
ราบการยาปี3 1-36
Allopurinol
max.dose/ special
population
Zyloric (100, 300 hyperuricemia/ gout:
800 mg/day;
mg); Zylic, Allopin, 200-300 mg OD (mind)
Alloric
200-300 mg bid (severe) Clcr < 60
200 mg OD,
50
mg Clcr
20 ml/min
interactions
contraindication precautions
phenytoin,
azathioprine,
allopurinol
cyclophosphamide,
didanosine, mercaptopurine,
theophyline;
ACEIs, thiazide
diuretics
allopurinol
heart block
non-DHP CCB, digoxin;
beta-2 agonist
preg (C )
, ,
,
special information
100 mg OD
1-2
Atenolol
HTN: 25-50 mg OD
Angina pectoris: 50 mg
OD
Post MI: 100 mg OD or
50 mg bid 6-9 days
atenolol, preg (D )
sinus
bradycardia, asthma/COPD
heart block
;
DM
hypoglycemia
RxCU 71 /.
Amitriptyline
orthostatic hypotension,
heart block; anticholinergic:
dry mount, constipation,
urinary retention, papitation,
blurred vision; CNS:
drowsiness, sedation,
fatigue, headache,
nightmare, confusion
amitriptyline CYP2D6
substrate
Amitirptyline,
MAO MI
inhibitor,
preg (C );
24
Amlodipine
10 mg/day
peripheral edema,
amlodipine CYP3A4
hypotension, reflex
substrate CYP1A2/ amlodipine
tachycardia, flushing,
3A4 inhibitor
dizziness, sexual dysfunction phenytoin, tacrolimus
preg (C );
2-3
reflex tachycardia
angina MI
Amoxycillin
confusion, anxiety,
dizziness, headache,
insomnia, seizure, blood
toxicity, hepatitis, jaundice,
cystaluria;
hypersensitivity reaction:
rash, anaphylaxis
preg (B );
pseudomembranous
colitis
methotrexate
BCG vaccine,
typhoid vaccine,
mycophenolate
allopurinol probenecid
amoxicillin
amoxicillin
beta-lactams
RxCU 71 /.
Aspirin
;
enteric coated tablet
antacid,
calcium
2
aspirin
NSAIDs;
active
bleeding
disorders
major bleeding
Azithromycin
BCG vaccine,
typhoid vaccine
macrolides
preg (B );
Zmax " "
"
"
pseudomembranous
colitis
Bisacodyl
Dulcolax (5 mg
Laxative: 5-10 mg po po 30 mg/day;
Ectab; 5mg, 10 mg OD hs 5-10 mg
suppo 10 mg/day
suppositories)
suppo OD am
bowel evacuation: 1530 mg po OD
preg (C ); rectal suppositories
bisacodyl,
;
cathatic colon
RxCU 71 /.
Calcium
carbonate
headache,
hypophosphatemia,
hypercalcemia, constipation,
acid rebound, N/V,
flatulence
levothyroxine,
tetracyclines, beta-blockers,
quinolones, bisphosphonates,
ferrous salts; pH
enteric-coated
hypercalcemia,
renal calculi,
hypophosphate
mia
preg (A );
milk-alkali syndrome
;
phosphate binder
Cephalexin
agitation, confusion,
dizziness, fatigue, headache,
angioedema, urticaria, rash,
SJS/TEN, anaphylaxis,
abdominal pain, N/V,
abnormal liver tests, blood
toxicity, interstitial nephritis
BCG vaccine,
typhoid vaccine; probenecid
cephalexin
penicillins
cephalosporins
anaphylaxis/urti
caria
preg (B );
penicillins
cephalosporins
IgE-mediated;
pseudomembranous
colitis
Cetirizine
allergic rhinitis,
urticaria, other allergic
symptoms: 6-12 mo: 2.5
mg OD; 1-5yo: 2.5 mg
OD-bid; >5 yo 5-10 mg
OD
10
CNS suppressants, cetirizine,
alcohol
hydroxyzine
preg (B );
11
RxCU 71 /.
po 24 mg/day,
allergic rhinitis,
rhinorrhea, urticaria, IM/IV 40 mg/day
other allergic
symptoms: 2-6 yo: 0.35
mg/kg/day q 4-6 hr, 6-12
yo: 2 mg q 4-6 hr, >12
yo: 4 mg q 4-6 hr
drowsiness, secretion
thickened, headache,
fatigue, dizziness,
somnolence, excitement,
anticholinergics,
constipation, weakness
CNS suppressants,
alcohol;
MAOIs, anticholinergics
Chlorpromazine Chlopazine,
Chlorpromed (100,
200 mg); matcine,
pogetol (25, 50, 100
mg)
2 g/day;
psychoses:30-600
mg/day divided 1-4
doses;
intractable hiccups: 2550 mg tid-qid;
N/V: 10-25 mg q4-6 hr
postural hypotension,
tachycardia, QT change,
CNS suppressants,
dizziness, drowsiness, EPS alcohol;
symptoms, seizure, skin
pigmentation, lactation,
anticholinergics
12
preg (C );
chlorpromazine,
phenothiazines,
severe CNS
depression,
coma
13
Ciprofloxacin
dizziness, insomnia,
somnolence, fever, rash,
phototoxicity, N/V, GI
discomfort, abnormal liver
tests, blood toxicity,
tendonitis/rupture
ciprofloxacin CYP1A2
inhibitor
quinolones;
sulfonylureas, theophyllines, tizanidine
warfarin, tizanidine
preg (C );
14
RxCU 71 /.
macrolides;
ergot
derivatives,
pimozide,
cisapride,
colchicine
Clindamycin
Gi discomfort, N/V,
diarrhea,
pseudomembranous colitis,
vaginitis, rash, urticaria,
abnormal liver tests, blood
toxicity
clindamycin
neuromuscular blocking
agents BCG,
thyphoid vaccine
preg (B );
clindamycin C.difficile-associated
lincomycin diarrhea
pseudomembranous
colitis
Colchicine
GI discomfort, N/V,
cramping, diarrhea,
abnormal liver tests,
hepatitis, myopathy, CPK
increase, bone marrow
suppression, rash
CYP3A4 substrate
CYPinhibitor protease
inhibitors, macrolides, azole
antifungals
colchicine
colchicine;
renal/hepatic
impairment
CYP3A4
preg (C ); bone
marrow suppression
neuromuscular
toxicity
B12
macrocytic
anemia neuropathy
GI discomfort, N/V,
dizziness, drowsiness,
mydriasis, hallucination,
respiratory depression,
urinary retention,
constipation
preg (- );
MAOIs; dextromethorph
CPY2D6 inhibitor SSRIs an
15
16
preg (C );
myasthenia gravis,
coronary artery
diseases
17
Dextromethorpha romilar (15 mg, 7.5 cough suppression: 15- 120 mg/day
n
mg/5ml, 15
30 mg q 4-6 hr
mg/5ml); icolid
18
RxCU 71 /.
Diazepam
diazepam;
myasthenia
gravis, severe
respiratory
insufficiency
preg (D );
,
sleep apnea
syndrome, narrow
angle glaucoma
Diclofenac
NSAIDs;
active bleeding
disorders
major
bleeding
plain tablet
; SR tab
, enteric coated tablet
antacid,
calcium 2
Dicloxacillin
GI discomfort, N/V,
diarrhea, blood toxicity, PT
prolongation, bleeding,
hypersensitivity, rash,
interstitial nephritis
disulfiram probenecid
dicloxacillin; penicillins
dicloxacillin
warfarin
preg (B );
serious ADR
neuromuscular
hypersensitiviy,
electrolyte imbalance
;
1
2
19
analgesic: 150
mg/day,
inflammation: 200
mg/day
20
21
RxCU 71 /.
Digoxin
conduction abnormalities,
heart block, failure, shock,
dizziness, ataxia, N/V, GI
disconfort, yellow/blurred
vision, blood toxicity
digoxin;
ventricular
fibrillaltion
preg (C );Digoxin
,
heart block,
hypocalcemia/
hypokalemia
drowsiness, secretion
thickened, headache,
fatigue, dizziness,
somnolence, excitement,
anticholinergics,
constipation, weakness, N/V
CNS suppressants,
alcohol;
MAOIs, anticholinergics
preg (B ); narrow
dimenhydrinate, angle glaucoma,
urinary retention
diphenhydramin
e , theophylline
phenytoin substrate
CYP2C9, 2C19
phynytoin
inducer 2B6, 2C8, 2C19,
3A4
22
anticonvulsant loading
dose: 15-20 mg/kg
anticonvulsant
maintenance dose: 300
mg
23
preg (D ); tube
fetal
feeding
hydantoin syndrome phenytoin
1-2
24
RxCU 71 /.
Domperidone
maleate
Motilium-M (10
mg); milax-m,
molax-m
Doxycycline
Vibracycline (100
mg); policycline
80 mg/day;
headache, migraine,
motility disorders,
N/V: 10-20 mg tid ac 15- xerostomia, abnormal liver
Scr > tests, EPS, galactorrhea
30 min
0.6 2
anticholinergics
domperidone
domperidone
anticholinergics
domperidone;
GI hemorrhage,
obstruction,
perforation,
pituitary tumor
preg (B/C );
domperidone
prolactin
galactorrhea,
gynecomastia,
amenorrhea,
impotence
motility disorders
15 ; N/V
photosensitivity, rash,
hyperpigmentation, GI
discomfort, N/V, tooth
discoloration (children),
hepatotoxicity, intracranial
hypertension
doxycycline
neuromuscular blocking
tetracycline;
agents BCG,
< 8
thyphoid vaccine;
preg (D );
30
hypotension, flushing,
tachycardia, hyperkalemia,
Scr increased, dry cough,
taste disturbance, urticaria,
angioedema
CYP3A4 inhibitor;
potassium
potassium sparing
diuretic aldosterone
antagonist
25
26
Enalapril
200 mg/day
pediatric (<45 kg)
infections: 2-5
mg/kg/day divided q 12
hr
adult infections: 100200 mg/day in 1-2
divided doses
Renitec (5,10,20
Heart failure: 2.5-20 80 mg/day
mg); enaril, anapril mg bid
HTN: 2.5-20 mg OD-bid
enalapril;
angioedema
ACEIs
27
RxCU 71 /.
Ethambutol
headache, dizziness, GI
disconfort, optic neuritis,
color blindness,
hepatotoxicity
Aluminium hydroxide
ethambutol
ethambutol;
optic nerve
disorders
preg (C ); optic
neuritis 3
Fluoxetine
depression,
fibromyalgia, OCD,
PTSD: 20-80 mg/day
OD-bid
bulimia nervosa: 60
mg/day bid
insomnia, headache,
nervousness, abnormal
dream, libido decrease,
ejaculation abnormal, N/V,
anorexia, diarrhea
fluoxetine;
MAOIs,
pimozide,
thioridazine*
preg (C );
18-24 ;
serotonin syndrome
neuroleptic
malignant syndrome
triptan,
ergots, antipsychotics
Furosemide
hypotension, dizziness,
oliguric state
vertigo, electrolyte
imbalance, ototoxicity,
photosensitivity, rash, blood
toxicity
aminoglycoside;
lithium
;
anuria
preg (C );
hypokalemia,
,
ototoxicity
28
80 mg/day;
compensated
cirrhosis without
ascites
29
14.00 .;
K+sparing diuretic
K+supplement
;
30
RxCU 71 /.
Glibenclamide
Daonil (5 mg);
various
glibenclamide;
type1 DM,
DKA
preg (B/c );
sulfonamides;
hypoglycemia
30 ;
hypoglycemia
Glipizide
Minidiab (5 mg);
dipazide, glizide
glibenclamide;
type1 DM,
DKA
preg (C );
sulfonamides;
hypoglycemia
30 ;
hypoglycemia
haloperidol
Haldol (5 mg);
halomed, haridol
haloperidol substrate
inhibitor CYP2D6,
3A4
CNS drugs, colchicine,
ciprofloxacin, SSRIs
haloperidol;
Parkinson's
disease, coma
preg (C );
conduction
abnormality, QT
prolongation
neuroleptic malignant
syndrome
31
32
33
RxCU 71 /.
orthostatic hypotension,
thiazide
edema: 25-100 mg/day 200 mg/day;
photosensitivity, rash,
sodium lithium
divided 1-2 doses
Clcr <40 ml/min hypokalemia, hyponatremia,
HT: 12.5-50 mg/day
hypercalcemia,
hyperuricemia, gout attack
thiazide
diuretics;
anuria, severe
renal
impairment
preg (B );
hypokalemia,
,
ototoxicity;
hyperuricemia
gout attack
14.00 .;
K+sparing diuretic
K+supplement
;
34
Hyoscine - N butylbromide
anticholinergics ;
domperidone
domperidone
anticholinergics
Isoniazid
hepatitis, peripheral
neuropathy, rash, pellagra,
N/V, blood toxicity
preg (C );
-
;
pyridoxine 10-50
mg/day
neuropathy
35
36
TB: 5 mg/kg/day OD
300 mg/day
isoniazid,
active liver
disease
/
;
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2-4 ;
calcium carbonate ;
RxCU 71 /.
quinolones 2
4-6 ;
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potassium digoxin
hypokalemia ; (trough
concentration) 0.5-0.8 ng/ml, >2 ng/ml
phenytoin zero-order
/, serum albumin ;
target total phenytoin trough level 10-20 mcg/ml; toxic >30
mcg/ml; lethal >100 mcg/ml
RxCU 71 /.
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