Drug Generic name: simvastatin

Classification/ Indication ● Antilipidemics

Brand Name: Vidastat

● In hyperlipidemia: an adjunct to diet to reduce elevated total-C, LDL-C, apolipoprotein B & TG in patients w/ primary hypercholesterolemia

Dose, Route, and Mechanism of Contraindication Frequency Action Dose: 20 mg Inhibits HMG-CoA • Active liver reductase, an early disease or Route: p.o. step in cholesterol unexplained biosynthesis. persistent Frequency: at elevations of night serum transaminases. Porphyria. • Pregnancy & lactation.

Side Effects Constipation, dyspepsia, flatulence, headache

Generic Name: digoxin Brand Name: Lanoxin

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Inotropics Cardiac Failure

Dose: .25 mg/ tab 1 tab Route: p.o. Frequency: OD

Inhibits sodium potassium activated ATP, promoting movement of calcium from extracellular to intracellular cytoplasm and strengthening myocardial contraction.

Contraindicated in patients hypersensitive to the drug. Intermittent complete heart block or 2nddegree atrioventricular block, especially if there is a history of Stokes-Adams attack.

Fatigue, muscle weakness, dizziness, hallucinations, vertigo, malaise

Nursing Considerations • Use drug only after diet and other non-drug therapies prove ineffective. • Obtain liver function test results at start of therapy and then periodically. • Instruct patient to take drug with the evening meal • Drug-induced arrhythmias may increase the severity of heart failure and hypotension. • Before giving loading dose, obtain baseline data (heart rate and rhythm, BP, and electrolytes) • Before giving

Generic Name: Felodipine

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Antihypertensive Hypertension

Dose: 2.5 g/ tab 1 tab Route: p.o. Frequency: at night

Brand Name: Plendil

Generic Name: telmisartan


Dose: 80 mg/ tab 1 tab Route: p.o.

• Brand Name: Micardis


Frequency: OD

Relaxes coronary vascular smooth muscles by inhibiting calcium ions from entering the 'slow channels' or voltagesensitive areas of vascular smooth muscles and myocardium during depolarization. It also increases myocardial O2 delivery in patients with vasospastic angina. Blocks vasoconstricting and aldosteronesecreting effects of angiotensin II by selectively blocking the binding of angiotensin II to angiotensin I

Arrhythmias caused by cardiac glycoside intoxication Hypersensitivity

drug, take apical-radial pulse for 1 minute.

Flushing, headache, peripheral oedema, tachycardia, palpitation, dizziness, fatigue. Ankle swelling may occur. Hyperplasia, rash, pruritus. Gingival enlargement, angina, angioedema,

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Monitor BP for response Monitor patient for peripheral edema Tell patient to swallow tablets whole and not to crush or chew them Tell patient to take drug without food or light meal

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Pregnancy & lactation Biliary obstructive disorders, Severe hepatic impairment.

Headache, upper respiratory tract infection, dizziness, fatigue.

Instruct patient that drug may be taken with or without food. Monitor patient for hypotension after starting drug Tell patient if he feels dizzy or

receptor in many tissues.

Generic Name: pantoprazole sodium Brand Name: Protonix

Antiulcer drug

Dose: 60 mg/ tab 1 tab Route: p.o. Frequency: OD


Inhibits proton • pump by binding to • hydrogenpotassium ATP, located at secretory surface of gastric parietal cells, to suppress gastric acid secretions. Inhibits bacterial DNA synthesis, mainly by blocking DNA gyrase; bactericidal •

Hypersensitivity Lactation.

Diarrhea, dizziness, pruritus, skin rashes, GIT infections, chest pain, headache, nausea, pain, anxiety, hyperglycaemia; malaise or lassitude; myalgia; edema; insomnia;

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Generic Name: ciprofloxacin


Dose: 500 g/ tab 1 tab Route: p.o.

Brand Name: Ciprobay

Hypersensitivity to ciprofloxacin or other quinolones


Frequency: BID

Nausea, diarrhoea, • vomiting, dyspepsia, abdominal pain, flatulence, anorexia, dizziness, • headache, tiredness, agitation, trembling

has low blood pressure on standing, he should lie down, rise slowly from a lying to standing position. Drug can be given without meals Instruct patient to take drug as prescribed. Tell patient to swallow tablets whole and not to crush or chew them Obtain specimen for culture and sensitivity test before giving first dose Monitor I&O

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