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MEDICATION INDICATION CONTRAINDICATION SIDE EFFECTS AND NURSING CONSIDERATION

ADVERSE REACTIONS
Losartan (Cozaar) Treatment of hypertension  Hypersensitivity to SIDE EFFECTS  Monitor blood
(high blood pressure) and Losartan or any  Dizziness pressure regularly.
nephropathy in Type 2 component of the  Hypotension Adjust dose based
diabetic patients. product. (especially in on response.
 Pregnancy patients with  Assess for signs of
(especially in the volume or salt hypotension and
second and third depletion) dizziness.
trimesters). Hyperkalemia  Monitor serum
 Fatigue potassium levels.
Advise patients to
ADVERSE REACTIONS report any signs of
 Renal dysfunction angioedema
Angioedema (rare (swelling of the
but serious) face, lips, or
 Hepatic impairment tongue).
Neutropenia  Monitor renal and
hepatic function
regularly.
 Educate patients on
the importance of
compliance with
medication
regimen.
 Advise pregnant
women to
discontinue use
and consult with
their healthcare
provider.
MEDICATION INDICATION CONTRAINDICATION SIDE EFFECTS AND NURSING CONSIDERATION
ADVERSE REACTIONS
Clopidogrel (Plavix) Prevention of  Hypersensitivity to SIDE EFFECTS  Monitor for signs of
atherothrombotic events Clopidogrel or any  Bleeding (may be bleeding (e.g., easy
in patients with a history of component of the severe) bruising, petechiae,
recent myocardial product.  Thrombotic black stools).
infarction or stroke. Also  Active pathological thrombocytopenic  Assess for any
used in peripheral arterial bleeding (e.g., purpura (TTP) GI neurological
disease. peptic ulcer or upset changes.
intracranial  Monitor platelet
hemorrhage). ADVERSE REACTIONS counts regularly.
 Hemorrhage  Advise patients to
 Neutropenia report any signs of
 Stevens-Johnson bleeding or unusual
syndrome (rare) bruising.
 Discontinue
Clopidogrel prior to
elective surgery if
possible.
 Educate patients on
the importance of
medication
adherence.
MEDICATION INDICATION CONTRAINDICATION SIDE EFFECTS AND NURSING CONSIDERATION
ADVERSE REACTIONS
Cinnarizine (Sturgeron) Treatment of vertigo and  Hypersensitivity to SIDE EFFECTS  Advise patients to
vestibular disorders. Also Cinnarizine or any  Drowsiness take the medication
used for the prevention component of the  Dry mouth as directed.
and treatment of motion product.  Gastrointestinal  Monitor for signs of
sickness.  Parkinson's disease. upset drowsiness and
adjust dose if
ADVERSE REACTIONS needed.
 Extrapyramidal  Encourage patients
symptoms (rare) to report any
 Hypotension extrapyramidal
 Allergic reactions symptoms or
allergic reactions.
 Monitor blood
pressure regularly,
especially in
patients prone to
hypotension.
 Assess for dry
mouth and provide
interventions (e.g.,
encourage oral
hydration, sugar-
free gum).
MEDICATION INDICATION CONTRAINDICATION SIDE EFFECTS AND NURSING CONSIDERATION
ADVERSE REACTIONS
Amlodipine (Norvasc) Treatment of hypertension Hypersensitivity to SIDE EFFECTS  Monitor blood
(high blood pressure) and Amlodipine or any  Peripheral edema pressure regularly.
chronic stable angina. component of the product.  Dizziness Adjust dose based
 Flushing on response.
 Advise patients to
ADVERSE REACTIONS rise slowly from a
 Hypotension sitting or lying
 Palpitations position to prevent
 Hepatitis (rare) dizziness.
 Assess for
peripheral edema.
 Monitor liver
function
periodically.
 Educate patients
about the
importance of
compliance with
medication
regimen.
 In case of severe
hypotension,
supportive
measures may be
required (e.g., IV
fluids).
MEDICATION INDICATION CONTRAINDICATION SIDE EFFECTS AND NURSING CONSIDERATION
ADVERSE REACTIONS
Ascorbic Acid (Poten-Cee) Prevention and treatment Hypersensitivity to Vitamin SIDE EFFECTS  Administer with
Dosage: 500mg of scurvy. Vitamin C is also C or any component of the  Gastrointestinal food to minimize
Once a day used as a dietary product. upset (e.g., gastrointestinal
After meals supplement to support diarrhea, nausea) upset.
overall health.  Monitor for signs of
ADVERSE REACTIONS allergic reactions.
 Allergic reactions  Educate patients
(rare) about the
importance of a
balanced diet and
supplementation as
directed.
 In case of overdose
or adverse
reactions, seek
medical attention.
 Assess dietary
intake to determine
the need for
supplementation.
 Monitor for signs of
scurvy in at-risk
populations.
MEDICATION INDICATION CONTRAINDICATION SIDE EFFECTS AND NURSING CONSIDERATION
ADVERSE REACTIONS
Ethinyl Estradiol Prevention of pregnancy.  Hypersensitivity to SIDE EFFECTS  Administer
Levonorgestrel (Lady) the medication or  Nausea consistently at the
Dosage: 30mg its components.  Breast tenderness same time each
Once a day after dinner  History of blood  Headache day.
clots or certain  Irregular bleeding  Monitor for signs of
cardiovascular  Mood changes adverse effects,
conditions. especially in the
 Liver disease. ADVERSE REACTIONS initial months.
 Uncontrolled  Blood clots (rare  Educate on missed
hypertension. but serious) pill protocols.
 Stroke (rare)  Assess for signs of
 Liver problems thromboembolic
(rare) events (e.g., leg
swelling, chest
pain).
 Monitor blood
pressure and liver
function
periodically.
 Encourage the use
of alternative
contraceptive
methods in case of
contraindications.

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