Medication Teaching Guide for Patients - Hospice Pharmacia

Medication Teaching Guide for PatientsDirections: In the first column, indicate with an ‘X’ in the appropriate box, the medication class orclasses that should be referenced for patient teaching needs.Patient name:Hospice qualifying diagnosis:MR#:Date:DrugClassificationAnalgesics• Non-NarcoticAnalgesic• NarcoticAnalgesics• Non-SteroidalAnti-inflammatoryDrugs(NSAIDS)Antacids• H2 blockers• Proton pumpinhibitors(PPIs)Example(s) Common Use(s) Precautionary WarningsAcetaminophen(Tylenol)®Combination Products:oxycodone/acetaminophen(Percocet®)propoxyphene/acetaminophen(Darvocet®)hydrocodone/acetaminophen(Vicodin®)Tramadol (Ultram®)MorphineDuragesic®OxycodoneAspirinIbuprofen (Motrin®, Advil®)Naproxen (Naprosyn®,Aleve®)Trilisate®Aluminum, Calcium, MagnesiumHydroxidesFamotidine (Pepcid®)Ranitidine (Zantac®)Omeprazole (Prilosec®)Aciphex®Pantoprazole (Protonix®)Nexium®Relieves mild to moderatepain and reducesfeverRelieves mild to moderatepainRelieves moderate tosevere painRelieves inflammationor swelling thatcan cause pain and/orreduces feverRelieves stomach upsetsuch as sour stomach,acid indigestion andheartburnDecreases stomachacid secretion toprevent or treat ulcers,gastroesophageal refluxdisease, dyspepsia andheartburnDecreases stomachacid secretion toprevent or treat ulcers,gastroesophageal refluxdisease, dyspepsia- Limit total acetaminophen dosage to 4 gm/day.- May be contained in many combination drugproducts.- Avoid alcohol- May cause drowsiness, dizziness, or alteredperception – avoid driving and operatingmachinery- Avoid alcohol- May cause drowsiness, dizziness, changes inbreathing, constipation, urinary retention, itchingor dry mouth – avoid driving and operatingmachinery- Avoid alcohol- Do not crush, break or chew long-acting ortime-released medications- May cause stomach upset, fluid retention,blurry vision, itching, skin rash- Watch for unusual bruising or bleeding, black/tarry stools, dizziness or other signs of bleeding.- Take with food, antacids or milk- May cause constipation or diarrhea- May decrease effect of digoxin, iron compounds,tetracycline- Separate administration of other medicationsby at least 2 hours to limit possible interactions,however some medications may requiremore time- May cause headache, dizziness, constipationor diarrhea- May interfere with absorption of itraconazole,ketoconazole, some antiviral medications,among others- May cause headache, dizziness, constipationor diarrhea- May interfere with absorption of iron compounds,itraconazole, ketoconazole, someantiviral medications, among others* Please note: This document is intended for informational and educational purposes only. It is not intended as legal or clinical advice. Thisdocument does not include all actions, side effects, contraindications, warnings and interactions.This document is provided by Hospice Pharmaciaand may not be reproduced in any form or provided to or used by a third party without the express written permission of excelleRx, Inc.

DrugClassificationAntianxietyAgentsAntiarrhythmicsAntibioticsAnticholinergicsExample(s) Common Use(s) Precautionary WarningsLorazepam (Ativan®)Alprazolam (Xanax®)Clonazepam (Klonopin®)Diazepam (Valium®)Amiodarone (Cordarone®)Propafenone (Rythmol®)Sotalol (Betapace®)Levofloxacin (Levaquin®)Ciprofloxacin (Cipro®)Sulfamethoxazole/Trimethoprim(Bactrim®)AtropineHyoscyamine (Levsin®)Relieves anxiety, helpsinitiate and/or maintainsleepHelps regulate heartrhythmsUsed to treat variousinfections and managesymptoms associatedwith those infectionsManages excessivesecretions- May cause dizziness, drowsiness, confusion,dry mouth – avoid driving and operatingmachinery- Avoid alcohol- Do not stop taking this medication withoutfirst talking to the nurse and/or doctor- May cause low blood pressure, dizziness,drowsiness, nausea, headache, changes inurination- Depending on the specific antibiotics, maycause nausea, vomiting, diarrhea, abdominalpain, cramping, loss of appetite- Various drug interactions may exist, dependingon the specific antibiotic- May cause dry mouth, blurred vision, drowsiness,constipation, urinary retention, weaknessAnticoagulants Warfarin (Coumadin®) Prevents blood clots - May cause GI irritation with anorexia, vomiting,diarrhea, hemorrhage, bleeding, bruising.- Many drug interactions.AnticonvulsantsAntidepressants• TricyclicsPhenytoin (Dilantin®)Carbamazepine (Tegretol®)Valproic acid (Depakote®)To prevent seizures and/or treat nerve pain- May cause nausea, vomiting, changes inblood sugar levels, swollen or tender gums,loss of taste, weight gain, skin rash.- Many drug interactionsLevetiracetam (Keppra®) To prevent seizures - May cause dizziness, drowsiness, headache,diarrhea, loss of appetiteGabapentin (Neurontin®)Amitriptyline (Elavil®)Desipramine (Norpramin®)Nortriptyline (Pamelor®)To prevent seizures and/or treat nerve painTo treat depressionand/or nerve pain- May cause constipation, nausea, slurredspeech, tremors, weight gain, difficulty walking- May cause urinary retention, constipation,weight gain, dry mouth, blurred vision, hypotension,sleep changes, suicidal thoughts inchildren and young adults• SSRIsLexapro®Citalopram (Celexa®)Fluoxetine (Prozac®)Sertraline (Zoloft®)To treat depression• Other Trazodone (Desyrel®) To treat depression,generalized anxiety disorderand insomniaAntidiabeticAgentsInsulinGlipizide (Glucotrol®)Glyburide (Diabeta®)Metformin (Glucophage®)To lower blood sugarassociated with diabetesor drug-inducedhyperglycemiaTo lower blood sugarassociated with diabetesor drug-inducedhyperglycemia- May cause nausea, diarrhea, headache,anorexia, dyspepsia, constipation, insomnia,weight loss, sleep changes, suicidal thoughtsin children and young adults- May cause headache, drowsiness, weakness,stomach upset, muscle ache, suicidalthoughts in children and young adults- Watch for signs of hypo- or hyperglycemia- Hypoglycemia (low blood sugar): weakness,shaking, sweating, dizziness, hunger, headache,nausea- Hyperglycemia (high blood sugar): thirst,increased urination, abdominal pain, drowsiness,nausea, difficulty breathing- Take as directed with meals- May cause diarrhea, nausea, vomiting, bloating,loss of appetite, metallic taste, weightloss* Please note: This document is intended for informational and educational purposes only. It is not intended as legal or clinical advice. Thisdocument does not include all actions, side effects, contraindications, warnings and interactions.This document is provided by Hospice Pharmaciaand may not be reproduced in any form or provided to or used by a third party without the express written permission of excelleRx, Inc.