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admin 12.03.2014

Drugs with similar names are a threat to patient safety, and pharmacists must be on high alert when filling and dispensing these medications.
Errors have involved physicians prescribing the wrong drug, as well as nurses and pharmacists who confused the drugs while transcribing and dispensing them or misinterpreted the drug name due to poor handwriting.
Strongly consider using both the brand and generic names when referring to these drugs, and determining their purpose when processing the orders. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only.
Gabapentin is used in adults to treat nerve pain caused by herpes virus or shingles (herpes zoster). The Neurontin brand is also used to treat seizures in adults and children who are at least 3 years old.
If you break a Neurontin tablet and take one half of it, take the other half at your next dose. If your doctor changes your brand, strength, or type of gabapentin, your dosage needs may change. Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, depression, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself.
Initial dose: 300 mg orally on day one, 300 mg orally twice a day on day two, then 300 mg orally 3 times a day on day three. The safety and effectiveness of gabapentin available under the trade name Gralise (R) or Horizant (R) in patients with epilepsy has not been studied. Maintenance dose: Gralise (R) should be titrated to 1800 mg orally once daily with the evening meal. Gralise (R) is not interchangeable with other gabapentin products because of differing pharmacokinetic profiles that affect the frequency of administration. Gabapentin enacarbil extended release tablets available under the trade name Horizant (R) and gabapentin are not interchangeable.
Taking gabapentin with other drugs that make you sleepy or slow your breathing can worsen these effects. A pharmacist notified ISMP about a colleague who noticed that a heart transplant patient received valACYclovir in error for 10 days.
Using tall man letters when listing the drugs in computerized inventories may help reduce the risk of medication errors (consider using valACYclovir and valGANciclovir.) You might also be able to configure a computer alert to warn of the risk of mix-ups during order entry.
A pharmacy student recently reported a mix-up that occurred between the seasonal allergy drug cetirizine and the antidepressant sertraline. Fluticasone reduces the swelling, itching and redness that can occur in these types of conditions. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. It affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. Check your medicine each time you get a refill at the pharmacy, to make sure you have received the correct form of this medication.
Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use. Your doctor will need to check your progress at regular visits while you are using gabapentin. Ask your pharmacist if you have any questions about the new brand you receive at the pharmacy. If you provide a urine sample for testing, tell the laboratory staff that you are taking gabapentin. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Ask your doctor before taking gabapentin with a sleeping pill, narcotic pain medicine, muscle relaxer, or medicine for anxiety, depression, or seizures. The Table lists the confused drug names reported to the ISMP MERP from July through September 2010.
Both have uses associated with cytomegalovirus (CMV) and may be used in immunosuppressed patients with HIV or transplant patients.


A nurse left a telephone prescription on the pharmacy’s voice mail system for cetirizine 10 mg. Cold sore sufferers should avoid close physical or intimate contact, such as kissing, when having an outbreak.Do not share docosanol topical with anyone. This medication will not treat an infection that is caused by bacteria or fungus.The usual dose of trifluridine ophthalmic is one drop into the affected eye every 2 hours while you are awake. Tell your doctor if you are pregnant or plan to become pregnant while using this medication. It also treats outbreaks of herpes simplex that cause cold sores around the mouth, sores around the anus, and genital herpes.
If you have a healthy immune system, taking Valtrex may provide suppressive therapy, reduce the risk of spreading the herpes virus and help treat existing outbreaks.The Food and Drug Administration (FDA) approved valacyclovir in 1995. Valtrex is used in the treatment of shingles (herpes zoster), cold sores (herpes labialis), and genital herpes (herpes genitalis), and as prophylaxis for prevention of CMV in patients with advanced HIV or after transplantation. The pharmacist interpreted the order as sertraline, however, due to the way the nurse pronounced the drug name. Do not use more than 9 drops in the course of one full day.Once your condition improves, you may need to keep using the medication 4 times daily (up to 5 drops per day) for another 7 days. Gabapentin may be administered as the oral solution, capsule, or tablet, or using combinations of these formulations.
In people with frequent outbreaks of genital herpes, famciclovir is used to help reduce the number of future episodes. Currently, GlaxoSmithKline manufactures and markets this medication under the brand names Valtrex and Zelitrex, although it is also available as a generic drug. Valcyte is used in the treatment of CMV retinitis in patients with acquired immunodeficiency syndrome and also for prevention of CMV in kidney, heart, and kidney–pancreas transplant patients.
Your doctor should check your eyes to determine how long you need to use the medicine.If you wear contact lenses, remove them before applying trifluridine ophthalmic. The maximum time between doses in the three times a day schedule should not exceed 12 hours.
The patient caught the error when she read the antidepressant medication guide in the bag with her prescription bottle.
Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site.
Do not use docosanol topical without first talking to your doctor if you are breast feeding a baby. Be careful if you drive, operate machinery, or do anything else that requires you to be able to see clearly.Do not allow the dropper tip to touch any surface, including the eyes or hands. Just as for handwritten prescriptions, prescribers and their agents should include the purpose of the drug with all telephone prescriptions, including those left on a voicemail system. Docosanol topical is not approved for use by children younger than 12 years old.How should I apply docosanol topical?Use docosanol exactly as directed by your doctor. The viruses that cause these infections continue to live in the body even between outbreaks. It is important to follow your doctor’s dosing instructions exactly with this medication.Valtrex UsesValtrex are used to treat a variety of conditions associated with the herpes virus, including cold sores  (herpes labialis), shingles  (herpes zoster), and genital herpes (herpes simplex) in adults.
It won't sting or burn and it has no medicinal smell or taste.Remove any cosmetics before applying docosanol topical. Apply enough docosanol topical to completely cover the cold sore or fever blister and rub in gently and completely.Docosanol topical is usually applied five times a day until healed.
This medication will not cure you of any of these diseases, as the herpes virus will always remain in your system.Valtrex should always be taken at the very first sign of infection or outbreak. In addition, in people with a weakened immune system, famciclovir can decrease the risk of the virus spreading to other parts of the body and causing serious infections. However, use a separate applicator, such as cotton swab, to apply cosmetics over an unhealed cold sore to avoid spreading the infection.Do not share docosanol topical with anyone. It is not known whether trifluridine ophthalmic passes into breast milk or if it could harm a nursing baby.
Do not use this medication in a child younger than 6 years old.How should I use Viroptic (trifluridine ophthalmic)?Use this medication exactly as it was prescribed for you.


Once ingested, it is converted into its active form acyclovir which helps the body fight against the virus. Do not use the medication in larger amounts, or use it for longer than recommended by your doctor. Acyclovir drug preparations (oral, topical, and intravenous) are also available, usually under the trade name Zovirax. Do not freeze.What happens if I miss a dose?Apply the missed dose as soon as you remember, then re-apply the next dose on schedule. Follow the instructions on your prescription label.The usual dose of trifluridine ophthalmic is one drop into the affected eye every 2 hours while you are awake. Compared with acyclovir, valacyclovir is thought to have a longer duration of action, as such can be taken fewer times each day.Valtrex is effective only in viral infections due to herpes virus. It does not matter if the time interval between those doses is reduced.What happens if I overdose?An overdose of this medication is not likely to occur. It does not treat other viral infections such as common cold or flu.How to Take ValtrexIt is recommended that Valtrex be started at appearance of initial symptoms (such as burning, tingling, blisters). If you suspect an overdose or ingestion of docosanol topical, call an emergency room or poison control center for advice.What should I avoid while using docosanol topical?Cold sores are contagious before, during and after an outbreak or when blisters are present.
Valtrex may not be as effective if started 1 or 2 days after the first symptoms appear.Read your prescription label carefully and take this medication exactly as prescribed. Cold sore sufferers should avoid close physical or intimate contact, such as kissing, when having an outbreak.Cosmetics, such as lipstick, may be applied over docosanol topical. Do not take more than the recommended dose or for longer than recommended.Do not discontinue taking the medication even if you feel better, unless specifically instructed by your healthcare provider. Sharing may spread infection.Docosanol topical side effectsNo serious side effects are expected with docosanol topical treatment. Gently press your finger to the inside corner of the eye (near your nose) for about 1 minute to keep the liquid from draining into your tear duct.Do not allow the dropper tip to touch any surface, including the eyes or hands. Increase your fluid intake while being treated with Valtrex to keep your kidneys working properly.If using the oral suspension (liquid drug formulations), shake it well before taking each dose. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. Keep the bottle tightly closed when not in use.What happens if I miss a dose?Use the medication as soon as you remember the missed dose. Be sure to use the specific measuring device (spoon or medicine cup) that comes with the product package. If it is almost time for your next dose, skip the missed dose and use the medicine at your next regularly scheduled time. If the product does not include one, request from your pharmacist.Lesions due to herpes virus should be kept dry and clean.
Be careful if you drive, operate machinery, or do anything else that requires you to be able to see clearly.Avoid using other eye medications while using trifluridine ophthalmic, unless your doctor has told you to. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. You may require dose adjustments if taking certain medications together with Valtrex.Valtrex cannot help prevent the spread of genital herpes.
You may report side effects to FDA at 1-800-FDA-1088.What other drugs will affect Viroptic (trifluridine ophthalmic)?There may be other drugs that can affect trifluridine ophthalmic. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.Copyright 1996-2006 Cerner Multum, Inc.



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  • sauri, 12.03.2014 at 22:37:46
    Low and your specialist will advise on potential tends to be prescribed in case.
  • RAZIN_USAGI, 12.03.2014 at 15:29:55
    The next herpes outbreak, when the virus reactivates areas, such.