Compounding: Look Alike Sound Alike and FDA indications

• zafirlukast
• prophylaxis andd chronic treatment of asthma
• leukotriene inhibitor
• 20mg BID
• 10mg, 20mg

• alclometasone
• treatment of inflammation of corticosteroid responsive dermatosis
• adrenal glucocorticoid
• topical 2-3x daily

• Accolate: take on empty stomach, 1h before or 2h after meal
• Aclovate: avoid sunlight

• niacin/lovastatin
• lovastatin: treatment of primary hypercholesterolemia
• ER niacin: adjuctive treatment of dyslipidemia to lower the risk of recurrent MI and/or slw progression of coronary artery disease
• 500mg niacin/20mg lovastatin qd (max 2000mg/40mg)

• lovastatin
• adjuctive to dietary therapy to decrease elevated serum total and LDL cholesterol concentrations in primary hypercholesterolemia

Advicor: category X, may cause flushing, take with low fat snack

Altocor: category X, take with food, take at bedtime

• moxifloxacin
• acute sinusitis caused by S. pneumoniae, H. influenza, or M. catarrhalis
• 400mg IV/PO daily for 10 days
• IV 400mg/250ml, 400mg tab, ophthalmic soln

• interferon beta 1a
• treatment of relapsing forms of MS
• 30mcg IM once weekly

• Avelox: d/c if rash develops, drink 8oz of water after each dose, avoid antacid, sucralfate, iron or MV containing Zn within 2 hrs of dose, may cause dizziness
• Avonex: may cause drowsiness, dizziness, nausea, HA, keep hydrated unless otherwise instructed, notify MD immediately of suicidal ideation

• sulindac
• osteoarthritis, rheumatoid arthritis, ankylosing spondylitis
• NSAID
• 150mg, 200mg tabs

• clozapine
• management of severely ill schizophrenic patients who fail to respond adequately to standard antipsychotic drug treatment
• 25, 50, 100, 200mg tab

Clinoril: may take 2 wk to see results, may cause drowsiness, take with food/milk if GI upset, avoid alcohol, avoid aspirin or aspirin-containing product

Clozaril: weekly WBC count, may cause seizures and orthostatic hypotension

• both for treatment of convulsive disorders
• Diastat: set patient's dose prior to dispensing

• HCl: Atarax
• pamoate: Vistaril
• treatment of anxiety
• 50-100mg po QID

• Apresoline
• management of moderate to severe hypertension, congestive heart failure, hypertension secondary to pre-eclampsia/eclampsia

hydroxyzine: may cause drowsiness, avoid alcohol, breast feeding is contraindicated

hydralazine: take with meal, avoid alcohol, report wt gain >5 lbs/wk or swelling of ankles, may cause postural hypotension, dizziness, NV

• terbinafine
• oral treatment of onychomycosis of the toenail or fingernail due to dermatophytes

• lamotrigine
• adjuctive therapy in pediatric and adult patients with partial seizures or generalized seizures for Lennox-Gastaut syndrome

• Lamisil: hypersensitivity or drowsiness may occur
• Lamictal: take tablet with food to avoid GI upset, notify MD if rash or liver dysfunction develops

• furosemide
• treatment of edema associated CHF, cirrhosis of the liver and renal disease

• fluocinonide
• anti-inflammatory, antipruritic

Lasix: take with food/milk if GI upset, take in AM, avoid sunlight, may cause orthostatic hypotension

Lidex: external use only, avoid excessive sunlight

• levofloxacin
• community acquired pnemonia, acute bacterial exacerbation of chronic bronchitis caused by susceptible strains of microorganims

• hyoscyamine
• adjunctive therapy in tx of peptic ulcer, irritable bowel syndrome, neurogenic bladder or bowel disorders, biliary or renal colic and other gastric hyperspasmodic or hypersecretory disorders

Levaquin: d/c if rash develops, drink 8oz of water after each dose, no antacid, sucralfate, iron, MV with Zn within 2 hrs of dose, avoid sunlight, monitor BG if taking anti-diabetic meds, d/c if hypoglycemia (contact MD)

Levsin: take in empty stomach, no antacid, avoid hot weather, may cause drowsiness

• alosetron
• treatment of women with severe diarrhea-predominant irritable bowel syndrome who have failed to respond to conventional therapy
• serotonin receptor antagonist 5-HT3

• clotrimazole
• treatment of tinea corporis (body ringworm), tinea cruris, and tinea pedis caused by Epidermophyton floccosum, Microsporum canis, Trichophyton mentagrophytes or T. rubrum

Lotronex: [BBW] d/c immediately in patients with constipation. acute ischemic colitis has been reported during treatment. patient must read and sign a "patient-physician" agreement before receiving the initial prescription; absorption reduced with food

Lotrimin: complete full course of therapy

• trolamine salicylate
• relief of muscular aches, rheumatism, neuralgia, sprains, arthritis on intact skin

• clotrimazole
• treatment of susceptible fungal infection (oropharyngeal candidiasis, dermatophytoses, superficial mycoses, cutaneous candidiasis, vulvovaginal candidiasis)

Myoflex: external use only

Mycelex: troche: allow to dissolve slowly over 15-30min

• clopidogrel
• reduction of atherosclerotic events in patients with atherosclerosis documented by recent stroke, recent MI or established peripheral arterial disease

• paroxetine
• treatment of depression and OCD

Plavix: contact MD if symptoms of infection; increased bleeding time

Paxil: may take up to 2 wk to see results, may cause drowsiness, avoid alcohol, contact MD if swelling or excessive thirst

• felodipine
• for the treatment of hyhpternsion with or without a thiazide diuretic

• isosorbide dinitrate
• prevention and treatment of angina pectoris

Plendil: avoid grapefruit juice, practice good dental hygiene

Isordil: do not crush or chew SR capsules, swallow whole with 8 oz water, avoid excesive alcohol, combination may cause severe hypotension, if chest pain, seek immediate emergency medical help

malaria

prophylaxis after cardioversion of A.fib and/or A. flutter to maintain normal sinus rhythm

quinine: preg X, notify MD if cinchonism (tinnitus, distubed vision, dizziness, HA, confusion, hearing loss)

quinidine: do not take with grapefruit juice, caution while driving if dizzy/drowsy/visual change

adjunct in the management of parkinson's disease in which levodopa/carbidopa is deteriorating

• pilocarpine hydrochloride
• symptomatic treatment of xerostomia caused by salivary gland hypofunction resulting from radiotherapy for cancer of the head and neck or Sjogren's syndrome

selegiline: take with meals if GI upset, avoid tyramine containing food, maintain adequate hydration, avoid alcohol, may cause drowsiness, dizzy, confusion, orthostatic hypotension, constipation

Salagen: avoid high fat meal

• nefazodone
• treatment of depression

• quetiapine
• for the management of manifestation of psychotic disorders

Serzone: may take 2-3 wk to achieve desired results, avoid alcohol, report persistent insomnia or excessive daytime sedation, inform MD immediately of suicidal ideation

Seroquel: may have drowsiness, use caution when rising, do not change dosage except MD order

• zoloft
• treatment of depression and OCD

• acitretin
• treatment of severe psoriasis

Sertraline (Zoloft): continued tx may be needed to see improvement; avoid alcohol, use caution when performing tasks that require alertness, do not abruptly d/c

Soriatane: pregnancy X, hepatotoxicity warning, take with food, avoid vitamin A product, alcohol contraindicated

palliative or adjunctive treatment of advanced breast cancer

treatment ofo signs and symptoms of benign prostatic hyperplasia (BPH)

tamoxifen: annual ophthalmic exam, gynecological exam and mammogram if using for long term, may cause hot flash, hair loss and loss of libido, bone pain may indicate a good therapeutic response

tamsulosin: once daily, 30 min after same meal each day, may cause drowsiness, postural hypotension

• topiramate
• adjunctive therapy in pediatric (2-1yo) and adult patients with partial onset seizureor primary generalized tonic-clonic seizures and in patients 2 yr and older with seizures associated with Lennox Gastaut syndrome.

• metoprolol succinate
• management of hypertension

topamax: may cause drowsiness, avoid alcohol, contact MD if eye pain or blurred vision, keep hydrated

Toprol: take with food, do not crush or chew, may cause dizziness, masking of hypoglycemic symptoms in diabetics

• APAP and hydrocodone
• relief of moderate to moderately severe pain

• sodium phosphate
• short term treamtent of constipation and to evacuate the colon for rectal and bowel exam

Vicodin: may cause drowsiness, avoid alcohol, may take with food or mild to avoid GI upset (warning: may be habit forming, CIII)

Visicol: may cause diarrhea, excessive prolonged use as a laxative may cause dependence

• ranitidine
• short term treatment of active duodenal ulcer

• lisinopril
• treatment of hypertension

Zantac: take food/milk if GI upset

Zestril: avoid salt substitute containing potassium, contact MD if swelling occurs

• bisoprolol
• treatment of hypertension, alone or in combination with other agents

• ezetimibe
• for the adjunct therapy to diet for the reduction of elevated total C, LDL C and ApoB in patients with primary (familial and non familial) hypercholesterolemia

Zebeta: do not take with antacids, diabetics monitor BG, report unresolved swelling of extremities

Zetia: do not take within 2 hr before or 4 hr after bile acid sequestrant (cholestyramine), follow prescribed diet, contact MD if myopathy symptoms occurs especially if also on HMG-CoA reductase inhibitor (statin)

• cetirizine
• relief of symptoms associated with seasonal allergic rhinitis due to allergens such as ragweed, grass and tree pollens in adults and children over 2 yrs

Zestril: avoid salt substitutes containing potassium, contact MD if swelling occurs

Zyrtec: may cause drowsiness, avoid alcohol, skip dos if >6 hrs late and return to normal schedule, do not double dose

Zyrtec: may cause drowsiness, avoid alcohol, skip dose if >6 hours passed and return to normal schedule, do not double dose

Zantac: take food/milk if GI upset

• olanzapine
• for the management of the manifestations of psychotic disorders

zyrtec: may cause drowsiness, avoid alcohol, skip dose if >6 hr passed and return to normal schedule, do not double dose

Zyprexa: may cause drowsiness, use caution when rising, do not change dosage except on orders of MD, use ZYDIS immediately after opening foil sachet