Drugs Study, drugs

7/29/2019 Drugs Study, drugs

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Jonabelle S. CuisonBSN III

Ampicillin Drug information

Generic Name: ampicillin (am pi SILL in)

Brand Names: Omnipen, Principen, Totacillin

What is the most important information I should know about ampicillin? Take all of the ampicillin that has been prescribed for you even if you begin to feel better. Your symptoms may begin to

improve before the infection is completely treated.

Do not break, chew, open, or crush the capsules. Swallow them whole.

Ampicillin may decrease the effectiveness ofbirth control pills. Use a second method of birth control while taking ampicillin to

protect against pregnancy.

What is ampicillin? Ampicillin is an antibiotic in the class of drugs called penicillins. Ampicillin fights bacteria in your body.

Ampicillin is used to treat many different types of infections, such as tonsillitis, pneumonia, bronchitis, urinary tract infections

gonorrhea, and infections of the intestines such as salmonella (food poisoning). Ampicillin may also be used for purposes other than those listed in this medication guide.

Who should not take ampicillin?

If you have ever had anallergic reaction to another penicillin or to a cephalosporin, do not take ampicillin unless your doctor is

aware of your allergy and monitors your therapy.

Before taking this medication, tell your doctor if you have kidney disease, stomach or intestinal disease, or infectious

mononucleosis. You may not be able to take ampicillin because of an increased risk of side effects.

If you are a diabetic, some glucose urine tests may give false positive results while you are taking ampicillin.

Ampicillin is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Ampicillin is generally

considered to be safe for use during pregnancy. Do not, however, take this medication without first talking to your doctor if you

are pregnant. Ampicillin passes into breast milk. Rarely, ampicillin may cause a yeast infection, diarrhea, or allergic reaction in a nursing

infant, although no serious harm is expected. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.
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How should I take ampicillin?

Take ampicillin exactly as directed by your doctor. If you do not understand the instructions, ask your nurse, doctor, or pharmacist toexplain them to you.

Take each dose with a full glass of water.

Take ampicillin on an empty stomach 1 hour before or 2 hours after meals.

Ampicillin should be taken at evenly spaced intervals throughout the day and night to keep the level in your blood high enough totreat the infection.

Do not crush, chew, or open the ampicillin capsules. Swallow them whole. Shake the liquid form of ampicillin well before measuring a dose. To ensure that you get a correct dose, measure the suspension

with a dose-measuring spoon or cup, not a regular tablespoon. If you do not have a dose-measuring device, ask your pharmaciswhere you can get one.

Take all of the ampicillin that has been prescribed for you even if you begin to feel better. Your symptoms may start to improvebefore the infection is completely treated.

Store the tablets and capsules at room temperature and store the suspension in the refrigerator for longer use. The suspension isgood for 7 days at room temperature and for 14 days if it is stored in the refrigerator. Throw away any unused liquid after thisamount of time.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the dose you missed and takeonly your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor.

If you have only missed one dose, you can take the rest of your scheduled doses for the day at evenly spaced intervals.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of an ampicillin overdose include muscle spasms or weakness, pain or twitching, pain in the fingers or toes, loss ofeeling in the fingers or toes, seizures, confusion, coma, and agitation.

What should I avoid while taking ampicillin?

Alcohol may irritate your stomach if taken with ampicillin, so use it with moderation.

What are the possible side effects of ampicillin?

If you experience any of the following serious side effects, stop taking ampicillin and seek emergency medical attention:

an allergic reaction (shortness of breath; closing of your throat; hives; swelling of your lips, face, or tongue; rash; orfainting);

seizures;severe watery diarrhea and abdominal cramps;or

unusual bleeding or bruising.

Other, less serious side effects may be more likely to occur. Continue to take ampicillin and talk to your doctor if you experience

mild nausea, vomiting, diarrhea, or abdominalpain;

white patches on the tongue (thrush/ yeastinfection);

itching or discharge of the vagina (vaginal yeast infection);

orblack, "hairy" tongue or sore mouth ortongue.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that isespecially bothersome.


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What other drugs will affect ampicillin?

Some drugs may decrease the effects of ampicillin and prevent it from properly treating your infection. Before taking ampicillin, telyour doctor if you are taking any of the following drugs:

cholestyramine (Questran) or colestipol (Colestid);

oranother antibiotic (for the same or for a different infection) such as erythromycin (Ery-Tab, E-Mycin, E.E.S., others),tetracycline (Sumycin, others), minocycline (Minocin), doxycycline (Doryx, Vibramycin, others), or any other.

Ampicillin may decrease the effectiveness of birth control pills. Use a second method of birth control while taking ampicillin to protecagainst pregnancy.

Ampicillin increases the effects of methotrexate, and you may need a dose adjustment during therapy with ampicillin.

Ampicillin also increases the side effects of allopurinol (Zyloprim) and may cause a rash.

Probenecid (Benemid) increases the effects of ampicillin. These drugs may be used together for this purpose; however, be sureyour doctor is aware if you are taking probenecid. You may need a lower dose of ampicillin.

Drugs other than those listed here may also interact with ampicillin. Talk to your doctor and pharmacist before taking anprescription or over-the-counter medicines.

Where can I get more information?

Your pharmacist has additional information about ampicillin written for health professionals that you may read.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use thismedication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, andcomplete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information hasbeen compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant thatuses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does noendorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assislicensed healthcare practitioners in caring for their patients and/ or to serve consumers viewing this service as a supplement to, andnot a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a givendrug 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 aidof information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautionswarnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check withyour doctor, nurse or pharmacist.


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Generic Name: Hydrocortisone (hye droe KOR ti sone)Brand Names: Cortef, Hydrocortone

What is the most important information I should know about hydrocortisone?

Do not stop taking hydrocortisone suddenly if you have been taking it for a few weeks. You may need a gradual reduction in dosagebefore you stop taking this medication.

Take oral hydrocortisone with food or milk to lessen stomach upset.

Carry some type of medical identification that will let others know you are taking hydrocortisone in the case of an emergency.

What is hydrocortisone?

Hydrocortisone is in a class of drugs called steroids. Hydrocortisone reduces swelling and decreases the body's immune response.

Hydrocortisone is used to treat many different conditions. It is used to treat endocrine (hormonal) disorders when the body does notproduce enough of its own steroids. It is also used to treat many immune and allergic disorders, such as arthritis, lupus, severepsoriasis, severe asthma, ulcerative colitis, and Crohn's disease.

Hydrocortisone may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare providerbefore taking hydrocortisone?

Do not take hydrocortisone if you have a serious bacterial, viral, or fungal infection. Hydrocortisone weakens the body's immune

response and thus its ability to fight infection. Before taking this medication, tell yourdoctorif you have

kidneydisease;

liver disease;highblood pressure or heartdisease;

ulcerative colitis, diverticulitis, or stomachulcers;

hypothyroidism;

a psychiatriccondition;

osteoporosis;

myastheniagravis;

diabetes mellitus;or

any other medicalconditions.

You may not be able to take hydrocortisone, or you may require a dosage adjustment or special monitoring during treatment if youhave any of the conditions listed above.

Hydrocortisone is in the FDA pregnancy category C. This means that it is not known whether hydrocortisone will be harmful to anunborn baby. Do not take this medication without first talking to your doctor if you are pregnant or could become pregnant duringtreatment.

Hydrocortisone passes into breast milk. Do not take hydrocortisone without first talking to your doctor if you are breast-feeding ababy.
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How should I take hydrocortisone?

Take hydrocortisone exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or

doctor to explain them to you. Take each oral dose with a full glass of water.

Take oral hydrocortisone with food or milk to lessen stomach upset.

Shake the suspension well before measuring a dose.

Measure the liquid with the dropper provided or with a special dose-measuring spoon or cup. Ask your pharmacist for a dose-measuring spoon if you do not have one.

Hydrocortisone may also be administered as an injection. Your healthcare provider will administer the injection or will give youdetailed instructions regarding how to inject the medication at home.

If you are taking one dose daily, take that dose before 9 a.m. if possible, to follow the body's natural cycle. If you take more than onedose daily, space the doses evenly throughout the day as directed by your doctor.

Do not stop taking hydrocortisone suddenly if you have been taking it for a few weeks. You may need a gradual reduction in dosagebefore you stop taking this medication.

Carry some type of medical identification that will let others know you are taking hydrocortisone in the case of an emergency.

Store hydrocortisone at room temperature away from moisture and heat.


If you take one dose daily, take the missed dose as soon as you remember. However, if you don't remember until the next day, skipthe missed dose and take only the regular daily dose.

If you take more than one dose daily, you can either take the missed dose as soon as you remember, or you can take two doses(the missed dose plus the regularly scheduled dose) when it is time for the next dose.

If you take one dose every other day, take the missed dose as soon as you remember, then go back to your regular every-other-dayschedule.


Seek emergency medical attention. A single large dose of this medication is unlikely to cause symptoms or death. An overdose is

more likely to be caused by a chronic overdose--large doses taken over a period of time. Symptoms of an overdose include obesity (especially around the stomach); a round face; increased hair growth (especially around

the face); acne; bruising; increased blood pressure; swollen hands, feet, or ankles (fluid retention); and sore or weak muscles.

What should I avoid while taking hydrocortisone?

Use alcohol cautiously. Acting together, alcohol and hydrocortisone can be damaging to the stomach.

Avoid sources of infection. Wash your hands frequently and keep them away from the mouth and eyes. The immune system may beweakened while taking hydrocortisone.

Do not receive any immunizations during treatment with hydrocortisone without first talking to your doctor.


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What are the possible side effects of hydrocortisone?

If you experience any of the following serious side effects, stop taking hydrocortisone and seek emergency medical attention orcontact your doctor immediately:

an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; orhives);

increased blood pressure (severe headache or blurred vision);or

sudden weight gain (more than 5 pounds in a day or

two). Other, less serious side effects may be more likely to occur. Continue to take hydrocortisone and talk to your doctor if youexperience

insomnia;nausea, vomiting, or stomachupset;

fatigue ordizziness;

muscle weakness or jointpain;

problems with diabetes control;or

increased hunger orthirst.

Other side effects that occur only rarely, usually with high doses or prolonged use of hydrocortisone may include

acne;increased hairgrowth;

thinning of the skin,cataracts;glaucoma;osteoporosis;

roundness of the face;and

changes in behavior.


What other drugs will affect hydrocortisone?

Do not take any other over-the-counter or prescription medications, including vitamins, minerals, and herbal products, duringtreatment with hydrocortisone without first talking to your doctor. Many other medicines can interact with hydrocortisone resulting inside effects or altered effectiveness of the medications.

Where can I get more information? Your pharmacist has additional information about hydrocortisone written for health professionals that you may read.


Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, andcomplete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information hasbeen compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant thatuses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not

endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assistlicensed healthcare practitioners in caring for their patients and/ or to serve consumers viewing this service as a supplement to, andnot a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a givendrug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective orappropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aidof 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 withyour doctor, nurse or pharmacist.


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multivitamins and mineralsDrug information

What is the most important information I should know about multivitamins and minerals?

Do not take more of amultivitamin and minerals than is prescribed for you or is directed on the package. Large doses ofmultivitamins and minerals can be dangerous.

What are multivitamins and minerals?

Vitamins and minerals are naturally occurring substances necessary for many processes in the body.Vitamins and minerals are

found in the foods we eat. Multivitamins (combinations of vitamins) and minerals are available in tablets, capsules, liquids, and injections. Multivitamins and

minerals are used to treat vitamin and mineral shortages in the body that may occur because of illness, pregnancy, poor nutrition,decreased absorption of foods through the stomach, and many other circumstances.

Multivitamins and minerals may also be used for purposes other than those listed in this medication guide.

Who should not take multivitamins and minerals?

Some multivitamins and minerals may affect other medical conditions or treatments. Do not start taking a vitamin or mineral withoutfirst talking to yourdoctorif you have any health problems or conditions, or if you take other medications.

Multivitamins and minerals are generally considered to be safe for use during pregnancy and breast-feeding. Special prenatalvitamins are available and are important for the healthy development of a baby. However, large doses of some vitamins can beharmful. Talk to your doctor about taking a vitamin and mineral supplement during pregnancy or breast-feeding.

How should I take multivitamins and minerals?

Take multivitamins and minerals exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist,nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Take multivitamins and minerals with food to lessenstomach upset.

Some multivitamins and minerals are available in a chewable tablet formulation. Chew these tablets thoroughly before swallowing.

Some multivitamins and minerals are also available in liquid form. To ensure that you get the correct dosage, measure liquidmultivitamins and minerals with a dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuringdevice, ask your pharmacist where you can get one.

Do not take more of a vitamin or mineral than is prescribed for you or is directed on the package. Large doses of multivitamins andminerals can be dangerous.

Store multivitamins and minerals at room temperature away from moisture and heat.


Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and takeonly the next regularly scheduled dose. Do not take a double dose.

Generic Name: multivitamins and minerals (mull tee VYE tah mins and MIH ner als)Brand Names:
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Seek emergency medical attention.

Most commonly, symptoms of a vitamin and mineral overdose includenausea and vomiting.

What should I avoid while taking multivitamins and minerals? There are no restrictions on food, beverages, or activities while you are taking vitamin or mineral supplements. Follow any special

instructions your doctor gives you.

What are the possible side effects of multivitamins and minerals?

Stop taking multivitamins and minerals and seek emergency medical attention if you experience an allergic reaction (difficultybreathing; closing of your throat; swelling of your lips, tongue, or face; or hives).

Other, less serious side effects may be more likely to occur. Nausea, constipation, black stools, and diarrhea are among the mostcommon. Taking multivitamins and minerals with food may decrease these side effects.


What other drugs will affect multivitamins and minerals? Before taking a multivitamin and mineral, tell your doctor if you are taking any other prescription or over-the-counter medicines. You

may not be able to take the multivitamin and mineral supplement, or you may require a dosage adjustment or special monitoring ifyou are taking any other medicines.

Where can I get more information?

Your pharmacist has more information about multivitamins and minerals written for health professionals that you may read.


Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, andcomplete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information hasbeen compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant thatuses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does notendorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assistlicensed healthcare practitioners in caring for their patients and/ or to serve consumers viewing this service as a supplement to, andnot a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a givendrug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective orappropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aidof 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 withyour doctor, nurse or pharmacist.
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