pain m
Medications
Instructed in new m
edication Levaquin to m
anage infection. In addition, warned of possible S/E such as headache, insom
nia, dizziness, encephalopathy, chest pain
, palpitations, vasodilation, nausea, diarrhea, vom
iting, abdom
inal pain
, dyspepsia, flatulence, vaginitis, eosinophilia, hypoglycem
ia, back pain
, tendon rupture, rash, pruritus, hypersensitivity reactions, etc. Instructed to take drug as prescribed, even if signs and sym
ptom
s disappear. Take drug with plenty of fluids and avoid antacids, sucralfate, and products containing iron or zinc for at least 2 hours before and after each dose. Avoid excessive sunlight, use sun block, and wear protective clothing when outdoors. Stop drug usage and notify prescriber if rash or other S/S of hypersensitivity develop. Notify prescriber if patient experiences pain
or inflam
m
ation. Tendon rupture can occur with drug. Instructed to Diabetic patient to m
onitor glucose level and notify prescriber if a hypoglycem
ia reaction occurs. Notify prescriber if loose stools or diarrhea occurs.
SN instructed patient / caregiver that the Tram
adol is an opioid pain m
edication used to treat m
oderate to m
oderately severe pain
. When taken as an im
m
ediate-release oral form
ulation, the onset of pain
relief usually occurs within about an hour serious side effects m
ay include seizures, increased risk of serotonin syndrom
e, decreased alertness, and drug addiction. A change in dosage m
ay be recom
m
ended in those with kidney or liver problem
s. Its not recom
m
ended in wom
en who are breastfeeding or those who are at risk of suicide. The m
ost com
m
on adverse effects of tram
adol m
ay include nausea, dizziness, dry m
outh, indigestion, abdom
inal pain
, vertigo, vom
iting, constipation, drowsiness and headache
SN instructed patient about drug Cilostazol, trade nam
e: Pletal. Is a m
edication for the treatm
ent of interm
ittent claudication (pain
in your calves when walking), a condition caused by narrowing of the arteries that supply the legs with blood. Patients with interm
ittent claudication develop pain
when they walk because not enough oxygen-containing blood reaches the active leg m
uscles. Cilostazol reduces the pain
of interm
ittent claudication by dilating the arteries, thereby im
proving the flow of blood and oxygen to the legs. It also reduces the ability of blood to clot. Cilostazol enables patients with interm
ittent claudication to walk longer and faster before developing pain
. Cilostazol is a quinolinone-derivative m
edication that inhibits platelet aggregation and is a direct arterial vasodilator. Its m
ain effects are dilation of the arteries supplying blood to the legs and decreasing platelet coagulation. Do not stop taking this m
edication without talking to your doctor.
SN instructed patient and caregiver on new pain m
edication Nucynta ( Tapentadol ) is used to help relieve m
oderate to severe short - term
pain
( such as pain
from
an injury or after surgery ). It belongs to a class of drugs known as narcotic ( opioid ) analgesics. It works in the brain to change how your body feels and responds to pain
. Som
e Com
m
on side effects are nausea, vom
iting, constipation, dizziness, or drowsiness. Get m
edical help right away if you have any serious side effects, including: slow / shallow breathing, fainting, seizures, unusual drowsiness / difficulty waking up m
ay occur. If any of these effects persist or worsen, tell your doctor or pharm
acist prom
ptly. A very serious allergic reaction to this drug is rare. However, get m
edical help right away if you notice any sym
ptom
s of a serious allergic reaction, including: rash, itching / swelling ( especially of the face / tongue / throat ), severe dizziness, trouble breathing.
SN instructed patient / caregiver that Actonel is used to treat and prevent bone loss ( osteoporosis ). SN instructed patient of the side effects of Actonel: nausea, diarrhea, constipation and headache. SN instructed patient / caregiver to report to physician of adverse effects: flu - like sym
ptom
s ( e.g., fatigue, fever, aches ), weakness, chest or stom
ach pain
, pain
when swallowing, leg or ankle swelling, joint pain
, bone pain
.
SN instructed patient / caregiver regarding M
etoprolol Tartrate, which is in a group of drugs called beta - blockers. That is affect the heart and circulation ( blood flow through arteries and veins ). M
etoprolol is used to treat angina ( chest pain
) and hypertension ( high blood pressure ). It is also used to treat or prevent heart attack. Call your doctor at once if you have any of these serious side effects: chest pain
, pounding heartbeats or fluttering in your chest, feeling light - headed, fainting; feeling short of breath, even with m
ild exertion, swelling of your hands or feet, nausea, upper stom
ach pain
, itching, loss of appetite, dark urine, clay - colored stools, jaundice ( yellowing of the skin or eyes ), easy bruising, unusual bleeding ( nose, m
outh, vagina, or rectum
), purple or red pinpoint spots under your skin, wheezing, trouble breathing. Less serious side effects m
ay include: dry m
outh, constipation, heartburn, vom
iting, diarrhea, headache, drowsiness, tired feeling, sleep problem
s ( insom
nia ), or anxiety, nervousness. Do not suddenly stop taking m
etoprolol tartrate. Sharp chest pain
, irregular heartbeat, and som
etim
es heart attack m
ay occur if you suddenly stop m
etoprolol tartrate. The risk m
ay be greater if you have certain types of heart disease. Tell your doctor or dentist that you take m
etoprolol tartrate before you receive any m
edical or dental care, em
ergency care or surgery.
Patient and CG instructed on Pravastatin. Pravastatin is used to lower cholesterol and triglycerides (types of fat) in the blood. Pravastatin is also used to lower the risk of stroke, heart attack, and other heart com
plications in people with or without coronary heart disease or other risk factors. Pravastatin can cause a condition that results in the breakdown of skeletal m
uscle tissue, leading to kidney failure. This condition m
ay be m
ore likely to occur in older adults and in people who have kidney disease or poorly controlled hypothyroidism
(underactive thyroid). Get em
ergency m
edical help if you have signs of an allergic reaction to pravastatin: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. In rare cases, pravastatin can cause a condition that results in the breakdown of skeletal m
uscle tissue, leading to kidney failure. Stop using and call your doctor at once if you have:unexplained m
uscle pain
, tenderness, or weakness; fever, unusual tiredness; dark colored urine; chest pain
; upper stom
ach pain
, loss of appetite; or jaundice (yellowing of the skin or eyes). Com
m
on pravastatin side effects m
ay include: m
uscle or joint pain
; nausea, vom
iting, diarrhea; headache; or cold sym
ptom
s such as stuffy nose, sneezing, sore throat.
Patient instructed Duloxetine is used to treat m
ajor depressive disorder in adults. It is also used to treat general generalized anxiety disorder. It is also used in adults to treat fibrom
yalgia (a chronic pain
disorder), or chronic m
uscle or joint pain
(such as low back pain
and osteoarthritis pain
). Take duloxetine exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this m
edicine in larger or sm
aller am
ounts or for longer than recom
m
ended. You m
ay take duloxetine with or without food. Do not crush, chew, break, or open an extended-release capsule. Swallow it whole.
SN instructed patient about Sulfam
ethoxazole. Call your doctor right away if you notice any of these side effects: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your m
outh or throat, chest tightness, trouble breathing, Blistering, peeling, or red skin rash, Dark urine or pale stools, nausea, vom
iting, loss of appetite, stom
ach pain
, yellow skin or eyes, Chest pain
, cough, or trouble breathing, Confusion, weakness, M
uscle twitching, Severe diarrhea, stom
ach pain
, cram
ps, bloating, Skin rash, purple spots on your skin, or very pale or yellow skin, Sore throat, fever, m
uscle pain
, Uneven heartbeat, num
bness or tingling in your hands, feet, or lips, Unusual bleeding, bruising, or weakness. If you notice these less serious side effects, talk with your doctor: M
ild nausea, vom
iting, or loss of appetite.
Instructed in new m
edication Avapro to m
anage hypertension. In addition, warned of possible S/E such as fatigue, anxiety, dizziness, headache, chest pain
, edem
a, tachycardia, pharyngitis, rhinitis, sinus abnorm
ality, diarrhea, dyspepsia, abdom
inal pain
, nausea, vom
iting, urinary tract infection, m
usculoskeletal traum
a, or pain
, upper respiratory tract infection, rash.