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Musculoskeletal
BDK
Generic | Brand | Pharmacological category | Common indication | Essential knowledge (KSE) |
---|---|---|---|---|
Tizanidine (po) | Zanaflex | Alpha 2 Agonist | Spasticity | Drowsiness, hypotension, dizziness , xerostomia, weakness |
Hydroxychloroquine (po) | Plaquenil | Aminoquinolone | RA,SLE, malaria | Retinal toxicity, rash, diarrhea Other notes: use has been associated with cardiomyopathy, bone marrow suppression, and neuromuscular effects (I.e. myopathy, palsies, and progressive weakness) |
Colchicine (po) | Colcrys | Anti gout agent | Gout | Key side effect: diarrhea, nausea, vomiting, bone marrow suppression, myopathy (including rhabdomylosis) |
Diclofenac (PO) | Voltaren | NSAID | OA, RA, acute pain | kse: diarrhea, dyspepsia, abdominal pain, flatulence, nausea BBW: may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, stroke; may increase the risk for serious gastrointestinal adverse events including ulceratio |
Ibuprofen (PO) | Motrin, Advil | NSAID | OA, RA, acute pain | kse: diarrhea, dyspepsia, abdominal pain, flatulence, nausea BBW: may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, stroke; may increase the risk for serious gastrointestinal adverse events including ulceratio |
Meloxicam (PO) | Mobic | NSAID | OA, RA, acute pain | kse: diarrhea, dyspepsia, abdominal pain, flatulence, nausea BBW: may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, stroke; may increase the risk for serious gastrointestinal adverse events including ulceratio |
Indomethacin (PO) | Indocin | NSAID | OA, RA, acute pain, gout | kse: diarrhea, dyspepsia, abdominal pain, flatulence, nausea BBW: may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, stroke; may increase the risk for serious gastrointestinal adverse events including ulceratio |
Naproxen (PO) | Naprosyn, Anaprox, Aleve | NSAID | OA, RA, acute pain, gout | kse: diarrhea, dyspepsia, abdominal pain, flatulence, nausea BBW: may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, stroke; may increase the risk for serious gastrointestinal adverse events including ulceratio |
Ketorolac (PO, IV) | Toradol | NSAID | Pain | kse: diarrhea, dyspepsia, abdominal pain, flatulence, nausea BBW: may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, stroke; may increase the risk for serious gastrointestinal adverse events including ulceratio |
Celecoxib (PO) | Celebrex | NSAID, Cox-2 Selective | OA, RA, acute pain | kse: diarrhea, dyspepsia, abdominal pain, flatulence, nausea BBW: may increase the risk of serious (and potentially fatal) cardiovascular thrombotic events, MI, stroke; may increase the risk for serious gastrointestinal adverse events including ulceratio |
Diclofenac (topical) | Voltaren Gel | NSAID | OA | pruritus, rash |
Cyclobenzaprine (PO) | Flexeril | Skeletal muscle relaxant | Muscle spasm | drowsiness, dizziness, xerostomia, fatigue other notes: use may cause prolonged cardiac arrhythmias, and tachycardia; CI within 14 days of MOAI inhibitor therapy |
Baclofen (PO) | -------- | Skeletal muscle relaxant | Spasticity | Drowsiness |
Carisoprodol (PO) | Soma | Skeletal muscle relaxant | Muscle spasm | drowsiness other notes: drug abuse potential |
Methocarbamol (PO) | Robaxin | Skeletal muscle relaxant | Muscle Spasm | Drowsiness |
Metaxalone (PO) | Skelaxin | Skeletal muscle relaxant | Muscle spasm | drowsiness |
Lidocaine (transdermal, IV) | Transdermal: Lidoderm, IV: Xylocaine | Transdermal: Topical analgesic IV: antiarrhythmic | Transdermal: Pain IV: Ventricular arrhythmias | (transdermal): dermatitis, erythema, urticaria, skin depigmentation, skin edema IV: Bradycardia Other notes: patch may remain in place for up to 12 hours in any 24-hour period, patch may be cut |
Allopurinol (PO) | Zyloprim | Xanthine oxidase inhibitor | Gout | Diarrhea, nausea, rash, leukopenia, thrombocytopenia other notes: rare association with severe (and potentially fatal) allopurinol hypersensitivity syndrome (risk highest in certain Asian populations) |
Succinylcholine (IV) | Anectine | Depolarizing neuromuscular blocking agent | neuromuscular blockade for intubation or procedures | hyperkalemia, myalgia, malignant hyperthermia (rare) BBW: acute rhabdomyolysis and hyperkalemia leading to cardiac arrest and death in pediatric patients with undiagnosed skeletal muscle disease |