DRUGS GENERIC

BRAND NAME

THERAPEUTI C ACTIONS

TEACHING POINTS

SIDE EFFECT

ADVERSE EFFECT

NURSING CONSIDERATION

PREGNANCY CATEGORY

Propylthiouracil

Inhibits the synthesis of thyroid hromones partially inhibits the peripheral conversion of T4 to T3m, the more potent form of thyroid hormone

Take this drug aroundthe clock at 8 hour interval s. y This drug must be taken for a prolong edd period to achieve d the desired effect.

Dizziness, weakness, vertigo, drowsiness; nausea and vomiting, loss of apetite; rash, itching.

Mild leukopenia, lupus-like syndrome, cutaneous vasculitis, thrombocytop enia. Skin rash, urticaria, arthralgia and fever. GI discomfort, vomiting, headache. Potentially Fatal: Agranulocyto sis, aplastic anaemia, liver injury and liver failure.

Administer drug in three equally divided doses at 8 hr intervals schedule to miantain the patients sleep pattern. Arrange for refular, periodic blood test to monitor bone marrow depression and bleeding techniques.

Pregnancy Category D

DRUGS GENERIC

BRAND NAME


THERAPEUTI C ACTIONS

TEACHING POINTS

SIDE EFFECT

ADVERSE EFFECT

NURSING CONSIDERATION

PREGNANCY CATEGORY

carbimazole

Neomerc azole Vidalta Camazol

 

it converts to methimazole after being absorbed by the body, generating an antithyroid action that works against hyperthyroidis m (excessive production of thyroid hormones) and thyrotoxicosis (inflammation of the thyroid gland).

Before taking dizziness, carbimazole drowsiness, make sure your headache, doctor or pain in the pharmacist joints, knows: nausea, if you are vomiting, pregnant, upset trying for a stomach, baby or breast- muscle pain, feeding taste if you suffer changes and with liver numbness problems if you suffer from bone marrow depression if you have ever had an allergic reaction to this or any other medicine if you are taking any other medicines, including those available to buy without a

Mild leucopaenia , sore throat, mouth ulcers, fever, bruising, malaise; rarely cholestatic jaundice; nephrotic syndrome. Nausea, loss of taste, headache, arthralgia, alopoecia. Potentially Fatal: Agra nulocytosis, aplastic anaemia, hypoprothr ombinaemi a, neutropaeni a;

Monitor the patient reaction to Drug.

Pregnancy Category D

prescription, herbal and complementary medicines

hypothyroi dism and goitre.

DRUGS GENERIC

BRAND NAME

THERAPEUTIC ACTIONS

TEACHING POINTS

SIDE EFFECT

ADVERSE EFFECT

NURSING CONSIDERATION

PREGNANCY CATEGORY

Methimazole

y Northyx y Tapazole

Inhibits the synthesis of thyroid hormones.

take this drug around-theclock a at 8 hr intervals, Establish a schedule, with the aid of your health care provider, which fits your routine. This drug will need to be taken for a prolonged period to achieved the desired effects. Using barrir contraceptiv es is advised while taking this drug; serious fetal abnormalitie

Dizziness, Bleeding, weakness, bone vertigo, marrow drwosiness; suppression, nausea and dermatitis, vomiting, fever, loss of hepatic appetite; reaction, rash;itching Lupus like syndrome, vasculitis

Give drug in three equally divided does at 8- hour intervals; try to schedule to allow patient to sleep at his/her regular time. Obtain regularpriodic blood test to monitor bone marrow depression and bleeding tendencies. Advise medical and surgical personnel that patient is taking this drug, which increases the risk of bleeding problems.

Pregnancy category D

Ensure patient is not pregnant before giving this drug;advise the patient to use barrier contraceptives.

s may occur.

DRUGS GENERIC

BRAND NAME

THERAPEUTI C ACTIONS

TEACHING POINTS

SIDE EFFECT

ADVERSE EFFECT

NURSING CONSIDERATION

PREGNANCY CATEGORY

Dexamethasone

AerosebDex, ApoDexamethas one, Decadron, decaspray, dexasol, DexPak, TaperPak, Maxidex Ophthalmic.

Enters target cells and binds to specific receptors, initiating many complex reactions that are responsible for its antiinflammatory and immunosuppr essive effects

Dexamethason e is the treatment for the very rare disorder of glucocortico id resistance. In adrenal insufficiency a nd Addison's disease, dexamethasone is prescribed when the person doesn't respond well to prednisone o r methylpredni solone.

Stomach Growth Monitor blood upset, Retardation, glucose levels, do Psychiatric decreased not give live virus disturbances carbohydarte vaccines with , tolerance, immunosuppressiv osteoporosis diabetes e doses of , muscle mellitus, corticosteroids atrophy, cushingoid elavated state, liver secondary enzymes, adrenocortica hypertensio l and n, Acne, dry pituitary scaly skin, unresponsive Anaphylact ness. oid reaction, an aphylaxis, a ngioedema.

Pregnancy Category C

DRUGS GENERIC

BRAND NAME

THERAPEUTIC ACTIONS

TEACHING POINTS

SIDE EFFECT

ADVERSE EFFECT

NURSING CONSIDERATION

PREGNANCY CATEGORY

Potassium Iodide (SSKI)

Lugols solution, strong iodine solution, ThyroBlock, Thyroshield

Inhibits synthesis of the active thyroid hormones T3 and T4 and inhibits the release of these hormones into circulation

Drops may be diluted in fruit juice or water. Tablets may be crushed Discontinue use and report fever, rash, swelling of the throat, metallic taste, sore teeth and gums, head cold symptoms, severe GI distress, enlargement of the thyroid gland

Nausea, vomiting, stomach ache, diarrhea, metallic taste in the mouth, fever, headache, or acne may occur

Hypothyroidism, hyperthyroidism, goiter

Test skin for idiosyncrasy to iodine before giving parenteral doses. Discontinue drug if symptoms of acute iodine toxicity occur: vomiting, abdominal pain, Diarrhea, or circulatory collapse

Pregnancy category D