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ISMP's List of Confused Drug Names

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Institute for Safe Medication Practices<br />

©ISMP 2009<br />

ISMP’s <strong>List</strong> <strong>of</strong> <strong>Confused</strong> <strong>Drug</strong> <strong>Names</strong><br />

<strong>Drug</strong> Name<br />

<strong>Confused</strong> <strong>Drug</strong> Name<br />

<strong>Drug</strong> Name<br />

Kaletra<br />

Keppra<br />

Lupron Depot-Ped<br />

Keflex<br />

Keppra<br />

Luvox<br />

Keppra<br />

Kaletra<br />

Lyrica<br />

Keppra<br />

Keflex<br />

Maalox<br />

Ketalar<br />

ketorolac<br />

Maalox Total Stomach Relief<br />

ketorolac<br />

Ketalar<br />

Matulane<br />

Kineret<br />

Amikin<br />

Materna<br />

KlonoPIN* cloNIDine *<br />

Maxzide<br />

Kuric<br />

Carac<br />

Menactra<br />

Kwell<br />

Qwell<br />

Menomune<br />

LaMICtal<br />

LamISIL<br />

Mephyton<br />

LamISIL<br />

LaMICtal<br />

Metadate<br />

lamiVUDine*<br />

lamoTRIgine*<br />

Metadate CD<br />

lamoTRIgine*<br />

lamiVUDine*<br />

Metadate ER<br />

lamoTRIgine<br />

levothyroxine<br />

Metadate ER<br />

Lanoxin<br />

levothyroxine<br />

metFORMIN*<br />

lanthanum carbonate<br />

lithium carbonate<br />

methadone<br />

Lantus<br />

Lente<br />

methadone<br />

Lasix<br />

Luvox<br />

methadone<br />

Lente<br />

Lantus<br />

methadone<br />

leucovorin calcium*<br />

Leukeran*<br />

methadone<br />

Leukeran<br />

Alkeran<br />

Methergine<br />

Leukeran<br />

Myleran<br />

methimazole<br />

Leukeran*<br />

leucovorin calcium*<br />

methylphenidate<br />

Levbid<br />

Enbrel<br />

metolazone<br />

levetiracetam<br />

lev<strong>of</strong>loxacin<br />

metoprolol succinate<br />

lev<strong>of</strong>loxacin<br />

levetiracetam<br />

metoprolol tartrate<br />

levothyroxine<br />

lamoTRIgine<br />

metroNIDAZOLE*<br />

levothyroxine<br />

Lanoxin<br />

Mevacor<br />

Lexapro<br />

Loxitane<br />

Micronase<br />

Lipitor<br />

Loniten<br />

Microzide<br />

Lipitor<br />

ZyrTEC<br />

Microzide<br />

lithium carbonate<br />

lanthanum carbonate<br />

midodrine<br />

Lodine<br />

codeine<br />

Midrin<br />

Lodine<br />

iodine<br />

mifepristone<br />

Loniten<br />

Lipitor<br />

Miralax<br />

Lopressor<br />

Lyrica<br />

Mirapex<br />

LORazepam*<br />

ALPRAZolam*<br />

misoprostol<br />

LORazepam<br />

clonazePAM<br />

morphine*<br />

LORazepam<br />

Lovaza<br />

morphine - non-concentrated oral liquid*<br />

Lotronex<br />

Protonix<br />

morphine - oral liquid concentrate*<br />

Lovaza<br />

LORazepam<br />

Motrin<br />

Loxitane<br />

Lexapro<br />

MS Contin*<br />

Loxitane<br />

Soriatane<br />

Mucinex*<br />

Lunesta<br />

Neulasta<br />

Mucomyst*<br />

Lupron Depot-3 Month<br />

Lupron Depot-Ped<br />

Myleran<br />

<strong>Confused</strong> <strong>Drug</strong> Name<br />

Lupron Depot-3 Month<br />

Lasix<br />

Lopressor<br />

Maalox Total Stomach Relief<br />

Maalox<br />

Materna<br />

Matulane<br />

Microzide<br />

Menomune<br />

Menactra<br />

methadone<br />

methadone<br />

Metadate ER<br />

Metadate CD<br />

methadone<br />

metroNIDAZOLE*<br />

dexmethylphenidate<br />

Mephyton<br />

Metadate ER<br />

Metadate<br />

methylphenidate<br />

Brethine<br />

metolazone<br />

methadone<br />

methimazole<br />

metoprolol tartrate<br />

metoprolol succinate<br />

metFORMIN*<br />

Benicar<br />

Microzide<br />

Maxzide<br />

Micronase<br />

Midrin<br />

midodrine<br />

misoprostol<br />

Mirapex<br />

Miralax<br />

mifepristone<br />

HYDROmorphone*<br />

morphine - oral liquid concentrate*<br />

morphine - non-concentrated oral liquid*<br />

Neurontin<br />

OxyCONTIN*<br />

Mucomyst*<br />

Mucinex*<br />

Alkeran<br />

* These drug names are included on TJC’s list <strong>of</strong> look-alike or sound-alike drug names from which an accredited organization creates it own list to satisfy the requirements <strong>of</strong> the National Patient<br />

Safety Goals. Visit www.jointcommission.org for more information about this TJC requirement.<br />

Permission is granted to reproduce material for internal newsletters or communications with proper attribution. Other<br />

reproduction is prohibited without written permission. Unless noted, reports were received through the ISMP Medication<br />

Errors Reporting Program (MERP). Report actual and potential medication errors to the MERP via the web at<br />

www.ismp.org/merp or by calling 1-800-FAIL-SAF(E). ISMP is a federally certified patient safety organization (PSO),<br />

providing legal protection and confidentiality for patient safety data and error reports it receives.<br />

Institute for Safe<br />

Medication Practices<br />

www.ismp.org<br />

4

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