Clinician's Pocket Drug Reference 2008

48 Beclomethasone[C, ?] Disp: Nasal met-dose inhaler SE: Local irritation, burning, epistaxis Notes:Nasal spray delivers 42 mcg/doseBeclomethasone (QVAR) Uses: Chronic *asthma* Action: Inhaled corticosteroidDose: Adults & Peds 5–11 y. 40–160 mcg 1–4 inhal bid; initial 40–80mcg inhal bid if on bronchodilators alone; 40–160 mcg w/other inhaled steroids;320 mcg bid max; taper to lowest effective dose bid rinse mouth/throat after Caution:[C, ?] Contra: Acute asthma Disp: PO met-dose inhaler; 40, 80 mcg/inhalSE: HA, cough, hoarseness, oral candidiasis Notes: Not effective for acute asthmaBelladonna & Opium Suppositories (B&O Supprettes) [C-II]Uses: *Bladder spasms; moderate/severe pain* Action: Antispasmodic, analgesicDose: 1 supp PR q6h PRN; 15A = 30 mg powdered opium/16.2 mg belladonna extract;16A = 60 mg powdered opium/16.2 mg belladonna extract Caution: [C, ?]Contra: Glaucoma, resp dep Disp: Supp 15A, 16A SE: Anticholinergic (eg, sedation,urinary retention, constipation)Benazepril (Lotensin) Uses: *HTN,* DN, CHF Action: ACE inhibitorDose: 10–40 mg/d PO Caution: [C (1st tri), D (2nd & 3rd tri), +] Contra: Angioedema,Hx edema, bilateral RAS Disp: Tabs 5, 10, 20, 40 mg SE: Symptomatic↓ BP w/ diuretics; dizziness, HA, ↑ K + , nonproductive coughBenzocaine & Antipyrine (Auralgan) Uses: *Analgesia in severeotitis media* Action: Anesthetic w/ local decongestant Dose: Fill ear & insert amoist cotton plug; repeat 1–2 h PRN Caution: [C, ?] Contra: w/ perforatedeardrum Disp: Soln 5.4% antipyrine, 1.4% benzocaine SE: Local irritationBenzonatate (Tessalon Perles) Uses: Symptomatic relief of *cough*Action: Anesthetizes the stretch receptors in the resp passages Dose: Adults &Peds >10 y. 100 mg PO tid (max 600 mg/day) Caution: [C, ?] Disp: Caps 100,200 mg SE: Sedation, dizziness, GI upset Notes: Do not chew or puncture the capsBenztropine (Cogentin) Uses: *Parkinsonism & drug-induced extrapyramidaldisorders* Action: Partially blocks striatal cholinergic receptors Dose:Adults. 0.5–6 mg PO, IM, or IV in ÷ doses/d to 4 mg/day max Peds >3 y.0.02–0.05 mg/kg/dose 1–2/d Caution: [C, ?] Contra: < 3 y, myasthenia gravisDisp: Tabs 0.5, 1, 2 mg; inj 1 mg/mL SE: Anticholinergic side effects Notes:Physostigmine 1–2 mg SC/IV to reverse severe SxsBeractant (Survanta) Uses: *Prevention & Rx of RDS in premature infants*Action: Replaces pulm surfactant Dose: 100 mg/kg via ET tube; repeat 3 ×q6h PRN; max 4 doses/48 h Disp: Susp 25 mg of phospholipid/mL SE: Transientbradycardia, desaturation, apnea Notes: Administer via 4-quadrant methodBetaxolol (Kerlone) Uses: *HTN* Action: Competitively blocks β-adrenergicreceptors, b1 Caution: [C (1st tri), D (2nd or 3rd tri), +/–] Contra: Sinusbradycardia, AV conduction abnormalities, uncompensated cardiac failure Dose:5–20 mg/d Disp: Tabs 10, 20 mg SE: Dizziness, HA, bradycardia, edema, CHFBetaxolol, Ophthalmic (Betoptic) Uses: Open-angle glaucoma Action:Competitively blocks β-adrenergic receptors, b 1 Dose: 1–2 gtt bid Caution: