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Drug List Book

Spiriva Handihaler

Spiriva Handihaler (Tiotropium) ty-oh-TRO-pee-um Classification: Anticholinergic IFU: Chronic Obstructive Pulmonary Disease (COPD) Action: Inhibits smooth-muscle muscarinic M3-receptors, leading to bronchodilation Dosage: 18 mcg Route: Inhalation (P.O.) Adverse Reaction: angina, paresthesia, stomatitis, arm/back/jaw pain, chest pain or discomfort, chest tightness or heaviness, fest or irregular heartbeat, nausea, shortness of breath, sweating, dizziness Interactions: Nortriptyline: Risk increases when used with other medications. Some of the side effects include drowsiness, blurred vision, dry mouth, and heat intolerance. Page 158

Strattera (Atomoxetine) a-toe-MOX-e-teen Classification: Norepinephrine Reuptake Inhibitor IFU: Attention-deficit/Hyperactivity Disorder(ADHD) Action: Selectively inhibits the presynaptic transporter of norepinephrine Dosage: 10 mg, 18 mg, 25 mg Route: P.O. Adverse Reaction: suicidal thoughts, dizziness, fatigue, hives or welts, irregular heartbeat, itching, redness of the skin, skin rash, fainting, convulsions Interactions: Concurrent use with MAO inhibitors may result in serious, potentially fatal reactions Page 159

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