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Medications listed are available on OH EPIC Formulary, unless otherwise noted.
Not all formulary medications are available at each facility. Please refer to your local
pharmacy
for available inventory.
Ochsner Health
Ochsner Health System Formulary
Formulary Addition Request
Questions or Suggestions?
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X
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High Alert
Black Box Warning
HazD
Look Alike Sound Alike
Ambulatory
Do Not Crush
REMS
Antibiotic IV Push Administration
Vaccine
SDS Online
Do Not Crush
OHS Pharmacy Contact
Louisiana Poison Control(800) 222-1222
Webpage Links
Black Box Warning
Please review each of these drugs carefully.
abacavir
Hypersensitivity
abacavir-lamivudine
Abacavir: hypersensitivity reactions; lactic acidosis, hepatomegaly
abacavir/lamivudine/zidovudine
Hypersensitivity Reactions, Lactic Acidosis and Severe Hepatomegaly; Exacerbations of Hepatitis B
abobotulinumtoxinA
Distant Spread of Toxin Effect
acetaminophen
Hepatotoxicity
acetaminophen-codeine
Addiction, Abuse, And Misuse; Life-Threatening Respiratory Depression; Risks From Concomitant Use With Benzodiazepines
acetaminophen-hydrocodone
Acetaminophen - Hepatotoxicity
Hydrocodone - Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants
acetaminophen-oxycodone
Addiction, Abuse, and Misuse; Life-Threatening Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome; and Hepatotoxicity
acetaminophen-tramadol
Addiction, Abuse, and Misuse; Life-Threatening Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome; and Hepatotoxicity
acetylcysteine
Inhalation solution: not for injection
adalimumab
Infection risk; malignancy in children and adolescents
adefovir
Exacerbation of Hepatitis; Nephrotoxicity; HIV Resistance; Lactic Acidosis, Severe Hepatomegaly
ado-trastuzumab emtansine
Hepatotoxicity, Cardiac Toxicity, Embryo-Fetal Toxicity
aducanumab
AMyloid Related Imaging Abnormalities
aldesleukin
Capillary Leak Syndrome
alemtuzumab
Hematological toxicity; opportunistic infections
alfentanil
Addiction, Abuse, and Misuse
alglucosidase alfa
Anaphylaxis; Cardiorespiratory Failure
aliskiren
Pregnancy risk
ALPRAZolam
Risks From Concomitant Use in Opioids
alprostadil
Apnea
alvimopan
Short-term hospital use only
ambrisentan
Hepatic Injury; pregnancy risk; restricted distribution
aMILoride
Hyperkalemia
amiloride-hydrochlorothiazide
Amiloride: Hyperkalemia
amiodarone
Oral: Pneumonitis; Proarrhythmic Effects
amitriptyline
Suicidal ideation in children, adolescents
amitriptyline-chlordiazepoxide
Risk From Concomitant Use With Opioids
amitriptyline-perphenazine
Increased Mortality in Elderly Patients with Dementia-Related Psychosis
amlodipine-benazepril
Benazepril: ACE inhibitor pregnancy risk
amoxapine
Suicidal Ideation
amphotericin B
Noninvasive fungal disease; avoid overdose
anti-thymocyte globulin (rabbit)
Used by Experienced Physicians in Immunosuppressive Therapy
apixaban
Discontinuation without anticoagulation
arformoterol
Asthma Related Death
ARIPiprazole
Elderly patients with dementia related psychosis
arsenic trioxide
Cardiac toxicity
ascorbic acid-carbonyl iron
Iron Overdose Risk
ascorbic acid-iron polysaccharide
Iron Overdose Risk
asenapine
Mortality in elderly patients with dementia related psychosis
aspirin-oxycodone
Oxycodone - Abuse Potential
aspirin/butalbital/caffeine/codeine
Codeine in children: death due to ultra-rapid metabolism
atenolol
Avoid abrupt withdrawal
atomoxetine
Suicidal Ideation
auranofin
Gold Toxicity
axicabtagene ciloleucel
Cytokine Release Syndrome and Neurologic Toxicities
azaTHIOprine
Risk of neoplasia, infections
bacitracin
Injection: Nephrotoxicity
baclofen
Intrathecal: Abrupt discontinuation
bamlanivimab
Limitations of Authorized Use for COVID-19
basiliximab
Prior to initiation of therapy
belantamab mafodotin
Ocular Toxicity
belatacept
Post transplant lymphoproliferative disorder; serious infections
benzathine penicillin-procaine penicillin
Not for Intravenous Use
bevacizumab
GI perforation; wound healing complications
bexarotene
Contraindication in Pregnancy
bictegravir/emtricitabine/tenofovir
Post Treatment Acute Exacerbation of Hepatitis B
bismuth subcitrate potassium/metronidazo/TCN
Carcinogenicity
bleomycin
Pulmonary Fibrosis; Idiosyncratic Reactions
blinatumomab
Cytokine Release Syndrome and Neurological Toxicities
bosentan
Hepatotoxicity; teratogenecity
brentuximab vedotin
Progressive Multifocal Leukoencephalopathy (PML)
brexucabtagene autoleucel
Cytokine Release Syndrome and Neurologic Toxicities
budesonide-formoterol
Asthma Related Death
bumetanide
Potent diuretic
BUPivacaine
Intravascular injection risk; 0.75% strength caution
BUPivacaine-epinephrine
Bupivacaine: Intravascular injection risk; 0.75% strength caution
buprenorphine
Addiction, Abuse, And Misuse; Respiratory Depression; Neonatal Opioid Withdrawal Syndrome; Risks From Concomitant Use With Benzodiazepines
buprenorphine-naloxone
Implant: Implant Migration, Protrusion, Expulsion, and Nerve Damage Associated with Insertin and Removal
buPROPion
Suicidal Ideation
busulfan
Bone Marrow Suppression
butorphanol
Addiction, Abuse, And Misuse; Respiratory Depression; Neonatal Opioid Withdrawal Syndrome; and Risks From Concomitant Use With Benzodiazepines
cabazitaxel
Hemtalogical & Hypersensitivity Reactions
cabotegravir
Risk of Drug Resistance with Use of Cabotegravir for HIV-1 Pre-Exposure Prophylaxis (PrEP) in Undiagnosed HIV-1 Infection
caffeine-ergotamine
Drug interaction risk
candesartan
Pregnancy risk
capecitabine
Warfarin Interaction
captopril
Pregnancy risk
carBAMazepine
Hematological Risk; Serious Dermatologic Reactions
carbidopa
Bolded (not boxed): Carbidopa dosing
carbidopa-levodopa
Bolded (not boxed): Carbidopa dosing
carbidopa/entacapone/levodopa
Bolded (not boxed): Carbidopa dosing
carbonyl iron
Iron Overdose Risk
CARBOplatin
Myelosuppression; Anaphylaxis risk
carfilzomib
Cardiac Toxicities; Tumor Lysis Syndrome; Pumonary Toxicity; Dyspnea; Hyprertension
carmustine
Bone Marrow Suppression; Pulmonary Toxicity
casirivimab
Limitations of Authorized Use for COVID-19
casirivimab-imdevimab
Limitations of Authroized Use for COVID-19:
celecoxib
Cardiovascular, gastrointestinal risk
certolizumab
Serious infection risk
cetuximab
Infusion Reactions; Cardiopulmonary Arrest
chlorambucil
Bone marrow suppression; teratogen
chloramphenicol
Fatal blood dyscrasias
chlordiazePOXIDE
Risks From Concomitant Use With Opioids
chlordiazepoxide-clidinium
Risks From Concomitant Use With Opioids
chloroquine
Prior to initiation of therapy
chlorpheniramine-hydrocodone
Tussionex Pennkinetic and Vituz - Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants
chlorproMAZINE
Mortality in elderly with dementia
cidofovir
Nephrotoxicity; neutropenia
cilostazol
CHF patient contraindication
ciltacabtagene autoleucel
Cytokine release syndrome, neurologic toxicities, hlh/mas and prolonged and recurrent cytopenia
ciprofloxacin
Tendinitis; tendon rupture
CISplatin
Nephrotoxicity; Myelosuppression
citalopram
Suicidal Thoughts and Behaviors
cladribine
Bone Marrow Suppression; Neurotoxicity; Nephrotoxicity
clindamycin
Pseudomembranous colitis
cloBAZam
Risk From Concomitant Use with Opiods
clomiPRAMINE
Suicidal Ideation
clonazePAM
Risk From Concomitant Use With Opioids
cloNIDine
Epidural Clonidine
clopidogrel
Poor CYP2C19 metabolizers
clorazepate
Risks From Concomitant Use With Opioids
cloZAPine
Agranulocytosis, myocarditis, seizure risk
coagulation factor VIIa
Serious Thrombotic Adverse Events Associated with Recombinant Coagulation Factor VIIa Outside Label Indicatons
coagulation factor Xa
Thromboembolic Risks, Ischemic Risks, Cardiac Arrest, and Sudden Deaths
cobicistat/elvitegravir/emtricitabine/tenofov
Lactic acidosis, severe hepatomegaly; hepB co-infection
cocaine topical
Topical: Not for injection or ophthalmic use.
codeine
Addiction, Abuse, And Misuse; Respiratory Depression; Neonatal Opioid Withdrawal Syndrome; and Risks From Concomitant Use With Benzodiazepines
codeine-promethazine
Codeine in children: death due to ultra-rapid metabolism
Promethazine: contraindicated in patients < 2 years
collagenase clostridium histolyticum
Corporal Rupture
conjugated estrogens
Endometrial cancer; cardiovascular; dementia risk
conjugated estrogens topical
Endometrial cancer; cardiovascular; dementia risk
cycloSPORINE
Infection, neoplasm, nephrotoxicity risk
cytarabine
Prior to initiation of therapy
cytarabine liposomal
Chemical arachnoiditis
dabigatran
Discontinuation without anticoagulation
dacarbazine
Hemopoietic depression; hepatic necrosis risk
DACTINomycin
Handling precautions; extravasation risk
dalfopristin-quinupristin
Approved indication
dalteparin
Spinal/epidural hematoma risk
danazol
Pregnancy contraindication; stroke risk; hepatic risk with long term use; benign intracranial hypertension
dantrolene
Hepatotoxicity
darbepoetin alfa
Mortality, serious CV events, tumor progression or recurrence
DAUNOrubicin
Cardiac, myelosuppression, extravasation risk
daunorubicin-cytarabine (liposomal)
Do Not Interchange with other Daunorubicin and/or Cytarabine Containing Products
deferasirox
Renal Failure, Hepatic Failure, GI Hemorrhage
denosumab
Prolia - Severe Hypocalcemia in Patients with Advanced Kidney Disease
desipramine
Suicidal Ideation
desmopressin
Hyponatremia
Nasal Spray - Hyponatremia
desogestrel-ethinyl estradiol
Cigarette smoking; risk of cardiovascular disease
desvenlafaxine
Suicidal ideation
dextromethorphan-quinidine
Quinidine: Active antiarrhythmic therapy may increase mortality
diatrizoate
Not for intrathecal use
diazePAM
Risks From Concomitant Use With Opioids
diclofenac
Cardiovascular, gastrointestinal risk
diclofenac topical
Cardiovascular, gastrointestinal risk
diclofenac-misoprostol
Risk of Uterine Rupture, Abortion, Premature Birth, Birth Defects; and Serious Cardiovascular and Gastrointestinal Events
didanosine
Pancreatitis, hepatotoxicity, lactic acidosis risk
dihydroergotamine
Drug interaction risk
dinoprostone topical
Suppository: use recommended dose
dinutuximab
Serious Infusion Reactions and Neuropathy
disopyramide
Mortality Risk
disulfiram
Administer with patient consent
divalproex sodium
Hepatotoxicity; mitochondrial disease; fetal risk
DOCEtaxel
Hepatic dysfunction, hypersensitivity risk
dofetilide
Initiation or re-initiation monitoring
DOPamine
Peripheral ischemia risk
doxepin
Suicidal Ideation
DOXOrubicin
Cardiac, hepatic, myelosuppression, extravasation risk
DOXOrubicin liposomal
Cardiac, acute infusion reaction, myelosuppresssion risk
dronedarone
Contraindication in certain CHF conditions
droperidol
QT prolongation; cardiac risk
dulaglutide
Risk of Thyroid C-cell Tumors
DULoxetine
Suicidal Ideation
eculizumab
Meningococcal Infection
edetate calcium disodium
Lead encephalopathy risk
edoxaban
Reduced efficacy; risk of ischemic events; spinal/epidural hematoma
efavirenz/emtricitabine/tenofovir
Lactic Acidosis; Severe Hepatomegaly with Steatosis and Post Treatment Exacerbation of Hepatitis B
elotuzumab
Spinal/Epidural Hematoma
elranatamab
Cytokine Release Syndrome and Neurologic Toxicity, including Immune Effector Cell-Associated Neurotoxicity Syndrome
eltrombopag
Risk for Hepatic Decompensation in Patients with Chronic Hepatitis C
emicizumab
Thrombotic Microangiopathy and Thromboembolism
emtricitabine
Lactic Acidosis, Severe Hepatomegaly
emtricitabine-tenofovir
Lactic acidosis; severe hepatomegaly; hepB co-infection
emtricitabine/rilpivirine/tenofovir
Lactic acidosis, severe hepatomegaly; hepB co-infection
enalapril
Pregnancy risk
enfortumab vedotin
Serious Skin Reactions
enoxaparin
Spinal/epidural hematoma risk
entecavir
Lactic acidosis, severe hepatomegaly; hepB co-infection
epcoritamab
Cytokine release syndrome (CRS) and Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS)
epiRUBicin
Cardiac Toxicity, Secondary Malignancies, Extravasation & Tissue Necrosis, and Severe Myelosuppression
epoetin alfa
Risk of mortality, tumor progression, cardiac events
eprosartan-hydrochlorothiazide
Pregnancy risk
EScitalopram
Suicidal ideation
estazolam
Risks From Concomitant Use With Opioids
esterified estrogens-methyltestosterone
Endometrial cancer; cardiovascular; dementia risk
estradiol
Transdermal: endometrial cancer; cardiovascular; dementia risk
Vaginal cream/tab: endometrial cancer; cardiovascular; dementia risk
estradiol topical
Endometrial cancer; cardiovascular; dementia risk
estropipate
Endometrial cancer; cardiovascular; dementia risk
eszopiclone
Risk of Serious Injuries With Certain Prescription Insomnia Medications
etanercept
Infection Risk - Tuberculosis
ethacrynic acid
Potent Diuretic
ethinyl estradiol-norethindrone
Cigarette smoking; risk of cardiovascular disease
ethiodized oil
For Intralymphatic, Intrauterine and Selective Hepatic Intra-Arterial Use Only
etodolac
Cardiovascular; gastrointestinal risk
etonogestrel
Bolded (not boxed): sexually transmitted disease risk
etoposide
Myelosuppression risk
etoposide phosphate
Myelosuppression Risk
everolimus
Malignancies and Serious Infections, Nephrotoxicity, Kidney Graft Thrombosis, Mortality in Heart Transplantation
exenatide
Extended Release Injection: Risk of thyroid c-cell tumors
ezogabine
Retinal Abnormalities and Vision Loss
fam-trastuzumab deruxtecan
Interstitial Lung Disease and Embryo-Fetal Toxocity
fat emulsion, intravenous
Cautious use in infants
Death in preterm infants
febuxostat
Cardiovascular Death
felbamate
Aplastic anemia; liver failure risk
fentaNYL
Buccal Tablet: Serious adverse events, deaths; abuse potential
Nasal Spray: Schedule II Controlled Substance: Abuse potential
Sublingual Spray: Risk of respiratory depression, medication errors, abuse potential
Transdermal: High concentration of Schedule II opioid agonist
ferrous gluconate
Iron Overdose Risk
ferrous sulfate
Iron Overdose Risk
ferumoxytol
Risk For Serious Hypersensitivity/Anaphylaxis Reactions
flecainide
Cardiovascular risk
floxuridine
Hematological risk
flucytosine
Hepatic, hematologic risks; caution in renal impairment
fludarabine
Neurotoxicity, hemolytic anemia risk
flumazenil
Seizure Risk
fluorouracil
Hematologic risk
FLUoxetine
Suicidal Ideation
fluPHENAZine
Mortality in elderly with dementia
flurazepam
Risks From Concomitant Use With Opioids
flurbiprofen
Cardiovascular, gastrointestinal risk
flutamide
Hepatotoxicity
fluticasone-salmeterol
Salmeterol: asthma related death; pediatric and adolescent patients
fluticasone-vilanterol
Vilanterol: Asthma-related death
fluvoxaMINE
Suicidal Ideation
fondaparinux
Spinal/epidural hematoma risk
formoterol
Asthma Related Death
foscarnet
Nephrotoxicity; seizure risk
fosphenytoin
Cardiovascular risk with rapid infusion
furosemide
Potent Diuretic
gadobenate dimeglumine
Nephrogenic Systemic Fibrosis
gadobutrol
Nephrogenic Systemic Fibrosis
gadodiamide
Nephrogenic Systemic Fibrosis
gadopentetate dimeglumine
Nephrogenic Systemic Fibrosis
gadoversetamide
Nephrogenic Systemic Fibrosis
gadoxetate
Nephrogenic Systemic Fibrosis
ganciclovir
Hematological toxicity; IV and oral different indications
gemtuzumab ozogamicin
Hematological, Hepatotoxicity, Anaphlyaxis; use as single agent
gentamicin
Ototoxicity; Nephrotoxocity
glyburide-metformin
Metformin: Lactic Acidosis
golimumab
Risk of Serious Infections, Malignancy in Children and Adolescents
haloperidol
Mortality in elderly with dementia
hemin
Use only after alternate therapy failure
heparin
Spinal/Epidural Hematomas
hetastarch
Renal injury risk
homatropine-hydrocodone
Hycodan - Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants
hyaluronidase-rituximab
Fatal Infusion Reaction; Mucocutaneous Reactions; Progressive Multifocal Leukoencephalopathy; Hep b Reactivation
hyaluronidase-trastuzumab
Cardiomyopathy, Embryo-Fetal Toxicity and Pulmonary Toxicity
hyaluronidase/pertuzumab/trastuzumab
Cardiomyopathy, Embryo-Fetal Toxicity, and Pulmonary Toxicity
hydrochlorothiazide-lisinopril
Lisinopril: ACE inhibitor pregnancy risk
hydrochlorothiazide-losartan
Angiotensin II antagonist pregnancy risk
hydrochlorothiazide-triamterene
Hyperkalemia
hydrocodone-ibuprofen
NSAIDS - Cardiovascular; gastrointestinal risk
Hydrocodone - Addiction, Abuse, and Misuse
HYDROmorphone
Injection: Respiratory depression risk; abuse potential
Injection, High Potency: Opioid-tolerant patients only; Respiratory depression risk; abuse potential
Oral, extended release: Opioid-tolerant patients only; overdose risk; abuse potential
Oral, liquid & tablets: Abuse potential; respiratory depression; neonatal withdrawal; alcohol interaction
hydrOXYchloroQUINE
Prior to initiation of therapy
hydroxyethyl starch
Mortality and Renal Injury Requiring Renal Replacement Therapy
hydroxyurea
Prior to initiation of therapy
ibuprofen
Cardiovascular; gastrointestinal risk
ibutilide
Potentially Fatal Arrhythmias
IDArubicin
Cardiotoxicity; myelosuppression; renal/hepatic impairment; avoid extravasation
idecabtagene vicleucel
Cytokine Release Syndrome, Neurologic Toxicities, HLM/MAS and Prolonged Cytopenia and Secondary Hematological Malignancies
ifosfamide
Urotoxicity; myelosuppressionm CNS toxicity
iloperidone
Mortality in elderly patients with dementia related psychosis
imdevimab
Limitations of Authorized Use for COVID-19
imipramine
Suicidal ideation
immune globulin intramuscular
Renal dysfunction, acute renal failure
immune globulin intravenous
Renal dysfunction, acute renal failure
immune globulin intravenous and subcutaneous
Renal dysfunction, acute renal failure
incobotulinumtoxinA
Distant Spread of Toxin Effect
indomethacin
Cardiovascular; gastrointestinal risk
inFLIXimab
Serious infection risk; hepatosplenic t-cell lymphomas; malignancy
inotuzumab ozogamicin
Hepatotoxicity, Increased Risk of Post-Hematopoietic Stem Cell, Transplant Non-Relapse Mortality
interferon alfa-2b
Neuropsychiatric, autoimmune, ischemic and infectious disorders
iodixanol
Not for intrathecal use
iopamidol
Not for intrathecal use
ipilimumab
Immune-Mediated Adverse Reactions
irbesartan
ACE inhibitor pregnancy risk
irinotecan
Severe diarrhea
irinotecan liposomal
Experienced Physician/Equipped Facilities
iron dextran
Injection: Anaphylactic reaction risk
iron polysaccharide
Iron overdose risk
iron sucrose
Iron overdose risk
isoniazid
Hepatitis
itraconazole
Congestive heart failure, drug interactions
ixabepilone
Toxicity in hepatic impariment
ketamine
Emergence reactions; psychological manifestations
ketoconazole
Oral: hepatoxicity, drug interactions
ketorolac
Duration of therapy; max dose; GI, cardiovascular, bleeding, renal risk
Nasal Spray - Risk of Serious Cardiovascular and Gastrointestinal Events
lamiVUDine
Lactic acidosis, hepatomegaly; exacerbations of hepatitis b; dosing formulation
lamivudine-zidovudine
Lamivudine: Lactic acidosis, hepatomegaly; exacerbations of hepatitis b; dosing formulation
Zidovudine: Hematological adverse events; myopathy; lactic acidosis; hepatomegaly
lamoTRIgine
Serious dermatological reactions
laronidase
Risk of Anaphylaxis
lecanemab
Amyloid Related Imaging Abnormalities
leflunomide
Pregnancy risk
lenalidomide
Embryo-Fetal Toxicity, Hematologic Toxicity, and Venous and Arterial Thromboembolism
levoFLOXacin
Tendinitis, tendon rupture; Pediatric Use
levonorgestrel
Bolded (not boxed): Not Protective Against HIV
levothyroxine
Treatment of obesity or weight loss
lidocaine topical
Lidocaine, viscous: Do NOT use for teething pain
linaclotide
Risk of Serious Dehydration in Pediatric Patients
lindane topical
Neurotoxicity
liothyronine
Treatment of obesity or weight loss
lisinopril
ACE inhibitor pregnancy risk
lithium
Monitoring recommendations
lomustine
Bone marrow suppression
lopinavir-ritonavir
Ritonavir: Drug interactions
LORazepam
Risks From Concomitant Use With Opioids
losartan
Pregnancy risk
loxapine
Elderly patients with dementia related psychosis
Aerosol: Bronchospasm
lurasidone
Mortality in elderly patients with dementia related psychosis
LVP solution
Extraneal: Unrecognized Hypoglycemia Resulting From Drug-Device Interaction
lymphocyte immune globulin, anti-thy (equine)
Prior to initiation of therapy
macitentan
Embryo-Fetal Toxicity
mannitol
Severe bronchospasm risk
maprotiline
Suicidal ideation
maraviroc
Hepatotoxicity
margetuximab
Left Ventricular Dysfunction and Embryo-Fetal Toxicity
mechlorethamine
Prior to Initiation of Therapy
medroxyPROGESTERone
Oral: Cardiovascular and other risks
Injection: Loss of Bone Mineral Density
meloxicam
Cardiovasular; Gastrointestinal Risk
melphalan
Bone marrow suppression; hypersensitivity reactions; pregnancy risk
meperidine
Addiction, Abuse, and Misuse; Life-Threatening Respiratory Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome
mercaptopurine
Bolded (not boxed): initiation of therapy
metFORMIN
Lactic Acidosis
methacholine
Diagnostic use only
methadone
Risk during initiation of or conversion to methadone
methohexital
Continuous monitoring of respiratory and cardiac function
methotrexate
Bone marrow, liver, lung and kidney toxicity risk
methoxsalen
Oral: Methoxsalen with UV radiation should be used only by physicians who have special competence in the diagnosis and treatment of psoriasis and who have special training and experience in photochemotherapy.
Injection: Used Only By Specialized Physicians
methyldopa
Fixed combination for initial hypertension management
methylene blue
Serotonin Syndrome with Concomitant Use of Serotonergic Drugs
methylphenidate
Tolerance and dependence
metoclopramide
Tardive Dyskinesia
metOLazone
Bolded (not boxed): do not interchange
metroNIDAZOLE
Carcinogenicity
mexiletine
Mortality; Acute Liver Injury
midazolam
Individualize dose
midodrine
Supine blood pressure > 180 mmHg
miFEPRIStone
Serious and sometimes fatal infections and bleeding occur very rarely following spontaneous, surgical and medical abortions
milnacipran
Suicidal ideation
miltefosine
Embryo-Fetal Toxicity
minoxidil
Antihypertensive risk
mirtazapine
Suicidal ideation
mirvetuximab soravtansine
Ocular Toxicity
miSOPROStol
Pregnancy risk
mitoMYcin
Bone marrow suppression; hemolytic uremic syndrome
mitoXANTRONE
Cardiotoxicity; baseline neutrophil count; extravasation risk
montelukast
Serious Neuropsychiatric Events
morphine
Injection PreserveFree: 24-hour observation following epidural/intrathecal administration
Controlled/Extended Release: Addiction, Abuse, and Misuse; Life-Threatening Respiratory Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome
moxifloxacin
Tendinitis, tendon rupture
multivitamin with iron
Iron overdose risk
mycophenolate mofetil
Prior to initiation of therapy
mycophenolic acid
Embryofetal Toxicity, Malignancies, and Serious Infections
nabumetone
Cardiovascular; gastrointestinal risk
nalbuphine
Life-Threatening Respiratory Depression
naloxone-pentazocine
Addiction, Abuse, and Misuse; Life-Threatening Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome
naproxen
Cardiovascular; gastrointestinal risk
natalizumab
Progressive multifocal leukoencephalopathy (PML)
naxitamab-gqgk
Serious Infusion-Related Reactions and Neurotoxicity
necitumumab
Cardiopulmonary Arrest and Hypomagnesemia
nefazodone
Hepatotoxicity
nelarabine
Prior to initiation of therapy; neurologic events
neomycin
Neurotoxicity, nephrotoxicity, ototoxicity; general toxicity
nevirapine
Hepatotoxicity; dermal reactions; patient monitoring
nilotinib
QT Prolongation and Sudden Death
niMODipine
Serious harm with IV administration of oral product
NORepinephrine
Extravasation risk
norethindrone
Cigarette smoking; risk of cardiovascular disease
nortriptyline
Suicidal ideation
obinutuzumab
Hepatitis B Virus Reactivation and Progressive Multifocal Leukoencephalopathy
ofatumumab
Hepatitis B Virus (HBV) Reactivation/Progressive Multifocal Leukoencephalopathy
OLANZapine
Mortality in elderly with dementia related psychosis
olmesartan
ACE inhibitor pregnancy risk
omalizumab
Anaphylaxis
onabotulinumtoxinA
Distant spread of Toxin Effect
oxaliplatin
Anaphylactic-like reactions
oxandrolone
Peliosis hepatitis; Liver Cell Tumors; Blood Lipid Changes
oxaprozin
Cardiovascular; gastrointestinal risk
oxazepam
Risks From Concomitant Use With Opioids
oxyCODONE
Oral solution: Risk of errors
Controlled release: Abuse potential
oxyMORphone
Abuse/diversion potential; drug dependence
oxytocin
Elective induction of labor
PACLitaxel
Prior to initiation of therapy
PACLitaxel protein-bound
Prior to initiation of therapy
paliperidone
Mortality in elderly patients with dementia related psychosis
pancuronium
Bolded (not boxed): adequate training
panitumumab
Dermatologic toxicity; infusion reactions
PARoxetine
Suicidal ideation
patiromer
Binding to Other Oral Medications
PAZOPanib
Hepatotoxicity
peginterferon alfa-2a
Neuropsychiatric, autoimmune, ischemic and infectious disorders
peginterferon alfa-2b
Neuropsychiatric, autoimmune, ischemic and infectious disorders
pegloticase
Anaphylaxis and Infusion Reactions, G6PD Deficiency associated Hemolysis and Methemoglobinemia
penicillAMINE
Toxicity Risk
pentostatin
Prior to initiation of therapy
perampanel
Serious psychiatric and behavioral reactions
perflutren
Serious cardiopulmonary reactions
perphenazine
Elderly patients with dementia related psychosis
pertuzumab
Cardiomyopathy and Embryo-Fetal Toxicity
phenylephrine
Prior to initiation of therapy
phenytoin
Cardiovascular risk with rapid infusion
phytonadione
Severe reactions with IM and IV use
pimecrolimus topical
Long-term safety
pioglitazone
Congestive heart failure
piroxicam
Cardiovascular; gastrointestinal risk
plasma protein fraction
Liver transplant, severe liver disease and coagulopathies
polymyxin B sulfate
Parenteral use: nephrotoxicity, neurotoxicity, pregnancy risk
PONATinib
Arterial Occlusive Events, Venous Thromboembolic Events, Heart Failure, and Hepatotoxicity
prasugrel
Bleeding Risk
primaquine
Prior to initiation of therapy
procainamide
Positive titers with chronic administration
procarbazine
Prior to Initiation Of Therapy
prochlorperazine
Elderly patients with dementia related psychosis
progesterone
Cardiovascular disorders; breast cancer; probable dementia
promethazine
Patients < 2 years; severe tissue injury
propafenone
Mortality (CAST trial results)
propranoloL
Avoid abrupt withdrawal
propylthiouracil
Severe liver injury; acute liver failure
protamine
Hypotension, pulmonary hypertension; risk factors described
prothrombin complex
Arterial and venous thromboembolic complications
QUEtiapine
Elderly patients with dementia related psychosis
quiNIDine
Active antiarrhythmic therapy may increase mortality
quiNINE
No benefit in leg cramps; hematologic risks
raloxifene
Risk of VTE and death from stroke
ramucirumab
Increased Risk of Hemorrhage
rasburicase
Anaphylaxis; hemolysis; methemoglobinemia; uric acid measure interference
ravulizumab
Serious Meningococcal Infections
regorafenib
Hepatotoxicity
remdesivir
Black Box Warning is for Use of Remdesivir to Treat COVID-19.
remifentanil
Addiction, Abuse, and Misuse
reslizumab
Anaphylaxis
RHo (D) immune globulin
Intravenous - Intravascular Hemolysis
ribavirin
Oral: Monotherapy; hemolytic anemia; teratogenicity
Inhalation: Respiratory function deterioration
rimabotulinumtoxinB
Distant Spread of Toxin Effect
riociguat
Embryo-Fetal Toxicity
risperiDONE
Elderly patients with dementia related psychosis
ritonavir
Drug interaction risk
riTUXimab
Fatal infusion reaction; mucocutaneous reactions; progressive multifocal leukoencephalopathy; hep b reactivation
rivaroxaban
Premature discontinuation; spinal/epidural hematomas
rocuronium
Prior to initiation of therapy
romosozumab
Potential Risk of Myocardial Infarction, Stroke and Cardiovascular Death
rosiglitazone
Thiazolidinediones, including pioglitazone and rosiglitazone, cause or exacerbate congestive heart failure in some patients.
sacituzumab govitecan
Neutropenia and Diarrhea
sacubitril-valsartan
Valsartan: ACE inhibitor pregnancy risk
salmeterol
Asthma Related Deaths
salsalate
Cardiovascular; gastrointestinal risk
saquinavir
Bioequivalency
selegiline
Suicidal ideation
sertraline
Suicidal ideation
sirolimus
Immunosuppression; liver or lung transplant patients
sodium nitroprusside
Cyanide toxicity; hypotension risk; dilute
sodium phosphate
Phosphate nephropathy
sotalol
Therapy initiation; renal impairment caution; product selection
spironolactone
Possible tumorigen
stavudine
Pancreatitis, lactic acidosis, hepatomegaly
streptomycin
Neurotoxicity; nephrotoxicity
streptozocin
Experienced Physician/Equipped Facility
succinylcholine
Hyperkalemic rhabdomyolysis in infants or children
SUFentanil
Addition, Abuse, and Misuse
sulfur hexafluoride
Serious cardiopulmonary reactions
SUNItinib
Hepatotoxicity
tacrolimus
Lymphoma risk; infection related to immunosuppression
tacrolimus topical
Long-term safety
talquetamab
Cytokine Release Syndrome and Neurologic Toxicity, including Immune Effector Cell-Associated Neurotoxicity Syndrome
tamoxifen
Women at high risk for breast cancer; women with DCIS
tapentadol
Abuse potential; limitations of use
tebentafusp
Cytokine Release Syndrome
teclistamab
Cytokine release syndrome and neurologic toxicity including immune effector cell-associated neurotoxicity syndrome.
telavancin
Incresaed Mortality; Nephrotoxicity; Fetal Risk
telmisartan
ACE inhibitor pregnancy risk
temazepam
Risks From Concomitant Use With Opioids
teniposide
Myelosuppression; hypersensitivity reactions
tenofovir
Lactic acidosis, severe hepatomegaly; hepB co-infection
terbutaline
Preterm labor (injectable and oral)
teriflunomide
Hepatotoxicity, Risk of Teratogenicity & Embryofetal Toxicity
terlipressin
Serious or fatal respiratory failure
testosterone
Secondary exposure to testosterone
Testosterone undecanoate, injection: POME reactions and anaphylaxis
thalidomide
Teratogen; informed consent required
thioridazine
QTc prolongation; elderly with dementia related psychosis
thiothixene
Elderly patients with dementia related psychosis
thrombin topical
Bleeding, thrombosis risk
thyroid desiccated
Treatment of obesity or weight loss
ticagrelor
Bleeding Risk
ticlopidine
Severe hematological adverse events
tinidazole
Carcinogenecity has been seen in mice and rats treated chronically with metronidazole, another agent in the nitroimidazole class.
tipranavir
Intracranial Hemorrhage; Hepatotoxicity
tisotumab vedotin
Ocular toxicity
tiZANidine
Bolded (not boxed): bioequivalence between products
tobramycin
Ototoxicity, nephrotoxicity risk with IV use
tocilizumab
Serious infections risk
tofacitinib
Serious Infections, Mortality, Malignancy and Thrombosis
tolvaptan
Initiation or re-initiation monitoring
topotecan
Bone marrow suppression
traMADol
Addiction, Abuse, and Misuse; Life-Threatening Depression; Accidental Exposure; Neonatal Opioid Withdrawal Syndrome; and Hepatotoxicity
trandolapril
ACE inhibitor pregnancy risk
trastuzumab
Cardiomyopathy; infusion reactions, pulmonary toxicity; teratogenicity
traZODone
Suicidal ideation
tretinoin
Acute promyelocytic leukemia; experienced physician
triamterene
Hyperkalemia
triazolam
Risks From Concomitant Use With Opioids
trifluoperazine
Elderly patients with dementia related psychosis
trimipramine
Suicidal ideation
ustekinumab
Risk of Acute Renal Failure, More Common When Used Withour A Xanthine Oxidase Inhibitor
valGANciclovir
Hematologic Toxicity; Impairment of Fertility; Fetal Toxocity; Mutagenesis & Carcinogenesis
valproic acid
Risk to children exposed in utero
valsartan
ACE inhibitor pregnancy risk
vancomycin
Risk of Embryo-Fetal Toxicity Due to Excipient Containing Products
varenicline
Serious neuropsychiatric events, monitoring and patient counseling
venlafaxine
Suicidal ideation
vigabatrin
Vision Loss, Skin and Subcutaneous Tissue Disorders
vilazodone
Suicidal ideation
vinBLAStine
IV use only; granulocytopenia; avoid extravasation
vinCRIStine
IV use only; dose liposomal product differently
vinCRIStine liposome
IV Use Only; Granulocytopenia; Avoid Extravasation
vinorelbine
IV use only; granulocytopenia; avoid extravasation
vismodegib
Embryo-Fetal Death and Severe Birth Defects
warfarin
Serious bleeding risk
ziconotide
Severe psychiatric symptoms, neurological impairment
zidovudine
Hematological adverse events; myopathy; lactic acidosis; hepatomegaly
ziprasidone
Mortality in elderly with dementia related psychosis
ziv-aflibercept
Gastrointestinal hemorrhage and perforation; Compromised wound healing
zolpidem
Complex Sleep Behaviors