Ophthalmic:
Tilt patient's head back, place solution in conjunctival sac.
Do not use ophthalmic solution for injection.
Otic:
Eardrops should be at room temperature.
Instruct patient to lie down with head turned so affected ear is upright.
Pull the auricle down and posterior in children, pull up and posterior in older adolescents and adults.
Instill toward canal wall.
OMEPRAZOLE–GASTRIC ACID PUMP INHIBITOR
Brand Name
Prilosec
Uses
Short-term treatment (4-8 weeks) and maintenance of erosive esophagitis, gastroesophageal reflux disease (GERD), poorly responsive to other treatments. Unlabeled treatment of
Helicobacter
pylori-associated duodenal ulcer.
Availability
Tablets: 10 mg, 20 mg, 40 mg.
Indications/Routes/Dosage
Children older than 2 years: 20 mg/day, 20 kg 10 mg/day.
Adverse Reactions
May increase concentration of oral anticonvulsants diazepam; phenytoin may increase serum glutamic oxaloacetic transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), alanine aminotransferase (ALT).
Implications
Report headache to provider.
Take before meals.
Swallow capsule whole; do not crush or chew.
PAROXETINE HYDROCHLORIDE–SELECTIVE SEROTONIN REUPTAKE INHIBITOR, ANTIDEPRESSANT, ANTIPANIC, ANTIANXIETY
Brand Name
Paxil, Paxil CR
Uses
Treat major depressive disorder, obsessive-compulsive disorder (OCD), panic and generalized anxiety disorders.
Availability
Oral suspension: 10 mg/kg. Tablets: 10 mg, 20 mg, 30 mg, 40 mg. Tablets, controlled-release (CR): 12.5 mg, 25 mg, 37.5 mg.
Indications/Routes/Dosage
Children, adolescents: initial dose 5-10 mg, titrate up to 20 mg and monitor for side effects. Paxil CR: Children, adolescents: initial dose 12 mg titrate up to 25 mg.
Adverse Reactions
Nausea, headache, nervousness, insomnia, sedation, agitation, fatigue, dry mouth, constipation, diarrhea, decreased libido/sexual dysfunction.
Implications
Dose changes should occur at 1-week intervals for both drugs.
Do not use with MAO inhibitor.
Use with cimetidine may increase concentrations.