XIII.

PHARMACOLOGICAL MANAGEMENT
DRUG #1 Domperidone

DATE/ NAME OF DOSAGE INDICATION CONTRA-INDICATION MECHANISM SIDE NURSING

DRUG / TIME OF ACTION EFFECTS RESPONSIBILITIE
SHIFT
ROUTE S

Aug. 25, Generic 10 mg 1 For Contraindicated with It acts as  Dry mouth  Administer at the
2019 Name: tab TID management gastrointestinal right route, right
 moderate hepatic  Abdomina
Domperidone of dyspepsia, emptying( dela patient and right
impairment (liver l cramps
heartburn, yed) adjunct time
disease)
epigastric and peristaltic  Nausea
 determine
Brand Name: pain nausea  Severe renal stimulant. The
 Rash signs of
and vomitting. impairement gastroprokeniti
Motilium hypersensitivity.
c properties are  Itching
 Mechanical bowel related to to its hives  Do not miss a
disorder such as peripheral
Half life: 7 dose when
Classifica- bowel obstruction dopamine  diarrhea
hrs. administering
tion: or bowel receptor the drug
perforation. blocking
D2 receptor
properties. It  Educate the
antagonist;
Prolactin facilitates patient the
releaser gastric possible side
emptying and effects of the
and decreases drug.
small bowel  Instruct the
transit time by patient to
increasing
esophageal discontinue and
and gastirc notify the NOD/
peristalsis and physician if
by lowering allergy reaction
esophageal
occur.
sphincter
 pressure.

Reference:drugbank.ca
 DRUG # 2 Metoclopromide
DATE/ NAME OF DOSAGE INDICATION CONTRA-INDICATIO MECHANISM SIDE EFFECTS NURSING
DRUG / TIME N OF ACTION RESPONSIBILITIES
SHIFT
ROUTE

Aug. 25, Generic 10 mg 1 It works by Contraindicated to It increases Common:  Administer at the

2019 Name: tab PRN speeding the people who/ with peristalsis of right route, right
 Feeling tired
movement of the duodenum patient and right
Metoclopromi By mouth  Take anti
food through and jejunum,  Feeling time with the
de psyhchotic drugs
the stomach increases tone restless right prescribed
and intestine.  A history of and aplitude of dose.
gastric  Diarrhea
ADHD, restless
Brand Name: It is  Determine any
legs syndrome contractions
commonly signs of
and relaxes
used to treat  Mechanical bowel More serious: hypersensitivity
the pyloric
and prevent disorder such as and medical
sphincter and  depression
nausea and bowel obstruction history of GIT
Classification: duodenal bulb
vomitting. or bowel disease
Anti- emetic, while
perforation. simultaneousl
prokinetic Elimination  Educate the
agent  Should be used y increasing patient with
Half life: 5- 6 lower
with caution in possible side
hrs. esophageal
parkinson’s effects of the
DRAWING: disease. sphincter tone. drug.
The anti  Instruct the
emetic action patient to notify
is due to its
the NOD/
antagonist
activity at D2 physician if
receptors in allergy reaction
the CNS- this occur.
action
prevents
nausea and
 vomitting
triggered by
most stimuli.

Reference:mims.com
 DRUG #3 HNBB Hyosine butylbromide
DATE/ NAME OF DOSAGE INDICATION CONTRA-INDICATI MECHANISM SIDE EFFECTS NURSING
DRUG / TIME ON OF ACTION RESPONSIBILITIES
SHIFT
ROUTE

Aug. 25, Generic 1 tab TID Used to treat/  Hypersensitivity. It acts as  Sleepiness  Administer at the
2019 Name: relieve gastrointestinal right route, right
 Myathenia  Vision
Hyosine muscle emptying( delay patient and right
gravis changes
butylbromide Through spasm ed) adjunct and time with the
HNBB oral (cramps)  Mechanical peristaltic  Dry mouth right prescribe
stomach and stenosis of GIT stimulant. The dose.
intestines, gastroprokenitic  Rapid heart
 Paralytical or rate  Determine any
Brand Name: esophageal properties are
obstructive ileus related to to its medical history
spasm, renal  Triggering of
Buscopan of.eye problem
colic and peripheral glaucoma like
bladder dopamine
glaucoma,allergi
spasm receptor
Classification: es, heart
blocking
Antispasmodi disease,stomac
properties. It
c h or intestinal
Elimination facilitates gastric
diseases
Half life: 5 emptying and
hrs. and decreases  Educate the
DRAWING: small bowel patient with
transit time by possible side
increasing effects of the
esophageal and drug.
gastirc
peristalsis and  Instruct the
by lowering patient to
esophageal discontinue and
sphincter notify the NOD/
pressure.
physician if
allergy reaction
occur.
 Reference:medicinenet.com
DRUG #4 Cefuroxime
DATE/ NAME OF DOSAGE INDICATION CONTRA-INDICATIO MECHANISM SIDE EFFECTS NURSING
DRUG / TIME N OF ACTION RESPONSIBILITIE
SHIFT
ROUTE S

Aug. 26, Generic IVTT 1g Used to treat Hypersensitivity to It inhibits  Nausea  Administer at
2019 Name: and prevent a cefuroxime or other bacterial cell the right time,
 Diarrhea
Cefuroxime number of cephalosporins wall synthesis right site and
Half life: bacterial by binding to  Vomitting, prescribed
80 infections like one or more of headaches dosage.
Brand Name: minutes pneumonia, the penicillin
meningitis, binding  Diziness  Educate the
Forgram
otitis media, proteins which patient the
 Abdominal
UTI and lyme in turn inhibits possible side
pain
disease. the final effects of the
Classification:
transpeptidatio  Allergic drug.
Cephalospori
n step of reactions
ns antibiotic  Ask the patient
petidogylcans  Pain at the for any
synthesis in site of discomfort to
DRAWING: bacterial cell injection assess.
walls, thus
inhibiting cell  Instruct the
wall assembly patient to notify
resulting in the NOD/
bacterial cell physician if
death. allergy reaction
occur.

Reference:mims.com
 DRUG # 5 Moriamin Forte
DATE/ NAME OF DOSAGE INDICATION CONTRAINDICAT MECHANISM OF SIDE NURSING
DRUG / TIME ION ACTION EFFECTS RESPONSIBILITIES
SHIFT
ROUTE

Aug. 26, Generic 1 cap Malnutrition, Contraindicated It inhibits bacterial Abdominal  Administer at the
2019 Name: OD; AM; protein and with patients with cell wall synthesis discomfort right time, right site
Moriamin oral vitamin mal absorption by binding to one and prescribed
Forte deficiencies, syndrome/ or more of the dosage.
anemia, hypersensitivity penicillin binding
convalescenc proteins which in  Inform the patient
e, restoration turn inhibits the that urine may color
Brand Name:
and final yellow.
maintenace transpeptidation  Instruct the patient
Classification: of body step of to notify the NOD/
Multivitamins resistance, petidogylcans physician if allergy
and minerals adjuvant in synthesis in reaction occur.
the theraphy bacterial cell
of peptic ulcer walls, thus
DRAWING: and TB inhibiting cell wall
assembly resulting
in bacterial cell
death.

Reference: southstardrug.com.ph
 DRUG # 6 Pizotifen
DATE/ NAME OF DOSAGE INDICATION CONTRAINDICATI MECHANISM OF SIDE EFFECTS NURSING
DRUG / TIME ON ACTION RESPONSIBILITIE
SHIFT
ROUTE S

Aug. 26, Generic 1 tab OD; Primary use Caution is required It is proposed Sedation  Administer at
2019 Name: AM; oral for prevention inpatients having that pizoteifen the right time,
Dry mouth
of migraine closed angle works by right site and
Pizotifen
and cluster glaucoma and in inhibiting the Drowsiness prescribed
Brand Name: Eliminatio headache. patients with a peripheral dosage.
predisposition of actions of Increased
n haf life:
urinary retention or serotonin and appetite and  Inform the
23 hrs.
difficulty in histamine in weight gain patient that
Classification:
urination, pregnant increasing the urine may color
Antamines
women,gastric membrane yellow.
outlet obstruction. permiability of Occasional
 Instruct the
cranial vessels effects:
DRAWING: patient to notify
nd transudation Nausea the NOD/
of plasmakinin physician if
while altering Headaches
allergy reaction
pain tresholds in dizziness occur.
migraines. By
blocking 5-HT
receptors,
pizof\tifen
attenuates the
signalling of
serotonin in
causing cranial
vasoconstriction,
as well as
serotonin
enhanced
platelet function
 and aggregation

Reference: drugbank.ca
 DRUG #7 HRZE (Fixcum)
DATE/ NAME OF DOSAGE INDICATION CONTRAINDIC MECHANISM OF SIDE / NURSING
DRUG / TIME ATION ACTION Adverse RESPONSIBILITIES
SHIFT
ROUTE EFFECTS

Aug. 26, Generic 1 tab OD; For the initial Caution is Isoniazid (H) (H)Minor Monitor for signd of
2019 Name: AM; oral phase required adverse hepatitis and
treatment of inpatients Highly bactericidal effects neurotoxicity effects.
HRZE against replicating
all form of having closed
Rifampicin+ Eliminatio pulmonary angle glaucoma tubercle bacilli.  Nausea,
Isoniazid+Pyr n haf life: and extra and in patients Indicated for all vomiting,
pulmonary with a forms of TB caused and
azinamide+ 23 hrs.
by organisms that epigastri
Ethambutol tuberculosis. predisposition
c pain:
HCL of urinary are known or
retention or presumed to be
Brand Name:  Changes
difficulty in susceptible. in
urination, behavior:
pregnant Rifampicin R Headach
Classification: women,gastric May cause reddish
e,
Anti outlet Semisynthetic insomnia orange dicoloration of
tuberculosis obstruction. derivative of , urine, saliva and tears.
Rifamycin.It has a euphoria Inform the Pt that this
bactericidal action & , is to be expected and
DRAWING: potent sterilizing agitation, not harmful.
effect against anxiety,
tubercle bacilli in and
both cellular & somnole
extracellular nce can
locations. occur in
patients
receiving
isoniazid Observe for
. hepatotoxic effects
Pyrazinamide (Z)
Major
Only weakly
bactericidal but has
potent sterilizing  Peripher
activity, particularly al
in macrophages & in neuropat
areas of acute hy:
inflammation. Highly  Psychosi
effective against s,
acute inflammatory convulsiv
e
changes during the
seizures,
first 2 months of
mental
treatment. confusio Monitor patients visual
n, and acuity,visual fields, red
Ethambutol (E) coma green discrimination
regularly as reversible
Generally used in (R optic neuritis may be
combination w/ other caused by ethambutol.
anti-TB agents to Minor
prevent/delay the adverse
emergence of effects Emphasize the
resistant strains
importance of strict
 Gastroint
adherence to regimen
 Included in estinal
reactions for improvement of
initial
: condition or cure
treatment
regimen Nausea, Remind patients that
primarily to anorexia, they are contagious
prevent and during the initial period
abdomin
emergence of of their
al pain
Rifampicin illness—instruct in
 Orange
resistance proper hygiene and
colored
when primary prevention of the
tears,
resistance to spread of infected
sweat,
Isoniazid may droplets.
and
be present
urine
 Added to
Isoniazid +  Fatigue, Emphasize to patients
Rifampicin dizziness to take care of
continuation , themselves, including
phase in headach adequate nutrition and
patients from e, rest
populations w/ dyspnea,
known or and
suspected ataxia
high levels of can also
Isoniazid occur in
resistance & patients
Isoniazid treated
susceptibility with
testing is not rifampin.
done
(Z)

 Gastroint
estinal
symptom
s:
Nausea,
vomiting,
and
anorexia
are
common
in
patients
treated
with
pyrazina
mide.
 Hyperuri
cemia
and
arthralgi
a in
nongouty
individua
 ls.
 Dermatiti
s,
treatmen
t with
pyrazina
mide can
cause
photosen
sitivity
dermatiti
s
(E
Ethambutol
is generally
well
tolerated.
Most
adverse
effects are
dose- and
time-depend
ent, being
more
common at
doses higher
than 15
mg/kg.
Reference: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132010000500016&lng=en&nrm=iso&tlng=en
 DRUG #8 Vitamin B complex
DATE/ NAME OF DOSAGE INDICATION CONTRAINDICATI MECHANISM OF SIDE/ NURSING
DRUG / TIME ON ACTION ADVERSE RESPONSIBILITIE
SHIFT
ROUTE EFFECTS S

Aug. 26, Generic 1 tab OD; Prevention & Hypersensitivity The building Vitamin  Administer at
2019 Name: AM; oral treatment of blocks of a B6: Although the right time,
vitamin B healthy body, B pyridoxine has right site and
Vitamin B
deficiencies. vitamins have a generally been prescribed
complex
Eliminatio direct impact on considered dosage.
Brand Name: n haf life: energy levels, relatively
23 hrs. brain function, nontoxic,
Pharex and cell adverse  Instruct the
metabolism. neurologic patient to notify
effects have the NOD/
Classification: been reported physician if
vitamins It helps prevent following allergy reaction
infections and chronic occur.
helps support or administration of
DRAWING: high pyridoxine
promote cell doses (e.g.,
health,growth of 100-500 mg
red blood cells, daily) and long
term (i.e., 2
energy levels, months or
good eyesight, longer)
healthy brain megadose
(usually 2 g or
function, good
more daily)
digestion, healthy pyridoxine use.
appetite, proper
nerve function,
hormones and
cholesterol
 production,
cardiovascular
health, muscle
tone.

Reference: https://www.healthline.com/health/food-nutrition/vitamin-b-complex#benefits
DRUG # 9 IPRATROPIUM
DATE/ NAME OF DOSAGE/ INDICATION CONTRAINDI MECHANISM SIDE/ NURSING
DRUG TIME ROUTE CATION OF ACTION ADVERSE RESPONSIBIL
SHIFT
EFFECTS ITIES

Aug. 26, 2019 Generic Name: 1 neb every 8H Inhaled Ipratropium  headache,  Administer
ipratropium is acts as an  dizziness, at the right
Ipratropium
indicated in antagonist of  nausea, time, right
combination the muscarinic site and
with inhaled acetylcholine  dry mouth, prescribed
Classification: beta-agonist receptor.This  shaking dosage.
anticholinergic systemic effect (tremors),
 Back
bronchodilator corticosteroids produces the  nervousne
tapping to
for the inhibition of the ss, or.
help
management parasympathet  cold loosen the
Drawing: of severe ic nervous symptoms secretions.
exacerbations system in the such as
of asthma airways and stuffy  Emphasize
flares requiring hence, inhibit nose, of increase
treatment. It is their function. sneezing, fluid intake
commonly The function of cough, or to relieve
administered the sore dry mouth.
through parasympathet throat.
inhalation ic system in  Instruct the
which allows the airway is to patient to
producing a generate notify the
local effect bronchial NOD/
without secretions and physician if
presenting a constriction allergy
significant and hence, the reaction
systemic inhibition of occur.
absorption this action can 
lead to
broncho
dilation and
 fewer
secretions. At
the cellular
level, the
diameter of the
airways is
controlled by
the release of
acetylcholine
into the muscle
cells causing
them to
contract and
producing a
narrow airway.
Thus
administration
of ipratropium
stops the
activity of
acetylcholine
in the smooth
muscle
preventing the
contraction
and producing
relaxed
airways.
Reference: drugbank.ca
DRUG # 10 Levocitirizine
DATE/ NAME OF DOSAGE/ INDICATION CONTRAINDI MECHANISM SIDE/ NURSING
DRUG TIME ROUTE CATION OF ACTION ADVERSE RESPONSIBIL
SHIFT
EFFECTS ITIES

Aug. 26, 2019 Generic Name: 5mg tab; 1 tab Levocetirizine Documented Levocetirizine  dry mouth.  Administer
OD @ HS is indicated to hypersensitivit selectively  fatigue. at the right
Levocitirizine
treat y. inhibits  runny or time, right
symptoms of histamine stuffy site and
perennial Lower H1 receptors. nose. prescribed
Brand name: allergic rhinitis This action dosage.
respiratory  sore
and disease, such prevents
XYZAL throat.  Emphasize
uncomplicated as asthma histamine from
 central of increase
skin (controversial) activating this
nervous fluid intake
manifestations receptor and
Preemies and system to relieve
Classification: of chronic causing effects
neonates. depression dry mouth.
idiopathic like smooth
histamine H1 .
urticaria.4 It is muscle  Inform
receptor
also used over Nursing contraction,  drowsines patient the
antagonist,
the counter for women. increased s. possible
a variety of permeability of  sedation. side
mild allergy vascular effects of
Drawing: Hypersensitivit  dizziness.
symptoms. endothelium, the drug.
y
histidine
to levocetirizi  Instruct the
uptake in
ne or patient to
basophils,
cetirizine. notify the
stimulation of
cough NOD/
End stage receptors, and physician if
renal disease stimulation of allergy
(Creatinine flare reaction
Clearance less responses in occur.
than 10 the nervous
mL/min) or system.
patients
undergoing
 hemodialysis.

Reference: drugbank.ca
DRUG # 11 FEBUXOSTAT
DATE/ NAME OF DOSAGE/ INDICATION CONTRAINDI MECHANISM SIDE/ NURSING
DRUG TIME ROUTE CATION OF ACTION ADVERSE RESPONSIBIL
SHIFT
EFFECTS ITIES

Aug. 27, 2019 Generic Name: 40mg; 1 tab used to lower Contraindicate Febuxostat is Nausea may  Administer
OD pc lunch uric acid levels d in patients a occur. at the right
Febuxostat
in people being treated non-purine-sel time, right
Serious side
Brand name: with gout. with ective inhibitor site and
effects
works by azathioprine or of xanthine prescribed
Uloric reducing the mercaptopurin oxidase. It dosage.
 Liver
amount of uric e. Similar to works injury.  Instruct the
acid made by other xanthine by non-compet
Classification: Symptoms can patient to
the body. oxidase itively blocking
include: notify the
xanthine inhibitor use, the molybdenu
tiredness. lack NOD/
oxidase gout flare was m pterin center
of appetite. physician if
inhibitors reported which is the
unexplained allergy
after febuxosta active site on
weight loss. … reaction
t initiation; xanthine
occur.
Drawing: prophylactic oxidase.
therapy with Xanthine  Heart
an NSAID or oxidase is attack.
colchicine for needed to Symptoms can
up to 6 months successively include: chest
may be oxidize pain.
beneficial. both hypoxant shortness of
hine and xanth breath.
ine to uric acid. discomfort in
Hence, your upper
febuxostat body. ...
inhibits  Stroke
xanthine
Symptoms can
oxidase,
include:
therefore
weakness or
reducing
numbness in
 production of one part
uric acid. or side of
Febuxostat body. slurred
inhibits both speech.
oxidized as sudden
well as confusion.
reduced form
of xanthine
oxidase
because of
which
febuxostat
cannot be
easily
displaced from
the
molybdenum
pterin site.
Reference: drugbank.ca/ https://www.pdr.net › drug-summary › Uloric-febuxostat-563
DRUG # 12 Acetylceisteine
DATE/ NAME OF DOSAGE/ INDICATION CONTRAINDI MECHANISM SIDE/ NURSING
DRUG TIME/ ROUTE CATION OF ACTION ADVERSE RESPONSIBIL
SHIFT
EFFECTS ITIES

Aug. 27, 2019 Generic Name: Dissolved 1 Use for its Hypersensitivit Decreases of serious side  Administer
( 600mg) mucolytic y viscosity of effects occur: at the right
Acetylceisteine
sachet with 1/4 activity in respiratory time, right

Brand name: glass of water, respiratory tractsecretion site and
severe sto
OD. disorders and promote prescribed
Exflem mach/abdo
associated their removal dosage.
By mouth minal pain
with productive by breaking
 Instruct
cough and disulfide  black
Classification: patient to
thick viscous bonds. stools
follow
Mucolytic hypersecretion
 vomit that directions
such as
looks like exactly
pulmonary
emphysema, coffee
 Explain the
cystic fibrosis, grounds.
importance
chronic of using
bronchitis and the drug as
bronchoeictasi directed.
s. This effect
helps to clear  Instruct the
the mucus from patient to
lungs so that notify the
you can NOD/
breathe easier. physician if
allergy
reaction
occur.

Reference: https://www.scribd.com/document/78591839/Drug-Study-N-Acetylcysteine
RUG # 13 Azithromycin
DATE/ NAME OF DOSAGE/ INDICATION CONTRAINDI MECHANISM SIDE/ NURSING
DRUG TIME/ ROUTE CATION OF ACTION ADVERSE RESPONSIBIL
SHIFT
EFFECTS ITIES

Aug. 27, 2019 Generic Name: 500 mg, pc Used to treat a Hypersensitivit In order to  Stomach u  Administer
lunch, OD. wide variety y replicate, pset, at the right
Azithromycin
of bacterial bacteria time, right
By mouth  diarrhea/lo
infections. It is require a site and
ose stools,
a specific prescribed
Brand name: macrolide-type process of dosage.
 nausea, vo
Zithromax antibiotic. It protein miting
 Explain the
works by synthesis,
Classification:  abdominal importance
stopping the enabled by
pain may of using
Antibiotic growth of ribosomal
occur. the drug as
bacteria. proteins.
directed.
Azithromycin
binds to the  Note for
23S rRNA of any
the bacterial hypersensi
50S ribosomal tivity
subunit. It reaction
stops bacterial occur and
protein potential
synthesis by renal
inhibiting the toxicity.
transpeptidatio
n/translocation  Instruct the
step of protein patient to
synthesis and notify the
by inhibiting NOD/
the assembly physician if
of the 50S allergy
ribosomal reaction or
subunit . This side
effects
 results in the worsen.
control of
various
bacterial
infections. The
strong affinity
of macrolides,
including
azithromycin,
for bacterial
ribosomes, is
consistent with
their
broad‐spectru
m antibacterial
activities.
Reference: drugbank.ca
DRUG # 14 Omeprazole
DATE/ NAME OF DOSAGE/ INDICATION CONTRAINDI MECHANISM SIDE/ NURSING
DRUG TIME/ ROUTE CATION OF ACTION ADVERSE RESPONSIBIL
SHIFT
EFFECTS ITIES

Aug. 27, 2019 Generic Name: 40 mg,2H pc Used in the Contraindicate Omeprazole is  Nausea  Administer
lunch, OD. treatment d with this a selective and at the right
Omeprazole  vomiting,
of gastroesoph condition: irreversible time, right
By mouth
Brand name: ageal reflux proton pump  Headache site and
 Clostridi
disease, peptic inhibitor. It s prescribed
um
ulcer disease, suppresses dosage.
difficile  increased
Classification: and Zollinger– stomach acid
infection intestinal  Explain the
Ellison secretion by
Acid reducer gas importance
syndrome  inadequ specific
ate of using
inhibition of the
vitamin the drug as
H+/K+-ATPase
B12 directed.
system found
 low at the  Instruct the
amount secretory patient to
of surface of notify the
magnesi gastric parietal NOD/
um in cells. Because physician if
the this enzyme allergy
blood system is reaction or
regarded as side
 liver
the acid effects
problem
s (proton, or H+) worsen.
pump within
 interstiti the gastric
al mucosa,
nephritis omeprazole. It
 subacut inhibits the
e final step of
cutaneo acid
us lupus production
 erythem both basal and
atosus stimulated acid
secretion
 systemi
irrespective of
c lupus
erythem the stimulus as
atosus it blocks the
last step in
 osteopo acid secretion.
rosis
 Broken
Bone
 CYP2C
19 poor
metaboli
zer

Allergies:

 Proton
Pump
Inhibitor
s

Reference: wikipedia and webmd.com

DRUG # 15 Filgastrim
DATE/ NAME OF DOSAGE/ INDICATION CONTRAINDICA MECHANISM SIDE/ NURSING
DRUG TIME/ TION OF ACTION ADVERSE RESPONSIBILI
SHIFT
ROUTE EFFECTS TIES

Aug. 27, 2019 Generic 300 mg vial, Used to Contraindicated Filgrastim is a Common  Administer
Name: OD, 3 days stimulate the with this human side effects: at the right
production of condition: granulocyte time, right
Filgastrim Via SQ Throm
granulocytes colony  site and
 Clostridium
(a type of stimulating factor bocyto prescribed
difficile penia
white blood (G-CSF) dosage.
Brand infection
cell) in produced by (low
name: platele  Explain the
patients  inadequate recombinant
t importance
undergoing vitamin B12 DNA technology.
counts of using the
therapy that G-CSF regulates
Classificatio  low amount drug as
will cause the production of )
n: of directed.
low white neutrophils  Nause
magnesium
blood cell in the blood within the bone a  Emphasized
colony-stimu counts. This marrow;  Fever the side
medication is  liver endogenous  Bone effect s will
lating factors
used to problems G-CSF is a pain. improve
prevent  interstitial
glycoprotein after therapy
infection and nephritis produced by is complete.
neutropenic monocytes,
(low white  subacute fibroblasts, and  Inform
blood cells) cutaneous endothelial cells. patient do
fevers lupus not receive
caused by erythemato any kind of
chemotherap sus immunizatio
y. It may also n or
 systemic
be used to vaccination
lupus
increase erythemato without your
white blood sus doctor's
cells approval
 osteoporosi while taking
 s filgrastim.
 Broken  Instruct the
Bone patient to
notify the
 CYP2C19
NOD/
poor
metabolizer physician if
allergy
Allergies: reaction or
side effects
 Proton worsen.
Pump
Inhibitors

Reference: wikepedia and webmd.com