Tip of the Month (Archives)  
LEVOTHYROXINE
• Take tablet with water on an empty stomach, preferably one-half hour to an hour before breakfast.
• Drug may cause hyperthyroidism (fatigue, heat intolerance, fever, sweating, hyperactivity, tremors, palpitations, myocardial infarction), pseudotumor cerebri in children (nausea, vomiting, headache, pulsating intracranial sounds), or seizures.
• Advise patient against sudden discontinuation of drug.
• Instruct patient to take 4 hours apart from antacids, iron, and calcium supplements, if taking concomitantly.
• Advise patient there are multiple significant drug-drug interactions for this drug. Consult a doctor prior to new drug use (including over-the-counter and herbal drugs).
• Take 4 hours apart from antacids, iron, and calcium supplements.
• Do not administer with foods that decrease absorption
• Advise patients with coronary artery disease to notify a physician or dentist that they take this drug prior to surgical procedures.
LISINOPRIL
 This drug may cause nausea, vomiting, dizziness, headache, or angioedema (swelling) of face, lips, throat, or intestines.
 Instruct patient to report signs/symptoms of hypotension, or a persistent cough.
 Advise patient against sudden discontinuation of drug.
 Take each dose with a full glass of water.
 Lisinopril can be taken with or without food.
 Counsel patient to limit alcoholic beverages.
 Take it at the same time each day.
 Do not use lisinopril if you are pregnant as it shows teratogenic effect of fetus.
 Do not use lisinopril if you are breastfeeding.
ATORVASTATIN
Allopurinol
Mefloquine
Dutasteride
Calcium Acetate
Iron
Metronidazole
Alendronate