Side effect management preparation

Chapter 36 Common side effect management Preparation Assessment Management Take-home message References Further reading... 

Phentermine is available as an immediate-release and a sustained-release product. In conjunction with a healthy lifestyle, 30 to 37.5 mg of phentermine is administered once daily, typically before breakfast or 1 to 2 hours following the morning meal. The dosage should be individualized some patients maybe managed adequately at 15 to 18.75 mg daily, whereas a dose of 18.75 mg twice daily may be used to minimize side effects, excluding insomnia. To lessen the risk of insomnia, dosing phentermine in the evening should be avoided. Timed-release preparations of phentermine are not recommended because phentermine s half-life is approximately 20 hours.39... 

Peptide derivatives, (V), prepared by Okada (5) demonstrated a specific and very high x opioid receptor binding affinity and were used as analgesics in severe pain management without devoid of side effects such as addiction and respiratory depression. 

If atropine is used, clinicians must be aware of the signs and symptoms of atropine toxicity. A similar concern exists when 2% cycfopentolate is used in infents or children. If side effects occm optometrists should be prepared to manage them either through direct intervention or referral to other practitioners. 

The side effects and toxicity of the medication The nurse can prepare to manage side effects and recognize the signs of toxicity. 

A side effect is a physiological response in the patient s body that is not related to the drug s primary action. Some side effects are beneficial while side effects—such as nausea and vomiting—are undesirable. By knowing a drug s possible side effects, the nurse can prepare to manage them before the patient is given the dmg. 

A minor study examined the use of Rowatinex in the management of childhood urolithiasis. Six children aged from 4 months to 5 years were administered varying doses of the preparation from 10 days to 12 weeks. All patients became stone-free with no side effects although a de nite conclusion as to the ef cacy of treatment could not be established due to the small patient number involved (Al-Mosawi, 2005). 

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