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Micromedex User guide

1. EE AT ORE E EE naiara Eaa aS E Erie 157 Product ID Search ENTER 158 CONCH ResullS oss 159 Active Ingredient Search ccccccesccccccescesseeccesscceseentecsscusseeecscnceseecessesceaesecenscceasecesenscosseeeceees 160 SES RE Ma cw de ca cise ote ede din nde ee sien Ud REIR anaes UI UE 161 Chapter 13 Drug Comparison 163 Building the Search to Compare Drugs cccssseeccceeeeeseeeeeeeeeeeeeceeeeeeeueeeeeeeeeaeeeeeeseseaeseeeeeesaas 163 Drug compar Sor RESU erre eee 165 Chapter 14 RED BOOK Online 169 Introduction to RED BOOK Online 0c cc ccccceccccecececcececcccececcccecscusenseaucusscaecutscsecusscseaenacseees 169 Searching RED BOOK Online 00 0 ccccccseeeccceecaeeeeceeeeeseeseeceeeeeeessseeeeessaaseeeeeeesaeeeeeeessssanseeess 170 OOM S METRO DEI m 172 173 Understanding RED BOOK Online Search Hesults alias tenue denas
2. 179 Search Results m 1210 RN 173 174 Printing Search estis 174 Additional Search Results Information ss lt cecceessececcseseseseeeeeesecccctsasessussenesccccsedeesevecseeeesensceecs 174 So Buceo eepe E E A 174 Searching for Similar Products in RED BOOK Online ccccccceseeeeeeeeeeeeeeeeeeeeesaaeeeeeeeesaaeeeees 178 Manufacturer Product List Search Hesulls etri 182 Product Details Search lt 184 Viewing Manufacturer Contact Details ccccccccccscecceeeeaseeeeeeeeaeeeeeesseaeeeeeeeesseeeaeeeeesssaaaeeeeees 189 Wie diae ER m 190 Sat Custom AS 191 Creating a Custom List by NDC HRI UPC 193 Creating a Custom List by Name Active Ingredient or 194 Custom List Manager Search 195 Saving Your Custom NN E 199 Creating a Custom List
3. Implementation Contact Truven Health Analytics ii Customer Resource Center ie Rd uad 1 Technical 1 4 RT T m i Total Support Solutions IV Customized Browser Settings to Enhance the User V ocalized Language SUpport sdeccencs ossa V Setting Up Language Support cccccccseeecccecceeeseceeeeceeeeeeeeeeaeeseeeeeeeeeeeeeeeeessaaseeeeeessaaeeeeeesseaaageses V Extend Your Internet Browser or Web Application to Search the Micromedex 2 0 Platform vii Micromedex Search Accelerator Configuration ccccccceseccccceceeeeeeeeeseaaeeeeeeeseeseeeeeeeeseaaaeeeeeeeaaas IX Internet Explorer Version 9 or 10 IX Internet Explorer Version Y Of IX Micromedex Search Accelerator Workflow Microsoft Internet Explorer Version 8 x Google GNOME NER m xiv MOZNA ST OX ETE TEE ETE Information for System xviii Chapter 1 2 0 Overview eese 1 Navigating the Micromedex 2 0
4. NN LLLI SEARCH If at any time you wish to search for something else enter the new search term s in the Search box located at the top of the page IEEE 2013 Truven Health Analytics Inc CHAPTER 6 TOXICOLOGY INFORMATION DETAILED TOXICOLOGIC INFORMATION POISINDEX amp Managements When viewing detailed toxicologic information you can e Openasingle sub topic by clicking the link in the outline on the left side of the page or by clicking the sub topic header bar shown on the right side of the page e Expand all topics by clicking the Expand AL link e Collapse all open topics by clicking the Collapse ALL link e Return to the top of the topic using the Top of Page links e Navigate to other topics and sub topics the monograph using the document outline links located on the left hand side of the page e Scroll the entire document by clicking on the Display Entire Document link e Printthe topic or selected topics or the entire summary by clicking the Print icon and selecting the topics desired see Print on page 7 for more information B Display Entire Document dew Print RADON POISINDEX Managements 0 OVERVIEW LIFE SUPPORT CUNICAL EFFECTS LABORATORY MONITORING TREATMENT OVERVIEW RANGE OF TOXICITY OTHER SOURCES gt CLINICAL EFFECTS Expand All Collapse All Top of Page SUBSTANCES INCLUDED SYNONYMS THERAPEUTIC TOXIC CLASS SPECIFIC SUBSTANCES DESCR
5. 201 searching RED BOOK Using Saved Custom 81 22 202 Chapter 15 Micromedex 2 0 for Mobile Devices 205 oystem HegulrermislrilS sS Ian dtm dli a es Ram S mens cM UU ssM sacan 206 m rs dm RU PMCID 206 C tone 206 Android OS Droid DRONES MERE ET RE 207 Accessing mobileMicromedex 2 0 via BlackBerry or 207 Navigating mobileMicromedex 2 0 ccccccssseeccececceeeecececcueseceeececauuceeeecausaeceeeessaaeeeeeesasaaeeseesssaaseeeeees 207 Apps on Apple Android and Windows 8 available for download 208 Apps available for FREE DOWNLOAD to Micromedex Clinical Knowledge customers from the iTunes App Store Google play and the Windows 208 Appendix A Database Descriptions eese eee 209 Appendix B RED BOOK Online AWP Policy 227 AWP PERRO 227 i ICS A CU 228 Dosage Form nennen nennen nnnm nnne nnn nnn nnns 230 gap
6. etat bot bene bar 47 Information on a Dashboard When No Summary Information is 50 DISEASE DASHBOARD 51 Summary B 01 9 1081210 MR ERI 51 Br ce NORE AU OM REO OE S Em 5 TOXICOLOGY DASHBOARD G sis enu IDE acest 54 Summary IDEO fH OE seiosiocos esse iate gectea nui auae mice tud ossa usua uA eiu te ance S UeMuU uU DnSUr icu De Ud eR E Deu MUS 54 ALTERNATIVE MEDICINE DASHBOARDS emis tuat sm tau 56 Dashboard TANS EARN Nm 58 INTERMEDIATE SEARCH RM URN E ME 59 Understanding the Intermediate Search Results 60 Other Intermediate Search 61 Chapter 4 Drug Information 63 Targeted Drug Information S arches ccccccccccccceesecceceeeceeeeeeeeeeseeeseeeeseeaeeeeseeaeeeeeseeeeeeeas 63 Other Drug MAO MN AOU TTE TTE 64 Global International Drug Information 64 Other Drug Information Sources MICROMEDEX 2 0 64 Reproductive FASHION ATO Ut deessent nd Reina dr dn 64 Tips for Finding Drug ge quio PET 66 Finda Drug or UO SUNOS sessen 66
7. Synonyms 0 Manufacturer Contact Info 0 Results 1 1 1 0 1 Previous Next Strength Name Form Manufacturer Country Product ID AAPCC Code Related Document s 1 Comet Cleanser With Bleach Liquid Prestige Brands United States 5367390 042280 CORROSIVES ALKALIME Regular POISINDEX HYPOCHLORITES AND RELATED AGENTS POISINDEX DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX amp The information shown on the results page is the same as is shown by default for a Product or Substance Name search See Tox amp Drug Product Lookup Results on page 148 for a full explanation Navigating links to product information and related documents function the same as described for a Product or Substance search See The Product Page on page 152 for a full description 2013 Truven Health Analytics Inc 159 MICROMEDEX 2 0 USER GUIDE Active Ingredient Search Tox amp Drug Product Lookup Look up AAPCC Codes Search for drug products by brand name generic or branded generic commercial household products and chemicals by product name synonym and other substances including plants and animals by Latin or common name and by slang terms Search by a specific active ingredient in the substance by a specific code such as NDC CAS or EPA code or a valid 7 digit Product ID want to search for Enter search term O Globally distributed drug products in Martindale want to search by
8. Synonyms e Pharmacokinetics e Cautions contraindications adverse reactions drug interactions e Place in therapy e Mechanism of Action e Therapeutic Uses e Comparative Efficacy The document opens at the beginning of the document navigation printing and the OTHER SOURCES button function similar to the Summary document OVERVIEW Display Entire Document dj Print DOSING INFORMATION CINNAMON STORAGE AND STABILITY Evaluations i OTHER SOURCES ADULT DOSAGE Top of Page PEDIATRIC DOSAGE OVERVIEW PHARMACOKINETICS A CINNAMON ADME B CLASS ANTIFUNGAL ANTISEPTIC APPETITE STIMULANT DY SPEPTIC CAUTIONS C DOSAGE ENCUVCCEWICHEEUC UYNOD lll 1 IMPORTANT NOTE Dosing of herbal preparations is highly dependent on a variety of factors such as growing and harvesting conditions plant parts and CONTRAINDICATIONS en PRECALITIONS extraction methods used and the dosage form chosen by the manufacturer Standardization to single constituent markers has proven unreliable Since ADVERSE REACTIONS official standards have been established to date to regulate the production ot herbal medicines in the United States dosage ranges must be employed as TERATOGENICITY EFFECTS IN PREGNANCY ES DRUG INTERACTIONS i CLINICAL APPLICATIONS ME _ _ 1 dried bark oral 0 5 ta 1 gram as infusion three times daily PLACE IN THERAPY 2 liquid extract 1 1 in 70 alcohol oral 0 5 to 1 milliliter three times dai
9. amp Tao time by typing rug ox amp Drug Drug RED BOOK Product Look the SEARCH box ipatibility Identification Product Lookup Comparison Online Calculators Formulary Care a eS SEARCH Example Searches Building Searches with Multiple Terms or Phrases The drop down list opens as soon as you enter three or more characters and pause slightly and suggests keywords or phrases based on what you ve typed You can use the drop down list to help you create searches using combinations of terms and phrases For example if you were interested in the best treatment for atrial fibrillation you could simply type your question in the search box what is the best treatment for atrial fibrillation and press the Enter key Or you can build your search using our drop down suggestions 1 Start by typing the word treatment and then pause for a moment The drop down list will suggest terms and phrases that relate to treatment Micromedex 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GA Drug Trissels 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility ldentification Product Lookup Comparison Online Calculators Formulary treatment SEARCH Example Searches treatment treatment for treatment of treatment of choice treatment of choice for treatment of choice in Treatment procedure education ist line procedu
10. CHAPTER 9 DRUG INTERACTIONS TOOL The Drug Interactions tool in MICROMEDEX 2 0 helps with checking for interacting drug ingredients their effects and clinical significance MY SUBSCRIPTION MICROMEL Drug Trissel s 2 Drug Tox amp Drug Drug Interactions IV Compatibility Identification Product Lookup Comparison Calculators Formulary Drug Interactions the drug name brand or generic in the search field Select the drug and click the Add button With the correct information available at the point of care a significant number of adverse drug events can be prevented The interactions tool provides instant access to drug drug drug food drug ethanol and drug lab test reactions Some additional features and information presented in drug interactions may depend on your subscription Customers subscribing to the DRUG REAX System will see functionality and links not displayed to non subscribers For example DRUG REAX customers will also see drug tobacco drug pregnancy drug lactation and drug allergy reactions CALCULATING DRUG INTERACTIONS A single drug can be checked for all known interactions or you can calculate interaction information based on a list of drugs Drug allergies can also be added into the interaction check Use the Drug Interactions page to check for interaction information Results are grouped by interaction type drug drug drug food drug lab etc Interactions found within each
11. Not Tested Not Tested D5NS Dextrose 5 in sodium chloride 0 9 Not Tested D5W 1 2 NS Dextrose 5 in sodium chloride 0 45 Not Tested NS Normal saline Sodium chloride 0 9 Not Tested 4 2 NS Sodium chloride 0 45 Not Tested Other Solutions Test Detail Rating Solution Information Common Solutions e D5W D5W Dextrose 5 e D10W Dextrose 10 e D5LH Dextrose 5 in lactated Ringers e D5NS Dextrose 5 in sodium chloride 0 0 e D5W 1 2 NS Dextrose 5 in sodium chloride 0 45 e NS Normal saline sodium chloride 0 9 e 1 2 NS sodium chloride 0 45 Ss Note Solution results include those marked as a solution type but can also include Y Site or Admixture results that do not have a secondary agent Where detailed results are available the solution is shown as an active link Click the solution link to view the additional information References for the information can be found by clicking the numbered link Close the Compatibility Details by clicking the Close link Other Solutions can include Dextran Dextrose Fat emulsion Fructose Isolytes Lactated Ringer s to name a few Click on a tested solution link to view the compatibility details 130 2013 Truven Health Analytics Inc IV COMPATIBILITY DETAIL Drug 1 Drug 2 Status Information Test Parameters Physical Compatibility Physically haze or particulate formation color change or gas evolution Healthcare Co
12. et iP a LR M LU IR RENE 89 DISEASEDEX General Emergency 89 Chapter 6 Toxicology Information eese 91 PVE EON AUG ET m m 91 Hazard amp Medical Management Information ssec nennen nnne nnns 91 Global Drog e iu iol PRETERITO 91 Reproductive Risk Information PE ERE 91 Material Safety Data Sheets 505 91 Free Text Searches amp Searches Using Targeted Search 91 Spelling AO ease see de IEEE RONONUIE R 92 Summary Toxicologic Information hear umm 93 ToxPonnise Summary TORN ON 9 SOURCES gt BON eire m 94 Detailed Toxicologie 95 POISINDEX 95 OTHER SOURCES gt But OM 96 Chapter 7 Lab Information 97 mem 97 Searching Tor Lab On Me WON 98 PAOR OID 100 The Lab Advisor Detailed Lab Information
13. DRUG REAX subscribers are able to view additional interaction information by clicking the link on the drug name to open interactions details Additional information may include clinical management onset probable mechanism and references for this interaction INTERACTION DETAIL Warning Concurrent use of AMOXICILLIN and WARFARIN may result in an increased risk of bleeding Clinical Management Concomitant use of amoxicillin and warfarin should be approached with caution as this may result in increased INR and thereby increase the risk for bleeding When possible substitute amoxicillin for an antibiotic with a low risk profile for bleeding If concomitant use of amoxicillin and warfarin is required more frequent monitoring of the patient s INR is recommended Baillargeon et al 2012 especially during initiation and discontinuation of the antibiotic Prod Info COUMADIN oral tablets intravenous injection powder lyophilized for solution 2011 In addition adjust the warfarin dose as needed to maintain the desired anticoagulation level Prod Info AUGMENTIN XR amp extended release oral tablets 2010 Onset Delayed Severity Major PRINT amp CLOSE X Change the list of drugs to search You can add change remove items from the list of drugs to search by clicking the Modify Interactions button All items selected to this point are retained When changes have been completed click the Submit button to calculate interaction
14. Dose Adjustments FDA Labeled Indications Non FDA Labeled Indications DOSING amp INDICATIONS Expand All Collapse All Top of Pag CONTRAINDICATIONS WARNINGS gt Adult Dosing Do Not Confuse Sea Contraindications gt Pediatric Dosing Precautions Pregnancy Category gt Dose Adjustments Breast Feeding gt FDA Labeled Indications DRUG INTERACTIONS SINGLE gt Non FDA Labeled Indications ADVERSE EFFECTS Common Serious See Chapter 4 Drug Information for more information on drug information documents available in Micromedex 2 0 2 2013 Truven Health Analytics Inc CHAPTER 2 SEARCHING MICROMEDEX List of Drugs with a Risk Evaluation and Mitigation Strategy A list of drugs with current REMS requirements can be obtained without leaving the Micromedex 2 0 workflow to perform a search of the FDA or a manufacturer information source Simply type the search term REMS and click SEARCH M icromed ex 2 0 1 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GA Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility Identification Product Lookup Comparison Online amp Calculators Formulary Care SEARCH Example Searches REMS Drugs REMS List REMS Medications REMS Substances Approved REMS Drugs having REMS Drugs with REMS Click the drug name link to open the document positioned in the REMS section of the information REMS components are listed
15. conde e question Example Searches Single term search Tem Search Search with a Question Carvediol diol a amp bnlation what r the dosing for camedrol n proxen 0 oanhntis dementia Parkinson s dise TSH le Penn as EXAMPLE SEARCHES genes ea ch tee ns when i dr rw th chon de resul ing the oe posticeed at the desees 10 Search Termes FOA labeled drug e benzonaiaie approve e sumatnptan FDAlabeled FOA labeled e 18 nluximab approved for cheumatord PRINT i44 CLOSE X 2013 Truven Health Analytics Inc 19 MICROMEDEX 2 0 USER GUIDE TARGETED SEARCHES Micromedex 2 0 also provides some highly focused searches that present you with results that are specific to your clinical question These include e Drugs that Cause condition Adverse Reactions List An alphabetical list of drugs in Micromedex 2 0 that cause a condition or adverse reaction Search results return the list of drugs as links allowing you immediate access to the adverse affects topic in the drug information See Drugs that Cause condition Adverse Reactions list on page 21 for additional information e Drugs that Treat condition This search provides the clinician with an alphabetical list of drugs in Micromedex 2 0 that treat a condition or disease The results return drugs grouped alphabetically within an efficacy rating See Drugs t
16. Allows you to calculate the alveolar oxygen concentration and gradient with notes related to the results obtained You can also determine atmospheric pressure for a specific area or country Measurement Calculators Body Mass Index Calculator Body Mass Index BMI is a calculated value that shows body weight adjusted for height and indicates the weight status in adults Calculates BMI based on weight kg Ibs and height cm in BSA and Lean Ideal Body Weight Calculator Calculates body surface area and lean ideal body weight based on age years or months weight kg Ibs height cm in and sex male female Metric Conversions Calculator Provides conversions between Metric and English standard units for many common conversions utilized in clinical practice The conversions include measurements of weight length volume temperature and parts per million SIU Conversion Calculator Allows you to calculate and convert amounts based a selected substance and a chosen conversion unit 2013 Truven Health Analytics Inc SS MICROMEDEX 2 0 USER GUIDE 12 00 2013 Truven Health Analytics Inc CHAPTER 2 SEARCHING MICROMEDEX Micromedex 2 0 makes finding answers as simple as a single query The smarter search functionality includes a single search box on every page so you can perform searches using your own terms and have results displayed on a single page much like the functionality of popular search engines av
17. AltMedDex Evaluations AltMedDex Points AltMedDex Protocols AltMed REAX for the Patient Clinical Checklist ClinicalPoints System Detailed Drug Information for the Consumer DISEASEDEX System General Medicine Emergency Medicine Emergency Medical Abstracts Clinical Reviews Studies amp Alerts DRUGDEX System DrugPoints System DRUG REAX System Herbal Medicines A Guide for the Health Care Professional IDENTIDEX System Index Nominum Italian Drug Database Dialogo sui Farmaci IV INDEX System IV Compatibility with Trissel s 27M Lab Advisor Martindale The Complete Drug Reference Material Safety Data Sheets MSDS P amp T QUIK Reports Physicians Desk Reference PDR POISINDEX 2 0 REPRORISK System REPROTEXT REPROTOX Shepard s TERIS TOMES System HAZARDTEXT INFOTEXT MEDITEXT ToxPoints System United Kingdom Drug Information eMC SmPC 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE AltCareDex System Patient Education for Complementary and Alternative Medicine As part of the Complementary and Alternative Medicine CAM Series AltCareDex documents offer fully referenced patient counseling materials written and peer reviewed by representatives from both conventional Western medicine and the alternative medicine communities What s in AltCareDex e Dietary Supplement documents e Diseas
18. Custom Products DO T1 1012 58 LYRICA DU 71 1014 88 LYRICA 00071 1016 28 LYRICA 00904 0002 14 MINTOX You can continue adding products to the list you are creating or you can save your list by clicking the Save button Note You must save your custom list before the Submit button is active 198 2013 Truven Health Analytics Inc Saving Your Custom List CHAPTER 14 RED BOOK ONLINE After you have finished adding products to your custom list you will want to save the file Saving the custom list allows you to retrieve and run the same search repeatedly without entering each individual product Click the Save button The File Download dialog is displayed Click the Save button The Save As window is displayed File Download Do you want to open or save this file Name REDBOOKCustomList rbo Type HTML Document 42 bytes From tshuscodendysb1 ij While files from the Internet can be useful some files can potentially e harm your computer If you do not trust the source do not open or save this file What s the risk Save As Downloads My Recent Documents Desktop File name REDBDOKCustomList tbo My Network Save as type Document Save Cancel Enter the name for your custom list in the File name field By default the file will be named REDBOOKCustomList rbo Navigate to the location to which you want to save the file Click the
19. IV COMPATIBILITY PRODUCT IV Com p C Trissel s Drugs and Solutions Data Anakinra Trade Name s All Drugs 5 Kineret Y all Other Name s IL 1ra 2 h Anakinra pH Range 8999 PI Cefazolin pH 5 5 t3 Furosemi Formulation 9999 Heparin s Provided as a clear colorless to white solution in prefilled single use syringes fitted with 27 gauge needles having latex IS m Warfarin rubber protective covers Each syringe contains 0 67 mL of solution which contains anakinra 100 mg with sodium citrate 1 28 mg sodium chloride 5 48 mg disodium edetate 0 12 mg and polysorbate 60 Tween 80 0 7 mg in water for injection No preservative is present Anakinra is a recombinant nonglycosylated human interleukin 1 receptor antagonist IL 1Ra consisting of 153 amino acids produced using an E coli bacterial expression system Tip To see ad compatibility se from the list an PRINT s CLOSE x The information shown in the Trissel s Drug and Solutions Data pop up can also be printed by clicking on the PRINT link or icon 2013 Truven Health Analytics Inc 123 MICROMEDEX 2 0 USER GUIDE Y Site Results are calculated and displayed for Y Site scenarios for the selected drug as both the primary and the secondary agent Y Site Test Detail Rating Anakinra Cefazolin sodium Uncertain Anakinra Furosemide Not Tested Anakinra Heparin sodium Not Te
20. LUE AOAN 2013 Truven Health Analytics Inc SS MICROMEDEX 2 0 USER GUIDE 90 2013 Truven Health Analytics Inc CHAPTER 6 TOXICOLOGY INFORMATION Accidental poisonings occur with even the most common and seemingly harmless substances In such situations having instant access to critical information can save lives Relied upon in 100 of U S poison control centers the Truven Health Analytics POISINDEX database identifies ingredients for hundreds of thousands of commercial biological and pharmaceutical products MICROMEDEX 2 0 links that information directly to management documents providing data on clinical effects range of toxicity and treatment protocols for exposure Finding Information You can search for toxicology information using an ingredient slang terms or carrier such as funnel web spider or coral snake etc as the search term Hazard amp Medical Management Information HAZARDTEXT Hazard Managements and MEDITEXT Medical Managements are available and integrated into all searches in MICROMEDEX 2 0 Global Drug Information International drug information from Martindale The Complete Drug Reference Index Nominum and Herbal Medicines A Guide for the Health Care Professional is integrated into all searches in MICROMEDEX 2 0 See DRUG DASHBOARDS on page 36 for examples and details on accessing global drug information Reproductive Risk Information In
21. MICROMEDEX SUBSCRIPTIONS for QA Master Customer 704310001 Your Subscribed Products Non subscribed Products l MICROMEDEX 2 0 MICROMEDEX 2 0 i AAPCC Codes in POISINDEX i Alternative Medicine i Detailed Drug Information for the Consumer i DISEASEDEX Emergency Medicine i DISEASEDEX General Medicine i DRUGDEX System i Imprint Codes in Identidex i Index Nominum i Interaction Checking i Italian Drug Database i Compatibility i Lab Advisor i MARTINDALE i MSDS from USP i P amp T QUIK Reports i PDR PRINT amp CLOSE Subscribed products and external applications are shown on the left side of the window Products and applications to which you do not subscribe are shown on the right Hover your mouse over the i icon to view a general description of the product or application MICROMEDEX GATEWAY The MICROMEDEX GATEWAY link allows you quick access to all applications available to you from Truven Health Click the MICROMDEX GATEWAY link to move to another application LOG OUT Whenever you are going to be away from your workstation is good practice to log out of the Micromedex 2 0 application Use the LOG OUT hyperlink to close your session HELP Help is always just a click away Click the HELP link to open the help application for Micromedex 2 0 Navigate to any topic by clicking on the books chapters Use the Index or Search tabs to search for
22. Reais tom ness Sinira Other Countries D nh fames Jump ALL es E H 1 x L H Qo U LU ri Reels 1 28 Page 160 7 G AAPCC Code Contact 1 Caner Homer urrazr 2 Can rHomer 3 CarterHeomer Canadal rizr Business Hours BUS Phone Business Hours HUS 20 0289 rax 4 Carter Homer Canadal OF roar Business Hours HUS 820 6200 Phone Business Hours HUS Hz o U XH ax y Gamer Homer Inc OF rags i Ganei Gwenin rrazr The type and layout of information displayed varies slightly depending on the link selected The Product Substance Names link displays e link to the product information details e Strength Form if applicable e Manufacturer e Country e Product ID e AAPCC Code e Related Documents links to the applicable POISINDEX Managements The Synonyms link displays e Name link to the product information details e Strength Form if applicable e Also known as product name synonym e Country e Product ID e AAPCC Code e Related Documents links to the applicable POISINDEX Managements The Manufacturer Contact Info link displays e Manufacturer name link to contact information e AAPCC Code e Contact information 2013 Truven Health Analytics Inc q Previous Next k CHAPTER 12 TOX amp DRUG PRODUCT LOOKUP TOOL Results begin with Results contain Product or substance na
23. Search Results A successful search will produce one of the following results DASHBOARDS e INTERMEDIATE SEARCH RESULTS page Acute Chronic Prevention amp Screening Studies amp Alerts Summaries Disease content is available for these types of information 1 Acute Emergency or immediate care presentations 2 Chronic On going health conditions and issues 3 Prevention amp Screening Relevant assessment and screening information 4 Studies amp Alerts timely studies and update information Acute Chronic and Prevention amp Screening disease information presents information focused on a specific phase of illness If a single title has two or more of these content types available you can switch to any available type from a link that is displayed at the top of the disease summary 82 2013 Truven Health Analytics Inc CHAPTER 5 DISEASE INFORMATION Spelling Help The MICROMEDEX 2 0 application may make suggestions if the search term you typed doesn t produce a match but is close or similar to a title or keyword The search term is shown along with the message that no matches were found When the application finds names or keywords that are close or similar to the search term they are listed as links below the Did you mean heading Click the link to open the summary or begin a new search by typing a new search term in the box and click the Search button Your search for quaif did not match any documents
24. View summary document gt Toxicology Dashboard PRODUCT LOOKUP Tox amp Drug NONIONIZING RADIATION Martindale NONIONIZING RADIATION MEDICAL MANAGEMENT INFO 1 result Disease NONIONIZING RADIATION Dash board DISEASE OTHER TITLES 1 results Herpes zoster Prevention amp Screening Treatment EMERGENCY MEDICAL ABSTRACTS 4 results CLINICAL FEATURES OF VIRAL MENINGITIS IN ADULTS SIGNIFICANT DIFFERENCES I FACTORS ASSOCIATED WITH DELAY TO ACYCLOVIR ADMINISTRATION IN 184 PATIENTS THE TREATMENT OF HERPES SIMPLEX INFECTIONS AN EVIDENCE BASED REVIEW TRIAGING HERPES ZOSTER OPHTHALMICUS PATIENTS IN THE EMERGENCY DEPARTMENT Drug Dashboard Jump to 239 other search results PRODUCT LOOKUP MICROMEDEX DRUG SUMMARY INFORMATION Tox amp Drug Fluphenazine Hydrochloride Martindale Fluphenazine Hydrochloride RED BOOK Online Fluphenazine Hydrochloride DRUG IMAGES US Breast Feeding Drug Interactions single Adverse Effects Common Adverse Effects Serious Iv Compatibility single Drug Images US Generic Availability Administration Monitoring How Supplied Toxicology Clinical Effects Toxicology Treatment Toxicology Range of Toxicity US Trade Names Clinical Teaching Class References Regulatory Status More Images DRUG CONSULTS 4 results INDEX NOMINUM IT DIALOGO SUI FARMACI ANTIPSYCHOTIC AGENTS METABOLIC SYNDROME BEER
25. e g MDX and the following URL syntax with no spaces or line breaks http www micromedexsolutions com micromedex2 librarian deeplinkaccess Search Term s Select OK to complete adding the Micromedex Clinical Knowledge Suite to Google Chrome Note If you choose to set Micromedex as the default search engine in Google Chrome any terms entered into the Google Chrome Omnibox will search Micromedex first Search Accelerator Workflow Google Chrome 1 Google Enter your shortcut trigger word in the Omnibox and hit the Tab key This populates Search Micromedex 2 0 in the search bar as shown in the example below Search Micromedex 2 0 Google Search Micromedex 2 0 dalfampridine dosing XIV 2013 Truven Health Analytics Inc 2013 Truven Health Analytics Inc PREFACE 3 You will navigate directly to the Dosing section of the Micromedex drug information monograph for Dalfampridine tors jJ Drug summary MICROMED x gt 3www thomsonhc com micromedex2 lbrarian deeplinkaccess SearchTerm dalfampridine dosing Di 6 Adobe Online Marketin International Micromedex 2 PRE MDX2 PUSH MDX 2 Rally Login 29 Imported FromIE New Tab Micromedex 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GATEWAY LOG OUT HELP Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK To
26. 0006 0266 SHAPE CAPSULE SHAPE 0006 0268 06 0008 0268 12 IMPRINT sex THE TABLET IB CODED WITH MRK ON ONE SIDE AND 266 ON THE OTHER SIDE EXCIPIENTS CELLULOSE E MICROCRYSTALLINE FERRIC OXIDE RED LACTOSE MONOHYDRATE MAGNESIUM FORM COMPRESSED ORAL TABLET STEARATE STARCH PREGELATINIZED E AVAILABLE CONTAINER SIZE BOX OF REGULATORY STATUS 12 BOTTLE OF 500 BE AVAILABILITY UNITED STATES AAPCC CODE 077820 OTHER TYPES OF PRODUCT ID 5700375 PRINT CLOSE X 2013 Truven Health Analytics Inc 139 MICROMEDEX 2 0 USER GUIDE The following information may be displayed on the Drug Information page e Drug Name Form e Ingredients e Available Container Size Packaging Related POISINDEX Management information Color e AAPCC Code Shape e Code lt Imprint e Excipients Route e Regulatory Status e Availability e Product ID e Contact Manufacturer Information You can go directly to the Tox amp Drug Product Lookup for the selected drug by clicking the link located near the top right of the window If an image of the pill is available it is shown at the bottom of the Drug Information page Print the information or close the page using the links on the bottom right side of the page POISINDEX Managements Information related to the product or substance found in can be viewed by clicking the corresponding POISINDEX Management link on Drug Information page See
27. Abacavir Sulfate Lamivudine Zidovudine ABARELIX AbobotulinumtoxinA Acetaminophen Codeine Phosphate Acetaminophen Oxycodone Hydrochloride Acetazolamide Acitretin 2 Select black box warning or BBW from the list 3 Click the SEARCH button or press the Enter key to retrieve the list of drugs that carry this warning The list of drugs with black box warnings is shown in alphabetical order as hypertext links 4 Click on a title to open directly to the black box warning topic in the associated drug information If the drug you are looking for begins with a letter occurring later in the alphabet click on the Jump To letter link shown at the top of the list Click on the drug name link to open the document positioned at the top of the Black Box Warning topic in the associated drug information 26 2013 Truven Health Analytics Inc 2013 Truven Health Analytics Inc OVERVIEW DOSING INFORMATION Drug Properties Storage and Stability Adult Dosage Pediatric Dosage PHARMACOKINETICS Onset and Duration Drug Concentration Levels ADME CAUTIONS Black Box Warning Contraindications Precautions Adverse Reactions Teratogenicity Effects in Pregnancy Breastfeeding Drug Interactions CLINICAL APPLICATIONS Monitoring Parameters ABACAVIR DRUGDEX Evaluations i Suis Se Ua CAUTIONS gt Black Box Warning gt Contraindications gt Precautions gt Adverse Reactions gt Teratogenicity Effects in Pregn
28. Free Text Searches amp Searches Using Targeted Search Terms sees 66 le RTT em 67 Drug Morna dm 68 OT ER SOURCES BON eerie 69 Dr g interactions TT 70 IV OMI AMOUNT eT 75 HIG AN TS ensem RT 78 The Detailed DRUGDEX Evaluation cccccccsssececceeseceeeeeseceeeaeseceeeaeeseeeeeeueceessueeeesaaaeeeesaees 79 Drug Consuls irom DRUGDEXO 80 Chapter 5 Disease Information 81 Searching for Disease Information METEO 81 Reproductive Risk Information 81 Free Text Searches amp Searches Using Targeted Search Terms sse 81 Sample Disease S 82 RESUS 82 Acute Chronic Prevention Screening Studies amp Alerts Summaries 82 83 Summary Disease IMO MAU ON Mace 84 DISEASEDEX Emergency or General Medicine Summary ClinicalPoints 84 OTHER SOURCES UO DNE TEE 85 Clinical Checkist P LE REN 86 Strength of Evidence 87 Strength of 87 Performance 88 Detailed Disease pis obs Vete
29. OTHER INFORMATION ALERTS STUDIES July 29 2004 WRI detects February 09 2011 Sentinel breast cancer in high risk lymph node dissection alon July 17 2002 Large HRT trial December 22 2010 Weight halted due to an increa lifting does nat increase ly Oetober25 2010 Reduced breast cancer risk with high September 28 2010 Mammography screening starting at More Breast cancer was also found in Drug Information 248 Drug Consults 30 gt Alternative Medicine 9 1079 results found for Breast cancer Top of Page Display All 1079 Drug 827 Disease 118 Toxicology 100 Lab 11 Alternative Medicine 154 Reproductive Risk B8 Page 1 Results for 1 10 o es ese Deed O 2013 Truven Health Analytics Inc Lo MICROMEDEX 2 0 USER GUIDE TOXICOLOGY DASHBOARDS Summary Information Related information for the selected ingredient drug or substance is gathered together in a logical and organized presentation so you can find the answer to your specific question fast mma Note Dashboards for Drug page 36 Disease page 51 and Alternative La Medicine page 56 organize information differently from Toxicology Summary dashboards Each is explained detail in this chapter The purpose of the dashboard is to show you all relevant and pertinent related information at a glance so you can quickly navigate to your specific
30. Toxicology Information on page 91 for additional information on POISINDEX Managements 2013 Truven Health Analytics Inc CHAPTER 11 DRUG IDENTIFICATION TOOL When viewing detailed toxicologic information you can e Openasingle sub topic by clicking the link in the outline on the left side of the page or by clicking the sub topic header bar shown on the right side of the page e Expand all topics by clicking the Expand AL link e Collapse all open topics by clicking the Collapse ALL link e Return to the top of the topic using the Top of Page links e Navigate to other topics and sub topics in the monograph using the document outline links located on the left hand side of the page Scroll the entire document by clicking on the Display Entire Document link e the topic or selected topics or the entire summary by clicking the Print icon and selecting the topics desired see Print on page 4 for more information Display Entire Document 4 LIFE SUPPORT SUMATRIPTAN AND RELATED AGENTS CLINICAL EFFECTS LABORATORY MONITORING GEEL POISINDEX Managements 4 MEMMEAE E TREATMENT OVER VIEVY RANGE OF TOXICITY Expand All Collapse All Top of SUBSTANCES INCLUDED S YNQ OVERVIEW THERAPEUTIC TOXIC Topic gt LIFE SUPPORT SPECIFIC SUBSTANCES AVAILABLE FORMESSE CLINICAL EFFECTS CLINICAL EFFECT SUMMARY OF EXPOSURE VITAL SIGNS View Detailed Information
31. Warfarin Mai Excellent Concurrent use of ASPIRIN and WARFARIN may result in an m increased risk of bleeding CEPHALEXIN Systemic Keflex WARFARIN SODIUM Systemic Maior Good Concurrent use of CEPHALEXIN and WARFARIN may result in an Q increased risk of bleeding Ingredient Duplication None found Drug ALLERGY Interactions 3 Drugs Severity Documentation Summary AMOXICILLIN PENICILLIN Unknown CROSS REACTIVITY BETWEEN BETA LACTAMS CARBAPENEMS Unknown CEPHALOSPORINS CLAVULANIC ACID MONOBACTAMS Interactions Results Jump To DRUG DRUG 4 Ingredient Duplication 0 ALLERGY 3 FOOD 10 ETHANOL 3 LAB 8 TOBACCO 2 PREGNANCY 7 LACTATION 7 Interactions are grouped by interaction type Within each interaction type interactions are shown ranked by severity Any interaction marked Contraindicated is displayed first followed by Major Moderate and Minor See Severities on page 115 for the complete list of severities The level of the supporting documentation Excellent Good Fair etc behind the interaction is also shown for each interaction listed See Documentation Ratings on page 116 The summary column displays brief high level interaction information Severities Interaction severities are indicated by an icon and one word definition A complete legend of all severities is shown at the bottom of the page Hovering over the icon in the legend opens a pop up window wit
32. a More hypertext link is available in this section Click the link to view AWP Unit Pricing history as shown below PRODUCT DETAILS Product Information Product TM ART LIS Active Inga AWP PRICE HISTORY Manufact Form Product Name LANTUS T Code NDC rengin Identifier 54868 4626 00 Size Effective Date Unit Change Current AWP 04 09 2010 04 10 2009 02 1 2 2008 07 17 2007 09 30 2004 10 06 2003 09 16 2002 06 04 2002 14 16100 13 12600 11 24000 10 30100 7 09800 5 98300 5 52100 5 49500 7 9 15 8 9 1 45 1 WAC DIR PRINT amp CLOSE X FUL SRP You can print the AWP Price History by clicking the PRINT icon Click the CLOSE icon to exit the pop up box and return to the Product Details page 2013 Truven Health Analytics Inc 187 MICROMEDEX 2 0 USER GUIDE 188 e When applicable J Code information for the product is displayed Occasionally a More gt hypertext link is available in this section Click the link to view additional J Codes for the associated NDC ADDITIONAL J CODES Product Name HUMALOG JULII I 10003 PER 5 UNNT FER n 5 UNITS PRINT amp CLOSE X pe mum Note Columns for which no data is returned will contain two dashes The information displayed on the Product Details page can be printed by clicking the PRINT icon at the bottom of the page Click the CLOSE option to exit the page 2013
33. all all Y Site Test Detail c Anakinra Cefazolin sodium Furosemide Heparin sodium Warfarin sodium Anakinra Cefazoli Anakinra Furose Anakinra Heparin Anakinra Warfarin Tip To see additional information on IV Solutions and TPN TNA compatibility select a single drug from the list and choose Update Cefazolin sodium Cefazolin sodium All Drugs 5 YiCheck all all rj Anakinra Cefazolin sodium Furosemide Heparin sodium Warfarin sodium ges Tip To see additiona IV Solutions and TPN TNA compatibility select a single drug from the list and choose Update 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Common Solutions Solution compatibility is calculated based on common and other typical IV solutions Click to view Trissel s Drugs and Solutions Data for pH compatibility and stability and proper rate of infusion etc IV Compatibility 5 Modify Selections Selected Drug Anakinra ky OA All Drugs 5 Solution TPN TNA Compatibility All v v Checkall all Common Solutions Test Detail Rating Solution Information C Anakinra D5W D5W Dextrose 5 d Cefazolin sodium 5 Furosemide D10W Dextrose 10 B O Heparin sodium O 6 Warfarin sodium D5LR Dextrose 5 in lactated Ringers
34. as well as links to the US Food and Drug Administration FDA Web site for the detailed REMS information available for the drug REMS Displaying 67 results with REMS REMS Search Results Click the drug name link to access the REMS information for the drug Jump To Top of Page H t s K L NJo P a RI IsI IT ul v A Alglucosidase Alfa Communication Plan Elements to Assure Safe Use Implementation System Alosetron Hydrochloride Elements to Assure Safe Use Implementation System Medication Guide Alvimopan Communication Plan Elements to Assure Safe Use Implementation System Ambrisentan Elements to Assure Safe Use Implementation System Medication Guide Belatacept Communication Plan Medication Guide Bosentan Elements to Assure Safe Use Implementation System Medication Guide DOSING amp INDICATIONS Alglucosidase Alfa 8 Display Entire Document d amp Adult Dosing Pediatric Dosing DrugPoint amp Summary FDA Labeled Indications BLACK BOX WARNING REMS Top of Summary CONTRAINDICATIONS WARNINGS to reduce the risk of rapid disease progression of infantile onset or late onset Pompe disease in patients age SSeS EE years or younger unapproved uses Contraindications Precautions to inform prescribers patients and parent or legal guardian of the potential risks of severe cutaneous and Pregnancy Category systemic immune mediated reactions including anaphylaxis and severe allergic reactions associated with B
35. brand or generic in the search field Select the drug and click the Add button Enter search term Matching drug names 1 Drugs to check Cuprimine Amoxapine Amoxicillin Cuprimine ri 4 Repeat steps 2 through 3 until your list of Drugs to Compare contains all the items you are interested in viewing Up to 20 drugs can be compared at a time When the list is complete click the SUBMIT button to view the information 164 2013 Truven Health Analytics Inc Drug Comparison Results CHAPTER 13 DRUG COMPARISON TOOL The comparison page displays the information for the topic selected in a side by side layout to allow you to quickly compare and contrast the drugs selected Drug Comparison Results Comparison Display in Column 1 Jump To Top of Page 518 Name Info Mechanism of Action Pharmacokinetics Administration Monitoring How Supplied Toxic Amoxapine View Detailed information in DRUGDEX gt Dosing amp Indications Adult Dosing View Detailed information in DRUGDEX a Depression initial 50 mg ORALLY 2 3 times a day may increase dosage up to 100 mg 2 3 times a day by end of the first week OR may start with 300 mg day but notable sedation may occur during the first few days of therapy a Depression maintenance usual effective dose is 120 300 mg day ORALLY may increase dosage to 400 mg day after 3 weeks if there is inadequate response and hospitalize
36. company listed as the manufacturer distributor A Y indicates that the listed manufacturer distributor is a repackager of the product An N indicates that the listed manufacturer distributor is not a repackager The Generic column indicates whether or not the particular line item is a generic product A Y indicates that the product is a generic version An N indicates that the product is not a generic product Orange Book lfa product has been assigned an Orange Book Code that code will appear Code in the Orange Book Code column Not all products will be associated with an Orange Book Code When there is no associated Orange Book Code two dashes will appear in the column See Orange Book Codes on page 234 for more information 1 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE Code Type The Code Type column identifies the registry listed for the identifier either NDC HRI or UPC This code type is related to the value that appears in the Identifier The Identifier column displays the NDC HRI UPC code that is associated with each individual line item retrieved in your search The Form column displays the dosage form tablet solution syrup etc of a product See Dosage Form Descriptions on page 230 for more information on dosage forms The Route column displays the route of administration for the product See_ Route Listing on page 233 for more information The
37. e Return to the top of the topic using the Back to top links e Navigate to other topics and sub topics in the summary using the outline links e Print the topic or selected topics or the entire summary by clicking the Print hyperlinks and selecting the topics desired see Print on page 7 for more information INFO E Display Entire Document e Print POLLEN DOSING amp INDICATIONS OTHER SOURCES 4 Adult Dosing AlthledDexe Summary ee Indications Expand Collapse All Top of Page CONTRAINDICATIONSANARNINGS DOSING amp INDICATIONS Contraindications Pregnancy Category Adult Dosing Lactation DRUG INTERACTIONS SINGLE ADVERSE EFFECTS View Detailed information in AltidedD exe ADMINISTRATION m Athletic performance enhancement oral 400 ma daily m GASTRIC ULCER granules oral 500 daily Hoy SUPPLIED Mutiple Sclerosis oral 10 daily Indications Topics Links All topics with information for this substance are shown as active links in the outline list on the left side of the page Hovering the mouse over the topic links changes the font from a light font to a dark font Topics that do not have information for the drug are shown as a disabled light grey font link Hovering over the disabled link opens a pop up text box stating there is no information for this topic Sub topics If sub topics exist clicking on the topic link expands the list showing the sub
38. gt HEENT CARDIOVASCULAR NEUROLOGIC 0 2 1 SUMMARY OF EXPOSURE GASTROINTESTINAL A THERAPEUTIC USE GENITOURINARY 1 Serious cardiovascular effects including myocardial infarction ventricular d ysrhythmias and coronary vasospasm have DERMATOLOGIC occurred with therapeutic doses of subcutaneous and oral sumatriptan ENDOCRINE 2 This class of drugs exerts its effects through cerebral vasoconstriction vasoconstriction of coronary pulmonary PSYCHIATRIC gastrointestinal and systemic vasculature has also been documented following therapeutic exposures REPRODUCTIVE 3 Oral therapeutic doses were associated with the following adverse effects nausea and vomiting 14 taste disturbance CARCINOGENICITY 11 malaise 6 to 9 fatique 6 to 9 dizziness 6 to 9 vertigo 6 to 9 drowsiness 3 and chest tightness GENOTOXICITY or pressure 396 OTHER 4 Other effects include injection site reaction 40 tingling 8 to 9 warm sensation 8 to 9 dizziness 8 to 9 LABORATORY MONITORING malaise 895 to 9 fatigue 896 to 9 and chest tightness or pressure 5 MONITORING PARAMETERSILEVELS WITH METHODS 1 Hypertensive effects have been reported following naratriptan overdoses ABSTRACTS 0 2 3 VITAL SIGNS EASE REPORTS A THERAPEUTIC USE TREATMENT 1 Hypertension may occur LIFE SUPPORT 0 2 5 CARDIOVASCULAR PATIENT DISPOSITION A WITH THERAPEUTIC USE MONITORING 1 Acute my
39. subscribers can look up a product description by using the Look up AAPCC Codes link shown in the top right corner of the Tox amp Product Lookup page Clicking the Look up AAPCC Codes link opens the AAPCC Codes Search page deh Print AAPCC Codes Enter search term Waterproofers sealants aerosols Waterproofers sealants liquids Waterproofers sealants solids Waterproofers sealants unknown form Energy Drinks Caffeine Containing From Any Source Including Guarana Kola Nut Tea Yerba Mate Coco Energy Drinks Caffeine Only Without Guarana Kola Nut Tea Yerba Mate Cocoa etc Eneray Drinks No Caffeine From Any Source Energy Drinks Unknown Energy Products Other Energy Drinks Ethanol and Caffeine Containing From Any Source Including Guarana Kola Nut Tea Yerb Energy Drinks Ethanol and Caffeine Only Without Guarana Kola Nut Tea Yerba Mate Cocoa etc Energy Drinks Ethanol Containing Without Caffeine From Any Source Scroll the List You can review the entire list of codes and definitions by using the scrollbar Print the Codes The complete list of codes and descriptions can be printed for reference Simply click the Print ICON i Print to send the printout to your local printer 2013 Truven Health Analytics Inc DEBBIE MICROMEDEX 2 0 USER GUIDE Product Code Search Searchable Codes NDC National Drug Codes The standard code format is 5 digits 4 digits 2 digits all
40. 0 USER GUIDE Performance Measures Clinical Checklist can help clinicians and hospitals comply with key quality and performance measures i e guidelines published by the Joint Commission Centers for Medicare amp Medicaid Services etc at the point of care Organizations providing credentialing standards or compliance measures are listed by their abbreviation in the Performance Measure column The full organization name is found below the table Organizations Currently six organizations performance measures are included Joint Commission formerly Joint Commission on Accreditation of Healthcare Organizations CMS Centers for Medicare amp Medicaid Services Agency for Health Research amp Quality AH American Healthways NQF National Quality Forum HEDIS Health Plan Employer Data and Information Set Start a New Search ERE Micromedex 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX Start a naw soarrh at g Tox amp Drug Drug RED BOOK patibility Identification Product Lookup Comparison Online Calculators Formulary any time by typing in the SEARCH box SEARCH Example Searches If at any time you wish to search for something else enter the new search term s in the Search box located at the top of the page 2013 Truven Health Analytics Inc CHAPTER 5 DISEASE INFORMATION DETAILED DISEASE INFORMATION DISEASEDEX General Emergency Medicine When viewing
41. 135 Search by imprint COGS NER EIE 135 Imprint Code Search Results 138 Viewing Drug Information nnne 139 POISINDEX Managements scorre e taro iret Fr Erster perrito 140 OTHER SOURCES gt Button 141 Drug Identification by Description No Imprint Code Available 142 Search Results When Searching by Description sess 144 Chapter 12 Tox amp Drug Product Lookup Tool 147 Searching by Product or Substance _ 148 TOX amp Product LOOKUP ag 148 feels deze Mere o mE 148 Exporting Search Results eisxbissuatutns este exibunt ien Qum III d SERI gn 148 TE PAGO RETE dienteemnapeantetnuaetaltonsendeuamedt 152 POISINDEX Managements 153 OTHER SOURCES BURON me T m 154 EMO D dre E a aE EE E E 155 ug OOo RETRO 155 Product Code SOON CN NERONI 156 AE VS OSS NE TT 156 Search RCSUNNS
42. 2 giejelisnulreiieiin serum eee een aoe een ene eee eee ee ee eee ee 2 MY SUES CI 3 MICROMEDEX GATEWAY 3 LOG OUT e 3 3 joor e 4 Additional Applications from Micromedex ssesseessssesssseeeee nennen nennen 4 NE WGFEED T 4 5216720 EET 5 ir 8 Antidote Dosing Calculators and Nomograms sssssssesssssseeeeee eene ne nennen nn aar nnn nnns 9 Laboratory s Ez RR RR ies 9 LO MO ERN NUN ERR 10 Clinical EE PRODR 11 Measurement Calculators 11 Chapter 2 Searching Micromedex 13 Drop Down 5009 5 5 2 tr rnt opta rta et pee xx Ses ehe tusiem 14 ENGNG a New Se ANG WV REI TOES 16 Building Searches with Multiple Terms or 16 0 5 18 Targete
43. 3 Type the first drug brand or generic in the Enter Search Term field If you are unsure of the spelling just type as many characters as you know Note IV Compatibility searches must be built using a drug Do not build a search using a Solution as a search term Compatibility with Solutions is returned for the drug Matching Drug Names As you type the word wheel begins to narrow your search results in the Matching Drug Names list based on the characters you have entered The more characters you type the more focused the results The number of matches to the drug name is also updated as you type IV Compatibility the drug name brand generic in the search field Select the drug and click the Add button Enter search term Matching drug names 1 Drugs to check Warfarin sodium Anakinra Cefazolin sodium Frusermide Heparin sodium ez Warfarin socium If the drug you are interested in is listed in the Matching Drug Names list click on the drug and then click the 5 button to add the drug to the Drugs to Check list If you are looking for compatibility based on a single drug then click the Submit button However if more than one drug should be calculated repeat steps one through three until you have all the drugs you wish to check for interactions in the Drugs to Check list If you accidentally add a drug in the Drugs to Check list select the drug by clicking it then remove it from the lis
44. 55 64 224 EPA code 156 H HEDIS 88 Herbal Medicines A Guide for the Health Care Professional 224 IDENTIDEX System 215 imprint code 135 Index Nominum 216 INFOTEXT Documents 224 Interactions Single 70 Italian Drug Database 36 43 48 55 64 217 IV Compatibility 1 2 NS 76 130 Admixture 77 126 Caution Variable 76 121 Compatible 76 121 D10W 76 130 237 D5LR 76 130 D5NS 76 130 D5W 76 130 Incompatible 76 121 Not Tested 76 121 NS 76 130 Syringe 77 127 TPN TNA 77 Uncertain 76 121 Y Site 77 124 IV Compatibility Single 75 IV INDEX 75 127 J Joint Commission 29 88 L look alike 29 M Major 71 Micromedex Search Accelerator vii Minor 71 Moderate 71 N NAC Dosing for Acetaminophen Overdose 9 National Patient Safety Goal 29 NDC Code 145 NDC code 156 New Search 16 NQF 88 O Orange Book Codes 234 P P amp T QUIK Reports 64 Pattern 143 PCP 156 PDR 64 Performance Measures 88 Pest Control Product 156 Physicians Desk Reference amp 64 POISINDEX System 221 Poison Control Centers 155 pop up information 7 Prevention 82 Prevention amp Screening 82 R RED BOOK Filters 173 Manufacturer Contact Details 189 Manufacturer Product List 182 2013 Truven Health Analytics Inc INDEX Product Details 184 Search Results 173 Searching 170 Similar Product Search 178 Terms and Definitions 235 REMS 20 25 44 Reproductive Risk 64 REPRORISK System 222 REPROTEXT
45. Acquisition Cost per unit AWP Unit Price The AWP Unit Price column displays the Average Wholesale Price per unit See Unit Price Calculations on page 228 for information on how The Pkg package column displays the quantity of individual items unit prices are calculated Note Columns for which no data is returned will contain two dashes In addition to the information displayed the Similar Products Search Results page provides the ability to view detailed product information export the search results and save them to your computer or to print your search results This is the same functionality that is present on the main RED BOOK Online Search Results page ma X Note lf only one item meets the search criteria you will receive the following E message There were no additional items found for this search MICROMEDEX 2 0 USER GUIDE Manufacturer Product List Search Results The Manufacturer search option enables you to view products in the RED BOOK Online data from a selected manufacturer RED BOOK Online Search Go to Custa search for prescription or over the counter medications nutraceuticals bulk chemicals medical devices or supplies by product name or manufacturer Search for a specific active ingredient in the product or by a specific code such as NDC UPC or HRI want to search by Enter search term Product Name Active Ingredient MERCK amp CO NDC HR
46. Advise patient on the proper handling and disposal of chemotherapy drugs Drug Images Patients should not use NSAIDs prior to or concurrently with high dose methotrexate therapy US Trade Names Class Advise patient to call healthcare professional if a dose is missed as drug should be given on a regular schedule Regulatory Status Methotrexate Oral route Tablet Generic Availability Methotrexate Injection route Injectable Powder for Solution Solution MECHANISM OF ACTION PHARMACOKINETICS ADMINISTRATION MONITORING Customers with a subscription to the HOW SUPPLIED CareNotes TM System also see links to oee patient education documents TOXICOLOGY Clinical Effects Treatment Range of Toxicity CLINICAL TEACHING REFERENCES The Clinical Teaching topic contains information that should be relayed to the patient regarding the selected drug Links to patient education information are shown as links with a CareNotes System subscription in the text Click the link to go directly to the patient education information for the drug selected 2013 Truven Health Analytics Inc pcm CHAPTER 4 DRUG INFORMATION DRUG INFORMATION The Detailed DRUGDEX Evaluation When viewing detailed drug information you can e Open sub topics clicking on the sub topic header bar shown on the right side of the page e Return to the top of the topic using the Top of Page links e Navigate to other topics and sub topics in the monograph using t
47. Custom List Edit page displays Type the code in the search field Choose item and select the button Select the amp button to remove items from the list Select Save to retain any changes Select Submit to view results list Working custom list New Custom File rou custom Ist name Wil appear ence you save amd reload your Tile Enter NDC HRUUPC Products Add Using Other Criteria Custom lists can be built using e Acode number NDC HRI UPC see page 193 e Product name active ingredient or manufacturer s name see page 194 By default the search by NDC HRI UPC code search page is shown 192 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE Creating a Custom List by NDC HRI UPC Code If you choose to create your custom list searching by a code begin entering the code number in the Enter NDC HRI UPC field As you type RED BOOK Online will make product suggestions based on the characters entered An example of this functionality is shown below Type tl code in the search field Choose ar changes Select Submit to view results list tem and select the button Select tl bulton to remove items from the list Select Save to retain any Working custom list name New Custom File Your custom Uist name will appearance yousave are reload your file Enter NDC HRUUPC 00904 0002 14 00904 D002 28 00904 0002 41 00904 0003 14 00904 0004 14 00904 0004 28 00904
48. Database 222 REPROTOX 222 Risk Evaluation and Mitigation Strategy 44 Route Listing 233 S Screening 82 search 13 Search Accelerator vii search box 14 Search Example 18 search query 14 Search Term s 18 Severities 71 Contraindicated 111 115 Major 71 111 115 Minor 71 111 115 Moderate 71 111 115 Unknown 71 111 115 Shape 142 Shepard s 222 sound alike 29 Strength of Evidence 87 Strength of Recommendation 87 Studies amp Alerts 82 summary Dashboards 51 T tall man lettering 29 TERIS 222 Toxicity Nomograms 9 ToxPoints amp System 224 TPN TNA 132 Training center 6 U Unit Price Calculations 228 United Kingdom Drug Information 36 43 48 55 64 224 UPC code 156 2013 Truven Health Analytics Inc INDEX SS MICROMEDEX 2 0 USER GUIDE 240 2013 Truven Health Analytics Inc
49. Details Information Field Name Description Product Name This field displays the name of the product selected If the product is not currently marketed its deactivated status is displayed directly underneath the product name Active Ingredient s The active ingredient s for the product is are displayed Manufacturer Distributor The manufacturer distributor of the product is displayed The dosage form for the product is displayed For more information on dosage forms See Dosage Form Descriptions on page 230 The product strength when applicable is displayed This field is limited to 75 characters The package quantity volume or mass is displayed Route of Admin The route of administration for the product is displayed Orange Book Code When applicable the corresponding Orange Book Code for the product is displayed DEA Class The Drug Enforcement Agency DEA classification code is displayed Code The Code Type column identifies the registry listed for the identifier either NDC HRI or UPC The identifying code itself NCD HRI or UPC is displayed The Unit Dose field indicates if the product retrieved in your search is available in unit dose packaging A Y indicates that the product is available in unit dose packaging An N indicates that the product is not Single Source Single source Y identifies the product as a drug formulation generally available from only one source If the
50. Did you mean quaifen guard guaiac guacil If there were neither matches to your keyword s nor similar matches found in spelling help the No Matches Found message is displayed Check your spelling and try again or modify your keyword s to a more common search term and try again There were no results found for steamboat Please refine your search by trying the following suggestions or entering a new query above Check your spelling e Use the suggestions listed in the search dropdown list 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE SUMMARY DISEASE INFORMATION DISEASEDEX Emergency or General Medicine Summary ClinicalPoints Once the summary information opens you can e Scroll the entire topic using the scrollbar on the right e Return to the top of the topic using the Top of Page links e Navigate to other topics and sub topics in the summary using the outline on the left e Print the topic or selected topics or the entire summary by clicking the Print hyperlink and selecting the topics desired see Print on page 7 for more information e Click the View related documents link if available to open other types of information for the selected disease or condition Chronic obstructive pulmonary disease E Display Entire Document dg Print MEDICAL HISTORY DISEASEDEX General Medicine Summary MENS FINDINGS View Related Documents S Clini
51. Dosing Calculator IV Rate Calculator Metric Conversions Calculator NAC Dosing for Acetaminophen Overdose Nitroglycerin Dosing Calculator Nitroprusside Dosing Calculator Norepinephrine Dosing Calculator Adult Norepinephrine Dosing Calculator Pediatric Phenytoin Level Adjustment Calculator SIU Conversion Calculator Toxicity Nomograms A full list of calculators available in Micromedex 2 0 and a brief description of each follows 2013 Truven Health Analytics Inc CHAPTER 1 MICROMEDEXO 2 0 OVERVIEW Antidote Dosing Calculators and Nomograms Alcohols Ethylene Glycol Blood Level Provides levels for a single acute ingestion Calculate the blood levels for ethanol methanol ethylene glycol or isopropyl alcohol Ethanol IV Dosing for Methanol Ethylene Glycol Overdose Options are available to calculate for initiation of therapy or to adjust a maintenance dose based on plasma level NAC Dosing for Acetaminophen Overdose Calculates acetaminophen overdose treatment based on the patient s weight including the loading dose and maintenance dose Toxicity Nomogram Calculates the toxicity risk of Acetaminophen You provide the blood plasma level and unit measurement mcg ml mg dcl or SI Units as well as the time since ingestion of Acetaminophen Results can be displayed in graph or table format Laboratory Values Anion Gap Calculator Enter the sodium chloride bicarbonate and potassium levels to calculate anio
52. Drug Consults e Product Index Drug Evaluations Drug evaluation monographs appear in a standardized format that allows you to easily find the information you need Specific topic areas include the following e Dosage e Pharmacokinetics e Interactions e Cautions e Interactions e Adverse side effects e Contraindications precautions e Comparative drug efficacy e Clinical applications e Comparative drug efficacy e Indications e Therapeutic uses e Generic names e Indications e Adverse side effects Drug Consults Some Drug Consults present patient related referenced consultations with case histories They are also an excellent resource for information on herbal medications medical and surgical materials excipients drugs of abuse and health foods Drug Consults are provided for investigational international FDA approved and over the counter preparations DRUGDEX Product Index a4 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS Product documents offer comprehensive search results listing trade names manufacturers and dosage forms for investigational international FDA approved and over the counter preparations DrugPoints amp System The DrugPoints amp System provides brief highlights of dosing drug interactions adverse effects pregnancy warnings indications cautions therapeutic class and brand information The DrugPoints System delivers answers quickly and efficiently The System also
53. Information 2 gt Disease Information 16 _ gt Lab Information 24 Reproductive Risk Information 3 REPROTOX 1 METHOTREXATE SHEPARDS 1 METHOTREXATE TERIS 1 METHOTREXATE 3 Reproductive Risk results found for Methotrexate Sodium Tox amp Drug Methotrexate Sodium gt Top of Page Martindale Methotrexate Sodium RED BOOK Online Methotrexate Sodium gt Display All 751 Drug 596 Disease 74 Toxicology 3 Alternative Medicine 75 Reproductive Risk 3 Page 1 Results for 1 3 1 METHOTREXATE Reproductive Risk Teratogenic effects of substances Shepard s 2 METHOTREXATE Reproductive Risk Environmental azards to human reproduction and development REPROTOX Reproductive Risk results found are normally shown on the dashboard and or the Intermediate Search Results area 2013 Truven Health Analytics Inc pp MICROMEDEX 2 0 USER GUIDE TIPS FOR FINDING DRUG INFORMATION Find a Drug or Substance You can search for drug information using an ingredient the brand name or the generic name as the search term Free Text Searches amp Searches Using Targeted Search Terms We encourage you to search for your drug information using natural language queries such as does docetaxel cause nail damage or what is the FDA approved drug for hypokalemia Certain search terms will produce a result directly positioned to the appropriate topic
54. Nomograms 9 Clinical Calculators Alveolar Arterial Oxygen Gradient 11 Dosing Tools ACLS PALS Guidelines 10 Dobutamine Dosing Calculator 10 Dopamine Dosing Calculator 10 Epinephrine Dosing Calculator Adult 10 Epinephrine Dosing Calculator Pediatric 10 Heparin Dosing Calculator 10 IV Rate Calculator 10 Nitroglycerin Dosing Calculator 10 Nitroprusside Dosing Calculator 10 Norepinephrine Dosing Calculator Adult 10 Norepinephrine Dosing Calculator Pediatric 1 1 Laboratory Values Anion Gap Calculator 9 Creatinine Clearance Calculator 9 Phenytoin Level Adjustment Calculator 9 Measurement Calculators Body Mass Index Calculator 11 Body Weight amp Surface Area Calculator 11 Metric Conversions Calculator 11 SIU Conversion Calculator 11 California Registry Number 156 CAM 103 2013 Truven Health Analytics Inc CAS number 156 Chronic 82 Clinical Checklist 86 ClinicalPoints System 212 CMS 88 Color 142 Contraindicated 71 CRN 156 D Detailed Drug Information for the Consumer 64 Dialogo sui Farmaci 36 43 48 55 64 217 DIN code 156 DISEASEDEX M System Emergency Medicine 212 General Medicine 213 Documentation Ratings 72 Excellent 72 112 116 Fair 72 112 116 Good 72 112 116 Unknown 72 112 116 Dosage Form Descriptions 230 drop down suggestions 14 Drug Shortages 46 DRUGDEX System 214 DrugPoints System 215 DRUG REAX 111 112 116 DRUG REAX System 215 Drugs that cause 20 63 E eMC SmPC 36 43 48
55. Overview information for single drug admixture compatibility is shown alphabetically by drug name with the associated compatibility icon and description Click the drug name link to view the pop up with the compatibility details Syringe Overview available to IV INDEX subscribers only Overview information for single drug syringe compatibility is shown alphabetically by drug name with the associated compatibility icon and description Click the drug name link to view the pop up with the compatibility details TPN TNA Overview available to IV INDEX subscribers only Overview information for single drug TPN 2 in 1 total parenteral nutrition is shown first followed by TNA 3 in 1 total nutritive admixture compatibility Note TPN and TNA results are not result type specific They can be a Y Site Solution or Admixture result Results are comprised of all compatibility tests where the drug name searched Is either the primary or secondary agent and the drug is being included with a TPN or TNA solution Within each TPN or TNA section the results are sorted alphabetically by the TPN or TNA admixture name with each associated compatibility icon and description followed by high level notes including composition of the TPN TNA on these tests 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Clinical Teaching DOSING amp INDICATIONS Methotrexate Sodium E Display Entire Document Print P
56. Pfizer USA United States 7889923 DEXTROMETHORPHAN DRUGDEX Actipg Cough A Ato ap ata P Robitussin Ac POISINDEX Product Lil Product Document gt POISINDEX ODEINE ETHANOL OPIOID WITHDRAWAL DRUGBEX Evaluatio GUAIFENESIN CODEINE RegulatopysMfatus Schedule V Ingredients CODEINE LIFE SUPPORT CLINICAL EFFECTS POISINDEX Managements i OTHER SOURCES LABORATORY MONITORING TREATMENT OVERVIEW RANGE OF TOXICITY OVERVIEW SUBSTANCES INCLUDED SYNONYMS gt LIFE SUPPORT THERAPEUTIC TOXIC CLASS SPECIFIC SUBSTANCES gt CLINICAL EFFECTS AVAILABLE FORMSISOURCES gt LABORATORY MONITORING CLINICAL EFFECTS SUMMARY OF EXPOSURE TREATMENT OVERVIEW CARDIOVASCULAR gt RANGE OF TOXICITY RESPIRATORY NEUROLOGIC GASTROINTESTINAL DERMATOLOGIC REPRODUCTIVE OTHER LABORATORY MONITORING MONITORING PARAMETERS LEVELS RADIOGRAPHIC STUDIES ains aa Mns METHODS When viewing detailed toxicologic information you can Display Entire Document ih Print Expand All Collapse All t Top of Page e Openasingle sub topic by clicking the link in the outline on the left side of the page or by clicking the sub topic header bar shown on the right side of the page e Expand all topics by clicking the Expand AL link e Collapse all open topics by clicking the Collapse ALL link e Return to the top of the topic using the Top of Page links e Nav
57. Refer to the Microsoft Knowledge Base http support microsoft com kb 918238 How to create custom adm or admx files to add search providers to the toolbar search box in Internet Explorer and TechNet articles http technet microsoft com en us library cc985351 aspx Group Policy and Internet Explorer 8 for suggestions on deploying custom Search Provider lists The policy to apply search providers to end user desktops can be found in the Add a specific list of search providers to the user s search provider list group policy If you have already applied restrictions on search providers the Restrict search providers to a specific list of providers group policy may also apply These policies reside in the Windows Components Internet Explorer area of the group policy tree Adding the Micromedex Search Accelerator to the Preferred Provider List 1 Using the Group Policy Management Editor an Active Directory snap in create a new Group Policy Object GPO for the preferred provider list which will include Micromedex Search 2 Edit the newly created GPO to include Micromedex Search Policy is configured under User Configuration Policies Administrative Templates Windows Components Internet Explorer 4 Enable the Add a specific list of search providers to the search provider list policy and include Micromedex If your facility is currently in the practice of restricting Search Providers it is recommended that you
58. Route if applicable e The type of information drug disease lab etc the type of document detailed summary etc and a link to the associated dashboard if available DETAILED DRUG DASHBOARDS Detailed drug information does not always have corresponding HYDROCODONE summary information View detailed dacument 4 Jump to 360 other search results In the occasional instance MICROMEDEX DRUG SUMMARY INFORMATION where a summary document detailed document contents No summary is available Whi does not exist for the Adult Dosage Contraindications substance searched the is AND dashboard presented links to ADME Drug Interactions the detailed drug document topics rather than the summary You will notice a message stating that you are viewing the detailed information with a link to an explanation for the list of possible reasons this can po OLOR aaa ain happen pmo na cl The drug may not be commercially available This can be due to various reasons such as discontinuation recall voluntary withdrawal or investigational status Commercial availability may vary by country OTHER INFORMATION MARTINDALE INDEX NOMINUM Hydrocodone Hydrochloride Hydrocodone Rec INN The search was for class type information Summary information is not provided for Antacids Sunscreens Contraceptive Combinations Parenteral Amino Acids and other classes topics 2013 Truven Health Analytics Inc o B MIC
59. Rphg Deres Drange Code Identifier Book Code H M x H H H Type MDC HDG HDG DOO0n 3T7 1150 D05068 37 12 25 KERR rH Form EOL Strength Rowe 0 25 n 25 0 05 mmi INTREVEHUOUE INTRAVENOUS Page 1 of 1 Pkg Unit Sie Dose mal 25 INTRAVENOUS a N Ge WAC Ph Price 188 43 TO Exponas revs dh Print AVP ALF Price 28 10 4 mogh 1 The Manufacturer search results can be saved as a Microsoft Excel xls file or a Comma Separated Values csv file by selecting one of the two options from the Export drop down menu at the top of the page Additionally you can print the results by clicking the Print icon in the upper right corner of the page 2013 Truven Health Analytics Inc a mum Note Columns for which no data is returned will contain two dashes 3 MICROMEDEX 2 0 USER GUIDE Product Details Search Results RED BOOK Online provides the ability to view detailed information for single or multiple products You can access the detailed product information from the RED BOOK Online Search Results page RED BOOK Search Results Madity Search Displaying results found for Product Mame HUMALOG Applied Filters Status Reparkagers Include Results 1 8 of amp Det sils Price New Product Name v Active Ingredient Manutacturers Rp amp g Generic Orange Co
60. SINGLE View multiple drug interactions Severity All v Documentation All Refine by Display Entire Document P Breast Feeding DRUG INTERACTIONS SINGLE ADVERSE EFFECTS Common Serious IV COMPATIBILITY SINGLE NAME INFO US Trade Names Class Regulatory Status Generic Availability MECHANISM OF ACTION PHARMACOKINETICS ADMINISTRATION MONITORING HOW SUPPLIED TOXICOLOGY Clinical Effects Treatment Range of Toxicity CLINICAL TEACHING REFERENCES Jump To Drug Drug 87 0 LACTATION 1 Drug Drug Interactions 87 Drugs Severity HEPARIN Systemic ASPIRIN LYSINE Systemic INDOMETHACIN Intravenous HEPARIN Intravenous FLUVOXAMINE ANTICOAGULANTS SERTRALINE ANTICOAGULANTS TAN SHEN ANTICOAGULANTS MILNACIPRAN ANTICOAGULANTS GINKGO ANTICOAGULANTS PREGNANCY 1 Documentation Summary Concurrent use of ASPIRIN and HEPARIN may result in an increased risk of bleeding Excellent Concurrent use of HEPARIN and INDOMETHACIN may result in reduced effectiveness of indomethacin for the treatment of patent ductus arteriosus Concurrent use of FLUVOXAMINE and ANTICOAGULANTS may result in an increased risk of bleeding Concurrent use of SERTRALINE and ANTICOAGULANTS may result in an increased risk of bleeding Excellent Concurrent use of TAN SHEN and ANTICOAGULANTS may result in increased risk of bleeding Concurrent use of M
61. Save button to save the file to your computer list file 2013 Truven Health Analytics Inc Note The file extension must be rbo indicating itis a RED BOOK Online custom MICROMEDEX 2 0 USER GUIDE Download complete amp Download Complete REDBOOK CustomList rbo From Eshuscadendvsb1 Downloaded 182 bytes in 1 sec Download to WREDBOOK CustamList Transfer rate 182 bytes Sec Close this dialog box when download completes Click the Close button The file is now saved You can use this file to perform a search on this list of products as necessary 2013 Truven Health Analytics Inc SS CHAPTER 14 RED BOOK ONLINE Creating a Custom List Manually You can create a Custom List completely outside of the RED BOOK Online application using any text editor or third party word processor as long as you create the list according to the following guidelines filename must carry the rbo file extension e g product list name rbo e file structure must be pipe delimited e All entries must follow the appropriate code format of 5 4 2 or 5 6 e g 12345 6789 00 or 12345 678900 E 2011 ProductIrack List rbo Notepad File Edit Format view Help 10106 94 90 03 44087 0022 03 55045 1112 03 66004 084 7 18 77273 010604 2013 Truv
62. Selected button The custom list is loaded into RED BOOK Online and is displayed in the Product box on the Custom List Edit page 20200 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE the code in the search field Choose an and select the Dutton Select the button to remove items from the list Select Save to retain any changes zelect SUBMIT to view results rst Working custom list name REDBOOK Customl ist rbo Enter NDCIHRI UPC Products 00024 5501 37 AMBIEN CR 00024 5521 10 AMBIEN CR 00024 5824 11 JEVTANA 00052 0602 02 TICE f 00052 0603 02 BOS VACCINE 00418 8802 10 BCG INTRAVE 00517 8722 10 CEF TRIAXOME 11793 8802 01 THERACYS 17317 0001 04 ACACIA 17317 0001 08 ACACIA 33261 0521 02 LYRICA 33261 0522 02 LYRICA 33261 0690 90 LYRICA With the list selected and loaded you can now e Edit your custom list by adding additional products or e Perform a search on your custom list by clicking the Submit button Retum to Custom List RED BOOK Online Custom List Manager Results Detailed results about custom list products To add or remove items Select Return to Custom List buttor Displaying results for working custom list name REDBOOK CustomList rbo Reauta 1 24 of 24 Daak Price New Product Name Active Manufacturer Rp amp g Generic Orange Code Identitier Fom Strengih Route Pkg Unit WAC AWP Chg Pkg ingredient S x ributor Bo
63. Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility Identification Product Lookup Comparison Online Calculators Formulary CareNotes A Example Searches The following examples show the search terms that will result in opening the document positioned at the desired topic section with this release Search Term s NEN Search Example e dosing for propofol Dosing dosing drug basiliximab dosage e what is the dosing for minoxidil e Treatment therapy treatment drug causes drug condition e damage caused by docetaxel e benzonatate approved for e sumatriptan FDA labeled e rituximab approved for rheumatoid FDA labeled drug approved FDA labeled condition MEI FDA Labeled FDA drug e scopolamine FDA labeled for motion sickness e FDA Labeled postoperative wound Non FDA Labeled non FDA labeled condition infection benzoyl peroxide Non FDA approved drug excessive salivation scopolamine non FDA labeled e drug interactions for amiodarone Drug Interactions drug interactions drug The number of terms with this focused search functionality will continue to grow with each release of Micromedex 2 0 Note Searches NOT case sensitive BENE 2013 Truven Health Analytics Inc CHAPTER 2 SEARCHING MICROMEDEX The following terms are examples of terms in the drop down suggestion list and can help prov
64. Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE Viewing Manufacturer Contact Details From any RED BOOK Online Search Results page that displays a manufacturer name you can obtain manufacturer contact information Click a manufacturer s name as shown in the example below RED BOOK Online Search Results zai Exportas B Print Displaying results found for Product Mame LYRIC Appicd Filters Status Active Repackagers Exclude Resulte 1 12 of 12 Page lot Gao 4 Previous Hert Price Hew Product Hame Active Manufacturer Rpkg Genenc Orange Code identifier Form Strength Route Pkg lint WAC AWP Pkg Ingredient Distributor Book Type Sire Dose Pkg Pkg Unit Code Pice Proce Price PFIZER U 5 poe LI LYRICA pregabalin PHARMACEUTICALS 0001 1012 125 ORAL m 21253 25504 2863376 LYRICA ALS 00071 10418 58 150 ORAL 02253 25544 MANUFACTURER DETAILS Manufacturer Hame PFIZER U S PHARMACEUTICALS R OLIP Address 1 235 EAST 42N0 STREET Address 2 City NEW YORE State HY Zip 1001 Phone 00 533 4535 Labeler Codes i0045 COOBS 0007 1 More t Click the More Link to view PRINT amp CLOSE X additional labeler codes used Ey tne manufacturer wet er ava ilak le 2013 Truven Health Analytics Inc 189 MICROMEDEX 2 0 USER GUIDE The Manufacturer Details pop up box displays th
65. USER GUIDE Creating a Custom List by Name Active Ingredient or Manufacturer RED BOOK Online Custom List Manager Edit Type the code in the search field Choose an item and select the button Select the button to remove items from the list Select Save to retair any changes Select Submit to view results list Working custom list name New Custom File Your custom list name will appear once you save and reload your file Products Add Using Other Criteria gt RED BOOK Online allows you to create a custom list using a product name active ingredient or manufacturer s name as a search term Click the Add Using Other Criteria button located directly above the Products box on the initial Custom List Manager Edit page Enter NDC HRI UPC RED BOOK Online Custom List Manager Other Criteria Search Raum to Custom List add to your custom lish search by product name active ingredient code or manufacturer Working custom list name New Custom File Yourcustom List name will a ppa ar orca yousav and load your file want to search by Enter search term CO Active Ingredient C HDC HRILPC LT C Manufacturer Name want ta filter by Status 2 O Deactivated Repackagers C Include Repackagers The HED BOOK Online Custom List Manager Other Criteria Search functions exactly like the regular RED BOOK Online search tool See Searching RED BOOK Online on page 170 for m
66. a detailed disease document you can e Open sub topics clicking on the sub topic header bar shown on the right side of the page e Return to the top of the topic using the Top of Page links e Navigate to other topics and sub topics in the monograph using the document outline links located on the left hand side of the page e Scroll the entire document by clicking on the Display Entire Document link e Click on the View Related Documents link such as Acute Chronic Prevention amp Screening or Studies amp Alerts if available to open other types of information for the selected disease or condition Print the topic or selected topics or the entire summary by clicking the Print icon and selecting the topics desired see Print on page 7 for more information BACKGROUND Sub Topics Ionic obstructive pulmonary disease E Display Entire Document Detinion a DISEASEDEX General Medicine Clinical Review 1 1010 mum ade View Related Documents Clinical Checklist related to this topic Summary BACKGROUND Expand All Collapse Al 4T Medical History Findings Definition DIAGNOSTIC TESTING Diagnostic Testing Summary Tests DIAGNOSIS Diagnostic Criteria Differential Diagnosis ONGOING ASSESSMENT N Epidemiology Management Classification Reassessment TREATMENT Treatment Summary Drug Thera eas an eae COPD is a leading cause of morbidity and mortality
67. and continue building your query Single click on one of the drop down suggestions to add it to your search query and then continue building your search with additional terms and keywords e Start the search using the item s selected Single click on an item in the drop down and click the SEARCH button or the Enter key to immediately start the search using the item selected Double click on the item in the drop down list to add it to the query and start the search 2013 Truven Health Analytics Inc CHAPTER 2 SEARCHING MICROMEDEX Keep typing The list narrows with each match to the characters you type When a full match has been typed or if no matching keyword was found the drop down disappears For example if you continue typing dosing for it is added to your query and the drop down disappears You can then add additional parameters e g adding the drug to the dosing for search or begin the search based on what is currently in the search box by clicking the SEARCH button or pressing the Enter key Micromedex 2 0 ileMi x l 2 0 10 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GAT Tools Drug Trissels 2 Drug Tox amp Drug Drug RED BOOK Interactions IV Compatibility Identification Product Lookup Comparison Online Calculators Formulary Carell dosing for digo SEARCH Example Searches Clinical News Digoxin blood measurement Digoxin immune fab Digoxin Immune Fab Ov
68. and receive suggestions for Product or substance name Q Codes Q Product ID 9 Active ingredients 1 Select want to search by and receive suggestions for Active ingredients option 2 Begin typing the ingredient name The word wheel appears as soon as one character or digit is typed showing the first match to the information entered As additional characters or digits are typed the result set narrows 3 Type the entire ingredient and press the Enter key or Type the partial ingredient name scroll down the list and click to select Once selected click Search or Type the partial active ingredient name and click Search 160 2013 Truven Health Analytics Inc CHAPTER 12 TOX amp DRUG PRODUCT LOOKUP TOOL Search Results The information shown on the results page is the same as is shown by default for a Product or Substance Name search See Tox amp Drug Product Lookup Results on page 148 for a full explanation However when searching by active ingredient viewing Synonyms or Manufacturer Contact Info Begins with or Contains view options are not available 4 Modi rch i Tox amp Drug Product Results fy Seac Export Print Displaying results found for Results from United States Other Countries Display Product Substance Names 6 Synonyms 0 Manufacturer Contact Info 0 Jump To ALL 0 9 A B C D E F G H J
69. and toxicology documents for more detailed information on the topic or substance Provide evidence based testing information on how and when to monitor drug levels therapeutic levels and side effects Provide normal or therapeutic range to enable appropriate triage of lab test results Provide information on how to interpret unfamiliar tests when evaluating patients Provide information on how to collect samples and submit tests Additionally administrators will soon have the ability to customize Lab Advisor by adding facility specific notes directly to the content Administrators will be able to attach notes to either the main title level or to a specific section within an individual lab document Notes will allow the hospital to communicate specific instructions and lab protocols directly within the content helping to increase compliance with the hospital s policies and procedures 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS Martindale The Complete Drug Reference This electronic version of the highly respected MARTINDALE reference book published by The Royal Pharmaceutical Society of Great Britain offers extensive unbiased evaluated information on worldwide drugs and related substances System enhancements allow quick and easy searching for pharmacological and therapeutic data synonyms and manufacturers brand names What s in MARTINDALE The MARTINDALE database contains information on drugs in clinical
70. below the Did you mean heading Click the link to open the summary or begin a new search by typing a new search term in the box and click the Search button Your search for quaif did not match any documents Did you mean guaifen guard guaiac If there were neither matches to your keyword s nor similar matches found in spelling help the No Matches Found message is displayed Check your spelling and try again or modify your keyword s to a more common search term and try again There were no results found for steamboat Please refine your search by trying the following suggestions or entering a new query above Check your spelling Use the suggestions listed in the search dropdown list 4 If there is a direct match for your search term s you are presented with the Alternative Medicine Summary Dashboard Otherwise you are shown the INTERMEDIATE SEARCH RESULTS page 10 0 2013 Truven Health Analytics Inc CHAPTER 8 ALTERNATIVE MEDICINE INFORMATION View Dashboard Similar to the Drug and Disease Dashboards see DASHBOARDS on page 35 the Alternative Medicine dashboards organize all information related to the searched item into one compact and logical page Links to topic sections are shown and when clicked open the document positioned to the selected topic CINNAMON Jump to 75 other search results MICROMEDEX ALTERNATIVE MEDICINE INFORMATION PRODUCT LOOKUP Tox amp Drug C
71. but well controlled studies are lacking e Fair available documentation is poor but pharmacologic considerations lead clinicians to suspect the interaction exists or documentation is good for a pharmacologically similar drug Unknown unknown Note By default all Severities and all Documentation Ratings are displayed al 2013 Truven Health Analytics Inc CHAPTER 4 DRUG INFORMATION Filtering Results To show results for selected severities select the levels desired from the corresponding Severity drop down menu at the top of the page Check the box for the desired severity then click the Update button Heparin Sodium DrugPoint Summary 7 DRUG INTERACTIONS SINGLE View multiple drug interactions Refine by Severity All v Documentation All Checdceuncheck to refine eri jump To Drug Drug Check all Uncheck all LACTATION 1 Contraindicated Major Moderate Drug Drug Inte MN Drugs Unknown entation Summary HEPARIN Systemid ellent Concurrent LYSINE Systemic may result After refining the selections the title of the drop down changes from AI to Selected and only the severities ratings chosen display on the page Use the Documentation drop down to filter for results with specific documentation strengths oingle Interactions Results Interactions are grouped by type drug drug drug food etc and the total number of interactions found
72. compatibility types and hovering your mouse over the icon will open a pop up with the full compatibility description The full descriptions follow Compatible All studies showed these items as compatible A Caution Variable Study results show IV compatibility is variable e Incompatible All studies showed these items as incompatible Uncertain Study results were inconclusive compatibility wasn t determined 9 Not Tested IV compatibility has not been tested pem Note By default all Compatibilities are displayed Lo 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Modify the Drugs to Include Remove one or more drugs from the drugs selected for inclusion in the compatibility results The drugs included are displayed on the left side of the page To remove a drug click the checkbox and then click the Update button to recalculate compatibility for the drugs in the list Refine your selections or click on icon to view characteristics such as pH compatibility amp stability and proper rate of infusion kall Y Site Test Detail rj Anakinra rj Cefazolin sodium rj Furosemide Anakinra Cefazoli Anakinra Furose Heparin sodium v r3 Warfarin sodium a Anakinra Heparin Anakinra Warfarin Tip To see additional information on IV Solutions and TPN TNA compatibility select a single drug f
73. direct the results to a specific topic or area of information Therefore the application returns all possible matches on an intermediate search results page 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Understanding the Intermediate Search Results Page Each search result found is numbered with the result that was ranked highest in relevance returned as number one b Seasonal influenza Disease Detailed evidence based information x 1 View Dashboard The first line of each result shows the document title as a link Clicking on the title opens the document at the beginning top of the document The second line shows the content type Disease followed by the information type Emergency medicine summary topic followed by the database name ClinicalPoints and lastly a link to the Dashboard for this document The Intermediate Search Results 1 ESOMEPRAZOLE list displayed for a SU bstance Drug Detailed evidence based information DRUGDEX amp may also include the available 2 Esomeprazole Sodium route of the drug in the line Cee DrugPoints amp View Dashboard gt directly below the substance 3 Magnesium nam e Summary topic DrugPoints View Dashboard gt 4 ARILIAR 14 cps gastrores 20 mg Farmaco Sintesi delle Informazioni del Prodotto Dia ogo sui Farmaci 5 ARILAR 14 cps gastrores 40 mg Farmaco Sintesi delle Informazio
74. engine in Firefox but it requires an Add on to the browser In most cases the workflow and user experience for the Search Accelerator is very similar to the experience in Microsoft Internet Explorer Follow the instructions below 1 Download and install the Add to Search Bar add on available from the Mozilla Add ons website https addons mozilla org en US firefox addon add to search bar 2 On completing the installation of the add on restart the browser 3 Login to the Micromedex 2 0 Platform at www micromedexsolutions com micromedex2 librarian 4 On the Micromedex 2 0 home page select the arrow in the right hand search box in the header of the browser 5 Select Add Search Micromedex OMEDEX 2 0 Mozilla Firefox oles History Bookmarks Tools Help HEDEX 2 0 x 7 Firebug x si romedexsolutions com micromedex2 librarian E ES Google P J Google D Hah omedex 2 0 mobileMicromedex MY SUBSCRIPTION i a OUT HELP ing W wikipedia en Trissel s 2 Drug Tox amp Drug Drug RED BOOK M ztions Iv Compatibility Identification Product Lookup Comparison Online eNotes Manage Search Engines SEARCH Example Searches Micromedex 2 0 Year in Review Using Micromedex as a search engine in Firefox Once configured a Micromedex Search is available from the search engine box
75. goals of pulmonary rehabilitation include symptom reduction impr in tha nmiialit of and inerasacad and amntinnal narticinatinn in auvanidaw actinatiac 11 Topics generally available within disease summary are IEEE 2013 Truven Health Analytics Inc CHAPTER 5 DISEASE INFORMATION e Clinical Checklist information e Definition e Differential Diagnosis e Findings e Medical History e Treatment e Ongoing Assessment e Testing e References Sub topics If sub topics exist such as Drug Therapy Procedural Therapy clicking on the topic link expands the list showing the sub topics below The window is shown at the top of the topic section Go directly to a sub topic by clicking the sub topic link Hypertext Links within the Disease Summary Links shown within the disease summary mean that further information exists Click the link to view the information Links shown as numbers within brackets e g 1 link to the reference or citation for the information Links can also open definitions for items or open other related summary information Linked information may be presented in its own pop up box that can be printed if desired OTHER SOURCES gt Button OTHER SOURCES Gn to detailed document in DISESSEDEX for Chronic obstructive pulmonary disease View Dashboard for Chronic obstructive pulmonary disease CLOSE X Clicking the OTHER SOURCES button opens a pop up that displays options fo
76. in depth POISINDEX System Toxicological Managements available only with a current POISINDEX subscription United Kingdom Drug Information eMC SmPC The United Kingdom Drug Information database is a compilation of all pharmaceuticals marketed and approved for use in the United Kingdom It is made up of the Summary of Product Characteristics SmPC from the electronic Medicines Compendium eMC The SmPC is used by healthcare professionals such as doctors nurses and pharmacists and explains how to use and prescribe a medicine They are written and updated by pharmaceutical companies and are based on their research and product knowledge The SmPC is then checked and approved by the UK or European medicines licensing agency The contents may be categorized as follows e Name of the medicinal product 224 2013 Truven Health Analytics Inc 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS Qualitative and quantitative composition Pharmaceutical form Clinical particulars Therapeutic indications Posology and method of administration Contraindications Special warnings and precautions for use Interactions with other medicinal products and other forms of interaction Pregnancy and lactation Effects on ability to drive and use machines Undesirable effects and Overdose Pharmacological properties Pharmacodynamic properties Pharmacokinetic properties Preclinical safety data Pharmaceutical properties Lis
77. observation UV reported spectrophotometry and HPLC analysis to confirm drug Chemical concentrations Stability Chemically stable Little or no Container Simulated antibiotic increase in antibiotic loss heparin lock in glass test tubes was found compared to the antibiotic without the heparin present Storage Body temperature of 37 C Drug 1 Drug 2 Notes This admixed drug combination is intended for use as a lock solution Cefazolin sodium Heparin sodium PRINT amp CLOSE X Admixture compatibility details for multiple drug compatibility searches are shown in a five column table e Drug 1 contains the drug name the concentration and the manufacturer s name e Drug 2 shows the secondary agent name concentration and manufacturer s name e Status lists the compatibility icon and description Information displays the physical compatibility chemical stability if applicable and storage information e Test Parameters contains a link to the reference the study period the study methods and the container information for this particular combination e Notes for the test if applicable are shown in red text at the top of the detailed study information Return to the Overview page by clicking the CLOSE link 126 2013 Truven Health Analytics Inc CHAPTER 10 IV COMPATIBILITY TOOL Syringe IV INDEX amp customers Overview information for multiple drug syringe comp
78. on product name Click again to reverse the sort order The various column headings items and their function are described in the following table 2013 Truven Health Analytics Inc ANF Unit Frica 54 00000 4548800 15 5500 14 81600 CHAPTER 14 RED BOOK ONLINE Columns on the RED BOOK Online Search Results Column Name Description Details Button The Details button is related to the checkboxes that correspond to each line item in the search results Clicking the checkbox for either a single or for multiple products and then clicking the Details button launches the Product Details pop up box The Product Details pop up provides detailed information for the product s selected See Product Details Search Results on page 184 for more information Price Chg The Price Chg price change column indicates if the selected product has had a price change that is effective within the last 30 days of the date the search was performed 5 Ifa price change has occurred within this time window a dollar sign icon displays Hovering the cursor over the icon displays the effective date of the price change Price Change 2 22 2011 The New Pkg column indicates if the product on which you searched is a new entry in the RED BOOK Online database that became effective within the previous 30 days of the date the search was performed New entries the database are indicated by a star icon in this column Hovering the c
79. results to view only Drug Disease Toxicology Lab or Alternative Medicine search results gu Print F Display All 1579 Drug 988 Disease 190 Toxicology 161 Lab 15 Alternative Medicine 159 Reproductive Rise Page 1 Results tor 1 10 1 2 3 4 5 B 7 B 40 Hext 10 t dJumptoother results pages Seasonal influenza Disease Detailed evidence based information DiSEASEDEXWI View Dashboard 2 Avian influenza Disease Detailed evidence based information SEA SEDES View Dashboard 3 Avian influenza Disease Summary topic Glimical View Dashboard 4 Seasonal influenza Disease Summary topic Glimical Foints View Dashboard 3 Avian influenza Disease List of essential care interventions Glinica 0 Seasonal influenza Prevention amp Screening Disease Detailed evidence based information D SEASEDEAWI View Dashboard T Novel influenza A Disease Detailed evidence based information SEA SEDES M view Dashboard 8 Avian influenza Prevention amp Screening Disease Detailed evidence based information SEA SEDES M view Dashboard Since no other parameters terms or phrases included the search for flu there was way to focus the results on a specific type of flu There were also no other terms in the search that could
80. see Oral in the Iron dashboard example below Available Routes 7 Iron Iron Dextran lron Sucrose Sodium F View detailed dacument View summary document 4 Jump to 1035 other search results PRODUCT LOOKUP MICROMEDEX DRUG SUMMARY INFORMATION Tox amp Drug Iron Martindale Iran RED BOOK Online I Adut Dosing Drug Interactions single Administration Monitoring Pediatric Dosing Adverse Effects How Supplied DRUG CONSULTS 5 re FDA abeled Indications Adverse Effects Seriaus Toxicology Clinical Effects Labeled Indications US Trade Toxicology Treatment ETARY REF Contraindications Class Range ot m WW CPP ac uno p 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Searching on Brand Names Micromedex 2 0 is designed to accommodate searches by generic or brand name When there is a one to one match only one generic for the brand your search will land directly on the appropriate Drug Dashboard Note Subscribers to the international drug databases Italian United Kingdom etc see different brand name search results and should reference International Drug Customers on page 43 When a brand name drug may be comprised of many different formulations and or routes there is a many to one match When this occurs the following workflow is presented Using the example of the search term Tylenol demons
81. separated by a dash such as 00220 9313 04 This search is very much like the contains search therefore searching on 00220 9313 will return 00220 9313 01 00220 9313 02 00220 9313 03 and so on CAS numbers Chemical Abstracts Service CAS registry numbers standard format is 2 to 6 digits then 2 digits followed by 1 digit all separated by a dash such as 361377 29 9 DIN codes Drug Identification Number DIN numbers can be an 8 digit code or 5 digits then 4 digits separated by a dash example 00004588 or 00002 6069 EPA codes Environmental Protection Agency codes Type the code exactly e g 1332 58 7 or 475 237 or 4 30 869 UPC codes Universal Product Code UPC numbers follow no standard format or layout Be sure to type the code exactly including spaces letters and dashes for example 0 49424 13610 0 or XN 1014 3526 3 or 38753 31590 Other codes that can be searched are PCP Pest Control Product CRN California Registry Number and Fertilizer Act AAPCC Codes Tox amp Drug Product Lookup Search for drug products by brand name generic or branded generic commercial household products and chemicals by product name or synonym and other substances including plants and animals by Latin or common name and by slang terms Search by a specific active ingredient in the substance by a specific code such as NDC CAS or EPA code or a valid 7 digit Product ID want to search for E
82. staff Classes and courses are available in a variety of types and formats to offer a training solution that meets your individual need Hands On Tutorials eLearning courses give you the flexibility to learn at your pace MICROMEDEX TRAINING and within your schedule with hands on practice These courses offer an E SEARCH BY PRODUCT interactive learning experience Many T courses also offer the option of audio m narration Certificates of Completion can Tar be printed upon completion of the course CONTACT US In addition a selection of the Micromedex B courses have been translated into other languages to support our international Welcome to the MICROMEDEX Training Site customers 0020 Pe Video Demonstrations For the student MICROMEDEX 2 0 f HANDS ON TUTORIALS Interaetive who learns best with a brief on demand video demonstration this area offers Banie Training ler me cue Dess overviews of major features functions oe aS hs and the tools to get the most out of your Micromedex subscription CARENOTES HANDS ON TUTORIALS Interactive Web Seminars Live and Recorded Offered monthly our live training seminars give you the opportunity to speak directly to an expert as well as interact with other Micromedex customers during an online class Recorded seminars can be attended at any time to fit your schedule Train the Trainer Materials Training guides provide ste
83. the Drug Consult articles available in Micromedex 2 0 can be found with one search 1 Type consults or drug consults into the search box Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility ldentification Product Lookup Comparison Online Calcu SEARCH consults Drug Con drug consults a Displaying 578 Drug Consults articles Jump TopofPage 09 NIo Pla R s TI 0 9 9 2 USED FOR ACUTE MYELOGENOUS LEUKEMIA REINDUCTION 7 3 USED FOR ACUTE MYELOGENOUS LEUKEMIA INDUCTION A 2 Select consults or drug consults from the list to retrieve the list of drug consult documents available 3 The list of DRUGDEX Drug Consults is shown in alphabetical order 4 Click on a title to open the associated drug consult document 5 To move to a title later in the alphabet use the Jump To menu Click on the letter or number link to position the page to the first document that begins with the selected letter 2013 Truven Health Analytics Inc SS MICROMEDEX 2 0 USER GUIDE ee 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS Search results can vary depending on the amount of information provided for the search and the type of match found Types of search results available in Micromedex 2 0 are e Directly to the document and topic OVERVIEW Drug Properties Storage and Stability Ad
84. the Jump To menu This menu provides the ability to navigate directly to an alphabetical index of all of the product names in the RED BOOK Online data available from the manufacturer for which you searched Letters in the menu that are blue are hypertext links When clicked the hypertext link moves you down the page to the corresponding entries Letters in the menu that are grey are not hyperlinks and indicate that there are no product names in the list of results that begin with that letter Additionally each product listed in the index of products from the manufacturer is a hypertext link Clicking the hypertext link opens the HED BOOK Online Search Results page for the 182 2013 Truven Health Analytics Inc RED BOOK Online Search Results Displaying results found for Manufacturer MERCK amp CO INC Product Name AGGRASTAT Remuks 1 2 of 3 mme Price Mew Product Hame T Chg Pag Fw m CHAPTER 14 RED BOOK ONLINE product name selected For example performing a manufacturer search for Merck amp Co Inc and then clicking the hyperlink for the product name Aggrastat would return the following RED BOOK Online Search Results page AGGREASTAT DEACTIVATED AGORASTAT DEACTIVATED 4SGRAETAT DEALTIVATED Achre Ingredient brafizan hyorochinng Inydroctieiide tim iban Iydreclinrida Ma rlestureri Distributor HERCE amp CD MERCH amp Oo IND ECO IC Modify Search
85. the search results page when searching by imprint code Click Search Images to search for images NOTE Not all drugs have a corresponding picture Drug Identification Results Modify identification Search Images gt Speed menu Click the linked letter or 0 9 to Imprint jump to that position in the list of results Click any hyperlinked heading to sort by that column 3 Drug Matches for Mr 1 23 of 23 matching drugs Previous The up down triangles and Sort Results by drop down show which column is currently selected for sort Imprint v Drug Name Manufacturer Availability AAPCC Poisindex Managements Toggle between ascending and descending sorts by clicking the underlined heading MRK 266 Maxalt Merck Sharp amp Dohme United States 077920 SUMATRIPTAN AND RELATED AGENTS SEROTONIN SYNDROME MRK 117 Singulair singulair Merck Sharp amp Dohme United States 201078 MONTELUKAST 077920 SUMATRIPTAN AND RELATED AGENTS SEROTONIN SYNDROME MRK 267 MAXALT Maxalt Merck Sharp amp Dohme United States Click a title to view a POISINDEX Managment MONTELUKAST Images are not shown on the search Singulair Merck Sharp amp Dohme United State results page when searching by imprint toda Singulair Merck Sharp amp Dohme United States 201078 MONTELUKAST Click the drug name link to view additional informtion and the image if available for the selected drug
86. this chapter The purpose of the dashboard is to show you all relevant and pertinent related information at a glance so you can quickly navigate to your specific area of interest The search query didn t include enough information to be able to take you directly to a document and topic but information related to your search exists The following is an example of a typical alternative medicine summary dashboard The substance is shown at the top of the page just below the search box BLACK COHOSH Jump to 57 other search results Once ALTERHATIVE MEDICINE INFORMATION PRoDUCT LOOKUP Tox amp Drug BLACK Adult Dosing Contraindications Adverse Effects Martindale BLACK COHOSH Indicatians Drug Interactions single How Supplied MARTINDALE OTHER INFO 1 result View summary document ew detailed document Miscellaneous Drugs and Other Substances ores INFORMATION MARTINDALE PATIENT HANDOUTS INTERACTIONS HANDOUTS Cimicifuga BLACK COHOSH BLACK COHOSH BLACK COHOSH was also found in 5 Drug Information 11 Reproductive Risk Information 1 57 results found for BLACK COHOSH Tox amp Drug BLACK COHOSH of TUER Martindale BLACK Display All 57 Drug 15 Disease 2 Toxicology 6 Alternative Medicine 33 Reproductive Risk 1 Page 1 Results for 1 10 1 2 3 4 5 B 1 MICROMEDEX ALTERNATIVE MEDICINE INFORMATION Be
87. title However there may still be a match if you are searching on a keyword or typing partial or multiple search terms Type the search term s and click the Search button or press the Enter key The search results page opens showing matches found to your search term or keyword A keyword keyword examples diabetes cough or edema 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Spelling Help The MICROMEDEX 2 0 application may make suggestions if the search term you typed doesn t produce a match but is close or similar to a title or Keyword The search term is shown along with the message that no matches were found When the application finds names or keywords that are close or similar to the search term they are listed as links below the Did you mean heading Click the link to open the summary or begin a new search by typing a new search term in the box and click the Search button Your search for did not match any documents Did you mean guaifen guard guaiac guacil If there were neither matches to your keyword s nor similar matches found in spelling help the No Matches Found message is displayed There were no results found for steamboat Please refine your search by trying the following suggestions or entering a new query above Check your spelling Use the suggestions listed in the search dropdown list Check your spelling and try again or modify your k
88. use worldwide as well as selected investigational and veterinary drugs herbal medicines pharmaceutical excipients vitamins and nutritional agents vaccines radiopharmaceuticals contrast media and diagnostic agents medicinal gases drugs of abuse and recreational drugs toxic substances disinfectants and pesticides Sections of text summarize the relevant information followed if appropriate by referenced abstracts or reviews that expand upon the details given in the text or add additional information The contents may be categorized as follows Generic drugs names including U S British and international approved names Synonyms chemical names Molecular formula molecular weight CAS registry numbers Pharmacopeias Physical characteristics Adverse effects and their treatment Precautions including contraindications Interactions Pharmacokinetics Uses and Administration including pharmacology and dosage Preparations and brand names Preparations summaries of more than 70 000 proprietary products from 17 countries are included Information is provided on brand name manufacturer country of origin active constituents and licensed uses Cross references link each ingredient to an appropriate drug monograph when possible In addition more than 600 disease treatment reviews offer overviews of the diseases and drugs used in their treatment along with key references Cross references are provided between disease reviews and relevan
89. with the search term Ceftriaxone Begin typing in the Enter search term field As you enter characters into the field the application makes suggestions based on the characters entered as shown below RED BOOK Online Search Search for prescription or over the counter medications nutraceutcals bulk chemicals medical devices or supplies by product name or manufacturer Search for specific active ingredient in the product or by a specific code such as NDC UPC HRI Go t Custom List Manager I want ta search Enter search term C Active Ingredient CEFACLOR NDC HRHUPC CEFACLOR ER P Name CEFACLOR MOMOHTDRATE CEFADR XIL want to filter by CEFADROSXIL CEFADYL CEFANEX CEFAZOLIN CEFAZOLIN AMERINET CHOICE e CEFAZOLIN Repackagers CEFAZOLIN SODIUM AMERINET CHOICE Include Repackagers CEFAZOLIN SODIUMDEXTROSE Exclude Repackagers Status Actwe Deactivated The more characters you enter the more focused the application based suggestions will be Highlight the term in the suggestion list on which you want to search and click the Submit button gsm Note The Submit button will be inactive until a search term is selected from the suggestion list RED BOOK Online Search Search tor prescription or over the counter medications nutreaceutcals bulk chemicals medical devices or supplies by product name or manutacturer Search for spec
90. worldwide and imposes a substantial economic burden on Non Procedural Therapy individuals and society In general the prevalence of COPD among populations and countries is directly related t the prevalence of tobacco smoking however many countries have identified additional risk factors such as air A preventable and treatable pulmonary disease marked by chronic airflow limitation that is typically progressive anc not entirely reversible severity in individual patients may be increased by substantial extrapulmonary effects 1 Prevalence AS E pollution resulting wood burning and the use of other biomass fuels Continued exposure to risk factors and long RELATED INFORMATION life expectancies will continue to contribute to an increase in the prevalence and burden of COPD 1 is Existing COPD prevalence data varies considerably due to discrepancies in diagnostic criteria analytic approaci Drugs and survey methods 1 Studies and Alerts o Prevalence surveys from a number of different countries using more consistent measures such as spirom estimate that airflow limitation associated with mild or more severe COPD is present in approximately 2 REFERENCE of adults aged 40 years and older This compares with physician reported incidence estimates of approximately 696 1 o Inthe year 2000 an estimated 10 million American adults were diagnosed by a physician as having COP Data the National Health and h
91. 0 USER GUIDE NEL 2013 Truven Health Analytics Inc CHAPTER 12 TOX amp DRUG PRODUCT LOOKUP TOOL Use the Tox amp Drug Product Lookup Tool to search for information about e Drug products by brand name generic or branded generic e Commercial household products and chemicals by product name or synonym e Other substances including plants and animals by Latin or common name e Slang terms street names for drugs or substances Tox amp Drug Product Lookup Look up AAPCC Codes Search for drug products by brand name generic or branded generic commercial nousehold products and chemicals by product name or synonym and other substances including plants and animals by Latin or common name and by slang terms Search by a specific active ingredient in the substance by a specific code such as NDC CAS or EPA code or a valid 7 digit Product ID want to search for Enter search term 9 Product or substance names O Globally distributed drug products in Martindale want to search by and receive suggestions for 9 Product or substance name Codes Product ID Active ingredients Information Included in the Tox amp Drug Product Lookup Tool Information on hundreds of thousands of products and substances is gathered into the Tox amp Drug Product Lookup Tool POISINDEX identifies ingredients for hundreds of thousands of commercial pharmaceutical and biological substances Each substance is
92. 0004 41 00904 0004 76 00904 0005 14 00904 0005 53 00904 0012 05 00904 0012 24 MINTOX Major MINTOX Major MINTOX Major MINTOX EXTRA STRENGTH Major MI ACID Major MI ACID MI ACID Major MI ACID Majar MI ACID Major MI ACID Il Maajar ALLERGY Major ALLERGY Majo 225 mg 5 ml 200 20D mgs ml 20D mg 5 200 mg ml 200 mg 500 5 ml 150 mg 5 200 mg 5 ml 200 mg amp 200 mgs ml 200 mgs 200 mg 5 mL200 mg amp 200 mq 5 200 mgs 400 mg mI 400 mg amp 400 mgs m00 mg s 4 mg 4 mg Products Add Using Other Criteria 360 mil 3840 760 mi 350 mil 260 ml 3640 ml ml 360 mil 350 ml zs 125 ea 245 ea Select the desired product by highlighting it with your cursor then click the right pointing arrow to move the product into the Products box To remove a product from the Products box highlight the product and click the left pointing arrow The item is removed ah error message Note Duplicate entries cannot be saved to the Custom List If you accidentally try to add a duplicate product to your Custom List you will be presented with You can continue creating a custom list based on NDC HRI UPC codes or you can click the Add Using Other Criteria button at the bottom of the page to continue building your custom list by searching by product name active ingredient or manufacturer name 2013 Truven Health Analytics Inc MICROMEDEX 2 0
93. 10 DoNotComse Drg mages US US Trade Names Precautions Chit Pr guatoyCagoty Reg tary Stats Generis Mechanism of Acton hamacckletics Adm letra Totkogy Clltkal Ect Ttkobgy Tiatneit Totkology Range Ret reyes C INFORMATION MARTINDALE INDEX NOMINUM TT DIALOGO SUI FARMACI Paracetamol Paracetamol Rec NN el SPC UH PORD Abed Sappe orks 0 15 20mg Metts Chewable Aadi Tablets Reg tar Steigti Boot 4 Flt Rel Powders Lemon Flapotr Hoots 3 Months tanmaSmiSupeic oi More P amp T QUIKREPORTS lection Feb 2010 UG TOOLS Side by side comparison of Acetaminophen with was also found in Toxicology and Exposure Information 5 Disease information 98 gt Clinical Checklist 5 Lab Information 1 Alternative Medicine 6 Reproductive Risk Information 3 ub 1473 results found for Acetaminophen ACETAMOL 00 mg ACETAMOL 041p 19 ACETAMOL ACETANOL 2219010 Mori CONSUMER DRUG INFO ACETAMINOPHEN rovg a teeta MIN oii ACETAMINOPHEN Oral rove Rectal rove set MIN PRODUCT LOOKUP Tord Drag iple RED licplen DRUG IMAGES US Mors DRUG CONSULTS 19 results ACETAMINOPHEN PEDIATRIC
94. 101 Lab Advisor Detailed Lab Information 101 SUDOC NN EE E E E 101 Chapter 8 Alternative Medicine information sse 103 FINGIN MIONNAN ER TERR NT 103 Global Drug qfol elio QN m 103 Reproductive Risk Information E OE 103 Sample Search for Alternative Medicine cccccccccssssecceeeceeeeeceeeeeseeeeeceeeeeseeaeeeeessaeaeeeeeeeseaaeees 103 NOW aS DOAN 105 Summary Alternative Medicine Information 106 PAINS SG SUMMIA Aa 106 106 OTHER SOURCES gt Button sicticscssciincteraacsadsbsnadnaatdiascsinndlitbsananasdeisaaadiaalinsosinabisebinnaediiabinasniaaniawaseaeieds 107 Detailed Alternative Medicine Information 108 PANCAKE EY ANU AON 108 Other Alternative Medicine INfOrmMation ccccceeccccseeeceeeeeeeeeeeeeeesececeeseeeceeeeeeeneeeeeeeenas 108 sornione evan 108 AltMedDex Protocols he tarta ua iua hxc ji ica fon lta UU CU EM VER 109 AltMed REAX for the Patient rdum di nidis 110 Chapter 9 Drug Interactions Tool 111 Calculating
95. 21 results for do not confuse Jump Top ofPage 029 4 1 Nn o P Ja R S T u Drug Name May be confused with A Abelcet Amphotericin B Lipid Complex amphotericin B Amphotericin B Accupril Quinapril Hydrochloride Aciphex Rabeprazole Sodium acetaZOLAMIDE Acetazolamide acetoHEXAMIDE Acetic Acid for Irrigation Acetic Acid Glacial Acetic Acid Acetic Acid acetoHEXAMIDE acetaZOLAMIDE Acetazolamide Aciphex Rabeprazole Sodium Accupril Quinapril Hydrochloride Aciphex Rabeprazole Sodium Aricept Donepezil Hydrochloride Activase Alteplase Recombinant Cathflo Activase Alteplase Recombinant Activase Alteplase Recombinant TNKase Tenecteplase Actonel Risedronate Sodium Actos Pioglitazone Hydrochloride 2013 Truven Health Analytics Inc DES MICROMEDEX 2 0 USER GUIDE Drug Name May be confused with Abelcet Amphotericin B Lipid Complex amphotericin B amp mphotericin B DO NOT CONFUSE Abelcet Amphotericin B Lipid Complex WITH amphotericin B Amphotericin B 2 Click any link to open the associated dashboard 3 To move to a title later in the alphabet use the Jump To menu Click on the letter or number link to position the page to the first document that begins with the selected letter 30 2013 Truven Health Analytics Inc CHAPTER 2 SEARCHING MICROMEDEX Drug Consults An alphabetical list of all of
96. 651 244 4000 Email Support Business Hours Only 2013 Truven Health Analytics Inc www micromedex com request Email requests are answered during normal business hours Requests received outside of normal business hours are answered the next business day Normal Business Hours Monday through Thursday 7 00 am through 5 00 pm Mountain Time Zone Friday 7 00 am through 2 00 pm Mountain Time Zone Outside of normal business hours technical support calls will be managed according to the guidelines shown below General Guidelines Priority Maximum Initial Response and Assessment Critical Priority After business hours Multiple users cannot access or use major product Voice mail messages will be returned functionality in the order they are received Priority is assigned at that time Within 4 hours High Priority Missing or inaccurate data or functionality Within 1 business day Email requests received outside of busi ness hours will be assigned a priority Medium Priority level the following business day One user cannot access or Within 2 business use major product function days ality Low Priority General questions or enhancement requests Within 5 business days For Knowledge Base Articles FAQs System Requirements Technical Documentation and other miscellaneous support information please visit www micromedex com support For information on our products or services visit our Web site at www mi
97. AL EFFECTS the topics desired see Print on page 7 for more information RADON LABORATORY MONITORING ToxPoints Summary 1 TREATMENT RANGE OF TOXICITY 15 OVERVIEW Expand All Collapse All Top of Pa Note OVERVIEW gt LIFE SUPPORT gt CLINICAL EFFECTS gt LABORATORY MONITORING TREATMENT OVERVIEW View detailed information in POISINDEX gt ORAL PARENTERAL EXPOSURE A Radon is not irritating and there is no current evidence that it can cause toxicity or cancer following ingestion of the daughters either attached to airborne dust particles or in contaminated groundwater INHALATION EXPOSURE A Treatment of patients with lung cancer is best done in consultation with an oncologist who specializes in lung cancer EYE EXPOSURE A Radon is not irritating and there are no data indicating that eye injury can occur from acute radon exposure B Radiation cataracts have developed following implantation of gold radon seeds near the eyes Treatment would be the same as for similar cataracts from any etiology DERMAL EXPOSURE A OVERVIEW possible radon induced skin cancer is best done in consultation with a Some customers may not see links to the detailed information Links embedded within the summary information are based on your current MICROMEDEX 2 0 subscription The Overview topic is shown as an active link in the outline on the left side of the page Clicking t
98. Average Wholesale Price AWP The Manufacturer s Direct Price DIR The Suggested Retail Price SRP The Federal Upper Limit Price FUL from the Healthcare Financing Administration HCFA The Wholesale Acquisition Cost WAC The unit price is determined by dividing the per package price by the total size of the package expressed as NCPDP National Council for Prescription Drug Programs units as shown below Unit prices thus can be denoted three ways 1 Price per gram for products measured by weight such as powders and ointments 2 Price per milliliter for products measured by liquid volume 3 Price each or apiece for products sold by the item such as tablets lozenges and suppositories For products measured by weight or volume the following factors are used in converting to grams or milliliters Liquid 1 102 1 gal Dry 4 drams 15 gm 30 ml 102 30 gm 480 ml 110 454 gm 960 ml 3840 ml 2013 Truven Health Analytics Inc APPENDIX B RED BOOK ONLINE AWP POLICY The following formulas are used to calculate unit prices Formula 1 for products sold by the item Unit Price Price per package Package Quantity e g 50 15 each 100 tablets Formula 2 for products sold by weight or volume Unit Price Price per package or lot Product weight volume e g 0 50 gm Formula 3 for packages of multiple containers of the product Unit Price
99. COMPATIBILITY TOOL e Status lists the compatibility icon and description Information displays the physical compatibility chemical stability if applicable and storage information e Test Parameters contains a link to the reference the study period the study methods and the container information for this particular combination e Notes for the test if applicable are shown in red text at the top of the detailed study information Return to the Overview page by clicking the CLOSE link 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Admixture Click the Admixture tab to view it Overview information for multiple drug admixture compatibility is shown with the associated compatibility icon and description Admixture Test Detail Rating Anakinra Cefazolin sodium B Hat Tested Admixture Compatibility All Y Anakinra Furosemide B Not Tested Anakinra Heparin sodium B Mot Tested Anakinra Warfarin sodium B Not Tested Cefazolin sodium Furosemide B Mot Tested Click the drug name link to view the details of these tests IV COMPATIBILITY DETAIL Drug 1 Drug 2 Status Information Test Parameters Cefazolin sodium Heparin sodium e Physical Reference 2515 10mg mL 5000units mL Compatibility Physically Compatible compatible No visible Study Period 72 hours Manufacturer Manufacturer haze precipitation or Unspecified Unspecified color change was Method isual
100. CROMEDEX Confused Drug List Drugs that Sound Alike Look Alike The National Patient Safety Goal established by the Joint Commission requires each accredited organization to identify a list of look alike or sound alike drugs used in the organization An alphabetical list of confused drug names including look alike and sound alike name pairs can be found with a single search in Micromedex 2 0 The list consists of name pairs that have been involved in medication errors The list also contains the names that appear on the Joint Commission s list of look alike and sound alike names 1 Type any of the following search terms in the search box Do Not Confuse Confused Drug Names Look alike sound alike Do Not Confuse List Look alike sound alike Click SEARCH m Micromedex 2 0 1 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GA Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility Identification Product Lookup Comparison Online Calculators Formulary Care SEARCH Example Searches Confused Confused Drug Names Do Not Confuse Do Not Confuse List Not confused Orientation confused e The Do Not Confuse results page is displayed e Drug name pairs that are often confused are listed on the same line in alphabetical order e all man lettering is used to further aid in discerning between common look alike drugs Do Not Confuse Displaying 9
101. Clinical Knowledge Suite subscribers can search Micromedex Clinical Knowledge from other web applications e g an EHR or HIS or Internet browser sessions without having to first navigate to the www micromedexsolutions com site With an active Micromedex 2 0 session authenticated a User Name and Password or a recognized IP address you can be anywhere on the Web and go directly to a search result page in Micromedex 2 0 What Does the Micromedex Search Accelerator Do The Micromedex Search Accelerator allows you to gain direct access into the Clinical Knowledge Suite from any Web page without having to first navigate to the Micromedex 2 0 home page This value added feature is similar to Search Providers and Accelerator add ons widely available on the web Windows Internet Explorer Google Chrome and Mozilla Firefox all have this capability with some minor end user browser configuration Workflow Example Example demonstrates the workflow in Microsoft amp Internet Explorer Version 8 Exact workflow can vary for other browsers and versions From any Web page highlight the term and either click on the accelerator icon or right click the mouse to open the available options What antiviral drugs are recommended this flu season There are two FDA approved antiviral drugs recommended by CDC this season The brand names for these are Tamiflu generic name 111 and Relenza generic name zanamivir Tamiflu is available
102. Code Related Documents 1E Robilussin Ac 10 ML 100 AH Robins riled antes 2143482 GODEINE POISINDEX amp 5 ML Solution ETHAHDL WITHDRAWAL POISINDIEXS GLIAIFEHEZIM DRLIGDIEXIS CODEIHE DRUGDEX amp 2 Robilussin Farm Mal Given Robins USA Uniled Satas TT38550 GUAIFEHESIH DRUGDEXP Robitussin Ac Expot da Print Robilussin Ling z Acting Cough POISINDES Product Li Next TopofPage 4 Robitussin Adun Peal Product Document Information 5 Robilussin Adun Peal e POISINDEX Managements CODEINE ETHANOL T DPRD WITHDRAWAL DRUGDEX Evaluations GUAIFEHESIN CODEINE Regulatory Status Schedule V Active Ingredients Codeing Phosphate 10 MG 5 ML Gumene 100 MCA MI Exclplents alcohol 3 5 Acid Hed 40 flavors Glycerin Sacchann Sodium Sodium Benzoate Sorbitol Warbier Avallability Manutacturimg Availability Litad States Avallable Contalner 5Izes 1 beatles Bottle of 1 4 OZ 1 pint battles Manufacturer Robins Balle PO 8299 Philadelphia PA 19101 1245 Contact Business Hours 800 399 3384 Phone Product Quality Business Hows 200 934 5546 Phone Drug iior Business Hours 215 688 4000 Phone Business Hours 215 364 5850 Fax Collect Call Manulactuner wall accept collect calls in an ernmergency To view product information click the Name link of th
103. D BOOK Online Search Results Displaying results found for Product CEFTRJIAXONE 1 50 of 132 Price Mew Product Active Manufacturer Po Name Ingredient Distributor o PFIEERUS FI y cermuaxone COMBXONG Y GROUP senpe 5 MEDICATION Pi ei geb E E SOLUTIONS LLC ceftnaxone 4 5 MEDICATION O Se onan SOLUTIONS LLC 1 ML EU A A I a a AAA aa AP Modify Search Generic Grange Code Identifier Form Strength Route Book Type Code HDC Applied Filters Siatus All Rapacka gers Include Page 1 ot3 GO Previous Expor as dey Print Newt Pkg Unit WAC AWP Size Dose Pkg Unit Price Proce Price 00 069 7 10gm INTRAVENOUS N 45 00 54 00 5400000 B4 55g A c 10 re syani POS i gm INJECTION ni 45485 4548800 54565 5720 00 POS 250mg INJECTION M 15 85 Results are displayed in rows with links to additional information Data can be re sorted by most of the column headings Search Results Header 4 Displaying results found for Product Name CEFTRIAXONE Results 1 50 of 104 Price New Product Active Manufacturer Chg Pkg Name Distributo Modi Search Exportas 8 Applied Filters Status Active Repackagers Exclude Rpkg Generic Orange Code Identifier Form St
104. DE In instances like the one shown above the Micromedex 2 0 application provides you with the Brand Name Results page which allows you to choose the specific brand name and or formulation before presenting you with the associated drug dashboard See Searching Brand Name Drugs on page 28 for more information and examples EE 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS When you click the link to the desired information the dashboard is presented Notice that the brand name is included in brackets next to the title Acetaminophin Contained in Children s Tylenol Available Routes 7 Acetaminophen Acetaminophen contained in Children s Tylenol Intravenous Oral Rectal View detailed document View summary document Jump to 1473 other search results MICROMEDEX DRUG SUMMARY INFORMATION Adult Dosing Breast Feeding Pediatric Dosing Drug Interactions single Dose Adjustments Adverse Effects Common FDA Labeled Indications Adverse Effects Serious Non FDA Labeled Indications Iv Compatibility single Do Not Confuse Drug Images US Contraindications US Trade Names Precautions Class P ERR Regulatory Status 2013 Truven Health Analytics Inc PRODUCT LOOKUP Tox amp Drug Acetaminophen Children s Tylenol Martindale Acetaminophen Children s Tylenol em RED BOOK Online A inoph hildren Generic Availabilty nline Acetaminophen Children s Tylenol Me
105. DOSING CHART COMPARATIVE DOSAGE TABLE ANALGESIC DECONGESTANT ANTIHISTANINE COMBINATIONS COMPARATIVE DOSAGE TABLE COLD ALLERGY SINUS ACETAMINOPHEN CONTAINING HIG COMPARATIVE DOSAGE TABLE COLD ALLERGY SINUS CHLORPHENIRAMINE CONTAINING More COMPARATIVE EFFICACY 45 results Aonta AcetmnleplenCodehe Pipiak Acetmnlcplen D iot brabplenazone Asometheptene Aapetam hope Hydrocodone Barta More MARTINDALE OTHER INFO 1 result Ayalges t Antelitammabry Drigs aid Toe Drug Aoetan iple am Vn a Pol a PH T NS m tt 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Note Summary vs Detailed Dashboards When summary information is not available for a substance the detailed drug dashboard is displayed See DETAILED DRUG DASHBOARDS on page 49 for more information and examples of a detailed drug dashboard The substance is shown at the top of the page just below the search box and Available Routes see Acetaminophen Formulary status if applicable is designated by an icon Formulary Advisor customers ils MICROMEDEX DRUG SUMMARY INFORMATION Below this heading are links to all of the topics in the summary DrugPoints document Click a link to open the summary document positioned directly in the topic link selected View summary document gt View detailed document gt These links open the document specified summary or detailed
106. DUCT LOOKUP Tox amp Drug Warfarin Martindale Wiarfarin RED BOOK nlina DRUG IMAGES US More Images p DRUG CONSULTS 3 r ANTITHROMBOTIC 2 THERAPY ACCP G ANTITHROMBOTIC 4 THERAPY IN CHILO ACCP GU ANTITHROMBOTIC P TREATMENT IN FREI WOMEN ATRIAL FIBRILLATIO GUIDELINES More p COMPARATIVE EFFIC Acenocaumaral Anerod Poixaban Pr eparin p MARTINDALE Cardiovascular Drugs vary depending on your subscription and the type of information available for your search term In many cases the search will go directly to the dashboard for the substance searched However there are conditions that may follow a slightly different work flow See Search Results When on page 37 and Searching on Brand Names on page 40 for detailed explanations on how these searches can produce a different result Note Dashboards for Disease page 51 Toxicology page 54 and Alternative Medicine page 56 organize information differently from Drug Dashboards Each is explained in detail later in this chapter 2013 Truven Health Analytics Inc La CHAPTER 3 SEARCH RESULTS SEARCH RESULTS WHEN Searching on a Substance Type the substance in the search field Whenever possible Micromedex 2 0 gathers all of the related matches and presents the results in a dashboard layout With Only One Possible Answer Search Example Warfarin Search Micromedex 2 0 using the substance Warfa
107. E Sample Toxicology Search 1 Begin to type the ingredient or slang term or search phrase in the search box If you are unsure of the spelling just type as many characters as you know 2 As you type the application narrows your search results in the drop down list if you pause based on the characters you ve entered The more characters you type the more focused the results p T Micromedex 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GATEWAY Drug Trissel s 7 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility Identification Product Lookup Comparison Online Calculators Formulary benzena LL Benzene Benzenearsonic acid Benzenesulfonic Acid gamma Benzene Hexachloride If the item you are interested in is listed double click on the item or single click and press the Search button to begin the search If you continue to enter the search term s the drop down list may disappear This may mean the search term you entered does not match a system entry However there may still be a match if you are searching on a keyword or typing partial or multiple search terms Click the Search button The search results page opens showing matches found to your search term or keyword Search Results A successful search will produce one of the following results e DASHBOARDS e INTERMEDIATE SEARCH RESULTS page From the Dashboard or the In
108. EW RANGE OF TOXICITY LABORATORY MONITORING View summary document View detailed document gt Herpes simplex Jump to 833 other search results NONIONIZING RADIATION was also found MICROMEDEX DISEASE SUMMARY INFORMATION gt Drug Information 14 gt Disease Information 5 Definition Findings Medical History Testing gt Clinical Checklist 2 View summary document View detailed document gt gt Reproductive Risk Information 6 Clinical Checklist 54 results found for NONIONIZI OTHER INFORMATION STUDIES of Page Display All 54 Drug 2 Disease 34 April 13 2011 Lower genital shedding risk with asymp Page 1 Results for 1 10 Herpes simplex was also found i Intramuscular Oral Toxicology Summary topi View detailed document gt Drug Consults 5 7 NONIONIZING RADIATION gt Toxicology 16 Toxicology Information to ray and gamma frequenc gt Alternative Medicine 16 gt Reproductive Risk Inform NONIONIZING RADIATION P Dose Adjustments Toxicology Detailed evide Indications ack Box Warnin 833 results found for He Dn Not Confuse 0 Contraindications Top of Page Precautions Pregnancy Category Display All 833 Drug 426 OTHER INFORMATION Page 1 Results for 1 10 MARTINDALE Fluphenazine Herpes simplex Disease Detailed DRUG TOOLS Fluphenazine Hydrochloride
109. Evaluation and Mitigation Strategy REMS from manufacturers to ensure the benefits of a drug or biological product outweigh the risks In some cases however the manufacturer and or the FDA may determine that a Risk Evaluation and Mitigation Strategy REMS is necessary to go beyond product labeling to manage risks and thereby ensure that the benefits outweigh the risks The FDA Postmarket Drug Safety Information for Patients and Providers Web site lists the drugs with approved REMS including the date of the approval the specified REMS components for the drug Example medication guide elements to assure safe use implementation system and a link to the REMS document for the drug Searches for drugs and biological products in Micromedex 2 0 that carry an FDA approved REMS display a link on the dashboard document topic links Available Routes Isotretinoin Isotretinoin Oral View detailed document View summary document 4 Jump to 142 other search results PRODUCT LOOKUP MICROMEDEX DRUG SUMMARY INFORMATION Martindale Isotretinoin RED BOOK Online Isotretinoin Adult Dosing Pregnancy Category Generic Availability Pediatric Dosing Breast Feeding Mechanism of DRUG IMAGES US FDA Labeled Indications Drug Interactions single Action Pharmacokinetics Non FDA Labeled Indications Adverse Effects Common Administration Monitoring Black Box Warning Adverse Effects Serious How Supplied REMS Drug Images US Toxicolo
110. Fchertwdramine CONSUMER 281 L1 BENADRYL eee HEAL H UPC 00450 019018 ODT 125mg ORAL H 433 520 028585 ALLERGY kicks OF WEHEL MICHEL CHILDREN S CONSUMER L1 BENADRYL sin msi HEALTHCARE H UPC 00450 016018 125mg ORAL H 433 520 028585 ALLERGY DI OF VCHEL PAC MCHEL _ CONSUMER FJ BENADRYL mida HEALTHCARE N UPC 50580105405 SYR E ORAL um 67 84 0 03407 ALLERGY drochaide On OF WCNEL E PPC INC MENEL CHILOREN S We CONSUMER BENADRYL diphenhwdremha HEALTHCARE N URC 12547017540 avy 123 onaL FM 433 520 010400 baccis 105 ALLERGY y ON OF M CHEL i MENEL CHLDRENE CONSUMER C BENADRYL mara asia HEALTHCARE N UPC 50580 053404 SYR iind m ORAL E 433 520 0 04407 ALLERGY TM UL DV OF MENEL NE Click an active ingredient hypertext link In this example the active ingredient is diphenhydramine hydrochloride The Find Similar Products pop up box is displayed FIND SIMILAR PRODUCTS You are about ta submit a search for all items matching thase criteria Active Ingredient diphenhydramine hiydrac hlon de Form 50 Strength 125 mg amp m Route ORAL Status Actwe Repackagers Include SUBMIT CLOSE X The Find Similar Products pop up displays the following information about the product for which you are about to search including any filters yo
111. I UPC MERCK SHARP amp D Manufacturer Name MERCK SCHERING PLOUGH PHARMACEUTICALS MERETEK DIAGNOSTICS INC MERICON INDUSTRIES INC MERIDIAN MEDICAL TECHNOLOGIES INC MERIDIAN PHARMACEUTICALS INC MERIT PHARMACEUTICALS MERLIN TECHNOLOGIES INC MERRICK MEDICINE CO INC MERZ PHARMACEUTICALS Using the Manufacturer Name search option RED BOOK Online displays a list of names for products manufactured or distributed by the company for which you searched In the example provided a search has been performed for Merck amp Co Inc An alphabetized listing of the name of each product in the RED BOOK Online database manufactured by Merck amp Co Inc is returned Each product name listed for the manufacturer is displayed as a hypertext link RED BOOK Online Manufacturer Product List Modify Search Print Selectfrom lst of 105 products found For Manufacturer MERCK amp CO INC Each prnduct listed for the manufacturer is a hype Clicking the ret the FEED BOOK Online Search Results page forthe product selected AGGRASTAT ALDOGLOR 150 The Jump To menu provides the abil ity ba directly ta any alphabetical indes of ALDOCLOR 250 all of the products in the RED BOOK Online lt data avail able torri tha ran ufactrar ALDOMET whith you searched ALDOMET ESTER HYDROCHLORIDE ALDORIL 15 ET M At the top of the page is
112. ILNACIPRAN and ANTICOAGULANTS may result in an increased risk of bleeding Concurrent use of GINKGO and Drug interactions found for the drug are grouped by interaction type drug drug interactions are displayed first followed by drug food drug ethanol and drug lab Interactions found within each type are sorted by severity displaying the most severe first A complete legend of all interaction types is shown at the bottom of the page Hovering over the interaction type in the legend opens a pop up with the full interaction definition 2013 Truven Health Analytics Inc CHAPTER 4 DRUG INFORMATION Interaction Severities Click on any of the Severity icons to open the full legend with the full definition of each severity DEFINITIONS Severity Contraindicated The drugs are contraindicated for concurrent use Major The interaction may be life threatening and or require medical intervention to minimize or prevent serious adverse effects E Moderate The interaction may result in exacerbation of the patient s condition and or require an alteration in therapy Minor The interaction would have limited clinical effects Manifestations may include an increase in the frequency or severity ofthe side effects but generally would not require a Major alteration in therapy Unknown Unknown PRINT amp CLOSE X Contraindicated the drugs are contraindicated for concurrent use e Mayor the interaction may be life t
113. INNAMON Adult Dosing Contraindications Adverse Effects Martindale CINNAMON Indications Drug Interactions single How Supplied MARTINDALE OTHER INFO 1 result View summary document wiew detailed document Miscellaneous Drugs and Other Substances OTHER INFORMATION MARTINDALE HERBAL MEDICINES PATIENT HANDOUTS Cinnamon Cassia CA SEL Cinnamon CINNAMON INTERACTIONS HANDOUTS CINNAMON was also found in Drug Information 11 Reproductive Risk Information 2 75 results found for CINNAMON Top of Page Tox amp Drug CINNAMON Martindale CINNAMON Display AM 25 Drug 211 Toxicology 3 Alternative Medicine 50 Reproductive Risk 1 Page 1 Results for 1 10 12 3 4 5 7 l ANTHRAQUINONES Toxicology Detailed evidence based information PORSNDEMB Managements 2 ANTHRAGUINONES Toxicology Summary topic Summary View Dashboard O 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE SUMMARY ALTERNATIVE MEDICINE INFORMATION AltMedDex amp Summary The AltMedDex Summary document provides brief highlights of dosing indications contraindications adverse effects drug interactions therapeutic class pregnancy and lactation for herbals vitamins minerals and other dietary supplements The document opens directly to the DOSING amp INDICATIONS topic You can e Scroll the entire topic using the scrollbar on the right
114. IPTION GEOGRAPHICAL LOCATION AVAILABLE FORMS SOURCES SUMMARY OF EXPOSURE HEENT CARDIOVASCULAR DERMATOLOGIC REPRODUCTIVE CARCINOGENICITY GENOTOXICITY OTHER LABORATORY MONITORING MONITORING PARAMETERS LEVELS RADIOGRAPHIC STUDIES METHODS TREATMENT LIFE SUPPORT PATIENT DISPOSITION MONITORING ORAL EXPOSURE INHALATION EXPOSURE EYE EXPOSURE DERMAL EXPOSURE 2013 Truven Health Analytics Inc SUMMARY OF EXPOSURE HEENT CARDIOVASCULAR 3 5 1 SUMMARY A false aneurysm of the vertebral artery at the level of the axis vertebra developed in a patient previously treated with gold radon seed implants for sarcoma of the pharynx 3 5 2 CLINICAL EFFECTS A VERTEBRAL ARTERY ANEURYSM 1 CASE REPORT A false aneurysm of the vertebral artery at the level of the axis vertebra developed in one patient nearly 30 years following implantation of radon seeds for the treatment of sarcoma of the pharynx the presenting sign was hemorrhage from the posterior pharynx Early et al 1966 RESPIRATORY GENITOURINARY DERMATOLOGIC REPRODUCTIVE CARCINOGENICITY GENOTOXICITY OTHER MICROMEDEX 2 0 USER GUIDE OTHER SOURCES gt Button lom ER SOURCES Tox amp Drug RADON Martindale RADON RED BOOK Online RADON CLOSE X Clicking the OTHER SOURCES button opens a pop up that displays options for finding other search results for the substance you are currently viewing The pop up may offer to run a Product Lookup to
115. K L M N Q R 5 M U V X Y 7 Results 1 6 1011 Previous Next y Strength Name Form Manufacturer Country Product ID AAPCC Code Related Document s 1 Bromobenzene 3825613 077260 GENERAL OR UNKNOWN CHEMICAL POISINDEX amp SYMPTOMATIC CHEMICAL INGESTION POISINDEX amp SYMPTOMATIC CHEMICAL DERMAL EXPOSURE POISINDEX amp GENERAL OR UNKNOWN CHEMICAL MEDITEXT amp 2 Bromobenzene Dow United States 2454116 077260 SYMPTOMATIC CHEMICAL INGESTION POISINDEX amp SYMPTOMATIC CHEMICAL DERMAL EXPOSURE POISINDEX amp 3 Bromobenzene Dow United States 2488074 077260 SYMPTOMATIC CHEMICAL INGESTION POISINDEX amp SYMPTOMATIC CHEMICAL INHALATION POISINDEX amp SYMPTOMATIC CHEMICAL DERMAL EXPOSURE POISINDEX amp Navigating links to product information and related documents function the same as described for a Product or Substance search See The Product Page on page 152 for a full description Jump To All products or substances found for the search are returned on the Tox amp Drug Product Lookup Results page in alphanumeric sort order Navigate quickly to a product by using the Jump To letter link of the product name For example click the G link to jump to product names that begin with the letter G The total number of pages found are shown when the ALL Jump To option is selected When a specific letter is chosen the number of pages available for the selected letter is displayed O 2013 Truven Health Ana
116. M VEL 3 From the Language Preference dialog click Add Language Preference Add Language Language Preference Add the languages you use to read websites listing in order of preference Only add the ones you need as some characters can be used to impersonate websites in other languages Language Maltese mt MT Maori rni Nz Marathi mr IN Mongolian Cyrillic rmn MIN Northern Sotho nsa ZA Norwegian Bokmal nb NO Norwegian Nynorsk nn NO pl PL Language English United States en us Portuguese Portugal pt PT Punjabi pa IN Quechua Bolivia quz BO Quechua Ecuador quz EC Quechua Peru quz PE Prefix and suffix options C Do not add www to the beginning of typed web addresses Specify the suffix For example net that should be added to typed web addresses when you press Ctrl Shift Enter Suffix User defined 4 From Add Languages scroll to the desired language click to select then click OK Note Italian Italian Italy it IT Chinese simplified Chinese PRC zh CN Chinese traditional Chinese Taiwan zh TW German German Germany de DE Korean Korean ko KR Portuguese Brazilian Portuguese Brazil pt BR Spanish Spanish International Sort es ES 5 From Language Preference select the language added in the previous step and then click Move Up to place it first as the defa
117. Medicine Detailed Toxicology Disease Summary Disease Detailed Drug Summary DrugPoint Summary Drug Detailed Alternative Medicine Summary Alternative Medicine Detailed Detailed Drug information DRUGDEX Detailed Toxicology Disease Summary Disease Detailed Alternative Medicine Summary Alternative Medicine Detailed Toxicology Disease Summary Disease Detailed Summary Alternative Medicine AltMedDex Summary Alternative Medicine Detailed Toxicology Disease Summary Disease Detailed Detailed Alternative Medicine AltMedDex Evaluations Toxicology Disease Summary Disease Detailed Summary Toxicologic dashboard ToxPoints Summary Disease Summary Summary Disease dashboard ClinicalPoints Sum Disease Detailed mary e Disease Detailed Detailed Disease dashboard DISEASEDEX Detailed You can navigate to any and all available dashboards when multiple dashboard types exist but the hierarchy described above explains which dashboard opens by default EE 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS Pd TERMEDIATE SEARCH RESULTS The amount of information presented on the intermediate search results page will depend on the search performed The following example shows the intermediate search results for a very broad search A search on just the term flu finds numerous matches in multiple content sets throughout Micromedex 2 0 pres Filter the
118. NIC AND NONIONIC POISINDEX Tide Coldwater Granular Laundry Powder Procter amp Gamble United States 6736015 013400 SODIUM CARBONATE POISINDEX Detergent Fresh Scent Glacier DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX ENZYME DETERGENTS POISINDEX Tide Coldwater HE Free Opaque Liquid Procter amp Gamble United States 7455440 013401 DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX Tide Coldwater HE Fresh Scent Opaque Liquid Procter amp Gamble United States 7457066 013401 DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX Tide Coldwater Mountain Spring Opaque Liquid Procter amp Gamble United States 7458775 013401 DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX 10 Tide Formula 16 Granular Powder Procter amp Gamble Joited State Modify Search 999 Search To start a new product or substance search click the Modify Search button You will be presented with the Tox amp Drug Product Lookup home page where you can select the type of search and type your search term s Exporting Search Results ELEME 2013 Truven Health Analytics Inc 2013 Truven Health Analytics Inc CHAPTER 12 TOX amp DRUG PRODUCT LOOKUP TOOL Search results can be exported to a Microsoft Excel xls file or a Comma Separated Values csv file Select the file type that you want to save the results as from the drop down menu A dialog box appears that provides the ability to select t
119. NTABILITY AND FITNESS FOR A PARTICULAR PURPOSE MICROMEDEX Micromedex Healthcare Series AfterCare Instructions Database AltCareDex System AltMedDex System AltMedDex Points System AltMed REAX System CareNotes System Clinical Xpert System ClinicalPoints System Current Concepts Program DISEASEDEX System DISEASEDEX General Medicine DISEASEDEX Emergency Medicine DRUGDEX System DrugPoints System DRUG REAX System Formulary Advisor HAZARDTEXT Hazard Managements IDENTIDEX System IV INDEX System Lab Advisor MEDITEXT Medical Managements mobileMICROMEDEX System P amp T QUIK Reports POISINDEX System REPRORISK System REPROTEXT Database TOMES System and ToxPoints System are trademarks of Truven Health Analytics All other trademarks are the property of their respective owner U S Government Customers The Products are provided to the Federal government and its agency with RESTRICTED RIGHTS USE DUPLICATION OR DISCLOSURE BY THE GOVERNMENT IS SUBJECT TO RESTRICTIONS SET FORTH IN SUB PARAGRAPH c 1 ii OF THE RIGHTS IN TECHNICAL DATA AND COMPUTER SOFTWARE CLAUSE AT DFARS 252 227 7013 OR SUB PARAGRAPHS c 1 O R 2 OF THE COMMERCIAL COMPUTER SOFTWARE RESTRICTED RIGHTS AT 48 CFR 52 227 19 AS APPLICABLE CONTRACTOR MANUFACTURER IS Truven Health Analytics 777 E Eisenhower Parkway Ann Arbor Michigan 48108 USA TABLE OF CONTENTS Preface Conventions Used in This Manual 2
120. ON INTRACAVERNOSAL INTRADERMAL INTRAMUSCULAR INTRAOCULAR INTRAPERITONEAL INTRAPLEURAL INTRATHECAL INTRATRACHEAL INTRAUTERINE INTRAVENOUS NOT APPLICABLE OPHTHALMIC ORAL OROMUCOSAL OTIC URETHRAL URINARY BLADDER VAGINAL 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Orange Book Codes The Orange Book Codes supply the FDAs therapeutic equivalence rating for applicable multi source categories Codes beginning with A signify the product is deemed therapeutically equivalent to the reference product for the category Codes beginning with B indicate bio equivalence has not been confirmed EE is assigned by RED BOOK Online to products that have been evaluated by the FDA but for which an equivalence rating is not available Code Interpretation Enteric coated oral dosage form Potential bioequivalence problem Suppository or enema for systemic use Testing standards are insufficient for determination Topical product with bioequivalence issues Insufficient data to confirm bioequivalence LN Eerie costedoral dosage form _ Be LN Requires further FDA investigation and review EE This entry has been evaluated by the FDA but a rating is not available for this labeler s product Z FDA Standard with no orange book code 234 2013 Truven Health Analytics Inc SS APPENDIX B RED BOOK ONLINE AWP POLICY RED BOOK Online Terms and Definitions AWP Average Wholesale Pri
121. OSING TOOLS CLINICAL CALCULATORS Alcohols Ethylene Glycol Blood Level Ethanol IV Dosing for Methanol Ethylene Glycol Overdose NAC Dosing for Acetaminophen Overdose Toxicity Nomograms LABORATORY VALUES Anion Gap Calculator Creatinine Clearance Calculator Phenytoin Level Adjustment Calculator ACLS PALS Guidelines Dobutamine Dosing Calculator Dopamine Dosing Calculator Epinephrine Dosing Calculator Adult Epinephrine Dosing Calculator Pediatric Heparin Dosing Calculator IV Rate Calculator Nitroglycerin Dosing Calculator Nitroprusside Dosing Calculator Norepinephrine Dosing Calculator Adult Norepinephrine Dosing Calculator Pediatric Alveolar Arterial Oxygen Gradient MEASUREMENT CALCULATORS Body Mass Index Calculator BSA and Lean Ideal Body Weight Calculator Metric Conversions Calculator SIU Conversion Calculator However if you want to browse a full alphabetical list of all the calculators click the View Alphabetical List link Calculators View by alphabetical list by category ACLS PALS Guidelines Alcohols Ethylene Glycol Blood Level Alveolar Arterial Oxygen Gradient Anion Gap Calculator Body Mass Index Calculator BSA and Lean Ideal Body Weight Calculator Creatinine Clearance Calculator Dobutamine Dosing Calculator Dopamine Dosing Calculator Epinephrine Dosing Calculator Adult Epinephrine Dosing Calculator Pediatric Ethanol IV Dosing for Methanol Ethylene Glycol Overdose Heparin
122. OSIVES ALKALINE POISINDEX Opener Canada HYPOCHLORITES AND RELATED AGENTS POISINDEX 4 Drano Dual Force Foamer Clog Clear Foam SC Johnson Consumer United States 6734936 011289 CORROSIVES ALKALINE POISINDEX amp Remover Chamber 1 Products HYPOCHLORITES AND RELATED AGENTS POISINDEX amp DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX amp 5 Drano Dual Force Foamer Clog Clear Foam SC Johnson Consumer United States 6734944 011289 CORROSIVES ALKALINE POISINDEX amp Remover Chamber 2 Products HYDROGEN PEROXIDE POISINDEX amp Results The current count and position of the results you are viewing is displayed Up to 50 per page are shown at any one time Page x of x Go Previous Next The current page of the total number of pages is shown as Page x of x i e Page 1 of 5 To jump to a different page of results type the page number in the field and then click Go Jump ahead or back one page at a time using the Next or Previous navigation links O 2013 Truven Health Analytics Inc EBEN MICROMEDEXO 2 0 USER GUIDE The Product Page Tox amp Drug Product Results Modi Search Expo 4 Displaying results found for robitussin Resurs trom other countries w STEERS Cun Manutacturer Contact nto 0 CHEE Resets contain Resuis 1 50 Page 1 lera Go Hamit Strength Form Manufacturer Country Product lI AAPCC
123. PN 2 in 1 total parenteral nutrition is shown followed by TNA 3 in 1 total nutritive admixture compatibility Note TPN and TNA results are not result type specific They can be a Y Site solution or admixture result Results are comprised of all compatibility tests where the drug name searched Is either the primary or secondary agent and the drug is being included with a TPN or TNA solution Within each TPN TNA grouping the results are sorted alphabetically by TPN or TNA admixture name with the associated compatibility icon and description followed by high level notes including composition of the TPN TNA on these tests Click the admixture name link to view the details of these tests View Drugs and Solutions Data m Parenteral drugs and solutions are administered by injection most often intravenously but also commonly by intramuscular and subcutaneous injection To prevent adverse effects it is important to have access to relevant characteristics of parenteral products such as pH compatibility and stability and proper rate of infusion This information is critical in making decisions related to the preparation storage and administration of parenteral products Click on the icon next to the drug to view Trissel s drugs and solutions data for that drug 2013 Truven Health Analytics Inc CHAPTER 10 IV COMPATIBILITY TOOL TPN TNA Details Pa 2 1 Furosemide Physical Refer
124. Pkg package column displays the quantity of individual items in the package This quantity is expressed in National Council for Prescription Drug Programs NCPDP units each grams milliliters The Unit Dose column indicates if the product retrieved in your search is available in unit dose packaging A Y indicates that the product is available in unit dose packaging An N indicates that the product is not available in unit dose packaging The Strength column displays the active ingredient strength for the product for which you searched NOTE The Strength column is limited to 24 characters Entries in this field that exceed 24 characters are truncated A longer description can be viewed on the Product Details page See Product Details Search Results on page 184 Note Columns for which no data is returned will contain two dashes 3 RED BOOK Online Custom List Manager Other Criteria Results 4 Return to Custom List Choose items and click the add button to add to custom list Working custom list name New Custom File Your custom list name will appear once you save and reload your file Results 1 12 of 12 Page10f1 Gr Price New Product Name v Active Ingredient Manufacturer Rpkg Generic Orange Code Identifier Form Strength Route hg Pkg Distributor Book Type Code PFIZER U S LYRICA pregabalin PHARMACEUTICALS N N NDC 00071 1012 68 CAP 25 mg ORAL GROUP PFIZER U S LYRICA pregabalin PHARMACEU
125. Price per package Product weight volume x Package Quantity e g 2013 Truven Health Analytics Inc 229 MICROMEDEX 2 0 USER GUIDE Dosage Form Descriptions Description cc CTB eee EC ECT Tablet enteric coated ELI Elixir EM Emollient cream EM Emulsion FDS Food solid FIL Film FLA Flake O D o S O e lt c 230 2013 Truven Health Analytics Inc APPENDIX B RED BOOK ONLINE AWP POLICY Code Description Lozenge troche lozengettroche _ _ _ _______ Tablet disintegrating Bp pp d PDR ss Powder for suspension Powder for suspension 1 month Powder for suspension 1 month Powder for suspension 6 month l PRO Prmphyaci o Suspension extended release Suspension extended reae 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Description SWA Sys Tablet extended release 12 hour Tabet extended release Taho Tablet delayed release Patch extended release I Pae a T Tablet disintegrating delayed release Tablet effervescent Tabet A F LESER 2013 Truven Health Analytics Inc Route Listing Abbreviation BC DE PO RC NA SC SL TD APPENDIX B RED BOOK ONLINE AWP POLICY Route Listing BUCCAL MUCOSA DENTAL EPIDURAL GINGIVAL IMPLANTATION INHALATION INJECTI
126. R EXPERIENCE Localized Language Support Truven Health Analytics is pleased to announce Micromedex 2 0 with localized language support for the following languages e Italian e Chinese simplified e Chinese traditional e German e Korean e Portuguese Brazilian e Spanish By modifying a few settings in your Internet browser you can view many of the elements of Micromedex 2 0 in your local language Future releases may include support for even more languages Check the Content Updates link in the application or this guide for details Setting Up Language Support 1 From the Tools menu select Internet Options Internet Options General Security Privacy Content Connections Programs Advanced Home page a To create home page tabs type each address on its own line ag e GY 4 http www msn comj ttp msn com Edit View Favorites 87738 Help P Delete Browsing History JT MSN com Pop up Blocker b Use default Phishing Filter s g Change how webpages are displayed in Settings Manage Add ons tabs 4 Subscribe to this Feed Appearance 1 Feed Disco er E Fons Accessibility Windows Messenger he 3 Create Mobile Favorite 2 Click Languages 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE 2 0 10 DISPOSITIVO
127. RA is contraindicated in patients with a history of seizures or with moderate or severe renal impairment CrCl 50 mL min Note Other web based applications such as a HIS or EHR can also access Micromedex 2 0 Simply right click on your selected terms and select the Micromedex Search option Please note however that the Micromedex Search must be set as your default search engine 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE XVIII Information for System Administrators In the interest of managing end user desktops in a networked environment some customers may have policies in place that limit their end users ability to install plug ins and add ons to the web browser The information in this section is included in the interest of aiding IT support professionals in deploying the Micromedex open search description to end user desktops according to group policy requirements Extending the Micromedex search to the Microsoft Internet Explorer and Mozilla Firefox browser is based on the OpenSearch specification www opensearch org Using an Open Search Description document web developers have the ability to describe a search engine to a browser or search client application The goal of the Micromedex open search is to allow faster and easier access to preferred clinical information For desktops installed with Internet Explorer the Micromedex Search Accelerator can be distributed via Group Policy settings
128. ROMEDEX 2 0 USER GUIDE The drug may have varying ingredients for the same name depending on manufacturer eg Green Soap The summary information has not yet been created Information on a Dashboard When No Summary Information is Available The information shown on the Detailed Drug dashboard is the same as what Is displayed on the Summary Dashboard except e Links in the MICROMEDEX DRUG SUMMARY INFORMATION section link to the DRUGDEX Drug Evaluation rather than the DrugPoint Summary drug document e No drug images are available the Detailed Dashboard Po MEM 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS DISEASE DASHBOARD Summary Information All related information for the selected disease or condition is gathered together in a logical and organized presentation so you can find the answer to your specific question fast wee Note Dashboards for Drug Information page 36 Toxicology page 54 and p Alternative Medicine page 56 organize information differently from Disease Dashboards Each is explained in detail in this chapter The purpose of the dashboard is to show you all relevant and pertinent related information at a glance so you can quickly navigate to your specific area of interest The search query didn t hold enough information to be able to take you directly to a document and topic but information related to your search exists Summary vs Detailed Dashboards When b
129. S CRITERIA A SUMMARY OF POTENTIALLY INAPPROPRIATE MEDICATION USE AMO FIRST V8 SECOND GENERATION ANTIPSYCHOTIC AGENTS FOR SCHIZOPHRENIA NEUROLEPTIC INDUCED EXTRAPYRAMIDAL REACTIONS MODITEN DEPOT im 1 fl polv 25mg Fluphenazine Rec INN Side by side comparison of Fluphenazine Hydrochloride with COMPARATIVE EFFICACY 10 results Amisulpride Flupenthixol Fluspirilene Haloperidol More gt MARTINDALE OTHER INFO 1 result Anxiolytic Sedatives Hypnotics and Antipsychotics 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE DRUG DASHBOARDS Dashboards deliver you directly to the information you seek with the least amount of clicks and drill downs possible We didn t want you to have to remember rules or special search methods to find your answer so whenever possible we bring the answer directly to you The dashboard displays all of the relevant and related information for the substance searched Links are available directly into to the summary document to a related drug consult consumer drug information other subscribed drug information PDR Consumer Drug Information P amp T QUIK Martindale Index Nominum international drug databases such as Dialogo sui Farmaci and eMC SmPC etc For an explanation of each area found on a drug dashboard see Information amp Links on Dru Dashboards on page 47 Dashboards presented for searches on su
130. SER GUIDE Click on a title to open the Adverse Effects Summary or Adverse Reactions Detailed topic in the associated drug information OVERVIEW BETHANIDINE E Display Entire Document DOSING INFORMATION DRUGDEX Evaluations I Drug Properties Adult Dosage CAUTIONS PHARMACOKINETICS Expand All Collapse All Top of Onset and Duration Contraindications ADME CAUTIONS Contraindications A Absolute contraindications and precautions to this agent have not been determined no information found at the time of this review Precautions Adverse Reactions Drug Interactions gt Precautions CLINICAL APPLICATIONS Place In Therapy Mechanism of Action Pharmacology Adverse Reactions Therapeutic Uses Comparative Efficacy Evaluation With Other Cardiovascular Effects Therapies Dermatologic Effects REFERENCES Gastrointestinal Effects Hematologic Effects Neurologic Effects Reproductive Effects Respiratory Effects Other Cardiovascular Effects Hypotension Bo Hypotension 1 ORTHOSTATIC HYPOTENSION is a common occurrence during bethanidine therapy 16 17 18 19 which may occur to a greater degree than with guanethidine 20 Severe orthostatic hypotension has resulted in discontinuation of therapy in several patients 21 18 2 Some studies have reported the efficacy of protriptyline in preventing the orthostatic hypotension secondary to bethanidine 22 however other studies have not indicated an
131. Specific topics include the following e Dosing Information Synonyms e Pharmacokinetics e Cautions contraindications adverse reactions drug interactions e Place in therapy 20 7 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS e Mechanism of Action e Therapeutic Uses e Comparative Efficacy Alternative Medicine Consults Alternative Medicine Consults provide crucial information of interest to those needing information on herbal medicines and other dietary supplements Topics include FDA warnings pregnancy risk categories and guidelines on dosing safety and efficacy issues Alternative Medicine Protocols Provides practical advice to help you integrate complementary and alternative medicine into clinical practice Every day healthcare professionals are being asked to combine alternative medicine therapies with more traditional treatment practices AltMedDex Protocols provides complementary and alternative medicine CAM information and recommends methods for successfully blending CAM therapies with conventional medicine to offer patients a full range of options and help optimize their treatment outcomes Alternative Medicine Summary Information AltMedDex Points System The AltMedDex Points System provides brief highlights of dosing indications contraindications adverse effects drug interactions therapeutic class pregnancy and lactation for herbals vitamins minerals and other dietary su
132. TER 4 DRUG INFORMATION The number of drugs available today is enormous and the vast amount of information about these drugs can be overwhelming Micromedex Clinical Knowledge can help you find current accurate and concise drug information you can use with confidence Reviewed by international experts our evidence based information covers FDA approved prescription and nonprescription drugs Areas discussed include dosage black box warnings pharmacokinetics cautions interactions clinical teaching for the patient adverse effects comparative efficacy and toxicology information TARGETED DRUG INFORMATION SEARCHES The Micromedex 2 0 platform provides some highly focused searches that present you with results that are specific to your clinical question These include Drugs that Cause condition Adverse Reactions List An alphabetical list of drugs that cause a condition or adverse reaction Drugs are shown as links allowing you immediate access to the adverse affects topic in the drug information See Drugs that Cause condition Adverse Reactions list on page 21 for additional information Drugs that Treat condition This search provides the clinician with an alphabetical list of drugs that treat a condition or disease Results group drugs alphabetically within an efficacy rating See Drugs that Treat condition on page 23 for additional information Risk Evaluation and Mitigation Strategies REMS This search p
133. TICALS N N NDC 00071 1016 68 CAP 150mg ORAL GROUP PFIZER U S F LYRICA pregabalin PHARMACEUTICALS N N NDC 00071 1016 41 CAP 150mg ORAL GROUP PFIZER U S LYRICA pregabalin PHARMACEUTICALS N N NDC 00071 1014 68 CAP 75 ORAL GROUP PFIZER U S L LYRICA pregabalin PHARMACEUTICALS N N NDC 00071 1014 41 CAP 75 mg ORAL 2013 Truven Health Analytics Inc 197 MICROMEDEX 2 0 USER GUIDE Locate the product s that you want to add to the custom list you are building Click the checkbox es adjacent to the line item s you want to include To add the selected items to your custom list click the Add button located at the top of the page The Products Added pop up appears PRODUCTS ADDED 3 product s added to your custam list select Return to view your additions in the Custom List Manager You must select the SAVE button for your changes to take effect RETURN X The Products Added pop up confirms that your selection has been added to the list you are building Click the RETURN button to exit the pop up box and return to the Custom List Edit page The Custom Products box displays the products you have added to your custom list ype the code in the search field Select item s and click the button Select Save to retain any changes Select Submit to view results list Working custom list name Mew Custom File yourc sten Ust will ap pear orce you save and reload your TIe Enter NDC HRIUPC
134. TIFICATION TOOL When results are found in the images data you can sort results by the Imprint Code or the Drug Name Click the Sort all Results by drop down and select from the list Click the drug name link to view the details and open the Drug Information page for this substance DRUG INFORMATION DRUG NAME BONTRIL SLOW RELEASE Tox amp Drug Bontril Slow Release Martindale Bontril Slow Release INGREDIENTS PHENDIMETRAZINE TARTRATE 105 MG RELATED DOCUMENTS POISINDES MANAGEMENTS AMPHETAMINES AND RELATED DRUGS DRUGDEA EVALUATIONS PHENDIMETRAZINE COLOR GREEN AMD YELLOVY IMPRINT 047 FORM EXTEMDED RELEASE CAPSLILE AVAILABLE CONTAINER SIZE BOTTLE OF 100 AAPCC CODE 001000 AMPHETAMINES AND RELATED COMPOUNDS NDC 55234 0047 10 EXCIPIENTS FO amp C YELLOW NO REGULATORY STATUS SCHEDULE Ill AVAILABILITY UNITED STATES PRODUCTID 3035584 CONTACT AMARIN PHARMACEUTICALS PRINT amp CLOSE X The following information may be displayed in the Drug Information page Color Shape Imprint Route Form NDC Code s Conduct a Tox amp Drug Product Lookup using the select drug by clicking the link located in the top right portion of the window Print the information or close the page using the links at the bottom right side of the page rint the information or close the page using the links at the top right side of the page 2013 Truven Health Analytics Inc SS MICROMEDEX 2
135. TRUVEN HEALTH ANALYTICS MICROMEDEX CLINICAL KNOWLEDGE SUITE MICROMEDEX 2 0 PLATFORM MAY 2013 2013 Truven Health Analytics Inc All rights reserved This manual as well as the data and software implementation described in it is furnished under license and may be used or copied only in accordance with the terms of such license The content of this manual is furnished for informational use only is subject to change without notice and should not be construed as a commitment on the part of Truven Health Analytics Except as permitted by such license no part of this publication may be reproduced stored in a retrieval system or transmitted in any form or by any means electronic mechanical recording or otherwise without the prior written permission of Truven Health Analytics The data and software implementation as with all technical and computer aided design software is a tool intended to be used by trained professionals only The data and the software implementation is not a substitute for the professional judgment of trained professionals The software implementation is intended to assist with product design and is not a substitute for independent testing of product stress safety and utility Truven Health Analytics assumes no liability for any error or inaccuracies that may appear in this manual Truven Health Analytics MAKES NO WARRANTIES WITH RESPECT TO THIS MANUAL AND DISCLAIMS ANY IMPLIED WARRANTIES OF MERCHA
136. The results page opens positioned to results that most closely match your term s The number of drugs found for that letter or number 0 9 is shown You can view imprints matched that begin with other letters by clicking the speed menu letter or number 0 9 Any letter shown with bold text denotes that a match to that letter was found for the search term 138 2013 Truven Health Analytics Inc CHAPTER 11 DRUG IDENTIFICATION TOOL Search results display sorted alphabetically by the imprint code The sort order is an alphabetical ascending sort 0 9 A Z You can reverse the sort order by clicking on the blue arrow When the sort order is changed the direction of the arrow changes If more than one page of matches is found move through the pages using the First Previous Next gt and Last gt gt navigation buttons Sort All Results by You can sort the search results by the Imprint Code Drug Name Manufacturer or Availability Click the Sort all Results by drop down and select from the list Viewing Drug Information Click the drug name link to view the details and open the Drug Information page for this substance DRUG INFORMATION Tox amp Drug Maxalt Martindale Maxalt DRUG NAME MAALT INGREDIENTS RIZATRIFTAN BENZOATE 5 MG RELATED DOCUMENTS POISINDERSE MANAGEMENTS SUMATRIPTAN AND RELATED AGENTS POISINDESR MANAGEMENTS SEROTONIN SYNDROME DRUGDEA EVALUATIONS RLZATRIPTAN COLOR PALE PINK NDC
137. Tox amp Drug Product Results Displaying results found for Carter Reis fom POUT Reads 1 6 1 4 Marea Baby 011 Carers Hightighting Marker Carles Lio CONTINUED Modify Search Export Enni Gf Counties SIETTTLSE DERE ULL ELI Braut cane Page 10 7 Go Next sireng Manufacturer Country Product IL othe Related Document s Alpha Te Omega Untied States 4215855 201009 LAXATIVES EMOLLIENT POISINDEXP Foamy Liennison Staten Ert a4 OF 7208 NON TORIC INGESTION LINPZEREITY MEDICAL CENTER imr vum i Gh ER Tox amp Drug Product Results modiy Saach Expo ar ER dn Print Displaying rasults found for Cartar Resuls fro Other Cuunirea Demplay Product Names 81 Canlact inte 30 Jemen Te 0 9 B L E F G H 1 L M h R T u Li LE X 1 3 Page tet Gas g Previews Het j Nome Porm Also known as Country Product ID AAPCC Code Related Docurnentis 1 Bay Raby Cil Cister Uniad 21 42 2015058 AXATIVER EMOL LENT POISIFDIEX8 3 FEL BAMATE 4 Tox amp Drug Product Results y sime Export ae 1 A Lol Cano Grip Franin akae Displaying results found for Carter
138. UPPERCASE with an asterisk in the Drugs to check list Drug Interactions the drug name brand or generic in the search field Select the drug and click the Add button Enter search term Matching drug names 2 Drugs to check tem with asterisk Indicates allergy pni 8 When all drugs and allergies to check are in the Drugs to check list click the SUBMIT button If you want to remove all drugs from the Drugs to Check list and start over click the Clear button 4 2013 Truven Health Analytics Inc E CHAPTER 9 DRUG INTERACTIONS TOOL Drug Interactions Search Results Interaction information is displayed on the Drug Interactions Results page Drug Interaction Results Moesityinteractions Refine by Drugs All v Severity All v Documentation All Y Type All M Jump To DRUG DRUG 4 Ingredient Duplication 0 ALLERGY 3 FOOD 10 ETHANOL 3 LAB B TOBACCO 2 PREGNANCY 7 LACTATION 7 Drug Drug Interactions 4 Drugs Severity Documentation Summary AMOXICILLIN Systemic WARFARIN SODIUM Systemic Warfarin Good Concurrent use of AMOXICILLIN and WARFARIN may result in an increased risk of bleeding AMPICILLIN Systemic WARFARIN SODIUM Systemic Warfarin e Maior Good Concurrent use of AMPICILLIN and WARFARIN may result in an j increased risk of bleeding ASPIRIN Systemic WARFARIN SODIUM Systemic
139. a vomiting arrhythmias LEVOTHYROXINE DIGITALIS GLYCOSIDES Fai Concurrent use of LEVOTHYROXINE and Moderate DIGITALIS GLYCOSIDES may result in decreased digitalis glycoside effectiveness Click the link to expand the group or class A pop up window displays detailed information about the interaction For additional information on drug interactions see Chapter 9 Drug Interactions Search Results INTERACTION DETAIL Warning Concurrent use of DIGITALIS GLYCOSIDES and THIAZIDE DIURETICS may result in digitalis toxicity nausea vomiting arrhythmias Clinical Management Patients given diuretics with digitalis should be told to add rich sources of potassium to their diet or they should be given potassium supplements even though their serum potassium level is normal The use of combination potassium sparing potassium depleting diuretics is also a rational approach You may want to include some extra potassium in your diet Onset Delayed Severity Major PRINT amp CLOSE X 2013 Truven Health Analytics Inc CHAPTER 4 DRUG INFORMATION IV Compatibility Single DOSING amp INDICATIONS Heparin Sodium E Display Entire Document Checks for potentially dangerous IV drug combinations with a single click When IV medications are combined the risk of complication is very real Efficacy of a drug can be reduced or a potentially dangerous incompatibility can occur The IV Compatibility single topic p
140. able in Micromedex 2 0 See Drug Consults on page 31 for more information 7 2013 Truven Health Analytics Inc CHAPTER 2 SEARCHING MICROMEDEX Drugs that Cause condition Adverse Reactions list An alphabetical list of the drugs in Micromedex 2 0 that cause an adverse effect or condition is available with a single search Drugs That Cause Syncope Displaying 282 results Jump ofPage 0 9 4 BJ Gl H il Kl L M 8 ATOMOXETINE Azilsartan Medoxomil Chlorthalidone AZILSARTAN MEDOXOMIL CHLORTHALIDONE AZITHROMYCIN BENAZEPRIL Benazepril Hydrochlorothiazide BENAZEPRIL HYDROCHLOROTHIAZIDE Bethanechol Chloride BETHANIDINE BRIMONIDINE Brimonidine Tartrate BROMOCRIPTINE Budesonide Build the search using the noun drugs medications substances or agents with any form of the words that cause Example e Drugs that cause skin rash e Medications that cause insomnia Substances that cause edema e Agents that cause pruritic disorder Adverse Reactions search results are displayed on a Drugs That Cause xxx page where xxx is the condition or reaction searched If the drug you are looking for begins with a letter occurring later in the alphabet click on the Jump To letter link shown at the top of the list O 2013 Truven Health Analytics Inc DENEN MICROMEDEX 2 0 U
141. actions 1 Type the first drug brand name or generic in the Search field If you are unsure of the spelling just type as many characters as you know Tip You can build an interaction search using a trade name brand name generic name or alternative supplement name As you type the application narrows your search results in the Matching Drug Names list based on the characters you have entered The more characters you type the more focused the results The number of matches to the drug name is also updated as you type If the drug you are interested in is listed in the Matching Drug Names list Click on the drug name and then click the button to add the drug to the Drugs to Check list or Press the Enter key if the drug is shown highlighted in the Matching Drug Names column or Double click the drug name Repeat these steps until you have all the drugs you wish to check for interactions in the Drugs to Check list If you accidentally add a drug in the Drugs to Check list select the drug by clicking it then remove it from the list by clicking the button Drug Allergies DRUG REAX customers only Patient allergies can be added to the list to check the drugs against the allergy Click the Add Allergies button to open the allergy window 2013 Truven Health Analytics Inc CHAPTER 9 DRUG INTERACTIONS TOOL ADD ALLERGIES Type the allergy in the search field Select the allergy and click t
142. ages are intentional You are not missing any information Implementation Requirements The data and software implementation described in this manual are furnished under license and may be used only in accordance with the terms of such license See your license for all terms and conditions that apply 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE CONTACT TRUVEN HEALTH ANALYTICS Office Locations Corporate Office 7 7 East Eisenhower Parkway Ann Arbor MI 48108 USA Colorado Office 6200 South Syracuse Way Suite 300 Greenwood Village CO 80111 USA North Carolina Office 4819 Emperor Boulevard Durham NC 27703 USA CUSTOMER RESOURCE CENTER Technical amp Customer Support At Truven Health Analytics our staff of technical and service experts has one goal to quickly take care of your needs so that you are back to optimal performance with our solutions Our Customer Resource Center is available to all of our customers free of charge and can be your single point of contact for the following services e Clinical Content Requests e Technical Support Requests e Product Use Support e Product Enhancement Requests EHE 2013 Truven Health Analytics Inc PREFACE 24 7 Phone Support United States amp Canada Phone 1 800 525 9083 Select option 3 for the Support Services menu For urgent technical inquiries select 3 3 Outside the United States amp Canada Phone 1
143. ailable on the Internet Whether the answer to your question is about a drug a condition reproductive risk toxicity or overdose alternative medicine or therapy you can search from the common search field to quickly find the information you are looking for H em Micromedex 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GATE Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility Identification Product Lookup Comparison Online Calculators Formulary Care treatment for chemotherapy extravas SEARCH Example Searches Extravasation Extravasation injury Extravasation of blood Extravasation of urine Extravascular haemolysis Extravascular hemolysis Injection site extravasation Necrosis ulceration of skin due to extravasation of drug mL Lil Simply type any term phrase or question into the search box that is available on every page Micromedex 2 0 is designed to work like familiar search engines and deliver results in a clean uncluttered interface Your request automatically searches across all content to which you are subscribed and Micromedex 2 0 performs these sophisticated searches without having to know complicated rules or software application navigation All searches occur from the single search box located at the top of every page Searches can be conducted using e A single term such as a drug condition or laboratory test n
144. al Imprint checkbox selected will find the imprint 71 anywhere in the imprint code in this case three matches found MRK 711 MRK 717 and Mrk 717 Drug Identification Search by Imprint Code No Imprint Code Click here to search by Description Side 1 frk Paral Imprint Side 2 71 Imprint Drug Identification Results Modif identification Search Images Imprint Mi 3 Drug Matches for M 1 3 of 3 matching drugs spay os alelcloleleleleliloikIcImInlolelol eisiciviviwlxiviz Imprint v Drug Name Manufacturer Availability AAPCC Poisindex Managements MRK 711 Singulair singulair Merck Sharp amp United States 201076 MONTELUKAST Dohme MRK 717 HYZAAR Hyzaar 50 12 5 Merck Sharp amp United States 077773 ANGIOTENSIN II Dohme ANTAGONISTS DIURETICS Mrk 717 Hyzaar Merck Frosst Canada 201079 ANGIOTENSIN II ANTAGONISTS DIURETICS Without the Partial Imprint checkbox selected the default Drug Identification search looks for exactly what is entered as the search term This means all terms and conditions must match to be considered a match This executes like the Boolean AND search operator Using the same example Side 1 MRK and Side 2 71 but without the Partial Imprint checkbox selected results in No Matches Found as there are no drugs with the imprint of MRK AND 71 2013 Truven Health Analytics Inc CHAPTER 11 DRUG IDENTIFICATION TOOL NO MATCHES FOUND Pleas
145. al information in the search results including e Excipients e Regulatory Status e AAPCC Code e Availability e Product ID e Contact Information MICROMEDEX 2 0 for Poison Centers customers can also open the toxicologic management for the substance from search results When an overdose or toxic ingestion or exposure is suspected this can close the information loop from identification to management MICROMEDEX 2 0 returns a full color image of the drug whenever possible with a link to detailed product information Create Your Search Search by Imprint Code Type imprint codes in the Side 1 and Side 2 fields Side order Side 1 or Side 2 does not matter A search for Side 1 1025 and Side 2 93 produces the same match as Side 1 93 and Side 2 1025 Both Side 1 and Side 2 are not required Search on only one imprint code if you are not able to read the second imprint 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE 136 Drug Identification Search by Imprint Code No Imprint Code Click here ta search by Description aida 1 Partial Imprint side 2 Partial Imprint Partial Imprint There may be times or conditions when you are not sure of the entire imprint code When this is the case click the Partial Imprint checkbox to perform the search looking for the characters entered anywhere in the imprint code Using the example of Side 1 mrk and Side 2 71 with the Parti
146. also configure the Restrict search providers to a specific list of providers policy and include Micromedex 5 Create the necessary ADM file e g providers adm Note Depending on your environment and other policies this new template may need to be applied in both the Computer and User Configuration policy settings Right click on Administrative Templates and select Add Remove Templates and add the new adm file 6 The GPO has now been created Add groups and computers to the GPO to enforce your new policy If you require assistance please contact us See Technical amp Customer Support on page ii 2013 Truven Health Analytics Inc 2013 Truven Health Analytics Inc PREFACE 2013 Truven Health Analytics Inc PREFACE CHAPTER 1 MICROMEDEX 2 0 OVERVIEW Designed specifically for point of care clinicians Micromedex 2 0 the point of care solution makes it easier than ever to access the information you trust when and where you need it The browser based interface is intuitive and easy to use providing quick access to summary level content at any point in the patient care process Micromedex 2 0 offers e Fewer clicks to get the answer you need e lengthy documents to scan e Seamless searching across content areas without re entering your search term Spelling help Plus Micromedex 2 0 provides enhanced summary drug information e Indications and Dosing now includes efficacy stre
147. alytics does not perform any independent analysis to determine or calculate the actual AWP paid by providers to wholesalers Truven Health Analytics also does not independently investigate the actual WAC paid by wholesalers to manufacturers or DIRP paid by providers to manufacturers Truven Health Analytics relies on the manufacturers to report the values for these categories as described above Truven Health Analytics provides a list of the manufacturers that do not provide the AWP or a markup formula The list of these manufacturers and products is available at http www micromedex com products redbook awp Additionally an ASCII text file with this same information is available to download For more information on this file and instructions on downloading please contact Truven Health Analytics Technical Support at http micromedex com support request Please refer to this AWP Policy as you review the pricing information contained in the Truven Health Analytics products The term manufacturer includes manufacturers repackagers and private labelers The term provider includes retailers hospitals physicians and others buying either from the wholesaler or directly from the manufacturer for distribution to a patient 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Unit Price Calculations Each product record in RED BOOK Online contains as many as three of the following price quotations The
148. ame e Multiple terms such as two drugs or a drug and a condition e A simple question Typically the more information you can provide the faster we can move you directly to the answer to your question Not all questions have a direct link to a topic in our data but all searches return results that are ranked by relevancy to your search terms Note English search terms are required except for subscribers to Italian Drug Database Dialogo sui Farmaci or United Kingdom Drug Information eMC SmPC where local drug names are acceptable for use as a search term 2013 Truven Health Analytics Inc Lun MICROMEDEX 2 0 USER GUIDE Drop Down Suggestions Help to build your search is built in with the use of the drop down suggestions Micromedex 2 0 lleMicromed X 2 0 10 mobileMicromedex amp SUBSCRIPTION MICROMEDEX GAT Drug Trissels 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility Identification Product Lookup Comparison Online amp Calculators Formulary Carell SEARCH Example Searches As you type in the search box the drop down list opens as soon as you enter three or more characters and pause The drop down makes suggestions based on what you ve typed For example if you typed dosing the drop down list would suggest e dosing e dosing for e dosing in e dosing of Once you find a match in the drop down do any one of the following e Add it to the search
149. amydial infection pregnant women 500 mg ORALLY 3 times daily for 7 days 4 a Ear nose and throat infection mild to moderate infection 500 mg ORALLY every 12 hr or 250 mg ORALLY every 8 hr 2 a Ear nose and throat infection severe infection 875 mg ORALLY every 12 hr or 500 mg ORALLY every 8 hr 2 a Gonorrhea Acute uncomplicated anogenital and urethral infections due to N The results display the Dosing amp Indications topic by default Click the desired topic link in the Jump To area to view other topics available for comparison Select another topic by clicking the item in the list 2013 Truven Health Analytics Inc A MICROMEDEX 2 0 USER GUIDE Topic Outline Description Section Dosing amp Indications Can include adult and pediatric dosing information dose adjustments and indications FDA and non FDA labeled Tradenames How Supplied Regulatory Status Generic Availability Includes Trade names synonyms class regulatory status and generic availability How Supplied information includes routes forms and names Lists whether a drug is Rx or OTC and if generics are available Black Box Warning A black box warning also sometimes called a black label warning is a type of warning that appears on prescription drugs that may cause serious adverse effects Contraindications Includes contraindications precautions pregnancy category and breast Warnings feeding information ama Interactions
150. an HIS or EHR system can also gain direct access using the Search Accelerator and the Internet Explorer Search Accelerator icon a Micromedex Search Accelerator Workflow Microsoft Internet Explorer Version 8 e Select or highlight a term or terms of interest in the web application you are using The Search Accelerator icon appears e Click the icon Calendar Mig this section of the website contains all you need scrolling feed of all new information published on Statistics What s new Media centre Latest News Brochures 21 12 2012 European Medicines Agency starts review of Tredaptive tte Trevaclyn Audio and video RSS feeds 2 a The European Pagdicines Agency has started a review of i the safety and efficacy of Tredaptive Pelzont and eee medicines that are used to treat adults with dyslipidagafla abnormally high levels of fat in the lada combined mixed dyslipidaemia and primary hypercholesterolaemia Read more Mewsletters Clicking the icon opens the search options menu allowing a one click search of your selected terms from your default Search Provider or a selection option to use other Search Providers installed to your browser 2013 Truven Health Analytics Inc 2013 Truven Health Analytics Inc PREFACE Calendar Mb this section of the website contains all you need Yq scrolling feed of all new information published on th Statistics What s new Media centre La
151. ancy Breastfeeding gt Drug Interactions Display Entire Document CHAPTER 2 SEARCHING MICROMEDEX deg Print Expand All Collapse All Top of Page See Chapter 4 Drug Information for more information on drug information documents available in Micromedex 2 0 MICROMEDEX 2 0 USER GUIDE Searching Brand Name Drugs Micromedex 2 0 allows you to search for drug information using either the common generic or the brand name as the search term Note Generic or Brand names available in the United States or Canada are required except for subscribers to Italian Drug Database Dialogo sui Farmaci or United Kingdom Drug Information eMC SmPC where local drug names are acceptable for use as a search term Searching on a brand name drug that has only one generic drug counterpart will result in the Dashboard for the generic drug being displayed e g Erythromycin See DASHBOARDS on page 35 for more information on drug dashboards Searching on a brand name drug that has multiple generic drug counterparts will result in a list of the corresponding generic drugs being displayed on a Brand Name Results page see tylenol example below The example shows typical Brand Name Results when searching on a brand name e g tylenol The page displays the brand names in alphabetical order The ingredients that comprise the drug are shown to the right of the brand name and displayed as hypertext links B
152. and treatment decisions in ambulatory and inpatient care settings General Medicine content enables clinicians to quickly reference the most current treatment of choice information at the point of care to help minimize errors prevent unnecessary tests and procedures reduce treatment costs and improve patient outcomes Each General Medicine document covers Management highlight Prognosis Background Advising the Patient Diagnosis Follow up Treatment Prevention and Screening Complications Key References Special Circumstances Literature Cited When to Consult or Refer Tables and Images 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE DRUGDEX System Detailed Drug Information Drug amp Pharmaceutical Information Designed to deliver unbiased drug information for those who prescribe order dispense or administer medications the DRUGDEX System provides independently reviewed data gathered from major drug centers and pharmacology services worldwide FDA approved and investigational drugs along with over the counter and non U S preparations are covered with regard to dosage pharmacokinetics cautions interactions clinical applications and comparative drug efficacy Information is reviewed by the Truven Health Analytics editorial board and can be retrieved by generic name manufacturer brand name or indications What s in DRUGDEX DRUGDEX includes the following modules e Drug Evaluations e
153. anges The ability to save a product list to your local system allows you to perform product searches on a set of products of interest to you without manually entering each product every time you want to check for changes to those products Note The maximum allowable number of products in a custom list is 2 000 Creating a Custom List To begin building a custom list click the Go To Custom List Manager hypertext link on the main RED BOOK Online Search page RED BOOK Online Search Search tor prescription or over the counter medications nutraceuticals bulk chemicals medical devices or supplies by product ar manufacturer Search for a Go to Custom List Manager actmwe ingredient in the product by a specific code such as UPC or Hei want to search Enter search term C Active Ingredient NDC HRVUPC C Manufacturer Name want to filter by Status o Deactivated AI Repackagers Include Repackagers The RED BOOK Online Custom List Manager page displays RED BOOK Custom List Manager Return to RED BOOK Online Search Use Custom List Manager to create a new list or browse to and load an existing list or EE Contactus Aboutus Content updates Training center Warranty and disclaimer Editorial info User Click the Create New button 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE The
154. ar or the Efficacy heading link at the top of the page to expand the list Drugs That Treat Influenza Displaying 23 results Jump To Top of Page Effective Evidence Favors Efficacy Evidence is Inconclusive Ineffective Not Rated Effective 10 results Drug Name Indications Age Group Amantadine Hydrochloride Influenza due to Influenza A virus Adult Pediatric Influenza due to Influenza A virus Prophylaxis Adult Pediatric Haemophilus B Conjugate and Haemophilus influenza B and hepatitis B vaccination Pediatric Hepatitis B Vaccine Influenza Virus Vaccine Influenza Prophylaxis Adult Pediatric Subvirion Oseltamivir Phosphate Influenza Virus types A and B Adult Pediatric Influenza Virus types A and B Prophylaxis Adult Pediatric Rimantadine Hydrochloride Influenza due to Influenza A virus Adult Influenza due to Influenza A virus Prophylaxis Adult Pediatric Zanamivir Influenza Virus types A and B Adult Pediatric Influenza Viruses Types A and B Prophylaxis Adult Pediatric Evidence Favors Efficacy 10 results Evidence is Inconclusive 3 results The drug is shown as a link with associated indications followed by the indicated age group Click the link to open the summary drug information document positioned in the DOSING amp INDICATIONS section 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Amantadine Hydrochloride 5 Display Entire Document 48 Prin Adult Dosing
155. area of interest The search query didn t hold enough information to be able to take you directly to a document and topic but information related to your search exists The following is an example of a typical toxicology summary dashboard BENZENE Jump to 75 other search results CROMEDEX TOXICOLOGY INFORMATION PRODUCT LOOKUP Tox amp Drug BENZENE CLINICAL EFFECTS TREATMENT OVERVIEW RANGE OF TOXICITY hfartindale BENZENE LABORATORY MONITORING HAZARD MANAGEMENT INFO 1 result View summary document ew detailed document BENZENE OTHER INFORMATION MEDICAL MANAGEMENT INFO 1 result MARTINDALE BENZENE Benzene MARTIHDALE OTHER INFO 1 result Pharmaceutical Excipients BENZENE was also found in gt Drug Consults 1 gt Disease Information b Clinical Checklist 4 Reproductive Risk Information 5 75 results found for BENZENE a Top of Page Tox amp Drug BENZENE fuartindale BENZENE Display 75 Drug 53 Disease 5 Toxicology 4 Alternative Medicine 9 Reproductive Risk 4 Page 1 Results for 1 10 ee e rea edes 1 BENZENE AA eating Ps n ae The substance or ingredient or species etc is shown at the top of the page just below the search box 2013 Truven Health Analytics Inc 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS MICROMEDEX TOXICOLOGY INFORMATION Below this heading are l
156. arin Sodium RED BOOK Online Wartarin Sodium DRUG IMAGES US Images DRUG CONSULTS 9 results ANTITHROMBOTIC AND THROMBOLYTIC THERAPY ACCP GUIDELINES ANTITHROMBOTIC AND THROMBOLYTIC THERAPY IN CHILDREN AND NEONATES ACCP SU ATIN When more than one possible answer exists for the substance searched a tabbed or combined dashboard page is displayed See the example shown on the following page 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE When Multiple Answers are Possible Search Example Iron When searching on a substance such as it is not known whether you are looking for information on Iron Iron Dextran Iron Sucrose or possibly even Sodium Ferric Gluconate Complex Rather than make any assumptions Micromedex 2 0 returns a dashboard with tabs to allow you to choose the specific substance Select a tab Available Routes 7 Iron Iron Dextran Iron Sucrose Sodium Ferric Gluconate Complex lron Oral View detailed document View summary document 4 Jump to 1035 other search results PRODUCT LOOKUP MICROMEDEX DRUG SUMMARY INFORMATION TR Martindale Iran RED BOOK Online Adult Dosing Drug Interactions single Administration Monitoring Pediatric Dosing a Adverse Effects Eo Supplied DRUG CONSULTS 5 results FDA Labeled Indications Adverse Effects Serious Toxicology Clinical Effects Man FD amp Labeled Indication
157. as a pill or liquid and Relenza is a pav der that is inhaled Relenza is not for people with breathing problems like asthma or COPD for exemple Select Search with Micromedex Search drugs are recommended this flu season approved antiviral drugs recommended by CDC this season The bran generic name sE xieInnyl and Relenza generic name zanamivir liquid and Relenza is a Pda r that is inhaled Relenza is not for asthma or COPD for Y Blog with Windows Live 3 antiviral drugs be tz Emal with windows Live niflu amp and Relenza amp are us E Mep wth Live Search ed the medicine for longer Search with Mecromedex Search We Translate with Live Search All Accelerators k 2013 Truven Health Analytics Inc vii MICROMEDEX 2 0 USER GUIDE MIT The Micromedex 2 0 Drug Dashboard displays Available Routes w Oseltamivir Phosphate Oseltamivir Phosphate vour search oseltamivir Oral 360 View Dashboard 4 Jump to 54 other search results MICROMEDEX DRUG SUMMARY INFORMATION Adult Dosing Drug Interactions single Pediatric Dosing Adverse Effects Dose Adjustments Common Adverse Effects Serious Drug Images US FDA Labeled Indications Non FDA Labeled Indications US Trade Names Contraindications Class Precautions Regulatory Status Pregnancy Category Generic Availability Breast Feeding View summary document View detailed docum
158. as many characters as you know 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE 2 Ifyou pause as you type eo ee the application narrows your search results in the PEE OS droo down menu based BEE BREAD h BEE POLLEN Ads Bee Propolis entered The more Bee sting characters you type the venom more focused the results Bee zee BEEBREAD If the substance you are interested in is listed in the drop down menu double click on the item or single click and press the Enter key or arrow down to highlight the item and then press the Enter key to begin the search 3 As you continue to enter the search term s the drop down menu may disappear This means the search term you entered does not match a title in our database However there may still be a match to a synonym or a free text match if you are searching on a keyword or typing partial or multiple search terms Type the search term s and click the Search button or press the Enter key The search results page opens showing matches found to your search term or keyword Spelling Help The MICROMEDEX 2 0 application may make suggestions if the search term you typed doesn t produce a match but is close or similar to a title or keyword The search term is shown along with the message that no matches were found When the application finds names or keywords that are close or similar to the search term they are listed as links
159. at the top beginning of the document The summary document link opens the DrugPoint summary document the detailed document link opens the DRUGDEX Drug Evaluation document OTHER INFORMATION When information in other subscribed databases such as PDR Index Nominum Martindale Consumer Drug Info P amp T QUIK or one of the available international drug databases IT Dialogo sui Farmaci or eMC SmPC UK for example exists for the drug searched it is shown using links below the OTHER INFORMATION heading DRUG TOOLS Click Side by side comparison of drug name with to open the Drug Comparison Tool populated with the current drug For additional information on this tool see Drug Comparison on page 163 DRUG AVAILABILITY not applicable to Acetaminophen example When the drug searched is associated with an FDA drug shortage the Micromedex 2 0 Drug Consult is listed below this heading PRODUCT LOOKUP Clicking the Tox amp Drug Martindale or RED BOOK links shown below this heading result in searches in the associated Tool or application using the drug used in the initial search See Chapter 12 Tox amp Drug Product Lookup Tool for additional information RED BOOK subscribers may see links to RED BOOK in this area of the dashboard Click the RED BOOK link to display search results in RED BOOK based on the active ingredient of the drug See Searching RED BOOK Online amp on page 170 for more inform
160. ate information Notification of new pricing information Available via the Micromedex 2 0 interface which can provide access to a broad range of clinical decision support tools available from Truven Health Analytics 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Searching RED BOOK Online To begin using RED BOOK Online you must first log into the application Navigate to the URL through which you access RED BOOK Online and log in The options displayed on the toolbar will vary depending upon your Micromedex subscriptions Click the RED BOOK Online toolbar item The RED BOOK Online Search page displays Micromedex 2 0 10 mobileMicromedex amp MY SUBSCRIPTION MICROMEDEX GATEWAY LOGOUT Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility Identification Product Lookup Online falculators Formulary SEARCH Example Searches RED BOOK Online Search Search for prescription or over the counter medications nutraceuticals bulk chemicals medical devices or supplies by product name or manufacturer Search for a specific active ingredient in the product or by a specific code such as NDC UPC or HRI Go to Custom List Manag want to search by Enter search term Active Ingredient No Results Found NDC HRI UPC Please modify your search term and or options Manufacturer Name want to fi
161. atibility is shown alphabetically by drug name with the associated compatibility icon and description Syringe Compatibility All vj Syringe Test Detail Rating Anakinra Cefazolin sodium E Mat Tested Anakinra Furosemide E Not Tested Anakinra Heparin sodium Not Tested Anakinra Warfarin sodium Not Tested Cefazolin sodium Furosemide Not Tested Click the drug name link to view the details of these tests IV COMPATIBILITY DETAIL Drug 1 Drug 2 Status Information Test Parameters Cefazolin sodium Heparin sodium Physical Reference 1053 2g in Reconstituted 2500units 1 Compatibility Phy sically solution undiluted Undiluted Compatible Compatible No visible Study Period Observation over 5 changes and no change minutes Boehringer Braun Melsungen in measured haze Mannheim Method Visual observation and Storage Room nephelometric evaluation temperature Container Glass containers Drug 1 Drug 2 Notes This drug combination was used as an antibiotic lock solution for ue 5 venous ports Cefazolin sodium Heparin sodium 0 5mg mL in 50units mL in Status Information Test Parameters Sterile water for Normal saline injection sodium chloride ilit Physical 0 9 Compatibility ysica y Eli Lilly and Co compatible No visible Study Period 10 days haze or particulate Manufacturer formation color change Method isual observation and Uns
162. ation on active ingredient search results in the RED BOOK product DRUG IMAGES If available photos of the drug are shown If more than one image exists access additional images by clicking the More Images link DRUG CONSULTS Drug Consult articles that may be applicable to or associated with the drug are shown as links Click the article title to open the drug consult COMPARATIVE EFFICACY Click a link to view the comparative efficacy of the selected drug with others If 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS comparative information is not available the DrugPoint document opens at the top of the dosing topic 9 MARTINDALE OTHER INFO Shown if you are a subscriber to the Martindale database and if additional information for the drug is available 10 x was also found in Disease Labs Clinical Checklist Reproductive Risk etc Information Headers When the drug is found in other Micromedex 2 0 content or databases the expandable header s accordion bars display along with the number of matches found Click the header to expand the accordion bar and view the list of results 11 x Results found for drug name This section displays all matches found for the substance and is organized exactly like the Intermediate Results Page Matches are ranked by relevance and shown in numbered order Each result is typically presented on multiple lines organized in the following order e he title e
163. bstances can Available Routes Warfarin Sadium Warfarin Sodium Intravenous Oral View detailed document View summary document 4 Jump to 1386 other search results MICROMEDEX DRUG SUMMARY INFORMATION Adult Dosing Pediatric Dosing Dose Adjustments FDA Labeled Indications Hon FDA Labeled Indications Black Box Warming Do Not Confuse Contraindications Precautions Pregnancy Category OTHER INFORMATION MARTINDALE Warfarin eMC SmPC UK Marewan Q 5mg Tablets Marewan 1mg Tablets Marewan 3mg Tablets Marewan Smg tablets DRUG TOOLS Breast Feeding Drug Interactions single Adverse Effeots Common Adverse Effects Serious IV Compatibility single Drug Images US US Trade Names Class Regulatory Status INDEX NOMINUM Warfarin Rec INN PDR Coumadin for Injection Side by side comparison of Wartarin Sodium with Warfarin Sadium was also found in Toxicology and Exposure Information 2 gt Disease Information 25 Lab Information 1 Reproductive Risk Information 4 Generic Availability Mechanism of Action Pharmacokinetics Administratian Manitoring How Supplied Toxicology Clinical Effects Toxicology Treatment Toxicology Range of Toxicity Clinical Teaching References IT DIALOGO SUI FARMACI COUMADIN 30 mg CONSUMER DRUG INFO WARFARIN Intravenous route M AR far in WARFARIN Oral route WAR farin PRO
164. cal Checklis DIFFERENTIAL DIAGNOSIS related to this topic DEFINITION View detailed information in DISEASEDEX Opens the detailed Drug Therapy information Procedural Therapy Non Procedural Therapy A preventable and treatable pulmonary disease marked by chronic airflow limitation that is typically progressive and is not ONGOING ASSESSMENT entirely reversible severity in individual patients may be increased by substantial extrapulmonary effects 1 REFERENCE Note Some customers may not see links to the detailed information Links embedded within the summary information are based on your current MICROMEDEX 2 0 subscription Topics Links All topics with information for this disease Definition Findings Treatment etc are shown as active links on the left side of the page Clicking the link opens the document positioned at the beginning of the selected topic DEFINITION Chronic obstructive pulmonary disease Display Entire Document MEDICAL HISTORY DISEASEDEX General Medicine Summary FINDINGS View Related Documents amp Clinical Checklist DIFFERENTIAL DIAGNOSIS TESTING TREATMENT ExpandAll Collapse Al 1 gt Drug Therapy Drug Therapy ay Therapy Procedural Therapy No edural Therapy ONGOING ASSESSMENT REFERENCE View detailed information in DISEASEDEX gt Stage moderate or more severe COPD 1214 o Pulmonary rehabilitation The primary
165. ce DIR Direct Price FUL Federal Upper Limit HRI Health Related Item J Codes J Codes are a series of reimbursement codes created by the Centers for Medicare and Medicaid Services CMS to allow Medicare and Medicaid providers and carriers to communicate their services in a consistent manner and validate fee schedules through standardized coding While originally developed for Medicare and Medicaid use this nationally recognized coding system is required by many private insurance carriers for claims reimbursements J Codes are most often associated with drugs administered as part of an office based procedure such as injectables and drugs used in chemotherapy NDC National Drug Code SRP Suggested Retail Price UPC Universal Product Code WAC Wholesale Acquisition Cost 2013 Truven Health Analytics Inc BEEN SS MICROMEDEX 2 0 USER GUIDE 236 2013 Truven Health Analytics Inc INDEX A AAPCC 155 Acute 82 Adverse Reactions List 20 21 63 AH 88 AHRQ 88 allergies 112 AltCareDex amp System 210 Alternative Medicine Summary 106 AltMedDex System 210 AltMedDex Points amp System 211 Available Routes 39 AWP Policy 227 B Black Box Warning 20 63 Brand Name Searches 28 building your query 14 C Calculators Antidote Dosing Calculators and Nomograms 9 Alcohols Ethylene Glycol Blood Level 9 Ethanol IV Dosing for Methanol Ethylene Glycol Overdose 9 NAC Dosing for Acetaminophen Overdose 9 Toxicity
166. ch Search the web Babylon Search Micromedex ROME MICROMEDEX ATI AICROMEDEX GATI CTS Find on this Page t Farmular ators Formular LOIS Formate Find More Providers 3 Click Micromedex Search Manage Add ons View and manage your Internet Explorer add ons amp dd on Types Name Status 9 Google Default Toolbars and Extensions 5 Search Providers z Micromedex Search z Accelerators InPrivate Filtering lt Select the search provider you want to view or change C Prevent programs from suggesting changes to my default search provider Find more search providers Learn more about search provider preferences 4 Click Set as default Manage Add ons View and manage your Internet Explorer add ons Add on Types Name Status 9Google Default Live Search P Search Providers Micromedex Search J Accelerators Search the web Babylon InPrivate Filtering igi Toolbars and Extensions Micromedex Search EJ Google Default 3 1 Live Search Micromedex Search Search the web Babylon Search Micromedex Add Search Providers Ld Find on this Page Find More Providers Manage Search Providers Listing order Listing order al 2 5 Status Listing order Move up Move down Alphabetic sort http www thomsonhe com micromedex2 librarian deeplinkaccess SearchTerm Not Available Disable suggestions su
167. ch Results on page 184 The Product Details pop up box provides detailed information for the product s selected The Price Chg price change column indicates if the selected product has experienced a price change effective within the last 30 days of the date the search is performed If a price change has occurred within this time window a dollar sign icon displays Hovering the cursor over the icon displays the date the price change became effective E Price Change D2 22 7201 1 The New Pkg column indicates if the product on which you searched is a new entry in the RED BOOK Online database that became effective within the previous 30 days of the date the search was performed New entries in the database are indicated by a star icon in this column Hovering the cursor over the icon will display the effective date of the new entry Mew Product 01 10 2011 The Product Name column displays the name of all the individual products retrieved by your search You can click the column header to sort the search results by this column When the results are initially displayed in response to your search they are sorted by this column The Manufacturer Distributor column displays the manufacturer distributor of an individual product in your search results A single product name may be associated with multiple manufacturers distributors See Manufacturer Product List Search Results on page 182 for more informa
168. chanism of Action Pharmacokinetics DRUG IMAGES US Administration Monitoring How Supplied Toxicology Clinical Effects Toxicology Treatment m Toxicology Range of Toxicity DRUG CONSULTS 19 results Clinical Teaching References ACETAMINOPHEN PEDIATRIC DOSING CHART VN a gm E TABLE ANALGESIC Aah adi aadi MICROMEDEX 2 0 USER GUIDE Brand Name with Multiple Routes Administerable Forms Example Nexium Esomeprazole Magnesium amp Nexium I V Esomeprazole Sodium Searching on the term Nexium in Micromedex 2 0 presents the Brand Name Results page described previously where you can choose Nexium Esomeprazole Magnesium or Nexium I V Esomeprazole Sodium However if you search on Esomeprazole you will receive a preliminary search result page similar to the following Available Routes 7 V V Esomeprazole Magnesium Esomeprazole Sodium a substance from above ta continue or select from the results below 197 results found for Esomeprazole Tox amp Drug Esomeprazole of Page Martindale Esomeprazole RED BOOK Online Esomeprazole Display 497 Drug 135 IT Farmaco 37 SmPC UK 2 Disease 17 Toxicology 3 Alternative Medicine 3 Page 1 Results for 1 10 1 2 3 4 5 5 7 8 9 10 Netto 1 ESOMEPRAZOLE Drug Detailed evidence based information a aaa t This interim page appears because there are
169. cognized worldwide Index Nominum is an international drug directory providing access to over 5 300 substances and derivatives more than 12 800 synonyms and over 41 800 tradenames from more than 45 countries The Truven Health Analytics version of Index Nominum in Micromedex 2 0 edited by the Swiss Pharmaceutical Society provides electronic access to an international drug directory of generic substances drug tradenames synonyms chemical formulas therapeutic classes and manufacturer information Designed to meet the drug information needs of drug and poison information centers pharmacists physicians research and medical centers pharmaceutical companies and libraries the system presents area specific information from more than 45 countries for preparations used in human and veterinary medicine Index Nominum enables users to locate information by entering a substance name therapeutic category brand name synonym chemical name manufacturer name or country as the keyword or search term Each monograph provides detailed information about a drug s name and synonyms chemical structure diagrams and a list of manufacturers Name and address information enables the user to conveniently identify manufacturers worldwide Index Nominum contains e Drug tradenames e Official and unofficial synonyms e Substances and derivatives e Manufacturer names and addresses e Therapeutic classes e numbers e codes e Chemical structures e M
170. contains 847 mg Extraction with boiling water yields about 40 Vitamin C from fresh hips and 64 from dried hips The drying process may result in a 45 to 90 loss of ascorbic acid VVindholz 1976 Powdered Rose Hips are often added to vitamin C tablets to enhance marketing of these products The actual content of Vitamin C in powdered Rose Hips is variable and some powders are devoid of Vitamin C Kwaselow et al 1990 Rose Hip powder has become a new occupational allergen to workers exposed while preparing products using this powder Seven of 13 self selected workers tested at a Detroit vitamin manufacturing plant had Immunoglobulin E specific for Rose Hips based on skin prick tests and in vitro tests These workers presented with symptoms of asthma and rhinitis bronchopulmonary challenge using Rose Hips was completed on four workers with a history of work related asthma Two workers had greater than 20 declines in forced expiratory volume in 1 second FEV1 measurements It was speculated that occupational exposure to Rose Hips may be greater than the challenge dose and over a longer period of time as onl 50 responded to the challenge Kwaselow et al 1990 CONCLUSION Patients taking Rose Hips as a Vitamin C supplement may not be getting sufficient quantities of Vitamin C The actual content of Vitamin C in powdered Rose Hips is variable and some powders are devoid of Vitamin C Rose Hips are occupational allergens with potential to cause asth
171. cromedex com or contact your local distributor MICROMEDEX 2 0 USER GUIDE TOTAL SUPPORT SOLUTIONS We stand behind our products and our customers and believe that the total customer experience is what differentiates us from the competition Our solutions are the fastest most reliable accurate evidence based clinical decision support solutions on the market Our Total Support Solution offers top notch service training and support to ensure you are able to realize all the benefits our products offer Our Total Support Solution includes dedicated personnel and robust tools and training to help you get the most from your investment in the Clinical Xpert and Micromedex solutions As part of our Total Support Solution we will e Provide flexible training opportunities such as webinars on site classes unit to unit specialized training eLearning and more to help you and all users at your site stay current on Micromedex and Clinical Xpert solutions e Solve questions and issues promptly with our 24 7 technical support e Ask you for your input on how we can continue to improve our products and services e Make it easy to do business with us on all fronts Ask your Client Relationship Manager or Sales Executive how we can help you with our Total Support Solution uicsoMEDEX i a SUPPORT SOLUTIONS 2013 Truven Health Analytics Inc PREFACE HE CUSTOMIZED BROWSER SETTINGS TO ENHANCE THE USE
172. cs References TPN Breast Feeding VITAMINS MINERALS TRACE ELEMENTS ELECTROLYTES FOOD SOURCES OTHER INFORMATION COMPARATIVE EFFICACY 2 results MARTINDALE INDEX NOMINUM IT DIALOGO SUI FARMACI Levothyroxine Povidone lodine Intermediate Search Results 800 results found for meningitis Display AN 800 Drug 397 Disease 231 Toxicology 110 Lab 27 Alternative Medicine 20 Reproductive Risk Page 1 Results for 1 10 114 22 2 1 Viral meningitis Disease Detailed evidence based information OSEA SEDE x J View Dashboard 2 Bacterial meningitis Disease Detailed evidence based information 1 View Dashboard 3 Bacterial meningitis Disease Summary topic Polptsg View Dashboard 4 Viral meningitis Disease Summary topic Polntsgi View Dashboard 5 Bacterial meningitis Disease List of essential care interventions Check sie 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE e AList of Confused Drug Names Black Box Warnings Brand names or Drug Consults or other targeted search results see Targeted Searches on page 20 GOING DIRECTLY TO THE DOCUMENT amp TOPIC SECTION Some searches in Micromedex 2 0 take you directly from the search query to the exact topic area in the document see Example Searches on page 18 This behavior occurs when the application determines there is a hig
173. cted from the interactions check De select uncheck any drug you wish to remove then click the Update button 2 The Severity drop down allows you to remove any of the interactions severities from the interactions results De select uncheck any severity you wish to remove then click the Update button 3 By default all Documentation types Excellent Good Fair and Unknown are included and shown in the results To remove any of these types from the interactions results de select uncheck any type you wish to remove then click the Update button 4 The Type drop down allows you to filter for specific interaction types only De select uncheck any interaction type you wish to remove then click the Update button Jump To Interactions are shown grouped by interaction type Drug drug interactions are shown first on the page followed by ingredient duplication allergy food ethanol lab tobacco pregnancy and lactation Jump To DRUG DRUG 4 Ingredient Duplication 0 ALLERGY 3 FOOD 10 ETHANOL 3 LAB 8 TOBACCO 2 PREGNANCY 7 LA e he Jump To links show at a glance how many interactions of each type exist and allow you to go quickly to a particular type Click the link to go immediately to the first entry in the interaction type 2013 Truven Health Analytics Inc 117 SS MICROMEDEX 2 0 USER GUIDE 78 2013 Truven Health Analytics Inc CHAPTER 10 IV COMPATIBILITY TOOL Use
174. d Searches RETE TE IDEE 20 Drugs that Cause condition Adverse Reactions 21 Drugs that Treat xterra ser heedeso nu eia ntes ten ten 23 List of Drugs with a Risk Evaluation and Mitigation 25 Black Box Warning EISE anii edes nitent ERR RE VOR Y n hw eus 26 Searching Brand Name DES 28 Confused Drug List Drugs that Sound Alike Look Alike sese 29 Drao COn ETE T T S 31 Chapter 3 Search Results 33 Going Directly to the Document amp Topic 34 39 DRUG DASHBOARDS 36 SECER SUS NO area TTE 37 Searching on a Substance cssccencesissanedncassasetarioncensteecanseccedamerecetaixsncisbeennnanceseededaneiiedennstiieeetbaceiuas of With Only One Possible Answer RR E T 37 When Multiple Answers are 510 38 Searching Brand Names 40 Risk Evaluation and Mitigation Strategies REMS on the 44 Drug Shortages on the Dashboard 46 Information amp Links on Drug
175. d in your subscription Databases can include Martindale The Complete Drug Reference Index Nominum Herbal Medicines A Guide for the Health Care Professional Dialogo sui Farmaci or eMC SmPC The international drug information is integrated into all searches in the Micromedex 2 0 platform See DRUG DASHBOARDS on page 36 for examples and details on accessing global drug information Other Drug Information Sources in MICROMEDEX 2 0 Physicians Desk Reference PDR The same information available in the popular print version is available in Micromedex Clinical Knowledge Detailed Drug Information for the Consumer Easy to understand in depth materials to help educate your patients about medications and their proper use P amp T QUIK Reports Reports for Pharmacy and Therapeutic Committees Reproductive Risk Information Information from multiple sources is integrated into reproductive risk searches in the Micromedex 2 0 platform The Reprorisk System comprised of the Reprotext Reprotox Shepard s and TERIS databases can define potential problems for women men and the effect on unborn children It also can define risks associated with drugs and other substances both legal and illicit The Reprorisk System suggests treatment plans to minimize risks during pregnancy ICE 2013 Truven Health Analytics Inc CHAPTER 4 DRUG INFORMATION Methotrexate Sodium was also found in gt Toxicology and Exposure
176. d patients with no history of convulsive seizures may have the dose raised cautiously up to 600 mg day in divided doses a Endogenous depression initial 50 mg ORALLY 2 3 times a day may increase dosage up to 100 mg 2 3 times a day by end of the first week OR may start with 300 mg day but notable sedation may occur during the first few days of therapy a Endogenous depression maintenance usual effective dose is 120 300 mg day ORALLY may increase dosage to 400 mg day after 3 weeks if there is inadequate response and hospitalized patients with no history of convulsive seizures may have the dose raised cautiously up to 600 mg day in divided doses a Severe major depression with psychotic features initial 50 mg ORALLY 2 3 Selected Topic Change the drugs to compare de Print play in Column 2 Amoxicillin 4 mef Adverse Effects ology Clinical Teaching References Sub topic links View Detailed information in DRUGDEX gt Amoxicillin Dosing 8 Indications Adult Dosing View Detailed information in DRUGDEX a Acute otitis media mild to moderate infection 500 mg ORALLY every 12 hr or 250 mg ORALLY every 8 hr 2 a Acute otitis media severe infection 875 mg ORALLY every 12 hr or 500 mg ORALLY every 8 hr 2 a Bacterial endocarditis Prophylaxis high risk patients only dental respiratory or infected skin skin structure procedures 2 g ORALLY 30 to 60 minutes prior to procedure 3 a Chl
177. de Identifier Chg Pkg Distributor Book Type F Code HUM AI OG inswin lispro DIBPENSEXPRESS E DEACTNATED recombinant INC x DEM M neuin lispro LILL Y ELI amp UK EI recombinant COMPANY N NDS 000027 7516 55 T nsuln lispro LILLY ELI amp zu T5 eee COMPANY H MDC 00002 751 0 17 lepro LILLY ELI amp ae 2 cipis recombinant CONPANY i Se HUMALOG insulin lepro LILLY ELI amp E Li recombinant COMPANY 2 2 meno insulin lispro LILLY ELI amp B 7 Li ER recombinant CON PANT lepro EHYEICIANS TOTAL TE p E cH urge D CARE Y H MDC 54866 51 08 00 nauyin lepro QUALITY CARE TS soo cepi PRODUCTS LLC Y H MDC 8606 53560 102 00 Click the checkbox es to view detailed information for a single or multiple products You can select the checkbox directly beneath the Details button to view detailed information for all items displayed on this page Select the product name hypertext link to display the details for a single product 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE For this example four 4 products were selected as shown previously After selecting the checkboxes the Details button was clicked The Product Details pop up box displays PRODUCT DETAILS Uze these buttons to page forwar
178. drug 111 Documentation EO 112 Dr g Interactions Seal CMOS UN 115 Inierac MONS Resul Seeron b a exsules xc m eS AMI 115 Documentation Ratings RET 116 ROING DY 117 dU ed 117 Chapter 10 IV Compatibility Tool eere ere ree eere een 119 Building an IV Compatibility Search us essued unita nsus 120 Compatibility Search i dadasi edap ain Queda cios 121 Modify the Drugs to INCIUCG cccccccccccssseecceeeeceeeceeceseeseueeeesaeeesseseesseneeeeas 122 T R O 124 MONROE 126 Syringe IV INDEX GUSLOMENS siccsccccecancasescaciscnaninconseniiasxcnnasaivestncienccieexesiesmosicctuutigniocnaesshneseariaccensennnsncaneseaas 127 Single Drug IV 129 ae EDI OL TTE 130 Chapter 11 Drug Identification 135 Identify Drugs by Imprint or Physical 195
179. ds anc backwvarciz through the detailed rezute when mukiple products sre 5 ef 50 being Product Information Product Mame LANTUS SOLOSTAR Code MDC Actree Ingredients k insulin glargine recombinant Identifier AASAS A 31 00 Distributor PHYSICIANS TOTAL CARE Unit Dose Hl Forni SOLUTION Single Source 100 Repackager Size Generic hl Route of Admin SUBCUTANEOUS Addi Description Orange Book Code DEA Chass Current Pricing Information AWP Unit Pricing J Cod es Package Unit Effective Date Effective Date Unit Change AVP 118 05 T bBO187 08 TJ2011 TERM 1 WAC JA AU 3 52b 7 DIR 0171572008 2B7 733 PER 5 UNM AL 1a S008 l 45633 PER 50 UN SRP Mare More CICK the Mare nypertext link 10 Click the More ink wiew historical AWP pricing history Lo view addtional Codes ior Cather availble this DC Detailed information for each product is shown When more than one product was selected navigation to the other products is accomplished using the right and left arrows at the top of the pop up When more details are available the More link is presented Click the link to view the additional information 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE The Products Detail page is divided into two sections The upper section of the page displays the following information Product
180. e Reactions Teratogenicity Effects in Pregnancy Breastfeeding Drug Interactions CLINICAL APPLICATIONS Monitoring Parameters Patient Instructions Place In Therapy Mechanism of Action Pharmacology Therapeutic Uses Comparative Efficacy Evaluation With Other Therapies REFERENCES DOSING INFORMATION Expand All Collapse All Top of Page EN 2013 Truven Health Analytics Inc DASHBOARDS CHAPTER 3 SEARCH RESULTS Whether you arrive on the dashboard directly from your search or you clicked on the View Dashboard link from the Intermediate Search Results page the dashboard gathers all the related results for the search together into one compact view The purpose of the dashboard is to show all relevant and related information at a glance so you can quickly navigate to your specific area of interest Based on the search term s used Micromedex 2 0 may take you directly to the dashboard page when the application deems it highly likely that this is your area of interest or the answer to your question The amount and layout of the information shown on a dashboard will vary by your subscription and the various dashboard types Dashboards are available for Drug Disease Toxicology and Alternative Medicine information A description of each follows NONIONIZING RADIATION Jump to 54 other search results MICROMEDEX TOXICOLOGY INFORMATION CLINICAL EFFECTS TREATMENT OVERVI
181. e add button to add to custom list Displaying results far working custom list name New Custom File your custom list name will appear ence you ease ard reload your file Reguli 1 12 12 Page dofi Go 4 Previous Mext p Price Mew Product Mame v Active Ingredient Manufacturer Rpkg Generic Orange Code Identifier Form Sirength Route Pk Unit Chg Pig Distributor Book Type Size Dose Code PFIZER Ll E LY RA pregabalin PRARIMACEUTICALS hl N 00071 1012 56 25mg ORAL FIE n GROUP PFIZER US LY RIAA pregabalin FHARMACEUTCALS H N HDC 00071 1016 CAP 150 ORAL Te H GROUP PFIZER l S 1008 E L YRICA PHARMACEUTICALS H MDC X 00071 1018 41 150 ORAL ed ay GROUP PFIZER U S Au L ERIC a PHARMACEUTICALS MA CAP 75mg ORAL 905 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE The column headings and their functions are described in the table below Column Description Add Button The Add buiton is related to the checkboxes that correspond to each line item in the search results Clicking the checkbox for a single or for multiple products and then clicking the Add button launches the Products Added pop up box The Products Added pop up confirms that the products selected have been added to your custom list Price Chg The Price Chg price change column indicates if the selected product has experienced a
182. e desired product The associated POISINDEX product page opens Information shown on the Product page may include Ingredients active ingredients excipients Availability amp Manufacturing availability packaging information contact product ID AAPCC code registry numbers Notes and Physical Description E EM 2013 Truven Health Analytics Inc CHAPTER 12 TOX amp DRUG PRODUCT LOOKUP TOOL POISINDEX amp Managements Information related to the product or substance found in can be viewed by clicking the corresponding POISINDEX amp Management link on either the Tox amp Drug Product Results page or from within the product page Modify Search 3j Pri Tox amp Drug Product Results Export as 4 Print Displaying results found for Results from Other Countries Display DEEE Synonyms 38 Manufacturer Contact info 0 LEE Results contain Results 1 50 Page 1 of2 Go 4Previous Next gt Strength Name Form Manufacturer Country Product ID AAPCC Code Related Document s 1 Robitussin Ac 10 MG 5 ML 100 Robins United States 2143462 037701 ODEINE POISINDEX amp MG 5 ML Solution ETHANOL POISINDEX amp OPIOID WITHDRAWAL POISINDEX amp GUAIFENESIN DRUGDEX CODEINE DRUGDEX 2 Robitussin AC Dl Form Not Given Robins USA United States 7738550 GUAIFENESIN DRUGDEX CODEINE DRUGDEX 3 Robitussin Adult Lingering Cold Long Form Not Given
183. e following information about a manufacturer e Manufacturer Name e Address 1 e Address 2 e City e State e Zip Code e Telephone Number Also displayed are labeler codes for the manufacturer Most manufacturers have a specific set of labeler codes which they use A labeler code is a five digit number that corresponds with the first five characters in an NDC number Occasionally a More gt hypertext link is available in this section Click the link to view additional labeler codes used by the manufacturer as shown below MANUFACTURER LABELER CODES Manufacturer Name PFIZER US PHARMACEUTICALS GR OUP 0004 6 2001 Ihi 2 0068 2 0995 5901 2 63010 PRINT CLOSE X You can print the Manufacturer Labeler Codes information shown in the pop up by clicking the PRINT icon Click CLOSE to exit the pop up box and return to Manufacturer Details pop up Note Columns for which no data is returned will contain two dashes a You can print the Manufacturer Details information by clicking the PRINT icon Click CLOSE to exit the pop up and return to the original search results THE CUSTOM LIST MANAGER The Custom List Manager provides the ability to create and edit a list of products for tracking purposes The list of products can be saved to your local computer or network and re run 9 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE through RED BOOK Online to check for product ch
184. e of Toxicity CLINICAL TEACHING REFERENCES Other Solutions Alcohol 5 dextrose 5 Compatible Dextran 70 6 in dextrose 5 Compatible Dextran 70 6 in sodium chloride 0 996 Check multiple IV compatibility Check the compatibility of multiple medications by clicking the button see IV Compatibility Tool on page 119 for detailed information on checking compatibility for multiple drugs Compatibility Compatibility is denoted by an icon and simple description Hovering your mouse over the compatibility icon opens a pop up with the full compatibility description The full descriptions follow 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Compatible all studies showed these items as compatible Caution Variable study results show IV compatibility is variable Incompatible all studies showed these items as incompatible Uncertain study results were inconclusive compatibility wasn t determined Not Tested IV compatibility has not been tested Note By default a Compatibilities are displayed Filtering Results Compatibility All Checdeuncheck te refine compatibility setting s Check all Uncheck all Compatible Caution Variable Incompatible Uncertain Not Tested To show results only for selected Compatibilities select the levels desired from the Compatibility drop down menu at the top of the page Check the box for the desired compatibilities
185. e refine your search options If only one side is legible you can search using a single imprint code For example you could search on Side 1 71 This search finds all drugs with 71 as an imprint which may produce a large list of matches Logos and Pictures If the drug has something other than letters or numbers you can search on the term logo The example shown here could be found by searching Side 1 100 and Side 2 logo 2013 Truven Health Analytics Inc 137 MICROMEDEX 2 0 USER GUIDE Imprint Code Search Results Search Results Page All matches found for your search criteria are shown in a search results table Links to additional information on drug information Manufacturer Availability and POISINDEX amp Managements are available Searching by Imprint will not display any pictures in the search results table Images may be available on the Drug Info page see Viewing Drug Information on page 139 If you need to view a picture of the substance to match it to the pill in question it may be available by searching the Images database Click the Search Images button to search using the same search terms and parameters in the Images database a Note Not all substances found through an imprint search will have a EE corresponding image picture in the Images database If you wish to create a new search click the Modify Identification button to return to the search page Images are not shown on
186. e state Medical condition documents e Therapy documents Dietary Supplement documents Dietary supplement documents provide concise information on indications dosage storage interactions side effects and warnings associated with the most frequently used herbal medicines vitamins minerals and other CAM related substances Disease States Medical Condition documents These documents provide information on common diseases or medical conditions and how to treat them using CAM therapies A description of the condition causes signs and symptoms wellness recommendations and complementary treatments are presented Therapy documents Therapy or modality documents offer overviews on biofeedback aromatherapy acupuncture and other frequently used CAM therapies and treatments AltMedDex System Herbal and Dietary Information Part of the Complementary and Alternative Medicine CAM Series AltMedDex offers evidence based clinical information on herbal vitamin mineral and other dietary supplements The unbiased information is peer reviewed by a team of experts from both alternative medicine and traditional medicine communities Editorial board members performing the reviews include MDs DOs RPhs RNs and NDs What s in AltMedDex e Evaluations e Consults e Protocols Alternative Medicine Evaluations Alternative Medicine Evaluations monographs appear in a standardized format that allows you to easily find the information you need
187. ed to 24 characters Entries in this field that exceed 24 characters are truncated A longer description can be viewed on the Product Details page The Route column displays the route of administration for the product See Route Listing on page 233 for more information The Pkg package column displays the quantity of individual items in the package This quantity is expressed in National Council for Prescription Drug Programs NCPDP units each grams milliliters The Unit Dose column indicates if the product retrieved in your search is available in unit dose packaging A Y indicates that the product is available in unit dose packaging An N indicates that the product is not available in unit dose packaging WAC Pkg Price WAC Pkg Price column displays the Wholesale Acquisition Cost of the package AWP Pkg Price The AWP Pkg Price column displays the Average Wholesale Price per package AWP Unit Price The AWP Unit Price column displays the Average Wholesale Price per unit See Unit Price Calculations on page 228 for information on how unit prices are calculated 176 2013 Truven Health Analytics Inc Note 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE The default sort order for search results is by the Product Name and then Manufacturer columns If you sort the results by a different column Product and Manufacturer become the second and third sort criteria Columns f
188. ediatric Dosing DrugPoint amp Summary i OTHER SOURCES Dose Adjustments FDA Labeled Indications CLINICAL TEACHING Non FDA Labeled Indications BLACK BOX WARNING Advise patient to avoid vaccines during therapy due to drug induced immunosuppression CONTRAINDICATIONS WARNING Drug can cause sun sensitivity Advise patient to use sunscreen and avoid tanning beds Do Not Confuse Adverse effects to a fetus may be caused by either male or female patients receiving treatment with this drug Emphasize the use of Contraindications reliable contraception for at least 3 months post therapy for male patients and after at least 2 menstrual periods post therapy for Precautions female patients eee c This drug may cause alopecia rash loss of appetite nausea hyperuricemia gastrointestinal hemorrhage mucous membranes or arachnoiditis paraesthesia muscle cramps spasms or twitches burning sting pain in lower back or legs decreased bladder DRUG INTERAGAIONS SINGLE bowel or sexual function ADVERSE EFFECTS Instruct patient to report signs symptoms of hepatotoxicity gastrointestinal toxicity vomiting diarrhea stomatitis nephrotoxicity Comm neurotoxicity leukoencephalopathy seizures or pulmonary toxicity dry cough pneumonitis Patient should also report signs symptoms of myelosuppression or a severe skin reaction OMPATIBILITY SINGLE Instruct patient to maintain adequate hydration during therapy NAME INFO
189. education document all from one search Many elements on the interface appear throughout the application These common elements and functions are described here Micromedex 2 0 ileMi a mobileMicromedex MY SUBSCRIPTION MICROMEDEX GATEWAY LOGOUT HELP Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility Identification Product Lookup Comparison Online Calculators Formulary 6 rn SEARCH Example Searches mobileMicromedex Much more than quick drug look ups mobileMicromedex powers your mobile device with a wealth of clinical knowledge from Micromedex the industry s leading provider of evidence based clinical information In the examination room at the nurse s station or in the pharmacy with mobileMicromedex you take the trusted content you rely upon with you every step of the way Micromedex 2 0 for Mobile Devices on page 205 to learn more about these exciting offers from Micromedex e Web based access to Micromedex 2 0 e Apps available for download from the iTunes store and Google play e Download to your Palm OS or Pocket PC PDA 2013 Truven Health Analytics Inc Ss CHAPTER 1 MICROMEDEX 2 0 OVERVIEW MY SUBSCRIPTION View all of the Micromedex products you subscribe to by clicking the MY SUBSCRIPTION link located near the top right side of every page Your customer name and account number are shown near the top of the window
190. elow an interaction is still possible This is also true for interactions with alcohol and tobacco This information is an educational aid only It is not intended as medical advice for individual conditions or treatments Talk to your healthcare provider before following any medical regimen to see if it is safe and effective for you This document contains interaction information only If you would like other information about this supplement such as correct dose or side effects talk to your healthcare provider INTERACTIONS WITH PRESCRIPTIOH MEDICIHE The following medicine used for depression or Parkinson s disease isocarboxazid Marplan phenelzine Nardil R tranylcypromine Parnate R selegiline Eldepryl Emsam R Zelapar R HARMFLIL EFFECT Taking ma huang and monoamine oxidase inhibitors may cause problems such as fever headache unusual heartbeats and high blood pressure PROOF O This interaction has been reported in people 1 3 15 WHAT TO DO Using ma huang together with a monoamine oxidase inhibitor MAON such as phenelzine tranylcypromine isocarboxazid or selegiline is usually not recommended If you are using both medicines together your doctor may change the dose or how often you use one or both of the medicines It is important to tell your doctor and pharmacist about all other medicines that you are using Call your doctor if you feel have a bad headache have trouble moving your arms or legs feel a
191. en Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Searching RED BOOK Using a Saved Custom List After creating and saving a custom list you can upload that list into RED BOOK Online and run a search based on the items in the custom list 1 Log into RED BOOK Online and click Go To Custom List Manager gt located on the top right side of the page The RED BOOK Online Custom List Manager page displays RED BOOK Online Custom List Manager Return to RED Use Custom List Manager to create a new list or browse to and load an existing list 2 Click the Browse button The Choose file dialog displays Choose file Look e Downloads REDBOOKCustomList rbo Recent Documents Desktop Documents Computer Network File name Places Files of type All Files 3 Navigate to the location of your saved custom list file Highlight the file and then click the Open button The Choose file window closes and the RED BOOK Online Custom List Manager page is displayed again RED BOOK Online Custom List Manager Retum tn RED BOOK Online Seareh Use Custom List Manager to create a new list or browse to and load an existing list Creste New or CAREDBSOOKListraa Browse Load Selected The location path of the file now appears in the field to the left of the Browse button and the Load Selected bution is now active 4 Click the Load
192. ence 1549 e Compatibility Physically 0 04 mg mL 40 compatible visible Study Period 24 Compatible haze or particulate hours solution formation color Hoechst Roussel change or gas Method isual evolution observation and Notes microscopic variable compatibility results with Storage Fefrigerated at examination furosemide in TPN admixtures may 4 C for 22 hours Occur due to its relative alkalinity followed by 2 hours Container Glass depending on drug concentration equilibrating to room containers and TPM composition temperature One simple TPN admixture was used in this testing having the following composition per liter FreAmine I 4 2556 Dextrose 25 PRINT a CLOSE X 2013 Truven Health Analytics Inc 133 SS MICROMEDEX 2 0 USER GUIDE 134 2013 Truven Health Analytics Inc CHAPTER 11 DRUG IDENTIFICATION TOOL IDENTIFY DRUGS BY IMPRINT OR PHYSICAL CHARACTERISTICS The Drug Identification tool can assist you in identifying pharmaceutical tablets caplets and capsules by any of their physical characteristics such as shape color pattern or imprint code mobileMicromedex MY SUBSCRIPTIC Drug Trissels 2 Drug Tox amp Drug Drug Tools Interactions IV Compatibility Product Lookup Comparison Drug Identification ch by Imprint Code No Imprint Code Click here to search by Description MICROMEDEX 2 0 for Poison Centers customers can display addition
193. endations approved indications efficacy pharmacokinetics adverse effects and more Physicians Desk Reference PDR The electronic Physicians Desk Reference provides fast easy access to information found in the popular Physicians Desk Reference PDR the PDR for Nonprescription Drugs and Dietary Supplements and the PDR for Ophthalmic Medicines This integrated system includes current FDA approved prescription drugs commonly used over the counter drugs and specialized ophthalmic pharmaceuticals Its global searching capability allows instant access to detailed data on ingredients drug interactions side effects recommended dosages clinical pharmacology pediatric use contraindications and available forms Information on drug manufacturers is also included What s in the Physicians Desk Reference 220 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS POISINDEX System Commercial Pharmaceutical Biological Substance Identification amp Management The POISINDEX System identifies ingredients for hundreds of thousands of commercial pharmaceutical and biological substances Each substance is linked to one or more management documents providing information on clinical effects range of toxicity and treatment protocols for exposures involving the substances What s in POISINDEX The system contains the following modules e Product Substance Identification e Toxicological Managements e Author i
194. ent gt OTHER INFORMATION Mechanism of Action Pharmacokinetics Administration Monitoring How Supplied Toxicology Clinical Effects Toxicology Treatment Toxicology Range of Toxicity Clinical Teaching References DRUG AVAILABILITY DRUG SHORTAGES PRODUCT LOOKUP Tox amp Drug Oseltamivir Phosphate Martindale Oseltamivir Phosphate RED BOOK Online Oseltamivir Phosphate DRUG IMAGES US did More Images DRUG CONSULTS 3 results 2013 Truven Health Analytics Inc PREFACE pum Micromedex Search Accelerator Configuration JUMP TO Google Chrome Mozilla Firefox Information for System Administrators Microsoft Internet Explorer Please be aware the installation and workflow may vary slightly between versions of Internet Explorer Internet Explorer Version 9 or 10 ame Note Internet Explorer Version 10 users with Microsoft Windows 8 operating Emm system The Micromedex Search Accelerator functionality is available in the Desktop view only Installation of the search provider cannot be initiated by individual users If you wish to use the Micromedex Search Accelerator and you have version 9 or 10 installed please contact your facility s Help Desk or systems administrator for assistance Help Desk personnel or systems administrators will install Micromedex Search Accelerator utilizing Windows Group Policy More information on the Windows Group Policy installation can be found in t
195. ent the expandable headers display as an accordion bar along with the number of matches found Click a header to open the list of results For example studies may show that the substance carries a risk to the mother or unborn child so you may see the Reproductive Risk Information header which when expanded displays links to the supporting information Click the link to open the document 6 x Results found for item name This section displays all matches found for the search term and is organized exactly like the Intermediate Search Results page Matches are ranked by relevance and shown in numbered order Each result is typically presented on multiple lines organized in the following order e The document title e he type of information drug disease toxicology lab etc the type of document detailed summary etc and a link to the associated dashboard if available e Asnippet of text with the search term s shown in bold text e he topic 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Dashboard Hierarchy When multiple dashboards exist for a search result drug disease toxicology alternative medicine the dashboard that is displayed opened for the search result is determined by where if falls in the following hierarchy If all of the following Dashboards Then the Dashboard Shown is Exist for a search Drug Summary Drug Detailed Alternative Medicine Summary Alternative
196. estions and exploring the possibilities Finding Information Information can be found on herbals vitamins minerals other dietary supplements Chinese medicine acupuncture and more It also includes data on dosing pharmacokinetics and clinical applications Note Unlike the drug disease lab and patient education the alternative medicine information is not linked or cross referenced to the other content types Global Drug Information International drug information from Martindale The Complete Drug Reference Index Nominum and Herbal Medicines A Guide for the Health Care Professional is integrated into all searches in MICROMEDEX 2 0 See DRUG DASHBOARDS on page 36 for examples and details on accessing global drug information Reproductive Risk Information Information from the REPRORISK System is integrated into all searches in MICROMEDEX 2 0 as well The REPRORISK System comprised of the Reprotext Reprotox Shepard s and TERIS databases can define potential problems for women men and the effect on unborn children It also can define risks associated with drugs and other substances both legal and illicit The REPRORISK System suggests treatment plans to minimize risks during pregnancy Sample Search for Alternative Medicine The default search in alternative medicine is to search by substance name 1 Begin to type the substance by name in the search field If you are unsure of the spelling just type
197. ethotrexate tablets are the preferred route injectable methotrexate can be given IV IM and intra arterial 41 Intramuscular route Abortion Acute lymphoid leukemia Crohn s disease Ectopic pregnancy Gestational trophoblastic neoplasm Including gestational choriocarcinoma chorioadenoma destruen MICROMEDEX 2 0 USER GUIDE Drug Consults from DRUGDEX Evidence based fully referenced articles covering drug therapies and drug guidelines When viewing a drug consult you can e Return to the top of the topic using the Top of Page links e Print the topic or selected topics or the entire summary by clicking the Print icon ANTIBIOTIC THERAPY OF DIVERTICULITIS dey P Drug Consults i 4 Top of P PATIENT DATA BACKGROUND Are antibiotics useful in the management of diverticulitis RESPONSE There are no strict guidelines on the treatment of DIVERTICULITIS however therapy generally depends the severity of symptoms The main goals of therapy are to 1 rest the intestine 2 resolve the infection 3 resolve the symptoms and 4 prevent or limit potential complications such as hemorrhage abscesses obstruction fistulas or bowel perforation 1 In mild cases patients are placed on a liquid diet until inflammation subsides however if this is not tolerated for example in severe or complicated disease oral feeding is held and parenteral nutrition is initiated 1 2 3 4 After the resolution of an attack a high fiber d
198. exact disease summary and topic to fit your search criteria you are presented with either a dashboard or intermediate search results page In all cases search results are presented in an easy to understand format and page layout Sample Disease Search 1 Begin to type the disease by name or type your free text question in the search box If you are unsure of the spelling just type as many characters as you know 2 As you type the application narrows your search results in the drop down list if you pause based on the characters you ve entered The more characters you type the more focused the results SEARCH Epilepsia minoris continua Epilepsia partialis continua Epilepsy Epilepsy only in relation to photic stimulation Example Searches Epilepsy with myoclonic and astatic seizures Epileptic Epileptic absence status Epileptic attack If the disease you are interested in is listed in the drop down list double click on the item or single click and press the Enter key to open the disease summary 3 As you continue to enter the search term s the drop down list may disappear This means the search term you entered does not match a disease title However there may still be a match if you are searching on a keyword or typing partial or multiple search terms Type the search term s and click the Search button or press the Enter key The search results page opens showing matches found to your search term or keyword
199. eyword s to a more common search term and try again 10 2013 Truven Health Analytics Inc pe CHAPTER 7 LAB INFORMATION THE LAB ADVISOR DETAILED LAB INFORMATION DOCU MENT Lab Advisor Detailed Lab Information Document e window opens directly to the General Information section You can Scroll the entire topic using the scrollbar on the right e Return to the top of the topic using the Top of Page links e Navigate to other topics and sub topics in the document using the outline links e Print the topic or selected topics or the entire document by clicking the Print icon see Print on page 7 for more information Topics Links All topics with information for this laboratory test are shown as active links in the outline list on the left side of the page Clicking the link opens the page positioned at the beginning of the selected topic GENERAL INFORMATION B Display Entire Document iy Print Synonyms Fetal hemoglobin determination Reference Range Test Definition Lab Advisor Clinical Notes Expand All Collapse All Top of Page INDICATIONS JGENERAL INFORMATION COLLECTION STORAGE INFORMATION N Synonyms TEST METHODOLOGY Reference Range LOINC CODES Neonates 1 day to 3 weeks 1 RELATED INFORMATION Neonate 1 day 77 7 3 Hb 0 77 0 073 mass fraction Hb Neonate 5 days 76 8 5 6 Hb F 0 768 0 058 mass fraction Hb F REFERENCES Ne
200. for that type is shown in the heading See the following example Drug Drug Interactions 1 Results Drug Drug Interactions 1 Drugs Severity Documentation Summary CODEINE SULFATE Systemic Codeine e uM Fair Concurrent use of OPIOID ANALGESICS and ajor GUAIFENESIN HYDROCODONE BITARTRATE OPIOID ANALGESICS may result in additive Systemic Vicodin Tuss respiratory depression Note Any interaction type that contains a combination marked as contraindicated is also noted in the Interactions Type list For example Drug Drug Interactions 32 results 1 contraindication The selected drug and the interacting agent is shown in the first column followed by the severity and documentation ratings in the second and third column The summary column furthest column to the right displays brief high level interaction information When an interaction occurs within a class or group of drugs the group or class displays as an active link adjacent the interaction 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Drug Drug Interactions 3 Drugs Documentation Summary DIGITALIS GLYCOSIDES THIAZIDE Excellent Concurrent use of DIGITALIS GLYCOSIDES and DIURETICS j THIAZIDE DIURETICS may result in digitalis toxicity nausea vomiting arrhythmias DIGITALIS Systemic ACETAZOLAMIDE E Concurrent use of ACETAZOLAMIDE and Systemic Major DIGITALIS may result in digitalis toxicity nause
201. formation from the REPRORISK System is integrated into all searches in MICROMEDEX 2 0 as well The REPRORISK System comprised of the REPROTEXT Database REPROTOX Shepard s and TERIS databases can define potential problems for women men and the effect on unborn children It also can define risks associated with drugs and other substances both legal and illicit The REPRORISK System suggests treatment plans to minimize risks during pregnancy Material Safety Data Sheets MSDS Integrated into all searches in MICROMEDEX 2 0 Material Safety Data Sheets MSDS offers quick access to drug and chemical information including health hazards handling procedures and government regulations Free Text Searches amp Searches Using Targeted Search Terms We encourage you to search for your toxicology information using natural language queries such as what is the range of toxicity of a funnel web spider bite or what is the treatment for Q Fever Certain search terms will produce a result directly positioned to the appropriate topic in the ToxPoints amp summary document future enhancement coming soon If the application is unable to match a ToxPoints summary to fit your search criteria you are presented with either a dashboard or intermediate search results page In all cases search results are presented in an easy to understand format and page layout 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUID
202. ggestions addr Not Available Prevent programs from suggesting changes to my default search provider Find more search providers Learn more about search provider preferences 5 Click Close E erm 6 Now Micromedex Search displays in the Search Provider box as the default You can enter a term and click the search button to go directly to the Micromedex 2 0 search 2013 Truven Health Analytics Inc results page Internet Explorer 7 Click on the Accelerator icon and then select Change Search Defaults Follow the prompts to designate Micromedex Search as the default search provider 2013 Truven Health Analytics Inc PREFACE MICROMEDEX 2 0 USER GUIDE Google Chrome Google Chrome supports adding search engines to the Google Omnibox Google Chrome does not use the separate Search Provider box that is common to Microsoft amp Internet Explorer and Mozilla FirefoxB Setup is fast and easy 1 Open the Google configuration screen by selecting the icon in the upper right then select Settings 2 Find the Search area of the settings screen and select Manage Search Engines the Search Engines screen scroll to the bottom of the screen to find the text boxes to enter the parameters of your new search 5 Add anew search engine Keyword LRL with om5 in place of Query From left to right enter the name Micromedex a shortcut trigger word of your choice
203. gy Clinical Effects Do Not Confuse US Trade Names Toxicology Treatment More Images Contraindications Class Toxicology Range of COMPARATIVE EFFICACY 8 results Precautions Regulatory Status Toxicity Clinical Teaching Fdapalene References Peelaic Benzoyl Peroxide A MY ur V a W gea A A lh ts a etn A VW VV VY va dil T un Click the REMS link open the selected drug document positioned directly in the REMS topic DOSING amp INDICATIONS Isotretinoin Display Entire Document day Prin Pediatric Do OTHER SOURCES Pediatric Dosing DrugPoint Summary OTHER SOURCES FDA Labeled Indications Non FDA Labeled Indications REMS 4 Top of Pag BLACK BOX WARNING Summary REMS to prevent fetal exposure to isotretinoin CONTRAINDICATIONS WARNINGS to inform prescribers pharmacists and patients about isotretinoin s serious risks and safe use conditions Do Not Confuse Contraindications Procanlius REMS Components Pregnancy Category Medication Guide Breast Feeding DRUG INTERACTIONS SINGLE Elements to Assure Safe Use Implementation System ADVERSE EFFECTS Common Drug Safety Information Serious Absorica TM NAME INFO http www _ fda gov downloads Drugs DrugSafety PostmarketDrugSafetylnformationforP atientsandProviders UCM2 Drug Images US 34639 pdf US Trade Names Amnesteem R Class http www _fda gov downloads Drugs DrugSafety PostmarketDrugSafetyInformationf
204. h cannot be found the Images database but exists in Imprints database If an imprint can be used return to d the imprint search by clicking the Click here to search by Imprint Code link If you have typed the wrong information or selected parameters in error and wish to begin again click the Clear button to remove all selections and characteristics and start over 2013 Truven Health Analytics Inc T MICROMEDEX 2 0 USER GUIDE Search Results When Searching by Description There is no Manufacturer Availability or AAPCC information available when searching using descriptive criteria shape color pattern etc If this type of information is what you need you may be able to find it by performing a search strictly on the imprint code no description criteria See Imprint Code Search Results on page 138 for more information If you wish to create a new search click the Modify Identification button to return to the search page The total number of matches found for your search term is shown just above the speed menu on the left side of the page Your search term s and all search criteria are displayed The results page opens positioned to the first results numeric or alphabetic For example a search for Capsule shape Yellow White opens at the beginning of the 0 9 imprints You can view imprints matched that begin with other letters by using the speed menu Any letter shown with bold text denotes tha
205. h percentage of certainty that this is the one and only document and topic that will answer your search query For example searching on dosing of amlodipine results in the Amlodipine Besylate DrugPoint amp Summary document opened to the Dosing and Indications topic Not all phrases found in the drop down suggestion list will result in a match directly to the document topic but more and more direct matches will be available with each release of Micromedex 2 0 lex 2 0 mobileMicromedex amp MY SUBSCRIPTION MICROMEDEX GATEWAY LOGOUT HELP Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK Tools Interactions IV Compatibility ldentification Product Lookup Comparison Online amp Calculators Formulary CareNotes dosing of amlodipine SEARCH Example Searches edeX 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GATEWAY LOGOUT HELP Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK Interactions IV Compatibility ldentification Product Lookup Comparison Online Calculators Formulary CareNotes OVERVIEW AMLODIPINE 8 Display Entire Document dah Print ALL Lati ult DRUGDEX Evaluations 0 Drug Properties Storage and Stability Adult Dosage Pediatric Dosage PHARMACOKINETICS gt Drug Properties Onset and Duration gt Storage and Stability Drug Concentration Levels ADME gt Adult Dosage CAUTIONS gt Pediatric Dosage Contraindications Precautions Advers
206. h the full definition The full definitions follow e o Contraindicated the drugs are contraindicated for concurrent use 9 Major the interaction may be life threatening and or require medical intervention to minimize or prevent serious adverse effects 9 Moderate the interaction may result in an exacerbation of the patient s condition and or require an alteration in therapy 9 Minor the interaction would have limited clinical effects Manifestations may include an increase in the frequency or severity of side effects but generally would not require a major alteration in therapy EJ Unknown unknown O 2013 Truven Health Analytics Inc 05 MICROMEDEX 2 0 USER GUIDE Documentation Ratings The amount and strength of documentation available for the interaction is also shown A complete legend of all documentation ratings is shown at the bottom of the page Hovering over the rating in the legend opens a pop up with the full definition The ratings and their definitions follow e Excellent controlled studies have clearly established the existence of the interaction e Good documentation strongly suggests the interactions exists but well controlled studies are lacking e Fair available documentation is poor but pharmacologic considerations lead clinicians to suspect the interaction exists or documentation is good for a pharmacologically similar drug Unknown unknown Interaction Details
207. hat Treat condition on page 23 for additional information e Risk Evaluation and Mitigation Strategies REMS This search provides a list of drugs and biological products in Micromedex 2 0 that have FDA approved REMS Drug names are displayed as links and when selected open directly to the REMS information for the drug See List of Drugs with a Risk Evaluation and Mitigation Strategy on page 25 for more information e Black Box Warnings An alphabetical list of all drugs in Micromedex 2 0 with a black box warning can be found using a single search Search results return the list of drugs with a black box warning as links allowing you fast access directly to the black box warning topic in the drug information See Black Box Warning List on page 26 for additional information e Searching for Drugs by Brand Name Searching for drug information can be accomplished using either the common generic or the brand name drug Searches using the brand name produce slightly different results from others See Searching Brand Name Drugs on page 28 for additional information Do Not Confuse Drug List An alphabetical list of confused drug names including look alike and sound alike name pairs can be found with a single search See Confused Drug List Drugs that Sound Alike Look Alike on page 29 for more information e Drug Consults A single search can find the complete list of all DRUGDEX Drug Consult articles avail
208. he TOMES System provides e Treatment guidelines for acute chemical exposures e Evacuation procedures e Chemical disposal information General areas unrelated to chemicals are addressed such as ergonomics and human health risk assessment The System s three databases MEDITEXT amp HAZARDTEXT and INFOTEXT are integrated to ensure quick access to the fully reviewed referenced information The TOMES System includes HAZARDTEXT Hazard Managements The hazard information found in HAZARDTEXT documents can help you understand the issues related to environmental impact including how to implement emergency reaction to chemicals and their impact Fire Clean up Personal protection HAZARDTEXT also helps you manage chemicals safely in the workplace INFOTEXT Documents Infotext documents provide regulatory listings and other general health and safety data Includes industry related areas not chemical specific including ergonomics endocrine disruptors and human health risk assessment MEDITEXT Medical Managements The medical information can help you evaluate issues associated with exposure Answers the question Was the exposure Swallowed Skin contact Breathe fumes In the eyes ToxPoints System The ToxPoints System provides brief highlights of clinical effect treatment and range of toxicity information The ToxPoints System delivers answers quickly and efficiently The System also links directly to the more
209. he OtAdd button Click UPDATE to add your selection s to the Drugs to Check list in Drug Interactions Enter allerqy penici Matching allergies 9 PENICILLAMINE PENICILLIN PROCAINE PENICILLIN PENICILLIN V PENICILLIN AMINOPENICILLIN PENICILLIN EXTENDED SPECTRUM PENICILLIN NATURAL Allergies to check PENICILLIN PENICILLINASE RESIS TANT PENICILLIN 6 Type the first drug brand or generic in the Enter Allergy field If you are unsure of the spelling just tyoe as many characters as you know If the drug the patient is allergic to is listed in the Matching Allergies list click on the item and then click the button to add the drug to the A lergies to Aad list Drug Interactions the drug name brand or generic in the search field Select the drug and click the Add button Enter search term Matching drug names 43 Drugs to check Echina Action Gold Echinace Extra Strength Echinacea Echinacea amp Goldenseal Echinacea Echinacea purpurea Extract Echinacea Homeopathic Substance Echinacea 1 Echinacea Ang Echinacea Angustifalia Echinacea angustifaliae Echinacea Cold Season Echinacea Complex 7 Repeat this until all patient drug allergies have been added to the allergy list then click the UPDATE button to return to the Drug Interactions page You will notice the allergies 2013 Truven Health Analytics Inc 113 MICROMEDEX 2 0 USER GUIDE entered appear
210. he document outline links located on the left hand side of the page e Scroll the entire document by clicking on the Display Entire Document link Print the topic or selected topics or the entire summary by clicking the Print icon and selecting the topics desired see Print on page 7 for more information DOSING INFORMATION METHOTREXATE Display Entire Document DRUGDEX Evaluations 05 DOSING INFORMATION Expand All Collapse All T Pediatric Dosage S Adult Dosage Onset and Duration Drug Concentration Levels ADME Normal Dosage Dosage in Renal Failure CAUTIONS Dosage in Hepatic Insufficiency Black Box Warning Dosage Adjustment During Dialysis Contraindications Dosage in Other Disease States Precautions Adverse Reactions NOS Teratogenicity Effects in 9 Pregnancy Breastfeeding Methotrexate Sodium Drug Interactions Intra arterial route Intramuscular route Intravenous route Oral route CLINICAL APPLICATIONS irent Monitoring Parameters Intravenous route Patient Instructions Place In Therapy Mechanism of Action Pharmacology Therapeutic Uses Comparative Efficacy Evaluation With Other Therapies REFERENCES 2013 Truven Health Analytics Inc Oral route Subcutaneous route Topical application route Polymyalgia rheumatica Takayasu s disease Temporal arteritis Intra arterial route Intramuscular route Intravenous route Oral route a When used in low doses oral m
211. he link takes you to the beginning of the Overview section 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Sub topics Sub topics such as Life Support Clinical Effects etc exist clicking on either the topic link in the left side navigation or on the sub topic header bar in the document expands the page showing the information below View Detailed information in POISINDEX detailed information in POISINDEX Clicking this button opens the POISINDEX Toxicologic Management for the substance OTHER SOURCES gt Button aled TATOO Alon im F liner e Go to detailed document in POISINDEX for RACON View Dashboard for RADON Tox amp Drug RADON Martindale RACON RED BOOK Online FADO CLOSE X Clicking the OTHER SOURCES button opens a pop up that displays options for finding other search results for the substance you are currently viewing The pop up may list the detailed POISINDEX Management document View Dashboard or offer a Product Lookup tool e g Tox amp Drug Martindale RED BOOK based on your subscription Start a New Search em Micromedex 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX G4 Start a new search at 1 Drug Tox amp Drug Drug RED BOOK any time by typing in the SEARCH box patibility ldentification Product Lookup Comparison Online amp Calculators Formulary Care
212. he location to which you want to save the file Y Print ix Print The results page can be printed Click the Print icon to print the current page Results from UNITED STATES OTHER COUNTRIES Products and substances are grouped into two categories United States and Other Countries Products available Worldwide and products available in the United States and Canada are also placed into the United States group of results Items that fall into the United States category are shown first by default but you can quickly change the results to products outside of the United States by clicking the Other Countries link shown to the right of the Results from display area If no products and substances are found for the Other Countries category the link is disabled If no products and substance are found for the United States and Worldwide categories the Other Countries search results are shown and the United States link is disabled Display Product Substance Names Synonyms Manufacturer Contact Info Matches to search terms are grouped into three categories Product Substance Names x Synonyms x and Manufacturer Contact Info x Results in the Product Substance Names category are shown first by default Switch the view to any available category by clicking the applicable link Links to categories with no matches to the search will show a count of zero 0 and are disabled E MICROMEDEX 2 0 USER GUIDE
213. he section found at the end of this document titled Information for System Administrators Internet Explorer Version 7 or 8 Note If you do not see the options shown in the following steps contact your systems administrator or Help Desk for assistance 1 From an active Micromedex Clinical Knowledge Suite session on the Micromedex 2 0 platform notice that the arrow in the Search drop down is highlighted yellow This means that Micromedex 2 0 is a supported Search Provider Click on the on the arrow to open the menu 2 Google Default Search Micromedex Add Search Providers Google Default Search Micromedex 4dd Search Providers Find on this Page Find on this Page Find Mare Providers Find Mare Providers MICROMEDEX GATEWA ange Search Defaults N MICROMEDEX GATEWA ange Search Defaults 2013 Truven Health Analytics Inc X MICROMEDEX 2 0 USER GUIDE 3 Select Search Micromedex Direct searches into the Micromedex Clinical Knowledge Suite will now be available via the Search Micromedex option in the Search Provider box in the upper right corner of the Internet Explorer With an active subscription and access via IP address or User Name and Password you can search Micromedex Clinical Knowledge Suite without first visiting the Micromedex 2 0 home page Note Web based applications such as
214. help by a keyword 2013 Truven Health Analytics Inc Lo 29 ausi MICROMEDEX 2 0 USER GUIDE TOOLS MY SUBSCRIPTION MICROMEDEX GATEWAY LOG OU Micromedex 2 0 XXE Drug Trissel s 2 Drug Tox amp Drug Drug RED BOOK ools Interactions IV Compatibility ldentification Product Lookup Comparison Online amp Calculators Formulary CareNotes o Searches Micromedex News tia at in TO There are five tools available in the Micromedex 2 0 application Drug Interactions allows you to check for interacting drug ingredients their effects and their clinical significance Interaction information can be calculated for a single drug or between multiple drugs Trissel s 2 IV Compatibility provides easy access to proven Trissel s 2 data to assist with accurate IV compatibility decisions e Drug Identification finds drugs based on their imprint code or physical description e amp Drug Product Lookup to find product manufacturer contact and related toxicologic management information on drugs commercial household products and chemicals plants and animals and slang terms street names for drugs or substances e Drug Comparison provides a side by side drug information comparison e Calculators includes antidote and dosing calculators and nomograms lab values dosing tools clinical calculators and measurement calculators All of these tools pr
215. here 104 results were found and results 1 50 are displayed on the first page On the right side of the page the number of pages within the search result are displayed Page 1 of3 GO For this example page 1 of 3 is being displayed When the search results contain multiple pages you can use the Previous and Next links to page through the search results or you can enter a page number in the Page box and click GO to move directly to that page of the results Column Headings Price Mow Product Active Manutacturari Rpkg Generic Orange Code Identifier Form Strength Route Pho Unit WAC Chg Pkg Ingredient Distributor Book Type Size Dose Pkg Pkg M Code Price Price ceftriaxone PEER 0 5 00063 S CEFTRIAKONE PHARMACEUTICALS Y gg 10gm INTRAVENOUS cta 4500 5400 GROUP ceffiaxone 4 5 MEDICATION ae lis 7 Au i RE ES T m 1 L1 CEFTRIAKONE SOLUTIONS LLC i Mid sS RE A S MEDICATION 54583 CEFTRIAXCHE Y Y AP POS 250m INJECTION 15 95 E i sodum SOLUTIONS LLC 5720 00 2 CE TIT MH A 5 LATI 2 i 3 ae d d m C O E Y Y No POS 250mg INJECTION ES 148 16 n i All columns with headings in blue can be sorted in ascending or descending order Click on the column heading to sort on the column The display refreshes based on the sort selection with a secondary sort
216. hing C References C All pop up information The topic you were viewing when you clicked the print drop down is shown checked PRINT amp CLOSE X selected All topics are listed and can be included in the printed copy All pop up information select this checkbox to include the supporting information for the summary This information can include Definitions such as Strength of Evidence or Strength of Recommendation Ratings such as Pregnancy Ratings Risks and Warnings When you have selected the desired topics click the PRINT option to see a preview of the printout A typical print dialog opens allowing you to change print preferences Click the PRINT button to print the selected document 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE CALCULATORS All of the calculators available in Micromedex 2 0 can be found by clicking the Calculators toolbar option Ne SUBSCRIPTION MICROMEDEX GATEWAY Drug RED BOOK Micromedex 2 0 10 mobileMicromedex Drug Trissel s 2 Drug Tox amp Drug Tools Interactions IV Compatibility ldentification Product Lookup Comparison Online amp CareNotes m Formulary SEARCH Example Searches 7 Oe na The calculators are grouped into logical areas to make it quick and easy to find the calculator you need Calculators View by category by alphabetical list gt ANTIDOTE DOSING AND NOMOGRAMS D
217. his form for e Non urgent requests for Technical Support e Submission ideas e g topic or content suggestions e Password reset requests e Training requests Online Support requests are handled during business hours Most requests are responded to within one to two business days Editorial content inquiries may take three to five business days depending on the complexity of the inquiry For urgent matters please contact our Customer Resource Center See Contact Truven Health Analytics in the Preface to this guide for phone and facsimile numbers and other contact information About us Click this link to open a page with information about Truven Health and Micromedex Content updates Updates amp What s New Information on the latest enhancements product announcements as well as links to the various What s New in this release MICROMEDEX 2 0 pages can be found from the Content upd ates link Announcements Enhancements and New Features Continuing Education Drug Information Update New Drug Information New Interactions New Drug Images and Products New Alternative Medicine Information Disease Information Update 2013 Truven Health Analytics Inc ies MICROMEDEX 2 0 USER GUIDE Training center Learn about the powerful features and functions or tips and tricks available in our products Our Training center offers an extensive variety of training options FREE OF CHARGE for you and your
218. home page to change the list of drugs to compare by clicking the Modify Comparison button You are presented with the drug comparison page populated 166 2013 Truven Health Analytics Inc CHAPTER 13 DRUG COMPARISON TOOL with your previous drug selections Add or change the drugs to compare and then click the SUBMIT button to show the drugs side by side again 2013 Truven Health Analytics Inc 167 SS MICROMEDEX 2 0 USER GUIDE 168 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE Introduction to RED BOOK Online HED BOOK Online is the essential resource healthcare professionals reach for every day to find the latest drug product pricing and packaging information on prescription and over the counter drug products By providing all of the drug product pricing and packaging data you need in one source RED BOOK Online simplifies the identification analysis and comparison of drug and non drug items RED BOOK Online supports formulary management cost containment and drug utilization review and provides consistent and unbiased Average Wholesale Price AWP pricing information for brand name and generic drugs See AWP Policy on page 227 for more information on Truven Health Analytics AWP policy RED BOOK Online provides Drug pricing and product information for more than 200 000 active and deactivated drugs An intuitive online user interface Daily updates to provide the most up to d
219. hreatening and or require medical intervention to minimize or prevent serious adverse effects e Moderate the interaction may result in an exacerbation of the patient s condition and or require an alteration in therapy e Minor the interaction would have limited clinical effects Manifestations may include an increase in the frequency or severity of side effects but generally would not require a major alteration in therapy Unknown unknown 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Documentation Ratings The amount and strength of documentation available for the interaction is also shown A complete legend of all documentation ratings is shown at the bottom of the page Hovering over the rating in the legend opens a pop up with the full definition DEFINITIONS Documentation Excellent Controlled studies have clearly established the existence of the interaction Good Documentation strongly suggests the interaction exists but well controlled studies are lacking Fair Available documentation is poor but pharmacologic considerations lead clinicians to suspect the interaction exists documentation is good for a pharmacologically similar drug Unknown Unknown PRINT amp CLOSE X The ratings and their definitions follow e Excellent controlled studies have clearly established the existence of the interaction e Good documentation strongly suggests the interactions exists
220. iPhone amp The following system settings have been tested with and are recommended for use with the iPhone iPad or iPod touch e Safari Mobile Browser with the following settings e JavaScript On e Accept Cookies On e Plug ins On The iPhone iPad and iPod touch devices have some unique navigation methods Some of the more common are listed here e Zoom in on part of a Web page double tap the part of the page you want to zoom in on Double tap again to zoom out e Zoom in or out manually pinch to zoom in or out e Scroll around the page drag up down or sideways When scrolling you can touch and drag anywhere on the page without activating any links If you tap a link you follow the link but if you drag a link the page scrolls 200 2013 Truven Health Analytics Inc CHAPTER 15 MICROMEDEX 2 0 FOR MOBILE DEVICES e Scroll within a frame on a web page use two fingers to scroll within a frame on a web page Use one finger to scroll the entire webpage e Jump to the top of a Web page tap the status bar at the top of the iPhone page e Resize any column to fit the page double tap the column The column expands so you can read it more easily More information can be found in the applicable user guide The iPhone guide can be found at http manuals info apple com en iphone user guide pdf Android OS Droid phones mobileMicromedex 2 0 is designed to work on Android OS 1 5 2 2 devices i
221. ic Risks to Humans 2010a IARC Working Group on the MONITORING PARAMETERS LEVELS Evaluation of Carcinogenic Risks to Humans 2008 IARC 2004 RADIOGRAPHIC STUDIES METHODS 1 IARC Classification TREATMENT a Listed as Radon 222 and its decay products OFE SUPPORT 1 b Carcinogen Rating 1 PATIENT DISPOSITION 1 The agent mixture is carcinogenic to humans The exposure circumstance entails exposures MONITORING that are carcinogenic to humans This category is used when there is sufficient evidence of ORAL EXPOSURE carcinogenicity in humans Exceptionally an agent mixture may be placed in this category INHALATION EXPOSURE when evidence of carcinogenicity in humans is less than sufficient but there is sufficient evidence EYE EXPOSURE nf carcinnaenicitv in experimental animals and strana evidence in exnnsed humans that the anent OTHER SOURCES gt Button OTHER SOURCES Clicking the OTHER SOURCES button opens a pop up that displays options for finding other search results for the substance you are currently viewing The pop up may offer to runa Product Lookup tool e g Tox amp Drug Martindale RED BOOK based on your subscription 2013 Truven Health Analytics Inc CHAPTER 12 TOX amp DRUG PRODUCT LOOKUP TOOL Searching by Code The DRUGDEX and POISINDEX products databases can be searched using a code as the search parameter AAPCC Codes Available by subscription and primarily used by Poison Centers
222. ide you with smarter search results This list will continue to grow with each release Search Term s MEN Search Example what is the treatment of hypertension Treatment therapy treatment condition ne see ae treatment procedure what is the procedure to treat DVT condition Procedure condition procedure e vein thrombosis procedure Causes condition causes of adrenal insufficiency Causes drug aspirin causes Procedure to treat Causes FDA Labeled FDA approved FDA approved for Kawasaki disease FDA labeled condition FDA approved for Parkinson s disease non FDA approved for excessive salivation Non FDA Labeled non FDA labeled condition non FDA labeled coccidioidomycosis Non FDA approved non FDA labeled drug off label use for lamotrigine scopolamine non FDA labeled uses indication lab protein assay indicated in Drug Treatment condition drug treatment e drug treatment of HIV infection eee j Note English search terms are required except for subscribers to Italian Drug ENS Database Dialogo sui Farmaci or United Kingdom Drug Information eMC SmPC where local drug names are acceptable for use as a search term EXAMPLE SEARCHES A lype any ter or 92 on ove n n you want a i designed werk tae f r engines aed delmer results m cran che tere ed ir e am such e Multiple tamis euch at two drug t drug and
223. iet an average of 32 grams of fiber per day should be initiated 1 Stollman 1999 5 3 Antibiotic therapy should be directed towards the causative pathogen Commonly isolated bacteria include Coliforms spp Bacillus fragilis and Clostrides spp The mild attack with symptoms of localized pain minor ileus and anorexia is often self limiting and antibiotic therapy may not be necessary 2 5 However 7 ta 10 days of broad spectrum oral antibiotics with aerobic and anaerobic coverage are commonly prescribed 6 7 AMOXICILLIN CLAVULANIC ACID 500 125 milligrams orally 3 times daily COTRIMOXAZOLE DS orally 2 times daily with METRONIDAZOLE 500 mg orally 4 times daily or a quinolone with metronidazole have been recommended 1 Stollman et al 1388 7 TETRACYCLINE 500 milligrams four times daily AMPICILLIN 500 milligrams four times daily and CEPHALEXIN 500 milligrams every 6 hours have been used in the past 6 7 Symptomatic improvement should occur within 2 to 3 days Stollman et al 1999 If the patient is febrile with signs of acute inflammation and localized perforation intravenouse antibiotics are often recommended Stollman et al 1999 3 4 A patient generally cannot tolerate oral intake and is kept off oral foods and medications in these cases 1 Stollman et al 1999 2 3 4 Recommended combination antibiotics include anaerobic coverage with metronidazole or CLINDAMYCIN and gram negative coverage with an aminoglycoside m
224. ific active ingredient in the product by a code such as UPC or Hitl Go to Custom List Manager lwant to search by Enter search term Active Ingredient CEFTRIAXONE C NDCHRVUPC CEFTRIAXONE AMERINET CHOICE gt Manufacturer Name CEFTRIAXDNE NOVAPLUS CEFTRIAXONE SODIUM want to filter by CEFTRIAXONE DEATROSE Status Actwe Deactivated om Repackagers Exclude Repackagers Note If you receive a message when performing a search that no results matched the term and options selected try adjusting your filters Active Deactivated All or Include Exclude Repackagers to see if your search returns different results 172 2013 Truven Health Analytics Inc Filters CHAPTER 14 RED BOOK ONLINE By default the active filter option will be selected when searching by product name and active ingredient Active drugs are those that are currently marketed while deactivated drugs are not currently marketed The Exclude Repackagers option will be selected by default when searching by Product Name or Active Ingredient Repackagers can be included in the search by selecting the corresponding radio button Filter options are not available when searching by Manufacturer or NDC HRI UPC Understanding RED BOOK Online Search Results The search results page displays detailed information about your search query An example search with multiple results is shown below RE
225. igate to other topics and sub topics monograph using the document outline links located on the left hand side of the page e Scroll the entire document by clicking on the Display Entire Document link 2013 Truven Health Analytics Inc 153 MICROMEDEX 2 0 USER GUIDE e Print the topic or selected topics or the entire summary by clicking the Print icon and selecting the topics desired see Print on page 4 for more information OVERVIEW RADON 2 Display Entire Document deh LIFE SUPPORT CLINICAL EFFECTS POISINDEX Managements i SE LABORATORY MONITORING PC eiii CLINICAL EFFECTS Expand All Collapse All Top of P SUBSTANCES gt SUMMARY OF EXPOSURE INCLUDED SYNONYMS gt HEENT THERAPEUTIC TOXIC SPECIFIC SUBSTANCES gt CARDIOVASCULAR DESCRIPTION GEOGRAPHICAL LOCAT YAK gt RESPIRATORY EE ME gt GENITOURINARY CLINICAL EFFECTS SUMMARY OF EXPOSURE gt DERMATOLOGIC HEENT CARDIOVASCULAR REPRODUCTIVE RESPIRATORY GENITOURINARY CARCINOGENICITY DERMATOLOGIC REPRODUCTIVE CARCINOGENICITY 3 21 1 IARC CATEGORY GENOTOXICITY A IARC Carcinogenicity Ratings for CAS10043 92 2 IARC Working Group on the Evaluation of OTHER Carcinogenic Risks to Humans 2006 IARC Working Group on the Evaluation of Carcinogenic Risks to LABORATORY MONITORING Humans 2007 IARC Working Group on the Evaluation of Carcinogenic Risks to Humans 2010 IARC Working Group on the Evaluation of Carcinogen
226. ike the Intermediate Results Page Matches are ranked by relevance and shown in numbered order Each result is typically presented on multiple lines organized in the following order e The title e he type of information drug disease lab etc the type of document detailed summary etc and a link to the associated dashboard if available e A snippet of text with the search term s shown in bold text e he topic Pee 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS DISEASE DASHBOARDS Detailed Information Upon rare occasion a ClinicalPoint Summary document may not exist for the search term and the Detailed Disease Information dashboard is shown by default When both detailed and summary information is available the View Dashboard link is only available from the Intermediate Search Results located at the bottom of the Summary Disease dashboard beneath the x Results found for disease name heading The information shown on the Detailed Drug dashboard is the same as what is displayed on the Summary Dashboard except e Links in the MICROMEDEX INFORMATION section link to the detailed disease DISEASEDEX document Breast cancer Jump to 1079 ather search results MICROMEDEX DISEASE SUMMARY INFORMATION DISEASE OTHER TITLES 1 results Breast cancer Prevention amp Screening Definition Findings Treatment Medical History Testing View summary document View detailed document
227. in the summary drug document see Example Searches on page 18 for more information If the application is unable to determine a drug summary and topic to fit your search criteria you are presented with either a dashboard or intermediate search results page In all cases search results are presented in an easy to understand format and page layout Sample Drug Search 1 Begin to type the drug brand or generic or search phrase in the search box If you are unsure of the spelling just type as many characters as you know 2 As you type the application narrows your search results in the drop down list if you pause based on the characters you ve entered The more characters you type the more focused the results SEARCH Example Searches DiGeorge anomaly DiGeorge sequence DiGeorge syndrome Digested food Digestive Aid 34 If the drug you are interested in is listed double click on the item or single click and press the Search button to begin the search If you continue to enter the search term s the drop down list may disappear This may mean the search term you entered does not match a system entry However there may still be a match if you are searching on a keyword or typing partial or multiple search terms Click the Search button The search results page opens showing matches found to your search term or keyword Search Results Searches produce one of the following results Opens directly in the D
228. in the upper right corner of the browser As an individual you are able to manage the priority of your search engines and establish a default from the drop down With an active session in Micromedex Clinical Knowledge Suite and proper authentication you can search without first visiting the Micromedex 2 0 home page XVI 2013 Truven Health Analytics Inc PREFACE Home MICROMEDEX 2 0 ampyra dalfampridine Extended Rel amp c ampyra hcp com hep home E 7 ampyra Request Form gt Sign Up Here gt Learn More es Download a Blank Prescription and Service Request Form Indication AMPYRA dalfampridine Extended Release Tahlets 10 mn is indicated as a treatment to im Iking in patients with multiple sclerosis MS This was demonstrated an increase in walki Copy Select All NEW SAFETY IN Search Micromedex Search For dalFampridine i Seizures have been View Selection Source of seizures occurred atthe recommended dose and in patients without a history of seizures and generally within days _ keting 82 seizures were either reported or confirmed by a healthcare practitioner among 46 000 AMPYRA users Inspect Element Q Anaphylactic reactiol zw and not restarted Inspect Element with Firebug period If an anaphylactic or other serious allergic reaction occurs AMPYRA should be discontinued IMPORTANT SAFETY INFORMATION AMPY
229. ine Digoxin level Digoxin level finding Digoxin level high Digoxin measurement Highlight an item in the drop down list using the arrow up down keys or by hovering over the item with your mouse You can also select items in the drop down list using your mouse or the arrow up down keys and a single click or by typing the entire word or phrase in the search box Start the Search by clicking the SEARCH button or the Enter key when all words terms phrases already in the search box or by double clicking on the item in the drop down list Targeted Searches Several tightly focused targeted searches are available for clinicians to quickly gain access to highly sought after information such as Adverse Reaction Lists drugs that cause condition Therapeutic options drugs that treat condition Brand name drug search List of drugs with a Black Box Warning List of drugs that have FDA approved REMS Risk Evaluation and Mitigation Strategies List of drugs that sound alike look alike List of Drug Consults See Targeted Searches on page 20 for more information 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Building a New Search Any time you wish to search for something else enter the new search term s or phrase in the search box located at the top of every page Micromedex 2 0 mobileMicromedex M Y SUBSCRIPTION MICROMEDEX GA Start a new search at
230. inks to all of the topics in the summary document Click a link to open the ToxPoints amp summary document positioned directly at the topic link selected View summary document gt View detailed document These links open at the top beginning of the selected document The View summary document link opens the ToxPoint amp summary document the View detailed document link opens the POISINDEX amp Management document OTHER INFORMATION When information in other subscribed databases such as PDR Index Nominum Martindale Consumer Drug Info P amp T QUIK or one of the available international drug databases IT Dialogo sui Farmaci or eMC SmPC UK for example exists for the drug searched it is shown using links below the OTHER INFORMATION heading PRODUCT LOOKUP Tools available or associated with this item are shown in this area Clicking the link automatically populates the tool with the selected item Click the link to initiate the tool For detailed information on this type of search see Tox amp Drug Product Lookup Tool on page 147 and Searching RED BOOK Online amp on page 170 x was also found in Drug Disease Clinical Checklist Reproductive Risk etc Information Headers When the substance is found in other MICROMEDEX 2 0 content the expandable headers display along with the number of matches found Click a header to open the list of results HAZARD MANAGEMENT INFO When hazard management informati
231. item to select it and then click Submit Or Type the partial product name and click Submit or press the Enter key Tox amp Drug Product Lookup Results Matches found for your search are displayed on the Tox amp Drug Product Lookup Results page Tox amp Drug Product Results search Expotas v Print Displaying results found for Tide Results from Be Other Countries Display 5 77 5 1 Synonyms 51 Manufacturer Contact Info 0 Results contain Results 1 50 Page jot 2 Go Previous Next gt Strength Name Form Manufacturer Country Product ID AAPCC Code Related Document s Tide All Variations Granular Powder Procter amp Gamble United States 5992519 013400 SODIUM CARBONATE POISINDEX amp DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX ENZYME DETERGENTS POISINDEX Tide Clean Breeze Opaque Liquid Procter amp Gamble United States 7443643 013401 DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX Tide Clean Rinse Liquid Procter amp Gamble United States 5992486 013401 DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX ENZYME DETERGENTS POISINDEX Tide Coldwater Free Opaque Liquid Procter amp Gamble United States 7458767 013401 DETERGENTS AND SOAPS ANIONIC AND NONIONIC POISINDEX Tide Coldwater Fresh Scent Opaque Liquid Procter amp Gamble United States 7448122 013401 DETERGENTS AND SOAPS ANIO
232. lab hours or when a lab technician is unavailable Lab Personnel Saves time by reducing the number of calls from clinicians Can communicate lab protocols or reference ranges or notes specific to your facility Pharmacy Personnel Provides information when monitoring patient drug levels therapeutic levels and possible side effects related to lab tests 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Searching for Lab Information Laboratory test information can be found by searching on a test name a LOINC code or keyword Searching by Name You can search for lab information using the test name as the search term 7 Lab results found for Myoglobin Display Al 335 Drug 111 eMC SmPC UK 12 Disease 27 Toxicology 165 Lab 7 Alternative Medicine 10 Reproductive Risk 3 Page 1 Results for 1 7 Myoglobin measurement Laboratory Test Detailed evidence based information Lab Advisar Test Definition Measurement of myoglobin in serum plasma or whole blood for the diagnosis and Document section Test Definition Myoglobin measurement urine Laboratory Test Detailed evidence based information Lab Advisor 560 sensitive to myoglobin concentration of 30 Complement fixation CF nephelom precipitin Document section Reference Range Searching by Keyword You can also search for lab information using any of the following as your sea
233. lator displays recommendations based on initial dosing and the solution concentration Epinephrine Dosing Calculator Pediatric The pediatric calculator also factors in the weight of the pediatric patient Heparin Dosing Calculator Formulates recommendations based on weight and units ml IV Rate Calculator Enables clinicians to quickly and easily determine the infusion rate for medications that require complicated calculations This flexible dosing tool is not specific to a particular drug but calculates an infusion rate for a variety of medications dosing options and solution concentrations Nitroglycerin Dosing Calculator Dosing calculations are for adults only weight gt 40 kg Calculations are not based on patient weight Recommendations can be calculated based on concentration and mcg min and whether or not the patient is on fluid restriction Nitroprusside Dosing Calculator Calculations are based on patient weight and mcg kg min and the concentration of the solution used Norepinephrine Dosing Calculator Adult The adult calculator displays recommendations based on initial dosing and the solution concentration 2013 Truven Health Analytics Inc CHAPTER 1 MICROMEDEXO 2 0 OVERVIEW Norepinephrine Dosing Calculator Pediatric The pediatric calculator also factors in the weight of the pediatric patient Clinical Calculators Alveolar Arterial Oxygen Gradient
234. linked to one or more treatment management protocols providing information on clinical effects range of toxicity and treatment protocols for exposures involving the substances The Tox amp Drug Product Lookup allows you to search by e Name see page 148 e Specific code such as NDC CAS EPA code see page 155 e Valid 7 digit Product ID see page 158 e Specific active ingredient in the substance see page 160 e Look up AAPCC Codes available by subscription shown as a link from the Tox amp Drug Product home page see page 155 Search results include links to the associated POISINDEX Management 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE SEARCHING BY PRODUCT OR SUBSTANCE NAME Select the Product or substance name option to search by common product or substance name or synonym The application will bring results for items where the search term begins with the search term as well as for items where the search term is contained within the name or synonym or Manufacturer name 1 Leave or select the default search option as Product or substance name 2 Begin typing the name in the Enter search term field The word wheel will populate with matches after you have typed at least three characters 3 Continue to type the entire product name then click Submit or press the Enter key Type the partial product name scroll down until you find the item in the list Click on the
235. links directly to more in depth DRUGDEX Drug Evaluations available only with a current DRUGDEX subscription DRUG REAX System Drug Interactions The DRUG REAX System allows clinicians to check for interacting drug ingredients their effects and their clinical significance It provides drug drug food drug drug disease drug alternative medicine drug ethanol drug laboratory drug tobacco drug pregnancy and drug lactation interactions Please note that not all additive adverse effects or therapeutic antagonist effects are included in the Drug REAX System DRUG REAX System information is drug specific rather than class specific which helps to more accurately interpret interaction data The System program contains a dictionary of more than 8 000 unique drug terms and distinguishes between trade names and equivalent generic names eliminating possible duplication of interaction data on the page Up to 128 concurrent clinical conflicts can be reviewed In addition the response speed of this database demonstrates no detectable degradation in data retrieval as the number of drugs being screened increases Herbal Medicines A Guide for the Health Care Professional Invaluable reference for everyone interested in herbal medicines and their uses While the use of herbal remedies has dramatically increased the availability of factual information about such substances has not Herbal products are not regulated in the same manner as drugs so c
236. logy articles 22 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS Shepard s Catalog of Teratogenic Agents Developed by Dr Thomas H Shepard Professor of Pediatrics University of Washington Co authored by Dr Ronald J Lemire Professor of Pediatrics University of Washington Director In Patient Services at Seattle Children s Hospital and Regional Medical Center Shepard s includes information such as the following e Electronic version of Shepard s Catalog e Up to date information on teratogenic agents including chemicals food additives household products environmental pollutants pharmaceuticals and viruses e Includes research methods results and citations from both Japanese and Russian literature TERIS Teratogen Information System Developed by the University of Washington TERIS includes information such as the following e Current information on the teratogenic effects of drugs and environmental agents e Agent summaries derived from thorough literature reviews rate reproductive risk and explain data used to determine the rating 2013 Truven Health Analytics Inc Ces MICROMEDEX 2 0 USER GUIDE TOMES System Handling hazardous chemicals is routine in many workplaces The TOMES System provides the critical medical and hazard data needed for immediate effective response to exposure and accidents in chemical handling Designed to help reduce the risk of exposure and injury t
237. low this heading are links to all of the topics in the summary document Click a link to open the AltMedDex amp summary document positioned directly at the topic link selected 2 View summary document gt View detailed document These links open at the top beginning of the selected document The View summary document link opens the AltMedDexPoints summary document the View detailed document link opens the AltMedDex Evaluation IEEE 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS 3 OTHER INFORMATION Links to other related information are displayed Information can be from the following sources Martindale The Complete Drug Reference AltCareDex or AltMedReax for the Patient amp In the example links to patient education and interaction information handouts are listed 4 PRODUCT LOOKUP Tools available or associated with this item are shown in this area Clicking the link automatically populates the tool with the selected item Click the link to initiate the tool For detailed information on this type of search see Tox amp Drug Product Lookup Tool on page 147 and Searching RED BOOK Online amp on page 170 MARTINDALE OTHER INFO This section is shown if you are a subscriber to the Martindale database and if additional information for the drug is available 5 x was also found in Drug Disease Reproductive Risk etc Information Headers When the substance is found in other MICROMEDEX 2 0 cont
238. lter by Status Eta Deactivated All Repackagers Include Repackagers Om Exclude Repackagers From the RED BOOK Online Search page you can search by e Product Name e Active Ingredient e NDC HRI UPC Code e Manufacturer Name You can also filter your search by status and repackagers See Filters on page 173 for more information 170 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE Note NDC HRI and UPC codes are displayed in two formats within RED BOOK Online When performing a search by code the search box displays the code in a 5 4 2 format e g 12345 6789 00 for an NDC HRI or UPC code When an HRI or UPC code is selected from the search box the code is displayed in a 5 6 format e g 12345 678900 The identifying code has not changed only the format has changed as shown below The 5 4 2 farmat is used in the search suggestion box but once selected HRI and UPC codes are displayed in a 5 6 format Enter search t em 2 00205 0000 90 THERAREST KCI On the RED BOOK Online Search Results page and Product Details pop up box NDC codes are displayed in the 5 4 2 format HRI and UPC codes are displayed in the 5 6 format 2013 Truven Health Analytics Inc 171 MICROMEDEX 2 0 USER GUIDE Search Options Next enter the search term you want to use For the purposes of this guide the Product Name search will be used in conjunction
239. ly MECHANISM OF ACTIONIPHARMACOLOG T 3 tincture of CINNAMON orar 2 to 4 milliliters THERAPEUTIC USES 4 tincture 1 5 graminilliiter orat 3 3 to 67 milliiters three times daily REFERENCES b LOSS OF APPETITE OR COMPLAINTS AUTHOR INFORMATION 1 bark oral 2 to 4 grams daily 2 essential oil oral 0 05 to 0 2 grams daily OTHER ALTERNATIVE MEDICINE INFORMATION AltMedDex Consults Alternative Medicine Consults provide crucial information of interest to those needing information on herbal medicines and other dietary supplements Topics include FDA warnings pregnancy risk categories and guidelines on dosing safety and efficacy issues 108 2013 Truven Health Analytics Inc CHAPTER 8 ALTERNATIVE MEDICINE INFORMATION Consults can be viewed using the scrollbar or Top of Page links if necessary or printed in their entirety ROSE HIPS AltMedDex Consults I Top of P PATIENT DATA BACKGROUHD Rose Hips are a natural source of Vitamin C used in teas vitamins and other preparations The content of Vitamin C in Rose Hip powder is variable and may be nonexistent al 1990 Patients taking Rose Hips as a Vitamin C supplement may not be getting sufficient quantities of Vitamin C Rose Hips or hip berries are the ripe ovaries or seeded fruits from wild rose bushes V indholz 1976 Whole fresh hips contain 545 milligram mq ascorbic acid hips without pips contain 661 mg and the pulp
240. lytics Inc SS MICROMEDEX 2 0 USER GUIDE 1602 2013 Truven Health Analytics Inc CHAPTER 13 DRUG COMPARISON TOOL The number of drugs available today is enormous and the vast amount of information about these drugs can be mind boggling Use the Drug Comparison tool to harness this information and give you easy access to side by side drug information Micromedcex 4 U mobileMicromedex MY SUBSCRIPTION MICROMEDEX GATEWAY Lof Drug Tools Interactions Enter one or more search terms Trissel s 7 2 Tox amp Drug Drug Drug IV Compatibility Identification Product Lookup Calculators Formulary CareNotes f Reviewed by experts Micromedex 2 0 drug information is evidence based covers FDA approved prescription and nonprescription drugs Areas discussed include dosing indications availability prescription or over the counter black box warnings pharmacokinetics cautions interactions clinical applications adverse effects and comparative efficacy View and compare drugs side by side with the Drug Comparison feature Compare attributes such as dosing administration indications contraindications precautions adverse effects and interactions to assist you in making the most informed choice Building the Search to Compare Drugs 1 Type the drug brand or generic in the Enter Search Term field If you are unsure of the s
241. ma REFERENCES 1 Kwaselow Rowe M Sears Evvald D et al Rose hips a new occupational allergen J Allergy Clin Immunol 1990 85 4 704 708 2 Windholz M ed The Merck Index Sth ed Merck amp Co Inc Rahway NJ 1975 AUTHOR INFORMATION AltMedDex Protocols Provides practical advice to help you integrate complementary and alternative medicine into clinical practice Every day healthcare professionals are being asked to combine alternative medicine therapies with more traditional treatment practices AltMedDex Protocols provides complementary and alternative medicine CAM information and recommends methods for successfully blending CAM therapies with conventional medicine to offer patients a full range of options and help optimize their treatment outcomes Protocol documents can be viewed using the scrollbar or Top of Page links if necessary or printed in their entirety 2013 Truven Health Analytics Inc ETE MICROMEDEX 2 0 USER GUIDE AltMed REAX M for the Patient Contains easy to understand materials to help you educate patients about potential herbal amp dietary supplement interactions Increased use of herbals and dietary supplements means increased risk of harmful interactions Without knowledge of the possibilities inadvertent mixing of medications can result in adverse drug events or decreased efficacy AltMed REAX for the Patient discusses the potential for interactions between alterna
242. mation such as Strength of Evidence Strength of Recommendation and so on X Note What you see on the page may depend on your Micromedex 2 0 User Guide subscription Start a New Search Micromedex 2 0 ileMi ca 1 X 4 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GA Start a HE ch at mA Drug Tox amp Drug Drug RED BOOK time by typing in patibility Identification Product Lookup Comparison Online Calculators Formulary Care Example Searches the SEARCH box If at any time you wish to search for something else enter the new search term s in the Search box located at the top of the page 102 2013 Truven Health Analytics Inc CHAPTER 8 ALTERNATIVE MEDICINE INFORMATION Self medicating with herbals and other dietary supplements is commonplace as is treatment with acupuncture chiropractic care and homeopathy You can give your patients a better understanding of these healthcare alternatives with the information found in the alternative medicine area of Micromedex 2 0 User Guide MICROMEDEX 2 0 can provide you a reliable comprehensive source of referenced scientifically sound information about complementary and alternative medicine CAM therapies and practices Designed for healthcare professionals the information found in the alternative medicine summaries is an indispensable tool for answering the growing number of patients CAM qu
243. mes which begin with the search term s are shown first by default when both begin with and contain matches are found The results display can be quickly switched to results where the search term s are contained in the product substance or synonym by clicking the Results contain link The corresponding counts for Products Substance Names Synonyms and Manufacturer Contact Info are updated when the applicable link begin with or contains is clicked If either link is shown as disabled greyed out it signals that there were no results found for that search condition mam X Note The Results begin with Results contain option is not available when displaying Synonyms or Manufacturer Contact Info amp Drug Product Results lt Modify Search Results 1 29 begin with contain d Print AUE Results contain 1011 Previous Next p Displaying results found for drano Name Form Country Product ID AAPCC Code Related Document s 1 Drano Clog Remover Liquid SC Johnson United States 7555787 011284 CORROSIVES ALKALINE POISINDEX amp HYPOCHLORITES AND RELATED AGENTS POISINDEX amp 2 Drano Clog Remover Liquid Drain Liquid SC Johnson United States 6103587 011289 CORROSIVES ALKALINE POISINDEX Opener Canada HYPOCHLORITES AND RELATED AGENTS POISINDEX 3 Clog Remover Liquid Drain Liquid SC Johnson United States 4293562 011289 CORR
244. n conjunction with the Google Chrome browser Accessing mobileMicromedex 2 0 via BlackBerry or iPhone 1 Navigate to http www micromedexsolutions com micromedex 2 librarian on your mobile device browser Opera Mini for BlackBerry devices and Safari for the iPhone 2 Enter your authentication information If you do not know your authentication information UserName and password navigate to http www micromedex com mobile2 on a computer connected to your organization s network A UserName and Password are displayed for your use These login credentials expire on a quarterly basis Return to the mobileMicromedex page each quarter to obtain new login credentials 3 Begin using mobileMicromedex 2 0 If you need further assistance contact support by visiting http www micromedex com support contacts Navigating mobileMicromedex 2 0 While the goal when creating mobileMicromedex 2 0 for the iPhone and BlackBerry was to keep the offering as much like the desktop product as possible there are a few differences required to accommodate the devices e Clicking an item from the outline on the left of each document page launches the document in a new web page In the desktop product the document launches in the same initial web page e Help topics are only available for the iPhone For help on other devices see the full help system within the desktop application e Only the Drug Identification and Drug Interactions tools and Calc
245. n gap Creatinine Clearance Calculator Calculates creatinine clearance based on lean ideal body weight patient s age and sex current serum creatinine level in mg dl and the initial therapy utilized Phenytoin Level Adjustment Calculator Utilized by clinicians to adjust reported serum phenytoin levels in patients that have low serum albumin levels or renal impairment Hypoalbuminemia and or renal impairment changes the binding affinity of phenytoin which results in a reported total phenytoin level that is of little value clinically This calculator estimates what the total phenytoin level would be if the patient did not have these comorbid conditions Calculates the adjusted Phenytoin Level using current values for Phenytoin Level mcg mL Albumin gm dL and Creatinine Clearance mL min 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Dosing Tools ACLS PALS Guidelines Based on pediatric or adult weight in kilograms or pounds this calculator displays the American Heart Association medication and recommendation guidelines for ACLS PALS neonatal resuscitation Dobutamine Dosing Calculator Calculate based on weight kg Ib and the initial dose Results are in mcg kg min with the selected solution Dopamine Dosing Calculator Calculate based on weight kg Ib and the initial dose Results are in mcg kg min with the selected solution Epinephrine Dosing Calculator Adult The adult calcu
246. n to the top of the topic using the Top of Page links e Navigate to other topics and sub topics in the monograph using the document outline links located on the left hand side of the page e Printthe topic or selected topics or the entire summary by clicking the Print icon and selecting the topics desired see Print on page 7 for more information X Note What you see on the drug summary page may depend on your Micromedex Clinical Knowledge subscription DOSING amp INDICATIONS Cephalexin E Display Entire Document Prin Adult Dosing Pediatric Dosing DrugPoint Summary 2 Dose E stments FDA La d Indications Non FDA Labeled Indications DOSING amp INDICATIONS Expand All Collapse All Top of Pagg CONTRAINDICATIONS WARNINGS gt Adult Dosing Do Not Confuse Contraindications Pediatric Dosing Precautions s 3 Pregnancy Category Dose Adjustments Breast Feeding DRUG INTERACTIONS SINGLE ADVERSE EFFECTS Common Serious NAME INFO Drug Images US Trade Names FDA Labeled Indications Class Regulatory Status Non FDA Labeled Indications Generic Availability MECHANISM OF ACTION PHARMACOKINETICS ADMINISTRATION MONITORING View Detailed information in DRUGDEX gt renal impairment CrCl 50 mL min or greater usual dose and interval CrCl less than 50 mL min give usual dose every 12 hr 8 Topics Links All topics Dosing amp Indicatio
247. n your search results A single product name can be associated with multiple manufacturers distributors The Rpkg column indicates whether or not the product is repackaged by the company listed as the manufacturer distributor A Y indicates that the listed manufacturer distributor is a repackager of the product An N indicates that the listed manufacturer distributor is not a repackager The Generic column indicates whether or not the particular line item is a generic product A Y indicates that the product is a generic version An N indicates that the product is not a generic product If a product has a corresponding Orange Book Code that code will appear in the Orange Book Code column Not all products will have an associated Orange Book Code When there is no associated Orange Book Code two dashes will appear in the column See Orange Book Codes on page 234 for more information Column Name Description Code Type The Code Type column identifies the registry listed for the identifier either NDC HRI or UPC This code type is related to the value that appears in the Identifier column The Identifier column displays the NDC HRI or UPC code that is associated with the item for which you searched The Form column displays the dosage form tablet solution syrup etc of a product The Strength column displays the active ingredient strength for the product for which you searched The Strength column is limit
248. name generic or branded generic commercial household products and chemicals by product name or synonym and other substances including plants and animals by Latin or common name and by slang terms Search by a specific active ingredient in the substance by a specific code such as NDC CAS or EPA code or a valid 7 digit Product ID Look up AAPCC Codes gt want to search for Enter search term Product or substance names 53673 O Globally distributed drug products in Martindale want to search by and receive suggestions for Product or substance name Codes Product ID Active ingredients 1 Select want to search by and receive suggestions for Product ID option 2 Begin typing the 7 digit Product ID for the desired product The word wheel appears when one or more digits have been typed showing the first match to the digit s entered As additional digits are typed the result set narrows 3 Type the entire code and press the Enter key Or Type the partial product ID scroll down the list and click to select Once selected click Search 158 2013 Truven Health Analytics Inc CHAPTER 12 TOX amp DRUG PRODUCT LOOKUP TOOL Search Results A single product is returned in the results Tox amp Drug Product Results lt Modify Search Displaying results found for 5367390 Results from United States Other Countries Display
249. nformation Product Substance Identification POISINDEX Product Substance Identification contains information on over 1 000 000 different household items such as e Common household products cleaners personal care insect protection e Industrial chemicals manufacturing agents e Industrial products cleaners protective agents e Pharmaceutical products prescriptions generic trade OTC veterinary e Biological entities botanic zoologic food poisoning Toxicological Managements Toxicological Managements offers over 850 detailed courses of treatment for someone exposed to a substance 2013 Truven Health Analytics Inc DES MICROMEDEX 2 0 USER GUIDE REPRORISK System Reproductive Risk Information The REPRORISK System is a unique collection of reproductive risk information databases It provides information covering full range health effects that is helpful when assessing reproductive risks of drugs chemicals and physical and environmental agents Risks to females males and unborn children are discussed What s in REPRORISK The REPRORISK System can define potential problems for women men and the effect on unborn children It also can define risks associated with drugs and other substances both legal and illicit The REPRORISK System suggests treatment plans to minimize risks during pregnancy REPRORISK includes the following modules e REPROTEXT Database e REPROTOX Reproduction Hazard Informa
250. ngth of evidence and strength of recommendation ratings e Regulatory Status and Generic Availability displayed in the summary document e Drug Toxicity provides information on clinical effects treatment and range of toxicity e Clinical Teaching offers point of care counseling information for clinicians to use when educating patients about their medications Designed for experts like you Teams of on staff experts bring real world experience to our decision support resources Doctors nurses pharmacists and other industry professionals help create solutions like the new Micromedex 2 0 to meet your specific needs Who can benefit from Micromedex 2 0 Point of care clinicians e Quick on the floor access e Intuitive workflow based interface e Trusted summary level information Pharmacists e Facility wide access to trusted drug information Improved searching and navigation Medical Librarians e One comprehensive resource for clinical decision support e Consistent information throughout the entire hospital 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE NAVIGATING THE MICROMEDEX 2 0 INTERFACE Usability experts and clinical focus groups were utilized to develop an intuitive easy to use interface Extra care was used to ensure that users didn t have to re enter the same search over and over Now it s simple to jump from a disease state to a drug and then to the relevant patient
251. ni del Prodotto Dialogo sul Farmaci B AXAGON 14 cpr gastrores 20 mg RESU LTS FO U N D Farmaco Sintesi delle Informazioni del Prodotto Dialogo sui Farmaci The total number of matches AXAGON R Farmaco Sintesi delle Informazioni del Prodotto Dis ogo su Farmaci found for the search and the search term used is shown at the top of the page DISPLAY Search results are ranked by relevance and presented accordingly However you have the option to view only a specific content type Drug Disease Lab Alternative Medicine The Display links show the content type and number of matches found for each Click the link to filter the results to the requested type 808 results found for meningitis Display 808 Drug 403 Disease 233 Toxicology 110 Lab 27 Alternative Medicine 20 Reproductive Risk 15 Page 1 Results for 1 10 112 3 4 51 6 7 9 10 Nex 10 1 Viral meningitis PAGE Quickly move through the search results using the page navigation links When there are more than 10 pages of results the Next 10 and or Previous 10 link is displayed and allows you to jump 10 pages at a time ICE 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS Other Intermediate Search Results Searches with multiple search terms or with a phrase may produce more focused search results In the following example a search for treatment for avian flu not
252. nk selected 2 View summary document gt View detailed document gt These links open at the top beginning of the selected document The View summary document link opens the ClinicalPoint amp summary document the View detailed document link opens the DISEASEDEX General Medicine document 3 OTHER INFORMATION Links to published Studies and Alerts related to the condition are shown as links 4 x was also found in Drug Toxicology Labs etc Information Headers When the condition is found in other Micromedex 2 0 content the expandable headers display along with the number of matches found Click a header to open the list of results For example when viewing a condition laboratory test information may be available SO you may see hypertext links to common labs used for this condition when you click the Labs Information accordion bar Click the link to open the document 5 DISEASE OTHER TITLES Other phases of a disease or condition may exist Acute Chronic Prevention amp Screening for example Links to this information are shown below the DISEASE OTHER TITLES heading 6 EMERGENCY MEDICAL ABSTRACTS When Emergency Medical Abstracts from Rick Bukata MD and Jerry Hoffman MD related to the searched condition are found they are shown as links below this heading Click the link to view the abstract 7 x Results found for disease name This section displays all matches found for the search term and is organized exactly l
253. ns Contraindications Warnings etc with information for this drug are shown as active links in the outline on the left side of the page Clicking the link takes you to the beginning of the selected topic Sub topics If sub topics such as Adult Dosing Pediatric Dosing Dose Adjustments etc exist clicking on either the topic link in the left side navigation or on the sub topic header bar in the document expands the list showing the information below 68 2013 Truven Health Analytics Inc CHAPTER 4 DRUG INFORMATION Hypertext Links within the Drug Summary Links shown within drug summary information mean that further information exists Click the link to view the information Links shown as numbers within brackets e g 1 link to the reference or citation for the information Links can also open definitions for items shown in the summary information such as Breast Feeding Categories Strength of Evidence Strength of Recommendation to name a few Linked information is presented in its own pop up box that can be printed if desired OTHER SOURCES gt Button 30 to detailed document in DRUGDEX for CEPHALESIN View Dashboard for Cephalexin Tox amp Drug Cephalexin Martindale Cephalexin RED BOOK Online Cephalexin Clicking the OTHER SOURCES button opens a pop up that displays options for finding other search results for the drug or substance you are currently viewing The pop up list ma
254. nter search term Sari by Globally distributed drug products in Martindale 44 0028 7130 7 UPC Product Codes 44087 0004 7 NDC it to search by and receive suggestions for 44087 0005 7 NDC Product or substance name 44087 0006 NDC 44087 0006 7 NDC Product ID 44087 0022 3 NDC 44087 0088 04 NDC Active ingredients 44087 0250 01 NDC 44087 044 01 NDC 44087 044 02 NDC 44087 044 03 NDC 44087 0571 NDC 1 Select want to search by and receive suggestions for Codes option 2 Begin typing the code for the desired product The word wheel appears as soon as one digit is typed showing the first match to the digit s typed As additional digits are typed the result set narrows 3 Type the entire code and press the Enter key Or Type a partial code and scroll down the list Click on the desired code to select it then click Search 156 2013 Truven Health Analytics Inc CHAPTER 12 TOX amp DRUG PRODUCT LOOKUP TOOL Search Results The information shown on the results page is the same as is shown by default for a Product or Substance Name search See Tox amp Drug Product Lookup Results on page 148 for a full explanation However when searching by codes viewing Synonyms or Manufacturer Contact Info Begins with or Contains view options are not available Navigating links to product information and related documents function the same as described for a Product or Substance sea
255. nxious have trouble thinking feel very sweaty or have a fever feel your muscles are tight and shaky feel your heart is beating very fast have a seizure have nausea feel weak dizzy or lightheaded have chest pain or discomfort or have irregular heartbeats Do not stop using your medicines without talking to vour doctor first The following medicine used for high blood pressure or heart conditions acebutolol Sectral R amlodopine Morvasc R atenolol Tenormin benazepril Lotensin R betaxolol Kerlone R bisoprolol Zebeta candesartan Atacand R captopril Capoten carvedilol Coreg R diltiazem Cardizem Cartia XT Dilacor XR Diltia XT doxazosin Cardura R enalapril Vasotec R eprosartan Teveten R esmolol Brevibloc felodipine Plendil fosinopril Monopril R quanfacine Tenex irbesartan Avapro R isradipine Dynacirc labetalol Trandate lisinopril Prinivil R Zestril losartan Cozaar R metoprolol Lopressor R Toprol moexipril Univasc nadolol Corgard R nicardipine Cardene nifedipine Adalat Adalat CC Procardia Procardia XL penbutolol Levatol perindopril Aceon R phenoxybenzamine Dibenzyline R pindolol Visken R prazosin Minipress R propranolol Inderal R quinapril Accupril R ramipril Attace sotalol Betapace R telmisartan Micardis R terazosin Hytrin R timolol Betimol R 2013 Truven Health Analytics Inc
256. ocardial infarction ventricular dysrhythmias and coronary vasospasm have occurred with therapeutic doses of ORAL EXPOSURE subcutaneous and oral sumatriptan Cardiac arrest has been reported Chest tightness or pressure with therapeutic doses PARENTERAL EXPOSLIRE occurred in 5 of patients after subcutaneous sumatriptan and 396 of patients after oral sumatriptan ENHANCED ELIMINATION 0 2 7 NEUROLOGIC OTHER SOURCES gt Button OTHER SOURCES Clicking the OTHER SOURCES button opens a pop up that displays options for finding other search results for the substance you are currently viewing The pop up may offer to run a Product Lookup tool based on your subscription 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Drug Identification by Description No Imprint Code Available Drug Identification Search by Imprint Code Imprint Code Click here to search by Description Side 1 Partial Imprint Side 2 Partial Imprint There may be times when no imprint code is available or legible Click the No Imprint Code Click here to search by Description link to open selection criteria for searching by the physical characteristics of the drug Drug Identification search by Description Click here to search by Imprint Cade lBlack 1 Blue lBrown LlClear Shape LJ Gray lGreen Lloft wWhite Pattern lorange Fink Req E Tan lwhite X Llvelow Show Images wi
257. ocument 4 Jump to 37 other search results DRUG AVAILABILITY MICROMEDEX DRUG SUMMARY INFORMATION Adult Dosing Drug Interactions single Mechanism of PRODUCT LOOKUP Pediatric Dosing Adverse Effects Common ActionPharmacokinetics Ter Gilg Deus DOES de Dose Adjustments Adverse Effects Serious AdministrationiMonitoring 2 Dexrazoxane Hydrochloride FDA Labeled Indications Iv Compatibility single How Supplied RED BOOK Online Dexrazoxane Hydrochloride Labeled Indications US Trade Names Toxicology Clinical Effects Contraindications Class Toxicology Treatment DRUG CONSULTS 3 results Precautions Regulatory Status Toxicology Range of Pregnancy Category Generic Availability Toxicity TANTS pe ant n Breast Feeding a Pl Clinical Teagh U ah TC Tm dh 44 a T T EM 2013 Truven Health Analytics Inc formation amp Links on Drug Dashboards CHAPTER 3 SEARCH RESULTS Information presented on drug dashboards contains links to related topics The following example shows a typical drug dashboard Available Routes Acetaminophen Acetaminophen Intravenous Oral Rectal View detailed document Viewsummary document 4 1 7Jotiersearch rett DRUG SUMMARY INFORMATION Pediatrie Drig li actis hgk Dose Advise Elect Common FDA Lzbebd Serbis Noi FDA Labeled M Conpatblll
258. ok Type Size Dose Pkg Pkg Coda Prica Price AMEND DRUG amp ACACIA acacia CHEW IAL N Y MOC 17317 0001 08 Pow o m H 16 50 COMPANY APPLICABLE gm AMEND DRUG amp HOT 125 Fj ACACIA acacia CHEMICAL H Y NDC 1737 00 04 ROW qc em N 665 COMPANY APPLICABLE HED BOOK Online searches all of the products in the custom list and returns a Custom List Manager Results page Export as dew Print Page 1 1 Go 4 Previous p AWP Unit Price 0 00083 0 05320 The type of information and layout of the results page from a custom list search is the same as a standard RED BOOK Online search See Understanding RED BOOK Online Search Hesults on page 173 for information on RED BOOK Online search results 2013 Truven Health Analytics Inc 203 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE CHAPTER 15 MICROMEDEX 2 0 FOR MOBILE DEVICES Much more than quick drug look ups mobileMicromedex powers your mobile device with a wealth of clinical knowledge from Micromedex the industry s leading provider of evidence based clinical information Web based access to the Micromedex 2 0 site Micromedex 2 0 is now available for your mobile browser on your iPhone iPad Blackberry or Android device This version is available on your mobile device via your data plan or a WiFi connection Expect More mobileMicromedex 2 0 give
259. ol e g Tox amp Drug Martindale based on your subscription Start a New Search p Tu Micromedex 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX G Start a new search at Be mo Drug Tox amp Drug Drug RED BOOK Too in patibility Identification Product Lookup Comparison Online Calculators Formulary Care SEARCH Example Searches If at any time you wish to search for something else enter the new search term s in the Search box located at the top of the page 96 2013 Truven Health Analytics Inc CHAPTER 7 LAB INFORMATION FIND ALAB TEST MICROMEDEX 2 0 provides current accurate and concise lab information you can use with confidence It also provides the most critical knowledge presented at the summary level with quick access to more detailed information The Labs database contains critical information relevant to Physicians Saves time by providing information on which tests are appropriate for a condition or diagnosis Reduces the dependency on the lab the library or reference textbooks Saves time by providing guidance and information when interpreting test results Reduces the research time required to consult additional sources of information Nurses Answers questions about proper collection storage and administration procedures Provides information on unfamiliar or rarely administered tests Enables nurses to find answers to lab related questions after
260. olecular weights 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS Italian Drug Database Dialogo sui Farmaci The Italian Drug Database from Dialogo sui Farmaci is a compilation of all pharmaceuticals marketed and approved for use in Italy currently at approximately 16 000 products and is updated on a monthly basis The database includes both products with pharmaceutical active ingredients as well as over the counter drug products Bulk products such as Ringer s Lactate and Saline solutions are also included in the database The following information is available in Dialogo sui Farmaci product documents e MINSAN Code code for each medicine given by the Ministry of Health e Brand Name e Form strength packaging and route of administration e codes e Italian and English INN e Price e Reimbursement class e Class Essential drugs and those for chronic diseases These drugs are fully reimbursed by the National Health Service NHS e Class H Drugs that are fully reimbursed and must be used only in hospitals e Class C Drugs not reimbursed by the NHS Among Class C drugs are SOP drugs that can be sold without prescription but for which advertisement is not allowed OTC drugs sold without prescription Advertisement is allowed e Limitative note e Distribution criteria e Registry e Prescribing criteria e Authorized prescriber e Drug manufacturer e Off patent drugs e italian indicati
261. ols Interactions IV Compatibility Identification Product Lookup Comparison Online Calculators Formulary CareNotes NeoFax DOSING amp INDICATIONS Dalfampridine Display Entire Document dy Print Adult Dosing Pediatric Dosing DrugPoint Summary i OTHER SOURCES Dose Adjustments FDA Labeled Indications Non FDA Labeled Indications DOSING 8 INDICATIONS REMS Adult Dosing CONTRAINDICATIONSAMARNINGS Contraindications Precautions View Detailed information in DRUGDEX gt Pregnancy Category Breast Feeding Multiple sclerosis Walking 10 mg ORALLY twice daily approximately 12 hours MAX 20 mg day 1 DRUG INTERACTIONS SINGLE ADVERSE EFFECTS gt Pediatric Dosing Common Serious NAME INFO gt FDA Labeled Indications gt Non FDA Labeled Indications Regulatory Status Generic Availability MECHANISM OF ACTION PHARMACOKINETICS ADMINISTRATION MONITORING pags IE Imi mm Expand All Collapse All Top of Page gt Dose Adjustments An additional benefit of using Google Chrome is that it will retain search history saving time on re entry of terms as you begin to build a search history However you are not able to launch a search for Micromedex Clinical Knowledge from the body of a web page as in Internet Explorer and Firefox MICROMEDEX 2 0 USER GUIDE Mozilla Firefox The Micromedex Clinical Knowledge Suite can also be added as a search
262. on from HAZARDTEXT is found for the searched term it is displayed below this heading as a link MEDICAL MANAGEMENT INFO When medical management information from MEDITEXT is found for the searched term it is displayed below this heading as a link MARTINDALE OTHER INFO This section is shown if you are a subscriber to the Martindale database and if additional information for the drug is available X Results found for item name This section displays all matches found for the search term and is organized exactly like the Intermediate Search Results page Matches are ranked by relevance and shown in numbered order Each result is typically presented on multiple lines organized in the following order The document title The type of information drug disease toxicology lab etc the type of document detailed summary etc and a link to the associated dashboard if available A snippet of text with the search term s shown in bold text The topic MICROMEDEX 2 0 USER GUIDE ALTERNATIVE MEDICINE DASHBOARDS Related information for the herb vitamin mineral or supplement etc searched is gathered together in a logical and organized presentation so you can find the answer to your specific question fast Note Dashboards for Drug page 36 Disease page 51 and Toxicology amm E page 54 organize information differently from Alternative Medicine Summary dashboards Each is explained in detail in
263. onate 3 weeks 70 7 3 Hb F 0 07 0 073 mass fraction Hb F Infants 6 9 weeks 52 9 11 Hb F 0 07 0 073 mass fraction Hb F 1 Infants 3 4 months 23 2 16 Hb F 0 232 0 16 mass fraction Hb F 1 Infants 6 months 4 7 2 2 Hb 0 047 0 022 mass fraction Hb F 1 Infants 8 11 months 1 6 1 Hb 0 016 0 01 mass fraction Hb F 1 Adults 0 2 0 0 02 2 Please refer to your institution s reference ranges as lab normals may vary Test Definition Clinical Notes Quantitation of fetal hemoglobin HbF by the alkali denaturation or spectrophotometry methods may produce higher values than those obtained by the high performance liquid chromatography HPLC method 5 HPLC is the preferred method for the rapid precise quantitation of HbF 5 5 Densitometry scanning is not recommended for quantitation of HbF due to its imprecision 5 Sub topics If sub topics exist clicking on the topic link expands the list showing the sub topics below Go directly to a sub topic by clicking the sub topic link Hypertext Links within the Lab Summary Links shown within the lab summary mean that further or related information exists Click the link to view the information Links shown as numbers within brackets e g 1 link to the reference or citation for the information Links can also open definitions for items shown in the 2013 Truven Health Analytics Inc w MICROMEDEX 2 0 USER GUIDE infor
264. only narrows the results to a specific type of flu but it also focuses results on treatment 40 results found for treatment for avian flu Display 40 Drug 18 Disease 21 Alternative Medicine 1 Page 1 Results for 1 10 ipa espe es 1 Avian influenza apap agmr CUnmca Pointsg View Dashboard 2 Avian influenza Disease Detailed evidence based information OR EA SEDEXM 1 View Dashboard Document section Treatment 5 Avian influenza Disease List of essential care interventions C nica Check isi 4 Avian influenza Prevention amp Screening Disease Summary topic C nica View Dashboard Document section Treatment 5 Avian influenza Prevention amp Screening Disease Detailed evidence based information OR EA SEDEXM 1 View Dashboard Document section Treatment D Avian influenza Prevention amp Screening Disease List of essential care interventions Cineal Check isi Drug Detailed evidence based information ORU OEE Document section Therapeutic Uses 9 OSELTAMIVIR oe Two additional lines Document section and the topic Treatment presented as a link are shown on this intermediate search results page Click on the topic link and the document opens positioned directly at the specified topic 2013 Truven Health Analytics Inc SS MICROMEDEX 2 0 USER GUIDE IEEE 2013 Truven Health Analytics Inc CHAP
265. onobactam or third generation cephalosporin CEFOXITIN CEFOTETAN AMPICILLIN SULBACTAM PIPERACILLIN TAZOBACTAM or TICARCILLIN CLAVULANIC ACID are suggested alternatives 2013 Truven Health Analytics Inc CHAPTER 5 DISEASE INFORMATION With more treatments being developed and put into practice every day it is difficult to find time to research the latest treatments of choice even for the most common of ailments The MICROMEDEX 2 0 application supports disease management with unbiased evidence based information and identification of best practices for treating diseases It lets clinicians quickly reference the most current treatment of choice at the point of care to help minimize errors prevent unnecessary tests or procedures reduce treatment costs and improve patient outcomes MICROMEDEX 2 0 delivers both etiology and treatment information with summary overviews for each medical condition providing recommendations for appropriate care Disease information is designed and presented to assist in the rapid effective diagnosis and treatment of patients in acute care settings Evidence based it instantly answers the what when and how of emergency medicine Information includes clinical presentation laboratory and diagnostic findings and therapeutic modalities It also provides an ongoing cumulative review of international literature discussing emergency and acute care medicine and includes clinical re
266. ons 2013 Truven Health Analytics Inc 217 MICROMEDEX 2 0 USER GUIDE IV INDEX IV Compatibility Trissel s 2 Clinical Pharmaceutics Database Features Trissel s 2 the latest database from the ultimate authority on IV compatibility Lawrence Trissel MS FASHP Enhances patient safety by pinpointing potentially lethal combinations Supports confident decisions with multiple studies and full study information including manufacturer concentration stability and other conditions Helps clinicians interpret conflicting compatibility results by identifying contributing factors Includes 600 unique drugs and solutions Over 50 000 compatibility results Provides solution Y Site syringe and admixture compatibility information Includes TPN TNA data Allows for either single or multiple drug searches Lab Advisor Lab Advisor is a clinical laboratory database which presents the most critical information about which laboratory tests are appropriate for a given condition interpretation and management of results normal ranges test methodology and other laboratory related information Lab Advisor will Describe which tests are appropriate for a given indication Help streamline workflow by providing actionable information that eliminates the need to call the lab or library with questions about administering and interpreting labs Aid in the interpretation of test results Link to summary level drug disease
267. or which no data is returned will contain two dashes 177 MICROMEDEX 2 0 USER GUIDE 178 Searching for Similar Products in RED BOOK Online From the RED BOOK Online Search Results page you can perform a secondary query to locate products that contain the same active ingredient s in the same strength form and route as a product on which you have already retrieved your primary search Searching for similar products can be performed from any RED BOOK Online search results page that displays the Active Ingredient column For this example a product search for Children s Benadryl Allergy has been performed The Active filter and the Include Repackagers radio button have been selected The results displayed are similar to the following RED BOOK Online Search Results Modify Search d amp Print Displaying results found for Product Mame CHILDREN S PENADAYL ALLERGY Applied Filters Status Active Hepackaders Include Resulg 1 7 of T Page dori Go 4 Pres tus Next gt Danis Price New ProductName Active Manufacturer Rpkg Generic Grange Code Identifier Form Strength Route Pkg Unit WAC AWP AWF Chg Pkg T Ingredient Distributor Bonk Type Size Dose Pkg Peo Code Price Price Price MENEL CHILDREN S CONSUMER s BENADRYL e HEALTHCARE NM N UPC 50580 053504 ne ORAL N 433 520 004407 ALLERGY MCHEL mars mi NC WENEI CHLDREN S
268. orPatientsandProviders UCM2 ee 34639 pdf Generic Availability The applicable REMS components are listed as well as links to the US Food and Drug Administration FDA Web site for the detailed REMS information available for the drug 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS A list of all drugs in Micromedex 2 0 with REMS information can be obtained by employing the REMS targeted search See List of Drugs with a Risk Evaluation and Mitigation Strategy on page 25 for details and examples 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Drug Shortages on the Dashboard Drug availability can be affected due to a variety of problems in the market such as manufacturing and quality problems delays and discontinuation When this occurs and becomes known to the US Food and Drug Administration FDA the drug will be listed on their Web site on their drug shortage page The cause of the shortage if known is also listed Micromedex 2 0 displays a link to the DRUG SHORTAGES Drug Consult document below the DRUG AVAILABILITY heading on the drug dashboards when searching for drug that is on the FDA drug shortage list This document includes a link to the FDA Web site where additional information regarding the drug shortage may be available Available Routes Y Dexrazoxane Hydrochloride Dexrazoxane Hydrochloride Intravenous View detailled document View summary d
269. ore information For example perform a search for Lyrica from the RED BOOK Online Custom List Manager Other Criteria Search page Highlight the product name in the suggestion box and then click the Submit button 194 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE RED BOOK Online Custom List Manager Other Criteria 5earch Belum io Custom List To add items to your custom list search by product name active ingredient code or manufacturer Working custom list name Mew Custom File Cicurcistem list name will appear once you save ard reload your file want tn search by Enter search term Aciwe Ingredient NDC HRI UPC D Manufacturer Name want to filter by Status Deactivated C Al Repackagers CJ Include Repackagers The RED BOOK Online Custom List Manager Other Criteria Results page displays This page provides the product matches for the search term you used Custom List Manager Search Results Results are displayed in rows with links to additional information Data can be re sorted by most of the column headings All columns with headings in blue can be sorted in ascending or descending order Click on the column heading to sort on the column The display refreshes based on the sort selection with a secondary sort on product name Click again to reverse the sort order RED BOOK Online Custom List Manager Results Retum to Custom List Choose items and click th
270. oth summary and detailed disease information exists for a disease or condition the search always presents the summary dashboard first by default The following is an example of a typical disease summary dashboard Obesity 4 Jump to 1113 other search results CROMEDEX DISEASE SUMMARY INFORMATION DISEASE OTHER TITLES 2 results Obesity Prevention amp Screening Definition Findings Treatment Obesity Childhood Prevention amp Screening History Testing EMERGENCY MEDICAL ABSTRACTS 1 ew summary document View detailed document result MULTICENTER EVALUATION OF VANCOMYCIN DOSING BWPHASIS ON OBESITY 9 Clinical Checklist THER INFORMATION ALERTS STUDIES December 02 2003 June 23 2011 Task force issues Association found screening recommie between long term wei December 0z 2010 All cause mortality risk increases September O2 2010 Sibutramine use linked to nonfatal August 09 2010 Larger weight circumference associate Do was alza found in Drug Information 45 Drug Consults 1 2 el tal ar b Toxicology 1 PEN S 1 MICROMEDEX DISEASE SUMMARY INFORMATION Below this heading are links to all of the topics in the summary disease document 2013 Truven Health Analytics Inc 8 MICROMEDEX 2 0 USER GUIDE Click a link to open the summary document ClinicalPoint amp positioned directly in the topic li
271. ovide features and functions not found within the main search in Micromedex 2 0 Note Single drug interactions and single IV compatibility information is available from within the DrugPoint amp summary document Additional Applications from Micromedex To the right of the Tools menu and depending upon your Micromedex 2 0 subscription you may see additional application links such as Formulary CareNotes RED BOOK NeoFax or Pediatrics These links allow you to launch the external application and continue your work NEWSFEED Late breaking clinical news Micromedex events and product announcements Available to customers in the United States and Canada only EE 2013 Truven Health Analytics Inc CHAPTER 1 MICROMEDEXO 2 0 OVERVIEW Stay informed with late breaking clinical news Micromedex product and event information with the Micromedex Newsfeed Our newsfeed is intended to provide you with front of mind information on important topics identified by our clinical staff keep you informed on important additions to our product line communicate upcoming events and provide tips to help you utilize our tools for better patient care Page Footer Links At the bottom of every page in the page footer in Micromedex 2 0 are links to the following information Home Click on the Home link to return to the Micromedex 2 0 home Main page Contact us This link opens an online support request form Use t
272. p by step script and instructions for instructors conducting training to staff On Site Training Our Education Services team members will develop a personalized presentation based on your audience and hold sessions at your preferred location If customized online training is what you are looking for we would be happy to speak with you and create a program that will fulfill your training needs exactly Complete the Training Support form to help us create the right training solution for you and your organization Travel Consulting Fees may apply Warranty and disclaimer This link opens a page on warranty and disclaimer information for our products Editorial info Provides you with complete information on our editorial process User guide This link opens the latest Micromedex 2 0 User Guide in Adobe Acrobat pdf format 6 2013 Truven Health Analytics Inc Print The option to print the page or document is available at all times in Micromedex 2 0 When you are viewing information presented using CHAPTER 1 MICROMEDEXO 2 0 OVERVIEW SELECT SECTIONS TO PRINT Check all X Uncheck all topics and sub topics you have the option of printing iiis n the entire document or only selected topics p Name Info L Mechanism of Action Pharmacokinetics Click the Print Icon den to open the print 0 Administration Monitoring O How Supplied options O Clinical Teac
273. pecified Dep or gas evolution microbiological assessment of PRINT w CLOSE X 2013 Truven Health Analytics Inc 127 MICROMEDEX 2 0 USER GUIDE Syringe compatibility details for multiple drug compatibility searches are shown in a five column table Drug 1 contains the drug name the concentration and the manufacturer s name Drug 2 shows the secondary agent name concentration and manufacturer s name Status column lists the compatibility icon and description Information displays the physical compatibility chemical stability if applicable and storage information Test Parameters contains a link to the reference the study period the study methods and the container information for this particular combination Notes for the test if applicable are shown in red text at the top of the detailed study information 2013 Truven Health Analytics Inc Single Drug IV Compatibility CHAPTER 10 IV COMPATIBILITY TOOL Compatibility in Common Solutions and with TPN TNA therapies is only available when a single drug is selected for consideration This can be accomplished by building an IV Compatibility profile checking on one drug or by de selecting all but one drug from a compatibility results screen and clicking the Update button Refine your selections or click on icon to view characteristics such as pH compatibility amp stability and proper rate of infusion 5
274. pelling just type as many characters as you know Matching Drug Names As you type the word wheel begins to narrow your search results in the Matching Drug Names list based on the characters you entered The more characters you type the more focused the results The number of matches to the drug name is also updated as you type If the drug you are interested in is listed in the Matching Drug Names list click on the drug and then click the add button 5 to add the drug to the Drugs to Compare list If you add a drug in error remove it from the list by clicking on the drug then click the remove button 5 Related Names Results shown in the Matching Drug Names list populate strictly based on the characters used in the search Results shown in the Related Names list can be The generic name if the search was for a branded or trade name drug The brand or trade name if the search was for a generic drug or synonym A synonym for the drug name For example type keflex in the Enter Drug Name field and the Matching Drug Names list displays Keflex and the Related Names list populates with Bio Cef Cefalexin Cephalexin and Panixine DisperDose 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE If the drug you are interested in is listed in the Related Names list click on the item and then click the add button to add the drug to the Drugs to Compare list Drug Comparison Type the drug name
275. ple well dane randomized clinical trials involving large numbers of patients Category B Category B evidence is based on data derived from Meta analyses of randomized controlled trials with conflicting conclusions with regard to the directions and degrees of results between individual studies Randomized controlled trials that involved small numbers of patients or had significant methodological flaws bias drop out rate flawed analysis Nonrandomized studies e g cohort studies case control studies observational studies Category C Category C evidence is based on data derived from Expert opinion or consensus case reports or case series A legend is also available at the bottom of the topic Strength of Recommendation DEFINITIONS Strength of Recommendation Class Recommended The given test or treatment has been proven to be useful and should be performed or administered Class Ila Recommended In Most Cases The given test or treatment is generally considered to be useful and is indicated in most cases Class llb Recommended In Some Cases The given test or treatment may be useful and is indicated in same hut nat mast cases Class Ill Not Recommended The given test or treatment is not useful and should be avoided Class Indeterminate Evidence Inconclusive PRINT amp CLOSE 2013 Truven Health Analytics Inc CHAPTER 5 DISEASE INFORMATION MICROMEDEX 2
276. pplements The AltMedDex Points System delivers answers quickly and efficiently The System links directly to more in depth information in AltMedDex evaluations available only with a current AltMedDex subscription AltMed REAX for the Patient Contains easy to understand materials to help you educate patients about potential herbal amp dietary supplement interactions Increased use of herbals and dietary supplements means increased risk of harmful interactions Without knowledge of the possibilities inadvertent mixing of medications can result in adverse drug events or decreased efficacy AltMed REAX for the Patient discusses the potential for interactions between alternative medicines and other drugs dietary supplements food alcohol and tobacco Designed to help educate patients supporting evidence and advice about what to do if experiencing an interaction are included Clinical Checklist The Clinical Checklist System is available to all subscribers of DISEASEDEX and is the must do never do database It is a compilation of the most pertinent patient care interventions on commonly encountered conditions that should always or never be done The interventions are presented as alerts within Micromedex 2 0 The information is action oriented and concise and is based on nationally recognized quality standards and the highest rated medical evidence Each checklist item contains graded recommendation and evidence information The
277. price change effective within the last 30 days of the date the search is performed If a price change has occurred within this time window the dollar sign icon displays Hovering the cursor over the icon displays the date the price change became effective The New Pkg column indicates if the product on which you searched is a new entry in the RED BOOK Online database that became effective within the previous 30 days of the date the search was performed New entries in the database are indicated by a star icon in this column New Product 01 10 2011 Hovering the cursor over the icon will display the effective date of the new entry Product Name Product Name column displays the name of all the individual products retrieved by your search You can click the column header to sort the search results by this column When the results are initially displayed in response to your search they are sorted by this column Active The Active Ingredient column displays the active ingredient s for the Ingredient product for which you searched Manufacturer The Manufacturer Distributor column displays the manufacturer distributor Distributor of an individual product in your search results A single product name may be associated with multiple manufacturers distributors See Manufacturer Product List Search Results on page 182 for more information The Rpkg column indicates whether or not the product is repackaged by the
278. r finding other search results for the disease or condition you are currently viewing The pop up may list the Detailed Disease DISEASEDEX Dashboard associated with the current disease selected 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Clinical Checklist The Clinical Checklist System presents the must do never do patient care procedures and interventions It is a compilation of the most pertinent patient care interventions on commonly encountered conditions that should always or never be done The information is action oriented concise and based on nationally recognized quality standards and the highest rated medical evidence ALWAYS DO Diagnosis Chronic obstructive pulmonary disease iu Treatment NEVER DO Clinical Checklist il Treatment Expand All Collapse All Top o PERFORMANCE MEASURE RELATED INFORMATION Conditions Studies and Alerts REFERENCES Always Do Diagnosis Strength of Performance Diagnostic Testing Recommendation Evidence Measure Order spirometry to diagnose airway obstruction in patients with respiratory symptoms 1 Document spirometry testing to confirm the diagnosis in patients 40 years old and older with new diagnosis of COPD or newly active COPD 2 Obtain ABGs in stable COPD patients who have a forced expiratory volume in one second FEV less than 50 ae predicted or patients with clinical signs of respirator
279. rand Mames EC Naprosyn US NAPROXEP Links on US ingredients open the corresponding drug dashboard Naprosyn US NAPROXEN NAPROXEN MAPROSYN 10 SUP 250 MG IT RECORDATI Links on the international drug open the drug product document INAPROSYN 10 SUP 500 MG IT NAPROXEN RECORDATI NAPROSYN 20 CPR RIL MOD 750 NAPROXEN MG IT A RECORDATI NAPROSYN 250MG AND 500MG NAPROXEN TABLETS UK NAPROXEN NAPROSYN 30 BUSTE 250 MG IT pr ef Lib l5 Filter Results Results for both the United States US and the subscribed country are shown combined and in alphabetic order on the Brand Name Hesults page View only results for the subscribed country by clicking on the appropriate Display link such as Italia in the example above View only results for US brand name drugs by clicking on the United States link 2013 Truven Health Analytics Inc Display links allow you to view All results or just the results for a specific country MICROMEDEX 2 0 USER GUIDE Risk Evaluation and Mitigation Strategies REMS on the Dashboard Any drug approved by the Food and Drug Administration FDA can have risks associated with its use These risks are communicated through the product package insert The Food and Drug Administration Amendments Act FDAAA enacted in 2007 provides the FDA with the authority to require a Risk
280. rand Name Results amp amp Print Displaying 43 results found for tylenol Tox amp Drug tylenol Martindale tylenol Display All 43 United States 43 RED BOOK Online tylenol Jump To Top of Page Children s Tylenol US ACETAMINOPHEN Children s Tylenol Meltaways US ACETAMINOPHEN Ingredients in the brand name en s Tylenol Plus Cold US ACETAMINOPHEN CHLORPHE HYDROCHLORIDE Children s Tylenol Plus Cold amp ACETAMINOPHEN DIPHENHYDRAMINE HYDROCHLORIDE PHENYLEPHRINE Allergy US HYDROCHLORIDE Children s Tylenol Plus Cold amp ACETAMINOPHEN DEXTROMETHORPHAN HYDROBROMIDE PHENYLEPHRINE Cough US HYDROCHLORIDE Drug information in Micromedex 2 0 exists at the generic and ingredient level not for the brand name so to view information click the appropriate ingredient link to view the drug information Links that open the Tox amp Drug Martindale or RED BOOK product lookup results are available to subscribers from the top right corner of the page Note There may be isolated cases where an ingredient does not have a SE as corresponding drug information document available When this occurs the ingredient is not shown as hypertext link To move to a different location in the alphabetical list of brand name results click on the letter link in the Jump To menu shown at the top of the Brand Name Results page IEEE 2013 Truven Health Analytics Inc E CHAPTER 2 SEARCHING MI
281. rch See The Product Page on page 152 for a full description Tox amp Drug Product Results Search Export as d Print Displaying results found for 100 1075 Results from United States Other Countries Display Product Substance Names 2 Synonyms 0 Manufacturer Contact Info 0 Jump To ALL 0 9 A B C D E F G H J K M N 0 2 e R S U V Ww X m F4 Results 1 2 1011 Previous Next p Strength Name Form Manufacturer Country Product ID AAPCC Code Related Document s 1 Force 3G Granules Syngenta Crop Protection United States 7590684 201046 PYRETHROIDS POISINDEX 2 Force 3g Insecticide Granules Syngenta Crop Protection United States 6204228 201046 PYRETHROIDS POISINDEX amp Jump To All products or substances found for the search are returned on the Tox amp Drug Product Lookup Results page in alohanumeric sort order Navigate quickly to a product by using the Jump To letter link of the product name For example click the G link to jump to product names that begin with the letter G The total number of pages found is shown when the ALL Jump To option is selected When a specific letter is chosen the number of pages available for the selected letter is displayed 2013 Truven Health Analytics Inc 157 MICROMEDEX 2 0 USER GUIDE Product ID Search Search by 7 digit product ID code Tox amp Drug Product Lookup Search for drug products by brand
282. rch term e Signs and symptoms e Diagnoses e Indications e Any context string that can be found within the summary 45 Lab results found for complete blood count Display 3791 Drug 1079 eMC SmPC UK 60 Disease 416 Toxicology 2115 Lab 45 Alternative Medicine 68 Reproductive Risk 8 Page 1 Results for 1 10 4 2 3 4 5 Hemoglobin A2 measurement Laboratory Test Detailed evidence based information Lab Advisor outcome 2 Related Tests Procedures Complete blood count Hemoglobinopathy screening test Erythrocyte mean corpuscular volume determ Document section Indications gt Hemoglobin electrophoresis Laboratory Test Detailed evidence based information Lab Advisor outcome 4 Related Tests Procedures Complete blood count Hemoglobinopathy screening test Erythrocyte mean corpuscular volume determ Document section Indications 2013 Truven Health Analytics Inc CHAPTER 7 LAB INFORMATION Searching by LOINC Code Occasions where the LOINC code is known rather than the lab test name searching by using the LOINC Code may be the most appropriate search term LOINC Logical Observations Identifiers Names Codes is a universal standard for identifying laboratory observations produced by the Regenstrief Institute LOINC is one of a suite of designated standards for use in U S Federal Government systems for the electronic exchange of clinical health information LOINC i
283. re for treatment in 2 Select treatment of choice for with a single click of the mouse on the treatment of choice for list item 3 To add to the search type a space and then type atrial in the search box The drop down list opens again this time with suggestions for atrial 2013 Truven Health Analytics Inc CHAPTER 2 SEARCHING MICROMEDEX treatment of choice for atrial SEARCH Example Searches Atrial anomalous bands Atrial arrhythmia Atrial dilatation Atrial ectopic Atrial extrasystoles Atrial fibrillation 4 Atrial fibrillation and flutter Atrial fibrillation monitoring 4 Add this to the search with a single click on the Atrial fibrillation list item 5 Click the SEARCH button or press the Enter key to begin the search for the treatment of choice for Atrial fibrillation 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Example Searches Certain search terms produce even more focused results often times positioning you directly into the information topic of interest e g dosing The list of terms and phrases that produce these results will continue to grow with each release of Micromedex 2 0 To view the list of search terms and some search examples click the Example Searches link located near the top of every page Micromedex 2 0 ileMi 2 0 10 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GATEWAY LOGOUT HELP Drug Trissel s 2 Drug
284. reast Feeding alglucosidase alfa treatment DRUG INTERACTIONS SINGLE ADVERSE EFFECTS REMS Components Common CS Communication Plan Serious Elements to Assure Safe Use COMPATIBILITY SINGLE Implementation System NAME INFO 08 Trade Names Drug Safety Information Class Regulatory Statu 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Black Box Warning List Black box warnings are warnings that appear on package inserts for prescription drugs that may cause serious adverse effects The text of the warning is normally printed within a solid black border to call attention to it thus the name black box warning A drug with a black box warning means that studies have shown that the drug carries a significant risk of serious or even life threatening adverse effects It is the strongest warning that the Food amp Drug Administration FDA requires An alphabetical list of all the drugs in Micromedex 2 0 that have a black box warning is available with one search 1 Type BBW or begin typing black box warning into the search box Even just typing the first three characters bla will bring the black box warning into the drop down suggestion list Black Box Warnings Displaying 763 results with Black Box Warnings Jump TopofPage 0 9 4 KlIL M NJo lPIlalR S TIuI ABACAVIR Abacavir Sulfate Abacavir Sulfate Lamivudine
285. redible proven data about them is scarce As part of the International Drug content in Micromedex 2 0 Herbal Medicines A Guide for Health Care Professionals published by the Pharmaceutical Press London UK presents fully referenced information to assist with the identification application safe use and assessment of commonly found herbal medicines Its quick easy to access content addresses pharmacological actions side effects contraindications and safety and efficacy issues IDENTIDEX System Tablet amp Capsule Identification The IDENTIDEX database identifies pharmaceutical tablets and capsules by imprint code and secondary characteristics such as color and shape Prescription and over the counter drugs both trademarked and generic are listed along with manufacturers telephone numbers and logo descriptions Many international and street drugs are included as is an extensive index of drug related slang terms What s in IDENTIDEX 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE IDENTIDEX identifies substances from unmarked containers in emergency situations It includes prescription and nonprescription drugs with information about the manufacturer and provides an extensive library of information on street drugs and slang terms IDENTIDEX documents follows this standard outline e Imprint code e Color e Dosage form e Active ingredients e Manufacturer e AAPCC code Index Nominum Re
286. rength Route Boo DE dep Print Page 1 of3 GO 4Previous Next gt Pkg Unit WAC Dose AWP AWP E Unit At the top of the search results is the search header information Moving from left to right the first item displayed is the page title RED BOOK Online amp Search Results Adjacent to the title is the Modify Search button Modify Search Click the Modify Search button to return to the RED BOOK Online search tool and modify your search or perform a new search either by typing in a new search term or by changing your filter options 2013 Truven Health Analytics Inc 173 MICROMEDEX 2 0 USER GUIDE 174 Additional Search Results Information Exporting Search Results Search results can be exported to a Microsoft Excel xls file or a Comma Separated Values csv file Select the file type that you want to save the results as from the drop down menu A dialog box appears that provides the ability to select the location to which you want to save the file Printing Search Results On the right side of the page is the Print icon Clicking the Print icon launches the Windows Print dialog window and allows you to print your RED BOOK Online search results RED BOOK Online Displaying results found f Results 1 50 of 104 Price Hew Product Chg Pkg Hamer Below the search results header is the number of results returned for this particular search In the example shown
287. ride The Form is SOL solution The Strength is 12 5 mg 5 ml The Route is ORAL Also displayed are any filters that were applied to the search In this example the Active status was used and repackagers were included The Similar Product Search Results page displays much of the same information as any other RED BOOK Online search query See Understanding RED BOOK Online Search Results on page 173 However since the active ingredient form strength and route are now the same for all the products in the results set these criteria are displayed in the Search Results header at the top of the results list to describe the exact search performed All columns with headings displayed in blue can be sorted in ascending or descending order Click on the column heading to sort on the column The display refreshes based on the sort selection with a secondary sort on product name Click again to reverse the sort order 2013 Truven Health Analytics Inc 179 MICROMEDEX 2 0 USER GUIDE The various column headings items and their function are described in the table below Column Details Button Price Chg Product Name Manufacturer Distributor Description The Details button is related to the checkboxes that correspond to each line item in the search results Clicking the checkbox for single or multiple products and then clicking the Details button launches the Product Details pop up box See Product Details Sear
288. rin and the Warfarin Sodium dashboard displays There is only one possible match for the search term Warfarin This illustrates a drug dashboard that is shown when there is only one possible match to your substance Even though the search was on warfarin the Warfarin Sodium drug dashboard is shown x UP Names on page 40 for more information Available Routes Warfarin Sodium Warfarin Sodium Intravenous Oral view detailed dacument View summary document MICROMEDEX DRUG SUMMARY INFORMATION Adult Dosing Breast Feeding Pediatric Dosing Drug Interactions single Dose Adjustments Adverse Effects Common FDA Labeled Indications Adverse Effects Serious Labeled Indications hv Compatibility ingle Black Box Warning Drug Images US Do Not Contuse US Trade Names Contraindications Class Precautions Regulatory Status Pregnancy Category OTHER INFORMATION APTINDAE INDEX 4 Jump to 1386 other search results Generic Availability Mechanism of Action Pharmacokinetics Administration Monitoring How Supplied Toxicology Clinical Effects Toxicology Treatment Toxicology Range of Toxicity Clinical Teaching References IT DIA Oc SUI FARMACI on page 2 Tip A search using a brand name may produce an intermediate result page P See Searching Brand Name Druas and Searching on Brand PRODUCT LOOKUP Tox Drug Warfarin Sodium Martindale Wart
289. rom the list and choose Update Cefazolin sodium Cefazolin sodium Tip To view IV Compatibility for one drug and view Solution and TPN TNA compatibility select one substance from the list and click Update The Compatibility drop down shows all compatibilities selected by default Remove any compatibility indicator by de selecting it and clicking the Update button Modify Drug Selections To add drugs to a compatibility profile or to start over from the beginning click the Modify Selections button You will return to the initial page with the current selections shown in the Drugs to Include column View Drugs and Solutions Data Parenteral drugs and solutions are administered by injection most often intravenously but also commonly by intramuscular and subcutaneous injection To prevent adverse effects it is important to have access to relevant characteristics of parenteral products such as pH compatibility and stability and proper rate of infusion This information is critical in making decisions related to the preparation storage and administration of parenteral products Click on the icon next to the drug to view Trissel s drugs and solutions data for that drug Information may be shown for e pH Range E NEM 2013 Truven Health Analytics Inc CHAPTER 10 IV COMPATIBILITY TOOL e Formulation e Reconstitution e Osmolality e Storage e Stability detailed e and more SEARCH Example Searches
290. rovides a list of drugs and biological products that have FDA approved REMS Drug names are displayed as links to the REMS information for the drug See List of Drugs with a Risk Evaluation and Mitigation Strategy on page 25 for more information Black Box Warnings An alphabetical list of all drugs in Micromedex 2 0 with a black box warnings Search results return the list of drugs with a black box warning as links to directly access the black box warning topic in the drug information See Black Box Warning List on page 26 for additional information Searching for Drugs by Brand Name Drug information can be found using either the common generic or the brand name Searches using the brand name produce slightly different results from others See Searching Brand Name Drugs on page 28 for additional information Do Not Confuse Drug List An alphabetical list of confused drug names including look alike and sound alike name pairs can be found with a single search See Confused Drug List Drugs that Sound Alike Look Alike on page 29 for more information Drug Consults 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE A single search can find the complete list of all Drug Consult articles available in Micromedex Clinical Knowledge See Drug Consults on page 31 for more information OTHER DRUG INFORMATION Global International Drug Information International drug information can be include
291. rovides easy access to compatibility information with proven data to assist with accurate IV dosing decisions at the point of care Using information from leading IV compatibility expert Lawrence Trissel MS FASHP this feature presents results for Solution Y Site and Admixture administration Customers with subscriptions to the Trissel s 2 IV Compatibility IV INDEX application also have results for Syringe and TPN TNA compatibility Pediatric Dosing DrugPoint amp Summary i OTHER SOURCES Dose Adjustments FDA Labeled Indicati Non FDA Labeled Indications dean enun CONTRAINDICATIONS WARNING Do Not Confuse Check multiple IV compatibility Contraindications Pregnancy Gafegory Breas feding Common Solutions DRUG INTERACTIONS SINGLE ADVERSE EFFECTS Common Serious IV COMPATIBILITY SINGLE NAME INFO US Trade Names Class Regulatory Status D5NS Dextrose 5 in sodium chloride 0 9 Generic Availability MECHANISM OF ACTION PHARMACOKINETICS D5W 1 2 NS Dextrose 5 in sodium chloride 0 45 ADMINISTRATION MONITORING HOW SUPPLIED TOXICOLOGY Clinical Effects Treatment D5W D5W Dextrose 595 Caution Variable D10W Dextrose 1096 Caution Variable D5LR Dextrose 596 in lactated Ringers Compatible Caution Variable Compatible NS Normal saline Sodium chloride 0 9 Conon Visible 1 2 NS Sodium chloride 0 4596 Compatible A A A Rang
292. rporation Storage Not specified Chemical Stability Chemically furosemide loss occurred in 24 hours Storage Room temperature of 25 C CHAPTER 10 Reference 0315 Study Period 24 hours Method isual observatian Container 10 mL glass vials Reference 1348 Study Period 24 hours Method HPLC analysis of drug concentrations Container Not cited c d aii PRINT amp CLOSE Solution compatibility details are shown in a five column table IV COMPATIBILITY TOOL Drug 1 contains the drug name the concentration and the manufacturer s name Drug 2 shows the secondary agent name concentration and manufacturer s name Status column lists the compatibility icon and description Information displays the physical compatibility chemical stability if applicable and storage information Test Parameters contains a link to the reference the study period the study methods and the container information for this particular combination Notes for the test if applicable are shown in red text at the top of the detailed study information View Drugs and Solutions Data a Parenteral drugs and solutions are administered by injection most often intravenously but also commonly by intramuscular and subcutaneous injection To prevent adverse effects it is important to have access to relevant characteristics of parenteral products such as pH compatibility and stability and proper rate of inf
293. rugPoint Summary document positioned at a specific topic On a Dashboard see page 35 On the Intermediate Search Results page see page 59 2013 Truven Health Analytics Inc CHAPTER 4 DRUG INFORMATION Spelling Help The Micromedex 2 0 application may make suggestions if the search term you typed doesn t produce a match but is close or similar to a drug name The search term is shown along with the message that no matches were found Suggested terms are listed as links below the Did you mean heading Click the link of the drug to open the drug summary or begin a new search by typing a new search term in the box and click the Search button Your search for quaif did not match any documents Did you mean guaifen guard guaiac guacil If there were neither matches to your There were no results found for keyword s nor similar steamboat matches found in Please refine your search by trying the following suggestions or entering a new query above Check your spelling e Use the suggestions listed in the search dropdown list spelling help the No Matches Found message Is displayed Check your spelling and try again or modify your keyword s to a more common search term and try again 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE SUMMARY DRUG INFORMATION When viewing a summary drug information document you can e Scroll the entire topic using the scrollbar on the right e Retur
294. s US Trade Names Toxicology Treatment DIETARY REFERENCE INTAKES MINERALS A search on iron presents the Iron dashboard because it is the closest and in this case the exact match to your search term However as stated previously it wasn t known if you were looking for iron or another form route of iron Tabs across the top of the page identify the other dashboards available for the other forms routes found To view the other dashboards click the substance name link on the tab at the top of the page The Iron dashboard shown above includes links to the summary drug information The dashboard also provides quick access to related information via links to Drug Consults Comparative Efficacy Other Information global drug information etc EE 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS Available Routes Information on the routes available for all substances returned in the search can be displayed by hovering your cursor over the Available Routes drop down The available routes are shown directly below the substance Hover over Available Routes to see all available routes Awallable Routes iron iron Dertran iron Sucrosa Sodium Perit Gluconate Complex ral Injection Mrdrareerius Iron Dral Yew detailed document wi summary document 4 Jump 199035 aiher search resus Route The selected dashboard displays the available routes for the substance directly below the title
295. s based on the updated drug and allergy list Note Information displayed on the drug interactions results page may depend on your subscription Customers subscribing to the DRUG REAX System will see links to additional information about the interaction that is not displayed to non subscribers 76 2013 Truven Health Analytics Inc CHAPTER 9 DRUG INTERACTIONS TOOL Refine by Drug Interaction Results lt Modify interactions Click on Drug nafres to see single Drug kenne by Drugs Interactions Checkfuncheck to refine Jump To DRUG DRUG selected drugs PY 3 FOOD 10 ETHANOL 3 LAB 6 TOBACCO PREGI Check all Uncheck all Severity All Documentation All Type All Amoxicillin Drug Drug Interac g g Ampicillin Drugs Aspirin ev erity Documentation Summary Echinacea Keflex E Warfarin AMPICILLIM Systemic Xanax PENICILLIN ASPIRIN Systernic 6 Excellent Concurrent use af ASPIRIN increased risk of bleeding AMOXICILLIN Systemi Good Concurrent use of increased risk of bleeding Good Concurrent use af increased risk of bleeding CEPHALESIM Systemic Keflex WARFARIN SODIUM Systemic Maior Good Concurrent use of CEPHAL p increased risk of bleeding The drop down lists allow you to modify the interactions results to suit your specific needs 1 The Drugs drop down allows you to remove any of the drugs previously sele
296. s likely to become a HIPAA standard for some segments of the Claims Attachment transaction In 1999 LOINC was identified by the HL7 Standards Development Organization as a preferred code set for laboratory test names in transactions between health care facilities laboratories laboratory testing devices and public health authorities 1 result found for 10353 1 Display 1 Lab r1 Page 1 Results for 1 1 1l Aerobic microbial culture Laboratory Test Detailed evidence based information Lab Advisor J Bacteria Placenta Aerobe Cult Code 10353 1 Short Mose Aerobe Cult Code 12910 17 Short Document section LOINC codes Finding a lab test by LOINC Code allows you to search for related lab information based on the standard LOINC code Create Your Search 1 Begin to type the lab by name by keyword s or using the LOINC code in the search field If you are unsure of the spelling just type as many characters as you know 2 As you type the application narrows your search results in the drop down menu based on the characters you ve entered The more characters you type the more focused the results a Ifthe lab you are interested in is listed in the drop down menu double click on the item or single click and press the Enter key to open the lab summary b As you continue to enter the search term s the drop down list may disappear This means the search term you entered does not match a lab
297. s sr e 233 Orange BOOK Codes MERITI RID m 234 RED BOOK Online Terms and Definitions vindssesbritide ma tixeptsza 235 PREFACE CONVENTIONS USED IN THIS MANUAL Certain standards and conventions have been employed in this user guide to communicate in the most effective manner possible These standards have been used whenever possible Bold Text Normally bolded text is used e to emphasize an important concept Or e to denote a clickable item on the user interface for example the directions may state Click the Button Name button Or e to specify a menu item for example from the File gt Print menu item e to identify another Truven Health Analytics product by name Italicized Text Generally italics are used to denote e field names on the user interface e g Type digoxin in the Field Name field e an either or situation denoted or window dialog box or page name e g the V Compatibility Results page or a hypertext link e g the Content Updates link Examples Scenarios Screen Captures All examples shown or described in this guide are for training and illustration purposes only Printing this Guide This user guide has been designed in book layout to print double sided If you print the guide single sided blank pages will print These blank p
298. s you exclusive access to the same clinical evidence content you get on your desktop at no additional charge including e drugs e interactions e drug identification e disease conditions e laboratory test information e alternative medicines e toxicology e convenient calculators Find out more at www micromedex com products mobile2 2013 Truven Health Analytics Inc snc MICROMEDEX 2 0 USER GUIDE Follow these easy steps to access mobileMicromedex 2 0 on your mobile device today Step 1 Open your mobile browser Step 2 Go to hitp www micromedexsolutions com micromedex2 librarian Step 3 Enter your authentication information Note If you do NOT access Micromedex 2 0 from your desktop with a user name and password go to the mobileMicromedex link available on any page of Micromedex 2 0 for your user name and password The user name and password accessed in this manner will be active for the current calendar quarter on your device At the end of the quarter return to the mobileMicromedex page and obtain the new user name and password System Requirements BlackBerry The following system settings have been tested with and are recommended for use with the BlackBerry 8900 series e For optimal performance set your Opera Mini Browser with the following settings e Load Images Selected e Image Quality High e Font Size Medium e Mobile View Not Selected e Auto complete Address Input Not Selected
299. se evidence ratings embed evidence based medicine into clinical operations and ultimately maximize reimbursement by ensuring that clinical decisions are in compliance with the latest national quality standards and evidence based practices 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE ClinicalPoints System The ClinicalPoints System provides brief highlights of treatment diagnosis and key point information The ClinicalPoints System delivers answers quickly and efficiently The System also links directly to the more in depth DISEASEDEX Emergency Medicine Clinical Review documents available only with a current DISEASEDEX Emergency Medicine subscription Detailed Drug Information for the Consumer Easy to understand in depth materials to help educate your patients about medications and their proper use Today s patients are informed patients Now you can give them an educational resource to match their proactive role in their care Detailed Drug Information for the Consumer Drug Information in Lay Language provides patient oriented drug information to help patients understand and successfully follow their drug regimens Written at a 12th grade literacy level documents provide greater detail than most patient education leaflets and include brand names descriptions proper use precautions and side effects Instructions for how to handle missed doses are included as are guidelines for
300. single source field contains an N the product is available from more than one source In those occasional instances when branded products are cross licensed each product carries the single source indicator Repackager The Repackager field indicates whether or not the product is repackaged by the company listed as the manufacturer distributor A Y indicates that the listed manufacturer distributor is a repackager An N indicates that the listed manufacturer distributor is not The Generic field indicates whether or not the particular line item is a generic product A Y indicates that the product is a generic version An N indicates that the product is not a generic product Add l Information Additional information about the product when it is available is displayed in this field 1 0 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE The lower section of the page displays the following information See RED BOOK Online Terms and Definitions on page 235 for acronym definitions e Current Pricing Information When available this section of the page displays AWP WAC DIR FUL and SRP pricing information This information is displayed by Package Unit and Effective Date e AWP Unit Pricing History When available this section of the page displays AWP WAC DIR FUL and SRP pricing information This information is sorted by Effective Date and displays Unit and 96 of Change Occasionally
301. sted Not Tested Anakinra Warfarin sodium Cefazolin sodium Heparin sodium Compatible Cefazolin sodium Furosemide o Compatible i efa7olin sodium Warfarin sodium Click on the Y Site drug combination link to view additional compatibility details Compatibility Details Y Site compatibility details for multiple drug compatibility searches are shown in a five column table IV COMPATIBILITY DETAIL Drug 1 Drug 2 Status Information Test Parameters Anakinra Cefazolin Physical Reference 2509 3emug mL in sodium Compatibility Physically Normal saline 15mmg mL im Uncertain compatible visible Study Period 4 hours sodium chloride Normal saline haze or particulate 0 9 sodium chloride formation color Method isual 0 9 change or gas observation and stability evolution indicating HPLC analyses Geneva of drug concentrations Chemical Stability Uncertain Container simulated stability Anakinra site administration using concentrations were glass containers erratic possibly due binding with the antibiotic Na lass of cefazolin sodium occurred Storage Ambient room temperature about 25 Elen H NM PRINT amp CLOSEX e Drug1 contains the drug name the concentration and the manufacturer s name e Drug 2 shows the secondary agent name concentration and manufacturer s name 124000 2013 Truven Health Analytics Inc CHAPTER 10 IV
302. t a match to that letter was found for the search term View all results by clicking the ALL link Search results display sorted alphabetically by the imprint code The sort order is an alphabetical ascending sort 0 9 A Z You can reverse the sort order by clicking on the blue arrow When the sort order is changed the direction of the arrow changes Drug Identification Results lt Mody dentifcation 672 Matches for Capsule shape All Patterns Yellow White Sort all Results by 99 Drug Matches for 0 9 1 99 of 99 matching drugs Next Last Display 09 2 Hide Images Image US Imprint v Drug Speed menu Click the linked letter or 0 9 to ump to that position in the list of results 0 5 mg LOGO 607 Prograf 0031 G Ranitidine HCI Click either the Imprint or the Drug Name heading to sort by that column 0115 7024 Lipram Cr20 The up down triangles and Sort all Results by drop down show which column is currently selected for sort 0115 7035 Lipram 4500 Toggle between ascending and descending sorts by clicking the heading link agar 0115 7018 Minocycline If more than one page of matches is found move through the pages using the First Previous Next and Last gt gt navigation buttons 2013 Truven Health Analytics Inc Sort All Results by CHAPTER 11 DRUG IDEN
303. t by clicking the button When all drugs to check are in the Drugs to Check list click the Submit button If you want to remove all drugs from the Drugs to Check list and start over click the Clear button 2013 Truven Health Analytics Inc L CHAPTER 10 IV COMPATIBILITY TOOL Compatibility Search Results IV compatibility Y Site Admixture and Syringe search results are separated onto different tabs so that you can quickly access the route method in which you are interested IV Compatibility Results lt Modify Selections Wed Ky OOA B Compatibility All v all Uncheck all Y Site Test Detail Rating Anakinra Anakinra Cefazolin sodium rj Cefazolin sodium Furosemide Heparin sodium Warfarin sodium Anakinra Furosemide Anakinra Heparin sodium Anakinra Warfarin sodium Tip To see additional information on IV Solutions and TPN TNA sodium Furosemide compatibility select a single drug DENEN Cefazolin sodium Heparin sodium Cefazolin sodium Warfarin sodium Furosemide Heparin sodium Furosemide Warfarin sodium Heparin sodium Warfarin sodium Eg E B A E v Uncertain Not Tested Not Tested Not Tested Compatible Compatible Compatible Caution Variable Not Tested Compatible Compatibility is denoted by an icon and simple description A key at the top of the page lists all
304. t drug monographs MARTINDALE coverage includes More than 5 300 drug monographs Over 70 000 proprietary preparations At least 6 000 manufacturers More than 600 disease treatment reviews Over 200 herbal medicine monographs At least 5 000 herbal preparations Material Safety Data Sheets MSDS Prepared by the US Pharmacopeial Convention 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Material Safety Data Sheets are a vital part of every hospital company Hazard Communication Program This electronic version of more than 1 000 MSDS issued by the US Pharmacopeial Convention offers quick access to drug and chemical information including health hazards handling procedures and government regulations Information Included in MSDS Each sheet contains summaries of key information about hazardous substances in the following format e Identify e Hazardous ingredients e Physical and chemical characteristics e Physical hazards e Health hazards e Special protection information e Special precautions and spill leak procedures P amp T QUIK Reports Reports for Pharmacy amp Therapeutics Committees e Assists when reviewing or presenting new drugs under consideration for inclusion in hospital formularies e Presents information on newly approved drugs to help increase the clinical and cost effectiveness of a facility s formulary e Provides timesaving concise reports describing formulary recomm
305. t of excipients Incompatibilities Shelf life opecial precautions for storage Nature and contents of container Special precautions for disposal and other handling Marketing authorization holder Marketing authorization number s Date of first authorization renewal of the authorization Date of revision of the text Dosimetry Instructions for preparation of radiopharmaceuticals Legal category SS MICROMEDEX 2 0 USER GUIDE 226 2013 Truven Health Analytics Inc APPENDIX B RED BOOK ONLINE AWP POLICY Revised February 17 2004 AWP Policy The Average Wholesale Price AWP as published by Truven Health Analytics is in most cases the manufacturer s suggested AWP and does not necessarily reflect the actual AWP charged by a wholesaler Truven Health Analytics bases the AWP data it publishes on the following e AWP is reported by the manufacturer or e is calculated based a markup specified by the manufacturer This markup is typically based on the Wholesale Acquisition Cost WAC or Direct Price DIRP as provided by the manufacturer but may be based on other pricing data provided by the manufacturer When the manufacturer does not provide an AWP or markup formula from which AWP can be calculated the AWP will be calculated by applying a standard 2096 markup over the manufacturer supplied WAC If a WAC is not provided the standard markup will be applied to the DIRP Please note that Truven Health An
306. termediate Search results you can select the document you wish to view Spelling Help The MICROMEDEX 2 0 application may make suggestions if the search term you typed doesn t produce a match but is close or similar to a drug name The search term is shown along with the message that no matches were found Suggested terms are listed as links below the Did you mean heading Click the link of the drug to open the drug summary or begin a new search by typing a new search term in the box and click the Search button Your search for quaif did not match any documents Did you mean guaifen guard guaiac guacil If there were neither matches to your keyword s nor similar matches found in spelling help the No Matches Found message is displayed Check your spelling and try again or modify your keyword s to a more common search term and try again 92 2013 Truven Health Analytics Inc CHAPTER 6 TOXICOLOGY INFORMATION SUMMARY TOXICOLOGIC INFORMATION ToxPoints amp Summary Information When viewing a summary document you can e Scroll the entire topic using the scrollbar on the right e Return to the top of the topic using the Top of Page links e Navigate to other topics and sub topics in the monograph using the document outline links located on the left hand side of the page e Print the topic or selected topics or the entire summary by clicking the Print icon and selecting OVERVIEW LIFE SUPPORT CLINIC
307. test News Brochures 21 12 2012 European Medicines Agency starts review of Tredaptive Audio and video Mant and RSS feeds zx le Gri d efficacy of Tred ive Pelzont and Newsletters with Micromedex Search that are used to treat adults Al parie acetal Read more 20 12 2012 European Medicines Agency closed 24 December 2012 to 2 January 2013 IP Authenticated Users The search should be seamless requiring no additional steps or logins when searching using the search box or the Micromedex Search Accelerator User Name and Password Users and Trusted source URL You will be required to login to Micromedex 2 0 before initiating searches from external web pages To limit having to repetitively enter your User Name and Password use the Remember Password option cookies must be enabled in your browser Provided your browser session remains active you may search the Micromedex Clinical Knowledge Suite from any website or tool without first visiting the Micromedex 2 0 home page If you wish to designate Micromedex Search as your default provider perform the following steps Designate Micromedex Search as your Default Search Provider Internet Explorer 8 1 Click the arrow on the Search drop down BITE MICROMEDEX 2 0 USER GUIDE XII 2 Click Manage Search Providers Google Default Live Search Micromedex Sear
308. th results Type or select the known physical characteristics and then click the Search button to begin the search for matches to your criteria Searches on this page execute using the Boolean OR operator Description Color Select from the checkboxes to narrow results to specific colors and color combinations Shape E All Bhapes The default selection is to look for substances of all shapes but you can select a specific shape from any of the shapes shown in the drop down Capsule shape list Circle D Shape Eqg shape Five sided Hourglass Other Cal Oval or Rectangle Rectangle Sie sided Square triangle ELEME 2013 Truven Health Analytics Inc CHAPTER 11 DRUG IDENTIFICATION TOOL Pattern The default selection looks for all patterns but you can select a specific pattern from any shown in the drop down list All Patterns All Patterns Banded Solid Speckled Striped If you do not wish to see the full color images with your results remove the jog checkbox selection from Show Images with Results d A Tip Searching by physical characteristics by Description uses the Boolean p OR operator This means that a substance that matches any checkbox will be considered a match To illustrate this a search selecting Color Pink Color Red means the search would look for any items that were Color Pink OR Color Red OR Color Pink and Red Hp There may be occasions where a matc
309. the Trissel s 2 IV Compatibility tool to pinpoint potentially dangerous IV drug combinations When multiple IV medications are combined the risk of complication is very real Efficacy of one or more drugs can be reduced or a potentially dangerous incompatibility can occur The IV Compatibility Tool provides easy access to Trissel s 2 Clinical Pharmaceutics Database Parenteral Compatibility with proven data to assist with accurate IV compatibility decisions at the point of care Using information from leading IV compatibility expert Lawrence Trissel MS FASHP IV Compatibility in MICROMEDEXQ 2 0 presents over 50 000 compatibility results for Y Site and Admixture administration iMicCromedex 4 U mobileMicromedex MY SUBSCRIPTION MICROME Drug I E Drug Tox amp Drug Drug Tools Interactions Identification Product Lookup Comparison Calculators Formulai Enter more search terms MEI IV Compatibility Type the drug name brand or generic in the search field Select the drug and click the Add button Tests for compatibility are based on e Other drugs and solutions in Y Site administration e Administration as part of an Admixture e Other drugs and solutions administered by Syringe e Compatibility with common solutions e Administration in conjunction with TPN TNA 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Building an IV Compatibility Search 1
310. then click the Update button After refining the selections the title of the drop down changes from AI to Selected and only the incompatibilities chosen display on the page Solution Overview Solution compatibility is calculated based on common and other typical IV solutions Common Solutions D5W D5W Dextrose 596 D10W Dextrose 10 D5LR Dextrose 5 in lactated Ringers D5NS Dextrose 5 in sodium chloride 0 0 D5W 1 2 NS Dextrose 5 in sodium chloride 0 45 NS Normal saline sodium chloride 0 9 1 2 NS sodium chloride 0 45 Note Solution results include those marked as a solution type but can also include Y Site or Admixture results that do not have a secondary agent 2013 Truven Health Analytics Inc CHAPTER 4 DRUG INFORMATION Where detailed results are available the solution is shown as an active link Click the solution link to view the additional information References for the information can be found by clicking the numbered link Close the Compatibility Details by clicking the Close link Y Site Overview Overview information for single drug Y Site compatibility is shown alphabetically by drug name with the associated compatibility icon and description Click the drug name link to view the pop up with the compatibility details Y Site results are calculated and displayed for Y Site scenarios for the selected drug as the primary and secondary agent Admixture Overview
311. tion The Rpkg column indicates whether or not the product is repackaged by the company listed as the manufacturer distributor A Y indicates that the listed manufacturer distributor is a repackager of the product An N indicates that the listed manufacturer distributor is not a repackager The Generic column indicates whether or not the particular line item is a generic product A Y indicates that the product is a generic version An N indicates that the product is not a generic product 2013 Truven Health Analytics Inc 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE Orange Book If a product has been assigned an Orange Book Code that code will Code appear in the Orange Book Code column Not all products will be associated with an Orange Book Code When there is no associated Orange Book Code two dashes will appear in the column See Orange Book Codes on page 234 for more information Code Type The Code Type column identifies the registry listed for the identifier either NDC HRI or UPC This code type is related to the value that appears in the Identifier column The Identifier column displays the NDC HRI or UPC code that is associated with each individual line item retrieved in your search the package This quantity is expressed in National Council for Prescription Drug Programs NCPDP units each grams milliliters WAC Unit Price The WAC Unit Price column displays the Wholesale
312. tion e ohepard s Catalog of Teratogenic Agents e TERIS Teratogenic Information System REPROTEXT Database Reproductive Hazard Reference REPROTEXT includes information such as the following e Presents in depth reviews on full range health effects of industrial chemicals commonly encountered in the workplace e Covers physical agents including heat noise and radiation e Describes effects on human reproduction of acute and chronic exposures to substances as well as reproductive carcinogenic and genetic influences e Includes unique Dual Health Hazard Ranking System for general toxicity and grade card scale suggesting level of reproductive hazard e Helps set risk reducing priorities by combining hazard rankings with exposure estimates e Assists with development of programs to improve employee protection guidelines REPROTOX Reproductive Hazard Reference Developed by the Reproductive Toxicology Center Columbia Hospital for Women Medical Center Washington D C REPROTOxX includes information such as the following e Provides information regarding the impact of the physical and chemical environment on human reproduction and development e Covers all aspects of reproduction including fertility male exposures and lactation e Discusses reproductive influences of industrial and environmental chemicals prescription over the counter and recreational drugs and nutritional agents e Includes latest most relevant terato
313. tion to DRUG REAX Drug Interactions can activate the app for FREE using the password included with the instructions found on the mobileMicromedex page of Micromedex 2 0 For users who are not current DRUG REAX customers the app is available for a fee MICROMEDEX COMPATIBILITY The new Micromedex IV Compatibility app for iPhone iTouch iPad and Android is NOW AVAILABLE for individual access through the iTunes App Store and Google play With the IV Compatibility app clinicians can view Y Site Admixture and Solutions results from the Trissel s 2 database Micromedex customers with a current subscription to IV INDEX Trissel s 2 IV Compatibility can activate the app using the password included with the instructions found on the mobileMicromedex page of Micromedex 2 0 For users who are not current IV INDEX customers the app is available for a fee 1 Available for tablets PCs laptops running Windows 8 and Windows RT and PRO tablets 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS Truven Health Analytics publishes clinical decision support databases and tools Micromedex 2 0 provides a wide range of databases tailored to meet the needs of clinicians and healthcare professionals including information related to drugs acute care toxicology complementary and alternative medicine and patient education MICROMEDEX 2 0 DATABASES AltCareDex AltMedDex System Consults
314. tive medicines and other drugs dietary supplements food alcohol and tobacco Designed to help educate patients supporting evidence and advice about what to do if experiencing an interaction are included Alternative medicine interactions documents can be found in the OTHER INFORMATION area of the dashboard or in the intermediate results Interaction documents can be viewed using the scrollbar or Top of Page links if necessary or printed in their entirety HUANG for the Patient a Top of P HUAHG ephedra nevadensis so ma soma Brigham tea Chinese ephedra Chinese jonfir desert tea ephedra aphylla ephedra equisetina ephedra intermedia ephedra sinica mormon tea hua ma huo ma indian jointfir ma huang flava ma huang maou American ephedra mahuang GEHERAL IHFORMATIOH The use of herbs vitamins minerals and other dietary supplements is becoming very popular amp s more people use dietary supplements more interactions are reported Some of these interactions may be very harmful others may only be reported in animals or in the laboratory at this time Keep in mind that this document may not include every interaction that is known Although much research has been done to cover as many interactions as possible you should still talk to your healthcare provider before taking dietary supplements Even if a medicine supplement or food is not listed b
315. topics below The window is shown at the top of the topic section Go directly to a sub topic by clicking the sub topic link 106 2013 Truven Health Analytics Inc CHAPTER 8 ALTERNATIVE MEDICINE INFORMATION OTHER SOURCES gt Button OTHER SOURCES to detailed document in amp ltdedDexie for POLLEN View Dashboard tor POLLEN Tox amp Drug BEE POLLEN Martindale BEE POLLEN RED BOOK Online BEE POLLEN Clicking the OTHER SOURCES button opens a pop up that displays options for finding other search results for the substance you are currently viewing The pop up may list the detailed AltMedDex amp document View Dashboard or a Product Lookup tool based on your subscription Start a New Search mobileMicromedex MY SUBSCRIPTION MICROMEDEX GA i Drug Tox amp Drug Drug RED BOOK Too pA a Sio Hi patibility Identification Product Lookup Comparison Online Calculators Formulary SEARCH Example Searches If at any time you wish to search for something else enter the new search term s in the Search box located at the top of the page 2013 Truven Health Analytics Inc 107 MICROMEDEX 2 0 USER GUIDE DETAILED ALTERNATIVE MEDICINE INFORMATION AltMedDex Evaluation Alternative Medicine Evaluations monographs appear in a standardized format that allows you to easily find the information you need Specific topics include the following e Dosing Information
316. trates there are too many possible results to know beyond a shadow of a doubt exactly which drug you want Tylenol has many variations of the brand name such as Children s Tylenol Tylenol Cold Severe Congestion Tylenol with Codeine etc as well as a multitude of formulations of ingredients such as Acetaminophen or Acetaminophen Dextromethorphan Hydrobromide Guaifenesin Pseudoephedrine Hydrochloride or Acetaminophen Codeine Phosphate etc Therefore it is impossible to go directly to a dashboard Brand Name Results Prin Displaying 43 results found for tylenol Tox amp Drug tylen Martindale tylen RED BOOK Online tylen Jump TopofPage 0 2 Children s Tylenol ACETAMINOPHEN Children s Tylenol Meltaways ACETAMINOPHEN Children s Tylenol Plus Cold ACETAMINOPHEN CHLORPHENIRAMINE MALEATE PHENYLEPHRINE HYDROCHLORIDE Children s Tylenol Plus Cold amp Allergy ACETAMINOPHEN DIPHENHYDRAMINE HYDROCHLORIDE PHENYLEPHRINE HYDROCHLORIDE Children s Tylenol Plus Cold amp Cough ACETAMINOPHEN DEXTROMETHORPHAN HYDROBROMIDE PHENYLEPHRINE HYDROCHLORIDE Children s Tylenol Plus Cough amp ACETAMINOPHEN CHLORPHENIRAMINE MALEATE DEXTROMETHORPHAN HYDROBROMIDE Runny Nose Children s Tylenol Plus Cough amp Sore ACETAMINOPHEN DEXTROMETHORPHAN HYDROBROMIDE Throat Children s Tylenol Plus Flu ACETAMINOPHEN CHLORPHENIRAMINE MALEATE DEXTROMETHORPHAN HYDROBROMIDE PHENYLEPHRINE HYDROCHLORI
317. treated with bethanidine 14 Respiratory Effects Respiratory finding 1 DYSPNEA and WHEEZING have occurred during bethanidine therapy 20 See Chapter 4 Drug Information for more information on drug information documents available in Micromedex 2 0 0008 2013 Truven Health Analytics Inc E CHAPTER 2 SEARCHING MICROMEDEX Drugs that Treat condition This search provides the clinician with an alphabetical list of drugs in Micromedex 2 0 that treat a condition or disease The results return drugs grouped alphabetically within an efficacy rating Build the search using the noun drugs medications substances or agents with any form of the word treat Example e Drugs that treat skin rash e Medications that treat insomnia e Substances that treat edema Search results are displayed on a Drugs That Treat xxx page where xxx is the condition searched Medications are grouped by efficacy Effective Evidence Favors Efficacy Evidence is Inconclusive Ineffective and Not Rated Drugs That Treat Influenza Displaying 23 results Jump Top of Page Effective Evidence Favors Efficacy Evidence is inconclusive Ineffective Rated Effective 10 results gt Evidence Favors Efficacy 10 results Evidence is Inconclusive 3 results gt Ineffective 0 results gt Not Rated 0 results View the drugs associated with a specific efficacy rating by clicking on the accordion b
318. two different substances available for esomeprazole Before delivering you to the dashboard you must choose which form you are looking for To view the route for a substance hover your cursor over the Available Routes drop down This displays the route below the substance name link Available Routes Esomeprazole Sodium Esomeprazole Magnesium ra Choose the substance by clicking the name link The drug dashboard for the selected substance is then displayed IEEE 2013 Truven Health Analytics Inc CHAPTER 3 SEARCH RESULTS International Drug Customers Subscribers to international drug databases such as Italian United Kingdom etc are able to search using local brand names Search results are displayed on a Brand Name Results page showing local brand name drugs and U S drugs with the same brand name The manufacturer name is included below the international brand name to assist in discerning between products with identical brand names The international brand name drug is displayed as a link and when clicked opens the corresponding international drug document Links are available on the ingredient s for United States drugs When clicked the corresponding drug dashboard is displayed Brand Name Results Displaying 12 results found for naprosyn Display All 12 United States 2 Italia 8 United Kingdom 2 Jump of Page 0 8 Ingredient s B
319. type are sorted by severity The severity types are e Contraindicated the drugs are contraindicated for concurrent use 5 Major the interaction may be life threatening and or require medical intervention to minimize or prevent serious adverse effects 9 Moderate the interaction may result in an exacerbation of the patient s condition and or require an alteration in therapy Q Minor the interaction would have limited clinical effects Manifestations may include an increase in the frequency or severity of side effects but generally would not require a major alteration in therapy o E Unknown unknown 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE Documentation Ratings The amount and strength of documentation available for the interaction is also shown A complete legend of all documentation ratings is shown at the bottom of the page Hovering over the rating in the legend opens a pop up with the full definition The ratings and their definitions follow Excellent controlled studies have clearly established the existence of the interaction Good documentation strongly suggests the interactions exists but well controlled studies are lacking Fair available documentation is poor but pharmacologic considerations lead clinicians to suspect the interaction exists or documentation is good for a pharmacologically similar drug Unknown unknown Building the Search for Inter
320. u selected for your search e Active Ingredient Form e Strength e Route 2013 Truven Health Analytics Inc CHAPTER 14 RED BOOK ONLINE e Status Active or Deactivated e Repackagers Include or Exclude Confirm that the information displayed is the information on which you want to search After confirming the information click the SUBMIT icon The RED BOOK Online Similar Products search results page displays RED BOOK Online Ratum to Product List Expotas Print Displaying results found for Active Ingredient diphenhydramine hydrochloride Form SOL Strength 72 5 mg 5 mt Route ORAL Applied Filters Status All Repackagers Include Results 1 50 of 64 Page 1 of GO 4Previeus Newt ir Price Meu Product Mame Manufacturer Generic Orange Code Identifier WAC Chg Pkg Distributor Book Type Sire Unit Unit Code Price Price CHAIN DRUG ALLERGY CHILDREN S MARKETING ASSOC N Y MDC _ 63868 0823 54 118 mi 0 00875 0 01168 NC ALLERGY MEDICATION PHARNA USA INC DEACTIVATED ALLERGY MEDICATION USA INC DEACTIVATED HA INi ALLERGY MEDICNE Y NDC 62174 0080 07 120 mi 0 01563 0 03587 Y NDC 62174 0080 10 250 mi 0 01140 0 02900 NDC 11845 n833 34 120 mi 002225 The Search Results header displays the query details For this example the Active Ingredient searched was diphenhydramine hydrochlo
321. ulators are currently available e Additional modules such as CareNotes are not compatible with the iPhone BlackBerry The Formulary add on module is available for the Palm and Pocket PC devices 2013 Truven Health Analytics Inc 207 snc MICROMEDEX 2 0 USER GUIDE APPS ON APPLEG ANDROID AND WINDOWS 8 AVAILABLE FOR DOWNLOAD Ano on the Windows Store AppS tore gt Google play Apps available for FREE DOWNLOAD to Micromedex Clinical Knowledge customers from the iTunes App Store Google play and the Windows Store NOW AVAILABLE MICROMEDEX ERI E The new Micromedex Drug Information app for iPhone iTouch iPad Android and Windows 8 is NOW AVAILABLE for FREE individual access through the iTunes amp App Store Google play and the Windows Store The Drug Information app contains concise information on 4 500 search terms covering generic names common trade names dosages indications contraindications adverse effects and more MICROMEDEX AUG INTERACTIONS D oe The new Micromedex Drug Interactions app for iPhone iTouch iPad and Android is NOW AVAILABLE for individual access through the iTunes App Store and Google play With the Drug Interactions app clinicians can check a patient s entire list of medications for potentially harmful interactions Warnings include severity onset evidence adverse effects and more Micromedex customers with a current subscrip
322. ult Language Preference Language Preference Add the languages you use to read websites listing in order of preference Only add the ones you need as some characters can be used to impersonate websites in other languages Language English United States en us Move up Portuguese Brazil pt Move down Prefix and suffix options Do not add www to the beginning of typed web addresses Specify the suffix For example net that should be added to typed web addresses when you press Ctrl Shift Enter Suffix 6 Click OK until the Tools menu closes and you return to the browser 7 Open Micromedex 2 0 The default language is reflected in the user interface MINHA INSCRI O GATEWAY DO MICROMEDEX SAIR AJUDA Pesquisa de produtos de Comparacao RED BOOK de medicamentos toxicologia e medicamentos entre medicamentos Online Interac es Trissel s 2 Identifica o Ferramentas medicamentosas Compatibilidade IV Calculadoras F rmulas CareNotes amp Pe Buscar Exemplos de pesquisas 2013 Truven Health Analytics Inc FEM PREFACE as Extend Your Internet Browser or Web Application to Search the Micromedex 2 0 Platform Enjoy fast and easy access to clinical information in the Micromedex Clinical Knowledge Suite from any browser based program using the Micromedex Search Accelerator With some simple modifications to your Internet browser settings Micromedex
323. ult Dosage Pediatric Dosage PHARMACOKINETICS Onset and Duration Drug Concentration Levels ADME CAUTIONS Contraindications Precautions Adverse Reactions Teratogenicity Effects in Pregnancy Breastfeeding Drug Interactions Dashboard Available Routes v lodine lodine Oral Topical View detailed document gt DOSING INFORMATION View summary document AMLODIPINE DRUGDEX Evaluations 7 DOSING INFORMATION Drug Properties Display Entire Document Print Expand Collapse All Top of Page gt Storage and Stability gt Adult Dosage gt Pediatric Dosage Potassium lodide MICROMEDEX DRUG SUMMARY INFORMATION 4 Jumpto 548 other search results PRODUCT LOOKUP Tox amp Drug lodine Martindale lodine RED BOOK Online lodine Adult Dosing Drug Interactions single Administration Monitoring Pediatric Dosing Adverse Effects Common How Supplied DRUG CONSULTS 4 It FDA Labeled Indications US Trade Names Toxicology Clinical Effects DRUG CONSULTS 4results amp Non FDA Labeled Class Toxicology Treatment DIETARY REFERENCE INTAKES MINERALS Indications Regulatory Status Toxicology Range of PREVENTION OF UMBILICAL CORD Do Not Confuse Generic Availability Toxicity INFECTION Contraindications Mechanism of Clinical Teaching TRACE MINERAL SUPPLEMENTATION IN Pregnancy Category Action Pharmacokineti
324. ursor over the icon displays the effective date of the new entry ve New Product 01 10 2011 Product Name The Product Name column displays the name of all the individual products retrieved by your search You can click the column header to sort the search results by this column Active The Active Ingredient column displays the active ingredient s for the Ingredient product for which you searched You can click the name of the active ingredient to view other products that contain the same active ingredient strength form and route See Searching for Similar Products in RED BOOK Online on page 178 for more information Hovering the mouse over the name of the active ingredient displays the information you can view by clicking the link Select this item 10 see a list of all other drugs wiih the same active ingredient fom strengih and route If a product contains more than one active ingredient and you click the name of the active ingredients link RED BOOK Online will search for other products containing all of the active ingredients specified If you want to search for other products that contain just one of the active ingredients listed return to the search page and perform an active ingredient search on that one item 2013 Truven Health Analytics Inc 175 MICROMEDEX 2 0 USER GUIDE Manufacturer The Manufacturer Distributor column displays the manufacturer Distributor distributor of an individual product i
325. usion This information is critical in making decisions related to the preparation storage and administration of parenteral products Click on the icon next to the drug to view Trissel s drugs and solutions data for that drug 2013 Truven Health Analytics Inc 131 MICROMEDEX 2 0 USER GUIDE 132 TPN TNA Overview Click to view Trissel s Drugs and Solutions Data for pH compatibility and stability and proper rate of infusion etc IV m pati bi ity u Its Modify Selections Selected Drug Cefazolin sodium kv viCheck all all Cj TPN 2 in 1 Test Detail Rating 5 Anakinra Notes rj Cefazolin sodium One simple TPN admixture was used in this testing having the e Compatible E following composition per liter O 6 Furosemide FreAmine Il 4 2596 Solution Heparin sodium Dextrose 2596 O 5 Warfarin sodium Notes MSS One neonatal TPN admixture was used in this testing having the following composition per liter eo Compatible Amino acids 1 596 Baxter Dextrose 1596 Solution Unspecified electrolytes and vitamins Notes Variable compatibility results have been reported for this drug with TPN admixtures probably depending on drug concentration and TPN composition One TPN admixture was used in this testing having the following composition per liter e Compatible 1 2 g 5 3 mL Aminosyn 396 Overview information for single drug T
326. view clinical abstracts and prehospital care protocols MICROMEDEX 2 0 saves clinicians time by providing instant access to relevant disease drug and lab information as well as patient education information through a single source Searching for Disease Information You can search for disease information using the condition or disease name as the search term You can also search for disease information using any of the following as your search term e Signs and symptoms e Drug therapy e Treatment e Medical history e and just about any context string that can be found within the summary Reproductive Risk Information Information from the REPRORISK System is integrated into all searches in MICROMEDEX 2 0 as well The REPRORISK System comprised of the Reprotext amp Reprotox Shepard s and TERIS databases can define potential problems for women men and the effect on unborn children It also can define risks associated with drugs and other substances both legal and illicit The REPRORISK System suggests treatment plans to minimize risks during pregnancy Free Text Searches amp Searches Using Targeted Search Terms We encourage you to search for your disease information using natural language queries such as what is the treatment of hypertension or what is the therapy for porphyria 2013 Truven Health Analytics Inc MICROMEDEX 2 0 USER GUIDE If the application is unable to determine an
327. when to seek medical assistance or supervision DISEASEDEX Emergency Medicine Comprehensive source of urgent and acute care information DISEASEDEX Emergency Medicine previously named EMERGINDEX provides actionable information extracted from an extensive library of medical journals With over 40 000 key terms and synonyms Emergency Medicine helps clinicians quickly access current and crucial data organized by both condition and diagnosis DISEASEDEX Emergency Medicine includes Emergency and Acute Care Summaries see ClinicalPoints and detailed information on emergency conditions and treatments covering e Treatment e Diagnosis e Key Points Clinical Reviews data pertinent to diagnostic and therapeutic purposes covering e Summary information e Presentation by body system e Complications e Associated conditions e Laboratory Radiologic data e Diagnostic aids and differential diagnosis e Treatment recommendations e Disposition e References Emergency Medical Abstracts from Rick Bukata MD and Jerry Hoffman MD a definitive source of literature review covering a broad scope of topics compiled by Rick Bukata MD and Jerry Hoffman MD Ceo 2013 Truven Health Analytics Inc APPENDIX A DATABASE DESCRIPTIONS Studies amp Alerts Updated regularly with with brief reports on new disease information DISEASEDEX General Medicine Evidence based current disease information DISEASEDEX supports disease management
328. with the drug to other drugs food ethanol and labs Adverse Effects Categorized into common and serious adverse affects Mechanism of Action Pharmacokinetics Administration Information on how to administer the drug how to monitor the patient while Monitoring using the drug Pharmacokinetics can include absorption metabolism excretion and elimination half life Jump to Topic links A topic is a logical area of information For example adult dosing and pediatric dosing are sub topics of the Dosing amp Indications topic The topics available are shown as links at the top of the page Navigate quickly to a topic or sub topic by clicking the link Selected Drugs Display in Column 1 Display in Column 2 Click the drop down to place a different drug in either column Up to twenty drugs can be selected for a comparison but only two are shown on the comparison page at any one time Hypertext Links Links shown on the comparison page mean that further information exists Click the link to view the information Links shown as numbers within brackets e g 1 link to the reference or citation for the information Links can also open definitions for items shown in the summary information such as Breast Feeding Categories Strength of Evidence Strength of Recommendation to name a few Linked information is presented in its own pop up box that can be printed if desired Modify Your Search Return to the Drug Comparison
329. y benefit of protriptyline 19 3 Orthostatic and exertional hypotensive effects of bethanidine were compared with those of guanethidine and dehrisnauine 448 natients with hvnertensian 1231 nf hethanidine ranned fram 104 ta 111 ma daily for Click on the condition link to view additional information 1 yncope Onset and Duration E EE ADME 1 Syncope has been reported during initiation of therapy with bethanidine 25 20 CAUTIONS Syncope was reported with rapidly escalating doses from 10 to 25 mg daily in 2 of 12 OUR m nmm patients 26 These symptoms were avoided if the patient was confined to bed for several Precautions hours Adverse Reactions Dermatologic Effects Drug Interactions Alopecia CLINICAL APPLICATIONS 1 Loss of scalp hair is reported with bethanidine 14 geris P Pharmacology M luces Linas Gastrointestinal tract finding Comparative Efficacy Evaluation With 1 DIARRHEA NAUSEA and VOMITING can be very severe during bethanidine therapy Other Therapies 14 REFERENCES Hematologic Effects Hematology finding 1 THROMBOCYTOPENIA may occur during bethanidine therapy 14 Neurologic Effects Central nervous system finding 1 VERTIGO DIZZINESS HEADACHE NIGHTMARES and DEPRESSION have occurred during bethanidine therapy 18 27 20 25 Reproductive Effects Sexual dysfunction 1 IMPOTENCE and RETROGRADE EJACULATION is cited to occur in over half the male patients
330. y failure or right heart failure 3 Treatment Strength of Performance Drug Therapies Recommendation Evidence Measure Prescribe maintenance bronchodilator monotherapy for symptomatic patients with COPD and FEV less than 60 60 C predicted using either a long acting inhaled beta agonist or a long acting inhaled anticholinergic 1 Each checklist item contains graded recommendation and evidence information These evidence ratings embed evidence based medicine into clinical operations and ultimately maximize reimbursement by ensuring that clinical decisions are in compliance with the latest national quality standards and evidence based practices The Clinical Checklist topic may include links to other summaries for more detailed and in depth information based on your subscription Links to related information in drug lab disease and toxicology are also included when appropriate and available Each item is shown with the corresponding Strength of Recommendation and Strength of Evidence icon to visually portray the validity and strength associated with the information Clicking the icon opens the definitions 2013 Truven Health Analytics Inc Strength of Evidence DEFINITIONS strength of Evidence Category A Category evidence is based on data derived from Meta analyses of randomized controlled trials with homogeneity with regard to the directions and degrees of results between Individual studies Multi
331. y vary based on your subscription but it can include the detailed drug information document View Dashboard or offer the option of running a Product Lookup tool Tox amp Drug Martindale or RED BOOK Start a New Search e Micromedex 2 0 mobileMicromedex MY SUBSCRIPTION MICROMEDEX GA Start a new search at Tox amp Drug Drug RED BOOK any time by typing in the SEARCH box patibility Identification Product Lookup Comparison Online Calculators Formulary SEARCH Example Searches If at any time you wish to search for something else enter the new search term s in the Search box located at the top of the page 2013 Truven Health Analytics Inc DEBE MICROMEDEX 2 0 USER GUIDE Additional Information Single Drug Interactions IV Compatibility and Patient Education Some topics display the information in a unique presentation Clicking the link to these topics will pre populate the selected tool with the drug you have selected An overview of the additional topics follow Drug Interactions Single Checks the currently viewed drug for drug drug drug food drug ethanol and drug lab interactions DOSING amp INDICATIONS Adult Dosing Pediatric Dosing Dose Adjustments FDA Labeled Indications Non FDA Labeled Indications CONTRAINDICATIONS WARNINGS Do Not Confuse Contraindications Precautions Pregnancy Category Heparin Sodium DRUG INTERACTIONS

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