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Transcript
RESIDUAL FUNCTIONAL CAPACITY
SIDE EFFECTS OF MEDICATION
Name:
Claim #:
Date of Injury:
Please Print Name of Medical Evaluator:
Medical Specialty:
What is the first date patient’s impairment(s) became “severe” meaning that his/her
impairment(s) caused interference ADL’s or ability to work?
When did you begin treating the patient?
How frequently do you see your patient?
Date:
Date:
Date:
Claimant reported taking the following medication(s) for his or her medical condition(s):




Claimant reported the following side effects from the medication(s):




SIDE EFFECTS OF MEDICATIONS
Is your patient taking prescribed medication listed above for his/her industrial condition(s):
YES
NO
Other:
Is there a reasonable medical probability your patient will experience side effects from the industrial
YES
NO
medication(s) listed above?
Other:
Is your patient taking medication(s) non-industrial prescribed medications?
YES
NO
If yes, please list:
Is there a reasonable medical probability your patient will experience side effects from the nonYES
NO
industrial medications, if any?
If yes, please explain:
In utilizing this form, please assume the following definitions:
“Mild” annoyance but no reduction in the ability to perform the function.
“Slight” noticeable impairment
“Severe” inability to perform the function.
For the following questions please assume that “off task” means an inability and/or a reduction in productivity over the
course of an 8 hour work day. If appropriate, please choose one of the 4 following definitions of “Moderate” you feel best
describes claimant’s impairments taking into account the industrial medications, if any:
1.
Will be “off task” up to 10% of the time in an 8 hour day;
2.
Will be “off task” up to 15% of the time in an 8 hour day;
3.
Will be “off task” up to 20% or more of the time in an 8 hour day;
4.
Other: Will be “off task”
% of the time in an 8 hour day;
To what degree will the side effects impair claimant’s ability for concentration, persistence pace separate and apart from the
underlying industrial medical condition(s)?
Mild
Slight
Moderate
Severe
Other:
To what degree will the side effects impair claimant’s ability for concentration, persistence and pace in combination with the
underlying industrial medical condition(s)?
Mild
Slight
Moderate
Severe
Other:
1
If/when side effects exist can you estimate the severity?
Mild
Slight
Moderate
Severe
Other:
<1
2
3
4
5
6
7
8
Hours
Approximate duration of the most severe side effect(s):
Is claimant allowed to operate machinery or motorized vehicles when experiencing side effects from medication(s), if any?
Yes
No
Other:
Is there a reasonable medical probability that the side effects of medication(s) will:
Impair claimant’s capacity to perform work to a minimum standard of productivity? If yes, to what degree:
Mild
Slight
Moderate
Severe
Other:
Impair claimant’s capacity to perform detailed work requiring hand/eye coordination? If yes, to what degree:
Mild
Slight
Moderate
Severe
Other:
Impair claimant’s cognitive acuity and/or ability to focus on activities such as reading, writing, or computer use?
If yes, to what degree:
Mild
Slight
Moderate
Severe
Other:
Result in fatigue? If yes, to what degree:
Mild
Slight
Moderate
Severe
Other:
Result in claimant becoming lethargic? If yes, to what degree:
Mild
Slight
Moderate
Severe
Other:
I declare under penalty of perjury that the information contained in this report and its attachments, if any, is true and correct
to the best of my knowledge and belief, except as to information that I have indicated I received from others. As to that
information, I declare under penalty of perjury that the report accurately describes the information provided to me and except
as noted herein, that I believe it to be true. I also declare under the perjury that this physician has no violated section 139.3 of
the Labor Code.
My opinions are expressed to a degree of medical probability, unless otherwise stated.
Signature of Physician ____________________________________ Date
Additional Comments:
2
EXAMPLES OF MEDCATIONS AND THE POTENTIAL SIDE EFFECTS AS REPORTED BY WebMD at:
http://www.webmd.com.
Adderall; Ambien; Amitriptyline; Amoxicillin; Atenolol; Ativan; Bentyl; Celexa; Cephalexin; Clonazepam; Clonidine;
Cymbalta; Diazepam; Dilaudid; Ditropan ; Effexor; Famotidine; Fentanyl; Flexeril; Furosemide; Gabapentin;
Hydrochlorothiazide; Hydrocodone; Hydromorphone; Kadian; Klonopin; Lactulose; Lasix; Levitra; Lexapro; Lidoderm;
Lipitor; Lisinopril; Lodine; Lorazepam; Lyrica; Metformin; Methadone; Methocarbamol; Metoprolol; Minoxidil; Mobic;
Morphine; Neurontin; Naproxen; Nifedical; Niravam; Nizatidine; Norco; Norvasc; Omeprazole (Prilosec); Opana;
Oxycodone; OxyContin; Paroxetine; Paxil; Percocet; Phentermine; Polyethylene Glycol; Potassium; Prednisone; Protonix;
Prozac; Ritalin; Senna with Docusate Sodium; Seroquel; Sertraline; Skelaxin; Soma; Spironolactone; Testim; Tizanidine;
Topamax; Topical Corticosteroids for Atopic Dermatitis; Tramadol; Trazodone; Ultram; Valium; Vicodin; Wellbutrin;
Xanax; Zoloft
Medication
Adderall
Ambien
Amitriptyline
Amoxicillin
Atenolol
Ativan
Bentyl
Celexa
Cephalexin
Clonazepam
Clonidine
Side Effects
Common side effects: Chronic Trouble Sleeping; Nervous; Easily Angered or Annoyed; False
Sense of Well-Being. Infrequent side effects: Blurred Vision; Dry Mouth; Incomplete or
Infrequent Bowel Movements; Inability to have an Erection; Dizzy; Excessive Sweating; Taste
Problems; Loss of Appetite; Weight Loss; Head Pain; Fast Heartbeat; Heart Throbbing or
Pounding; Feel like Throwing Up; Throwing Up; diarrhea; Stomach Cramps; Feeling Weak;
Sexual Problems; Altered Interest in Having Sexual Intercourse.
Common side effects: Hiccups. Infrequent side effects: Nightmares; Double Vision; Problems
with Eyesight; Dry mouth; Indigestion; Urinary Tract Infection; Joint Pain; Muscle Pain;
Drowsiness; Loss of Memory; Sensation of Spinning or Whirling; Dizzy; Head Pain; Feel Like
Throwing Up; Throwing Up; Diarrhea; Stomach Cramps; Feeling Weak; Not Feeling Well.
Common side effects: Dry Mouth; Drowsiness; Dizzy; Taste Problems; Weight Gain;
Increased Hunger; Head Pain. Infrequent side effects: Incomplete or Infrequent Bowel
Movements; Chronic Trouble Sleeping; Excessive Sweating; Throwing Up; Heartburn;
Diarrhea.
Common side effects: Head Pain; Thrush; Yeast Infection of Vagina or Vulva; Feel Like
Throwing Up; Throwing Up; Diarrhea. Infrequent side effects: Itching; Stomach Cramps.
Common side effects: Drowsiness; Chronic Trouble Sleeping; Low Energy; Feeling Weak;
Sexual Problems. Infrequent side effects: Stuffy Nose; Incomplete or Infrequent Bowel
Movements; Feel Like Throwing Up; Throwing Up; Diarrhea; Stomach Cramps; Nervous;
Anxious.
Common side effects: Drowsiness; Dizzy; Slurred Speech. Infrequent side effects: Low
Energy; Uncoordinated; Feeling Weak.
Common side effects: Dry Mouth; Incomplete or Infrequent Bowel Movements; Decreased
Sweating. Infrequent side effects: Blurred Vision; Dilated Pupil; Decreased Breast Milk
Production; Drowsiness.
Common side effects: Inability to have an Erection; Sexual Problems; Altered Interest in
Having Sexual Intercourse; Problem with Ejaculation; Dry Mouth; Drowsiness; Chronic
Trouble Sleeping; Feel Like Throwing Up. Infrequent side effects: Feeling Restless; Blurred
Vision; Problem with Periods; Itching; Loss of Memory; Fever; Rash; Trouble Breathing;
Excess Urination; Confused; Grinding of the Teeth; Blood Pressure Drop Upon Standing;
Inflammation of the Nose; Sinus Irritation and Congestion; Increased Production of Saliva;
Indigestion; Joint Pain; Muscle Pain; Low Energy; Excessive Sweating; Involuntary Quivering;
Taste Problems; Loss of Appetite; Weight Gain; Weight Loss; Yawning; Throwing Up; Gas;
Diarrhea; Stomach Cramps; Numbness and Tingling; Feeling Weak; Anxious.
Common side effects: Yeast Infection of Vagina and Vulva; Diarrhea. Infrequent side effects:
Thrush; Feeling Like Throwing Up; Throwing Up; Stomach Cramps.
Common side effects: Drowsiness; Dizzy; Slurred Speech. Infrequent side effects: Depression;
Muscle Weakness; Confused; Low Energy; Uncoordinated; Feeling Weak
Common side effects: Dry Mouth; Incomplete or Infrequent Bowel Movements; Drowsiness;
Dizzy; Low Energy; Feeling Weak. Infrequent side effects: Dry eye; Eye Irritation; Eye
Itching; Blood Pressure Drop Upon Standing; Inability to have an Erection; Loss of Appetite;
3
Cymbalta
Diazepam
Dilaudid
Ditropan
Doxazosin
Effexor XR
Famotidine
Fentanyl Patch
Flexeril
Furosemide
Gabapentin
Feeling Like Throwing Up; Throwing Up; Nervous; Sexual Problems.
Common side effects: Dry Mouth; Incomplete or Infrequent Bowel Movements; Drowsiness;
Dizzy; Chronic Trouble Sleeping; Low Energy; Excessive Sweating; Loss of Appetite; feel
Like Throwing Up; Diarrhea. Infrequent side effects: Orgasm Problems; Blurred Vision;
Itching; Hair Loss; Acne; Cramps; Involuntary Quivering; Temporary Redness of Face and
Neck; Weight Loss; Throwing Up; Difficult or Pain Urination; Anxious; Problem with
Ejaculation.
Common side effects: Drowsiness; Dizzy; Slurred Speech. Infrequent side effects: Low
Energy; Uncoordinated; Feeling Weak.
Common side effects: Abnormally Low Blood Pressure; Drowsiness; Feeling Faint; Dizzy;
Loss of Appetite; Feeling Weak; Not Feeling Well. Infrequent side effects: Slow Heartbeat;
Vocal Cord Swelling; A Spasm of the Larynx; Collapsed Portion of Lung; Significant Decrease
in Lung Function; Bronchospasm; Fast Heartbeat; Change in Pulse; Involuntary Muscle
Movements; Confused; Double Vision; Blurred Vision; Problems with Eyesight; Dry Mouth;
Irritation of the Stomach or Intestines; Incomplete or Infrequent Bowel Movements; Spasm of
a Bile Duct Tract; Spasm of the Ureter or Tube Connecting Kidney to Bladder; Head Pain; Feel
Like Throwing Up; Throwing Up; Kidney Problems Causing a Decreased Amount of Urine to
be Passed; Nervous; False Sense of Well-Being.
Common side effects: Dryness of the Nose; Dry Mouth; Incomplete or Infrequent Bowel
Movements; Decreased Sweating; Drowsiness; Throat Dryness; Feel Like Throwing Up.
Infrequent side effects: Urinary Tract Infection; Blurred Vision; Dry Eye; Inflammation of the
Nose; Indigestion; Backache; Dizzy; Flu-Like Symptoms; Pain; Diarrhea; Difficult or Painful
Urination; Stomach Cramps.
Common side effects: Sensation of Spinning or Whirling; Dizzy; Low Energy; Head Pain.
Infrequent side effects: Abnormal Heart Rhythm; Blood Pressure Drop Upon Standing; Fluid
Retention in the Legs, Feet, Arms or Hands; Fast Heartbeat; Heart Throbbing or Pounding;
Trouble Breathing; Inflammation of the Nose; Drowsiness; Feel Like Throwing Up; Nervous;
Easily Angered or Annoyed.
Common side effects: Nightmares; Inflammation of the Nose; Dry Mouth; Indigestion;
Incomplete or Infrequent Bowel Movements; Drowsiness; Dizzy; Chronic Trouble Sleeping;
Excessive Sweating; Chills; Involuntary Quivering; Taste Problems; Loss of Appetite; Weight
Loss; Feel Like Throwing Up; Throwing Up; Gas; Diarrhea; Stomach Cramps; Nervous;
Numbness and Tingling; Feeling Weak; Anxious. Infrequent side effects: Neck Pain;
Twitching; Visible Water Retention; Weight Gain.
Common side effects: Head Pain. Infrequent side effects: Incomplete or Infrequent Bowel
Movements; Diarrhea.
Common side effects: Hallucination; Fever; Periods of Not Breathing; Trouble Breathing;
Cannot Empty Bladder; Abnormal Nervous System Function Affecting Mental Alertness; Dry
Mouth; Conditions of Excess Stomach Acid Secretion; Incomplete or Infrequent Bowel
Movements; Itching; Drowsiness; Dizzy; Excessive Sweating; Loss of Appetite; Head Pain;
Feel Like Throwing Up; Throwing Up; Diarrhea; Stomach Cramps; Nervous; Feeling Weak;
Confused; Anxious; False Sense of Well-Being. Infrequent side effects: Depression; Unsteady
Walking; Abnormal Heart Rhythm; Abnormally Low Blood Pressure; Acute Infection of the
Nose, Throat or Sinus; Significant Decrease in Lung Function; Feeling Faint; Voluntary
Movement Difficulty; Slurred Speech; Coughing Up Blood; Chest Pain; Signs and Symptoms
at Injection Site; Paranoia; Nightmares; Feeling Restless; Stinging of Skin; Throat Irritation;
Loss of Memory; Low Energy; Flu-Like Symptoms; Bloating.
Common side effects: Blurred Vision; Dry Mouth; Drowsiness; Dizzy.
Common side effects: Blood Pressure Drop Upon Standing. Infrequent side effects: Low
Amount of Magnesium in the Blood; Low Amount of Calcium in the Blood; Low Amount of
Sodium in the Blood; Low Amount of Potassium in the Blood; Imbalance in Body Salts like
Potassium and Sodium; Low Amount of Chloride in the Blood; Blurred Vision; Dry Mouth;
Sun-Sensitive Skin; Cramps; Drowsiness; Dizzy; Loss of Appetite; Head Pain; Diarrhea;
Stomach Cramps.
Common side effects: Double Vision; Blurred Vision; Problems with Eyesight; Muscle Pain;
4
Hydrochlorothiazide
Hydrocodone Compound
Oral
Hydromorphone
Kadian
Klonopin
Lactulose
Lasix
Levitra
Lexapro
Lidoderm
Lipitor
Lisinopril
Lodine
Drowsiness; Dizzy; Low Energy; Involuntary Quivering; Fluid Retention in the Legs, Feet,
Arms or Hands.
Infrequent side effects: Blood Pressure Drop Upon Standing; Sun-Sensitive Skin; Loss of
Appetite; Diarrhea; Stomach Cramps; Sexual Problems.
Common side effects: lightheadedness, dizziness, drowsiness, vision changes, vomiting, and
constipation.
Common side effects: Abnormally Low Blood Pressure; Drowsiness; Feeling Faint; Dizzy;
Loss of Appetite; Feeling Weak; Not Feeling Well. Infrequent side effects: Slow Heartbeat;
Vocal Cord Swelling; A Spasm of the Larynx; Collapsed Portion of Lung; Significant Decrease
in Lung Function; Bronchospasm; Fast Heartbeat; Change in Pulse; Involuntary Muscle
Movements; Confused; Double Vision; Blurred Vision; Problems with Eyesight; Dry Mouth;
Irritation of the Stomach or Intestines; Incomplete or Infrequent Bowel Movements; Spasm of
a Bile Duct Tract; Spasm of the Ureter or Tube Connecting Kidney to Bladder; Head Pain; Feel
Like Throwing Up; Throwing Up; Kidney Problems Causing a Decreased Amount of Urine to
be; Passed; Nervous; False Sense of Well-Being.
Common side effects: Abnormally Low Blood Pressure; Incomplete or Infrequent Bowel
Movements; Drowsiness; Feeling Faint; Dizzy; Feel Like Throwing Up; Throwing Up.
Infrequent side effects: Slow Heartbeat; Vocal Cord Swelling; A Spasm of the Larynx;
Collapsed Portion of Lung; Significant Decrease in Lung Function; Bronchospasm;
Inflammation of Skin caused by an Allergy; Itching; Hives; Rash; Fast Heartbeat; Change in
Pulse; Trouble Breathing; Giant Hives; Reaction due to an Allergy; Involuntary Muscle
Movements; Confused; Double Vision; Blurred Vision; Problems with Eyesight; Dry Mouth;
Irritation of the Stomach or Intestines; Spasm of a Bile Duct Tract; Spasm of the Ureter or
Tube Connecting Kidney to Bladder; Loss of Appetite; Head Pain; Kidney Problems Causing a
Decreased Amount of Urine to be Passed; Nervous; Feeling Weak; Not Feeling Well; False
Sense of Well-Being.
Common side effects: Drowsiness; Dizzy; Slurred Speech. Infrequent side effects: Low
Energy; Uncoordinated; Feeling Weak.
Infrequent side effects: Excessive Thirst; Gas; Diarrhea; Stomach Cramps.
Common side effects: Blood Pressure Drop Upon Standing Infrequent side effects: Low
Amount of Sodium in the Blood; Low Amount of Potassium in the Blood; Imbalance in Body
Salts like Potassium and Sodium; Low Amount of Chloride in the Blood; Blurred Vision; SunSensitive Skin; Loss of Appetite; Head Pain; Diarrhea; Stomach Cramps.
Common side effects: Inflammation of the Nose; Indigestion; Temporary Redness of Face and
Neck; Head Pain. Infrequent side effects: Backache; Sinus Irritation and Congestion; Dizzy;
Flu-Like Symptoms; Feel Like Throwing Up.
Common side effects: Dry Mouth; Conditions of Excess Stomach Acid Secretion; Incomplete
or Infrequent Bowel Movements; Inability to have an Erection; Drowsiness; Dizzy; Chronic
Trouble Sleeping; Low Energy; Excessive Sweating; Feel Like Throwing Up; Diarrhea;
Altered Interest in Having Sexual Intercourse; Problem with Ejaculation. Infrequent side
effects: Inflammation of the Nose; Sinus Irritation and Congestion; Flu-Like Symptoms; Loss
of Appetite; Stomach Cramps; Sexual Problems.
Common side effects: Complication at Treatment Site.
Common side effects: Indigestion; Incomplete or Infrequent Bowel Movements; Gas; Stomach
Cramps. Infrequent side effects: Throat Irritation; Sinus Irritation and Congestion; Dizzy; FluLike Symptoms; Rash; Head Pain; Feel Like Throwing Up; Diarrhea.
Common side effects: Head Pain; Cough. Infrequent side effects: Acute Infection of the Nose,
Throat or Sinus; Stuffy Nose; Indigestion; Inability to have an Erection; Cramps; Sensation of
Spinning or Whirling; Low Energy; Taste Problems; Feel Like Throwing Up; Throwing Up;
Diarrhea; Numbness and Tingling; Feeling Weak; Altered Interest in Having Sexual
Intercourse.
Common side effects: Conditions of Excess Stomach Acid Secretion; Dizzy; Low Energy;
Head Pain; Feel Like Throwing Up; Gas; Diarrhea; Stomach Cramps. Infrequent side effects:
Depression; Double Vision; Blurred Vision; Problems with Eyesight; Ringing in the Ears;
Ulcers of Esophagus; Stomach Ulcer; Ulcer from Stomach Acid; Stomach or Intestinal Ulcer;
5
Lorazepam
Lyrica
Metformin
Methadone
Methocarbamol
Metoprolol
Minoxidil
Mobic
Morphine
Neurontin
Naproxen
Nifedical
Niravam
Nizatidine
Norco
Burning Stomach; Red Blood in Bowel Movement; Bleeding of the Stomach or Intestines;
Itching; Mental Impairment; Fever; Rash; Throwing Up Blood; Difficult or Painful Urination;
Frequent Urination; Mood Changes; Incomplete or Infrequent Bowel Movements; Bloating;
Nervous; Easily Angered or Annoyed.
Common side effects: Drowsiness; Dizzy; Slurred Speech. Infrequent side effects: Low
Energy; Uncoordinated; Feeling Weak.
Common side effects: Dizzy. Infrequent side effects: Dry Mouth; Incomplete or Infrequent
Bowel Movements; Pain; Head Pain; Injury; Feeling Weak.
Common side effects: Acute Infection of the Nose, Throat or Sinus; Taste Problems; Loss of
Appetite; Weight Loss; Head Pain; Feel Like Throwing Up; Throwing Up; Gas; Bloating;
Diarrhea; Stomach C ramps. Infrequent side effects: Inflammation of the Nose; Indigestion;
Incomplete or Infrequent Bowel Movements; Dizzy.
Common side effects: Abnormally Low Blood Pressure; Incomplete or Infrequent Bowel
Movements; Drowsiness; Feeling Faint; Dizzy; Feel Like Throwing Up; Throwing Up; Feeling
Weak; Not Feeling Well. Infrequent side effects: Double Vision; Blurred Vision; Problems
with Eyesight; Blood Pressure Drop Upon Standing; Dry Mouth; Irritation of the Stomach or
Intestines; Spasm of a Bile Duct Tract; Spasm of the Ureter or Tube Connecting Kidney to
Bladder; Chronic Trouble Sleeping; Excessive Sweating; Loss of Appetite; Head Pain; Kidney
Problems Causing a Decreased Amount of Urine to be Passed; Nervous; False Sense of WellBeing.
Common side effects: Stomach Upset; Nausea; Flushing; constipation; Headache; Blurred
Vision; Lightheadedness; Dizziness or Drowsiness.
Common side effects: dizziness; lightheadedness; drowsiness; tiredness; diarrhea; vomiting;
unusual dreams; trouble sleeping; or vision problems.
Common side effects: Abnormal Heart Rhythm; Visible Water Retention; Temporary Redness
of Face and Neck; Water Retention; Excessive Hairiness. Infrequent side effects: Angina;
Inflammation of the Covering of the Heart or Pericardium; Chest Pain.
Common side effects: Stomach upset, nausea, drowsiness, or diarrhea
Common side effects: Abnormally Low Blood Pressure; Incomplete or Infrequent Bowel
Movements; Drowsiness; Feeling Faint; Dizzy; Feel Like Throwing Up; Throwing Up.
Infrequent side effects: Double Vision; Blurred Vision; Problems with Eyesight; Dry Mouth;
Irritation of the Stomach or Intestines; Spasm of a Bile Duct Tract; Spasm of the Ureter or
Tube Connecting Kidney to Bladder; Loss of Appetite; Head Pain; Kidney Problems Causing a
Decreased Amount of Urine to be Passed; Nervous; Feeling Weak; Not Feeling Well; False
Sense of Well-Being.
Common side effects: Double Vision; Blurred Vision; Problems with Eyesight; Muscle Pain;
Drowsiness; Dizzy; Low Energy; Involuntary Quivering; Fluid Retention in the Legs, Feet,
Arms or Hands.
Common side effects: Incomplete or Infrequent Bowel Movements; Drowsiness; Feeling Faint;
Dizzy; Head Pain; Feel Like Throwing Up; Heartburn; Stomach Cramps. Infrequent side
effects: Conditions of Excess Stomach Acid Secretion; Indigestion; Problem with Periods;
Sensation of Spinning or Whirling; Excessive Sweating; Heart Throbbing or Pounding;
Diarrhea.
Common side effects: Fluid Retention in the Legs, Feet, Arms or Hands; Dizzy; Temporary
Redness of Face and Neck; Head Pain; Feel Like Throwing Up. Infrequent side effects:
Chronic Heart Failure; Fluid in the Lungs; Fast Heartbeat; Incomplete or Infrequent Bowel
Movements; Low Energy.
Common side effects: Drowsiness; Inducing of a Relaxed Easy State; Dizzy; Slurred Speech.
Infrequent side effects: Depression; Difficulty Speaking; Confused; Painful Periods; Joint Pain;
Pain in Arms or Legs; Low Energy; Voluntary Movement Difficulty; Numbness and Tingling;
Sexual Problems.
Common side effects: Drowsiness. Infrequent side effects: Excessive Sweating.
Common side effects: Abnormally Low Blood Pressure; Drowsiness; Feeling Faint; Dizzy;
Feeling Weak; Not Feeling Well. Infrequent side effects: Double Vision; Blurred Vision;
Problems with Eyesight; Dry Mouth; Incomplete or Infrequent Bowel Movements; Spasm of
6
Norvasc
Omeprazole
(Prilosec)
Opana
Oxycodone
OxyContin
Paroxetine - Oral
Paxil
Percocet
Phentermine
Polyethylene Glycol
Potassium
Prednisone
Protonix
Prozac
Ritalin
the Ureter or Tube Connecting Kidney to Bladder; Loss of Appetite; Head Pain; Feel Like
Throwing Up; Throwing Up; Kidney Problems Causing a Decreased Amount of Urine to be
Passed; Nervous; False Sense of Well-Being; Narcotic Addiction.
Common side effects: Visible Water Retention; Temporary Redness of Face and Neck; Head
Pain. Infrequent side effects: Drowsiness; Low Energy; Feel Like Throwing Up; Stomach
Cramps.
Common side effects: Stomach Cramps. Infrequent side effects: Abnormal Heart Rhythm;
High Blood Pressure; Incomplete or Infrequent Bowel Movements; Itching; Drowsiness;
Dizzy; Head Pain; Chest Pain; Feel Like Throwing Up; Throwing Up; Gas; Diarrhea; Feeling
Weak.
Common side effects: Nausea; Vomiting; Fever; Constipation; Increased Sweating;
Lightheadedness; Dizziness; Drowsiness.
Common side effects: Abnormally Low Blood Pressure; Drowsiness; Feeling Faint; Dizzy;
Feel Like Throwing Up; Throwing Up; Feeling Weak; Not Feeling Well. Infrequent side
effects: Dry Mouth; Indigestion; Incomplete or Infrequent Bowel Movements; Spasm of the
Ureter or Tube Connecting Kidney to Bladder; Fever; Excessive Sweating; Head Pain; Kidney
Problems Causing a Decreased Amount of Urine to be Passed; Nervous.
Common side effects: Abnormally Low Blood Pressure; Drowsiness; Feeling Faint; Dizzy;
Feel Like Throwing Up; Throwing Up; Feeling Weak; Not Feeling Well. Infrequent side
effects: Dry Mouth; Indigestion; Incomplete or Infrequent Bowel Movements; Spasm of the
Ureter or Tube Connecting Kidney to Bladder; Fever; Excessive Sweating; Head Pain; Kidney
Problems Causing a Decreased Amount of Urine to be Passed; Nervous.
Common side effects: Nausea, drowsiness, dizziness, trouble sleeping, loss of appetite,
weakness, tiredness, dry mouth, sweating, yawning, or headache.
Comment side effects: Dry mouth; Incomplete or Infrequent Bowel Movements, Drowsiness,
Dizzy, Chronic Trouble Sleeping, Excessive Sweating, Involuntary Quivering, Loss of
Appetite, Head Pain, Feel Like Throwing Up, Diarrhea, Difficult or Painful Urination, Cannot
Empty Bladder, Frequent Urination, Nervous, Feeling Weak, Sexual Problems, Problem with
Ejaculation. Infrequent side effects: Blurred Vision, Inflammation of the Nose, Inability to
have an Erection, Backache, Abnormal Increase in Muscle Tone, Taste Problems, Weight
Gain, Weight Loss, Increased Hunger, Fast Heartbeat, Cough, Gas, Stomach Cramps,
Numbness and Tingling, Anxious, Altered Interest in Having Sexual Intercourse.
Common side effects: Abnormally Low Blood Pressure; Drowsiness; Feeling Faint; Dizzy;
Feel Like Throwing Up; Throwing Up; Feeling Weak; Not Feeling Well. Infrequent side
effects: Dry Mouth; Indigestion; Incomplete or Infrequent Bowel Movements; Spasm of the
Ureter or Tube Connecting Kidney to Bladder; Fever; Excessive Sweating; Head Pain; Kidney
Problems Causing a Decreased Amount of Urine to be Passed; Nervous.
Common side effects: Chronic Trouble Sleeping; Nervous; False Sense of Well-Being.
Infrequent side effects: Blurred Vision; Abnormal Heart Rhythm; Dry Mouth; Incomplete or
Infrequent Bowel Movements; Drowsiness; Dizzy; Head Pain; Diarrhea; Difficult or Painful
Urination; Stomach Cramps; Altered Interest in Having Sexual Intercourse.
Consult your pharmacist.
Common side effects: Feel Like Throwing Up; Throwing Up; Gas; Diarrhea; Stomach Cramps.
Infrequent side effects: High Amount of Potassium in the Blood.
Common side effects: Stomach upset, headache, dizziness, trouble sleeping, or weight gain.
Common side effects: Head Pain; Diarrhea. Infrequent side effects: Not Feeling Well.
Common side effects: Nausea, drowsiness, dizziness, anxiety, trouble sleeping, loss of appetite,
weakness, tiredness, sweating, or yawning.
Common side effects: High Blood Pressure; Fast Heartbeat; Upper Abdominal Pain; Dry
Mouth; Chronic Trouble Sleeping; Loss of Appetite; Head Pain; Feel Like Throwing Up;
Nervous; Over Excitement. Infrequent side effects: Angina; Sinus Irritation and Congestion;
Inflammation of Skin caused by an Allergy; Hives; Joint Pain; Fever; Involuntary Quivering;
Voluntary Movement Difficulty; Rash; Chest Pain; Reaction due to an Allergy; Decreased
Blood Platelets; Throat Irritation; Acute Infection of the Nose, Throat or Sinus; Drowsiness;
Dizzy; Excessive Sweating; Weight Loss; Cough; Stomach Cramps.
7
Senna with Docusate
Sodium - Oral
Seroquel
Sertraline
Skelaxin
Soma
Spironolactone
Testim
Tizanidine
Topamax
Topical Corticosteroids
for Atopic Dermatitis
Tramadol
Common side effects: Diarrhea, nausea, vomiting, abdominal cramps, or bloating.
Common side effects: Blood Pressure Drop Upon Standing; Stuffy Nose; Dry Mouth;
Indigestion; Incomplete or Infrequent Bowel Movements; Drowsiness; Dizzy; Chronic Trouble
Sleeping; Weight Gain. Infrequent side effects: Problems with Eyesight; Throat Irritation;
Inflammation of the Nose; Abnormal Increase in Muscle Tone; Excessive Sweating;
Involuntary Quivering; Loss of Appetite; Head Pain; Fast Heartbeat; Heart Throbbing or
Pounding; Difficulty Swallowing; Stomach Cramps; Feeling Weak; High Cholesterol; High
Amount of Triglyceride in the Blood.
Common side effects: Inability to have an Erection; Sexual Problems; Altered Interest in
Having Sexual Intercourse; Dry Mouth; Drowsiness; Dizzy; Chronic Trouble Sleeping; Low
Energy; Excessive Sweating; Involuntary Quivering; Loss of Appetite; Weight Loss; Head
Pain; Feel Like Throwing Up; Gas; Diarrhea; Stomach Cramps; Feeling Weak. Infrequent side
effects: Feeling Restless; Blurred Vision; Problems with Eyesight; Incomplete or Infrequent
Bowel Movements; Temporary Redness of Face and Neck; Increased Hunger; Yawning;
Throwing Up; Nervous; Anxious.
Common side effects: Stomach Upset; Nausea; Constipation; Dry Mouth; Headache; Blurred
Vision; Lightheadedness; Dizziness; Drowsiness.
Common side effects: Dizziness; Drowsiness; Headache; Unusually Fast Heartbeat; Low Blood
Pressure; Face Flushing.
Common side effects: High Amount of Potassium in the Blood; Irritation of the Stomach or
Intestines. Infrequent side effects: Inability to have an Erection; Enlarged Breasts in Males;
Dizzy; Voluntary Movement Difficulty; Head Pain; Low Amount of Sodium in the Blood;
Sexual Problems.
Common side effects: Bladder Contractions Causing Frequent Passing of Urine; Urinary Tract
Infection; Continued Painful Erection; Enlarged Breasts in Males; Breast Tenderness; Absence
of Menstrual Periods; Irregular Periods; Masculinization. Infrequent side effects: Liver
Problems; Enlarged Prostate; Epididymitis; Dizzy; Low Energy; Visible Water Retention;
Temporary Redness of Face and Neck; Head Pain; Feel Like Throwing Up; Throwing Up;
Cancer of the Prostate Gland; High Amount of Calcium in the Blood; Increased Risk of
Bleeding; High Blood Pressure; Inability to have an Erection; Decrease in Size of a Testicle;
Genital Itching; Itching; Increase in the Amount of Pubic Hair; Acne; Chronic Trouble
Sleeping; Skin Irritation; Diarrhea; Stomach Cramps; Feeling Weak; Altered Interest in Having
Sexual Intercourse.
Common side effects: Hepatitis caused by Drugs; Urinary Tract Infection; Skin Ulcer; Fever,
Nervous; Numbness and Tingling; Depression; Blood Pressure Drop Upon Standing; Throat
Irritation; Inflammation of the Nose; Dry Mouth, Indigestion; Incomplete or Infrequent Bowel
Movements; Backache; Muscle Weakness; Drowsiness; Dizzy; Excessive Sweating; Voluntary
Movement Difficulty; Rash; Difficulty Speaking; Throwing Up; Diarrhea; Stomach Cramps;
Feeling Weak; Anxious. Infrequent side effects: Visual Field Defect; Problems with Eyesight;
Vision Changes caused by Medications; Pain in the Eye; Abnormal Heart Rhythm; Acute
Infection of the Nose, Throat or Sinus; Bleeding of the Stomach or Intestines; Kidney Stone;
Mental Impairment; Hallucination; Feeling Faint; Seizures; Infection due to the Candida
Fungus; Underactive Thyroid; Anemia; Decreased White Blood Cells; Increase of White Blood
Cells; Blood Disorder; Delusions; Feeling Restless; Migraine Headache; Hair Loss; Dry Skin;
Arthritis; Neck Pain; Abscess; Involuntary Quivering; Visible Water Retention; Weight Loss;
Difficulty Swallowing; Mood Changes; Loss of One's Own Sense of Reality or Identity.
Common side effects: Weakness, tiredness, drowsiness, dizziness, confusion, difficulty
concentrating, tingling of the hands/feet, loss of appetite, diarrhea, impotence, and weight loss.
Common side effects: Burning sensation, itching, irritation, dryness, or redness may develop in
the area where the medicine is applied.
Infrequent side effects: Extreme Sense of Well Being; Widening of Blood Vessels; Dry Mouth;
Indigestion; Incomplete or Infrequent Bowel Movements; “Change of Life” Signs; Drowsiness;
Dizzy; Chronic Trouble Sleeping; Excessive Sweating; Voluntary Movement Difficulty; Rash;
Loss of Appetite; Head Pain; Feel Like Throwing Up; Throwing Up; Gas; Diarrhea; Stomach
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Trazodone
Ultram
Valium
Vicodin
Wellbutrin
Xanax
Zaleplon
Zoloft
Cramps; Nervous; Feeling Weak; Confused; Over Excitement; Anxious.
Common side effects: Dry Mouth; Drowsiness; Dizzy; Taste Problems; Head Pain; Feel Like
Throwing Up; Throwing Up.
Infrequent side effects: Blurred Vision; Cannot Empty Bladder; Frequent Urination; Extreme
Sense of Well Being; Widening of Blood Vessels; Dry Mouth; Indigestion; Incomplete or
Infrequent Bowel Movements; "Change of Life" Signs; Drowsiness; Dizzy; Chronic Trouble
Sleeping; Excessive Sweating; Voluntary Movement Difficulty; Rash; Loss of Appetite; Head
Pain; Feel Like Throwing Up; Throwing Up; Gas; Diarrhea; Stomach Cramps; Nervous;
Feeling Weak; Confused; Over Excitement; Anxious.
Common side effects: Drowsiness; Dizzy; Slurred Speech. Infrequent side effects: Low
Energy; Uncoordinated; Feeling Weak.
Common side effects: Abnormally Low Blood Pressure; Drowsiness; Feeling Faint; Dizzy;
Feeling Weak; Not Feeling Well. Infrequent side effects: Double Vision; Blurred Vision;
Problems with Eyesight; Dry Mouth; Incomplete or Infrequent Bowel Movements; Spasm of
the Ureter or Tube Connecting Kidney to Bladder; Loss of Appetite; Head Pain; Feel Like
Throwing Up; Throwing Up; Kidney Problems Causing a Decreased Amount of Urine to be
Passed; Nervous; False Sense of Well-Being; Narcotic Addiction.
Common side effects: Dry Mouth, Sore Throat, Nausea, Vomiting, Stomach/Abdominal Pain,
Flushing, Headache, Loss of Appetite, Constipation, Trouble Sleeping, Increased Sweating,
Strange Taste in Mouth, Muscle/Joint Aches, Dizziness, or Blurred Vision.
Common side effects: Drowsiness; Inducing of a Relaxed Easy State; Slurred Speech.
Infrequent side effects: Painful Periods; Joint Pain; Pain in Arms or Legs; Low Energy;
Voluntary Movement Difficulty; Numbness and Tingling; Sexual Problems.
Common side effects: Muscle Pain; Dizzy; Head Pain; Feel Like Throwing Up. Infrequent
side effects: Problems with Eyesight; Anxious; Loss of One's Own Sense of Reality or Identity;
Depression; Migraine Headache; Pink Eye; Pain in the Eye; Bronchitis; Dry Mouth;
Indigestion; Incomplete or Infrequent Bowel Movements; Painful Periods; Itching; Arthritis;
Abnormal Increase in Muscle Tone; Drowsiness; Cannot Focus Thoughts; Loss of Memory;
Fever; Involuntary Quivering; Rash; Stomach Cramps; Nervous; Numbness and Tingling;
Feeling Weak.
Common side effects: Dry Mouth; Drowsiness; Dizzy; Chronic Trouble Sleeping; Low Energy;
Excessive Sweating; Involuntary Quivering; Loss of Appetite; Weight Loss; Head Pain; Feel
Like Throwing Up; Gas; Diarrhea; Stomach Cramps; Feeling Weak. Infrequent side effects:
Feeling Restless; Blurred Vision; Problems with Eyesight; Incomplete or Infrequent Bowel
Movements; Temporary Redness of Face and Neck; Increased Hunger; Yawning; Throwing
Up; Nervous; and Anxious.
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