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					PROTOCOL FOR SOUND-ALIKE AND LOOK-ALIKE DRUGS

This protocol should be posted in all licensed residential group homes who contract with Community Mental Health for Central Michigan ADMINISTRATIVE GUIDELINE In an effort to improve medication safety and to meet The Joint Commission’s National Patient Safety Goal Number 3, CMHCM has identified a process to address sound-alike and look-alike drugs. The Performance Improvement Team that developed this Guideline will continue to monitor new drugs on the market as they are released, review the list included with this Guideline on an annual basis and provide appropriate updates. Appropriate action to prevent errors involving the interchange of these drugs will be taken. Each CMHCM site (including direct and provider network sites) where medication is distributed or administered will post the attached lists and implement a plan for preventing drug mix-ups. This plan may consist of but not be limited to: Listing both the brand and generic names on medication records. Storing products with look-alike or sound-alike names in different locations. Employing double checks in the distribution process. Affixing “name alert” stickers to areas where look-alike or sound-alike products are stored. Changing the appearance of look-alike product names on pharmacy labels, computer screens, shelf labels and bins, and medication records by highlighting, through bold face, color, and/or tall man letters, the parts of the names that are different (e.g. hydrOXYzine, hydrALAzine). Having physicians write prescriptions using both the brand and generic names. Alerting consumers to the potential for mix-ups. Encouraging patients and Direct Care Staff to question pharmacists and nurses about medications that are unfamiliar or look or sound different than expected. This list represents drugs reported to the USP Medication Errors Reporting Program. Brand names are italicized.

Look Alike/Sound Alike Drugs
Accolate Accupril Accupril Accupril Accupril acetohexamide Adderall Aggrastat Aldara Alkeran Allegra allopurinol alprazolam Altace Altace Alupent amantadine Ambien Amicar amiloride amoxicillin Accutane Accolate Aciphex Accutane Monopril acetazolamide Inderal Aggrenox Alora Leukeran Viagra Apresoline lorazepam Amaryl Artane Atrovent ranitidine Amen Amikin amlodipine Atarax

Amerge

rimantadine

Med Chart –Look/Sound Alike

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PROTOCOL FOR SOUND-ALIKE AND LOOK-ALIKE DRUGS
Anaprox Anaspaz Ansaid Atarax Avandia Avandia azithromycin Bentyl Betagan Betapace Betoptic S Bumex Bumex Bumex bupropion Buspar buspirone Cafergot Calan Calciferol captopril Cardene Cardene Cardene Cardene SR Cardizem CD Cardura Cardura Cartia XT Cataflam cefaclor cefprozil Ceftin Ceftin Cefzil Celebrex Celebrex Celexa Celexa cephalexin chlorpromazine chlorpromazine Claritin-D 24-hour Clinoril Clinoril clomiphene clomipramine clonazepam clonazepam clonazepam codeine Cognex Combivir Avapro Antispas Asacol Ativan Coumadin Prandin erythromycin Proventil Betoptic Betapace AF Betoptic Buprenex bupropion Permax buspirone bupropion risperidone Carafate Colace calcitriol carvedilol Cardizem Cardura codeine Cardizem SR Cardizem SR Coumadin Ridaura Procardia XL Catapres cephalexin cefuroxime Cefzil Cipro Kefzol Celexa Celexa Zyprexa Celebrex ciprofloxacin chlorpropamide prochlorperazine Claritin-D Clozaril Oruvail clomipramine desipramine clonidine clorazepate lorazepam Lodine Corgard Epivir Klonopin Cerebyx Cerebra Cerebra

Med Chart –Look/Sound Alike

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PROTOCOL FOR SOUND-ALIKE AND LOOK-ALIKE DRUGS
Compazine Cortef Covera Cozaar Cozaar cyclobenzaprine cyclophosphamide cycloserine Cytotec danazol Darvon Demerol Demerol Denavir Depakote Depo-Estradiol desipramine desipramine Detrol DiaBeta Diamox diazepam diazepam dicyclomine dicyclomine Diovan dobutamine Dolobid doxepin Dynabac Dynacin Edecrin Efudex Elavil Elavil Elavil Elavil Eldepryl Eldopaque Forte Elmiron Erex Erythrocin Eskalith Estraderm Estratab Estratest Fioricet Flomax Flomax flucytosine Flumadine flurazepam folic acid chlorpromazine Lortab Provera Hyzaar Zocor cyproheptadine cyclosporine cyclosporine Cytoxan Dantrium Diovan Detrol Desyrel indinavir Senokot Depo-Testadiol imipramine nortriptyline Ditropan Zebeta Dobutrex Ditropan lorazepam diphenhydramine doxycycline Zyban dopamine Slo-bid doxycycline DynaCirc DynaCirc Eulexin Eurax Eldepryl enalapril Oruvail Plavix enalapril Eldoquin Forte Imuran Urex Ethmozine Estratest Testoderm Estratest Estratest HS Fiorinal Fosamax Volmax fluorouracil flutamide temazepam folinic acid

Med Chart –Look/Sound Alike

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PROTOCOL FOR SOUND-ALIKE AND LOOK-ALIKE DRUGS
furosemide Gengraf glipizide Glucophage Glucotrol Glucotrol guaifenesin Haldol haloperidol Humalog, Insulin Human hydralazine hydrocodone hydromorphone IMDUR IMDUR IMDUR Imuran Inderal Inderal K-Phos Neutral Lamictal Lamictal Lamictal Lamisil lamivudine Lanoxin Lanoxin Lanoxin Lanoxin Lantus, Insulin Human Lasix l-dopa leucovorin Levbid Levbid Levbid levobunolol Levoxine Levoxyl Librax Lioresal Lioresal lisinopril Lithobid Lomotil Loniten Lopid Lorabid losartan Lotensin Lotrimin Loxitane medroxyprogesterone torsemide Prograf glyburide Glutofac Glucotrol XL glyburide guanfacine Stadol Halotestin Humulin, Insulin Human hydroxyzine hydrocortisone morphine Imuran Inderal LA K-Dur Tenormin Isordil Toradol Neutra-Phos-K Lamisil Lomotil Ludiomil Lomotil lamotrigine Levoxine Lasix Lonox Xanax Lente, Insulin Human Luvox levodopa Leukeran Lithobid Lopid Lorabid levocabastine Levsin Luvox Librium Loniten Lotensin Risperdal Lithostat Ludiomil Lotensin Lorabid Lortab valsartan lovastatin Lotrisone Soriatane methylprednisolone Slo-bid methyldopa

Levoxyl Lomotil

Med Chart –Look/Sound Alike

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PROTOCOL FOR SOUND-ALIKE AND LOOK-ALIKE DRUGS
Megace melphalan methadone methotrexate methylprednisolone metoclopramide metoprolol Micro-K Minoxidil MiraLax Monoket Naprelan Nasalcrom Nasarel Navane Nebcin nelfinavir Neoral Neoral Neumega Neurontin niacin nicardipine Nicoderm Norflex Norpramin Ocufen Ocufen Ortho-Cept oxybutynin oxycodone Parafon Forte Parlodel Parlodel paroxetine Paxil Pediapred penicillamine pentobarbital Percocet pindolol Plendil Plendil Plendil Pondimin Pravachol Pravachol Pravachol Precare prednisone prednisone prednisone Premarin Reglan Myleran methylphenidate metolazone prednisone metolazone misoprostol Micronase Monopril Mirapex Monopril Naprosyn Nasalide Nizoral Norvasc Nubain nevirapine Neurontin Nizoral Neupogen Noroxin Niaspan nifedipine Nitroderm Noroxin nortriptyline Ocuflox Ocupress Ortho-Cyclen OxyContin OxyContin Paraflex pindolol Provera pyridoxine Plavix Pediazole penicillin phenobarbital Percodan Plendil Pletal Prilosec Prinivil prednisone Prevacid Prinivil propranolol Precose prednisolone Prilosec primidone Provera nimodipine norfloxacin

Med Chart –Look/Sound Alike

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PROTOCOL FOR SOUND-ALIKE AND LOOK-ALIKE DRUGS
Premphase Prevacid Preven Prilosec Prilosec Prinivil probenecid Proctocort promethazine w/ codeine propranolol Proscar Proscar quinidine Relafen Remeron reserpine Retrovir Revex rifabutin rifampin Roxanol Rynatan Sarafem selegiline Serentil Serentil Serentil Seroquel Sinequan Solu-Medrol Soma Compound sulfadiazine sulfasalazine sulfisoxazole sumatriptan Symmetrel Tamiflu Tegretol Tenormin Tenormin tiagabine Tiazac Tiazac Tobradex tolazamide Toradol Toradol tramadol trifluoperazine Tri-Norinyl Ultram Uricit-K Vancenase Prempro Prinivil Preveon Prinivil Prozac Proventil Procanbid Proctocream HC promethazine Propulsid ProSom ProSom quinine Rezulin Zemuron Risperdal ritonavir ReVia rifampin rifapentine Roxicet Rynatuss Serophene sertraline Seroquel Serzone Sinequan Serzone Singulair Depo-Medrol Soma sulfasalazine sulfisoxazole sulfadiazine zolmitriptan Synthroid Theraflu Toradol thiamine Trovan tizanidine Tigan Ziac Tobrex tolbutamide Torecan tramadol Voltaren trihexyphenidyl Triphasil Voltaren Urised Vanceril

Prozac

risperidone

Med Chart –Look/Sound Alike

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PROTOCOL FOR SOUND-ALIKE AND LOOK-ALIKE DRUGS
Vantin verapamil Verelan Vexol Viracept Vistaril Xanax Xanax Yocon Zagam Zantac Zinacef Zocor Zofran Zyprexa Ventolin Verelan Virilon VoSol Viramune Zestril Zantac Zantac Zocor Zyban Zofran Zithromax Zoloft Zosyn Zyrtec Zyrtec

The following is a partial listing of drugs from The Joint Commission’s 2006/2007 listing of look-alike/soundalike drugs. These additional drugs were not identified on the comprehensive USP listing.
Advicor Amicar Avinza Darvocet Diflucan Effexor XR Heparin Hyrocodone Idarubicin Novolin Novolin MS Contin Metformin Mucinex Opium tincture Roxanol (concentrated) Topamax Tramadol Wellbutrin SR Zestril Zestril Zocor Advair Omacor Evista Percocet Diprivan Effexor Hespan Oxycodone Doxurubicin Novolog Novolog Mix Oxycontin Metronidazole Mucomyst Paregoric (camphorated opium tincture) Morphine Oral Liquid (conventional concentration) Topral-XL Trazadone Wellbutrin XL Zyprexa Zetia Zyrtec Daunorubicin

Approved by ELT: 4/01/05 Revision: 3/19/07

Med Chart –Look/Sound Alike

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