Medicine pack check sheet

Source-linked reading points

• Check active ingredients on every pack. NORVASC is amlodipine alone and LIPITOR is atorvastatin alone; LOTREL, AZOR, EXFORGE, EXFORGE HCT and TRIBENZOR may also share amlodipine. Suspected duplication may be accidental or intentionally prescribed, and the site cannot decide from names alone. Do not add or stop a pack yourself.
• Age 65 years or older, uncontrolled hypothyroidism, renal impairment, certain interacting medicines and higher strengths increase the labelled risk of myopathy and rhabdomyolysis. Promptly contact the care team for unexplained muscle pain, tenderness or weakness, especially with fever, malaise or dark urine; use local emergency services for severe or rapidly worsening symptoms, altered consciousness or markedly reduced urine.
• The label identifies interaction boundaries involving grapefruit juice, some antivirals, clarithromycin, itraconazole, rifampin and digoxin. Do not use the site to stop a medicine, schedule separation or change a strength; have a pharmacist review the exact products, foods or drinks, supplements and complete medicine list.
• Symptoms of serious liver injury, jaundice or markedly dark urine need timely medical assessment. Acute liver failure or decompensated cirrhosis is a labelled contraindication boundary; the site does not read laboratory values to decide continuation, interruption or adjustment.