URO-PAIN DUAL ACTION (methenamine/sodium salicylate)

Moderate

• A-hydrocort

• A-methapred

• abciximab

• Accupril

• Accuretic

• acebutolol

• Aceon

• Altace

• Amaryl

• amiloride

• amiloride-hydrochlorothiazide

• amlodipine-benazepril

• amlodipine-olmesartan

• amlodipine-valsartan

• amlodipine-valsartan-hcthiazid

• Angeliq

• Anucort-hc

• Anusol-hc

• Aristospan Intra-articular

• Aristospan Intralesional

• Arixtra

• Astagraf Xl

• Atacand

• Atacand Hct

• atenolol

• atenolol-chlorthalidone

• Avalide

• Avapro

• azilsartan med-chlorthalidone

• azilsartan medoxomil

• Azor

• benazepril

• benazepril-hydrochlorothiazide

• Benicar

• Benicar Hct

• betamethasone acet & sod phos

• Betapace

• Betapace Af

• betaxolol

• Beyaz

• bisoprolol fumarate

• bisoprolol-hydrochlorothiazide

• Brevibloc

• Brevibloc In Nacl (iso-osm)

• Brilinta

• budesonide

• bumetanide

• Bystolic

• candesartan

• candesartan-hydrochlorothiazid

• captopril

• captopril-hydrochlorothiazide

• Celestone Soluspan

• cilostazol

• cisplatin

• clopidogrel

• colchicine-probenecid

• Colocort

• Corgard

• Cortef

• Cortenema

• Cortifoam

• cortisone

• Corzide

• Cozaar

• cyclosporine

• cyclosporine modified

• dalteparin (porcine)

• Demadex

• Depacon

• Depakene

• Depakote

• Depakote Er

• Depakote Sprinkles

• Depo-medrol

• dexamethasone

• Dexamethasone Intensol

• dexamethasone sodium phos (PF)

• dexamethasone sodium phosphate

• Dexpak 10 Day

• Dexpak 13 Day

• Dexpak 6 Day

• Diabeta

• Diovan Hct

• divalproex

• drospirenone-e.estradiol-lm.FA

• drospirenone-estradiol

• drospirenone-ethinyl estradiol

• Duetact

• Dutoprol

• Dyazide

• Dyrenium

• Edarbi

• Edarbyclor

• Elmiron

• enalapril maleate

• enalapril-hydrochlorothiazide

• enalaprilat

• enoxaparin

• Entocort Ec

• Epaned

• eprosartan

• eprosartan-hydrochlorothiazide

• eptifibatide

• esmolol

• esmolol in NaCl (iso-osm)

• ethacrynate sodium

• Exforge

• Exforge Hct

• Ez Use Joint-tunnel-trigger

• First-duke's

• First-mary's Mouthwash

• Flo-pred

• fludrocortisone

• fondaparinux

• fosinopril

• fosinopril-hydrochlorothiazide

• Fragmin

• furosemide

• Gengraf

• Gianvi (28)

• glimepiride

• glipizide

• glipizide-metformin

• Glucotrol

• Glucotrol Xl

• Glucovance

• glyburide

• glyburide micronized

• glyburide-metformin

• Glynase

• Grx Hicort 25

• Hecoria

• Hemril-30

• heparin (porcine)

• heparin (porcine) in D5W

• heparin(porcine) in 0.45% NaCl

• heparin, porcine (PF)

• hydrocortisone

• hydrocortisone acetate

• hydrocortisone sod succ (PF)

• hydrocortisone sod succinate

• Hyzaar

• Inderal La

• Inderal Xl

• Innopran Xl

• Integrilin

• irbesartan

• irbesartan-hydrochlorothiazide

• Kenalog

• Lasix

• Levatol

• lisinopril

• lisinopril-hydrochlorothiazide

• lithium carbonate

• lithium citrate

• Lithobid

• Lopressor

• Lopressor Hct

• Loryna (28)

• losartan

• losartan-hydrochlorothiazide

• Lotensin

• Lotrel

• Lovenox

• Mavik

• Maxzide

• Maxzide-25Mg

• Medrol

• Medrol (pak)

• methylprednisolone

• methylprednisolone acetate

• methylprednisolone sod suc(PF)

• methylprednisolone sodium succ

• methylprednisolone-bupivacaine

• metoprolol su-hydrochlorothiaz

• metoprolol succinate

• metoprolol ta-hydrochlorothiaz

• metoprolol tartrate

• Micardis

• Micardis Hct

• Millipred

• Millipred Dp

• moexipril

• moexipril-hydrochlorothiazide

• nadolol

• nadolol-bendroflumethiazide

• nateglinide

• nebivolol

• Neoral

• nystatin-hydrocortisone-diphen

• nystatin-TCN-HC-diphenhydramin

• Ocella

• olmesartan

• olmesartan-amlodipin-hcthiazid

• olmesartan-hydrochlorothiazide

• Orapred

• Orapred Odt

• Pediapred

• penbutolol

• pentosan polysulfate sodium

• perindopril erbumine

• Physicians Ez Use M-pred

• pindolol

• pioglitazone-glimepiride

• Plavix

• Pletal

• prednisolone

• prednisolone acetate

• prednisolone sodium phosphate

• prednisone

• Prednisone Intensol

• Prinivil

• probenecid

• Proctocort

• Prograf

• propranolol

• propranolol-hydrochlorothiazid

• quinapril

• quinapril-hydrochlorothiazide

• ramipril

• Rapamune

• Rayos

• Rectacort-hc

• Reopro

• Safyral

• Sandimmune

• Sectral

• sirolimus

• Sodium Edecrin

• Solu-cortef

• Solu-cortef (pf)

• Solu-medrol

• Solu-medrol (pf)

• Sorine

• sotalol

• Sotalol Af

• Starlix

• Stavzor

• Syeda

• tacrolimus

• Tarka

• telmisartan

• telmisartan-amlodipine

• telmisartan-hydrochlorothiazid

• Tenoretic 100

• Tenoretic 50

• Tenormin

• Teveten

• Teveten Hct

• ticagrelor

• timolol maleate

• tolazamide

• tolbutamide

• Toprol Xl

• torsemide

• trandolapril

• trandolapril-verapamil

• triamcinolone acetonide

• triamcinolone hexacetonide

• triamcinolone-lidocaine

• triamterene

• triamterene-hydrochlorothiazid

• Tribenzor

• Twynsta

• Uceris

• Uniretic

• Univasc

• valproate sodium

• valproic acid

• valproic acid (as sodium salt)

• valsartan-hydrochlorothiazide

• Vaseretic

• Vasotec

• Veripred 20

• Vestura (28)

• Yasmin (28)

• Yaz 28

• Zarah

• Zebeta

• Zestoretic

• Zestril

• Ziac

Moderate

• Anemia

• Diabetes mellitus

• Disease of liver

• Edema

• Kidney disease with reduction in GFR

• Severe hepatic disease

• Thyrotoxicosis

Methenamine

• Severity Level:

  2

• Additional Notes: Insuff human data avail; consider maternal benefit vs neonatal risk

Sodium Salicylate

• Severity Level:

  1

• Additional Notes: Fda category c;salicylates not recommended especially in 3rd trimester/near term

Contraindicated

Sodium Salicylate

One report of metabol acidosis w/asa;Risk of reye's syn w/viral illness/fever

General	Excretion Potential	Effect on Infant	Notes
Drug should not be given to breast feeding mothers	Excreted	Not known; no or inclusive data	One report of metabol acidosis w/asa;Risk of reye's syn w/viral illness/fever

Precaution Exists

Methenamine

Limited data suggest low excretion with no known infant adverse effects

General	Excretion Potential	Effect on Infant	Notes
Evaluate use carefully	Excreted	Not known; no or inclusive data	Limited data suggest low excretion with no known infant adverse effects

No Known Risk

None

General	Excretion Potential	Effect on Infant	Notes
			None

Contraindicated

None

Precaution Exists

Sodium Salicylate

General-Elderly have a higher incidence of systemic toxicities. Dose reduction may be needed.

Organ / System	HEP	REN	CARD	ENDO	NEURO / PSYCH	PULM
Increased Risk / Adverse Effects	Y	N	N	Y	N	N

BEERS: N     HEDIS: N     STOPP: N

No Known Risk

None

0-9	A-Z