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Last Loaded on Web: Thursday, May 01, 2008
The USP DI® Volume I, Drug Information for the Health Care Professional database is a complete, unbiased source of drug information. It contains medically accepted uses for generic and brand name drug products. File 461 contains more than 800 monographs covering more than 11,000 generic and brand name drugs, grouped by family where appropriate. USP DI is named in federal, and some state, statutes as a resource for unlabeled drug uses, patient consultation, and development of drug utilization review (DUR) criteria under Medicaid.
The information in the USP DI® Volume I database undergoes an approval process unmatched by any other drug information resource. It is the result of the consensus of 35 expert advisory panels representing medicine, dentistry, nursing, and pharmacy; and scientific, professional, consumer, and trade organizations. More than 800 volunteers who serve on USP's committees and panels review information before it is incorporated into the database, ensuring that it is complete, unbiased, and as free from commercial conflict as possible.
USE FILE 461to monitor generic and brand name drug products, patient consultation, and DUR criteria. USE MAPto locate CAS® Registry Numbers in other databases, e.g., MAP NA TEMP. USE RANKS CL=CV? RANK SH S1 CONT /p> |
Each monograph includes these important sections:
| Dates Covered: | Same as current edition |
|---|---|
| File Size: | 1,236 monographs (covering more than 10,000 generic and brand name drugs) |
| Update Frequency: | Quarterly |
| ACRONYM | CATEGORY NAME |
|---|---|
| BRANDNMS | Brand Names |
| DRUGDIR | Drug Directories |
| PHARMR | Pharmacology + RINGDOC-Files |
| SAFETY | Safety |
| TOXICOL | Toxicology |
|
USP DI® Volume I, Drug Information for the Health Care Professional is developed by Thomson MICROMEDEX. Questions concerning file content should be directed to: 6200 South Syracuse Way, Suite 300 Greenwood Village, CO 80111-4740
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| DIALOG(R)File 461:USP DI(R) Vol. I | |
| (c) 2004 Thomson Healthcare, Inc. All rts. reserv. | |
| 00001091 | |
| /TI | BETA-ADRENERGIC BLOCKING AGENTS AND THIAZIDE DIURETICS (Systemic) |
| /NA, NA= | This monograph includes information on the following: |
| Atenolol and Chlorthalidone; Bisoprolol and | |
| Hydrochlorothiazide (Not commercially available in | |
| Canada.); Metoprolol and Hydrochlorothiazide (Not | |
| commercially available in Canada.); Nadolol and | |
| Bendroflumethiazide; Pindolol and Hydrochlorothiazide (Not | |
| commercially available in the U.S.); Propranolol and | |
| Hydrochlorothiazide; Timolol and Hydrochlorothiazide. | |
| Brand names: | |
| /TN, TN=, /NA, NA= | //Corzide//[Nadolol and Bendroflumethiazide] |
| //Inderide//[Propranolol and Hydrochlorothiazide] | |
| //Inderide LA//[Propranolol and Hydrochlorothiazide] | |
| //Lopressor HCT//[Metoprolol and Hydrochlorothiazide] | |
| //Tenoretic//[Atenolol and Chlorthalidone] | |
| //Timolide//[Timolol and Hydrochlorothiazide] | |
| //Viskazide//[Pindolol and Hydrochlorothiazide] | |
| //Ziac//[Bisoprolol and Hydrochlorothiazide] | |
| Note: For a listing of dosage forms and brand names by country | |
| availability, see Dosage Forms section(s). | |
| /CL, CL= | CLASSIFICATION (Primary/Secondary): CV400/CV490 |
| /TC | CATEGORY: Antihypertensive. |
| Indications | |
| Accepted | |
| Hypertension (treatment) -- Beta-adrenergic blocking agent | |
| (beta-blocker) and thiazide diuretic combinations are | |
| indicated in the management of hypertension. | |
| Fixed-dosage combinations generally are not recommended | |
| for initial therapy, but are utilized in maintenance | |
| after the required dose is established, in order to | |
| increase convenience, economy, and patient compliance. | |
| For additional information on initial therapeutic | |
| guidelines related to the treatment of hypertension, | |
| see //Appendix III.// | |
| /PH | PHARMACOLOGY/PHARMACOKINETICS |
| Physicochemical characteristics: | |
| Molecular weight -- | |
| Atenolol: 266.34. | |
| Bisoprolol fumarate: 766.97. | |
| Bendroflumethiazide: 421.41. | |
| Chlorthalidone: 338.76. | |
| Hydrochlorothiazide: 297.73. | |
| Metoprolol tartrate: 684.82. | |
| Nadolol: 309.40. | |
| Pindolol: 248.32. | |
| Propranolol hydrochloride: 295.81. | |
| Timolol maleate: 432.49. | |
| (...) | |
| /PS | PRECAUTIONS TO CONSIDER |
| Note: In general, because of the similarity of effect and | |
| because the cardioselectivity of beta-1 blockers is | |
| relative, the same precautions, especially drug | |
| interactions and medical problems, apply to all beta- | |
| adrenergic blocking agents. | |
| Cross-sensitivity and/or related problems | |
| Patients sensitive to other sulfonamide-type medications, | |
| bumetanide, furosemide, or carbonic anhydrase inhibitors | |
| may be sensitive to thiazide diuretics also. | |
| (...) | |
| /AE | SIDE/ADVERSE EFFECTS |
| Note: Signs and symptoms of overdose may include sudden | |
| bradycardia, hypotension, bronchospasm, cardiac | |
| failure, peripheral cyanosis, and seizures; | |
| hypoglycemia may occur rarely. In contrast, pindolol | |
| overdose may result in tachycardia and hypertension | |
| because of intrinsic sympathomimetic activity (ISA). | |
| Signs of overdose usually occur within 1 to 2 hours of | |
| ingestion. | |
| (...) | |
| /PC | PATIENT CONSULTATION |
| As an aid to patient consultation, refer to //Advice | |
| for the Patient, Beta-adrenergic Blocking Agents and | |
| Thiazide Diuretics (Systemic).// | |
| In providing consultation, consider emphasizing the | |
| following selected information (>> (=) major clinical | |
| significance): | |
| Before using this medication | |
| >> Conditions affecting use, especially: | |
| Sensitivity to the beta-adrenergic blocking agent | |
| prescribed, or to any thiazide diuretic or other | |
| sulfonamide-type medications | |
| (...) | |
| /DO | GENERAL DOSING INFORMATION |
| Fixed-dosage combinations generally are not recommended | |
| for initial therapy, but are utilized in maintenance | |
| therapy, after the required dose is established, in | |
| order to increase convenience, economy, and patient | |
| compliance. | |
| The lowest effective dosage of thiazide diuretics | |
| should be utilized to minimize potential electrolyte | |
| imbalance and the reflex increase in renin and | |
| aldosterone levels. | |
| Although plasma concentrations of beta-adrenergic | |
| blocking agents can be ascertained, there is not always | |
| a predictable relationship between plasma concentration | |
| and pharmacologic effects. Pharmacologic effects have | |
| been observed when plasma concentrations were not | |
| discernible. Therefore, titration of dosage with | |
| measurement of heart rate and blood pressure is used to | |
| guide therapy. | |
| (...) | |
| Selected Bibliography | |
| The fifth report of the Joint National Committee on | |
| Detection, Evaluation, and Treatment of High Blood | |
| Pressure (JNC V) | |
| Arch Intern Med 1993; 153(2): 154-83. |
| SEARCH SUFFIX |
DISPLAY CODE |
FIELD NAME |
INDEXING |
SELECT EXAMPLES |
|---|---|---|---|---|
| None | None | All Basic Index Fields | Word | S BETA(W)ADRENERGIC |
| /AE | AE | Side/Adverse Effects Section | Word | S BRONCHOSPASM/AE |
| /CC | CC | Controlled Substance Classification Section | Word | S SCHEDULE(W)IV/CC |
| /CL | CL | VA Classification Section1 | Word | S CV100/CL |
| /DO | DO | General Dosing Section | Word | S ORAL(S)TWO(W)TIMES/DO |
| /NA | NA | Drug Name1,2 | Word | S LOPRESSOR/NA |
| /PC | PC | Patient Consultation Section | Word | S HYPOGLYCEMIA/PC |
| /PH | PH | Pharmacology Section | Word | S LIPOPHILIC/PH |
| /PP | PP | Physical Properties Section | Word | S GAMMA(W)18/PP |
| /PS | PS | Precautions to Consider Section | Word | S CARBONIC(W)ANHYDRASE/PS |
| /TC | TC | Category Section | Word | S ANTIHYPERTENSIVE/TC |
| /TI | TI | Title3 | Word | S BETA(W)ADRENERGIC/TI |
| /TN | TN | Brand Name1,3 | Word | S NADOLOL/TN |
1 Searchable in the Basic Index and in the Additional Indexes.
2 Includes brand name (/TN and TN=).
| SEARCH PREFIX |
DISPLAY CODE |
FIELD NAME |
INDEXING |
SELECT EXAMPLES |
|---|---|---|---|---|
| None | AZ | DIALOG Accession Number | ||
| CL= | CL | VA Classification Code1 | Phrase | S CL=CV400 |
| NA= | NA | Drug Name1,2 | Word & Phrase |
S NA=PROPRANOLOL S NA=ALKA BUTAZOLIDIN |
| SH= | None | Section Heading | Phrase | S SH=PHARMACOLOGY |
| TN= | TN | Brand Name1,3 | Word & Phrase |
S TN=INDERIDE S TN=INDERIDE LA |
| UD= | None | Update | Phrase | S UD=9999 |
| Sets and terms can be limited by Basic Index suffixes, i.e., /AE, /CC, /CL, /DO, /DP, /NA, /PC, /PH, /PP, /PS,/TC, /TI, and /TN (e.g., SELECT S2/TI), as well as by the following feature: |
| SORTABLE FIELDS | EXAMPLES |
|---|---|
| TI | SORT S1/ALL/TI PRINT S5/5/1-24/TI |
| RANK FIELDS | EXAMPLES |
|---|---|
| All phrase- and numeric-indexed fields in the Additional Indexes can be ranked. | RANK TN RANK SH S4 |
| MAP FIELDS | EXAMPLES |
|---|---|
| NA | MAP NA TEMP S1/1-10 |
| Display codes listed in the Search Options tables can be used to customize output. | TYPE S3/TI,CC/1-5 |
| NO. |
DIALOGWEB FORMAT |
RECORD CONTENT |
|---|---|---|
| 1 | -- | DIALOG Accession Number |
| 2 | -- | Bibliographic Data (including Controlled Substance Section) and Category Section |
| 3 | Medium | Bibliographic Data (including Controlled Substance Section) |
| 5 | Long | Bibliographic Data (including Controlled Substance Section), Category Section, and Pharmacology Section |
| 6 | Free | Title and Word Count |
| 7 | -- | Full Record |
| 8 | Short | Title, Word Count, and VA Classification |
| 9 | Full | Full Record |
| K | -- | KWIC (Key Word In Context) displays a window of text; may be used alone or with other formats |
| FIELD NAME | EXAMPLES | ||
|---|---|---|---|
| If the accession number of a specific record is known, it can be used to display the record directly. | TYPE 00001091/5 DISPLAY 00000832/TI,CC PRINT 00000964/9 |
||
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