Look Alike-Sound-Alike Medicine List(LASA)
LOOK - ALIKE SOUND-AlIKE (LASA) MEDS Look Alike Sound Alike (LASA) medications involve medications that are visually similar in physical appearance or packaging and names of medications that have spelling similarities and/or similar phonetics. Confusing medication names and similar product packaging may lead to potentially harmful medication errors. To tackle this, HQE Medication Safety Committee have identify and listed out LASA Medications for your references. Ward and clinics could make use of this list in order to prevent medication errors that may arise from LASA Medications. Strategies to avoid medication errors STORAGE LABELING USING TALLMAN LETTERING Tall Man lettering (or Tallman lettering) is the practice of writing part of a medicines name in upper case letters to help distinguish sound- alike, look-alike medications from one another to avoid medication errors. We recommend the use of Tallman Lettering on wards/clinics medication storage labelling. Example of tallman lettering : metFORMIN - metoPROLOL. GOOD PRESCRIBING PRACTICE 1. Write legibly. Write clearly whether on an inpatient order or on a prescription. 2. Prescription should clearly specify name of medication, dosage form, dose and complete direction for use. 3. Communicate clearly. Take your time in pronouncing the drug name whenever an oral order has to be made. Ask that the recipient of the oral communication repeat the medication name and dose. Verbal orders should be limited to emergency situations only. READ & CHECK LABELS 1. 2. Emphasize the need to read labels rather than relying on visual recognition and location. Check actual medicines against medication labels and against the prescriptions. LASA TABLETS Drug Name With Tall Man Letters Confused With Drug Name With Tall Man Letters Confused With AMLOdipine FELOdipine ARIPIprazole ESOMEprazole – PANTOprazole - calcium LACTATE calcium CARBONATE CARBAmazepine CHLORPROmazine CLOXAcillin AMOXYcillin – PENIcillin V ERYTHROmycin FRUsemide CLARIthromycin - CLINDAmycin ACETAZOlamide glibenclaMIDE gliclaZIDE lovaSTATIN loraTADINE metFORMIN metoPROLOL metFORMIN RABEprazole ATORVAstatin ROSUVAstatin – PRAVAstatinSIMVAstatin CARVEDIlol BISOPROlol CELEcoxib ETEROcoxib COzaar* HYzaar* cycloSPORIN CycloSERIN metroNIDAZOLE DOXAZOsin ALFUZOsin METOprolol METHYLdopa ATENOlol – LABETAlol - PROPRAnolol CARBIdopa DUTAsteride FINAsteride neuroBIOn * neuroNTIn * DULoxetine FLUoxetine PERINdopril ENALApril – CAPtopril entaCAPONE enteCAVIR PRAzosin TERAzosin ITRAconazole FLUconazole-VORIconazole FLUNArizine CINNArizine LAMIvudine STAvudine-TELVIvudine - CARBAmazepine CHLORPROmazine CLOTRIMAzole CO-TRIMOXAzole ALPRAzolam LORAzepam CLONAzepam LORAzepam - DIAzepam ARIPIprazole ESOMEprazole – PANTOprazole RABEprazole ATORVAstatin ROSUVAstatin – PRAVAstatinSIMVAstatin CARVEDIlol BISOPROlol CELEcoxib ETEROcoxib ZIDOvudine LOsartan IRBEsartan- TELMIsartan VALsartan LEVOcetrizine CETrizine LEVETIRAcetam PIRAcetam Mycophenolate MOFETIL Mycophenolate SODIUM MIRTAzapine OLANzapine- QUETIApine SITAgliptin VILDA gliptin TENOfovir ADEfovir TENOfovir TENOfovir / FTC (Tenvir EM) LASA injections Drug Name With Tall Man Letters cefOTAXime cefTAZIDime LOOK ALIKE MEDICATION Inj. Hyoscine Butylbromide 20 mg/ml Confused With CefTAZIDime cefTRIAXone CefOTAXime, cefTRIAXone CeFAZolin DOBUTamine DOPamine DOPamine DOBUTamine PANcuronium ROcuronium ROcuronium PANcuronium LOOK ALIKE MEDICATION Inj. Fluconazole 2 mg/ml Inj. Voriconazole 200 mg Inj. Sulperazon 1 g Inj. Ranitidine 50 mg/2 ml Inj. Prochlorperazine Mesylate 12.5 mg/ml LOOK-ALIKE MEDICATION Inj. Sodium Bicarbonate 8.4 % Inj. Potassium Chloride 10 % Inj. Adrenaline Acid Tartarate 0.18 % w/v Inj. Ampicillin 500 mg Inj. Cloxacillin 500 mg Inj. Fluphenazine Decanoate 25 mg/ml Inj. Potassium Dihydrogen Inj. Magnesium Sulfate Inj. Calcium Gluconate Phosphate Inj. Haloperidol 5 mg/ml Inj. Penicillin G 5,000,000 iu Inj. Cefazolin 1 g Inj. Propofol 10 mg/ml Inj. Etomidate 20 mg/10 ml Prepared by: Inj. Streptomycn 1g Inj. Hydrocortisone 100 mg Inj. Cefuroxime 1.5 g Inj. Cefuroxime 750 mg Inj. Cefotaxime 1g Drug Information Centre Hospital Queen Elizabeth
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