Prescription
Acitretin is a second-generation systemic retinoid (active metabolite of etretinate) used for the treatment of severe psoriasis (including plaque, pustular, and erythrodermic types) that is...
- Evidence
- Strong
- Class
- Retinoid / Dermatologic
Prescription
A nucleoside analog antiviral that is the prototype agent for herpes virus infections. Active against herpes simplex virus types 1 and 2 (HSV-1, HSV-2) and varicella-zoster virus (VZV). Used for...
- Evidence
- Strong
- Class
- Nucleoside Analog Antiviral
Prescription
A short-acting beta-2 adrenergic agonist (SABA) that is the most widely used rescue inhaler for acute bronchospasm. The cornerstone of acute asthma and COPD symptom relief, providing rapid...
- Evidence
- Strong
- Class
- Short-Acting Beta-2 Agonist (SABA)
Prescription
Alendronate is the most widely prescribed bisphosphonate for the prevention and treatment of osteoporosis in postmenopausal women, glucocorticoid-induced osteoporosis, and osteoporosis in men. The...
- Evidence
- Strong
- Class
- Bisphosphonate
Prescription
Alfuzosin is an alpha-1 adrenergic receptor antagonist with relative selectivity for the lower urinary tract, used for the treatment of signs and symptoms of benign prostatic hyperplasia (BPH). It...
- Evidence
- Strong
- Class
- Alpha-1 Blocker / Urologic
Prescription
A xanthine oxidase inhibitor used as first-line urate-lowering therapy for the chronic management of gout and hyperuricemia. Allopurinol reduces serum uric acid levels by inhibiting the enzyme that...
- Evidence
- Strong
- Class
- Xanthine Oxidase Inhibitor (Gout)
Prescription
Prescription benzodiazepine (Schedule IV controlled substance) approved for generalized anxiety disorder and panic disorder. One of the most commonly prescribed benzodiazepines with rapid onset of...
- Evidence
- Strong
- Class
- Benzodiazepine
Prescription
A combination antacid containing aluminum hydroxide and magnesium hydroxide, used for the symptomatic relief of heartburn, acid indigestion, sour stomach, and peptic ulcer pain. The combination...
- Evidence
- Strong
- Class
- Antacid
Prescription
Amiodarone is the most effective antiarrhythmic drug available, possessing properties of all four Vaughan-Williams antiarrhythmic classes. It is used for life-threatening ventricular arrhythmias and...
- Evidence
- Strong
- Class
- Class III Antiarrhythmic
Prescription
Prescription tricyclic antidepressant (TCA) originally approved for major depressive disorder but now more commonly used for chronic neuropathic pain, migraine prophylaxis, and fibromyalgia due to...
- Evidence
- Strong
- Class
- Tricyclic Antidepressant (TCA)
Prescription
Amlodipine is a long-acting dihydropyridine calcium channel blocker and one of the most commonly prescribed antihypertensives worldwide. It is effective for hypertension and angina, with landmark...
- Evidence
- Strong
- Class
- Dihydropyridine Calcium Channel Blocker
Prescription
A broad-spectrum penicillin antibiotic used to treat a wide variety of bacterial infections including otitis media, sinusitis, pharyngitis, lower respiratory tract infections, urinary tract...
- Evidence
- Strong
- Class
- Penicillin Antibiotic
Prescription
A combination antibiotic pairing amoxicillin with clavulanic acid, a beta-lactamase inhibitor. This extends the spectrum of amoxicillin to include beta-lactamase-producing strains of H. influenzae,...
- Evidence
- Strong
- Class
- Penicillin/Beta-Lactamase Inhibitor Combination
Prescription
Prescription central nervous system stimulant (Schedule II controlled substance) containing mixed amphetamine salts (75% dextroamphetamine, 25% levoamphetamine), approved for ADHD and narcolepsy....
- Evidence
- Strong
- Class
- CNS Stimulant
Prescription
Apixaban is a direct oral factor Xa inhibitor with strong evidence from the ARISTOTLE trial showing superiority to warfarin for stroke prevention in atrial fibrillation with less bleeding. It is...
- Evidence
- Strong
- Class
- Direct Oral Anticoagulant (DOAC)
Prescription
Prescription second-generation (atypical) antipsychotic approved for schizophrenia, bipolar I disorder, adjunctive treatment for major depressive disorder, irritability associated with autistic...
- Evidence
- Strong
- Class
- Atypical Antipsychotic
Prescription
Low-dose aspirin (75–100 mg) is an antiplatelet agent widely used for secondary prevention of cardiovascular events including myocardial infarction and ischemic stroke. Its role in primary...
- Evidence
- Strong
- Class
- Antiplatelet Agent
Prescription
Atenolol is a cardioselective beta-1 blocker used for hypertension and angina. It is hydrophilic and does not cross the blood-brain barrier readily, potentially causing fewer central nervous system...
- Evidence
- Moderate
- Class
- Beta-1 Selective Adrenergic Blocker
Prescription
Prescription non-stimulant medication approved for ADHD in children, adolescents, and adults. A selective norepinephrine reuptake inhibitor (NRI) that provides 24-hour symptom coverage without abuse...
- Evidence
- Strong
- Class
- Non-Stimulant ADHD Medication
Prescription
Atorvastatin is a high-intensity statin used to lower LDL cholesterol and reduce cardiovascular risk. It is one of the most widely prescribed medications worldwide for hyperlipidemia,...
- Evidence
- Strong
- Class
- HMG-CoA Reductase Inhibitor (Statin)
Prescription
A macrolide antibiotic with a broad spectrum of activity against gram-positive, some gram-negative, and atypical organisms (Mycoplasma, Chlamydia, Legionella). The 5-day 'Z-Pack' course is one of...
- Evidence
- Strong
- Class
- Macrolide Antibiotic
Prescription
A GABA-B receptor agonist used for the treatment of spasticity resulting from multiple sclerosis, spinal cord injuries, and other spinal cord diseases. Baclofen is also available as an intrathecal...
- Evidence
- Strong
- Class
- Skeletal Muscle Relaxant (Antispastic)
Prescription
Benazepril is an ACE inhibitor prodrug used primarily for hypertension. It is also available in combination with amlodipine (Lotrel) and hydrochlorothiazide (Lotensin HCT) for enhanced blood...
- Evidence
- Strong
- Class
- ACE Inhibitor
Prescription
A diphenylmethane derivative stimulant laxative used for the relief of occasional constipation and for bowel preparation before diagnostic procedures or surgery. Bisacodyl is available in both oral...
- Evidence
- Strong
- Class
- Stimulant Laxative
Prescription
Bisoprolol is a highly cardioselective beta-1 blocker with proven mortality reduction in heart failure from the CIBIS-II trial. It has the highest beta-1 selectivity among available beta-blockers,...
- Evidence
- Strong
- Class
- Beta-1 Selective Adrenergic Blocker
Prescription
Brimonidine is a selective alpha-2 adrenergic agonist used topically to reduce intraocular pressure (IOP) in open-angle glaucoma and ocular hypertension. It lowers IOP by 15-20% through dual...
- Evidence
- Strong
- Class
- Alpha-2 Agonist / Ophthalmologic
Prescription
An inhaled corticosteroid used as a controller medication for persistent asthma. Available as a dry powder inhaler (Flexhaler) for older children and adults, and as a nebulizer suspension (Respules)...
- Evidence
- Strong
- Class
- Inhaled Corticosteroid
Prescription
Prescription norepinephrine-dopamine reuptake inhibitor (NDRI) approved for major depressive disorder, seasonal affective disorder, and smoking cessation (marketed as Zyban). Unique among...
- Evidence
- Strong
- Class
- Atypical Antidepressant (NDRI)
Prescription
Prescription non-benzodiazepine anxiolytic approved for the treatment of generalized anxiety disorder (GAD). Unlike benzodiazepines, buspirone has no abuse potential, does not cause physical...
- Evidence
- Moderate
- Class
- Non-Benzodiazepine Anxiolytic
Prescription
A widely used over-the-counter antacid that provides rapid, short-term relief of heartburn, acid indigestion, and sour stomach. Calcium carbonate also serves as a calcium supplement and is used as a...
- Evidence
- Moderate
- Class
- Antacid
Prescription
Canagliflozin was the first SGLT2 inhibitor approved in the United States for type 2 diabetes. The CANVAS trial demonstrated cardiovascular benefits, and the CREDENCE trial showed significant renal...
- Evidence
- Strong
- Class
- SGLT2 Inhibitor
Prescription
Carbamazepine is a first-generation antiepileptic used for partial seizures with complex symptomatology, generalized tonic-clonic seizures, trigeminal neuralgia, and as a mood stabilizer in bipolar...
- Evidence
- Strong
- Class
- Antiepileptic
Prescription
Carvedilol is a unique third-generation beta-blocker that combines non-selective beta-blockade with alpha-1 receptor antagonism and antioxidant properties. The COPERNICUS trial demonstrated a 35%...
- Evidence
- Strong
- Class
- Non-Selective Beta-Blocker with Alpha-1 Blockade
Prescription
A third-generation cephalosporin with broad-spectrum activity against many gram-negative and gram-positive organisms. Administered parenterally (IM or IV), it is a cornerstone agent for...
- Evidence
- Strong
- Class
- Third-Generation Cephalosporin
Prescription
The only selective COX-2 inhibitor currently available in the U.S., celecoxib provides anti-inflammatory and analgesic effects with a significantly lower risk of GI ulceration and bleeding compared...
- Evidence
- Strong
- Class
- Nonsteroidal Anti-Inflammatory Drug (COX-2 Selective)
Prescription
A first-generation cephalosporin antibiotic with excellent activity against gram-positive cocci including methicillin-susceptible S. aureus (MSSA) and streptococci. Commonly used for skin and soft...
- Evidence
- Strong
- Class
- First-Generation Cephalosporin
Prescription
A second-generation (non-sedating) antihistamine used for the relief of symptoms associated with seasonal and perennial allergic rhinitis and chronic idiopathic urticaria. The active carboxylate...
- Evidence
- Strong
- Class
- Second-Generation Antihistamine
Prescription
Chlorthalidone is a thiazide-like diuretic with a longer half-life and stronger evidence base than hydrochlorothiazide. It was the diuretic used in the landmark ALLHAT and SHEP trials. Major...
- Evidence
- Strong
- Class
- Thiazide-Like Diuretic
Prescription
The first commercially available H2 receptor antagonist, cimetidine is used for the treatment of duodenal and gastric ulcers, GERD, and pathological hypersecretory conditions. While effective, it...
- Evidence
- Strong
- Class
- H2 Receptor Antagonist
Prescription
A second-generation fluoroquinolone with potent gram-negative activity, including Pseudomonas aeruginosa. Used for complicated urinary tract infections, pyelonephritis, infectious diarrhea,...
- Evidence
- Strong
- Class
- Fluoroquinolone Antibiotic
Prescription
Prescription selective serotonin reuptake inhibitor (SSRI) approved for major depressive disorder. The racemic mixture of S-citalopram and R-citalopram. Well tolerated with few drug interactions due...
- Evidence
- Strong
- Class
- SSRI
Prescription
A macrolide antibiotic with activity against gram-positive cocci, atypical organisms (Mycoplasma, Chlamydia, Legionella), and Mycobacterium avium complex (MAC). Used for community-acquired...
- Evidence
- Strong
- Class
- Macrolide Antibiotic
Prescription
A lincosamide antibiotic with excellent activity against gram-positive cocci (including many community-acquired MRSA strains), anaerobes, and certain protozoa (Toxoplasma, Plasmodium). Used for skin...
- Evidence
- Strong
- Class
- Lincosamide Antibiotic
Prescription
Prescription benzodiazepine (Schedule IV controlled substance) approved for panic disorder and certain seizure disorders (Lennox-Gastaut syndrome, akinetic and myoclonic seizures). Its long...
- Evidence
- Strong
- Class
- Benzodiazepine
Prescription
Clopidogrel is a thienopyridine P2Y12 receptor inhibitor widely used for secondary prevention after acute coronary syndromes and percutaneous coronary intervention (PCI). The CURE and COMMIT trials...
- Evidence
- Strong
- Class
- Antiplatelet Agent (P2Y12 Inhibitor)
Prescription
An anti-inflammatory alkaloid derived from the autumn crocus plant, used for the treatment and prevention of gout flares and for familial Mediterranean fever. Colchicine has also shown...
- Evidence
- Strong
- Class
- Anti-Gout / Anti-Inflammatory
Prescription
Combined oral contraceptives (COCs) contain synthetic estrogen (usually ethinyl estradiol 20–35 mcg) and a progestin component. They are primarily used for contraception but are also prescribed for...
- Evidence
- Strong
- Class
- Hormonal Contraceptive
Prescription
A centrally acting skeletal muscle relaxant structurally related to tricyclic antidepressants, used for the short-term relief of muscle spasm associated with acute, painful musculoskeletal...
- Evidence
- Strong
- Class
- Skeletal Muscle Relaxant
Prescription
Dabigatran is a direct thrombin (factor IIa) inhibitor that was the first DOAC approved for stroke prevention in non-valvular atrial fibrillation, based on the RE-LY trial. It is the only DOAC with...
- Evidence
- Strong
- Class
- Direct Oral Anticoagulant (DOAC)
Prescription
Dapagliflozin is an SGLT2 inhibitor approved for type 2 diabetes, heart failure (with reduced or preserved ejection fraction), and chronic kidney disease. The DAPA-HF and DAPA-CKD trials established...
- Evidence
- Strong
- Class
- SGLT2 Inhibitor
Prescription
Dapsone is a sulfone antibiotic with potent anti-inflammatory properties used both systemically and topically in dermatology. Oral dapsone is the treatment of choice for dermatitis herpetiformis and...
- Evidence
- Strong
- Class
- Anti-inflammatory / Dermatologic
Prescription
Prescription serotonin-norepinephrine reuptake inhibitor (SNRI) approved for major depressive disorder. The primary active metabolite of venlafaxine, administered as its succinate salt. Offers more...
- Evidence
- Strong
- Class
- SNRI
Prescription
Dexamethasone is a potent, long-acting synthetic glucocorticoid with approximately 25–30 times the anti-inflammatory potency of hydrocortisone and virtually no mineralocorticoid activity. It is used...
- Evidence
- Strong
- Class
- Corticosteroid
Prescription
Prescription benzodiazepine (Schedule IV controlled substance) approved for anxiety disorders, acute alcohol withdrawal, muscle spasm, seizure disorders, and as a preanesthetic agent. One of the...
- Evidence
- Strong
- Class
- Benzodiazepine
Prescription
A potent nonselective NSAID available in multiple formulations (oral, topical, ophthalmic) used for the treatment of pain and inflammation in osteoarthritis, rheumatoid arthritis, ankylosing...
- Evidence
- Strong
- Class
- Nonsteroidal Anti-Inflammatory Drug (NSAID)
Prescription
Digoxin is a cardiac glycoside used for rate control in atrial fibrillation and symptomatic improvement in heart failure with reduced ejection fraction. The DIG trial showed it reduces...
- Evidence
- Moderate
- Class
- Cardiac Glycoside
Prescription
Diltiazem is a benzothiazepine-type non-dihydropyridine calcium channel blocker that affects both vascular smooth muscle and cardiac conduction tissue. It is used for hypertension, angina, and rate...
- Evidence
- Strong
- Class
- Non-Dihydropyridine Calcium Channel Blocker
Prescription
A first-generation antihistamine and the prototypical H1 receptor antagonist. Used for allergic reactions (urticaria, angioedema, allergic rhinitis), motion sickness, insomnia (OTC sleep aid), acute...
- Evidence
- Strong
- Class
- First-Generation Antihistamine
Prescription
Dofetilide is a pure class III antiarrhythmic that selectively blocks the rapid component of the delayed rectifier potassium current (IKr). It is used for conversion and maintenance of sinus rhythm...
- Evidence
- Moderate
- Class
- Class III Antiarrhythmic
Prescription
Donepezil is a centrally-acting reversible acetylcholinesterase inhibitor indicated for the treatment of mild, moderate, and severe Alzheimer's disease. It is the most widely prescribed medication...
- Evidence
- Moderate
- Class
- Cholinesterase Inhibitor / Alzheimer's
Prescription
A broad-spectrum tetracycline antibiotic effective against a wide range of gram-positive, gram-negative, atypical, and intracellular organisms. Used extensively for community-acquired pneumonia,...
- Evidence
- Strong
- Class
- Tetracycline Antibiotic
Prescription
Dulaglutide is a once-weekly injectable GLP-1 receptor agonist for type 2 diabetes. The REWIND trial uniquely demonstrated cardiovascular benefit in a broader diabetes population, including patients...
- Evidence
- Strong
- Class
- GLP-1 Receptor Agonist
Prescription
Prescription serotonin-norepinephrine reuptake inhibitor (SNRI) approved for major depressive disorder, generalized anxiety disorder, diabetic peripheral neuropathic pain, fibromyalgia, and chronic...
- Evidence
- Strong
- Class
- SNRI
Prescription
Dutasteride is a dual inhibitor of both type I and type II 5-alpha reductase, resulting in more complete DHT suppression than finasteride (~95% vs ~70%). It is approved for the treatment of BPH (as...
- Evidence
- Strong
- Class
- 5-Alpha Reductase Inhibitor / Urologic
Prescription
Empagliflozin is a sodium-glucose cotransporter 2 (SGLT2) inhibitor approved for type 2 diabetes and to reduce cardiovascular death in patients with established cardiovascular disease. It also has...
- Evidence
- Strong
- Class
- SGLT2 Inhibitor
Prescription
Enalapril is an ACE inhibitor prodrug with landmark evidence from the SOLVD trial demonstrating mortality reduction in heart failure with reduced ejection fraction. It is widely used for...
- Evidence
- Strong
- Class
- ACE Inhibitor
Prescription
Enoxaparin is a low-molecular-weight heparin used for prevention and treatment of deep vein thrombosis and pulmonary embolism, as well as in acute coronary syndromes. It is the most widely used LMWH...
- Evidence
- Strong
- Class
- Low-Molecular-Weight Heparin (LMWH)
Prescription
Eplerenone is a selective mineralocorticoid receptor antagonist with significantly less anti-androgenic activity than spironolactone. The EPHESUS trial showed mortality reduction in post-MI patients...
- Evidence
- Strong
- Class
- Selective Mineralocorticoid Receptor Antagonist
Prescription
Prescription selective serotonin reuptake inhibitor (SSRI) approved for major depressive disorder and generalized anxiety disorder. The S-enantiomer of citalopram, it is considered one of the most...
- Evidence
- Strong
- Class
- SSRI
Prescription
The S-enantiomer of omeprazole, esomeprazole is a potent proton pump inhibitor used to treat GERD, erosive esophagitis, peptic ulcers, and as part of H. pylori eradication therapy. It provides more...
- Evidence
- Strong
- Class
- Proton Pump Inhibitor
Prescription
Estradiol is the primary and most potent endogenous estrogen, used in hormone replacement therapy (HRT) for menopausal symptoms including vasomotor symptoms (hot flashes), vulvovaginal atrophy, and...
- Evidence
- Strong
- Class
- Estrogen Hormone
Prescription
Prescription non-benzodiazepine sedative-hypnotic (Schedule IV controlled substance) approved for insomnia. The S-isomer of zopiclone, it is one of the few prescription sleep aids approved for...
- Evidence
- Strong
- Class
- Sedative-Hypnotic (Non-Benzodiazepine)
Prescription
A histamine-2 receptor antagonist used for the treatment and prevention of duodenal and gastric ulcers, GERD, erosive esophagitis, and conditions involving pathological gastric acid hypersecretion....
- Evidence
- Strong
- Class
- H2 Receptor Antagonist
Prescription
A non-purine selective xanthine oxidase inhibitor used for the chronic management of hyperuricemia in patients with gout. Febuxostat is indicated as a second-line urate-lowering agent when...
- Evidence
- Strong
- Class
- Xanthine Oxidase Inhibitor (Gout)
Prescription
A second-generation antihistamine that is the active carboxylate metabolite of terfenadine. Provides effective relief of allergic rhinitis symptoms and chronic idiopathic urticaria with virtually no...
- Evidence
- Strong
- Class
- Second-Generation Antihistamine
Prescription
Finasteride is a selective inhibitor of type II 5-alpha reductase, the enzyme that converts testosterone to dihydrotestosterone (DHT) in the prostate, liver, and skin. At 5 mg (Proscar), it treats...
- Evidence
- Strong
- Class
- 5-Alpha Reductase Inhibitor / Urologic
Prescription
Flecainide is a class IC antiarrhythmic agent used for prevention of paroxysmal supraventricular tachycardias (PSVT), paroxysmal atrial fibrillation, and life-threatening ventricular arrhythmias....
- Evidence
- Moderate
- Class
- Class IC Antiarrhythmic
Prescription
A first-generation triazole antifungal with excellent activity against most Candida species (except C. krusei and some C. glabrata) and Cryptococcus neoformans. Used for vulvovaginal candidiasis...
- Evidence
- Strong
- Class
- Triazole Antifungal
Prescription
Prescription selective serotonin reuptake inhibitor (SSRI) approved for major depressive disorder, OCD, panic disorder, bulimia nervosa, and premenstrual dysphoric disorder. Known for its...
- Evidence
- Strong
- Class
- SSRI
Prescription
An inhaled corticosteroid (ICS) that is a cornerstone of persistent asthma management. Fluticasone propionate (Flovent) and fluticasone furoate (Arnuity) deliver potent topical anti-inflammatory...
- Evidence
- Strong
- Class
- Inhaled Corticosteroid
Prescription
An intranasal corticosteroid (INCS) considered the most effective pharmacotherapy class for allergic rhinitis. Fluticasone propionate (Flonase) and fluticasone furoate (Veramyst/Flonase Sensimist)...
- Evidence
- Strong
- Class
- Intranasal Corticosteroid
Prescription
Prescription selective serotonin reuptake inhibitor (SSRI) primarily approved for the treatment of obsessive-compulsive disorder (OCD) in adults and children aged 8 and older. Also used off-label...
- Evidence
- Strong
- Class
- SSRI
Prescription
Furosemide is a potent loop diuretic used primarily for edema associated with heart failure, cirrhosis, and renal disease. It produces rapid and profound diuresis and is essential for managing acute...
- Evidence
- Strong
- Class
- Loop Diuretic
Prescription
An anticonvulsant and analgesic used for the treatment of postherpetic neuralgia and as adjunctive therapy for partial seizures. Gabapentin is widely used off-label for various neuropathic pain...
- Evidence
- Strong
- Class
- Neuropathic Pain Agent (Gabapentinoid)
Prescription
Glimepiride is a third-generation sulfonylurea used for type 2 diabetes management. It is preferred over glyburide in many patients due to its once-daily dosing, lower risk of hypoglycemia, and...
- Evidence
- Strong
- Class
- Sulfonylurea
Prescription
Glipizide is a second-generation sulfonylurea used to improve glycemic control in adults with type 2 diabetes. It stimulates insulin release from functioning pancreatic beta cells and is typically...
- Evidence
- Strong
- Class
- Sulfonylurea
Prescription
Glyburide (also known as glibenclamide) is a second-generation sulfonylurea used for glycemic control in type 2 diabetes. It is one of the more potent sulfonylureas and carries a higher risk of...
- Evidence
- Strong
- Class
- Sulfonylurea
Prescription
Prescription non-stimulant medication approved in its extended-release form (Intuniv) for ADHD in children and adolescents aged 6–17. A selective alpha-2A adrenergic receptor agonist that...
- Evidence
- Moderate
- Class
- Non-Stimulant ADHD Medication
Prescription
Hydralazine is a direct arteriolar vasodilator used for hypertension and heart failure. The A-HeFT trial demonstrated significant mortality benefit when combined with isosorbide dinitrate (BiDil) in...
- Evidence
- Strong
- Class
- Direct Arteriolar Vasodilator
Prescription
Hydrochlorothiazide (HCTZ) is a thiazide diuretic and one of the most commonly prescribed antihypertensives. It is often used in combination with other agents including ACE inhibitors, ARBs, and...
- Evidence
- Strong
- Class
- Thiazide Diuretic
Prescription
A semi-synthetic opioid commonly prescribed in combination with acetaminophen (Vicodin, Norco) for the management of pain severe enough to require opioid treatment and for which alternative...
- Evidence
- Strong
- Class
- Opioid Analgesic
Prescription
An antimalarial drug widely used as a DMARD for the treatment of rheumatoid arthritis and systemic lupus erythematosus (SLE). Hydroxychloroquine is considered one of the safest DMARDs with a...
- Evidence
- Strong
- Class
- Disease-Modifying Antirheumatic Drug (DMARD)
Prescription
Prescription first-generation antihistamine used for the management of anxiety, pruritus, and as a preoperative sedative. Available in two salt forms: hydroxyzine pamoate (Vistaril) typically used...
- Evidence
- Moderate
- Class
- Non-Benzodiazepine Anxiolytic
Prescription
A widely used nonselective NSAID with analgesic, anti-inflammatory, and antipyretic properties. Ibuprofen is first-line therapy for mild-to-moderate pain, inflammatory conditions, dysmenorrhea, and...
- Evidence
- Strong
- Class
- Nonsteroidal Anti-Inflammatory Drug (NSAID)
Prescription
Insulin aspart is a rapid-acting insulin analogue for prandial glucose control in type 1 and type 2 diabetes. Fiasp (faster-acting insulin aspart) includes niacinamide and L-arginine to further...
- Evidence
- Strong
- Class
- Rapid-Acting Insulin
Prescription
Insulin glargine is a long-acting basal insulin analogue used for glycemic control in type 1 and type 2 diabetes. It provides a relatively flat, peakless insulin profile over approximately 24 hours,...
- Evidence
- Strong
- Class
- Long-Acting Insulin
Prescription
Insulin lispro is a rapid-acting insulin analogue used for mealtime (prandial) glycemic control in type 1 and type 2 diabetes. It has a faster onset and shorter duration than regular human insulin,...
- Evidence
- Strong
- Class
- Rapid-Acting Insulin
Prescription
A short-acting muscarinic antagonist (SAMA/short-acting anticholinergic) used for the maintenance treatment of COPD and as an adjunct to beta-agonists in acute severe asthma and COPD exacerbations....
- Evidence
- Strong
- Class
- Short-Acting Muscarinic Antagonist (SAMA)
Prescription
Irbesartan is an ARB with strong evidence from the IDNT and IRMA-2 trials for nephroprotection in type 2 diabetes. It provides effective 24-hour blood pressure control with once-daily dosing and...
- Evidence
- Strong
- Class
- Angiotensin II Receptor Blocker (ARB)
Prescription
Isosorbide mononitrate is a long-acting organic nitrate used for prophylaxis of angina pectoris. It is the active metabolite of isosorbide dinitrate with 100% oral bioavailability. The...
- Evidence
- Strong
- Class
- Organic Nitrate
Prescription
Isotretinoin (13-cis-retinoic acid) is the most effective treatment for severe, recalcitrant nodular acne that has failed conventional therapy. It is the only acne medication that addresses all four...
- Evidence
- Strong
- Class
- Retinoid / Dermatologic
Prescription
Ivabradine selectively reduces heart rate without affecting blood pressure, contractility, or conduction. The SHIFT trial demonstrated reduced heart failure hospitalization in patients with HFrEF...
- Evidence
- Strong
- Class
- Hyperpolarization-Activated Cyclic Nucleotide-Gated (HCN) Channel Blocker
Prescription
A synthetic disaccharide osmotic laxative used for the treatment of chronic constipation and, at higher doses, for the treatment of hepatic encephalopathy. Lactulose is not digested by human enzymes...
- Evidence
- Strong
- Class
- Osmotic Laxative
Prescription
Prescription mood stabilizer and anticonvulsant approved for maintenance treatment of bipolar I disorder to delay episodes of depression and mania, as well as for epilepsy. Particularly effective...
- Evidence
- Strong
- Class
- Mood Stabilizer / Anticonvulsant
Prescription
A proton pump inhibitor used for the short-term treatment of active duodenal ulcers, gastric ulcers, erosive esophagitis, GERD, and as part of multi-drug regimens for H. pylori eradication....
- Evidence
- Strong
- Class
- Proton Pump Inhibitor
Prescription
Latanoprost is a prostaglandin F2-alpha analog and the most widely prescribed first-line medication for open-angle glaucoma and ocular hypertension. It reduces intraocular pressure (IOP) by 25-35%...
- Evidence
- Strong
- Class
- Prostaglandin Analog / Ophthalmologic
Prescription
A pyrimidine synthesis inhibitor DMARD used for the treatment of active rheumatoid arthritis and psoriatic arthritis. Leflunomide is an alternative to methotrexate for patients who cannot tolerate...
- Evidence
- Strong
- Class
- Disease-Modifying Antirheumatic Drug (DMARD)
Prescription
Levetiracetam is a broad-spectrum antiepileptic drug used as monotherapy or adjunctive therapy for partial-onset seizures, myoclonic seizures in juvenile myoclonic epilepsy, and primary generalized...
- Evidence
- Strong
- Class
- Antiepileptic
Prescription
Levodopa/carbidopa is the gold-standard treatment for Parkinson's disease. Levodopa is the metabolic precursor to dopamine and crosses the blood-brain barrier, where it is converted to dopamine by...
- Evidence
- Strong
- Class
- Dopaminergic / Antiparkinson
Prescription
A third-generation (respiratory) fluoroquinolone with broad-spectrum activity against gram-positive (including S. pneumoniae), gram-negative, and atypical organisms. Often called a 'respiratory...
- Evidence
- Strong
- Class
- Fluoroquinolone Antibiotic
Prescription
Levothyroxine (synthetic T4) is the standard treatment for hypothyroidism and is one of the most prescribed medications worldwide. It replaces or supplements deficient thyroid hormone, restoring...
- Evidence
- Strong
- Class
- Thyroid Hormone
Prescription
Linagliptin is a DPP-4 inhibitor for type 2 diabetes that is unique in its class because it is primarily eliminated via the bile and gut rather than the kidneys. This means no dose adjustment is...
- Evidence
- Strong
- Class
- DPP-4 Inhibitor
Prescription
Liothyronine is a synthetic form of triiodothyronine (T3), the most metabolically active thyroid hormone. It has a faster onset and shorter duration than levothyroxine and is sometimes used in...
- Evidence
- Moderate
- Class
- Thyroid Hormone
Prescription
Liraglutide is a once-daily injectable GLP-1 receptor agonist approved for type 2 diabetes (Victoza, up to 1.8 mg) and chronic weight management (Saxenda, 3.0 mg). The LEADER trial demonstrated a...
- Evidence
- Strong
- Class
- GLP-1 Receptor Agonist
Prescription
Prescription central nervous system stimulant (Schedule II controlled substance) approved for ADHD and moderate-to-severe binge eating disorder. A prodrug that requires enzymatic cleavage in the...
- Evidence
- Strong
- Class
- CNS Stimulant
Prescription
Lisinopril is a long-acting ACE inhibitor widely used for hypertension, heart failure, and post-myocardial infarction care. It is one of the most commonly prescribed antihypertensives and has...
- Evidence
- Strong
- Class
- ACE Inhibitor
Prescription
Prescription mood stabilizer and the gold standard for bipolar disorder treatment, with strong evidence for preventing both manic and depressive episodes and reducing suicide risk. Has a narrow...
- Evidence
- Strong
- Class
- Mood Stabilizer
Prescription
A synthetic opioid receptor agonist that acts peripherally on the gastrointestinal tract to reduce diarrhea. Loperamide does not cross the blood-brain barrier at therapeutic doses and therefore...
- Evidence
- Strong
- Class
- Anti-Diarrheal
Prescription
A second-generation antihistamine with minimal sedative effects, used for the symptomatic relief of seasonal and perennial allergic rhinitis and chronic idiopathic urticaria. One of the least...
- Evidence
- Strong
- Class
- Second-Generation Antihistamine
Prescription
Prescription benzodiazepine (Schedule IV controlled substance) approved for anxiety disorders, insomnia due to anxiety, and as a preanesthetic agent. Also widely used for acute seizure management,...
- Evidence
- Strong
- Class
- Benzodiazepine
Prescription
Losartan was the first ARB approved for clinical use and has strong evidence from the LIFE trial for stroke reduction in hypertensive patients with left ventricular hypertrophy. It is also approved...
- Evidence
- Strong
- Class
- Angiotensin II Receptor Blocker (ARB)
Prescription
Lovastatin was the first commercially available statin and is a moderate-intensity agent derived from Aspergillus terreus fungus. It was the first drug to clearly demonstrate that lowering...
- Evidence
- Strong
- Class
- HMG-CoA Reductase Inhibitor (Statin)
Prescription
Medroxyprogesterone acetate (MPA) is a synthetic progestin used orally (Provera) for secondary amenorrhea, abnormal uterine bleeding, endometrial protection in HRT, and endometriosis. The injectable...
- Evidence
- Strong
- Class
- Progestin Hormone
Prescription
A preferential COX-2 inhibiting NSAID with a long half-life allowing once-daily dosing, used primarily for the treatment of osteoarthritis and rheumatoid arthritis. At lower doses, meloxicam...
- Evidence
- Strong
- Class
- Nonsteroidal Anti-Inflammatory Drug (NSAID)
Prescription
Memantine is a moderate-affinity, uncompetitive NMDA receptor antagonist indicated for moderate-to-severe Alzheimer's disease. It is the only approved Alzheimer's drug with a non-cholinergic...
- Evidence
- Moderate
- Class
- NMDA Antagonist / Alzheimer's
Prescription
A 5-aminosalicylic acid (5-ASA) agent used as first-line therapy for induction and maintenance of remission in mild-to-moderate ulcerative colitis. Mesalamine acts locally on the colonic mucosa and...
- Evidence
- Strong
- Class
- Aminosalicylate (IBD)
Prescription
Metformin is the first-line oral medication for type 2 diabetes mellitus. It lowers blood glucose by reducing hepatic glucose production and improving insulin sensitivity in peripheral tissues. It...
- Evidence
- Strong
- Class
- Biguanide
Prescription
Methimazole is the preferred antithyroid medication for the treatment of hyperthyroidism, including Graves' disease and toxic multinodular goiter. It inhibits thyroid hormone synthesis and is used...
- Evidence
- Strong
- Class
- Antithyroid Agent
Prescription
A centrally acting skeletal muscle relaxant used as an adjunct to rest, physical therapy, and other measures for the relief of discomfort associated with acute, painful musculoskeletal conditions....
- Evidence
- Moderate
- Class
- Skeletal Muscle Relaxant
Prescription
The anchor DMARD and most widely used first-line therapy for rheumatoid arthritis, also indicated for psoriatic arthritis, psoriasis, and certain cancers. Low-dose weekly methotrexate is the...
- Evidence
- Strong
- Class
- Disease-Modifying Antirheumatic Drug (DMARD)
Prescription
Prescription central nervous system stimulant (Schedule II controlled substance) approved for attention-deficit/hyperactivity disorder (ADHD) and narcolepsy. One of the most extensively studied...
- Evidence
- Strong
- Class
- CNS Stimulant
Prescription
Methylprednisolone is a synthetic glucocorticoid available in oral, intramuscular, intravenous, and intra-articular formulations. IV methylprednisolone (Solu-Medrol) is frequently used for acute...
- Evidence
- Strong
- Class
- Corticosteroid
Prescription
A dopamine D2 receptor antagonist and prokinetic agent used for the treatment of GERD, diabetic gastroparesis, and prevention of nausea and vomiting associated with chemotherapy and surgery....
- Evidence
- Strong
- Class
- Prokinetic Antiemetic
Prescription
Metoprolol is a cardioselective beta-1 blocker available in immediate-release (tartrate) and extended-release (succinate) formulations. The MERIT-HF trial demonstrated significant mortality...
- Evidence
- Strong
- Class
- Beta-1 Selective Adrenergic Blocker
Prescription
A nitroimidazole antimicrobial with potent activity against anaerobic bacteria and certain protozoa. Alternative treatment for Clostridioides difficile infection when vancomycin or fidaxomicin is...
- Evidence
- Strong
- Class
- Nitroimidazole Antibiotic/Antiprotozoal
Prescription
Mirabegron is the first-in-class beta-3 adrenergic receptor agonist approved for the treatment of overactive bladder (OAB) with symptoms of urge incontinence, urgency, and urinary frequency. It...
- Evidence
- Strong
- Class
- Beta-3 Agonist / Overactive Bladder
Prescription
Prescription noradrenergic and specific serotonergic antidepressant (NaSSA) approved for major depressive disorder. Known for its sedating and appetite-stimulating properties, which can be...
- Evidence
- Strong
- Class
- Atypical Antidepressant (NaSSA)
Prescription
An intranasal corticosteroid for the treatment of allergic rhinitis (seasonal and perennial) and nasal polyps. Mometasone furoate nasal spray has one of the lowest systemic bioavailabilities (<0.1%)...
- Evidence
- Strong
- Class
- Intranasal Corticosteroid
Prescription
A leukotriene receptor antagonist (LTRA) used for the maintenance treatment of asthma, exercise-induced bronchoconstriction, and allergic rhinitis. Blocks cysteinyl leukotriene receptor CysLT1,...
- Evidence
- Strong
- Class
- Leukotriene Receptor Antagonist
Prescription
The prototypical opioid analgesic, morphine is used for the management of severe pain when non-opioid alternatives are inadequate. It is the standard against which other opioids are compared....
- Evidence
- Strong
- Class
- Opioid Analgesic
Prescription
A long-acting nonselective NSAID with analgesic, anti-inflammatory, and antipyretic properties. Naproxen's longer half-life allows twice-daily dosing, making it convenient for chronic inflammatory...
- Evidence
- Strong
- Class
- Nonsteroidal Anti-Inflammatory Drug (NSAID)
Prescription
Nifedipine is a dihydropyridine calcium channel blocker used for hypertension and angina (including vasospastic/Prinzmetal angina). The extended-release formulation is preferred; immediate-release...
- Evidence
- Strong
- Class
- Dihydropyridine Calcium Channel Blocker
Prescription
A nitrofuran antibiotic used exclusively for the treatment and prophylaxis of uncomplicated urinary tract infections. Active against most common UTI pathogens including E. coli (resistance remains...
- Evidence
- Strong
- Class
- Nitrofuran Antibiotic
Prescription
Nitroglycerin is a potent vasodilator used for acute relief and prevention of angina pectoris, as well as management of acute heart failure and hypertensive emergencies. Sublingual nitroglycerin is...
- Evidence
- Strong
- Class
- Organic Nitrate
Prescription
Prescription tricyclic antidepressant (TCA) approved for major depressive disorder. The active metabolite of amitriptyline with a more favorable side effect profile, including less sedation and...
- Evidence
- Strong
- Class
- Tricyclic Antidepressant (TCA)
Prescription
Prescription second-generation (atypical) antipsychotic approved for schizophrenia, bipolar I disorder (manic or mixed episodes), and in combination with fluoxetine for treatment-resistant...
- Evidence
- Strong
- Class
- Atypical Antipsychotic
Prescription
Olmesartan is a potent ARB that provides effective blood pressure reduction with once-daily dosing. It is available in multiple fixed-dose combinations. Notably, it carries a unique FDA warning for...
- Evidence
- Strong
- Class
- Angiotensin II Receptor Blocker (ARB)
Prescription
A widely prescribed proton pump inhibitor (PPI) used to treat gastroesophageal reflux disease (GERD), peptic ulcers, erosive esophagitis, and Zollinger-Ellison syndrome. Omeprazole reduces stomach...
- Evidence
- Strong
- Class
- Proton Pump Inhibitor
Prescription
A selective serotonin 5-HT3 receptor antagonist used for the prevention and treatment of nausea and vomiting caused by chemotherapy, radiation therapy, and surgery. Ondansetron is one of the most...
- Evidence
- Strong
- Class
- Antiemetic (5-HT3 Antagonist)
Prescription
A neuraminidase inhibitor antiviral used for the treatment and prevention of influenza A and B. Most effective when started within 48 hours of symptom onset, reducing symptom duration by...
- Evidence
- Moderate
- Class
- Neuraminidase Inhibitor Antiviral
Prescription
Oxybutynin is an antimuscarinic agent used for the treatment of overactive bladder (OAB) symptoms including urge urinary incontinence, urgency, and frequency. It is one of the oldest and most...
- Evidence
- Strong
- Class
- Anticholinergic / Overactive Bladder
Prescription
A potent semi-synthetic opioid analgesic used for the management of moderate to severe pain when non-opioid alternatives are inadequate. Available as immediate-release (often combined with...
- Evidence
- Strong
- Class
- Opioid Analgesic
Prescription
A proton pump inhibitor commonly used in both oral and intravenous formulations for the treatment of erosive esophagitis associated with GERD, Zollinger-Ellison syndrome, and pathological...
- Evidence
- Strong
- Class
- Proton Pump Inhibitor
Prescription
Prescription selective serotonin reuptake inhibitor (SSRI) approved for major depressive disorder, GAD, panic disorder, social anxiety disorder, OCD, and PTSD. Notable for its potent serotonin...
- Evidence
- Strong
- Class
- SSRI
Prescription
Phenytoin is one of the oldest and most widely used antiepileptic drugs, effective for partial seizures and generalized tonic-clonic seizures. It is also used for seizure prevention after...
- Evidence
- Strong
- Class
- Antiepileptic
Prescription
An osmotic laxative composed of polyethylene glycol 3350, used for the treatment of occasional constipation and chronic idiopathic constipation. PEG 3350 is also used in higher doses for bowel...
- Evidence
- Strong
- Class
- Osmotic Laxative
Prescription
Pramipexole is a non-ergot dopamine agonist with preferential affinity for D3 receptors, used for the treatment of early and advanced Parkinson's disease and moderate-to-severe restless legs...
- Evidence
- Strong
- Class
- Dopaminergic / Antiparkinson
Prescription
Prasugrel is a third-generation thienopyridine P2Y12 inhibitor with faster onset, greater potency, and less inter-patient variability than clopidogrel. The TRITON-TIMI 38 trial demonstrated superior...
- Evidence
- Strong
- Class
- Antiplatelet Agent (P2Y12 Inhibitor)
Prescription
Pravastatin is a moderate-intensity hydrophilic statin with proven cardiovascular benefits in primary and secondary prevention. Unlike lipophilic statins, it is not metabolized by CYP3A4 or CYP2D6,...
- Evidence
- Strong
- Class
- HMG-CoA Reductase Inhibitor (Statin)
Prescription
Prednisolone is the active metabolite of prednisone and is used when hepatic conversion is a concern (e.g., liver disease, pediatric patients). It is available as a liquid formulation, making it...
- Evidence
- Strong
- Class
- Corticosteroid
Prescription
Prednisone is an oral synthetic corticosteroid widely used for its anti-inflammatory and immunosuppressive properties. It treats a broad range of conditions including autoimmune diseases, allergic...
- Evidence
- Strong
- Class
- Corticosteroid
Prescription
A gabapentinoid anticonvulsant FDA-approved for neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, fibromyalgia, neuropathic pain due to spinal cord injury, and...
- Evidence
- Strong
- Class
- Neuropathic Pain Agent (Gabapentinoid)
Prescription
A first-generation phenothiazine antihistamine with antiemetic, sedative, and anticholinergic properties. Promethazine is used for prevention and treatment of nausea and vomiting from various...
- Evidence
- Strong
- Class
- Antiemetic (Phenothiazine)
Prescription
Propranolol is a non-selective beta-blocker that blocks both beta-1 and beta-2 receptors. It was the first clinically useful beta-blocker and is used for hypertension, angina, arrhythmias, migraine...
- Evidence
- Strong
- Class
- Non-Selective Beta-Adrenergic Blocker
Prescription
An oral sympathomimetic decongestant used for temporary relief of nasal and sinus congestion associated with the common cold, allergic rhinitis, and sinusitis. Acts as an alpha-adrenergic agonist to...
- Evidence
- Moderate
- Class
- Sympathomimetic Decongestant
Prescription
Prescription second-generation (atypical) antipsychotic approved for schizophrenia, bipolar disorder (manic and depressive episodes), and as adjunctive therapy for major depressive disorder. Also...
- Evidence
- Strong
- Class
- Atypical Antipsychotic
Prescription
Ramipril is an ACE inhibitor with strong evidence from the HOPE trial showing cardiovascular risk reduction in high-risk patients without heart failure or low ejection fraction. It is used for...
- Evidence
- Strong
- Class
- ACE Inhibitor
Prescription
Ranolazine is a unique anti-anginal agent that works by inhibiting the late sodium current without significant hemodynamic effects. Unlike other anti-anginals, it does not significantly reduce heart...
- Evidence
- Moderate
- Class
- Late Sodium Current Inhibitor
Prescription
Risedronate is a nitrogen-containing bisphosphonate used for the treatment and prevention of postmenopausal and glucocorticoid-induced osteoporosis, male osteoporosis, and Paget's disease. The VERT...
- Evidence
- Strong
- Class
- Bisphosphonate
Prescription
Prescription second-generation (atypical) antipsychotic approved for schizophrenia, bipolar mania, and irritability associated with autistic disorder. One of the most widely studied atypical...
- Evidence
- Strong
- Class
- Atypical Antipsychotic
Prescription
Rivaroxaban is a direct factor Xa inhibitor approved for stroke prevention in non-valvular atrial fibrillation, DVT/PE treatment and prevention, and secondary cardiovascular prevention (with aspirin...
- Evidence
- Strong
- Class
- Direct Oral Anticoagulant (DOAC)
Prescription
Rizatriptan is a second-generation triptan for the acute treatment of migraine with or without aura. It has faster onset and higher consistency of response compared to sumatriptan in some studies....
- Evidence
- Strong
- Class
- Triptan / Antimigraine
Prescription
Ropinirole is a non-ergot dopamine agonist selective for D2/D3 receptors, approved for Parkinson's disease and moderate-to-severe restless legs syndrome. Similar to pramipexole, it provides an...
- Evidence
- Strong
- Class
- Dopaminergic / Antiparkinson
Prescription
Rosuvastatin is a high-intensity statin and one of the most potent agents for lowering LDL cholesterol. The JUPITER trial demonstrated its benefit in primary prevention among patients with elevated...
- Evidence
- Strong
- Class
- HMG-CoA Reductase Inhibitor (Statin)
Prescription
Sacubitril/valsartan is a first-in-class ARNI that combines neprilysin inhibition with AT1 receptor blockade. The PARADIGM-HF trial demonstrated a 20% reduction in cardiovascular death and heart...
- Evidence
- Strong
- Class
- Angiotensin Receptor-Neprilysin Inhibitor (ARNI)
Prescription
Semaglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist available as a once-weekly injection (Ozempic for diabetes, Wegovy for obesity) and as a daily oral tablet (Rybelsus for diabetes)....
- Evidence
- Strong
- Class
- GLP-1 Receptor Agonist
Prescription
Prescription selective serotonin reuptake inhibitor (SSRI) commonly prescribed for major depressive disorder, generalized anxiety disorder, panic disorder, PTSD, OCD, and social anxiety disorder....
- Evidence
- Strong
- Class
- SSRI
Prescription
Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor originally developed for angina and subsequently approved for erectile dysfunction (ED) and pulmonary arterial hypertension (PAH). As...
- Evidence
- Strong
- Class
- PDE5 Inhibitor
Prescription
Simvastatin is a moderate-to-high intensity statin with landmark evidence from the 4S and HPS trials demonstrating significant cardiovascular mortality reduction. It is administered as an inactive...
- Evidence
- Strong
- Class
- HMG-CoA Reductase Inhibitor (Statin)
Prescription
Sitagliptin is a dipeptidyl peptidase-4 (DPP-4) inhibitor used for type 2 diabetes. It enhances the body's incretin system to improve glycemic control. It is well tolerated, weight-neutral, and has...
- Evidence
- Strong
- Class
- DPP-4 Inhibitor
Prescription
Sotalol has dual properties: non-selective beta-blockade (class II) and potassium channel blockade that prolongs repolarization (class III). It is used for atrial fibrillation/flutter and...
- Evidence
- Moderate
- Class
- Class III Antiarrhythmic / Non-Selective Beta-Blocker
Prescription
Spironolactone is a non-selective mineralocorticoid receptor antagonist with landmark evidence from the RALES trial demonstrating a 30% mortality reduction in severe heart failure. It is also used...
- Evidence
- Strong
- Class
- Potassium-Sparing Diuretic / Mineralocorticoid Receptor Antagonist
Prescription
A prodrug combining sulfapyridine and 5-aminosalicylic acid (5-ASA) linked by an azo bond, used for the treatment of mild-to-moderate ulcerative colitis and rheumatoid arthritis. Colonic bacteria...
- Evidence
- Strong
- Class
- Aminosalicylate (IBD/DMARD)
Prescription
Sumatriptan is the prototypical triptan and the first serotonin 5-HT1B/1D receptor agonist developed specifically for the acute treatment of migraine attacks with or without aura. It is also...
- Evidence
- Strong
- Class
- Triptan / Antimigraine
Prescription
Prescription dual orexin receptor antagonist (DORA; Schedule IV controlled substance) approved for insomnia characterized by difficulty with sleep onset and/or sleep maintenance. Represents a novel...
- Evidence
- Moderate
- Class
- Sedative-Hypnotic (Orexin Receptor Antagonist)
Prescription
Tadalafil is a long-acting PDE5 inhibitor approved for erectile dysfunction (ED), benign prostatic hyperplasia (BPH), and pulmonary arterial hypertension (PAH). Its prolonged duration of action (up...
- Evidence
- Strong
- Class
- PDE5 Inhibitor
Prescription
Tamsulosin is a selective alpha-1A adrenergic receptor antagonist used to treat lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH). Its selectivity for the...
- Evidence
- Strong
- Class
- Alpha-1 Blocker / Urologic
Prescription
An allylamine antifungal that is the treatment of choice for dermatophyte infections (onychomycosis, tinea capitis). Highly effective against Trichophyton, Microsporum, and Epidermophyton species....
- Evidence
- Strong
- Class
- Allylamine Antifungal
Prescription
Testosterone replacement therapy (TRT) is indicated for male hypogonadism when low testosterone levels are confirmed by laboratory testing with consistent signs and symptoms. The Testosterone Trials...
- Evidence
- Strong
- Class
- Androgen Hormone
Prescription
Ticagrelor is a direct-acting, reversible P2Y12 receptor inhibitor that does not require hepatic activation. The PLATO trial demonstrated superiority over clopidogrel in reducing cardiovascular...
- Evidence
- Strong
- Class
- Antiplatelet Agent (P2Y12 Inhibitor)
Prescription
Timolol is a non-selective beta-adrenergic receptor antagonist used topically to reduce intraocular pressure (IOP) in open-angle glaucoma and ocular hypertension. For decades it was the...
- Evidence
- Strong
- Class
- Beta-Blocker / Ophthalmologic
Prescription
A long-acting muscarinic antagonist (LAMA/long-acting anticholinergic) that is a first-line maintenance bronchodilator for COPD and an add-on controller for moderate-to-severe asthma. Provides...
- Evidence
- Strong
- Class
- Long-Acting Muscarinic Antagonist (LAMA)
Prescription
A centrally acting alpha-2 adrenergic agonist used for the management of spasticity associated with multiple sclerosis and spinal cord injury. Tizanidine provides muscle relaxation with shorter...
- Evidence
- Strong
- Class
- Skeletal Muscle Relaxant (Antispastic)
Prescription
Topiramate is a broad-spectrum antiepileptic approved for partial-onset and primary generalized tonic-clonic seizures, Lennox-Gastaut syndrome, and migraine prophylaxis. It is also used off-label...
- Evidence
- Strong
- Class
- Antiepileptic
Prescription
A centrally acting synthetic opioid analgesic with a dual mechanism of action, used for the management of moderate to moderately severe pain. Tramadol has weaker mu-opioid receptor affinity than...
- Evidence
- Strong
- Class
- Opioid Analgesic (Atypical)
Prescription
Prescription serotonin antagonist and reuptake inhibitor (SARI) approved for major depressive disorder. Most commonly used off-label at low doses as a sleep aid due to its potent sedating and...
- Evidence
- Moderate
- Class
- Atypical Antidepressant (SARI)
Prescription
Oral tretinoin (all-trans retinoic acid, ATRA) is a retinoid that induces differentiation of immature promyelocytes into mature granulocytes. It is the cornerstone of treatment for acute...
- Evidence
- Strong
- Class
- Retinoid / Dermatologic-Oncologic
Prescription
A synergistic combination antibiotic containing trimethoprim and sulfamethoxazole in a 1:5 ratio. Effective against many gram-positive and gram-negative organisms. A first-line agent for...
- Evidence
- Strong
- Class
- Sulfonamide/Diaminopyrimidine Combination
Prescription
The L-valyl ester prodrug of acyclovir, providing 3-5 times higher oral bioavailability than acyclovir. This allows less frequent dosing (2-3 times daily vs 5 times daily) with equivalent or...
- Evidence
- Strong
- Class
- Nucleoside Analog Antiviral (Prodrug)
Prescription
Prescription mood stabilizer and anticonvulsant approved for bipolar mania, epilepsy (multiple seizure types), and migraine prophylaxis. Effective for acute mania and mixed episodes. Carries...
- Evidence
- Strong
- Class
- Mood Stabilizer / Anticonvulsant
Prescription
Valsartan is an ARB with evidence from the Val-HeFT and VALIANT trials for heart failure and post-MI management. It is also a key component of the combination drug sacubitril/valsartan (Entresto),...
- Evidence
- Strong
- Class
- Angiotensin II Receptor Blocker (ARB)
Prescription
Prescription serotonin-norepinephrine reuptake inhibitor (SNRI) approved for major depressive disorder, generalized anxiety disorder, social anxiety disorder, and panic disorder. Exhibits...
- Evidence
- Strong
- Class
- SNRI
Prescription
Verapamil is a phenylalkylamine-type non-dihydropyridine calcium channel blocker with the strongest negative inotropic and chronotropic effects among CCBs. It is used for hypertension, angina,...
- Evidence
- Strong
- Class
- Non-Dihydropyridine Calcium Channel Blocker
Prescription
Warfarin is an oral vitamin K antagonist anticoagulant used for prevention and treatment of thromboembolic disorders including atrial fibrillation, mechanical heart valves, deep vein thrombosis, and...
- Evidence
- Strong
- Class
- Anticoagulant (Vitamin K Antagonist)
Prescription
Zoledronic acid is the most potent bisphosphonate available, administered as an annual IV infusion for osteoporosis (Reclast) or more frequently for hypercalcemia of malignancy and bone metastases...
- Evidence
- Strong
- Class
- Bisphosphonate
Prescription
Prescription non-benzodiazepine sedative-hypnotic (Schedule IV controlled substance) approved for the short-term treatment of insomnia. Selectively targets GABA-A receptors containing the alpha-1...
- Evidence
- Strong
- Class
- Sedative-Hypnotic (Non-Benzodiazepine)