NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated July 13, 2026

NutriStack Research/298 profiles·196 drug classes·2408 sources

Every prescription, indexed.

Browse 298 evidence-graded prescription medication profiles. Filter by name or drug class, or open any profile for the full dossier.

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A

25

Prescription

Acarbose

Acarbose is an oral alpha-glucosidase inhibitor used with diet and exercise to improve glycemic control in adults with type 2 diabetes by reducing post-meal glucose spikes.

Evidence
Strong
Class
Alpha-glucosidase inhibitor

Prescription

Acitretin

Acitretin is a second-generation systemic retinoid (active metabolite of etretinate) used for the treatment of severe psoriasis (including plaque, pustular

Evidence
Strong
Class
Retinoid / Dermatologic

Prescription

Acyclovir

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).

Evidence
Strong
Class
Nucleoside Analog Antiviral

Prescription

Albuterol

A short-acting beta-2 adrenergic agonist (SABA) that is the most widely used rescue inhaler for acute bronchospasm.

Evidence
Strong
Class
Short-Acting Beta-2 Agonist (SABA)

Prescription

Alendronate

Alendronate is the most widely prescribed bisphosphonate for the prevention and treatment of osteoporosis in postmenopausal women, glucocorticoid-induced osteoporosis, and osteoporosis in men.

Evidence
Strong
Class
Bisphosphonate

Prescription

Alfuzosin

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).

Evidence
Strong
Class
Alpha-1 Blocker / Urologic

Prescription

Allopurinol

A xanthine oxidase inhibitor used as first-line urate-lowering therapy for the chronic management of gout and hyperuricemia.

Evidence
Strong
Class
Xanthine Oxidase Inhibitor (Gout)

Prescription

Alprazolam

Prescription benzodiazepine (Schedule IV controlled substance) approved for generalized anxiety disorder and panic disorder.

Evidence
Strong
Class
Benzodiazepine

Prescription

Aluminum/Magnesium Hydroxide

A combination antacid containing aluminum hydroxide and magnesium hydroxide, used for the symptomatic relief of heartburn, acid indigestion, sour stomach, and peptic ulcer pain.

Evidence
Strong
Class
Antacid

Prescription

Amiodarone

Amiodarone is the most effective antiarrhythmic drug available, possessing properties of all four Vaughan-Williams antiarrhythmic classes.

Evidence
Strong
Class
Class III Antiarrhythmic

Prescription

Amitriptyline

Prescription tricyclic antidepressant (TCA) originally approved for major depressive disorder but now more commonly used for chronic neuropathic pain, migraine prophylaxis

Evidence
Strong
Class
Tricyclic Antidepressant (TCA)

Prescription

Amlodipine

Amlodipine is a long-acting dihydropyridine calcium channel blocker and one of the most commonly prescribed antihypertensives worldwide.

Evidence
Strong
Class
Dihydropyridine Calcium Channel Blocker

Prescription

Amoxicillin

A broad-spectrum penicillin antibiotic used to treat a wide variety of bacterial infections including otitis media, sinusitis, pharyngitis, lower respiratory tract infections

Evidence
Strong
Class
Penicillin Antibiotic

Prescription

Amoxicillin-Clavulanate

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.

Evidence
Strong
Class
Penicillin/Beta-Lactamase Inhibitor Combination

Prescription

Amphetamine/Dextroamphetamine

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

Ampicillin

Ampicillin is a broad-spectrum, semisynthetic aminopenicillin beta-lactam antibiotic used to treat susceptible gram-positive and certain gram-negative bacterial infections.

Evidence
Strong
Class
Aminopenicillin antibiotic

Prescription

Apixaban

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.

Evidence
Strong
Class
Direct Oral Anticoagulant (DOAC)

Prescription

Aripiprazole

Prescription second-generation (atypical) antipsychotic approved for schizophrenia, bipolar I disorder, adjunctive treatment for major depressive disorder

Evidence
Strong
Class
Atypical Antipsychotic

Prescription

Aspirin Low-Dose

Low-dose aspirin (75–100 mg) is an antiplatelet agent widely used for secondary prevention of cardiovascular events including myocardial infarction and ischemic stroke.

Evidence
Strong
Class
Antiplatelet Agent

Prescription

Atenolol

Atenolol is a cardioselective beta-1 blocker used for hypertension and angina. It is hydrophilic and does not cross the blood-brain barrier readily

Evidence
Moderate
Class
Beta-1 Selective Adrenergic Blocker

Prescription

Atomoxetine

Prescription non-stimulant medication approved for ADHD in children, adolescents, and adults.

Evidence
Strong
Class
Non-Stimulant ADHD Medication

Prescription

Atorvastatin

Atorvastatin is a high-intensity statin used to lower LDL cholesterol and reduce cardiovascular risk.

Evidence
Strong
Class
HMG-CoA Reductase Inhibitor (Statin)

Prescription

Azathioprine

Azathioprine is a thiopurine immunosuppressant used for kidney transplant rejection prophylaxis and autoimmune diseases such as rheumatoid arthritis, inflammatory bowel disease

Evidence
Strong
Class
Purine analog immunosuppressant

Prescription

Azelastine

Azelastine nasal spray is a topical H1 antihistamine used for seasonal and perennial allergic rhinitis.

Evidence
Strong
Class
Intranasal H1 antihistamine

Prescription

Azithromycin

A macrolide antibiotic with a broad spectrum of activity against gram-positive, some gram-negative, and atypical organisms (Mycoplasma, Chlamydia, Legionella).

Evidence
Strong
Class
Macrolide Antibiotic

B

9

Prescription

Baclofen

A GABA-B receptor agonist used for the treatment of spasticity resulting from multiple sclerosis, spinal cord injuries, and other spinal cord diseases.

Evidence
Strong
Class
Skeletal Muscle Relaxant (Antispastic)

Prescription

Bempedoic Acid

Bempedoic acid is an oral, once-daily ATP-citrate lyase (ACL) inhibitor used to lower LDL cholesterol, typically as an add-on to maximally tolerated statins or in statin-intolerant patients.

Evidence
Strong
Class
Lipid-lowering agent (ATP-citrate lyase inhibitor)

Prescription

Benazepril

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

Bisacodyl

A diphenylmethane derivative stimulant laxative used for the relief of occasional constipation and for bowel preparation before diagnostic procedures or surgery.

Evidence
Strong
Class
Stimulant Laxative

Prescription

Bisoprolol

Bisoprolol is a highly cardioselective beta-1 blocker with proven mortality reduction in heart failure from the CIBIS-II trial.

Evidence
Strong
Class
Beta-1 Selective Adrenergic Blocker

Prescription

Brimonidine

Brimonidine is a selective alpha-2 adrenergic agonist used topically to reduce intraocular pressure (IOP) in open-angle glaucoma and ocular hypertension.

Evidence
Strong
Class
Alpha-2 Agonist / Ophthalmologic

Prescription

Budesonide Inhaled

An inhaled corticosteroid used as a controller medication for persistent asthma. Available as a dry powder inhaler (Flexhaler) for older children and adults

Evidence
Strong
Class
Inhaled Corticosteroid

Prescription

Bupropion

Prescription norepinephrine-dopamine reuptake inhibitor (NDRI) approved for major depressive disorder, seasonal affective disorder, and smoking cessation (marketed as Zyban).

Evidence
Strong
Class
Atypical Antidepressant (NDRI)

Prescription

Buspirone

Prescription non-benzodiazepine anxiolytic approved for the treatment of generalized anxiety disorder (GAD).

Evidence
Moderate
Class
Non-Benzodiazepine Anxiolytic

C

32

Prescription

Calcitriol

Calcitriol is the active hormonal form of vitamin D used for hypocalcemia, secondary hyperparathyroidism, and renal osteodystrophy in selected patients.

Evidence
Strong
Class
Active vitamin D analog

Prescription

Calcium Carbonate

A widely used over-the-counter antacid that provides rapid, short-term relief of heartburn, acid indigestion, and sour stomach.

Evidence
Moderate
Class
Antacid

Prescription

Canagliflozin

Canagliflozin was the first SGLT2 inhibitor approved in the United States for type 2 diabetes.

Evidence
Strong
Class
SGLT2 Inhibitor

Prescription

Candesartan

Candesartan is an angiotensin II receptor blocker (ARB) used to treat high blood pressure and chronic heart failure with reduced ejection fraction.

Evidence
Strong
Class
Angiotensin II receptor blocker (ARB)

Prescription

Captopril

Captopril is a short-acting, orally active angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension, heart failure, left ventricular dysfunction after myocardial infarction

Evidence
Strong
Class
ACE Inhibitor

Prescription

Carbamazepine

Carbamazepine is a first-generation antiepileptic used for partial seizures with complex symptomatology, generalized tonic-clonic seizures, trigeminal neuralgia

Evidence
Strong
Class
Antiepileptic

Prescription

Carvedilol

Carvedilol is a unique third-generation beta-blocker that combines non-selective beta-blockade with alpha-1 receptor antagonism and antioxidant properties.

Evidence
Strong
Class
Non-Selective Beta-Blocker with Alpha-1 Blockade

Prescription

Cefdinir

Cefdinir is a third-generation oral cephalosporin antibiotic used to treat mild to moderate bacterial infections including acute bacterial sinusitis, acute otitis media, pharyngitis/tonsillitis

Evidence
Strong
Class
Cephalosporin antibiotic

Prescription

Cefixime

Cefixime is an oral third-generation cephalosporin antibiotic used to treat a range of bacterial infections, including urinary tract infections, otitis media, pharyngitis

Evidence
Strong
Class
Third-generation cephalosporin antibiotic

Prescription

Cefpodoxime

Cefpodoxime is an oral third-generation cephalosporin antibiotic administered as the prodrug cefpodoxime proxetil, which is hydrolyzed to active cefpodoxime during intestinal absorption.

Evidence
Strong
Class
Cephalosporin antibiotic (third-generation)

Prescription

Ceftriaxone

A third-generation cephalosporin with broad-spectrum activity against many gram-negative and gram-positive organisms.

Evidence
Strong
Class
Third-Generation Cephalosporin

Prescription

Cefuroxime

Cefuroxime is a second-generation cephalosporin beta-lactam antibiotic used to treat a range of bacterial infections, including respiratory tract infections, urinary tract infections

Evidence
Strong
Class
Second-generation cephalosporin antibiotic

Prescription

Celecoxib

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

Cephalexin

A first-generation cephalosporin antibiotic with excellent activity against gram-positive cocci including methicillin-susceptible S. aureus (MSSA) and streptococci.

Evidence
Strong
Class
First-Generation Cephalosporin

Prescription

Cetirizine

A second-generation (non-sedating) antihistamine used for the relief of symptoms associated with seasonal and perennial allergic rhinitis and chronic idiopathic urticaria.

Evidence
Strong
Class
Second-Generation Antihistamine

Prescription

Chlorthalidone

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.

Evidence
Strong
Class
Thiazide-Like Diuretic

Prescription

Cholestyramine

Cholestyramine is an oral, non-absorbed anion-exchange resin used to lower elevated LDL cholesterol and to relieve pruritus associated with partial biliary obstruction.

Evidence
Strong
Class
Bile acid sequestrant

Prescription

Cimetidine

The first commercially available H2 receptor antagonist, cimetidine is used for the treatment of duodenal and gastric ulcers, GERD, and pathological hypersecretory conditions.

Evidence
Strong
Class
H2 Receptor Antagonist

Prescription

Cinacalcet

Cinacalcet is an oral calcimimetic used for secondary hyperparathyroidism in adults on dialysis and for hypercalcemia in parathyroid carcinoma or selected primary hyperparathyroidism patients.

Evidence
Strong
Class
Calcimimetic calcium-sensing receptor agonist

Prescription

Ciprofloxacin

A second-generation fluoroquinolone with potent gram-negative activity, including Pseudomonas aeruginosa.

Evidence
Strong
Class
Fluoroquinolone Antibiotic

Prescription

Citalopram

Prescription selective serotonin reuptake inhibitor (SSRI) approved for major depressive disorder. The racemic mixture of S-citalopram and R-citalopram.

Evidence
Strong
Class
SSRI

Prescription

Clarithromycin

A macrolide antibiotic with activity against gram-positive cocci, atypical organisms (Mycoplasma, Chlamydia, Legionella), and Mycobacterium avium complex (MAC).

Evidence
Strong
Class
Macrolide Antibiotic

Prescription

Clindamycin

A lincosamide antibiotic with excellent activity against gram-positive cocci (including many community-acquired MRSA strains), anaerobes, and certain protozoa (Toxoplasma, Plasmodium).

Evidence
Strong
Class
Lincosamide Antibiotic

Prescription

Clomipramine

Clomipramine is a tricyclic antidepressant approved for obsessive-compulsive disorder.

Evidence
Strong
Class
Tricyclic antidepressant and serotonin reuptake inhibitor

Prescription

Clonazepam

Prescription benzodiazepine (Schedule IV controlled substance) approved for panic disorder and certain seizure disorders (Lennox-Gastaut syndrome, akinetic and myoclonic seizures).

Evidence
Strong
Class
Benzodiazepine

Prescription

Clonidine

Clonidine is a centrally acting alpha-2 adrenergic agonist used for hypertension, including resistant hypertension, and for several off-label and approved indications such as ADHD

Evidence
Strong
Class
Central alpha-2 adrenergic agonist

Prescription

Clopidogrel

Clopidogrel is a thienopyridine P2Y12 receptor inhibitor widely used for secondary prevention after acute coronary syndromes and percutaneous coronary intervention (PCI).

Evidence
Strong
Class
Antiplatelet Agent (P2Y12 Inhibitor)

Prescription

Clozapine

Clozapine is an atypical antipsychotic reserved for treatment-resistant schizophrenia and for reducing recurrent suicidal behavior in schizophrenia or schizoaffective disorder.

Evidence
Strong
Class
Atypical antipsychotic for treatment-resistant schizophrenia

Prescription

Colchicine

An anti-inflammatory alkaloid derived from the autumn crocus plant, used for the treatment and prevention of gout flares and for familial Mediterranean fever.

Evidence
Strong
Class
Anti-Gout / Anti-Inflammatory

Prescription

Combined Oral Contraceptive

Combined oral contraceptives (COCs) contain synthetic estrogen (usually ethinyl estradiol 20–35 mcg) and a progestin component.

Evidence
Strong
Class
Hormonal Contraceptive

Prescription

Cyclobenzaprine

A centrally acting skeletal muscle relaxant structurally related to tricyclic antidepressants, used for the short-term relief of muscle spasm associated with acute

Evidence
Strong
Class
Skeletal Muscle Relaxant

Prescription

Cyclosporine

Cyclosporine is a calcineurin inhibitor used to prevent organ transplant rejection and to treat selected autoimmune or inflammatory diseases.

Evidence
Strong
Class
Calcineurin inhibitor immunosuppressant

D

21

Prescription

Dabigatran

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.

Evidence
Strong
Class
Direct Oral Anticoagulant (DOAC)

Prescription

Dapagliflozin

Dapagliflozin is an SGLT2 inhibitor approved for type 2 diabetes, heart failure (with reduced or preserved ejection fraction), and chronic kidney disease.

Evidence
Strong
Class
SGLT2 Inhibitor

Prescription

Dapsone

Dapsone is a sulfone antibiotic with potent anti-inflammatory properties used both systemically and topically in dermatology.

Evidence
Strong
Class
Anti-inflammatory / Dermatologic

Prescription

Dasiglucagon

Dasiglucagon is an FDA-approved glucagon analog peptide rescue drug available as prescription Zegalogue for severe hypoglycemia in adults and pediatric patients with diabetes aged 6 years and older.

Evidence
Strong
Class
Hypoglycemia Rescue

Prescription

Desloratadine

Desloratadine is a second-generation H1 antihistamine used for seasonal allergic rhinitis, perennial allergic rhinitis, and chronic idiopathic urticaria.

Evidence
Strong
Class
Second-generation H1 antihistamine

Prescription

Desvenlafaxine

Prescription serotonin-norepinephrine reuptake inhibitor (SNRI) approved for major depressive disorder. The primary active metabolite of venlafaxine, administered as its succinate salt.

Evidence
Strong
Class
SNRI

Prescription

Dexamethasone

Dexamethasone is a potent, long-acting synthetic glucocorticoid with approximately 25–30 times the anti-inflammatory potency of hydrocortisone and virtually no mineralocorticoid activity.

Evidence
Strong
Class
Corticosteroid

Prescription

Diazepam

Prescription benzodiazepine (Schedule IV controlled substance) approved for anxiety disorders, acute alcohol withdrawal, muscle spasm, seizure disorders, and as a preanesthetic agent.

Evidence
Strong
Class
Benzodiazepine

Prescription

Diclofenac

A potent nonselective NSAID available in multiple formulations (oral, topical, ophthalmic) used for the treatment of pain and inflammation in osteoarthritis, rheumatoid arthritis

Evidence
Strong
Class
Nonsteroidal Anti-Inflammatory Drug (NSAID)

Prescription

Dicloxacillin

Dicloxacillin is a narrow-spectrum, penicillinase-resistant penicillin used primarily for infections caused by beta-lactamase-producing (penicillinase-producing) Staphylococcus aureus

Evidence
Strong
Class
Antistaphylococcal penicillin (penicillinase-resistant penicillin)

Prescription

Dicyclomine

Dicyclomine is an anticholinergic antispasmodic used for functional bowel and irritable bowel syndrome with painful intestinal cramping.

Evidence
Strong
Class
Antimuscarinic antispasmodic

Prescription

Digoxin

Digoxin is a cardiac glycoside used for rate control in atrial fibrillation and symptomatic improvement in heart failure with reduced ejection fraction.

Evidence
Moderate
Class
Cardiac Glycoside

Prescription

Diltiazem

Diltiazem is a benzothiazepine-type non-dihydropyridine calcium channel blocker that affects both vascular smooth muscle and cardiac conduction tissue.

Evidence
Strong
Class
Non-Dihydropyridine Calcium Channel Blocker

Prescription

Diphenhydramine

A first-generation antihistamine and the prototypical H1 receptor antagonist. Used for allergic reactions (urticaria, angioedema, allergic rhinitis), motion sickness, insomnia (OTC sleep aid)

Evidence
Strong
Class
First-Generation Antihistamine

Prescription

Dofetilide

Dofetilide is a pure class III antiarrhythmic that selectively blocks the rapid component of the delayed rectifier potassium current (IKr).

Evidence
Moderate
Class
Class III Antiarrhythmic

Prescription

Donepezil

Donepezil is a centrally-acting reversible acetylcholinesterase inhibitor indicated for the treatment of mild, moderate, and severe Alzheimer's disease.

Evidence
Moderate
Class
Cholinesterase Inhibitor / Alzheimer's

Prescription

Doxepin

Doxepin is a tricyclic antidepressant used at higher doses for depression and anxiety and at very low doses for sleep-maintenance insomnia.

Evidence
Strong
Class
Tricyclic antidepressant and histamine H1 antagonist

Prescription

Doxycycline

A broad-spectrum tetracycline antibiotic effective against a wide range of gram-positive, gram-negative, atypical, and intracellular organisms.

Evidence
Strong
Class
Tetracycline Antibiotic

Prescription

Dulaglutide

Dulaglutide is an FDA-approved once-weekly GLP-1 receptor agonist peptide drug available as prescription Trulicity for type 2 diabetes in adults and pediatric patients 10 years and older

Evidence
Strong
Class
GLP-1 Receptor Agonist

Prescription

Duloxetine

Prescription serotonin-norepinephrine reuptake inhibitor (SNRI) approved for major depressive disorder, generalized anxiety disorder, diabetic peripheral neuropathic pain, fibromyalgia

Evidence
Strong
Class
SNRI

Prescription

Dutasteride

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%).

Evidence
Strong
Class
5-Alpha Reductase Inhibitor / Urologic

E

11

Prescription

Empagliflozin

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.

Evidence
Strong
Class
SGLT2 Inhibitor

Prescription

Enalapril

Enalapril is an ACE inhibitor prodrug with landmark evidence from the SOLVD trial demonstrating mortality reduction in heart failure with reduced ejection fraction.

Evidence
Strong
Class
ACE Inhibitor

Prescription

Enoxaparin

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.

Evidence
Strong
Class
Low-Molecular-Weight Heparin (LMWH)

Prescription

Eplerenone

Eplerenone is a selective mineralocorticoid receptor antagonist with significantly less anti-androgenic activity than spironolactone.

Evidence
Strong
Class
Selective Mineralocorticoid Receptor Antagonist

Prescription

Erythromycin

Erythromycin is a macrolide antibiotic used to treat a range of bacterial infections, including respiratory tract infections, skin and soft-tissue infections, pertussis

Evidence
Strong
Class
Macrolide antibiotic

Prescription

Escitalopram

Prescription selective serotonin reuptake inhibitor (SSRI) approved for major depressive disorder and generalized anxiety disorder.

Evidence
Strong
Class
SSRI

Prescription

Esomeprazole

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.

Evidence
Strong
Class
Proton Pump Inhibitor

Prescription

Estradiol

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

Evidence
Strong
Class
Estrogen Hormone

Prescription

Eszopiclone

Prescription non-benzodiazepine sedative-hypnotic (Schedule IV controlled substance) approved for insomnia.

Evidence
Strong
Class
Sedative-Hypnotic (Non-Benzodiazepine)

Prescription

Evolocumab

Evolocumab is a fully human monoclonal antibody that lowers low-density lipoprotein cholesterol (LDL-C) by inhibiting proprotein convertase subtilisin/kexin type 9 (PCSK9).

Evidence
Strong
Class
PCSK9 inhibitor (lipid-lowering monoclonal antibody)

Prescription

Ezetimibe

Ezetimibe is a lipid-lowering medication that reduces the intestinal absorption of dietary and biliary cholesterol.

Evidence
Strong
Class
Cholesterol absorption inhibitor

F

15

Prescription

Famciclovir

Famciclovir is an oral antiviral prodrug of penciclovir used to treat infections caused by herpesviruses, including herpes zoster (shingles), genital herpes

Evidence
Strong
Class
Antiviral (nucleoside analogue)

Prescription

Famotidine

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

Febuxostat

A non-purine selective xanthine oxidase inhibitor used for the chronic management of hyperuricemia in patients with gout.

Evidence
Strong
Class
Xanthine Oxidase Inhibitor (Gout)

Prescription

Felodipine

Felodipine is a long-acting dihydropyridine calcium channel blocker used primarily to treat hypertension, alone or in combination with other antihypertensive agents.

Evidence
Strong
Class
Dihydropyridine Calcium Channel Blocker

Prescription

Fenofibrate

Fenofibrate is an oral fibrate lipid-lowering agent used primarily to treat severe hypertriglyceridemia and mixed dyslipidemia.

Evidence
Strong
Class
Fibrate (PPAR-alpha agonist)

Prescription

Fexofenadine

A second-generation antihistamine that is the active carboxylate metabolite of terfenadine.

Evidence
Strong
Class
Second-Generation Antihistamine

Prescription

Finasteride

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.

Evidence
Strong
Class
5-Alpha Reductase Inhibitor / Urologic

Prescription

Flecainide

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

Fluconazole

A first-generation triazole antifungal with excellent activity against most Candida species (except C. krusei and some C. glabrata) and Cryptococcus neoformans.

Evidence
Strong
Class
Triazole Antifungal

Prescription

Fluoxetine

Prescription selective serotonin reuptake inhibitor (SSRI) approved for major depressive disorder, OCD, panic disorder, bulimia nervosa, and premenstrual dysphoric disorder.

Evidence
Strong
Class
SSRI

Prescription

Fluticasone Inhaled

An inhaled corticosteroid (ICS) that is a cornerstone of persistent asthma management.

Evidence
Strong
Class
Inhaled Corticosteroid

Prescription

Fluticasone Nasal

An intranasal corticosteroid (INCS) considered the most effective pharmacotherapy class for allergic rhinitis.

Evidence
Strong
Class
Intranasal Corticosteroid

Prescription

Fluvoxamine

Prescription selective serotonin reuptake inhibitor (SSRI) primarily approved for the treatment of obsessive-compulsive disorder (OCD) in adults and children aged 8 and older.

Evidence
Strong
Class
SSRI

Prescription

Fosfomycin

Fosfomycin is a broad-spectrum bactericidal antibiotic most commonly used as a single oral 3 g dose (as fosfomycin tromethamine) to treat uncomplicated urinary tract infections (acute cystitis) in…

Evidence
Strong
Class
Phosphonic acid antibacterial

Prescription

Furosemide

Furosemide is a potent loop diuretic used primarily for edema associated with heart failure, cirrhosis, and renal disease.

Evidence
Strong
Class
Loop Diuretic

G

8

Prescription

Gabapentin

An anticonvulsant and analgesic used for the treatment of postherpetic neuralgia and as adjunctive therapy for partial seizures.

Evidence
Strong
Class
Neuropathic Pain Agent (Gabapentinoid)

Prescription

Galantamine

Galantamine is a cholinesterase inhibitor used for mild to moderate Alzheimer disease dementia.

Evidence
Strong
Class
Cholinesterase inhibitor and nicotinic receptor modulator

Prescription

Gemfibrozil

Gemfibrozil is a fibric acid derivative used primarily to lower very high triglyceride levels and to reduce the risk of pancreatitis in patients with severe hypertriglyceridemia.

Evidence
Strong
Class
Fibrate (fibric acid derivative)

Prescription

Glimepiride

Glimepiride is a third-generation sulfonylurea used for type 2 diabetes management.

Evidence
Strong
Class
Sulfonylurea

Prescription

Glipizide

Glipizide is a second-generation sulfonylurea used to improve glycemic control in adults with type 2 diabetes.

Evidence
Strong
Class
Sulfonylurea

Prescription

Glucagon

Glucagon is an FDA-approved peptide/protein hormone rescue drug used for severe hypoglycemia in people with diabetes, with product-specific prescription forms including Baqsimi nasal powder

Evidence
Strong
Class
Hypoglycemia Rescue

Prescription

Glyburide

Glyburide (also known as glibenclamide) is a second-generation sulfonylurea used for glycemic control in type 2 diabetes.

Evidence
Strong
Class
Sulfonylurea

Prescription

Guanfacine

Prescription non-stimulant medication approved in its extended-release form (Intuniv) for ADHD in children and adolescents aged 6–17.

Evidence
Moderate
Class
Non-Stimulant ADHD Medication

H

6

Prescription

Haloperidol

Haloperidol is a high-potency first-generation antipsychotic used for schizophrenia, Tourette disorder

Evidence
Strong
Class
First-generation antipsychotic

Prescription

Hydralazine

Hydralazine is a direct arteriolar vasodilator used for hypertension and heart failure.

Evidence
Strong
Class
Direct Arteriolar Vasodilator

Prescription

Hydrochlorothiazide

Hydrochlorothiazide (HCTZ) is a thiazide diuretic and one of the most commonly prescribed antihypertensives.

Evidence
Strong
Class
Thiazide Diuretic

Prescription

Hydrocodone

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

Hydroxychloroquine

An antimalarial drug widely used as a DMARD for the treatment of rheumatoid arthritis and systemic lupus erythematosus (SLE).

Evidence
Strong
Class
Disease-Modifying Antirheumatic Drug (DMARD)

Prescription

Hydroxyzine

Prescription first-generation antihistamine used for the management of anxiety, pruritus, and as a preoperative sedative.

Evidence
Moderate
Class
Non-Benzodiazepine Anxiolytic

I

13

Prescription

Ibandronate

Ibandronate is a bisphosphonate used for treatment and prevention of postmenopausal osteoporosis.

Evidence
Strong
Class
Bisphosphonate osteoporosis medication

Prescription

Ibuprofen

A widely used nonselective NSAID with analgesic, anti-inflammatory, and antipyretic properties.

Evidence
Strong
Class
Nonsteroidal Anti-Inflammatory Drug (NSAID)

Prescription

Icosapent Ethyl

Icosapent ethyl is a highly purified ethyl ester of eicosapentaenoic acid (EPA) prescribed to lower very high triglycerides and to reduce the risk of cardiovascular events in selected patients…

Evidence
Strong
Class
Omega-3 fatty acid (lipid-regulating agent)

Prescription

Insulin Aspart

Insulin aspart is an FDA-approved rapid-acting insulin peptide/protein hormone analog used for mealtime and correction glycemic control in diabetes.

Evidence
Strong
Class
Rapid-Acting Insulin

Prescription

Insulin Glargine

Insulin glargine is an FDA-approved long-acting basal insulin peptide/protein hormone analog used for glycemic control in diabetes.

Evidence
Strong
Class
Long-Acting Insulin

Prescription

Insulin Lispro

Insulin lispro is an FDA-approved rapid-acting insulin peptide/protein hormone analog used for mealtime and correction glycemic control in diabetes.

Evidence
Strong
Class
Rapid-Acting Insulin

Prescription

Ipratropium

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

Irbesartan is an ARB with strong evidence from the IDNT and IRMA-2 trials for nephroprotection in type 2 diabetes.

Evidence
Strong
Class
Angiotensin II Receptor Blocker (ARB)

Prescription

Isoniazid

Isoniazid is a first-line antibiotic used to treat and prevent tuberculosis caused by Mycobacterium tuberculosis.

Evidence
Strong
Class
Antitubercular antibiotic

Prescription

Isosorbide Mononitrate

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.

Evidence
Strong
Class
Organic Nitrate

Prescription

Isotretinoin

Isotretinoin (13-cis-retinoic acid) is the most effective treatment for severe, recalcitrant nodular acne that has failed conventional therapy.

Evidence
Strong
Class
Retinoid / Dermatologic

Prescription

Itraconazole

Itraconazole is a broad-spectrum triazole antifungal used to treat a range of systemic and superficial fungal infections, including aspergillosis, blastomycosis, histoplasmosis

Evidence
Strong
Class
Triazole antifungal

Prescription

Ivabradine

Ivabradine selectively reduces heart rate without affecting blood pressure, contractility, or conduction.

Evidence
Strong
Class
Hyperpolarization-Activated Cyclic Nucleotide-Gated (HCN) Channel Blocker

L

28

Prescription

Labetalol

Labetalol is a combined nonselective beta-adrenergic and selective alpha-1 adrenergic receptor blocker used to treat hypertension

Evidence
Strong
Class
Combined alpha/beta-adrenergic blocker

Prescription

Lacosamide

Lacosamide is an antiseizure medication used for focal-onset seizures and primary generalized tonic-clonic seizures in appropriate patients.

Evidence
Strong
Class
Anticonvulsant sodium-channel modulator

Prescription

Lactulose

A synthetic disaccharide osmotic laxative used for the treatment of chronic constipation and, at higher doses, for the treatment of hepatic encephalopathy.

Evidence
Strong
Class
Osmotic Laxative

Prescription

Lamotrigine

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.

Evidence
Strong
Class
Mood Stabilizer / Anticonvulsant

Prescription

Lansoprazole

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

Latanoprost is a prostaglandin F2-alpha analog and the most widely prescribed first-line medication for open-angle glaucoma and ocular hypertension.

Evidence
Strong
Class
Prostaglandin Analog / Ophthalmologic

Prescription

Leflunomide

A pyrimidine synthesis inhibitor DMARD used for the treatment of active rheumatoid arthritis and psoriatic arthritis.

Evidence
Strong
Class
Disease-Modifying Antirheumatic Drug (DMARD)

Prescription

Levetiracetam

Levetiracetam is a broad-spectrum antiepileptic drug used as monotherapy or adjunctive therapy for partial-onset seizures, myoclonic seizures in juvenile myoclonic epilepsy

Evidence
Strong
Class
Antiepileptic

Prescription

Levetiracetam Extended-Release

Levetiracetam extended-release is an antiseizure medication used once daily for focal-onset seizures and other seizure types depending on labeling and clinician judgment.

Evidence
Strong
Class
Anticonvulsant SV2A modulator

Prescription

Levocetirizine

Levocetirizine is the active R-enantiomer of cetirizine and is used for allergic rhinitis and chronic idiopathic urticaria.

Evidence
Strong
Class
Second-generation H1 antihistamine

Prescription

Levodopa/Carbidopa

Levodopa/carbidopa is the gold-standard treatment for Parkinson's disease. Levodopa is the metabolic precursor to dopamine and crosses the blood-brain barrier

Evidence
Strong
Class
Dopaminergic / Antiparkinson

Prescription

Levofloxacin

A third-generation (respiratory) fluoroquinolone with broad-spectrum activity against gram-positive (including S. pneumoniae), gram-negative, and atypical organisms.

Evidence
Strong
Class
Fluoroquinolone Antibiotic

Prescription

Levomilnacipran

Levomilnacipran is an extended-release SNRI approved for major depressive disorder in adults.

Evidence
Strong
Class
Serotonin-norepinephrine reuptake inhibitor antidepressant

Prescription

Levothyroxine

Levothyroxine (synthetic T4) is the standard treatment for hypothyroidism and is one of the most prescribed medications worldwide.

Evidence
Strong
Class
Thyroid Hormone

Prescription

Linagliptin

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.

Evidence
Strong
Class
DPP-4 Inhibitor

Prescription

Linezolid

Linezolid is a synthetic oxazolidinone antibiotic used to treat serious infections caused by resistant gram-positive bacteria

Evidence
Strong
Class
Oxazolidinone antibiotic

Prescription

Liothyronine

Liothyronine is a synthetic form of triiodothyronine (T3), the most metabolically active thyroid hormone.

Evidence
Moderate
Class
Thyroid Hormone

Prescription

Liraglutide

Liraglutide is an FDA-approved once-daily GLP-1 receptor agonist peptide drug available as prescription Victoza for type 2 diabetes and cardiovascular risk reduction in labeled high-risk patients

Evidence
Strong
Class
GLP-1 Receptor Agonist

Prescription

Lisdexamfetamine

Prescription central nervous system stimulant (Schedule II controlled substance) approved for ADHD and moderate-to-severe binge eating disorder.

Evidence
Strong
Class
CNS Stimulant

Prescription

Lisinopril

Lisinopril is a long-acting ACE inhibitor widely used for hypertension, heart failure, and post-myocardial infarction care.

Evidence
Strong
Class
ACE Inhibitor

Prescription

Lithium

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.

Evidence
Strong
Class
Mood Stabilizer

Prescription

Loperamide

A synthetic opioid receptor agonist that acts peripherally on the gastrointestinal tract to reduce diarrhea.

Evidence
Strong
Class
Anti-Diarrheal

Prescription

Loratadine

A second-generation antihistamine with minimal sedative effects, used for the symptomatic relief of seasonal and perennial allergic rhinitis and chronic idiopathic urticaria.

Evidence
Strong
Class
Second-Generation Antihistamine

Prescription

Lorazepam

Prescription benzodiazepine (Schedule IV controlled substance) approved for anxiety disorders, insomnia due to anxiety, and as a preanesthetic agent.

Evidence
Strong
Class
Benzodiazepine

Prescription

Losartan

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.

Evidence
Strong
Class
Angiotensin II Receptor Blocker (ARB)

Prescription

Losartan/Hydrochlorothiazide

Losartan/hydrochlorothiazide is a fixed-dose combination antihypertensive that pairs the angiotensin II receptor blocker (ARB) losartan with the thiazide diuretic hydrochlorothiazide.

Evidence
Strong
Class
Angiotensin II receptor blocker plus thiazide diuretic (fixed-dose combination)

Prescription

Lovastatin

Lovastatin was the first commercially available statin and is a moderate-intensity agent derived from Aspergillus terreus fungus.

Evidence
Strong
Class
HMG-CoA Reductase Inhibitor (Statin)

Prescription

Lurasidone

Lurasidone is an atypical antipsychotic used for schizophrenia and bipolar depression.

Evidence
Strong
Class
Atypical antipsychotic

M

21

Prescription

Medroxyprogesterone

Medroxyprogesterone acetate (MPA) is a synthetic progestin used orally (Provera) for secondary amenorrhea, abnormal uterine bleeding, endometrial protection in HRT, and endometriosis.

Evidence
Strong
Class
Progestin Hormone

Prescription

Meloxicam

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.

Evidence
Strong
Class
Nonsteroidal Anti-Inflammatory Drug (NSAID)

Prescription

Memantine

Memantine is a moderate-affinity, uncompetitive NMDA receptor antagonist indicated for moderate-to-severe Alzheimer's disease.

Evidence
Moderate
Class
NMDA Antagonist / Alzheimer's

Prescription

Mesalamine

A 5-aminosalicylic acid (5-ASA) agent used as first-line therapy for induction and maintenance of remission in mild-to-moderate ulcerative colitis.

Evidence
Strong
Class
Aminosalicylate (IBD)

Prescription

Metformin

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.

Evidence
Strong
Class
Biguanide

Prescription

Methimazole

Methimazole is the preferred antithyroid medication for the treatment of hyperthyroidism, including Graves' disease and toxic multinodular goiter.

Evidence
Strong
Class
Antithyroid Agent

Prescription

Methocarbamol

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

Methotrexate

The anchor DMARD and most widely used first-line therapy for rheumatoid arthritis, also indicated for psoriatic arthritis, psoriasis, and certain cancers.

Evidence
Strong
Class
Disease-Modifying Antirheumatic Drug (DMARD)

Prescription

Methylphenidate

Prescription central nervous system stimulant (Schedule II controlled substance) approved for attention-deficit/hyperactivity disorder (ADHD) and narcolepsy.

Evidence
Strong
Class
CNS Stimulant

Prescription

Methylprednisolone

Methylprednisolone is a synthetic glucocorticoid available in oral, intramuscular, intravenous, and intra-articular formulations.

Evidence
Strong
Class
Corticosteroid

Prescription

Metoclopramide

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

Metoprolol is a cardioselective beta-1 blocker available in immediate-release (tartrate) and extended-release (succinate) formulations.

Evidence
Strong
Class
Beta-1 Selective Adrenergic Blocker

Prescription

Metronidazole

A nitroimidazole antimicrobial with potent activity against anaerobic bacteria and certain protozoa.

Evidence
Strong
Class
Nitroimidazole Antibiotic/Antiprotozoal

Prescription

Minocycline

Minocycline is a broad-spectrum, second-generation tetracycline antibiotic used to treat inflammatory acne, certain bacterial infections

Evidence
Strong
Class
Tetracycline antibiotic

Prescription

Mirabegron

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.

Evidence
Strong
Class
Beta-3 Agonist / Overactive Bladder

Prescription

Mirtazapine

Prescription noradrenergic and specific serotonergic antidepressant (NaSSA) approved for major depressive disorder.

Evidence
Strong
Class
Atypical Antidepressant (NaSSA)

Prescription

Mometasone Nasal

An intranasal corticosteroid for the treatment of allergic rhinitis (seasonal and perennial) and nasal polyps.

Evidence
Strong
Class
Intranasal Corticosteroid

Prescription

Montelukast

A leukotriene receptor antagonist (LTRA) used for the maintenance treatment of asthma, exercise-induced bronchoconstriction, and allergic rhinitis.

Evidence
Strong
Class
Leukotriene Receptor Antagonist

Prescription

Morphine

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

Moxifloxacin

Moxifloxacin is a fourth-generation fluoroquinolone antibiotic used to treat respiratory tract infections such as community-acquired pneumonia, acute bacterial sinusitis

Evidence
Strong
Class
Fluoroquinolone antibiotic

Prescription

Mycophenolate Mofetil

Mycophenolate mofetil is an immunosuppressive prodrug of mycophenolic acid used to prevent organ transplant rejection in combination regimens.

Evidence
Strong
Class
Antiproliferative immunosuppressant

N

8

Prescription

Naproxen

A long-acting nonselective NSAID with analgesic, anti-inflammatory, and antipyretic properties.

Evidence
Strong
Class
Nonsteroidal Anti-Inflammatory Drug (NSAID)

Prescription

Nebivolol

Nebivolol is a third-generation, highly beta-1 selective adrenergic receptor blocker that is distinguished by its ability to promote endothelial nitric-oxide release

Evidence
Strong
Class
Beta-blocker (beta-1 selective with vasodilation)

Prescription

Niacin (Prescription)

Prescription niacin is nicotinic acid (vitamin B3) used at gram-level doses far above the nutritional requirement to treat dyslipidemia.

Evidence
Strong
Class
antilipemic agent

Prescription

Nifedipine

Nifedipine is a dihydropyridine calcium channel blocker used for hypertension and angina (including vasospastic/Prinzmetal angina).

Evidence
Strong
Class
Dihydropyridine Calcium Channel Blocker

Prescription

Nitrofurantoin

A nitrofuran antibiotic used exclusively for the treatment and prophylaxis of uncomplicated urinary tract infections. Active against most common UTI pathogens including E.

Evidence
Strong
Class
Nitrofuran Antibiotic

Prescription

Nitroglycerin

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.

Evidence
Strong
Class
Organic Nitrate

Prescription

Nortriptyline

Prescription tricyclic antidepressant (TCA) approved for major depressive disorder.

Evidence
Strong
Class
Tricyclic Antidepressant (TCA)

Prescription

Nystatin

Nystatin is a polyene antifungal antibiotic used to treat candidiasis (Candida infections) of the mouth, throat, and gastrointestinal tract, as well as cutaneous and vaginal candidal infections.

Evidence
Strong
Class
Polyene antifungal

O

8

Prescription

Olanzapine

Prescription second-generation (atypical) antipsychotic approved for schizophrenia, bipolar I disorder (manic or mixed episodes)

Evidence
Strong
Class
Atypical Antipsychotic

Prescription

Olmesartan

Olmesartan is a potent ARB that provides effective blood pressure reduction with once-daily dosing. It is available in multiple fixed-dose combinations.

Evidence
Strong
Class
Angiotensin II Receptor Blocker (ARB)

Prescription

Omeprazole

A widely prescribed proton pump inhibitor (PPI) used to treat gastroesophageal reflux disease (GERD), peptic ulcers, erosive esophagitis, and Zollinger-Ellison syndrome.

Evidence
Strong
Class
Proton Pump Inhibitor

Prescription

Ondansetron

A selective serotonin 5-HT3 receptor antagonist used for the prevention and treatment of nausea and vomiting caused by chemotherapy, radiation therapy, and surgery.

Evidence
Strong
Class
Antiemetic (5-HT3 Antagonist)

Prescription

Oseltamivir

A neuraminidase inhibitor antiviral used for the treatment and prevention of influenza A and B.

Evidence
Moderate
Class
Neuraminidase Inhibitor Antiviral

Prescription

Oxcarbazepine

Oxcarbazepine is an anticonvulsant used for focal seizures and sometimes off-label for mood stabilization.

Evidence
Strong
Class
Anticonvulsant sodium-channel modulator

Prescription

Oxybutynin

Oxybutynin is an antimuscarinic agent used for the treatment of overactive bladder (OAB) symptoms including urge urinary incontinence, urgency, and frequency.

Evidence
Strong
Class
Anticholinergic / Overactive Bladder

Prescription

Oxycodone

A potent semi-synthetic opioid analgesic used for the management of moderate to severe pain when non-opioid alternatives are inadequate.

Evidence
Strong
Class
Opioid Analgesic

P

22

Prescription

Paliperidone

Paliperidone is the active metabolite of risperidone and is used for schizophrenia and schizoaffective disorder.

Evidence
Strong
Class
Atypical antipsychotic

Prescription

Pantoprazole

A proton pump inhibitor commonly used in both oral and intravenous formulations for the treatment of erosive esophagitis associated with GERD, Zollinger-Ellison syndrome

Evidence
Strong
Class
Proton Pump Inhibitor

Prescription

Paroxetine

Prescription selective serotonin reuptake inhibitor (SSRI) approved for major depressive disorder, GAD, panic disorder, social anxiety disorder, OCD, and PTSD.

Evidence
Strong
Class
SSRI

Prescription

Penicillin V Potassium

Penicillin V potassium is an orally administered, acid-stable natural penicillin used to treat mild to moderate infections caused by susceptible gram-positive organisms.

Evidence
Strong
Class
Beta-lactam antibiotic (natural penicillin)

Prescription

Perindopril

Perindopril is a long-acting angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension and stable coronary artery disease.

Evidence
Strong
Class
ACE Inhibitor

Prescription

Phenelzine

Phenelzine is an irreversible nonselective MAOI used for depression, especially atypical or treatment-resistant depression when other antidepressants are inadequate.

Evidence
Strong
Class
Irreversible nonselective monoamine oxidase inhibitor antidepressant

Prescription

Phenobarbital

Phenobarbital is a long-acting barbiturate used for seizure disorders and, less commonly, sedative indications.

Evidence
Strong
Class
Barbiturate anticonvulsant

Prescription

Phenytoin

Phenytoin is one of the oldest and most widely used antiepileptic drugs, effective for partial seizures and generalized tonic-clonic seizures.

Evidence
Strong
Class
Antiepileptic

Prescription

Pioglitazone

Pioglitazone is an oral thiazolidinedione used with diet and exercise to improve glycemic control in adults with type 2 diabetes.

Evidence
Strong
Class
Thiazolidinedione insulin sensitizer

Prescription

Polyethylene Glycol

An osmotic laxative composed of polyethylene glycol 3350, used for the treatment of occasional constipation and chronic idiopathic constipation.

Evidence
Strong
Class
Osmotic Laxative

Prescription

Pramipexole

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

Pramlintide

Pramlintide is an FDA-approved synthetic amylin analog peptide available as prescription Symlin/SymlinPen for adjunctive use in selected people with type 1 or type 2 diabetes who use mealtime…

Evidence
Strong
Class
Amylin Analog

Prescription

Prasugrel

Prasugrel is a third-generation thienopyridine P2Y12 inhibitor with faster onset, greater potency, and less inter-patient variability than clopidogrel.

Evidence
Strong
Class
Antiplatelet Agent (P2Y12 Inhibitor)

Prescription

Pravastatin

Pravastatin is a moderate-intensity hydrophilic statin with proven cardiovascular benefits in primary and secondary prevention.

Evidence
Strong
Class
HMG-CoA Reductase Inhibitor (Statin)

Prescription

Prednisolone

Prednisolone is the active metabolite of prednisone and is used when hepatic conversion is a concern (e.g., liver disease, pediatric patients).

Evidence
Strong
Class
Corticosteroid

Prescription

Prednisone

Prednisone is an oral synthetic corticosteroid widely used for its anti-inflammatory and immunosuppressive properties.

Evidence
Strong
Class
Corticosteroid

Prescription

Pregabalin

A gabapentinoid anticonvulsant FDA-approved for neuropathic pain associated with diabetic peripheral neuropathy, postherpetic neuralgia, fibromyalgia, neuropathic pain due to spinal cord injury

Evidence
Strong
Class
Neuropathic Pain Agent (Gabapentinoid)

Prescription

Primidone

Primidone is an anticonvulsant used for seizure disorders and commonly used off-label for essential tremor.

Evidence
Strong
Class
Anticonvulsant metabolized to phenobarbital

Prescription

Prochlorperazine

Prochlorperazine is a phenothiazine dopamine antagonist used for severe nausea, vomiting, and short-term treatment of nonpsychotic anxiety in some formulations.

Evidence
Strong
Class
Phenothiazine antiemetic and antipsychotic

Prescription

Promethazine

A first-generation phenothiazine antihistamine with antiemetic, sedative, and anticholinergic properties.

Evidence
Strong
Class
Antiemetic (Phenothiazine)

Prescription

Propranolol

Propranolol is a non-selective beta-blocker that blocks both beta-1 and beta-2 receptors.

Evidence
Strong
Class
Non-Selective Beta-Adrenergic Blocker

Prescription

Pseudoephedrine

An oral sympathomimetic decongestant used for temporary relief of nasal and sinus congestion associated with the common cold, allergic rhinitis, and sinusitis.

Evidence
Moderate
Class
Sympathomimetic Decongestant

Q

2

Prescription

Quetiapine

Prescription second-generation (atypical) antipsychotic approved for schizophrenia, bipolar disorder (manic and depressive episodes), and as adjunctive therapy for major depressive disorder.

Evidence
Strong
Class
Atypical Antipsychotic

Prescription

Quinapril

Quinapril is an angiotensin-converting enzyme (ACE) inhibitor used to treat hypertension and, as adjunctive therapy, heart failure.

Evidence
Strong
Class
ACE inhibitor

R

15

Prescription

Rabeprazole

Rabeprazole is a proton pump inhibitor used for gastroesophageal reflux disease, erosive esophagitis, Helicobacter pylori combination therapy, duodenal ulcer

Evidence
Strong
Class
Proton pump inhibitor

Prescription

Raloxifene

Raloxifene is a selective estrogen receptor modulator used in postmenopausal women for osteoporosis treatment or prevention and for reduction of invasive breast cancer risk in selected high-risk…

Evidence
Strong
Class
Selective estrogen receptor modulator

Prescription

Ramipril

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.

Evidence
Strong
Class
ACE Inhibitor

Prescription

Ranolazine

Ranolazine is a unique anti-anginal agent that works by inhibiting the late sodium current without significant hemodynamic effects.

Evidence
Moderate
Class
Late Sodium Current Inhibitor

Prescription

Rasagiline

Rasagiline is an irreversible MAO-B inhibitor used for Parkinson disease as monotherapy or adjunctive therapy.

Evidence
Strong
Class
Monoamine oxidase B inhibitor

Prescription

Repaglinide

Repaglinide is a short-acting oral insulin secretagogue used before meals to improve postprandial glucose control in adults with type 2 diabetes.

Evidence
Strong
Class
Meglitinide insulin secretagogue

Prescription

Rifampin

Rifampin is a bactericidal rifamycin antibiotic used most often as a cornerstone of multidrug tuberculosis therapy and for eradicating meningococcal carriage.

Evidence
Strong
Class
Rifamycin Antibiotic

Prescription

Risedronate

Risedronate is a nitrogen-containing bisphosphonate used for the treatment and prevention of postmenopausal and glucocorticoid-induced osteoporosis, male osteoporosis, and Paget's disease.

Evidence
Strong
Class
Bisphosphonate

Prescription

Risperidone

Prescription second-generation (atypical) antipsychotic approved for schizophrenia, bipolar mania, and irritability associated with autistic disorder.

Evidence
Strong
Class
Atypical Antipsychotic

Prescription

Rivaroxaban

Rivaroxaban is a direct factor Xa inhibitor approved for stroke prevention in non-valvular atrial fibrillation, DVT/PE treatment and prevention

Evidence
Strong
Class
Direct Oral Anticoagulant (DOAC)

Prescription

Rivastigmine

Rivastigmine is a cholinesterase inhibitor used for dementia due to Alzheimer disease and Parkinson disease.

Evidence
Strong
Class
Cholinesterase inhibitor

Prescription

Rizatriptan

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

Roflumilast

Roflumilast is an oral selective phosphodiesterase-4 inhibitor used to reduce COPD exacerbations in patients with severe COPD associated with chronic bronchitis and a history of exacerbations.

Evidence
Strong
Class
Phosphodiesterase-4 inhibitor

Prescription

Ropinirole

Ropinirole is a non-ergot dopamine agonist selective for D2/D3 receptors, approved for Parkinson's disease and moderate-to-severe restless legs syndrome.

Evidence
Strong
Class
Dopaminergic / Antiparkinson

Prescription

Rosuvastatin

Rosuvastatin is a high-intensity statin and one of the most potent agents for lowering LDL cholesterol.

Evidence
Strong
Class
HMG-CoA Reductase Inhibitor (Statin)

S

16

Prescription

Sacubitril/Valsartan

Sacubitril/valsartan is a first-in-class ARNI that combines neprilysin inhibition with AT1 receptor blockade.

Evidence
Strong
Class
Angiotensin Receptor-Neprilysin Inhibitor (ARNI)

Prescription

Salmeterol/Fluticasone

Salmeterol/fluticasone combines an inhaled corticosteroid with a long-acting beta-2 agonist for maintenance treatment of asthma and chronic obstructive pulmonary disease.

Evidence
Strong
Class
Inhaled corticosteroid and long-acting beta-2 agonist combination

Prescription

Selegiline

Selegiline is an irreversible MAO-B inhibitor used orally as adjunctive therapy in Parkinson disease and as a transdermal system for major depressive disorder.

Evidence
Strong
Class
Monoamine oxidase B inhibitor

Prescription

Semaglutide

Semaglutide is an FDA-approved glucagon-like peptide-1 (GLP-1) receptor agonist peptide drug available only as prescription semaglutide products such as Ozempic, Wegovy, and Rybelsus.

Evidence
Strong
Class
GLP-1 Receptor Agonist

Prescription

Sertraline

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

Sildenafil is a phosphodiesterase type 5 (PDE5) inhibitor originally developed for angina and subsequently approved for erectile dysfunction (ED) and pulmonary arterial hypertension (PAH).

Evidence
Strong
Class
PDE5 Inhibitor

Prescription

Silodosin

Silodosin is an oral alpha-1A adrenergic blocker used to improve lower urinary tract symptoms from benign prostatic hyperplasia.

Evidence
Strong
Class
Uroselective alpha-1A adrenergic blocker

Prescription

Simvastatin

Simvastatin is a moderate-to-high intensity statin with landmark evidence from the 4S and HPS trials demonstrating significant cardiovascular mortality reduction.

Evidence
Strong
Class
HMG-CoA Reductase Inhibitor (Statin)

Prescription

Sitagliptin

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.

Evidence
Strong
Class
DPP-4 Inhibitor

Prescription

Solifenacin

Solifenacin is an antimuscarinic used for overactive bladder with urgency, frequency, and urge urinary incontinence.

Evidence
Strong
Class
Antimuscarinic for overactive bladder

Prescription

Sotalol

Sotalol has dual properties: non-selective beta-blockade (class II) and potassium channel blockade that prolongs repolarization (class III).

Evidence
Moderate
Class
Class III Antiarrhythmic / Non-Selective Beta-Blocker

Prescription

Spironolactone

Spironolactone is a non-selective mineralocorticoid receptor antagonist with landmark evidence from the RALES trial demonstrating a 30% mortality reduction in severe heart failure.

Evidence
Strong
Class
Potassium-Sparing Diuretic / Mineralocorticoid Receptor Antagonist

Prescription

Sucralfate

Sucralfate is a locally acting aluminum salt of sulfated sucrose used primarily for duodenal ulcer treatment and maintenance.

Evidence
Strong
Class
Aluminum-based mucosal protectant

Prescription

Sulfasalazine

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.

Evidence
Strong
Class
Aminosalicylate (IBD/DMARD)

Prescription

Sumatriptan

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.

Evidence
Strong
Class
Triptan / Antimigraine

Prescription

Suvorexant

Prescription dual orexin receptor antagonist (DORA; Schedule IV controlled substance) approved for insomnia characterized by difficulty with sleep onset and/or sleep maintenance.

Evidence
Moderate
Class
Sedative-Hypnotic (Orexin Receptor Antagonist)

T

23

Prescription

Tacrolimus

Tacrolimus is a calcineurin inhibitor used to prevent rejection after kidney, liver, heart, lung, and other organ transplants depending on formulation and protocol.

Evidence
Strong
Class
Calcineurin inhibitor immunosuppressant

Prescription

Tadalafil

Tadalafil is a long-acting PDE5 inhibitor approved for erectile dysfunction (ED), benign prostatic hyperplasia (BPH), and pulmonary arterial hypertension (PAH).

Evidence
Strong
Class
PDE5 Inhibitor

Prescription

Tamsulosin

Tamsulosin is a selective alpha-1A adrenergic receptor antagonist used to treat lower urinary tract symptoms (LUTS) associated with benign prostatic hyperplasia (BPH).

Evidence
Strong
Class
Alpha-1 Blocker / Urologic

Prescription

Tapentadol

Tapentadol is a Schedule II opioid analgesic with mu-opioid receptor agonism and norepinephrine reuptake inhibition

Evidence
Strong
Class
Centrally acting opioid analgesic and norepinephrine reuptake inhibitor

Prescription

Telmisartan

Telmisartan is a long-acting angiotensin II receptor blocker (ARB) used to treat hypertension and to reduce the risk of cardiovascular events in patients at high cardiovascular risk who cannot…

Evidence
Strong
Class
Angiotensin II receptor blocker (ARB)

Prescription

Tenofovir Disoproxil

Tenofovir disoproxil is an oral prodrug of tenofovir, a nucleotide analog reverse-transcriptase inhibitor used to treat HIV-1 infection only in combination with other antiretrovirals and to treat…

Evidence
Strong
Class
Nucleotide reverse-transcriptase inhibitor (NRTI)

Prescription

Terbinafine

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

Testosterone replacement therapy (TRT) is indicated for male hypogonadism when low testosterone levels are confirmed by laboratory testing with consistent signs and symptoms.

Evidence
Strong
Class
Androgen Hormone

Prescription

Tetracycline

Tetracycline is a broad-spectrum, bacteriostatic antibiotic of the tetracycline class used to treat a range of bacterial infections and inflammatory acne vulgaris.

Evidence
Strong
Class
Tetracycline antibiotic

Prescription

Theophylline

Theophylline is an oral methylxanthine bronchodilator used in selected asthma and COPD patients when other therapies are insufficient or unavailable.

Evidence
Strong
Class
Methylxanthine bronchodilator

Prescription

Ticagrelor

Ticagrelor is a direct-acting, reversible P2Y12 receptor inhibitor that does not require hepatic activation.

Evidence
Strong
Class
Antiplatelet Agent (P2Y12 Inhibitor)

Prescription

Timolol Ophthalmic

Timolol is a non-selective beta-adrenergic receptor antagonist used topically to reduce intraocular pressure (IOP) in open-angle glaucoma and ocular hypertension.

Evidence
Strong
Class
Beta-Blocker / Ophthalmologic

Prescription

Tiotropium

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.

Evidence
Strong
Class
Long-Acting Muscarinic Antagonist (LAMA)

Prescription

Tirzepatide

Prescription dual glucose-dependent insulinotropic polypeptide (GIP) and GLP-1 receptor agonist used for type 2 diabetes and chronic weight management when prescribed under an FDA-approved label.

Evidence
Strong
Class
Dual GIP/GLP-1 Receptor Agonist

Prescription

Tizanidine

A centrally acting alpha-2 adrenergic agonist used for the management of spasticity associated with multiple sclerosis and spinal cord injury.

Evidence
Strong
Class
Skeletal Muscle Relaxant (Antispastic)

Prescription

Tolterodine

Tolterodine is an antimuscarinic used for overactive bladder with urgency, frequency, and urge incontinence.

Evidence
Strong
Class
Antimuscarinic for overactive bladder

Prescription

Topiramate

Topiramate is a broad-spectrum antiepileptic approved for partial-onset and primary generalized tonic-clonic seizures, Lennox-Gastaut syndrome, and migraine prophylaxis.

Evidence
Strong
Class
Antiepileptic

Prescription

Torsemide

Torsemide is a loop diuretic used to treat fluid overload (edema) associated with heart failure, kidney disease, and liver disease, and is also used for hypertension.

Evidence
Strong
Class
Loop diuretic

Prescription

Tramadol

A centrally acting synthetic opioid analgesic with a dual mechanism of action, used for the management of moderate to moderately severe pain.

Evidence
Strong
Class
Opioid Analgesic (Atypical)

Prescription

Tranylcypromine

Tranylcypromine is an irreversible nonselective MAOI used for major depressive disorder when other antidepressants have not worked adequately.

Evidence
Strong
Class
Irreversible nonselective monoamine oxidase inhibitor antidepressant

Prescription

Trazodone

Prescription serotonin antagonist and reuptake inhibitor (SARI) approved for major depressive disorder.

Evidence
Moderate
Class
Atypical Antidepressant (SARI)

Prescription

Tretinoin Oral

Oral tretinoin (all-trans retinoic acid, ATRA) is a retinoid that induces differentiation of immature promyelocytes into mature granulocytes.

Evidence
Strong
Class
Retinoid / Dermatologic-Oncologic

Prescription

Trimethoprim-Sulfamethoxazole

A synergistic combination antibiotic containing trimethoprim and sulfamethoxazole in a 1:5 ratio. Effective against many gram-positive and gram-negative organisms.

Evidence
Strong
Class
Sulfonamide/Diaminopyrimidine Combination

V

10

Prescription

Valacyclovir

The L-valyl ester prodrug of acyclovir, providing 3-5 times higher oral bioavailability than acyclovir.

Evidence
Strong
Class
Nucleoside Analog Antiviral (Prodrug)

Prescription

Valganciclovir

Valganciclovir is an oral prodrug of ganciclovir used to prevent and treat cytomegalovirus (CMV) disease, most often in solid-organ transplant recipients and in people with advanced HIV.

Evidence
Strong
Class
Antiviral (nucleoside analogue prodrug)

Prescription

Valproic Acid

Prescription mood stabilizer and anticonvulsant approved for bipolar mania, epilepsy (multiple seizure types), and migraine prophylaxis. Effective for acute mania and mixed episodes.

Evidence
Strong
Class
Mood Stabilizer / Anticonvulsant

Prescription

Valsartan

Valsartan is an ARB with evidence from the Val-HeFT and VALIANT trials for heart failure and post-MI management.

Evidence
Strong
Class
Angiotensin II Receptor Blocker (ARB)

Prescription

Vancomycin

Vancomycin is a glycopeptide antibiotic used to treat serious Gram-positive infections, most notably methicillin-resistant Staphylococcus aureus (MRSA).

Evidence
Strong
Class
Glycopeptide antibiotic

Prescription

Venlafaxine

Prescription serotonin-norepinephrine reuptake inhibitor (SNRI) approved for major depressive disorder, generalized anxiety disorder, social anxiety disorder, and panic disorder.

Evidence
Strong
Class
SNRI

Prescription

Verapamil

Verapamil is a phenylalkylamine-type non-dihydropyridine calcium channel blocker with the strongest negative inotropic and chronotropic effects among CCBs.

Evidence
Strong
Class
Non-Dihydropyridine Calcium Channel Blocker

Prescription

Vilazodone

Vilazodone is an oral antidepressant approved for major depressive disorder in adults.

Evidence
Strong
Class
SSRI and 5-HT1A partial agonist antidepressant

Prescription

Voriconazole

Voriconazole is a second-generation triazole antifungal used as first-line therapy for invasive aspergillosis and for serious infections caused by Candida, Scedosporium, and Fusarium species.

Evidence
Strong
Class
Triazole antifungal

Prescription

Vortioxetine

Vortioxetine is an oral antidepressant approved for major depressive disorder in adults.

Evidence
Strong
Class
Serotonin modulator antidepressant

W

1

Prescription

Warfarin

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

Evidence
Strong
Class
Anticoagulant (Vitamin K Antagonist)

Z

4

Prescription

Ziprasidone

Ziprasidone is an atypical antipsychotic used for schizophrenia and bipolar I manic or mixed episodes.

Evidence
Strong
Class
Atypical antipsychotic

Prescription

Zoledronic Acid

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

Zolpidem

Prescription non-benzodiazepine sedative-hypnotic (Schedule IV controlled substance) approved for the short-term treatment of insomnia.

Evidence
Strong
Class
Sedative-Hypnotic (Non-Benzodiazepine)

Prescription

Zonisamide

Zonisamide is an antiseizure medication used for focal-onset seizures. It is a sulfonamide and carbonic anhydrase inhibitor, so serious rash, metabolic acidosis, kidney stones, oligohidrosis

Evidence
Strong
Class
Sulfonamide anticonvulsant and carbonic anhydrase inhibitor

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