LASA Article

Confusing medication names and similar product packaging may lead to potentially harmful medication errors. To tackle this, HQE. Medication Safety Com...

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LOOK - ALIKE SOUND-AlIKE (LASA) MEDS Look Alike Sound Alike (LASA) medications involve medications that are visually similar in physical appearance or packaging and names of medications that have spelling similarities and/or similar phonetics. Confusing medication names and similar product packaging may lead to potentially harmful medication errors. To tackle this, HQE Medication Safety Committee have identify and listed out LASA Medications for your references. Ward and clinics could make use of this list in order to prevent medication errors that may arise from LASA Medications.

Strategies to avoid medication errors STORAGE LABELING USING TALLMAN LETTERING Tall Man lettering (or Tallman lettering) is the practice of writing part of a medicines name in upper case letters to help distinguish sound- alike, look-alike medications from one another to avoid medication errors. We recommend the use of Tallman Lettering on wards/clinics medication storage labelling. Example of tallman lettering : metFORMIN - metoPROLOL.

GOOD PRESCRIBING PRACTICE 1.

  Write legibly. Write clearly whether on an inpatient order or on a prescription.

2.

Prescription should clearly specify name of medication, dosage form, dose and complete direction for use.

3.

Communicate clearly. Take your time in pronouncing the drug name whenever an oral order has to be made. Ask that the recipient of the oral communication repeat the medication name and dose. Verbal orders should be limited to emergency situations only.

READ & CHECK LABELS 1. 2.

Emphasize the need to read labels rather than relying on visual recognition and location. Check actual medicines against medication labels and against the prescriptions.

LASA TABLETS Drug Name With Tall Man Letters

Confused With

Drug Name With Tall Man Letters

Confused With

AMLOdipine

FELOdipine

ARIPIprazole

ESOMEprazole – PANTOprazole -

calcium LACTATE

calcium CARBONATE

CARBAmazepine

CHLORPROmazine

CLOXAcillin

AMOXYcillin – PENIcillin V

ERYTHROmycin FRUsemide

CLARIthromycin - CLINDAmycin ACETAZOlamide

glibenclaMIDE

gliclaZIDE

lovaSTATIN

loraTADINE

metFORMIN

metoPROLOL

metFORMIN

RABEprazole ATORVAstatin

ROSUVAstatin – PRAVAstatinSIMVAstatin

CARVEDIlol

BISOPROlol

CELEcoxib

ETEROcoxib

COzaar*

HYzaar*

cycloSPORIN

CycloSERIN

metroNIDAZOLE

DOXAZOsin

ALFUZOsin

METOprolol METHYLdopa

ATENOlol – LABETAlol - PROPRAnolol CARBIdopa

DUTAsteride

FINAsteride

neuroBIOn *

neuroNTIn *

DULoxetine

FLUoxetine

PERINdopril

ENALApril – CAPtopril

entaCAPONE

enteCAVIR

PRAzosin

TERAzosin

ITRAconazole

FLUconazole-VORIconazole

FLUNArizine

CINNArizine

LAMIvudine

STAvudine-TELVIvudine -

CARBAmazepine

CHLORPROmazine

CLOTRIMAzole

CO-TRIMOXAzole

ALPRAzolam

LORAzepam

CLONAzepam

LORAzepam - DIAzepam

ARIPIprazole

ESOMEprazole – PANTOprazole RABEprazole

ATORVAstatin

ROSUVAstatin – PRAVAstatinSIMVAstatin

CARVEDIlol

BISOPROlol

CELEcoxib

ETEROcoxib

ZIDOvudine LOsartan

IRBEsartan- TELMIsartan VALsartan

LEVOcetrizine

CETrizine

LEVETIRAcetam

PIRAcetam

Mycophenolate MOFETIL

Mycophenolate SODIUM

MIRTAzapine

OLANzapine- QUETIApine

SITAgliptin

VILDA gliptin

TENOfovir

ADEfovir

TENOfovir

TENOfovir / FTC (Tenvir EM)

LASA injections Drug Name With Tall Man Letters cefOTAXime cefTAZIDime

LOOK ALIKE MEDICATION Inj. Hyoscine Butylbromide 20 mg/ml

Confused With CefTAZIDime

cefTRIAXone

CefOTAXime, cefTRIAXone CeFAZolin

DOBUTamine

DOPamine

DOPamine

DOBUTamine

PANcuronium

ROcuronium

ROcuronium

PANcuronium

LOOK ALIKE MEDICATION

Inj. Fluconazole 2 mg/ml

Inj. Voriconazole 200 mg

Inj. Sulperazon 1 g

Inj. Ranitidine 50 mg/2 ml

Inj. Prochlorperazine Mesylate 12.5 mg/ml

LOOK-ALIKE MEDICATION

Inj. Sodium Bicarbonate 8.4 %

Inj. Potassium Chloride 10 %

Inj. Adrenaline Acid Tartarate 0.18 % w/v

Inj. Ampicillin 500 mg

Inj. Cloxacillin 500 mg Inj. Fluphenazine Decanoate 25 mg/ml

Inj. Potassium Dihydrogen Inj. Magnesium Sulfate Inj. Calcium Gluconate Phosphate

Inj. Haloperidol 5 mg/ml

Inj. Penicillin G 5,000,000 iu

Inj. Cefazolin 1 g

Inj. Propofol 10 mg/ml

Inj. Etomidate 20 mg/10 ml

Prepared by:

Inj. Streptomycn 1g

Inj. Hydrocortisone 100 mg

Inj. Cefuroxime 1.5 g

Inj. Cefuroxime 750 mg

Inj. Cefotaxime 1g

Drug Information Centre Hospital Queen Elizabeth