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Ismp's list of confused drug names

ISMP’s List of Confused Drug Names
his list of confused drug names, which includes look-alike and This list also contains the names that appear on The Joint sound-alike name pairs, consists of those name pairs that have Commission’s (TJC) list of look-alike and sound-alike names. TJC TbeeninvolvedinmedicationerrorspublishedintheISMP
established a National Patient Safety Goal that requires each Medication Safety Alert!® and the ISMP Medication Safety Alert!® accredited organization to identify a list of look-alike or sound-alike Community/Ambulatory Care Edition. The errors involving these drugs used in the organization. Those names that appear on TJC’s list medications were reported to ISMP through the ISMP Medication have been noted with an asterisk (*) below.
acetaZOLAMIDE*
acetoHEXAMIDE*
acetoHEXAMIDE*
acetaZOLAMIDE*
azaCITIDine
azaTHIOprine
azaTHIOprine
azaCITIDine
ALPRAZolam*
LORazepam*
aMILoride
amLODIPine
amLODIPine
aMILoride
* These drug names are included on TJC’s list of look-alike or sound-alike drug names from which an accredited organization creates it own list to satisfy the requirements of the National PatientSafety Goals. Visifor more information about this TJC requirement.
Permission is granted to reproduce material for internal newsletters or communications with proper attribution. Otherreproduction is prohibited without written permission. Unless noted, reports were received through the ISMP MedicationErrors Reporting Program (MERP). Report actual and potential medication errors to the MERP via the web at or by cal ing 1-800-FAIL-SAF(E). ISMP is a federal y certified patient safety organization (PSO), providing legal protection and confidentiality for patient safety data and error reports it receives.
ISMP’s List of Confused Drug Names
cycloSERINE
cycloSPORINE
buPROPion
busPIRone
cycloSPORINE
cycloSERINE
busPIRone
buPROPion
DACTINomycin
DAPTOmycin
carBAMazepine
OXcarbazepine
CARBOplatin
CISplatin
DAPTOmycin
DACTINomycin
DAUNOrubicin*
DAUNOrubicin citrate liposomal*
ceFAZolin
cefTRIAXone
DAUNOrubicin*
DOXOrubicin*
cefTRIAXone
ceFAZolin
DAUNOrubicin*
IDArubicin*
CeleBREX*
DAUNOrubicin citrate liposomal*
DAUNOrubicin*
CeleBREX*
CeleBREX*
Solu-MEDROL
CeleBREX*
chlordiazePOXIDE
chlorproMAZINE
chlorproMAZINE
chlordiazePOXIDE
chlorproMAZINE
chlorproPAMIDE
chlorproPAMIDE
chlorproMAZINE
CISplatin
CARBOplatin
dimenhyDRINATE
diphenhydrAMINE
diphenhydrAMINE
dimenhyDRINATE
clomiPHENE
clomiPRAMINE
clomiPRAMINE
clomiPHENE
clonazePAM
cloNIDine
clonazePAM
LORazepam
cloNIDine
clonazePAM
cloNIDine*
KlonoPIN*
DOBUTamine
DOPamine
DOPamine
DOBUTamine
* These drug names are included on TJC’s list of look-alike or sound-alike drug names from which an accredited organization creates it own list to satisfy the requirements of the National PatientSafety Goals. Visifor more information about this TJC requirement.
Permission is granted to reproduce material for internal newsletters or communications with proper attribution. Otherreproduction is prohibited without written permission. Unless noted, reports were received through the ISMP MedicationErrors Reporting Program (MERP). Report actual and potential medication errors to the MERP via the web at or by cal ing 1-800-FAIL-SAF(E). ISMP is a federal y certified patient safety organization (PSO), providing legal protection and confidentiality for patient safety data and error reports it receives.
ISMP’s List of Confused Drug Names
DOXOrubicin*
DAUNOrubicin*
DOXOrubicin*
DOXOrubicin liposomal*
glipiZIDE
glyBURIDE
DOXOrubicin*
IDArubicin*
glyBURIDE
glipiZIDE
DOXOrubicin liposomal*
DOXOrubicin*
guaiFENesin
guanFACINE
guanFACINE
guaiFENesin
DULoxetine
FLUoxetine
HMG-CoA Reductase Inhibitors ("statins") HumaLOG*
HumuLIN*
HumaLOG*
NovoLOG*
HumaLOG Mix 75/25
HumuLIN 70/30
Humapen Memoir (for use with HumaLOG)
Humapen Memoir (for use with HumaLOG)
HumuLIN*
NovoLIN*
HumuLIN*
HumaLOG*
ePHEDrine*
EPINEPHrine*
HumuLIN 70/30
HumaLOG Mix 75/25
EPINEPHrine*
ePHEDrine*
hydrALAZINE*
hydrOXYzine*
HYDROcodone*
oxyCODONE*
hydrOXYzine
hydrOXYzine*
hydrALAZINE*
IDArubicin*
DAUNOrubicin*
IDArubicin*
DOXOrubicin*
fentaNYL
SUFentanil
inFLIXimab
riTUXimab
tuberculin purified protein derivative (PPD) FLUoxetine
PARoxetine
FLUoxetine
DULoxetine
* These drug names are included on TJC’s list of look-alike or sound-alike drug names from which an accredited organization creates it own list to satisfy the requirements of the National PatientSafety Goals. Visifor more information about this TJC requirement.
Permission is granted to reproduce material for internal newsletters or communications with proper attribution. Otherreproduction is prohibited without written permission. Unless noted, reports were received through the ISMP MedicationErrors Reporting Program (MERP). Report actual and potential medication errors to the MERP via the web at or by cal ing 1-800-FAIL-SAF(E). ISMP is a federal y certified patient safety organization (PSO), providing legal protection and confidentiality for patient safety data and error reports it receives.
ISMP’s List of Confused Drug Names
KlonoPIN*
cloNIDine *
LaMICtal
LaMICtal
lamiVUDine*
lamoTRIgine*
lamoTRIgine*
lamiVUDine*
lamoTRIgine
metFORMIN*
metroNIDAZOLE*
lamoTRIgine
metroNIDAZOLE*
metFORMIN*
LORazepam*
ALPRAZolam*
LORazepam
clonazePAM
HYDROmorphone*
LORazepam
LORazepam
OxyCONTIN*
* These drug names are included on TJC’s list of look-alike or sound-alike drug names from which an accredited organization creates it own list to satisfy the requirements of the National PatientSafety Goals. Visifor more information about this TJC requirement.
Permission is granted to reproduce material for internal newsletters or communications with proper attribution. Otherreproduction is prohibited without written permission. Unless noted, reports were received through the ISMP MedicationErrors Reporting Program (MERP). Report actual and potential medication errors to the MERP via the web at or by cal ing 1-800-FAIL-SAF(E). ISMP is a federal y certified patient safety organization (PSO), providing legal protection and confidentiality for patient safety data and error reports it receives.
ISMP’s List of Confused Drug Names
OXcarbazepine
carBAMazepine
oxyCODONE*
HYDROcodone*
oxyCODONE*
OxyCONTIN*
OxyCONTIN*
OxyCONTIN*
oxyCODONE*
paregoric (camphorated tincture of opium)* PARoxetine
FLUoxetine
niCARdipine
NIFEdipine
NIFEdipine
niCARdipine
NIFEdipine
niMODipine
niMODipine
NIFEdipine
PENTobarbital
PHENobarbital
PHENobarbital
PENTobarbital
NovoLIN*
HumuLIN*
NovoLIN*
NovoLOG*
NovoLIN 70/30*
NovoLOG Mix 70/30*
NovoLOG*
HumaLOG*
NovoLOG*
NovoLIN*
NovoLOG Flexpen
NovoLOG Mix 70/30 Flexpen
NovoLOG Mix 70/30 Flexpen
NovoLOG Flexpen
NovoLOG Mix 70/30*
NovoLIN 70/30*
prednisoLONE
predniSONE
HMG-CoA Reductase Inhibitors ("statins") predniSONE
prednisoLONE
PriLOSEC*
OLANZapine
QUEtiapine
paregoric (camphorated tincture of opium)*

Source: http://www.mri.alexu.edu.eg/pds/Confused_drug_names.pdf

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