Drugs Similar to QUALITY CHOICE

Directions shake well before using instill 1 or 2 drops in the affected eye(s) as needed children under 6 years of age: ask a dcotor

Use temporary relieves: ■ cough due to cold ■ occasional minor irritation or sore throat

Uses temporarily relieves nasal congestion due to: a cold hay fever upper respiratory allergies promotes nasal and sinus drainage temporarily relieves sinus congestion and pressure helps clear nasal passages; shrinks swollen nasal membranes

Uses for the temporarily relief nasal congestion due to: common cold hay fever upper respiratory allergies

Uses relieves: heartburn sour stomach acid indigestion upset stomach associated with these symptoms

Uses for the temporarily relief nasal congestion due to: common cold hay fever upper respiratory allergies

USES relieves occasional constipation to help restore and maintain regularity this product generally produces bowel movement in 12 to 72 hours

Use temporary relieves: ■ cough due to cold ■ occasional minor irritation or sore throat

Directions Adults and children 2 years of age and older Remove cap and cut tip of tube. Apply a small amount of product to the cavity and around gum surrounding the teeth. Use up to 4 times daily or as directed by a dentist or doctor. Children under 12 years of age Should be supervised in the use of this product Children under 2 years of age Do not use

Use temporary relieves: ■ cough due to cold ■ occasional minor irritation or sore throat

Directions for itching of skin irritation, inflammation, and rashes: adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily children under 2 years of age: ask a doctor for external anal and genital itching, adults: when practical, clean the affected area with mild soap and warm water and rinse thoroughly gently dry by patting or blotting with toilet tissue or a soft cloth before applying apply to affected area not more than 3 to 4 times daily children under 12 years of age: ask a doctor

Use temporary relieves: ■ cough due to cold ■ occasional minor irritation or sore throat

Use temporary relieves: ■ cough due to cold ■ occasional minor irritation or sore throat

Uses first aid to help prevent the risk of infection in minor cuts, scrapes, burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in minor cuts, scrapes and burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scarapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses helps prevent the risk of infection in: •minor cuts •scrapes •burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses First aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses First aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses helps prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: •minor cuts •scrapes •burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses patient preoperative skin preparation: for preparation of the skin prior to surgery helps reduce bacteria that potentially can cause skin infection

Uses patient preoperative skin preparation: for preparation of the skin prior to surgery helps reduce bacteria that potentially can cause skin infection Uses patient preoperative skin preparation: for preparation of the skin prior to surgery helps reduce bacteria that potentially can cause skin infection Uses patient preoperative skin preparation: for preparation of the skin prior to surgery helps reduce bacteria that potentially can cause skin infection

Uses first aid to help prevent the risk of infection in minor cuts, scrapes, burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in minor cuts, scrapes and burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scarapes burns

Uses helps prevent the risk of infection in: •minor cuts •scrapes •burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses First aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses First aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: •minor cuts •scrapes •burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses First aid to help prevent the risk of infection in: minor cuts scrapes burns

Use first aid to help prevent the risk of infection in: minor cuts scrapes burns

Uses Use for preparation of the skin prior to an injection. Directions Apply topically as needed to clean intended area. Discard after single use.

Uses Hand sanitizer to decrease virus and bacteria on the skin that could cause disease Recommended for repetead use

Use To help reduce bacteria on the skin.

Use Antiseptic skin cleanser to help reduce bacteria that potentially can cause disease. For use when soap and water are not available. For occasional and personal domestic use.

DIPRIVANR (Propofol) Injectable Emulsion, USP is a sterile, nonpyrogenic emulsion containing 10 mg/mL of propofol suitable for intravenous administration. Propofol is chemically described as 2,6-diisopropylphenol. The structural formula is: DIPRIVAN C12H18O M.W. 178.27 Propofol is slightly soluble in water and, thus, is formulated in a white, oil-in-water emulsion. The pKa is 11. The octanol/water partition coefficient for propofol is 6761:1 at a pH of 6 to 8.5. In addition to the active component, propofol, the formulation also contains soybean oil (100 mg/mL), glycerol (22.5 mg/mL), egg lecithin (12 mg/mL); and disodium edetate (0.005%); with sodium hydroxide to adjust pH. DIPRIVAN Injectable Emulsion, USP is isotonic and has a pH of 7 to 8.5. DIPRIVAN

Use (s) Hand sanitizer to help reduce bacteria that potentially can cause disease. For use when water and soap are not available.

Uses For hand sanitizing to decrease bacteria on the skin.

Use (s) Hand sanitizer to help reduce bacteria that potentially can cause disease. For use when water and soap are not available .

USE For preparation of the skin prior to injection

Use (s) Hand sanitizer to help reduce bacteria that potentiallycan cause disease. For use when water and soap are not available.

Lidocaine Hydrochloride Injection, USP is a sterile, nonpyrogenic solution of lidocaine hydrochloride in water for injection for parenteral administration in various concentrations with characteristics as follows: Concentration 0.5% 1% 1.5% 2% mg/mL lidocaine HCl (anhyd.) 5 10 15 20 mg/mL sodium chloride 8 7 6.5 6 Multiple-dose vials contain 0.1% of methylparaben added as preservative. May contain sodium hydroxide and/or hydrochloric acid for pH adjustment. The pH is 6.5 (5.0 to 7.0). See HOW SUPPLIED section for various sizes and strengths. Lidocaine is a local anesthetic of the amide type. Lidocaine Hydrochloride, USP is chemically designated 2-(diethylamino)-N-(2,6-dimethylphenyl)-acetamide monohydrochloride monohydrate, a white powder freely soluble in water. The molecular weight is 288.82. It has the following structural formula: The semi-rigid vial used for the plastic vials is fabricated from a specially formulated polyolefin. It is a copolymer of ethylene and propylene. The safety of the plastic has been confirmed by tests in animals according to USP biological standards for plastic containers. The container requires no vapor barrier to maintain the proper drug concentration. image description DESCRIPTION Ketorolac Tromethamine Injection, USP is a member of the pyrrolo-pyrrole group of nonsteroidal anti-inflammatory drugs (NSAIDs). The chemical name for ketorolac tromethamine is (±)-5-benzoyl-2,3-dihydro-1 H -pyrrolizine-1-carboxylic acid, compound with 2-amino-2-(hydroxymethyl)-1,3-propanediol (1:1), and the structural formula is presented in Figure 1 . FIGURE 1 C 15 H 13 NO 3 • C 4 H 11 NO 3 Ketorolac tromethamine is a racemic mixture of [-]S and [+]R ketorolac tromethamine. Ketorolac tromethamine may exist in three crystal forms. All forms are equally soluble in water. Ketorolac tromethamine has a pKa of 3.5 and an n-octanol/water partition coefficient of 0.26. The molecular weight of ketorolac tromethamine is 376.40. Ketorolac Tromethamine Injection, USP is available for intravenous (IV) or intramuscular (IM) administration as: 15 mg in 1 mL (1.5%) and 30 mg in 1 mL (3%) in sterile solution; 60 mg in 2 mL (3%) of ketorolac tromethamine in sterile solution is available for IM administration only. The solutions contain 10% (w/v) alcohol, USP, and 6.68 mg, 4.35 mg and 8.70 mg respectively, of sodium chloride in sterile water. The pH range is 6.9 to 7.9 and is adjusted with sodium hydroxide and/or hydrochloric acid. The sterile solutions are clear to slightly yellow in color. Figure 1

Lidocaine Hydrochloride Injection, USP is a sterile, nonpyrogenic solution of lidocaine hydrochloride in water for injection for parenteral administration in various concentrations with characteristics as follows: Concentration 0.5% 1% 1.5% 2% mg/mL lidocaine HCl (anhyd.) 5 10 15 20 mg/mL sodium chloride 8 7 6.5 6 Multiple-dose vials contain 0.1% of methylparaben added as preservative. May contain sodium hydroxide and/or hydrochloric acid for pH adjustment. The pH is 6.5 (5.0 to 7.0). See HOW SUPPLIED section for various sizes and strengths. Lidocaine is a local anesthetic of the amide type. Lidocaine Hydrochloride, USP is chemically designated 2-(diethylamino)-N-(2,6-dimethylphenyl)-acetamide monohydrochloride monohydrate, a white powder freely soluble in water. The molecular weight is 288.82. It has the following structural formula: The semi-rigid vial used for the plastic vials is fabricated from a specially formulated polyolefin. It is a copolymer of ethylene and propylene. The safety of the plastic has been confirmed by tests in animals according to USP biological standards for plastic containers. The container requires no vapor barrier to maintain the proper drug concentration. image description DESCRIPTION Ketorolac Tromethamine Injection, USP is a member of the pyrrolo-pyrrole group of nonsteroidal anti-inflammatory drugs (NSAIDs). The chemical name for ketorolac tromethamine is (±)-5-benzoyl-2,3-dihydro-1 H -pyrrolizine-1-carboxylic acid, compound with 2-amino-2-(hydroxymethyl)-1,3-propanediol (1:1), and the structural formula is presented in Figure 1 . FIGURE 1 C 15 H 13 NO 3 • C 4 H 11 NO 3 Ketorolac tromethamine is a racemic mixture of [-]S and [+]R ketorolac tromethamine. Ketorolac tromethamine may exist in three crystal forms. All forms are equally soluble in water. Ketorolac tromethamine has a pKa of 3.5 and an n-octanol/water partition coefficient of 0.26. The molecular weight of ketorolac tromethamine is 376.40. Ketorolac Tromethamine Injection, USP is available for intravenous (IV) or intramuscular (IM) administration as: 15 mg in 1 mL (1.5%) and 30 mg in 1 mL (3%) in sterile solution; 60 mg in 2 mL (3%) of ketorolac tromethamine in sterile solution is available for IM administration only. The solutions contain 10% (w/v) alcohol, USP, and 6.68 mg, 4.35 mg and 8.70 mg respectively, of sodium chloride in sterile water. The pH range is 6.9 to 7.9 and is adjusted with sodium hydroxide and/or hydrochloric acid. The sterile solutions are clear to slightly yellow in color. Figure 1

1 DESCRIPTION 4% Lidocaine Hydrochloride Injection, USP is a sterile, nonpyrogenic solution containing lidocaine hydrochloride, anhydrous 40 mg/mL in water for injection. May contain sodium hydroxide and/or hydrochloric acid for pH adjustment. pH 6.5 (5.0 to 7.0). Lidocaine has cardiac antiarrhythmic properties and is a local anesthetic of the amide type. Lidocaine Hydrochloride, USP is chemically designated 2-(diethylamino)-2′,6′-acetoxylidide monohydrochloride monohydrate, a white powder freely soluble in water. It has the following structural formula: structural formula lidocaine hydrochloride DESCRIPTION Bupivacaine hydrochloride is 2-Piperidinecarboxamide, 1-butyl- N -(2,6-dimethylphenyl)-, monohydrochloride, monohydrate, a white crystalline powder that is freely soluble in 95 percent ethanol, soluble in water, and slightly soluble in chloroform or acetone. It has the following structural formula: Epinephrine is (-)-3,4-Dihydroxy-α-[(methylamino)methyl] benzyl alcohol. It has the following structural formula: MARCAINE is available in sterile isotonic solutions with and without epinephrine (as bitartrate) 1:200,000 for injection via local infiltration, peripheral nerve block, and caudal and lumbar epidural blocks. Solutions of MARCAINE may be autoclaved if they do not contain epinephrine. Solutions are clear and colorless. Bupivacaine is related chemically and pharmacologically to the aminoacyl local anesthetics. It is a homologue of mepivacaine and is chemically related to lidocaine. All three of these anesthetics contain an amide linkage between the aromatic nucleus and the amino, or piperidine group. They differ in this respect from the procaine-type local anesthetics, which have an ester linkage. MARCAINE —Sterile isotonic solutions containing sodium chloride. In multiple-dose vials, each mL also contains 1 mg methylparaben as antiseptic preservative. The pH of these solutions is adjusted to between 4 and 6.5 with sodium hydroxide or hydrochloric acid. MARCAINE with epinephrine 1:200,000 (as bitartrate)—Sterile isotonic solutions containing sodium chloride. Each mL contains bupivacaine hydrochloride and 0.0091 mg epinephrine bitartrate, with 0.5 mg sodium metabisulfite, 0.001 mL monothioglycerol, and 2 mg ascorbic acid as antioxidants, 0.0017 mL 60% sodium lactate buffer, and 0.1 mg edetate calcium disodium as stabilizer. In multiple-dose vials, each mL also contains 1 mg methylparaben as antiseptic preservative. The pH of these solutions is adjusted to between 3.4 and 4.5 with sodium hydroxide or hydrochloric acid. The specific gravity of MARCAINE 0.5% with epinephrine 1:200,000 (as bitartrate) at 25°C is 1.008 and at 37°C is 1.008. structural formula bupivacaine hydrochloride structural formula epinephrine

Epinephrine Injection, USP 1 mg/mL is a sterile, nonpyrogenic solution. Each mL contains epinephrine 1 mg; sodium chloride 9 mg; sodium metabisulfite 0.9 mg added. May contain hydrochloric acid for pH adjustment. The solution contains no bacteriostat or antimicrobial agent. It is administered by the following routes: intravenous, intracardiac (left ventricular chamber), via endotracheal tube into the bronchial tree, subcutaneous or intramuscular. Epinephrine, USP is a sympathomimetic (adrenergic) agent designated chemically as 4-[1-hydroxy-2 (methylamino) ethyl]-1,2 benzenediol, a white, microcrystalline powder. It has the following structural formula: Sodium Chloride, USP is chemically designated NaCl, a white, crystalline compound freely soluble in water. Structural Formula of Epinephrine

USES for preparation of the skin prior to injection

Directions Directions Tear open individual swab and apply product to the injection site prior to an injection.Rub skin briskly in circular motion from injection site outward

Uses first aid to help prevent the risk of infection in minor cuts, scrapes, and burns

Use To help reduce bacteria on the skin.

Uses For preparation of the skin prior to an injection

Cyanocobalamin Injection (vitamin B 12 ) is a sterile solution of Cyanocobalamin. Each mL contains Cyanocobalamin 1000 mcg, sodium chloride 9 mg and benzyl alcohol 0.015 mL in water for injection. Hydrochloric acid and/or sodium hydroxide may have been added to adjust the pH (range 4.5-7.0). Cyanocobalamin appears as dark red crystals or as an amorphous or crystalline red powder. It is very hygroscopic in the anhydrous form, and sparingly soluble in water (1:80). It is stable to autoclaving for short periods at 121°C. The vitamin B 12 coenzymes are very unstable in light. The chemical name is 5,6-dimethyl-benzimidazolyl cyanocobamide; the molecular formula is C 63 H 88 CoN 14 O 14 P. The cobalt content is 4.34%. The molecular weight is 1355.39. The structural formula is represented below. struct-1