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.
aceta
ZOLAMIDE*
aceto
HEXAMIDE*
aceto
HEXAMIDE*
aceta
ZOLAMIDE*
aza
CITIDine
aza
THIOprine
aza
THIOprine
aza
CITIDine
ALPRAZolam*
LORazepam*
a
MILoride
am
LODIPine
am
LODIPine
a
MILoride
* 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
cyclo
SERINE
cyclo
SPORINE
bu
PROPion
bus
PIRone
cyclo
SPORINE
cyclo
SERINE
bus
PIRone
bu
PROPion
DACTINomycin
DAPTOmycin
car
BAMazepine
OXcarbazepine
CARBOplatin
CISplatin
DAPTOmycin
DACTINomycin
DAUNOrubicin*
DAUNOrubicin citrate liposomal*
ce
FAZolin
cef
TRIAXone
DAUNOrubicin*
DOXOrubicin*
cef
TRIAXone
ce
FAZolin
DAUNOrubicin*
IDArubicin*
Cele
BREX*
DAUNOrubicin citrate liposomal*
DAUNOrubicin*
Cele
BREX*
Cele
BREX*
Solu-
MEDROL
Cele
BREX*
chlordiaze
POXIDE
chlorpro
MAZINE
chlorpro
MAZINE
chlordiaze
POXIDE
chlorpro
MAZINE
chlorpro
PAMIDE
chlorpro
PAMIDE
chlorpro
MAZINE
CISplatin
CARBOplatin
dimenhy
DRINATE
diphenhydr
AMINE
diphenhydr
AMINE
dimenhy
DRINATE
clomi
PHENE
clomi
PRAMINE
clomi
PRAMINE
clomi
PHENE
clonaze
PAM
clo
NIDine
clonaze
PAM
LORazepam
clo
NIDine
clonaze
PAM
clo
NIDine*
Klono
PIN*
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*
glipi
ZIDE
gly
BURIDE
DOXOrubicin*
IDArubicin*
gly
BURIDE
glipi
ZIDE
DOXOrubicin liposomal*
DOXOrubicin*
guai
FENesin
guan
FACINE
guan
FACINE
guai
FENesin
DULoxetine
FLUoxetine
HMG-CoA Reductase Inhibitors ("statins")
Huma
LOG*
Humu
LIN*
Huma
LOG*
Novo
LOG*
Huma
LOG Mix 75/25
Humu
LIN 70/30
Humapen Memoir (for use with Huma
LOG)
Humapen Memoir (for use with Huma
LOG)
Humu
LIN*
Novo
LIN*
Humu
LIN*
Huma
LOG*
e
PHEDrine*
EPINEPHrine*
Humu
LIN 70/30
Huma
LOG Mix 75/25
EPINEPHrine*
e
PHEDrine*
hydr
ALAZINE*
hydr
OXYzine*
HYDROcodone*
oxy
CODONE*
hydr
OXYzine
hydr
OXYzine*
hydr
ALAZINE*
IDArubicin*
DAUNOrubicin*
IDArubicin*
DOXOrubicin*
fenta
NYL
SUFentanil
in
FLIXimab
ri
TUXimab
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
Klono
PIN*
clo
NIDine *
La
MICtal
La
MICtal
lami
VUDine*
lamo
TRIgine*
lamo
TRIgine*
lami
VUDine*
lamo
TRIgine
met
FORMIN*
metro
NIDAZOLE*
lamo
TRIgine
metro
NIDAZOLE*
met
FORMIN*
LORazepam*
ALPRAZolam*
LORazepam
clonaze
PAM
HYDROmorphone*
LORazepam
LORazepam
Oxy
CONTIN*
* 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
car
BAMazepine
oxy
CODONE*
HYDROcodone*
oxy
CODONE*
Oxy
CONTIN*
Oxy
CONTIN*
Oxy
CONTIN*
oxy
CODONE*
paregoric (camphorated tincture of opium)*
PARoxetine
FLUoxetine
ni
CARdipine
NIFEdipine
NIFEdipine
ni
CARdipine
NIFEdipine
ni
MODipine
ni
MODipine
NIFEdipine
PENTobarbital
PHENobarbital
PHENobarbital
PENTobarbital
Novo
LIN*
Humu
LIN*
Novo
LIN*
Novo
LOG*
Novo
LIN 70/30*
Novo
LOG Mix 70/30*
Novo
LOG*
Huma
LOG*
Novo
LOG*
Novo
LIN*
Novo
LOG Flexpen
Novo
LOG Mix 70/30 Flexpen
Novo
LOG Mix 70/30 Flexpen
Novo
LOG Flexpen
Novo
LOG Mix 70/30*
Novo
LIN 70/30*
predniso
LONE
predni
SONE
HMG-CoA Reductase Inhibitors ("statins")
predni
SONE
predniso
LONE
Pri
LOSEC*
OLANZapine
QUEtiapine
paregoric (camphorated tincture of opium)*
Source: http://www.mri.alexu.edu.eg/pds/Confused_drug_names.pdf
In a 60 Minutes Report on March 16, 2008, Dennis Quaid and his wife Kimberly reported on the near death of their newly born twins. The twins had been taken to the hospital a few days after coming home because they showed signs of a staph infection. Part of the standard treatment in such cases, apparently, is the use of a blood thinner to prevent clotting. But the twins were given a blood thinner
JOURNAL ON DEVELOPMENTAL DISABILITIES, VOLUME 11 NUMBER 2 Prenatal and Perinatal Effects of Psychotropic Drugs on Neuro-cognitive Development in the Fetus Note: In the text of this paper, the term "mental retardation" has been used in the diagnosticsense and to correspond with terminology used by authors who have been cited. Abstract There has been an increased dependence on p