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)*
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
ISMP’s List of Confused Drug Names
ISMP’s List of Confused Drug Names
ISMP’s List of Confused Drug Names
ISMP’s List of Confused Drug Names
ISMP’s List of Confused Drug Names