Dangerous name pair
Home Support ISMP Newsletters Webinars Report Medication Error to ISMP Educational Resources ISMP Online Store Consulting Services FAQ Tools and Resources About ISMP Contact Us
Print This Page SitemapISMP Facebook
Site Search by PicoSearch. Help

 

Dangerous name pair


From the December 2009 issue

We have notified FDA about a potentially hazardous condition due to name similarity. DUREZOL (difluprednate ophthalmic emulsion) 0.05% (www.durezol.com) is a topical ophthalmic corticosteroid used to treat postoperative inflammation associated with ocular surgery. DURASAL is a topical solution containing 26% salicylic acid in a film-forming vehicle (www.eloracpharma.com/products/Durasal.asp) used to treat common and plantar warts. Accidental administration of Durasal in the eye would obviously be disastrous. Fortunately, the brush applicator packaging for Durasal makes such a mix-up unlikely. The product is also clearly labeled that it is not for ophthalmic use. However, we know that even stranger things have happened. To be safe, these products should be segregated in pharmacy and hospital storage areas.

 

Resources
Main Page
Current Issue
Past Issues
Action Agendas
Hazard Alerts
Sample Issue
Subscribe
Community Pharmacy Medication Safety Tools and Resources
Newsletter Editions
Acute Care
Community/Ambulatory
Nursing
Consumer
Home | Contact UsEmployment  | Legal Notices | Privacy Policy | Help Support ISMP
  Med-ERRS |   ISMP Canada |  ISMP Spain | ISMP Brasil | International Group | Pennsylvania Patient Safety Authority

200 Lakeside Drive, Suite 200, Horsham, PA 19044, Phone: (215) 947-7797,  Fax: (215) 914-1492
© 2013 Institute for Safe Medication Practices. All rights reserved

This website is certified by Health On the Net Foundation. Click to verify. This site complies with the HONcode standard for trustworthy health information: verify here.

Search only trustworthy HONcode health websites: