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FDA and ISMP Lists of Look-Alike Drug Names with ...

2016 FDA and ISMP Lists of Look-Alike Drug Names with Recommended Tall Man LettersInstitute for Safe Medication PracticesSince 2008, ISMP has maintained a list of drug name pairs and trios withrecommended, boldedtall man (uppercase) letters to help drawattention to the dissimilarities in Look-Alike drug Names . The list includesmostly generic-generic drug name pairs, although a few brand - brand orbrand-generic name pairs are included. The US Food and DrugAdministration (FDA) list of drug Names with recommended tall manletters was initiated in 2001 with the agency s name DifferentiationProject ( ). While numerous studies between 2000 and 2016 have demonstrated the ability of tallman letters alone or in conjunction with other text enhancements to improve the ac-curacy of drug name perception and reduce errors due to drug name similarity,1-9somestudies have suggested that the strategy is evidence is mixed duein large part to methodological differences and significant study , while gaps still exist in our full understanding of the role of tall manlettering in the clinical setting, there is sufficient evidence to suggest that thissimple and straightforward technique is worth implementing as one among nu-merous strategies to mitigate the risk of errors due to similar drug

* Brand names always start with an uppercase letter. Some brand names incorporate tall man letters in initial characters and may not be readily recognized as brand names. An asterisk follows all brand names on the ISMP list. ** These drug names are also on the FDA list. *** The ISMP list is not an official list approved by FDA.

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