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Generic and Trade Names Class Action Common Side Ef fects Massage Therapy Considerations Typical Conditions Used For Abatacept ( Orencia ) Immunosuppression Reduces symptoms of moderate to severe rheumatoid ar thritis. Dizziness, headache, mild pain at injection site. Use caution around injection site. Rheumatoid ar thritis Acetaminophen (Anacin, Feverall, Panadol, Tylenol ) Nonopioid pain reliever Mild analgesic; reduces fever. Liver damage from prolonged use. Decreases pain perception. Use deep massage with caution. Degenerative disc disease, fibromyalgia, frozen shoulder, migraine headache, tension headache, rheumatoid ar thritis, sprains and strains, tendinosis, transmandibular joint dysfunction Acetaminophen and Codeine ( Tylenol # 3 ) Narcotic Relieves moderate to severe pain. Dizziness, drowsiness, dr y mouth, headache, nausea, vomiting. Help client on /of f table. Of fer water. Adjust positioning. Migraine headache Acyclovir (Zovira x) Antiviral Kills specific viruses. Headache, hypotension, nausea. Help client on /of f table. Of fer water. Adjust positioning. Bell's palsy Amitriptyline hydrochloride (Apo-Ami Triptyline, Endep ) Tricyclic antidepressant Relieves depression. Constipation, drowsiness, dr y mouth. Abdominal massage may help relieve constipation. Help client on /of f table. Make sure client is aler t before driving home. Chronic fatigue syndrome, fibromyalgia, neuropathy, stress Apomorphine hydrochloride (Apok yn ) Non-ergoline dopamine agonist Reduces symptoms of Parkinson's disease. Drowsiness, flushing, nausea, vomiting, yawning. Help client on /of f table. Use deep tissue massage with caution. Make sure client is aler t before driving home. Parkinson's disease Aspirin ( Ecotrin, Empirin, Astrin ) Salicylate nonopioid pain reliever Analgesic, reduces fever. Increased bruising, upset stomach. Decreases pain perception. Use deep massage with caution. Ank ylosing spondylosis, tension headache, stroke, rheumatoid ar thritis Baclofen ( Lioresal ) Skeletal muscle rela xant Relieves muscle spasm. Constipation, drowsiness. Deep tissue massage is contraindicated. Abdominal massage may help relieve constipation. Cerebral palsy Benztropine mesylate ( Cogentin ) Antiparkinson Increases physical mobility in Parkinson's patients. Cardiac complications, confusion, constipation, dr y mouth, incoherence. Abdominal massage may help relieve constipation. Place a reminder call the day before the appointment. Parkinson's disease Carbidopa and levodopa ( Sinemet) Antiparkinson Improves voluntar y movement. Cardiac irregularities, constipation, dr y mouth, involuntar y grimacing. Abdominal massage may help constipation. Of fer water. Cerebral palsy, Parkinson's disease Celecoxib ( Celebrex) Nonsteroidal anti- inflammator y drug ( NSAID ) Relieves signs and symptoms of osteoar thritis and rheumatoid ar thritis. Dizziness, upset stomach. Help client on /of f table. Decreases pain perception. Use deep massage with caution. Degenerative disc disease, frozen shoulder, rheumatoid ar thritis Cyclobenzaprine hydrochloride ( Flexeril ) Skeletal muscle rela xant Relieves muscle spasm. Constipation, drowsiness, dr y mouth, tachycardia. Use deep tissue techniques with caution. Abdominal massage may help constipation. Help client on /of f table. Of fer water during session. Degenerative disc disease, fibromyalgia, muscle spasm Diazepam ( Valium ) Benzodiazepine anxioly tic, skeletal muscle rela xant, anticonvulsant, sedative Reduces muscle spasm, anxiety, and seizures. Promotes calmness. Bradycardia, constipation, drowsiness, nausea, physical or psychological dependence, vomiting. Deep tissue massage is contraindicated. Abdominal massage may help relieve constipation. Help client on /of f table. Make sure client is aler t before driving home. Cerebral palsy, chronic fatigue syndrome Dihydroergotamine mesylate ( Migranal ) Cranial vasoconstrictor Reduces symptoms of migraine headaches and cluster headaches. Abdominal pain, anxiety, nausea, sweating, vomiting. Create especially calming environment. Check in with client about body temperature /covers. Migraine headache Divalproex sodium ( Depakote ) Antiseizure Treatment of acute manic episodes of bipolar disorder or seizure disorders. Drowsiness, nausea, vomiting. Help client on /of f table. No percussive techniques. Always remain calm. Create a plan for seizure. Posttraumatic stress disorder Doxepin hydrochloride ( Sinequan ) Tricyclic antidepressant Relieves depression and anxiety. Constipation, drowsiness, dr y mouth, tachycardia. Abdominal massage may help constipation. Help client on /of f table. Of fer water. Fibromyalgia Duloxetine ( Cymbalta ) Selective serotonin and norepinephrine reuptake inhibitor ( SSNRI ), antidepressant Antidepressant, treats general anxiety disorders. Constipation, dr y mouth, dulled thinking, gas, mild nausea, slow reaction time. Place a reminder call the day before the appointment. Abdominal massage may help relieve constipation. Of fer water. Be patient during intake. Chronic fatigue syndrome, neuropathy Eletriptan hydrobromide ( Relpa x) Antimigraine Relieves migraine headache symptoms. Abdominal pain, dizziness, flushing, palpitations. Help client on /of f table. Alter positioning. Of fer a calming environment. Migraine headache Enfuvir tide ( Fuzeon ) Anti-HIV, antiviral Controls symptoms of HIV infection. Abdominal pain, bruising, constipation, depression, diarrhea, peripheral neuropathy. Deep tissue massage is contraindicated. Gentle abdominal stimulation may help relieve constipation. Be suppor tive. Per form neuropathy protocol. HIV/AIDS Entacapone ( Comtan ) Antiparkinson Controls signs and symptoms of Parkinson's disease. Abdominal pain, anxiety, constipation, depression, diarrhea. Of fer positive reinforcement and a calming environment. Abdominal massage may help constipation. Parkinson's disease Escitalopram oxalate ( Lexapro ) Selective serotonin reuptake inhibitor ( SSRI ), antidepressant Relieves depression and anxiety. Abdominal pain, abnormal dreams, cardiac complications, dizziness, gas, hear tburn, indigestion, migraine, sedation. Position for gastric distress. Help client on /of f table. Do not let client fall asleep. Alter positioning. Stress Etanercept ( Enbrel ) Antirheumatic Relieves signs and symptoms of rheumatoid ar thritis. Abdominal pain, dizziness, headache. Help client on /of f table. Probably elevate head. Rheumatoid ar thritis Fexofenadine hydrochloride (Allegra ) Antihistamine Relieves seasonal allergy symptoms. Drowsiness, fatigue. Help client on /of f table. Do not position prone. Chronic fatigue syndrome Common Drugs This chart shows some of the most common medications, and their most common uses and effects. However, new drugs come to market— and are taken off the market—every day. Please check online for the most current information. Here are some useful resources: www.drugs.com | www.webmd.com | Drug Handbook for Massage Therapists by Jean Wible (Philadelphia: Lippincott Williams & Wilkins, 2009)