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Pharmacy School Research Guide: Tertiary Resource Comparisons

Learn how to use databases like PubMed and ClinicalKey to find guidelines, or find links to guidelines through society websites..

Please note: This guide is no longer being updated and will be removed on Oct. 1, 2019.
Please use this guide instead, Pharmacy Resources, and update your bookmarks to the new URL: http://mcw.libguides.com/pharmacy/drug-information

Comparison Chart

This chart will help you to become familiar with the components of tertiary resources and recognize which resource would be best used for answering various drug information questions.

*An asterisk means that this is a subscription resource and users must access it from an institutional network or by logging into the proxy server.

 

Micromedex

Lexicomp *

Up-to-Date *

Package Insert via DailyMed

Clinical Key *

Pharmacology

Textbook - Dipiro *

Epocrates

(free registration)

Drug IdentificationA

Comprehensive drug identification; including US and foreign drugs

Drug I.D. section along the top blue bar for unknown pills/tablets. Within a monograph, there is an “Images” tab with color pictures of tablets and manufacturer

Linked through lexicomp

 

Through DailyMed as a link; includes descriptions of medication in package inserts

No information

No information

Pill ID; pill pictures in monograph

Information on Drug Interactions

Drug-Drug, Drug-Food, Drug duplications, interactions with allergies, ethanol, laboratory tests, tobacco, pregnancy, lactation

Drug-Drug, Drug-Food, Drug duplications, interactions with allergies, ethanol, laboratory tests, metabolism/transport interactions, pregnancy, lactation, dental procedure information. Can search for specific adverse reaction via “Drug Reports” function

Linked through Lexicomp.

Lists select Drug-Drug, Drug-Food, and Drug-Herbal interactions

Drug-Drug, Drug-food, Ethanol, tobacco,

No information

Interaction checker available; drug interactions listed in monograph with categories: avoid/use alternative, monitor/modify tx, caution advised

Laboratory Information

Individual laboratory value monograph provided

Information within monographs available as applicable when a medication requires increased laboratory monitoring or interferes with certain laboratory testing. Contains lab monographs.

Monitoring laboratory values included; including values; linked with lexicomp

Information regarding effects of medication on lab tests included with some monographs

Labs to monitor provided without values

Provides general disease state monitoring, but not specific medication monitoring

Labs to monitor in monograph

Types of Patient counseling materials and languages available

Drug, disease, and procedural instructional materials

Languages: English, Spanish, & 13 other languages.

Customizable patient materials

Extensive patient education section on conditions, procedures, healthy living, natural products, discharge instructions, and individual monographs for adult and pediatric medications. Total of 18 other languages.

Drug, disease, and procedural patient education materials available for many topics. The Basics are available in Spanish.

Includes patient medication guide

Disease, Spanish and English versions, limited other languages

No information

Patient education section in monograph

Information on Inert Ingredients

Through Tox and Drugs product look up

Not often reported unless they have clinical significance.

No

Yes, included

 

No

No information

No information

Teratogenicity information

Through REPRORRISK

Gives pregnancy category and brief overview of evidence with references. Links within monograph other lexicomp resources on pregnancy and lactation.

Contraindications are stated, as well as a pregnancy risk factor score.

Yes, included

contraindication stated, review of literature

No information

Pregnancy/Lactation section in monograph

Breast feeding information

Through REPRORRISK

Monograph gives a short summary or statement on safety of breastfeeding with links for more information.

Yes, included

Yes, included

Review of literature

No information

Pregnancy/Lactation section in monograph

Provides Referencing for Information

Extensive list of references to support data

Yes. Extensive list of references to support data.

Yes, includes citations to support information however, some information is not cited

Yes

Extensive list of references to support data

Referenced in text

No direct referencing

Cost of the drug

No

Yes, when available. Also states if generic product formulations are available.

Yes

No

No

No information

Yes

When was the information last updated?

Varies based on section

6/29/17 as of check on 7/28/17

Not stated in a clear way, last package insert citation is dated Jan 2017.

Price of the drug is updated monthly

1/2017

Varies based on section

 

February 13, 2017

Varies based on section

Latest edition: 10th, 2017

Last copyright date at bottom, but not clear for each monograph

Medicinal Chemistry Structure provided

Yes

No, but the anatomic therapeutic chemical classification is given

No

Yes, included

No

No information

No information

Pharmaco-kinetic information

Yes

Yes. Adult data with pediatric data presented when available.

Yes, linked with lexicomp

Yes

No

Provides general pharmacology for the class of drug (dipeptidyl peptidase-4 inhibitors), but no specific information for Januvia

Yes

IV Compatibility

Through Trissel’s 2

Yes, through Trissel’s 2

No

No

Solution Compatibility available through Gahart’s 2018 Intravenous Medications

Storage & Compatibility section

No information

Investigational Drug Monograph

Yes, readily referenced

No

No

No

No

No information

No information

CAM

Information

Yes, AltMedDex

Yes via Natural Medicines database

Yes, via NCCIH, medlineplus, EMA, and other internet evidence-based resources

No

Textbook of natural medicine

No information

No information

FDA Recalls

No

Not within the reference but has a link to the FDA recall website.

No

No

No

Special Alerts section

No information

Drug Shortages

No

Yes, within individual monographs

No

No

No

No information

No information

MSDS

yes

No

No

No

No

No information

No information

Cost of Resource

Subscription required, various package prices available

Subscription required, various package prices available

Institutional subscription, free to affiliated users

Free through DailyMed or manufacturer website

Institutional subscription, free to affiliated users

AWP pricing information

Basic version (free registration); advanced version (epocrates plus ~175/year)

Available Platforms

Web-based, PDA

Web, phone app

Web-based, PDA

Web based PDF, paper

Web-based, PDA

AccessPharmacy

Mobile app, online

 

A Search solid dosage forms by color, shape, imprint, scoring, image available

IV= Intravenous

CAM= Complementary and alternative medicine

MSDS= Material Safety Data Sheets

PDA= personal digital assistant 

Chart adapted from: Abate, M. A. (2001). Drug information resources and literature retrieval. In: Pharmacotherapy Self-Assessment Program. 4th ed. Kansas City, MO: American College of Clinical Pharmacy. 

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