Haldol Haldol Depot High-potency first-generation antipsychotic (butyrophenone) The most widely used dopamine antagonist in acute agitation and delirium in Swedish emergency departments and…

Fosamax Alendronat Sandoz Fosavance Aminobisphosphonate First-line agent for osteoporosis and the best-documented fracture-preventing treatment in primary care. Efficacy for vertebral and hip…

Zyloric Allopurinol Sandoz Xanthine oxidase inhibitor First-line urate-lowering treatment for gout, with the goal of titrating upward until serum urate is stably below…

…Adenocor Endogenous purine nucleoside, AV-nodal blocking agent First-line treatment for regular narrow-complex tachycardia when vagal manoeuvres have failed. Acts by blocking the…

Atropin Viatris Atropin Abboxia Atropine Accord Muscarinic receptor antagonist (vagolytic) First-line treatment for symptomatic bradycardia, but only when the bradycardia is vagally mediated or…

Bensylpenicillin Viatris Benzylpenicillin Panpharma Natural penicillin for parenteral use First-line treatment for community-acquired pneumonia and erysipelas, and the foundation of the narrow-spectrum…

Zyrlex Cetirizin Sandoz Cetirizin Teva Second-generation H₁-antihistamine First-line treatment for allergic rhinoconjunctivitis and chronic urticaria — one tablet daily, available without prescription, with…

…COX inhibitor, propionic acid derivative The first-line NSAID in Sweden and the one with the least cardiovascular risk at a low dose. A short…

Kåvepenin Tikacillin Fenoximetylpenicillin EQL Pharma Narrow-spectrum beta-lactam antibiotic The first-choice oral penicillin for the most common respiratory and skin infections in outpatient…

…Braun Calcium salt for intravenous membrane stabilisation and calcium supplementation First-line intervention in hyperkalaemia with ECG changes: calcium restores the margin between resting membrane…

…staphylococcal penicillin The beta-lactamase-stable penicillin and accordingly the first-line choice for skin and soft tissue infections where Staphylococcus aureus is the likely…

…Glukos Baxter Viaflo Glukos APL Concentrated carbohydrate solution for acute hypoglycaemia The first-line treatment for severe hypoglycaemia in a patient who cannot swallow and…

…Alkindi Nature-identical glucocorticoid with mineralocorticoid effect Endogenous cortisol in pharmaceutical form and accordingly the first choice when the intention is substitution rather than immunosuppression…

…determines its use. Amoxicillin is therefore not first-line for uncomplicated acute otitis media — that role belongs to phenoxymethylpenicillin — but for treatment failure, recurrent otitis…

…Candesartan Krka Candemox Angiotensin II receptor blocker (ARB) Prodrug hydrolysed to candesartan during absorption that binds the AT₁-receptor tightly and slowly reversibly — hence the…

…statin dose. The first step when the statin is maximised and the LDL target is still not reached — a fixed dose of 10 mg, no…

…be neutralised completely with protamine within minutes. This is why unfractionated heparin is the first choice in severe renal failure, in the bleeding-prone patient…

…making the drug unsuitable as first-line treatment in hypertensive crisis — but useful in pre-eclampsia and as afterload relief in combination with a nitrate…

…anaesthetic The only anaesthetic that both sedates and stabilises the circulation — the indirect sympathetic stimulation makes ketamine the first choice for induction in the bleeding…

…and intravenous diltiazem require a named-patient licence. Verapamil or a beta-blocker is therefore the practical first choice for rate control in this setting.

…continuous ECG monitoring. Hypokalaemia that refuses to rise despite adequate replacement is almost always caused by concurrent hypomagnesaemia, and magnesium must then be given first.

Zoloft Sertralin Teva Sertraline Accord Selektiv serotoninåterupptagshämmare (SSRI) Det SSRI som svenska rekommendationer sätter först vid både depression och ångestsyndrom, och det bäst dokumenterade vid…

…preparatet lämpat för långtidsbruk. Det som avgör om behandlingen fungerar är följsamhet och teknik: effekten kommer först efter några dagars regelbunden användning, och den som…

…grupp — patienter med akut koronart syndrom som ska genomgå PCI. Preparatet ges först när koronaranatomin är känd, inte som förbehandling i ambulansen eller på akuten.

…och preparatet beter sig som ett SSRI, medan den noradrenerga återupptagshämningen först blir kliniskt märkbar vid 150–225 mg. Det är därför venlafaxin ofta har…

…väntan på provsvar — vid osäker intagstid, misstänkt toxisk dos eller depotberedning startas behandlingen först och omprövas sedan. Anafylaktoida reaktioner är vanliga i början av infusionen…

…är reell men måttlig, och ska hela tiden vägas mot sedering, viktuppgång och en beroendeproblematik som visade sig vara betydligt större än man först trodde.