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In a world of product line extensions, there are many different products with similar names. Examples of these include oxycodone versus oxycontin (oycodone CR), buproprion vs buprion SR vs bruproprion XL, codeine versus codeine contin and so many more examples. This may be further complicated by the fact that there is a brand and generic name for each medication. It is policy that medications are entered in generic format, and thus the only distinguishing feature between short and long acting product may be an SR or CD or CR or XL designation after the drug name. Also, although an individual may be requested to purchase "Tylenol", keep in mind that there are many other Tylenol based products. Some of these agents have products which may cause a problem with your other medications or disease states. basically there are the "Rights" of a patients which are to get the right drug to the right person at the right time for the right condition with a minimum of side effects. For long acting products, this is of paramount importance as the short acting narcotics for example are realeased into the system over 3-4 hours, with a peak onset of around an hour. The long acting format is designed to be released over 8-12hours usually (or more), with peaks much later on. Inadvertently administering the total dose in short acting when a long acting agent should be administered may result in "dose dumping" where the patient gets the full dose in a very short time interval, often with potentially marked adverse effects.

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