[
  {
    "name": "Paracetamol",
    "generic": "Acetaminophen",
    "class": "Analgesic, antipyretic",
    "common_uses": [
      "Mild to moderate pain",
      "Fever"
    ],
    "precautions_contraindications": [
      "Severe liver disease",
      "Chronic heavy alcohol use"
    ],
    "common_side_effects": [
      "Liver toxicity in overdose",
      "Rash (rare)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Ibuprofen",
    "generic": "Ibuprofen",
    "class": "NSAID",
    "common_uses": [
      "Pain",
      "Inflammation",
      "Fever"
    ],
    "precautions_contraindications": [
      "Active peptic ulcer",
      "Severe renal impairment",
      "Late pregnancy"
    ],
    "common_side_effects": [
      "Gastric irritation",
      "Bleeding risk",
      "Renal effects"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Aspirin",
    "generic": "Acetylsalicylic acid",
    "class": "NSAID, antiplatelet",
    "common_uses": [
      "Analgesia",
      "Antiplatelet for cardiovascular prevention"
    ],
    "precautions_contraindications": [
      "Active bleeding",
      "Children with viral illness (Reye)"
    ],
    "common_side_effects": [
      "Bleeding",
      "Gastric ulceration",
      "Tinnitus at high doses"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Amoxicillin",
    "generic": "Amoxicillin",
    "class": "Beta-lactam antibiotic (penicillin)",
    "common_uses": [
      "ENT infections",
      "Respiratory infections",
      "UTIs",
      "Dental infections"
    ],
    "precautions_contraindications": [
      "Penicillin allergy"
    ],
    "common_side_effects": [
      "Rash",
      "Diarrhea",
      "Allergic reactions"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Ciprofloxacin",
    "generic": "Ciprofloxacin",
    "class": "Fluoroquinolone antibiotic",
    "common_uses": [
      "UTIs",
      "Certain GI and respiratory infections"
    ],
    "precautions_contraindications": [
      "Tendon disorders history",
      "Pregnancy (avoid)"
    ],
    "common_side_effects": [
      "Tendonitis/rupture risk",
      "Nausea",
      "Dizziness"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Doxycycline",
    "generic": "Doxycycline",
    "class": "Tetracycline antibiotic",
    "common_uses": [
      "Acne",
      "Respiratory infections",
      "STIs",
      "Certain vector-borne infections"
    ],
    "precautions_contraindications": [
      "Pregnancy",
      "Children <8 years (teeth discoloration)"
    ],
    "common_side_effects": [
      "Photosensitivity",
      "GI upset"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Azithromycin",
    "generic": "Azithromycin",
    "class": "Macrolide antibiotic",
    "common_uses": [
      "Respiratory infections",
      "Certain STIs"
    ],
    "precautions_contraindications": [
      "History of QT prolongation",
      "Concurrent QT-prolonging drugs"
    ],
    "common_side_effects": [
      "GI upset",
      "Rare cardiac arrhythmia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Ceftriaxone",
    "generic": "Ceftriaxone",
    "class": "3rd-generation cephalosporin antibiotic",
    "common_uses": [
      "Severe bacterial infections",
      "Meningitis",
      "Sepsis",
      "Community-acquired pneumonia"
    ],
    "precautions_contraindications": [
      "Neonates with hyperbilirubinemia (caution)",
      "Allergy to cephalosporins"
    ],
    "common_side_effects": [
      "Injection site pain",
      "Diarrhea",
      "Allergic reactions"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Metronidazole",
    "generic": "Metronidazole",
    "class": "Nitroimidazole antimicrobial/antiprotozoal",
    "common_uses": [
      "Anaerobic infections",
      "Certain STIs (trichomonas)",
      "Giardiasis"
    ],
    "precautions_contraindications": [
      "Avoid alcohol during treatment",
      "Caution in first trimester pregnancy when possible"
    ],
    "common_side_effects": [
      "Metallic taste",
      "Nausea",
      "Neuropathy with long use"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Nitrofurantoin",
    "generic": "Nitrofurantoin",
    "class": "Urinary tract antibiotic",
    "common_uses": [
      "Uncomplicated UTIs"
    ],
    "precautions_contraindications": [
      "Significant renal impairment",
      "Late pregnancy (some formulations)"
    ],
    "common_side_effects": [
      "Nausea",
      "Urine discoloration",
      "Pulmonary reactions (rare)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Clindamycin",
    "generic": "Clindamycin",
    "class": "Lincosamide antibiotic",
    "common_uses": [
      "Skin and soft tissue infections",
      "Anaerobic infections",
      "Bone infections"
    ],
    "precautions_contraindications": [
      "History of colitis or C. difficile infection"
    ],
    "common_side_effects": [
      "Diarrhea",
      "Risk of C. difficile colitis"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Amoxicillin + Clavulanic acid",
    "generic": "Amoxicillin/clavulanate",
    "class": "Beta-lactam antibiotic with beta-lactamase inhibitor",
    "common_uses": [
      "Respiratory infections",
      "Skin infections",
      "Bite wounds"
    ],
    "precautions_contraindications": [
      "Penicillin allergy"
    ],
    "common_side_effects": [
      "Diarrhea",
      "Hepatotoxicity (rare)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Isoniazid",
    "generic": "Isoniazid",
    "class": "Antitubercular agent",
    "common_uses": [
      "Tuberculosis treatment (part of combination)"
    ],
    "precautions_contraindications": [
      "Severe hepatic disease",
      "Monitor LFTs"
    ],
    "common_side_effects": [
      "Hepatotoxicity",
      "Peripheral neuropathy (prevent with pyridoxine)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Rifampicin",
    "generic": "Rifampicin",
    "class": "Antitubercular antibiotic (rifamycin)",
    "common_uses": [
      "Part of TB treatment regimens",
      "Some prosthetic device infections (combination)"
    ],
    "precautions_contraindications": [
      "Drug interactions (CYP inducer)",
      "Hepatic impairment"
    ],
    "common_side_effects": [
      "Orange discoloration of body fluids",
      "Hepatotoxicity"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Sofosbuvir",
    "generic": "Sofosbuvir",
    "class": "Antiviral (HCV NS5B polymerase inhibitor)",
    "common_uses": [
      "Hepatitis C treatment (in combinations)"
    ],
    "precautions_contraindications": [
      "Use with caution in severe hepatic impairment",
      "Drug interactions"
    ],
    "common_side_effects": [
      "Fatigue",
      "Headache",
      "Nausea"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Daclatasvir",
    "generic": "Daclatasvir",
    "class": "Antiviral (HCV NS5A inhibitor)",
    "common_uses": [
      "Hepatitis C treatment (in combinations)"
    ],
    "precautions_contraindications": [
      "Drug interactions",
      "Dose adjust with certain CYP modulators"
    ],
    "common_side_effects": [
      "Fatigue",
      "Headache"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Tenofovir disoproxil fumarate",
    "generic": "Tenofovir DF",
    "class": "Antiretroviral (Nucleotide reverse transcriptase inhibitor)",
    "common_uses": [
      "HIV treatment",
      "HBV treatment in some contexts"
    ],
    "precautions_contraindications": [
      "Renal impairment (monitor)",
      "Bone density issues long-term"
    ],
    "common_side_effects": [
      "Renal toxicity (rare)",
      "Reduced bone mineral density"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Lamivudine",
    "generic": "Lamivudine",
    "class": "Antiretroviral (NRTI)",
    "common_uses": [
      "HIV treatment (combination)",
      "HBV suppression"
    ],
    "precautions_contraindications": [
      "Lactic acidosis (rare)"
    ],
    "common_side_effects": [
      "Nausea",
      "Headache"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Efavirenz",
    "generic": "Efavirenz",
    "class": "Antiretroviral (NNRTI)",
    "common_uses": [
      "HIV treatment (part of combination regimens)"
    ],
    "precautions_contraindications": [
      "Psychiatric history caution",
      "Pregnancy considerations"
    ],
    "common_side_effects": [
      "CNS effects: vivid dreams, dizziness"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Metformin",
    "generic": "Metformin",
    "class": "Antidiabetic (biguanide)",
    "common_uses": [
      "Type 2 diabetes mellitus"
    ],
    "precautions_contraindications": [
      "Severe renal impairment",
      "Acute metabolic acidosis"
    ],
    "common_side_effects": [
      "GI upset",
      "Rare lactic acidosis"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Insulin (Human, short-acting)",
    "generic": "Regular human insulin",
    "class": "Insulin (short-acting)",
    "common_uses": [
      "Type 1 diabetes",
      "Acute hyperglycaemia"
    ],
    "precautions_contraindications": [
      "Hypoglycemia risk"
    ],
    "common_side_effects": [
      "Hypoglycemia",
      "Injection site reactions"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Insulin Glargine",
    "generic": "Insulin glargine",
    "class": "Long-acting insulin analog",
    "common_uses": [
      "Basal insulin for Type 1 and 2 diabetes"
    ],
    "precautions_contraindications": [
      "Hypoglycemia risk"
    ],
    "common_side_effects": [
      "Hypoglycemia",
      "Weight gain"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Levothyroxine",
    "generic": "Levothyroxine sodium",
    "class": "Thyroid hormone replacement",
    "common_uses": [
      "Hypothyroidism"
    ],
    "precautions_contraindications": [
      "Untreated thyrotoxicosis",
      "Acute MI (caution)"
    ],
    "common_side_effects": [
      "Palpitations (overreplacement)",
      "Tremor"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Omeprazole",
    "generic": "Omeprazole",
    "class": "Proton pump inhibitor",
    "common_uses": [
      "GERD",
      "Peptic ulcer disease",
      "H. pylori regimens"
    ],
    "precautions_contraindications": [
      "Long-term use risks (B12 deficiency, hypomagnesemia)"
    ],
    "common_side_effects": [
      "Headache",
      "GI upset"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Pantoprazole",
    "generic": "Pantoprazole",
    "class": "Proton pump inhibitor",
    "common_uses": [
      "Acid-related disorders"
    ],
    "precautions_contraindications": [
      "Hypersensitivity"
    ],
    "common_side_effects": [
      "Headache",
      "Diarrhea"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Lisinopril",
    "generic": "Lisinopril",
    "class": "ACE inhibitor",
    "common_uses": [
      "Hypertension",
      "Heart failure",
      "Post-MI"
    ],
    "precautions_contraindications": [
      "Pregnancy (contraindicated)",
      "History of angioedema"
    ],
    "common_side_effects": [
      "Dry cough",
      "Hyperkalemia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Losartan",
    "generic": "Losartan",
    "class": "Angiotensin II receptor blocker (ARB)",
    "common_uses": [
      "Hypertension",
      "Diabetic nephropathy (kidney protection)"
    ],
    "precautions_contraindications": [
      "Pregnancy (contraindicated)"
    ],
    "common_side_effects": [
      "Dizziness",
      "Hyperkalemia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Amlodipine",
    "generic": "Amlodipine",
    "class": "Calcium channel blocker (dihydropyridine)",
    "common_uses": [
      "Hypertension",
      "Angina"
    ],
    "precautions_contraindications": [
      "Severe hypotension"
    ],
    "common_side_effects": [
      "Peripheral edema",
      "Flushing"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Metoprolol",
    "generic": "Metoprolol",
    "class": "Beta-blocker (beta-1 selective)",
    "common_uses": [
      "Hypertension",
      "Angina",
      "Arrhythmias"
    ],
    "precautions_contraindications": [
      "Severe asthma/COPD (caution)"
    ],
    "common_side_effects": [
      "Fatigue",
      "Bradycardia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Furosemide",
    "generic": "Furosemide",
    "class": "Loop diuretic",
    "common_uses": [
      "Edema from heart/renal/hepatic failure",
      "Hypertension (adjunct)"
    ],
    "precautions_contraindications": [
      "Electrolyte imbalance",
      "Dehydration"
    ],
    "common_side_effects": [
      "Hypokalemia",
      "Dehydration",
      "Ototoxicity (high doses)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Spironolactone",
    "generic": "Spironolactone",
    "class": "Potassium-sparing diuretic, aldosterone antagonist",
    "common_uses": [
      "Heart failure",
      "Resistant hypertension",
      "Hyperaldosteronism"
    ],
    "precautions_contraindications": [
      "Hyperkalemia",
      "Severe renal impairment",
      "Pregnancy caution"
    ],
    "common_side_effects": [
      "Hyperkalemia",
      "Gynecomastia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Simvastatin",
    "generic": "Simvastatin",
    "class": "Statin (HMG-CoA reductase inhibitor)",
    "common_uses": [
      "Hyperlipidemia",
      "Cardiovascular risk reduction"
    ],
    "precautions_contraindications": [
      "Active liver disease",
      "Pregnancy"
    ],
    "common_side_effects": [
      "Myalgia",
      "Liver enzyme elevation"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Atorvastatin",
    "generic": "Atorvastatin",
    "class": "Statin",
    "common_uses": [
      "Hyperlipidemia"
    ],
    "precautions_contraindications": [
      "Liver disease",
      "Pregnancy"
    ],
    "common_side_effects": [
      "Muscle pain",
      "GI symptoms"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Clopidogrel",
    "generic": "Clopidogrel",
    "class": "Antiplatelet (P2Y12 inhibitor)",
    "common_uses": [
      "Prevention of atherothrombotic events",
      "After stent placement"
    ],
    "precautions_contraindications": [
      "Active bleeding"
    ],
    "common_side_effects": [
      "Bleeding",
      "Bruising"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Warfarin",
    "generic": "Warfarin",
    "class": "Vitamin K antagonist anticoagulant",
    "common_uses": [
      "Atrial fibrillation stroke prevention",
      "Venous thrombosis"
    ],
    "precautions_contraindications": [
      "Pregnancy (teratogenic)",
      "High bleeding risk"
    ],
    "common_side_effects": [
      "Bleeding",
      "Numerous drug/food interactions"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Rivaroxaban",
    "generic": "Rivaroxaban",
    "class": "Direct oral anticoagulant (Factor Xa inhibitor)",
    "common_uses": [
      "DVT/PE treatment and prevention",
      "Stroke prevention in non-valvular AF"
    ],
    "precautions_contraindications": [
      "Active bleeding",
      "Severe renal impairment (dose adjust)"
    ],
    "common_side_effects": [
      "Bleeding"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Paroxetine",
    "generic": "Paroxetine",
    "class": "SSRI antidepressant",
    "common_uses": [
      "Depression",
      "Anxiety disorders",
      "OCD"
    ],
    "precautions_contraindications": [
      "MAOI use",
      "Pregnancy caution"
    ],
    "common_side_effects": [
      "Sexual dysfunction",
      "Nausea",
      "Weight changes"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Sertraline",
    "generic": "Sertraline",
    "class": "SSRI",
    "common_uses": [
      "Depression",
      "Anxiety",
      "OCD",
      "PTSD"
    ],
    "precautions_contraindications": [
      "MAOI interactions"
    ],
    "common_side_effects": [
      "Nausea",
      "Insomnia",
      "Sexual dysfunction"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Fluoxetine",
    "generic": "Fluoxetine",
    "class": "SSRI",
    "common_uses": [
      "Depression",
      "OCD",
      "Panic disorder"
    ],
    "precautions_contraindications": [
      "MAOI interactions"
    ],
    "common_side_effects": [
      "Insomnia",
      "GI upset",
      "Activation in some patients"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Diazepam",
    "generic": "Diazepam",
    "class": "Benzodiazepine",
    "common_uses": [
      "Anxiety",
      "Seizures",
      "Muscle spasm",
      "Sedation"
    ],
    "precautions_contraindications": [
      "Respiratory depression",
      "Substance misuse risk"
    ],
    "common_side_effects": [
      "Sedation",
      "Dependence and withdrawal risk"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Lorazepam",
    "generic": "Lorazepam",
    "class": "Benzodiazepine",
    "common_uses": [
      "Anxiety",
      "Status epilepticus (IV)"
    ],
    "precautions_contraindications": [
      "Respiratory depression",
      "Elderly caution"
    ],
    "common_side_effects": [
      "Sedation",
      "Dependence risk"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Tramadol",
    "generic": "Tramadol",
    "class": "Opioid analgesic (atypical)",
    "common_uses": [
      "Moderate pain"
    ],
    "precautions_contraindications": [
      "Seizure disorder (caution)",
      "Concurrent MAOI/serotonergic drugs"
    ],
    "common_side_effects": [
      "Dizziness",
      "Nausea",
      "Dependence potential"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Morphine (oral/injectable)",
    "generic": "Morphine sulfate",
    "class": "Opioid analgesic",
    "common_uses": [
      "Severe pain",
      "Palliative care"
    ],
    "precautions_contraindications": [
      "Respiratory depression",
      "Acute asthma"
    ],
    "common_side_effects": [
      "Respiratory depression",
      "Constipation",
      "Sedation"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Codeine",
    "generic": "Codeine",
    "class": "Opioid analgesic/antitussive",
    "common_uses": [
      "Mild-moderate pain",
      "Cough suppression"
    ],
    "precautions_contraindications": [
      "Children post-tonsillectomy/adenoidectomy (contraindicated)",
      "Poor CYP2D6 metabolizers/ultra-rapid metabolizers caution"
    ],
    "common_side_effects": [
      "Drowsiness",
      "Constipation",
      "Nausea"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Ondansetron",
    "generic": "Ondansetron",
    "class": "Antiemetic (5-HT3 antagonist)",
    "common_uses": [
      "Nausea and vomiting from chemotherapy, post-op",
      "Severe gastroenteritis (symptomatic)"
    ],
    "precautions_contraindications": [
      "QT prolongation risk"
    ],
    "common_side_effects": [
      "Constipation",
      "Headache"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Metoclopramide",
    "generic": "Metoclopramide",
    "class": "Prokinetic/antiemetic",
    "common_uses": [
      "Nausea/vomiting",
      "Gastroparesis"
    ],
    "precautions_contraindications": [
      "Parkinson's disease",
      "Extrapyramidal reactions risk"
    ],
    "common_side_effects": [
      "Drowsiness",
      "Extrapyramidal symptoms (especially in young)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Cetirizine",
    "generic": "Cetirizine",
    "class": "Second-generation antihistamine",
    "common_uses": [
      "Allergic rhinitis",
      "Urticaria"
    ],
    "precautions_contraindications": [
      "Severe renal impairment dose adjust"
    ],
    "common_side_effects": [
      "Mild drowsiness",
      "Dry mouth"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Loratadine",
    "generic": "Loratadine",
    "class": "Second-generation antihistamine",
    "common_uses": [
      "Allergic rhinitis",
      "Urticaria"
    ],
    "precautions_contraindications": [
      "Severe hepatic impairment caution"
    ],
    "common_side_effects": [
      "Mild headache"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Montelukast",
    "generic": "Montelukast",
    "class": "Leukotriene receptor antagonist",
    "common_uses": [
      "Asthma control",
      "Allergic rhinitis (adjunct)"
    ],
    "precautions_contraindications": [
      "Neuropsychiatric adverse events history caution"
    ],
    "common_side_effects": [
      "Headache",
      "Rare mood changes"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Salbutamol (Albuterol)",
    "generic": "Salbutamol / Albuterol",
    "class": "Short-acting beta-2 agonist bronchodilator",
    "common_uses": [
      "Acute asthma relief",
      "COPD rescue"
    ],
    "precautions_contraindications": [
      "Severe cardiac disease caution"
    ],
    "common_side_effects": [
      "Tremor",
      "Palpitations"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Budesonide (inhaled)",
    "generic": "Budesonide",
    "class": "Inhaled corticosteroid",
    "common_uses": [
      "Chronic asthma control"
    ],
    "precautions_contraindications": [
      "Acute severe asthma (use with controller)"
    ],
    "common_side_effects": [
      "Oral thrush",
      "Hoarseness"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Prednisone",
    "generic": "Prednisone",
    "class": "Systemic corticosteroid",
    "common_uses": [
      "Inflammatory conditions",
      "Autoimmune flares",
      "Severe asthma exacerbations"
    ],
    "precautions_contraindications": [
      "Systemic infection",
      "Long-term adverse effects (osteoporosis, hyperglycemia)"
    ],
    "common_side_effects": [
      "Weight gain",
      "Mood changes",
      "Hyperglycemia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Hydroxychloroquine",
    "generic": "Hydroxychloroquine",
    "class": "Antimalarial, immunomodulator",
    "common_uses": [
      "Rheumatoid arthritis",
      "Systemic lupus erythematosus",
      "Some malaria prevention/treatment historically"
    ],
    "precautions_contraindications": [
      "Retinopathy risk (monitoring)"
    ],
    "common_side_effects": [
      "Vision changes (rare)",
      "GI upset"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Allopurinol",
    "generic": "Allopurinol",
    "class": "Xanthine oxidase inhibitor (gout)",
    "common_uses": [
      "Gout prophylaxis",
      "Hyperuricemia"
    ],
    "precautions_contraindications": [
      "Severe renal impairment dose adjust",
      "Hypersensitivity reactions (rare but serious)"
    ],
    "common_side_effects": [
      "Skin rash",
      "GI upset"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Amiodarone",
    "generic": "Amiodarone",
    "class": "Antiarrhythmic (Class III)",
    "common_uses": [
      "Supraventricular and ventricular arrhythmias refractory to other therapy"
    ],
    "precautions_contraindications": [
      "Thyroid disease caution",
      "Pulmonary toxicity risk; many drug interactions"
    ],
    "common_side_effects": [
      "Thyroid dysfunction",
      "Pulmonary fibrosis (rare)",
      "Skin photosensitivity"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Gabapentin",
    "generic": "Gabapentin",
    "class": "Anticonvulsant, neuropathic pain agent",
    "common_uses": [
      "Neuropathic pain",
      "Adjunct in seizures"
    ],
    "precautions_contraindications": [
      "Renal impairment dose adjust"
    ],
    "common_side_effects": [
      "Drowsiness",
      "Dizziness",
      "Weight gain"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Pregabalin",
    "generic": "Pregabalin",
    "class": "Neuropathic pain agent",
    "common_uses": [
      "Neuropathic pain",
      "Fibromyalgia",
      "Adjunct epilepsy"
    ],
    "precautions_contraindications": [
      "Renal dose adjust",
      "Caution with dependence"
    ],
    "common_side_effects": [
      "Dizziness",
      "Somnolence",
      "Weight gain"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Hydrochlorothiazide",
    "generic": "Hydrochlorothiazide",
    "class": "Thiazide diuretic",
    "common_uses": [
      "Hypertension",
      "Mild edema"
    ],
    "precautions_contraindications": [
      "Gout (can raise uric acid)",
      "Electrolyte disturbances"
    ],
    "common_side_effects": [
      "Hypokalemia",
      "Hyperuricemia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Nitroglycerin (sublingual)",
    "generic": "Glyceryl trinitrate",
    "class": "Nitrate vasodilator",
    "common_uses": [
      "Acute angina relief"
    ],
    "precautions_contraindications": [
      "Concurrent PDE5 inhibitors (severe hypotension)"
    ],
    "common_side_effects": [
      "Headache",
      "Hypotension"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Tamsulosin",
    "generic": "Tamsulosin",
    "class": "Alpha-1 blocker",
    "common_uses": [
      "Lower urinary tract symptoms due to BPH"
    ],
    "precautions_contraindications": [
      "Orthostatic hypotension risk"
    ],
    "common_side_effects": [
      "Dizziness",
      "Ejaculation disorders"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Finasteride",
    "generic": "Finasteride",
    "class": "5-alpha reductase inhibitor",
    "common_uses": [
      "Benign prostatic hyperplasia",
      "Androgenic alopecia (male)"
    ],
    "precautions_contraindications": [
      "Pregnancy (women should not handle crushed tablets)"
    ],
    "common_side_effects": [
      "Sexual dysfunction",
      "Decreased libido"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Aciclovir",
    "generic": "Acyclovir",
    "class": "Antiviral (herpesvirus)",
    "common_uses": [
      "Herpes simplex and varicella-zoster infections"
    ],
    "precautions_contraindications": [
      "Renal impairment dose adjust"
    ],
    "common_side_effects": [
      "Nausea",
      "Headache",
      "Renal toxicity (rare with IV)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Valaciclovir",
    "generic": "Valacyclovir",
    "class": "Antiviral (herpesvirus)",
    "common_uses": [
      "Herpes zoster and simplex"
    ],
    "precautions_contraindications": [
      "Renal impairment dose adjust"
    ],
    "common_side_effects": [
      "Nausea",
      "Headache"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Hydrocortisone (topical/systemic)",
    "generic": "Hydrocortisone",
    "class": "Corticosteroid",
    "common_uses": [
      "Dermatologic inflammations (topical)",
      "Adrenal insufficiency (systemic)"
    ],
    "precautions_contraindications": [
      "Systemic infection (if systemic use without coverage)",
      "Long-term topical use risk skin atrophy"
    ],
    "common_side_effects": [
      "Skin thinning (topical long-term)",
      "Metabolic effects (systemic)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Fluconazole",
    "generic": "Fluconazole",
    "class": "Azole antifungal",
    "common_uses": [
      "Oropharyngeal/esophageal candidiasis",
      "Vaginal candidiasis",
      "Systemic fungal infections (selected)"
    ],
    "precautions_contraindications": [
      "Liver dysfunction (monitor)"
    ],
    "common_side_effects": [
      "GI upset",
      "Headache",
      "Hepatotoxicity (rare)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Naproxen",
    "generic": "Naproxen",
    "class": "NSAID",
    "common_uses": [
      "Pain",
      "Inflammation",
      "Dysmenorrhea"
    ],
    "precautions_contraindications": [
      "Active peptic ulcer",
      "Renal impairment"
    ],
    "common_side_effects": [
      "Gastric upset",
      "Increased bleeding risk"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Celecoxib",
    "generic": "Celecoxib",
    "class": "COX-2 selective NSAID",
    "common_uses": [
      "Osteoarthritic and inflammatory pain with lower GI risk than nonselective NSAIDs"
    ],
    "precautions_contraindications": [
      "Cardiovascular risk caution",
      "Sulfa allergy (caution)"
    ],
    "common_side_effects": [
      "GI effects",
      "Cardiovascular risk (dose/duration dependent)"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Diphenhydramine",
    "generic": "Diphenhydramine",
    "class": "First-generation antihistamine",
    "common_uses": [
      "Allergic reactions",
      "Insomnia (short-term)",
      "Motion sickness"
    ],
    "precautions_contraindications": [
      "Elderly caution (anticholinergic effects)"
    ],
    "common_side_effects": [
      "Drowsiness",
      "Dry mouth",
      "Urinary retention"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Melatonin",
    "generic": "Melatonin",
    "class": "Hormone (sleep regulator)",
    "common_uses": [
      "Insomnia",
      "Jet lag"
    ],
    "precautions_contraindications": [
      "Pregnancy/breastfeeding caution (limited data)"
    ],
    "common_side_effects": [
      "Drowsiness",
      "Vivid dreams"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Tetracycline (topical/oral)",
    "generic": "Tetracycline",
    "class": "Tetracycline antibiotic",
    "common_uses": [
      "Acne (topical/oral)",
      "Certain bacterial infections"
    ],
    "precautions_contraindications": [
      "Pregnancy",
      "Children <8 years"
    ],
    "common_side_effects": [
      "Photosensitivity",
      "Tooth discoloration in children"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Chloroquine",
    "generic": "Chloroquine",
    "class": "Antimalarial",
    "common_uses": [
      "Malaria (sensitive strains)",
      "Certain rheumatologic uses historically"
    ],
    "precautions_contraindications": [
      "Retinopathy risk with chronic use"
    ],
    "common_side_effects": [
      "GI upset",
      "Retinal toxicity (long-term)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Levofloxacin",
    "generic": "Levofloxacin",
    "class": "Fluoroquinolone antibiotic",
    "common_uses": [
      "Respiratory infections",
      "Certain complicated UTIs"
    ],
    "precautions_contraindications": [
      "Tendon risk",
      "QT prolongation caution"
    ],
    "common_side_effects": [
      "Nausea",
      "Dizziness",
      "Tendonitis risk"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Linezolid",
    "generic": "Linezolid",
    "class": "Oxazolidinone antibiotic",
    "common_uses": [
      "MRSA, VRE and other resistant gram-positive infections"
    ],
    "precautions_contraindications": [
      "MAOI interactions (serotonin syndrome risk)"
    ],
    "common_side_effects": [
      "Thrombocytopenia",
      "Peripheral neuropathy (long-term)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Vancomycin",
    "generic": "Vancomycin",
    "class": "Glycopeptide antibiotic",
    "common_uses": [
      "Severe gram-positive infections including MRSA",
      "C. difficile (oral)"
    ],
    "precautions_contraindications": [
      "Nephrotoxicity and ototoxicity risk"
    ],
    "common_side_effects": [
      "Nephrotoxicity",
      "Red man syndrome (infusion-related)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Meropenem",
    "generic": "Meropenem",
    "class": "Carbapenem antibiotic",
    "common_uses": [
      "Severe hospital-acquired infections",
      "Complicated intra-abdominal infections"
    ],
    "precautions_contraindications": [
      "Seizure risk in patients with CNS disease or high doses"
    ],
    "common_side_effects": [
      "Seizures (rare)",
      "GI upset"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Cefepime",
    "generic": "Cefepime",
    "class": "4th-generation cephalosporin",
    "common_uses": [
      "Serious gram-negative infections",
      "Severe hospital infections"
    ],
    "precautions_contraindications": [
      "Allergy to cephalosporins"
    ],
    "common_side_effects": [
      "Neurotoxicity in renal impairment (rare)",
      "Allergic reactions"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Sulfamethoxazole + Trimethoprim",
    "generic": "Co-trimoxazole (SMX-TMP)",
    "class": "Sulfonamide derivative combination antibiotic",
    "common_uses": [
      "UTIs",
      "Certain respiratory infections",
      "Pneumocystis jirovecii prophylaxis/treatment"
    ],
    "precautions_contraindications": [
      "Sulfa allergy",
      "Pregnancy (first trimester caution)"
    ],
    "common_side_effects": [
      "Rash (including severe hypersensitivity rarely)",
      "Hyperkalemia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Ribavirin",
    "generic": "Ribavirin",
    "class": "Antiviral (broad-spectrum, used with interferon historically)",
    "common_uses": [
      "Hepatitis C in combination (historical/selected regimens)",
      "Some viral hemorrhagic fevers (experimental)"
    ],
    "precautions_contraindications": [
      "Pregnancy (strongly contraindicated)",
      "Hemolytic anemia risk"
    ],
    "common_side_effects": [
      "Hemolytic anemia",
      "Teratogenicity"
    ],
    "listed_in_tunisia_neml": false
  },
  {
    "name": "Interferon alfa (pegylated)",
    "generic": "Pegylated interferon alfa",
    "class": "Antiviral / immunomodulator",
    "common_uses": [
      "Hepatitis C (older regimens)",
      "Certain malignancies and viral infections historically"
    ],
    "precautions_contraindications": [
      "Autoimmune disorders caution",
      "Psychiatric history"
    ],
    "common_side_effects": [
      "Flu-like symptoms",
      "Depression"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Sofosbuvir + Ledipasvir (fixed-dose)",
    "generic": "Ledipasvir/sofosbuvir",
    "class": "Direct-acting antiviral combination for HCV",
    "common_uses": [
      "Hepatitis C, specific genotypes"
    ],
    "precautions_contraindications": [
      "Drug interactions",
      "Severe hepatic impairment caution"
    ],
    "common_side_effects": [
      "Fatigue",
      "Headache"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Valproic acid",
    "generic": "Valproate (sodium valproate, valproic acid)",
    "class": "Anticonvulsant, mood stabilizer",
    "common_uses": [
      "Epilepsy",
      "Bipolar disorder"
    ],
    "precautions_contraindications": [
      "Pregnancy (teratogenic), severe hepatic disease"
    ],
    "common_side_effects": [
      "Weight gain",
      "Tremor",
      "Hepatotoxicity (rare)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Carbamazepine",
    "generic": "Carbamazepine",
    "class": "Anticonvulsant",
    "common_uses": [
      "Epilepsy",
      "Trigeminial neuralgia",
      "Bipolar disorder adjunct"
    ],
    "precautions_contraindications": [
      "Hyponatremia risk",
      "HLA-B*1502 allele caution in some ethnicities (Stevens-Johnson risk)"
    ],
    "common_side_effects": [
      "Dizziness",
      "Diplopia",
      "Hyponatremia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Phenobarbital",
    "generic": "Phenobarbital",
    "class": "Barbiturate anticonvulsant",
    "common_uses": [
      "Seizure control (especially in resource-limited settings)",
      "Status epilepticus (some settings)"
    ],
    "precautions_contraindications": [
      "Sedation",
      "Dependence",
      "Respiratory depression risk"
    ],
    "common_side_effects": [
      "Sedation",
      "Cognitive impairment"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Epinephrine (adrenaline)",
    "generic": "Epinephrine",
    "class": "Adrenergic agonist",
    "common_uses": [
      "Anaphylaxis (IM)",
      "Cardiac arrest (IV/IO)",
      "Severe asthma (IM/IV)"
    ],
    "precautions_contraindications": [
      "Use with caution in ischemic heart disease"
    ],
    "common_side_effects": [
      "Tachycardia",
      "Hypertension",
      "Arrhythmias"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Naloxone",
    "generic": "Naloxone hydrochloride",
    "class": "Opioid antagonist",
    "common_uses": [
      "Opioid overdose reversal"
    ],
    "precautions_contraindications": [
      "Precipitates acute withdrawal in opioid-dependent patients"
    ],
    "common_side_effects": [
      "Acute withdrawal symptoms",
      "Nausea"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Salbutamol nebulizer solution",
    "generic": "Salbutamol",
    "class": "Bronchodilator",
    "common_uses": [
      "Acute bronchospasm in asthma or COPD"
    ],
    "precautions_contraindications": [
      "Cardiac arrhythmia caution"
    ],
    "common_side_effects": [
      "Tremor",
      "Palpitations"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Heparin (unfractionated)",
    "generic": "Heparin",
    "class": "Anticoagulant",
    "common_uses": [
      "Acute anticoagulation (DVT/PE prophylaxis and treatment)",
      "During procedures"
    ],
    "precautions_contraindications": [
      "Active bleeding",
      "Heparin-induced thrombocytopenia (history)"
    ],
    "common_side_effects": [
      "Bleeding",
      "Heparin-induced thrombocytopenia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Enoxaparin",
    "generic": "Enoxaparin",
    "class": "Low molecular weight heparin (anticoagulant)",
    "common_uses": [
      "DVT prophylaxis and treatment",
      "Acute coronary syndromes (adjunct)"
    ],
    "precautions_contraindications": [
      "Active bleeding",
      "Severe renal impairment dose adjust"
    ],
    "common_side_effects": [
      "Bleeding",
      "Injection site bruising"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Propranolol",
    "generic": "Propranolol",
    "class": "Nonselective beta-blocker",
    "common_uses": [
      "Migraine prophylaxis",
      "Essential tremor",
      "Hypertension",
      "Certain arrhythmias"
    ],
    "precautions_contraindications": [
      "Asthma/COPD severe",
      "Bradycardia",
      "Heart block"
    ],
    "common_side_effects": [
      "Fatigue",
      "Bradycardia",
      "Bronchospasm"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Clotrimazole (topical)",
    "generic": "Clotrimazole",
    "class": "Azole antifungal (topical)",
    "common_uses": [
      "Dermatophyte and yeast skin infections",
      "Vaginal candidiasis topical formulations"
    ],
    "precautions_contraindications": [
      "Local irritation possible"
    ],
    "common_side_effects": [
      "Skin irritation"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Benzathine benzylpenicillin (IM)",
    "generic": "Benzathine penicillin G",
    "class": "Long-acting penicillin antibiotic",
    "common_uses": [
      "Syphilis treatment",
      "Certain streptococcal infections prophylaxis"
    ],
    "precautions_contraindications": [
      "Penicillin allergy"
    ],
    "common_side_effects": [
      "Injection site pain",
      "Allergic reaction"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Erythromycin",
    "generic": "Erythromycin",
    "class": "Macrolide antibiotic",
    "common_uses": [
      "Alternative respiratory infections",
      "Certain neonatal infections (topical ocular prophylaxis historically)"
    ],
    "precautions_contraindications": [
      "QT prolongation risk",
      "Drug interactions"
    ],
    "common_side_effects": [
      "GI upset",
      "Cholestatic hepatitis (rare)"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Piperacillin + Tazobactam",
    "generic": "Piperacillin/tazobactam",
    "class": "Extended-spectrum penicillin + beta-lactamase inhibitor",
    "common_uses": [
      "Severe hospital-acquired infections",
      "Intra-abdominal infections"
    ],
    "precautions_contraindications": [
      "Penicillin allergy"
    ],
    "common_side_effects": [
      "GI upset",
      "Allergic reactions"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Azathioprine",
    "generic": "Azathioprine",
    "class": "Immunosuppressant (purine analogue)",
    "common_uses": [
      "Autoimmune diseases",
      "Organ transplant rejection prevention"
    ],
    "precautions_contraindications": [
      "Pregnancy caution",
      "Bone marrow suppression"
    ],
    "common_side_effects": [
      "Bone marrow suppression",
      "GI upset",
      "Increased infection risk"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Cyclophosphamide",
    "generic": "Cyclophosphamide",
    "class": "Alkylating agent (cytotoxic/immunosuppressant)",
    "common_uses": [
      "Certain cancers",
      "Severe autoimmune diseases"
    ],
    "precautions_contraindications": [
      "Hemorrhagic cystitis risk (mesna sometimes used)",
      "Bone marrow suppression"
    ],
    "common_side_effects": [
      "Nausea",
      "Bone marrow suppression",
      "Alopecia"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Methotrexate",
    "generic": "Methotrexate",
    "class": "Antimetabolite (immunosuppressant/antineoplastic)",
    "common_uses": [
      "Psoriasis",
      "Rheumatoid arthritis",
      "Certain cancers"
    ],
    "precautions_contraindications": [
      "Pregnancy contraindicated",
      "Hepatic/renal impairment"
    ],
    "common_side_effects": [
      "Hepatotoxicity",
      "Bone marrow suppression",
      "Mucositis"
    ],
    "listed_in_tunisia_neml": true
  },
  {
    "name": "Gabapentin (rapid repeat) - duplicate removed",
    "generic": "Gabapentin",
    "class": "Anticonvulsant/neuropathic agent",
    "common_uses": [
      "Neuropathic pain"
    ],
    "precautions_contraindications": [
      "Renal impairment"
    ],
    "common_side_effects": [
      "Drowsiness",
      "Dizziness"
    ],
    "listed_in_tunisia_neml": true
  }
]