1: Antibiotics and Oral Contraceptives Flashcards
doxycycline monohydrate
Vibramycin, Adoxa, Monodox
q12h
RTI, UTI, STI, acne
Sun-sensitivity
Take w food
Do not take w Al, Ca, Fe, Mg, or Zn 2h before/after
Use addt BC 1 week before/after
amoxicillin
Amoxil
q8h, q12h
RTI, UTI, STI, ENT/skin/bone infx
CONTRAINDICATED PENICILLIN ALGY
Use addt BC 1 week before/after
cephalexin
Keflex
q6h, q8h, q12h
RTI, UTI, ENT/skin/bone infx
CONTRAINDICATED CEPHALOSPORIN ALGY
Caution penicillin allergy
Do not take w Zn 3h before/after
azithromycin
Zithromax, Z-Pak, Tri-Pak
Z-Pak: 2 tab po day 1, 1 tab po days 2-5
q24h
RTI, STI, ENT/skin/eye infx
CONTRAINDICATED MACROLIDE ALGY
Do not take w Al or Mg antacid
Take w food
ciprofloxacin
Cipro, Ciloxan
q12h
STI (prostatitis), skin/bone infx, pneumonia
CONTRAINDICATED FLUOROQUINOLONE ALGY
Sun-sensitivity
Caffeine-sensitivity
Do not take w Ca or Fe 2h before/after
sulfamethoxazole/trimethoprim (SMZ-TMP)
Bactrim DS
q12h
RTI, UTI, HIV-associated infx
CONTRAINDICATED SULFA ALGY
Sun-sensitivity
Take w 8oz water
nitrofurantoin
Macrobid, Macrodantin
q12h
UTI
Orange/brown urine
Do not take w Mg 2h before/after
Take w food/milk
metronidazole
Flagyl
q6h, q8h, q12h
Abscess, GI infx, STI/vaginosis
CONTRAINDICATED ALCOHOL FOR 3 DAYS AFTER
Metallic tase
Headache common
Tri-phasics:
ethinyl estradiol/norgestimate
Ortho Tri-Cyclen, Tri-Sprintec, Tri-ViLibra
phase 1 po qd 7 days and so on
OC, acne, mimics natural cycle
estrogen/progestin notes
estrogen/progestin counseling tips + important info
Side effects:
water retention
upset stomach, headache
Non-FDA uses:
menstrual cycle regulation
lessen menstrual flow/reduce painful menses
increased CV risk, not recommended for those +35 yo, smoker, history of stroke/blood clots
Iron-containing:
ethinyl estradiol/norethindrone/ferrous fumarate
Loestrin Fe, Junel Fe, Microgestin Fe
1 active tab po qd for 21 days, 1 iron tab po qd for 7 days
OC, acne, replaces iron lost during menses
estrogen/progestin notes
ethinyl estradiol/drospirenone
Yaz, Loryna, Jasmiel
1 active tab qd for 24 days, 1 inactive for 4 days
OC, acne, PMDD, only 4 inactive days (shorter periods)
Drospiernone lessens water retention/weight gain side effects of estrogen
ethinyl estradiol/norelgestromin
Xulane
apply 1 new patch each week for 3 weeks, no patch week 4
contraception
more common estrogen/progestin notes
do not cut patch
apply to butt, upper torso, stomach, or upper arm
ethinyl estradiol/etonogestrel
NuvaRing
insert one ring into vagina on/before day 5 of cycle and leave in for 3 weeks, remove week 4
Contraception
If ring falls out, rinse w cool water and re-insert within 3h
Do not remove for intercourse
NOT A BARRIER (use w barrier BC)
medroxyprogesterone
Depo-Provera
150mg deep IM injection in gluteal/deltoid every 3 mo
Contraception, endometriosis, abnormal uterine bleeding, amenorrhea, no estrogen
Nervousness
Do not use >2 yr
levonorgestrel OTC
Plan B One-Step, EContra One-Step
Take 1 tab po ASAP within 72h of unprotected sex
Emergency post-coital contraception
Fatigue
No interaction w antibiotics
Will not terminate an existing pregnancy
Spotting/changes in menses may result
