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PHRM 822 PUP Medication Lists > #2 Female Contraception, Anxiety, and Muscle Spasms > Flashcards

#2 Female Contraception, Anxiety, and Muscle Spasms Flashcards

1
Q

BRAND NAME: ethinyl estradiol/norgestimate

A

Ortho Tri-Cyclen, Tri-Sprintec, Tri-ViLibra

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2
Q

COMMON STRENGTHS: ethinyl estradiol/norgestimate

A

0.035mg/0.18mg, 0.035mg/0.215mg, 0.035mg/0.25mg

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3
Q

COMMON FREQUENCY: ethinyl estradiol/norgestimate

A

one first phase tablet daily for 7 days, then one second phase tablet daily for 7 days, then one third phase tablet daily for 7 days, then one inactive tablet daily for 7 days

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4
Q

INDICATIONS/USE: ethinyl estradiol/norgestimate

A
  • oral contraception
  • acne
  • claim to fame: tri-phasics mimic natural menstrual cycle
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5
Q

COUNSELING TIPS: ethinyl estradiol/norgestimate

A

side effects for ALL medications on this list:
- water retention (bloating, weight gain, breast tenderness)
- upset stomach/nausea
- headache

non-FDA uses may include:
- regulation of menstrual cycle
- lessen menstrual flow
- reduce painful menses

miss a dose?
- take as soon as possible or with next days’ dose: e.g., miss Mon, take 2 on Tues. If you miss 2 or more days, refer to package directions

products containing ethinyl estradiol:
- increases cardiovascular risk (DVT, PE, MI).
- not recommended for those: +35 yrs old, smoker, or history of stroke/blood clots

tips:
- if OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy
- take same time each day for maximum effectiveness
- some anti-convulsants (ex: divalproex, lamotrigine) may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
- none of the medications on this list protect against HIV/AIDS/STDs

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6
Q

BRAND NAME: ethinyl estradiol/norethindrone/ferrous fumarate

A

Loestrin Fe 1/20, Junel Fe, Microgestin Fe

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7
Q

COMMON STRENGTHS: ethinyl estradiol/norethindrone/ferrous fumarate

A

0.02mg/1mg/75mg

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8
Q

COMMON FREQUENCY: ethinyl estradiol/norethindrone/ferrous fumarate

A

take one active tablet daily for 21 days, then one iron tablet daily for 7 days

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9
Q

INDICATIONS/USE: ethinyl estradiol/norethindrone/ferrous fumarate

A
  • oral contraception
  • acne
  • claim to fame: replaces iron lost during menses
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10
Q

COUNSELING TIPS: ethinyl estradiol/norethindrone/ferrous fumarate

A

side effects for ALL medications on this list:
- water retention (bloating, weight gain, breast tenderness)
- upset stomach/nausea
- headache

non-FDA uses may include:
- regulation of menstrual cycle
- lessen menstrual flow
- reduce painful menses

miss a dose?
- take as soon as possible or with next days’ dose: e.g., miss Mon, take 2 on Tues. If you miss 2 or more days, refer to package directions

products containing ethinyl estradiol:
- increases cardiovascular risk (DVT, PE, MI).
- not recommended for those: +35 yrs old, smoker, or history of stroke/blood clots

tips:
- if OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy
- take same time each day for maximum effectiveness
- some anti-convulsants (ex: divalproex, lamotrigine) may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
- none of the medications on this list protect against HIV/AIDS/STDs

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11
Q

BRAND NAME: ethinyl estradiol/drospirenone

A

Yaz, Loryna, Jasmiel

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12
Q

COMMON STRENGTHS: ethinyl estradiol/drospirenone

A

0.02mg/3mg

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13
Q

COMMON FREQUENCY: ethinyl estradiol/drospirenone

A

active tablet daily for 24 days, then one inactive tablet daily for 4 days

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14
Q

INDICATIONS/USE: ethinyl estradiol/drospirenone

A
  • oral contraception
  • acne
  • premenstrual dysphoric disorder
  • claim to fame: only 4 inactive days = shorter menstrual period
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15
Q

COUNSELING TIPS: ethinyl estradiol/dropsirenone

A

drospirenone lessens the water retention/weight gain side effects of estrogen

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16
Q

BRAND NAME: ethinyl estradiol/norelgestromin

A

Xulane

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17
Q

COMMON STRENGTHS: ethinyl estradiol/norelgestromin

A

0.53mg/4.86mg

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18
Q

COMMON FREQUENCY: ethinyl estradiol/norelgestromin

A

apply one new patch each week for 3 weeks then week 4 is patch free

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19
Q

INDICATIONS/USE: ethinyl estradiol/norelgestromin

A

contraception

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20
Q

COUNSELING TIPS: ethinyl estradiol/norelgestromin

A
  • same side effect profile as OCs but more common
  • adhesive may cause skin rash/rotate site
  • do not cut patch
  • apply to butt, upper torso, stomach, upper arm
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21
Q

BRAND NAME: ethinyl estradiol/etonogestrel

A

NuvaRing

22
Q

COMMON STRENGTHS: ethinyl estradiol/etonogestrel

A

0.015mg/0.12mg/24 hours ER

23
Q

COMMON FREQUENCY: ethinyl estradiol/etonogestrel

A

insert one ring into vagina on or before day 5 of cycle and leave in for 3 weeks, then remove on week 4 and discard

24
Q

INDICATIONS/USE: ethinyl estradiol/etonogestrel

A

contraception

25
Q

COUNSELING TIPS: ethinyl estradiol/etonogestrel

A
  • if it falls out, rinse with cool water and re-insert within 3 hours
  • don’t remove for intercourse
  • ring is drug delivery device; not a barrier
26
Q

BRAND NAME: medroxyprogesterone

A

Depo-Provera

27
Q

COMMON STRENGTHS: medroxyprogesterone

A

150mg/ml

28
Q

COMMON FREQUENCY: medroxyprogesterone

A

150mg deep intramuscular injection in gluteal or deltoid muscle every 3 months

29
Q

INDICATIONS/USE: medroxyprogesterone

A
  • contraception
  • endometriosis pain, abnormal uterine bleeding, amenorrhea
  • claim to fame: no estrogen
30
Q

COUNSELING TIPS: medroxyprogesterone

A
  • nervousness
  • administration by healthcare professional
  • don’t use >2 years due to potential bone loss
  • spotting or absent menses may result
31
Q

BRAND NAME: levonorgestrel (OTC)

A

Plan B One-Step, EContra One-Step

32
Q

COMMON STRENGTHS: levonorgestrel (OTC)

A

1.5mg

33
Q

COMMON FREQUENCY: levonorgestrel (OTC)

A

take 1 tablet as soon as possible within 72 hours of unprotected sex

34
Q

INDICATIONS/USE: levonorgestrel (OTC)

A

emergency post-coital contraception

35
Q

COUNSELING TIPS: levonorgestrel (OTC)

A
  • same side effects as OCs but more common
  • fatigue
  • no evidence of interaction with antibiotics
  • will not terminate existing pregnancy
36
Q

BRAND NAME: clonazepam

A

Klonopin

37
Q

COMMON STRENGTHS: clonazepam

A

0.5mg, 1mg, 2mg

38
Q

COMMON FREQUENCY: clonazepam

A

QD, BID, TID, QID

39
Q

INDICATIONS/USE: clonazepam

A
  • panic disorder
  • seizer disorders
  • off label use: anxiety
40
Q

COUNSELING TIPS: clonazepam

A
  • drowsiness
  • fatigue
  • ataxia
  • behavioral problems
41
Q

BRAND NAME: alprazolam

A

Xanax

42
Q

COMMON STRENGTHS: alprazolam

A

0.25mg, 0.5mg, 1mg, 2mg

43
Q

COMMON FREQUENCY: alprazolam

A

BID, TID, or PRN

44
Q

INDICATIONS/USE: alprazolam

A
  • panic disorder
  • anxiety
45
Q

COUNSELING TIPS: alprazolam

A
  • confusion
  • drowsiness
  • excessive drowsiness with alcohol - avoid
  • do not stop drug suddenly if taking routinely
46
Q

BRAND NAME: cyclobenzaprine

A

Flexeril

47
Q

COMMON STRENGTHS: cyclobenzaprine

A

5mg, 10mg

48
Q

COMMON FREQUENCY: cyclobenzaprine

A

QD, TID, or PRN

49
Q

INDICATIONS/USE: cyclobenzaprine

A

muscle spasm

50
Q

COUNSELING TIPS: cyclobenzaprine

A
  • dry mouth (xerostomia)
  • dizziness
  • drowsiness

PHRM 822 PUP Medication Lists (10 decks)

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