Adjuvant Therapies

Question 1

Gabapentinoids
Generic and Brand

Answer 1

Gabapentin (Neurontin)
Pregabalin (Lyrica)

Question 2

Gabapentinoid Uses

Answer 2

Fibromyalgia
Neuropathies
Post-Op

Question 3

Gabapentinoid Dose Forms

Answer 3

Tablet
ER Tablet
Liquid Solution

Question 4

Pregabalin Dosing

Answer 4

Lyrica- 75 mg PO BID (Max 600 mg/day)

Question 5

Neurontin Dosing

Answer 5

100-300 mg PO TID
(max 3600 mg/day)

Question 6

Clinical Pearls of Gabapentinoids

Answer 6

Renally
Titrate UP
Use in combo
Pregab schedule 5

Question 7

SNRIs
Generic and Brand

Answer 7

Venlafaxine (Effexor)

Duloxetine (Cymbalta)

Question 8

SNRI Uses

Answer 8

Fibromyalgia
Neuropathies

Question 9

SNRI Dose Forms

Answer 9

Capsule/Tablet
ER as well^

Question 10

Effexor Dosing

Answer 10

37.5-75 mg PO daily (max 225 mg/day)

Question 11

Cymbalta Dosing

Answer 11

30 mg PO daily x 1 week- Then increase to 60 mg PO daily
(max 60 mg/day)

Question 12

SNRI Pearls

Answer 12

titrate up
Venlafaxine renal adjustment
Duloxetine C/I in CrCl <30

Question 13

TCA’s
Brand And Generic

Answer 13

Amitriptyline
(Elavil)

Nortriptyline (Pamelor)

Question 14

TCA uses

Answer 14

Fibromyalgia
Neuropathies
Migraine Prophylaxis

Question 15

TCA’s Dose Form

Answer 15

Tablet, Capsule, Oral Solution

Question 16

TCA dosing

Answer 16

10 mg PO QHS (max 150 mg/day)

Question 17

TCA clinical Pearls

Answer 17

Last line in Fibromyalgia, Neuropathies
due to SE

Question 18

Muscle Relaxants
All 5 Brand Names

Answer 18

Cyclobenzaprine (Amrix, Fexmid)
Baclofen ( Lioresal)
Methocarbamol (Robaxin)
Carisolprodol (soma)
Tizanidine (Zanaflex)

Question 19

Muscle Relaxant
All 5 generic drugs

Answer 19

Cyclobenzaprine (Amrix, Fexmid)
Baclofen ( Lioresal)
Methocarbamol (Robaxin)
Carisolprodol (soma)
Tizanidine (Zanaflex)

Question 20

Muscle Relaxant Uses

Answer 20

Musculo-skeletal pain/spasms

Question 21

Muscle relaxant dose forms

Answer 21

Tablet/capsule (IR and ER)
Oral Solution (Baclofen)
IV ( methocarbamol, baclofen)

Question 22

Amrix Dosing

Answer 22

Cyclo
5 mg PO TID (max 30 mg/day)

Question 23

Lioresal Dosing

Answer 23

Baclofen

5 mg PO TID (Max 80 mg/day)

Question 24

Robaxin Dosing

Answer 24

1.5 g PO 3-4x/day (max 8 grams)
Methocarbamol

Question 25

Soma Dosing

Answer 25

Carisoprodol
250-350 mg PO TID (max 1050 mg/day)

Question 26

Zanaflex Dosing

Answer 26

2-4 mg PO q8-12h (max 24 mg/day)

Question 27

Muscle Relaxant Pearls

Answer 27

Short term (3 weeks)

Question 28

Antiepileptic Brand and Generic

Answer 28

Carbamazepine
(tegretol)

Question 29

Carbamazepine Dose Forms

Answer 29

ER Cap/Tab
Chewable
Suspension

Question 30

Carbamazepine Dosing

Answer 30

200-400 mh PO daily in 2-4 divided doses ( max 1200mg/day)

Question 31

tegretol Clincal Pearls

Answer 31

HLAB 1502 Hyper-sensetivity
Autoinduction of hepatic enzymes

Question 32

Lidocaine Dose Forms

Answer 32

Patch
Injection
Topical

Question 33

Capsacian Uses

Answer 33

Muscle pain/joint pain
Neuropathic pain

8 HOURS