Ch. 14 Drug Formulations

Question 1

Granules, powders, or capsules that can be sprinkled into applesauce

Answer 1

Adderall XR (dex/amphet XR)
Coreg CR (carvedilol)
Creon (pancrelipase)
Dexilant (dexlansoprazole)
Focalin XR (dexmethylphenidate)
Kadian (morphine)
Mirco-K (potassium)
Namenda XR (memantine)
Nexium (esomeprazole)
Ritalin LA (methylphenidate)
Singulair (montelukast)

Question 2

What can Singulair be mixed with?

Answer 2

5mL of breastmilk, baby formula or in a spoonful of applesauce, carrots, rice or ice cream

Question 3

What can Vyvanse be mixed with?

Answer 3

Water, yogurt or orange juice

Question 4

What can Creon be mixed with?

Answer 4

Soft foods (applesauce, pears, banana)

Question 5

What can Depakote sprinkles be mixed with?

Answer 5

Soft food

Question 6

What can Kadian be mixed with?

Answer 6

Applesauce or soft food

Question 7

What can Micro K be mixed with?

Answer 7

Applesauce or pudding

Question 8

What can Questran be mixed with?

Answer 8

In 2-6 ounces of water or non-carbonated liquid

Question 9

What XR drugs can be cut at their score line, but not crushed?

Answer 9

Toprol XL

Sinemet CR

Question 10

What are some OROS drugs?

Answer 10

Caoncerta
Cardura XL
Procardia XL
Invega

Question 11

Copaxone (glatiramer) is indicated and used:

Answer 11

Indicated for MS

Injected SQ

Question 12

Patches applied to the hips

Answer 12

Daytrana
Neupro
Oxytrol

Question 13

Patches applied to the lower abdomen

Answer 13

Androderm
Neupro
Ortho Evra
Oxytrol
Vivelle-Dot
Menostar

Question 14

Patches applied to the upper thigh

Answer 14

Androderm
Emsam
Neupro

Question 15

Patch applied to the upper torso

Answer 15

Emsam

Question 16

Patch applied to the shoulder

Answer 16

Neupro

Question 17

Patch applied behind the ear

Answer 17

Transderm Scop

Question 18

Patches applied to the flank

Answer 18

Neupro

Duragesic

Question 19

Patches applied to the buttock

Answer 19

Ortho Evra
Oxytrol
Vivelle Dot

Question 20

Most effective way to take Fosrenol

Answer 20

Must be chewed for the drug to bind to phosphate in the gut

Question 21

Which highly potent patches should be disposed of down the toilet

Answer 21

Butrans, Daytrana, Duragesic

Question 22

Brand name of the naloxone SQ injector

Answer 22

Evzio

Question 23

Which patches should be removed before an MRI?

Answer 23

Clonidine (Catapres)
Diclofenac (Flector)
Estrogen (Alora)
Rotigotine (Neupro)
Scopolamine(Transderm Scop)
Testosterone (Androderm)

Question 24

Patches to be applied twice weekly

Answer 24

Estradiol (Alora, Vivelle Dot)

Oxybutynin (Oxytrol)

Question 25

Patches to be applied weekly

Answer 25

Clonidine (Catapres TTS) Estradiol (Climara, Menostar) Estradiol/levonorgestrel (ClimaraPro) Ethynyl estradiol/norelgestromin (Xulane)

Question 26

Patch applied twice daily

Answer 26

Diclofenac (Flector)

Question 27

Patches applied daily with special instruction

Answer 27

Lidocaine (Lidoderm): 1-3 patches on for 12 hours, then off for 12 hours NTG (Minitran, Nitro-Dur): on for 12-14 hours, then off for 10-12 hours

Question 28

Patches to be applied daily

Answer 28

``` Methylphenidate (Daytrana) Nicotine (Nicoderm CQ) Rivastigmine (Exelon) Rotigotine (Neupro) Selegiline (Emsam) Testosterone (Androderm) ```

Question 29

Daytrana should only be placed

Answer 29

On the hip, alternating right and left

Question 30

Estrogen patches are mainly applied to

Answer 30

The lower abdomen, some on the lower buttock, NEVER to the breasts

Question 31

Duragesic should be applied to

Answer 31

The chest, back, flank, upper arm

Question 32

Patches that can be covered with tape

Answer 32

Fentanyl (Duragesic) and buprenorphine (Butrans) with Bioclusive or Tegaderm

Question 33

Oral film that uses gut absorption

Answer 33

Zuplenz (ondansetron)