counseling

Question 1

Acetaminophen/Hydrocodone

Answer 1

• constipation (can try OTC stool softener)
• seek medical attention if severe rash/excessive drowsiness/decreased breathing
• BBW: opioid with drawls (so take as directed)

Question 2

Albuterol

Answer 2

• nausea, sore throat, runny nose
• prime and shake well before use
• wash mouthpiece and air dry once a week
  when inhaling contents hold breath for at least 10 seconds

Question 3

Amlodipine

Answer 3

• peripheral/pulmonary edema
• avoid alcohol
• may cause dizziness
• liver toxicity

Question 4

Amoxicillin

Answer 4

• diarrhea, nausea, blistering skin rash
• complete the FULL therapy course
• suspension: shake well before dose and store in refrigerator
• can take with food, but dont mix with it
• use a back up form of contraceptive (oral meds decreased effectiveness)

Question 5

Amphetamine/Dextroamphetamine

Answer 5

-need to take at the same time every day
- ER capsule: swallow whole with water
- do not take with fruit juice, caffeine, or alcohol
- overdose: restless, muscle twitch, fast breathing
- may slow growth in children
- mood changes

Question 6

Apixaban

Answer 6

• bleeding
• avoid OTC NSAIDS and high dose aspirin ( increased risk of bleeding)
• increased risk of thrombotic events if nonadherent

Question 7

Atorvastatin

Answer 7

-muscle pain, diarrhea, headache, dark urine, fatigue
- avoid exccessive alcohol or grape juice
- does not take place of lifestyle changes

Question 8

Carvedilol

Answer 8

• cold extremeties, dizzy, erectile dysfunction
• diabetic patients: blood sugar changes
• take with food/milk
• avoid abrupt discontinuation (rebound HTN)

Question 9

Clopidogrel

Answer 9

• headache
• bleeding, do not stop abruptly ESPECIALLY AFTER STENT
• avoid with OTC omeprazole

Question 10

Duloxetine

Answer 10

• headache, nausea
• avoid alcohol
• increased risk of bleeding
• may worsen suicidality
• NOT FOR CHILDREN

Question 11

Escitalopram

Answer 11

• headache, nausea, sedation
• symptoms may not improve for 4-6 weeks
• avoid abrupt discontinuations
• do not drink alcohol
• do not use NSAIDS/aspirin

Question 12

Fluticasone Nasal

Answer 12

• may be a scent
• headache
• runny nose
• relief of symptoms is not immediate

Question 13

Furosemide

Answer 13

• hyperuricemia: uric acid in blood (lower back pain or pain during urination)
• fluid and electrolyte loss
• dizzy, blurred vision, ototoxicity
• sun sensitivity

Question 14

Gabapentin

Answer 14

• dizzy
• mood changes
• ER: take with evening meal
• take at bedtime
• avoid sudden discontinuation of drug as it may cause seizures
• wait 2 hours after taking Tums before taking gabapentin

Question 15

Hydrochlorothiazide

Answer 15

• low BP, dizzy, headache
• seek medical attention if skin rash or yellowing of eyes
• take early in the day
• avoid alcohol and NSAIDS

Question 16

Levothyroxine

Answer 16

• NO COMMON ADES
• do not use for weight reduction
• takes 6-8 weeks for improvement
• take on an empty stomach with water at least 30 minutes before food
• avoid Tums and Iron within 4 hours of dose

Question 17

Lisinopril

Answer 17

• angioedema
• severe persistent cough
• avoid pregnancy
• may cause dizziness that may worsen if dehydrated

Question 18

Metformin

Answer 18

• diarrhea, nausea, flatulence
• take with meals
• drink plenty of fluids (not alcohol)
• lactic acidosis

Question 19

Metoprolol

Answer 19

• dizzy, fatigue, low BP
• take on empty stomach
• avoid alcohol
• avoid abrupt discontinuation (angina returns)
• diabetic: watch blood sugar changes

Question 20

Montelukast

Answer 20

• behavior and mood related effects
• not for acute asthma attacks
• report increased use of SABAs
• asthma/allergies: take in evening

Question 21

Omeprazole

Answer 21

• severe headache or blistering skin rash
• C. Diff Diarrhea or rhabdomyolysis
• take 1 hour before meals

Question 22

Prednisone

Answer 22

• GI upset: take with food or milk to prevent
• may increase blood sugar on long term therapy
• take in morning to prevent insomnia

Question 23

Rosuvastatin

Answer 23

• arthralgia
• do not drink alcohol
• does not take place for diet/exercise
• muscle pain, dark urine, fatigue

Question 24

Sertraline

Answer 24

• suicidality
• may take several weeks to work
• avoid abrupt discontinuations
• do not drink alcohol
• do not use NSAIDS or aspirin
• diarrhea, fatigue, headache

Question 25

Zolpidem

Answer 25

• complex sleep behavior
• dizzy, drowsy, headache
• avoid alcohol
• take on empty stomach prior to bedtime

Question 26

Fluticasone Inhaler

Answer 26

• runny nose
• rinse mouth with water after to prevent thrush (a yeast infection)
• headache