Counselling Week 1 (Amiodarone, Amlodipine, Apixaban, Digoxin, Metoprolol) Flashcards
This medicine is amiodarone and the brand we have given you is called …?
Tablets 100mg (aratac, cordarone)
Tablets 200mg (aratac, cordarone X, rithmik)
Mode of action and indication of amiodarone (3 marks)
It is used for severe tachyarrhythmia which includes atrial fibrillation and ventricular tachycardia.
This medication works on the heart by slowing electrical signals. It will help control a fast or irregular heartbeat and therefore make your heart beat normally.
This medication will take a few weeks to work.
Dose and directions for use (C/A labels) for amiodarone (3 marks)
Take ONE tablet (200mg) three times a day for ONE week followed by ONE tablet twice daily for ONE week –> loading dose
Take ONE tablet (100-200mg) once daily (400mg daily may be required for VA) –> maintanence dose
start with maintanence dose in non-urgent cases
CAL 5,8,18.
- Avoid excessive sun exposure while being treated with this medicine (8)
- Avoid eating grapefruit or drinking grapefruit juice while being treated with this medicine (18)
AE (common, serious, allergic) of amiodarone (3 marks)
All medications can cause side effects, but not everyone will experience them. Nausea and vomitting tend to occur early. Taste disturbances such as metallic taste and loss of taste can happen occasionally and blue-grey pigmentation of the skin.
Some rarer side effects include hair loss and a allergic rash. If any sort of vision impairment occurs, please see a doctor.
Long term use of this drug can affect the thyroid and liver, your doctor will be monitoring this with tests every 6 months.
Lifestyle/self-care of Amiodarone (2 marks)
This medication can cause photosensitivity and skin issues so please avoid sun exposure, wear protective clothing and use suncreen with SPF of 30 or higher that contains titanium or zinc oxide.
To prevent an upset stomach, take this medication with food.
Questions + CMI (1 mark)
I have printed information for you about this medication, is there anything you would like me to explain more? Do you have any questions?
This medication is amlodipine and the brand we have given you is called …?
Amlodipine, Amlo, Nordip, Norvasc (5mg)
Amlodopine, Amlo, Nordip, Norvasc (10mg)
Mode of action and indication of amlodipine (3 marks)
This medication works on your heart to reduce your blood pressure by relaxing blood vessels and increasing blood supply to the heart.
This medication ised for hypertension and angina. It does not provide immediate relief of chest pain from angina.
Dose and directions for use (C/A labels) for amlodipine (3 marks)
Take ONE tablet (5mg) once daily, increasing after one to two weeks to one tablet daily (10mg). if it is necessary to increase your dosage, this will be reviewed by your doctor
CAL: 9,16,18
Do not stop take this medicine suddenly, consult with your doctor firsrt
This medicine may cause dizziness, especially when getting up from lying down. it is best to monitor this.
Avoid eating grapefruit or drinking grapefuit juice while being treated with this medicine.
AE (common, serious, allergic) of amlodipine (3 marks)
All medications can cause side effects, but not everyone will experience them. Intially nausea, headache, tiredness and dizziness can happen.
Some rarer side effects include taste disturbances and swelling of the face, lips, and mouth.
Please see a doctor if you have difficulty breathing or if you have a severe skin reaction.
Lifestyle/self-care of Amlodipine (2 marks)
If you are feeling dizzy or tired, avoid driving or using machines
Avoid drinking large amounts of alcohol as it can make you more dizzy or sleepy while on this medication and also increase blood pressure.
If you feel dizzy, lie down until the symptoms pass. If frequently dizzy, inform your doctor.
Questions + CMI (1 mark)
I have printed information for you about this medication, is there anything you would like me to explain more? Do you have any questions?
This medicine is apixaban and the brand we have given you is called …?
2.5 mg and 5mg = Eliquis
Mode of action and indication of apixaban (3 marks)
This medication works by stopping a blod clot forming and therefore prevents stroke.
It is used to treat and prevent clots occuring in a venous thromboembolism, prevent blood clots after a hip or knee surgery, and prevent stroke and blood clots in atrial fibrilation.
Dose and directions for use (C/A labels) for apixaban (3 marks)
Prevention of emboli in AF: ONE (5mg) tablets twice daily
Prevention of VTE after hip/knee replacement: ONE (2.5mg) tablets twice daily
Treatment of acute VTE and preventing VTE: TWO (5mg) tablet twice daily for 7 days then ONE (5mg) twice daily
CAL: 10b and 18
Do not take aspirin or anti-inflammtory medicines while being treated with this medicine
Avoid eating grapefruit or drinking grapefruit juice while being treated with this medicine
AE (common, serious, allergic) of apixaban (3 marks)
All medications can cause side effects, but not everyone will experience them. Nausea may occur early on in when using this medication. Rarer side effects include allergic reactions such as difficulty breathing, swelling of the face and rash.
Please see a doctor if you have black stools or blood in your stools.
Lifestyle/self-care of Apixaban
You can crush the tablets and mix them in water or apple juice, take it within 4 hours.
Tell your dentist that you are taking this medicine
Take the medication at the same time everyday
Questions + CMI (1 mark)
I have printed information for you about this medication, is there anything you would like me to explain more? Do you have any questions?