diabetes and gastrointestinal medication Flashcards
brand name for insulin lispro (rapid-acting)
humalog
common frequency of humalog/ insulin lispro
individualized dosing- inject 15 min before or immediately after meals
indication for humalog/ insulin lispro
type 1 and 2 diabetes
brand name for insulin glargine (long-acting)
lantus
common frequency of lantus/ insulin glargine
individualized dosing- once daily
indications/ use lantus/ insulin glargine
type 1 and 2 diabetes
counseling tips/ important info for lantus/ insulin glargine and humalog/ insulin lispro
*Low blood sugar (sweating, nausea, dizziness)
*Refrigerate unopened vials
*Discard after 28 days if at room temp
*Let syringe reach room temp prior to injection to avoid painful injection
*Rotate injection sites
brand name of metformin
glucophage
dosing of glucophage/ metformin
BID, TID
max 2,500mg/day
indications for glucophage/metformin
type 2 diabetes
polycystic ovary syndrom
weight loss
counseling tips for glucophage/metformin
*Diarrhea, nausea, abdominal pain
*Take with food
*Titrate dose up weekly (to reduce stomach
upset, diarrhea)
*Long-term use can cause Vitamin B-12
deficiency
brand name of dapagliflozin
farxiga
dosing of farxiga/dapagliflozin
once daily
inications for farxiga/ dapagliflozin
type 2 diabetes
chronic kidney disease
heart failure with reduced ejection fraction
couseling tips for farxiga/dapagliflozin
*Urinary tract infection
*Increased urine output
*Decreased blood pressure
brand name of semaglutide
rybelsus
ozempic
wegovy
dosing of semaglutide
rybelsus: once daily (orally)
ozempic/ wegovy: subcutaneous once weekly
indications for semaglutide
type 2 diabetes
weight management
couseling tips for semaglutide
*Nausea, vomiting, diarrhea
*Headache
*Low blood sugar
*Rotate weekly injection sites
brand name for gabapentin
neurontin
dosing for neurontin/gabapentin
BID, TID
indications for neurontin/gabapentin
neuropathic pain
seizures
anxiety
couseling tips for neurontin/gabapentin
drowisness/dizziness
uncoordinated muscle movements
brand name of promethazin
phenergan
dosing of phenergan/promethazine
q4-6h prn
indications for phenergan/promethazine
*Prevents and treats nausea/vomiting
*Motion sickness
*Allergies
couseling tips for phenergan/ promethazine
*Drowsiness/dizziness
*Avoid alcohol
*Sun sensitivity
brand name of ondansetron
zofran
zofran ODT
dosing of zofran/ ondansetron
q8h prn
indications for zofran/ondansetron
-prevent nausea/vomiting
-non FDA approved for treatment of vomiting
couseling tips for zofran/ondansetron
fatique
headache
constipation or diarrhea
brand name of omeprazole
prilosec
dosing of prilosec/omeprazole
once daily
indications for prilosec/ omeprazole
*Acid reflux/ indigestion
*Prevention and treatment of ulcer
couseling tips for prilosec/omeprazole
*Works in 1 day, up to 4 days for full effect
*Food delays absorption so take >1 hour
before food
*Separate from antacids by 2 hours
brand name of famotidine
pepcid ac
dosing of pepcid ac/ famotidine
bid
indication of pepcid ac/ famotidine
*Acid reflux/ indigestion
*Prevention and treatment of ulcers
couseling tips for pepcid ac/ famotidine
*Works in 1 hour, up to 1 day for full effect
*Can be taken with antacids
brand name of calcium carbonate
tums
dosing of calcium carbonate/ tums
Chew 2-4 tablets prn
MAX: 7,500 mg/day if used for indigestion
MAX: 2,500 mg/day as supplement
indications of tums/ calcium carbonate
calcium supplement
acute acid reflux/indigestion
couseling tip for tums/ calcium carbonate
*Constipation
*Chew before swallowing
*Do not use > 2 weeks for indigestio
brand name of docusate sodium
colace
dosing of colace/ docusate sodium
daily
indications of colace/ docusate sodium
stool softener to relieve constipation
couseling tips for colace/ docusate sodium
*Works in 1-3 days
*Take with water
*Diarrhea, cramps
brand name for polyethylene glycol (PEG)
miralax (OTC)
golytely (RX)
dosing of polyethylene glycol
MiraLAX (laxative): 17g (1 capful) dissolved in 8 oz. of liquid by mouth once daily prn
GoLYTELY (colonoscopy prep): Mix with water to make 1 gallon, drink 8oz every 10 minutes
indications of polyethylene glycol
*Osmotic laxative to relieve constipation
*Bowel cleansing for colonoscopy prep
couseling tips for polyethylene glycol
*Laxative works in 1-3 days
*Do not take laxative longer than 1 week without MD approval
*Colon prep works in 1 hr
*Diarrhea, cramps, bloatin
brand name for bisacodyl
dulcolax
dosing of dulcolax/ bisacodyl
laxative:
5-15mg PO daily,
10mg rectally daily
Colonoscopy prep: 20-30mg dose
MAX: 30mg/day
indications of dulcolax/bisacodyl
*Stimulant laxative to relieve constipation
*Bowel evacuant for colonoscopy pre
couseling tips for dulcolax/ bisacodyl
*Oral dose works in 8 hrs
*Suppository works within 15-60 minutes
*Do not take longer than 1 week without MD approval
*Diarrhea, cramps
brand name for loperamide
imodium
dosing of imodium/loperamide
2 tablets PO after first loose stool, then 1
tablet after each subsequent loose stool
MAX: 8mg/day (OTC),
16mg/day (Rx)
indications for imodium/loperamide
*Slows peristalsis to treat diarrhea
couseling tips for imodium/loperamide
*Drowsiness
*If diarrhea not improved in 2 days, call MD due to de-hydration risk