drug formulations and patient counseling Flashcards

1
Q

what are osmotic release oral system

A

OROS are Concerta cardura XL, Procardia XL Asacol HD, Delzicol
fast drug delivery followed by extended release and can form ghost tablet

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2
Q

what are some chewable tablets

A

suprax- cefexime
singulair- montelukast
lamictal- lamotrigine

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3
Q

what are some ODTs

A

lamictal - lamotrigine
remeron - mirtazapine
ondansentron
zyprexa or olanzapine

  • cannot be used in vomiting
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4
Q

what are some Sublinguals

A

edluar- zolpidem
nitrostat -nitroglycerin
subsys, actiq, fentora- fentanyl

  • less drug is loss through 1st pass metabolism and gut degradation
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5
Q

what are some granules that can be dispensed in apple sauce

A

aderrall XR dextroamphetamine
Coreg CR carvedilol
dexilant dexlansoprazole
focalin XR- dexmethylphenidate
namenda XR- memantine
Nexium- esomeprazole
Ritalin LA- methylphenidate

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6
Q

what are some self administered SC injections

A

Evzio- naloxone
imitrex or sumatriptan
insulins

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7
Q

long acting IM

A

abilify - aripriprazole
haldol- haloperidol
invega sustena - paliperidone
lupron depot- leuprolide
risperidal- risperidone
vivitrol- naltrexone
zyprexa- olanzapine

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8
Q

what are some counseling for injectables

A
  • Inject atleast 1 inch away from previous injection site
  • never use the same needle more than once
  • do not rub near anti coag
  • do not use any device to heat up cold injections
  • liquids can degrade, do not use if discolored or beyoond expiration date
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9
Q

Where can patches be applied

A

chest
back
upper arm
flanks

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10
Q

where can butrans not be applied

A

sides of the abdomen

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11
Q

what patches are applied daily

A

methylphenidate- daytrana
nicotine
rivastigmine -exelon
rotigotine - neupro
selgline - emsam
testosterone androderm- nightly not on scrotum
lidocain 12 on 12 off
nitro 12-14 then 10 hours off

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12
Q

what patches are twice daily

A

diclofenac

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13
Q

what patches are twice weekly

A

estradiol- alora, vivelle
oxybutynin - oxytrol

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14
Q

which patches are weekly

A

buprenorphine- butrans
clonidine- catapres
estradiol=- climara
estradiol
ethinyl estradiol- xulane weekly for 3 weeks and off for the 4th week

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15
Q

which patches are 3 days

A

fentanyl
scopolamine- transderm scoop

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16
Q

what are some nasal sprays

A

imitrex or sumatriptan
afrin- oxymetazoline
flonase allergy reilief- fluticasone

17
Q

what are some counseling points with nasal spray

A

shake the bottle gently and remove cap
prime the pump before the first use and after not using for 7-14 days
blow your nose before use

close one nostril
start breathing while applying the spray
breathe out through mouth

18
Q

Eye drop counseling

A

shake before opening bottle, gels can be inverted once
bend neck to loock up pull down eyelid
press a finger between eye and top of your nose for one min
blot extra solution

wait 5 mins between drops

  • might contain BAK -benzalkonium chloride, remove lenses
19
Q

what are some rectal meds

A

Rowasa- mesalamine for local disease,
Pedia lax- glycerin supp
feverall- acetaminophen supp

  • empty bowel before use
    lying on the left side with right lef flexed forward
    remain in position for 30 mins
20
Q

drug for oral candidisi

A

mycelex - clotrimazole troche

21
Q

sumatriptan

A

imitrex
zembrace
symtouch injections

22
Q

injections that do not need to be refrigerated

A

enoxpaparin lovenox
fondaparinux arixtra
methotrexate Otrexup
Sumatriptan- imitrex zembrace sym touch

23
Q

where are different patches applied

A

xulane back abdomen arm butt
daytrana hip
oxybutinin abdomen hip or butt
vivelle DOT lower abdomen or butt
transderm behin ear

24
Q

what drugs if missed doesnt follow the regular rule of taking a missed dose

A

high risk drugs - anticoag transplant
oral contraceptives
specific timed drugs- insulin, pancreatic enzymes phosphate binders

25
which 2 long acting drugs can be cut in scored line
toprol XL Sinemet-carbidopa levodopa
26
MRI causes patches
to burn skin
27
flector
diclefenac patch
28
which patches can be covered with tegaderm or bio film
butrans, fentanyl
29
whcih two patches are only for ones that can be in buttocks
xulane and oxybutynin
30
which patches can be flushed
butrans daytrana duragesics
31
which patches need to be removed before MRI
clonidine rotigotine - neupro scopolamine testosterone
32
glatiramerinjections brand
copaxone
33
etanercept
enbrel
34
adalimumab
humira
35
cetrolizumab
cimzia
36
golimumab
simponi