drug formulations and patient counseling Flashcards
what are osmotic release oral system
OROS are Concerta cardura XL, Procardia XL Asacol HD, Delzicol
fast drug delivery followed by extended release and can form ghost tablet
what are some chewable tablets
suprax- cefexime
singulair- montelukast
lamictal- lamotrigine
what are some ODTs
lamictal - lamotrigine
remeron - mirtazapine
ondansentron
zyprexa or olanzapine
- cannot be used in vomiting
what are some Sublinguals
edluar- zolpidem
nitrostat -nitroglycerin
subsys, actiq, fentora- fentanyl
- less drug is loss through 1st pass metabolism and gut degradation
what are some granules that can be dispensed in apple sauce
aderrall XR dextroamphetamine
Coreg CR carvedilol
dexilant dexlansoprazole
focalin XR- dexmethylphenidate
namenda XR- memantine
Nexium- esomeprazole
Ritalin LA- methylphenidate
what are some self administered SC injections
Evzio- naloxone
imitrex or sumatriptan
insulins
long acting IM
abilify - aripriprazole
haldol- haloperidol
invega sustena - paliperidone
lupron depot- leuprolide
risperidal- risperidone
vivitrol- naltrexone
zyprexa- olanzapine
what are some counseling for injectables
- 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
Where can patches be applied
chest
back
upper arm
flanks
where can butrans not be applied
sides of the abdomen
what patches are applied daily
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
what patches are twice daily
diclofenac
what patches are twice weekly
estradiol- alora, vivelle
oxybutynin - oxytrol
which patches are weekly
buprenorphine- butrans
clonidine- catapres
estradiol=- climara
estradiol
ethinyl estradiol- xulane weekly for 3 weeks and off for the 4th week
which patches are 3 days
fentanyl
scopolamine- transderm scoop
what are some nasal sprays
imitrex or sumatriptan
afrin- oxymetazoline
flonase allergy reilief- fluticasone
what are some counseling points with nasal spray
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
Eye drop counseling
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
what are some rectal meds
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
drug for oral candidisi
mycelex - clotrimazole troche
sumatriptan
imitrex
zembrace
symtouch injections
injections that do not need to be refrigerated
enoxpaparin lovenox
fondaparinux arixtra
methotrexate Otrexup
Sumatriptan- imitrex zembrace sym touch
where are different patches applied
xulane back abdomen arm butt
daytrana hip
oxybutinin abdomen hip or butt
vivelle DOT lower abdomen or butt
transderm behin ear
what drugs if missed doesnt follow the regular rule of taking a missed dose
high risk drugs - anticoag transplant
oral contraceptives
specific timed drugs- insulin, pancreatic enzymes phosphate binders
which 2 long acting drugs can be cut in scored line
toprol XL
Sinemet-carbidopa levodopa
MRI causes patches
to burn skin
flector
diclefenac patch
which patches can be covered with tegaderm or bio film
butrans,
fentanyl
whcih two patches are only for ones that can be in buttocks
xulane and oxybutynin
which patches can be flushed
butrans daytrana duragesics
which patches need to be removed before MRI
clonidine
rotigotine - neupro
scopolamine
testosterone
glatiramerinjections brand
copaxone
etanercept
enbrel
adalimumab
humira
cetrolizumab
cimzia
golimumab
simponi