Drug Formulations & Patient Counseling

Question 1

Most patches (like Catapres-TTS, fentanyl transdermal) can be applied to one or more of the common application sites:

Answer 1

chest, back, upper arm, flanks

Question 2

Exelon is applied to the same sites, but NOT the…

Answer 2

flanks

Question 3

Where is the Daytrana patch placed?

Answer 3

on the hip, alternating right & left hips daily

Question 4

Where is the Transderm Scop patch placed?

Answer 4

behind the ear at least 4 hours before needed

Question 5

patch frequency of diclofenac

Answer 5

twice daily

Question 6

patch frequency of Daytrana

Answer 6

Methylphenidate (Daytrana) - QAM, 2 hrs prior to school

Question 7

patch frequency of nicotine

Answer 7

Nicotine (NicoDerm CQ) - daily

Question 8

patch frequency of rivastigmine

Answer 8

Rivastigmine (Exelon) - daily

Question 9

patch frequency of rotigotine

Answer 9

Rotigotine (Neupro) - daily

Question 10

patch frequency of selegiline

Answer 10

Selegiline (Emsam) - daily

Question 11

patch frequency of testosterone

Answer 11

Testosterone (Androderm): nightly, not on the scrotum

Question 12

patch frequency of lidocaine

Answer 12

Lidocaine (Lidoerm): 1-3 patches (as needed), on for 12 hours, off for 12 hours

Question 13

patch frequency of nitroglycerin

Answer 13

Nitroglycerin: on for 12-14 hours, then off for 10-12 hours

Question 14

patch frequency of fentanyl

Answer 14

Q72H - but if it wears off after 48 hrs, can change to Q48H

Question 15

patch frequency of scopolamine

Answer 15

Scopolamine (Transderm Scop): Q72H, PRN

Question 16

patch frequency of estradiol (Alora, Vivelle-Dot)

Answer 16

Estradiol (Alora, Vivelle-Dot) - twice weekly
- may be used on continuous or cyclic (3 weeks on, 1 week off) schedules

Question 17

patch frequency of oxybutynin

Answer 17

Oxybutynin (Oxytrol) - twice weekly

Question 18

patch frequency of donepezil

Answer 18

Donepezil (Adlarity) - weekly

Question 19

patch frequency of buprenorphine

Answer 19

Buprenorphine (Butrans) - weekly

Question 20

patch frequency of clonidine

Answer 20

Clonidine (Catapres-TTS) - weekly

Question 21

patch frequency of estradiol (Climara)

Answer 21

Estradiol (Climara) - weekly
- may be used on continuous or cyclic (3 weeks on, 1 week off) schedules

Question 22

patch frequency of estradiol/levonorgestrel

Answer 22

Weekly

Question 23

patch frequency of ethinyl estradiol/norelgestromin (Xulane, Zafemy) & ethinyl estradiol/levonorgestrel (Twirla)

Answer 23

weekly for 3 weeks, off for 1 week

Question 24

Where is the Xulane patch placed?

Answer 24

back, abdomen, arm, or buttock

Question 25

Where is the Vivelle-Dot patch placed?

Answer 25

lower abdomen or buttock

Question 26

Where is the Oxytrol patch placed?

Answer 26

abdomen, hip, or buttock

Question 27

specific instructions for montelukast granules

Answer 27

in 5 mL of baby formula or breast milk or in a spoonful of applesauce, carrots, rice, or ice cream

Question 28

specific instructions for Vyvanse

Answer 28

in water, yogurt, or orange juice

Question 29

For ear drops, adults should be counseled to gently pull the ear lobe…

Answer 29

up and back to straighten the ear canal before administration

Question 30

For ear drops, the ear lobe should be pulled ___________ for children < 3 years before administration.

Answer 30

down & back

Question 31

After ear drop administration, keep the ear facing up for about ___________.

Answer 31

5 minutes

Question 32

counseling for an enema

Answer 32

• Best results obtained by lying on the left side with left leg extended & right leg flexed forward
• Gently insert the med or applicator tip into the rectum, pointed slightly toward the navel
• Grasp the bottle firmly, then tilt slightly so that the nozzle is aimed towards the back -> squeeze slowly to instill med
• Remain in position for at least 30 minutes