Drugs 1-25

Question 1

Synthroid
Levoxyl
Levothyroid

Answer 1

levothyroxine Na
Thyroid
*replacement tx for red. or abs. thyroid function of any etiology
+Adults 25-300 ug/day`

Question 2

Lipitor

Answer 2

atorvastatin Ca
Antihyperlipidemic
*adj to diet to red. total chol, LDL-C, apo B, triglycerides
*inc. HDL-C levels
*pt w/ hypercholesterolemia, mixed dyslipidemia, elev. serum triglyceride levels, primary dysbetalipoproteinemia, multiple coronary heart disease risk factors
+10-80 mg/day, start 10

Question 3

Prilosec

Answer 3

omeprazole
Gastric Antisecretory
*mtn tx of erosive esophagitis
+20 mg/day

Question 4

Glucophage
Glumetza
Riomet

Answer 4

metformin HCl
Antidiabetic
*adj to diet to red. blood gluc in pt w/ NIDDM
\+start 500 mg bid OR 850 mg/day
\+grad inc, max qd 2550 mg or 2000 XR

Question 5

Norvasc

Answer 5

amlodipine besylate
Antihypertensive
*hypertension
\+start 5 mg/day, 2.5 if in conj
\+max 10 mg/day
\+titrate over 7-14 days

Question 6

Prinivil

Zestril

Answer 6

lisinopril
Antihypertensive
*hypertension
*can add diuretic for increased response
\+start 10 mg/day, adjust to 20-40 mg/day

Question 7

Neurontin

Gralise

Answer 7

gabapentin
Anticonvulsant/Antineuralgic
*adj tx partial seizures adults w/ epilepsy
\+start 300 mg hs, bid d2, tid d3
\+900-1800 mg/day
\+up to 2400 mg tolerated
\+gradual dose reduction

Question 8

Lortab
Vicodin
Norco

Answer 8

Hydrocodone Bitartrate with APAP (Class II)
Opioid Analgesic
*moderate to moderately severe pain
+1-2 tab (5-10x2 mg) or 3 tsp q4-6hr prn pain
+total 24 hr max APAP 3.5g

Question 9

Cozaar

Answer 9

Losartan Potassium
Antihypertensive
*red. risk of stroke in pt w/ hypertension and L ventricular hypertrophy
+start 50 mg/day, add HCTZ or inc. to 100 mg

Question 10

Zoloft

Answer 10

Sertraline HCl
Antidepressant
*depression and OCD
+start 50 mg/day, inc max 200 mg/day

Question 11

Lasix

Answer 11

Furosemide
Diuretic
*edema-associated CHF, cirrhosis, renal disease
+start 20-80 mg/day po 1-2 ds, inc. by 20-40 q6-8h
+maint dose 20-600 mg qd 1-2 ds
+IM/IV 20-40 mg inc by 20 mg q2h maint q1-2d

Question 12

Desyrel

Oleptro

Answer 12

Trazodone HCl
Antidepressant
* depression w/ or w/o anxiety
\+start 150 mg/day, inc or dec 50 mg/day
\+drowsiness: hs or red ds
\+max 400 mg

Question 13

Lexapro

Answer 13

Escitalopram Oxalate
Antidepressant
*depression
\+start 10 mg/day, inc to 20 mg/day
\+wait for 4 weeks of treatment

Question 14

Zocor

Answer 14

Simvastatin
Antihyperlipidemic
*adj to diet to red. total chol, LDL-C, apo B, triglycerides
*inc. HDL-C levels
*pt w/ hypercholesterolemia, mixed dyslipidemia, elev. serum triglyceride levels, primary dysbetalipoproteinemia, multiple coronary heart disease risk factors
+start 5-10 mg/day
+usual dose 10-40 mg/day

Question 15

Ultram

Ultram ER

Answer 15

Tramadol HCl (Class IV)
Analgesic
*moderate to moderately severe pain
\+50-100 mg prn q4-6h
\+max 400 mg/day

Question 16

Klor-Con
K-Dur
Micro-K

Answer 16

Potassium Chloride
Electrolyte
*K def. in: cirrhosis w/ ascites, aldosterone excess, nephropathy, diarrhea, digitalis/diuretics for CHF, hypokalemic familial periodic paralysis
+16-80 mEq/day 1-2 ds

Question 17

Xanax

Answer 17

Alprazolam (Class IV)
Antianxiety
*anxiety disorders, short-term, or depressive
\+start 0.25-0.5 tid
\+max 4 mg/day

Question 18

Ambien

Intermezzo

Answer 18

Zolpidem Tartrate (Class IV)
Sedative
*short-term tx insomnia
\+5-12.5 mg hs
\+compromised patients 5 mg or CR 6.25

Question 19

Celexa

Answer 19

Citalopram HBr
Antidepressant
*depression
\+start 20 mg/day
\+inc to 40 mg/day

Question 20

Flonase

Answer 20

Fluticasone Propionate
Antiallergy
*seasonal and perennial rhinitis
+2 (50 mg) sprays nu, dec to 100

Question 21

Wellbutrin
Forfivo XL
Zyban

Answer 21

Bupropion HCl
Antidepressant
*depression and SAD
\+IR: start 100 mg bid, usual 100 mg tid, max 450 mg/day
\+SR: max 200 mg bid, target 300 mg/day
\+XR: 150-300 mg qd

Question 22

Adderall

Adderall XR

Answer 22

Amphetamine with Dextroamphetamine Salts (Class II)
CNS Agent for ADHD
*ADHD
+20 mg/day

Question 23

Cymbalta

Answer 23

Duloxetine HCl
Antidepressant
*MDD
+40-60 mg/day 1-2 ds

Question 24

Proventil
Ventolin
Proair

Answer 24

Albuterol Sulfate (inh)
Bronchodilator
*maint bronchospasms
+2 inh (90 ug/inh) qid

Question 25

Coreg

Coreg CR

Answer 25

Carvedilol
Antihypertensive
*essential hypertension, can be comb w/ TZ-type diuretics
\+start 6.25 mg bid
\+after 7-14 days & using SP, 12.5 mg bid
\+can inc again to 25 mg bid