Exam 2 Women's and Men's Health Dosing Flashcards

1
Q

Dose of testosterone ethanate or cypionate for treatment of hypogonadism?

A

75-100mg IM weekly or

200mg every 2 weeks

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2
Q

Dose of testosterone patch for treatment of hypogonadism?

A

One to two 5mg patches applied nightly

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3
Q

Dose of testosterone gel for treatment of hypogonadism?

A

5-10g of 1% gel applied daily over a covered area of skin

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4
Q

Dose of testosterone solution for treatment of hypogonadism?

A

30-120mg (1 to 4 applications) applied to armpits daily (deodorant first)

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5
Q

Dose of testosterone buccal tablet for treatment of hypogonadism?

A

30mg buccal tablet applied to mucosa every 12 hours

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6
Q

Dose of testosterone SQ pellets for hypogonadism?

A

Implanted at intervals of 3-6 months (different dose depending on formulation)

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7
Q

Dose of terazosin for BPH?

A

Initial: 1mg HS

May increase to 10-20mg hs

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8
Q

Dose of doxazosin for BPH?

A

Initial: 1mg HS

May increase to 4-8mg hs

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9
Q

Dose of tamsulosin for BPH?

A

Initial: 0.4mg HS (daily ok)
May increase to 0.8mg HS
Do not chew/crush, take 1/2 hour after same meal daily

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10
Q

Dose of alfuzosin for BPH?

A

10mg daily; swallow whole, do not crush

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11
Q

Dose of silodosin for BPH?

A

Initial: 4mg PO daily
May increase to 8mg daily
Take with a meal

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12
Q

Dose of finasteride for BPH?

A

5mg PO daily (1mg just for alopecia)

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13
Q

Dose of dutasteride for BPH?

A

0.5mg PO daily (longer half life)

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14
Q

Dose of sildenafil for ED?

A

Initial: 50mg
Max: 100mg

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15
Q

Dose of vardenafil for ED?

A

Initial: 10mg
Max: 20mg

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16
Q

Dose of tadalafil for ED?

A

Initial: 10mg (2.5-5mg if daily dosing)
Max: 20mg

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17
Q

Dose of avanafil for ED?

A

Initial: 100mg
Max: 200mg

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18
Q

PDE-5 inhibitor with the longest onset and duration?

A

Cialis (tadalafil) - 60 min onset, 36 hour duration

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19
Q

Which PDE-5 inhibitor may have the fastest onset in addition to a slightly longer duration?

A

Avanafil (15 min onset? 6h duration)

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20
Q

How are alprostadil injections dosed?

A

Initial: 2.5 mcg
Usual range: 10-20mcg
Max: 60 mcg

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21
Q

What is the dose of diclofenac for dysmenorrhea?

A

50mg TID

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22
Q

What is the dose of ibuprofen for dysmenorrhea?

A

800mg TID

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23
Q

What is the dose of celecoxib for dysmenorrhea?

A

400mg x1 then 200mg BID

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24
Q

What is the dose of mefenamic acid for dysmenorrhea?

A

500mg x1 then 250mg QID

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25
Q

What is the dose of naproxen for dysmenorrhea?

A

500-550mg BID

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26
Q

What is the dose of danazol for dysmenorrhea?

A

100-200mg BID

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27
Q

What is the dose of leuprolide acetate for dysmenorrhea?

A

3.75mg IM monthly

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28
Q

What is the dose of tranexamic acid for acute menorrhagia treatment?

A

1300mg PO TID x5 days

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29
Q

What is the dose of medroxyprogesterone for acute menorrhagia treatment?

A

20mg PO TID x 1 week

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30
Q

What is the dose of estrogen for acute menorrhagia treatment?

A

25mg IV q4h until bleeding slows OR

Monophonic OC 30-35mcg EE TID x 1 week

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31
Q

What is the dose of levonorgestrel for emergency contraception?

A

150mg X1 OR 0.75mg PO q12h x2 doses

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32
Q

If using a COC for emergency contraception, how is it dosed?

A

At least EE 100mcg and levonorgestrel 0.5mg per dose (2-4 tablets) – 1 dose q12h x 2

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33
Q

What is the dose of ulipristal acetate for emergency contraception?

A

30mg tablet x1 dose

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34
Q

What is the dose of calcium for PMDD?

A

Calcium carbonate 1200mg/day

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35
Q

What is the dose of fluoxetine for PMDD?

A

20mg PO daily (or 90mg PO weekly during luteal phase)

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36
Q

What is the dose of sertraline for PMDD?

A

50-150mg PO daily

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37
Q

What is the dose of paroxetine for PMDD?

A

CR 12.5-25mg daily

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38
Q

What is the dose of citalopram for PMDD (not FDA approved)?

A

20-30mg PO daily

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39
Q

What is the dose of escitalopram for PMDD (not FDA approved)?

A

10-20mg PO daily

40
Q

What is the dose of alprazolam for PMDD?

A

0.25mg PO BID-QID during luteal phase

41
Q

What is the dose of Yaz for PMDD?

A

Drospirenone 3mg/EE 20mcg

42
Q

What is the dose of spironolactone for PMDD?

A

25-200mg PO daily during luteal phase

43
Q

How is Addyi dosed for femal sexual interest/arousal disorder?

A

100mg PO at bedtime

44
Q

What is the dose of folate in prenatal care?

A

0.4mg PO daily beginning at least 1 month prior to conception

45
Q

What is the dose of iron in prenatal care?

A

27-30mg of iron for all pregnant women

46
Q

What is the dose of calcium in prenatal care?

A

1300mg PO daily 14-18yo
1000mg PO daily 19-50yo
Can be through diet

47
Q

What is the dose of Pen G for group B beta strep prophylaxis during labor?

A

5 million units IV then 2.5-3 million units IV q4h

48
Q

What is the dose of ampicillin for group B beta strep prophylaxis during labor?

A

2g IV then 1g IV q4h

49
Q

What is the dose of cefazolin for group B beta strep prophylaxis during labor?

A

2g IV then 1g IV q8h

50
Q

What is the dose of clindamycin for group B beta strep prophylaxis during labor?

A

900mg IV q8h

51
Q

What is the dose of vancomycin for group B beta strep prophylaxis during labor?

A

1g IV q12h

52
Q

What is the dose of vitamin B for NVP?

A

10-25mg q8h

53
Q

What is the dose of Diclegis for NVP?

A

Doxylamine 10mg/pyridoxine 10mg 2 tabs at bedtime. May increase to qAM, qNoon, 2 qHS

54
Q

Dose of ginger for NVP?

A

125-250mg q6h

55
Q

Dose of promethazine for NVP?

A

12.5-25mg q4-6h

56
Q

Dose of metoclopramide for NVP?

A

10mg q6h

57
Q

Dose of ondansetron for NVP?

A

4-8mg q6h

58
Q

Dose of methylprednisolone for NVP?

A

16mg q8h x3 days then taper over 2 weeks

59
Q

Dose of cephalexin for UTI of pregnancy?

A

250mg BID-QID

60
Q

Dose of nitrofurantoin for UTI of pregnancy?

A

50-100mg QID

61
Q

Dose of ampicillin/amoxicicillin for UTI of pregnancy?

A

250-500mg QID

62
Q

Dose of sulfisoxazole for UTI of pregnancy

A

1-2g QID

63
Q

Progesterone dose to prevent preterm birth if history present?

A

17-a hydroxyprogesterone 250mg IM qweek during weeks 16-36

64
Q

Progesterone dose to prevent preterm birth if NO history of preterm birth?

A

Micronized pregesterone suppository 200mg intravaginally daily

65
Q

Dose of magnesium for fetal neuroprotection in preterm labor?

A

4-6g IV load then 1g/hr for 12 hours

66
Q

Dose of betamethasone for fetal development in preterm labor?

A

12mg IM q24h x2 doses

67
Q

Dose of dexamethasone for fetal development in preterm labor?

A

6mg IM q12h x4 doses

68
Q

Pen G dose for group B strep prophylaxis in preterm labor?

A

5 million units Iv then 2.5 million units IV q4h until delivery

69
Q

Dose of nifedipine as a tocolytic?

A

10mg PO q20 minutes x3 doses, then 20mg PO q 4-6 hours

70
Q

Dose of indomethacin as a tocolytic?

A

50-100mg PO or PR, then 25-50mg q6h

71
Q

Dose of terbutaline as a tocolytic?

A

0.25mg subcutaneously every 15-30 mintutes

72
Q

Dose of magnesium sulfate as a tocolytic?

A

4-6g loading dose, then 2 g/hr

73
Q

Dose of antibiotics for preterm membrane rupture?

A

Ampicillin 2g IV q6h x 48 hours then amoxicillin 250mg PO q8h x 5 days
PLUS
Erythromycin 250mg IV q6h x 48 hours then erythromycin 333mg q8h x 5 days
PLUS
Azithromycin 1g PO x1 dose

74
Q

What is the dose of magnesium for seizure prophylaxis in preeclampsia?

A

4-6g IV bolus then 2g/hr

75
Q

What is the dose of magnesium sulfate in eclampsia?

A

If already on Mg infusion when it presents, give additional 2g IV
If not on infusion, give 6g Iv loading dose over 15-20 minutes then 2g/hr infusion

76
Q

What is the dose of oxytocin for postpartum hemorrhage?

A

10 IU IM or 20 IU/1 L IV

77
Q

Dose of carboprost for postpartum hemorrhage?

A

0.25mg IM or intromyometrially q15 min

MAX 2mg

78
Q

Dose of misoprostol for postpartum hemorrhage?

A

1000mcg rectally

79
Q

Dose of methylergonovine for postpartum hemorrhage?

A

0.2mg IM q2-4 hours

80
Q

How is oxybutynin (Ditropan) dosed for incontinence?

A

5mg PO BID-QID

81
Q

How is oxybutynin (Ditropan XL) dosed for incontinence?

A

5mg PO daily

82
Q

How is tolterodine (Detrol) dosed for incontinence?

A

1-2mg PO BID

83
Q

How is tolterodine (Detrol LA) dosed for incontinence?

A

2-4mg PO daily

84
Q

How is trospium (Sanctura) dosed for incontinence?

A

Take BID 1 hour before meals

85
Q

How is trospium (Sanctura XR) dosed for incontinence?

A

Daily

86
Q

How is solifenacin (Vesicare) dosed for incontinence?

A

5mg PO daily

87
Q

How is darifenacin (Enablex) dosed for incontinence?

A

7.5-15mg PO daily

88
Q

How is fosoterodine (Toviaz) dosed for incontinence?

A

4-8mg once daily

89
Q

Dose of mirabegron for incontinence?

A

25mg PO daily (may increase to 50mg in 8 weeks)

90
Q

Dose of carbidopa/levodopa for RLS?

A

IR 25/100 - 0.5 to 1 tablet qHS

ER 25/100 1 hour before bedtime

91
Q

Dose of pramipexole (Mirapex) for RLS?

A

0.125mg daily 2-3 hours before bedtime. May increase to 0.5mg.

92
Q

Dose of ropinorole (Requip) for RLS?

A

0.25mg daily initially, may increase to 4mg max by 0.5mg each week

93
Q

Dose of gabapentin for RLS?

A

300mg daily 2 hours before HS

May increase to max 1800mg daily

94
Q

Dose of gabapentin enacarbil (Horizant)?

A

600mg PO daily with food ~5pm

95
Q

Dose of pregabalin for RLS?

A

100mg daily in 2-3 divided doses up to 450mg

96
Q

Dose of iron for RLS?

A

Ferrous sulfate 325mg with vitamin C 100mg PO daily