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phrm 820 > Female Contraception, Anxiety, and Muscle Spasms > Flashcards

Female Contraception, Anxiety, and Muscle Spasms Flashcards

1
Q

ethinyl estradiol/
norgestimate (class)

A

Contraceptives

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2
Q

ethinyl estradiol/
norgestimate (brand)

A

Ortho Tri-Cyclen,
Tri-Sprintec,
Tri-ViLibra

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3
Q

ethinyl estradiol/
norgestimate (common strengths)

A

0.035mg/0.18mg
0.035mg/0.215mg
0.035mg/0.25mg

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4
Q

ethinyl estradiol/
norgestimate (common frequency)

A

One first phase tablet daily for 7 days, then one second phase tablet
daily for 7 days, then one third phase tablet daily for 7 days, then
one inactive tablet daily for 7 days

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5
Q

ethinyl estradiol/
norgestimate (indications)

A
  • Oral Contraception
  • Acne
    Claim to fame:
    tri-phasics mimic natural menstrual cycle
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6
Q

ethinyl estradiol/
norgestimate (counseling points)

A

Products containing ethinyl estradiol:
* ↑ cardiovascular risk (DVT, PE, MI). Not recommended for those: +35 years old, smoker,
or history of stroke/blood clots.

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7
Q

Oral Contraceptives (tips)

A
  • If OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy
  • Take same time each day for maximum effectiveness
  • Some anti-convulsants [ex: divalproex, lamotrigine] may ↓ effectiveness of hormonal
    contraceptives and/or ↑ increase chance of seizures
  • None of the medications on this list protect against HIV / AIDS / STDs
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8
Q

Oral Contraceptives (missed dose)

A

Miss a dose?
* Take as soon as possible or with next days’ dose; e.g., miss Monday, take 2 on Tuesday. If you miss 2 or more days, refer to package directions.

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9
Q

Oral Contraceptives (side effects)

A
  • water retention (bloating, weight gain, breast tenderness)
  • upset stomach/nausea
  • headache
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10
Q

Oral Contraceptives (non-FDA uses)

A

Non-FDA uses may include:
* Regulation of menstrual cycle
* Lessen menstrual flow
* Reduce painful menses

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11
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate (class)

A

contraceptives

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12
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate (brand)

A

Loestrin Fe 1/20,
Junel Fe,
Microgestin Fe

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13
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate
(common strengths)

A

0.02mg/1mg/
75mg

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14
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate (common frequencies)

A

Take one active tablet
daily for 21 days, then
one iron tablet daily
for 7 days

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15
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate (indications)

A
  • Oral Contraception
  • Acne
    Claim to fame:
    replaces iron lost
    during menses
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16
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate
(counseling points)

A

Products containing ethinyl estradiol:
* ↑ cardiovascular risk (DVT, PE, MI). Not recommended for those: +35 years old, smoker,
or history of stroke/blood clots.

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17
Q

ethinyl estradiol/
drospirenone
(drug class)

A

Contraceptive

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18
Q

ethinyl estradiol/
drospirenone (brand)

A

Yaz, Loryna,
Jasmiel

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19
Q

ethinyl estradiol/
drospirenone (common strengths)

A

0.02mg/3mg

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20
Q

ethinyl estradiol/
drospirenone (common frequncies)

A

Active tablet daily for 24 days then one inactive tablet daily for 4 days

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21
Q

ethinyl estradiol/
drospirenone (indication)

A
  • Oral Contraception
  • Acne
  • Premenstrual Dysphoric Disorder
    Claim to fame:
    Only 4 inactive days = shorter
    menstrual periods
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22
Q

ethinyl estradiol/
drospirenone (counseling points)

A
  • Drospirenone lessens the water
    retention/weight gain side effects of estrogen
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23
Q

ethinyl estradiol/
norelgestromin (drug class)

A

contraceptive

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24
Q

ethinyl estradiol/
norelgestromin (brand)

A

Xulane

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25
Q

ethinyl estradiol/
norelgestromin (common strengths)

A

0.53mg/4.86mg

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26
Q

ethinyl estradiol/
norelgestromin (common frequencies)

A

Apply one new patch each week
for 3 weeks then week 4 is patch free

27
Q

ethinyl estradiol/
norelgestromin (indication)

A

Contraception

28
Q

ethinyl estradiol/
norelgestromin (counseling points)

A
  • Same side effect profile as oral contraceptives but more common
  • Adhesive may cause skin rash/rotate sites
  • Do not cut patch
  • Apply to butt, upper torso, stomach, upper arm
29
Q

ethinyl estradiol/
etonogestrel (drug class)

A

Contraceptives

30
Q

ethinyl estradiol/
etonogestrel (brand)

A

NuvaRing

31
Q

ethinyl estradiol/
etonogestrel (common strengths)

A

0.015 mg /0.12mg /24 hours ER

31
Q

ethinyl estradiol/
etonogestrel (common frequencies)

A

Insert one ring into vagina on or
before day 5 of cycle and
leave in for 3 weeks, then
remove on week 4 and discard

32
Q

ethinyl estradiol/
etonogestrel (indication)

A

Contraception

33
Q

ethinyl estradiol/
etonogestrel (counseling points)

A
  • If it falls out, rinse with cool water and re-insert within 3 hrs
  • Don’t remove for intercourse
  • Ring is drug delivery device; Not a barrier
34
Q

medroxyprogesterone (drug class)

A

Contraceptive

35
Q

medroxyprogesterone (brand)

A

Depo-Provera

36
Q

medroxyprogesterone (common strengths)

A

150mg/mL

37
Q

medroxyprogesterone (common frequencies)

A

150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months

38
Q

medroxyprogesterone (indications)

A
  • Contraception
  • Endometriosis pain, abnormal
    uterine bleeding, amenorrhea
    Claim to fame:
    No estrogen
39
Q

medroxyprogesterone (counseling points)

A
  • Nervousness
  • Administration by healthcare professional
  • Don’t use >2 years due to potential bone loss
  • Spotting or absent menses may result
40
Q

levonorgestrel (OTC) (drug class)

A

contraceptives

41
Q

levonorgestrel (OTC) (brand)

A

Plan B One-Step,
EContra One-Step

42
Q

levonorgestrel (OTC) (common strengths)

A

1.5mg

43
Q

levonorgestrel (OTC) (common frequencies)

A

Take 1 tablet PO as soon as
possible within 72 hours of unprotected sex

44
Q

levonorgestrel (OTC) (indication)

A

Emergency post-coital
contraception

45
Q

levonorgestrel (OTC) (counseling points)

A
  • Same side effects as oral contraceptives but more common
  • Fatigue
  • No evidence of interaction with antibiotics
  • Will not terminate existing pregnancy
46
Q

clonazepam (drug class)

A

Anxiety

47
Q

clonazepam (brand)

A

Klonopin

48
Q

clonazepam (common strengths)

A

0.5mg, 1mg, 2mg

49
Q

clonazepam (common frequencies)

A

QD, BID, TID, QID

50
Q

clonazepam (indications)

A
  • Panic disorder
  • Seizure disorders
  • Off label use:
    Anxiety
51
Q

clonazepam (counseling points)

A
  • Drowsiness
  • Fatigue
  • Ataxia
  • Behavioral problems
52
Q

alprazolam (drug class)

A

Anxiety

53
Q

alprazolam (brand)

A

Xanax

54
Q

alprazolam (common strengths)

A

0.25mg, 0.5mg, 1mg, 2mg

55
Q

alprazolam (common frequencies)

A

BID, TID, or PRN

56
Q

alprazolam (indications)

A
  • Panic disorder
  • Anxiety
57
Q

alprazolam (counseling points)

A
  • Confusion
  • Drowsiness
  • Excessive drowsiness with alcohol – avoid
  • Do not stop drug suddenly if taking routinely
58
Q

cyclobenzaprine (drug class)

A

Muscle Spasms

59
Q

cyclobenzaprine (brand)

A

Flexeril

60
Q

cyclobenzaprine (common strengths)

A

5mg, 10mg

61
Q

cyclobenzaprine (common frequencies)

A

QD, TID, or PRN

62
Q

cyclobenzaprine (indications)

A

Muscle spasm

63
Q

cyclobenzaprine (counseling points)

A
  • Dry mouth (aka xerostomia)
  • Dizziness
  • Drowsiness

phrm 820 (10 decks)

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