How to Take this Med 2 Flashcards

1
Q

phenytoin kapseals

A

prefer on empty stomach

  • can take with food - but be consistent
  • swallow whole
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2
Q

can phenytoin kapseal and phenytoin liquid or chewable tablets be interchange

A

NO.

phenytoin kapseals = 92 % phenytoin
phenytoin suspension or chew tab = 100% phenytoin

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3
Q

phenytoin chew tab

A

chew well before swallowing

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4
Q

depakene capsules (valproic acid)

A

swallow whole

do not crush or chew - irritant to mouth

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5
Q

divalproex

A

take with FOOD –> GI side effects

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6
Q

Depakote sprinkle capsules

A

can be swallow whole (intact)

can be sprinkled onto applesauce - drink water after taking mixture

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7
Q

phenobarbital tablet

*crushed?

A

wow FOOD

  • can be crushed and mixed with food or fluids
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8
Q

phenobarbital liquid

A

can be administer undiluted

can be mixed with water or fruit juice

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9
Q

topiramate tablet

A

wow FOOD - full glass of water (kidney stone)

do not crush tablet – bitter taste

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10
Q

topiramate sprinkle capsules

A

swallow whole - wow food or

  • sprinkled onto soft food (applesauce) - swallow whole without chewing
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11
Q

Gabapentin (Neurontin)

A

with FOOD – to decrease upset stomach

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12
Q

Horizant or Gralise

A

with MEALS - at 5 pm

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13
Q

hydroxyzine

A

wow FOOD

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14
Q

Eletriptan (Relpax)

A

wow FOOD

  • full glass of water
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15
Q

Rizatriptan

A

wow FOOD

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16
Q

is water needed with Rizatriptan MLT

A

water is not needed

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17
Q

Sumatriptan tablets

A

swallow whole - do not crush or chew = unpleasant taste

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18
Q

sumatriptan (subcutaneous)

* where injection

A

1st dose - in doctor’s office to observe ischemic symptoms

  • inject in thigh (fat layer) or upper arm (fat layer)
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19
Q

sumatriptan (nasal spray)

A

rinse top with HOT water

* careful not to suck water into bottle

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20
Q

benztropine

A

wow FOOD

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21
Q

sinemet (CR)

* and all dosage form

A
  • full glass of water
    at least 30 minutes before eating or 1 hour after eating (empty stomach)
  • small non-protein snack ok to prevent nausea - fruit or cracker
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22
Q

RyTary (carbidopa/levodopa ER capsule)

A

ok with FOOD

capsule can be open

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23
Q

pramipexole

A

wow FOOD –> food can decrease nausea

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24
Q

ropinorole

A

wow FOOD –> to decrease nausea

25
Q

olanzapine

olanzapine ODT

A

wow FOOD

** ODT - use dry hand

26
Q

Quetiapine

Quetiapine XR

A

wow FOOD

27
Q

Risperdal tablet

A

wow FOOD

28
Q

Risperdal liquid

A

can be mixed with liquid
* except: COLA or TEA

MILK, WATER, OJ - ok

29
Q

Ziprasidone

A

swallow whole WITH FOOD & full glass of water

30
Q

Aripiprazole

A

wow FOOD

31
Q

Aripiprazole liquid

* expiration date

A

wow FOOD

Expired after 6 months

32
Q

meclizine

A

FOOD to decrease GI upset

33
Q

Alprazolam

A

wow FOOD

34
Q

Alprazolam XR

*when to take

A

in MORNING

35
Q

clonazepam

A

wow FOOD

36
Q

diazepam liquid

A

need to be mixed prior to administration

  • add 30 ml of liquid (water, juice, soda-like beverage)
37
Q

lorazepam solution

A

mixed with 30 ml liquid
* water, juice, or soda-like beverage prior to admin.

  • similar to diazepam concentrated solution
38
Q

temazepam

A

at bedtime

39
Q

phentermine

A

before breakfast (empty stomach) or 1 to 2 hours after breakfast

40
Q

methylphenidate

  • Ritalin; Methylin
A

Immediate release methylphenidate tablet

* take 30 to 45 minutes before meals

41
Q

Ritalin SR; Metadate ER

*methylphenidate ER

A

wow FOOD - swallow whole

42
Q

Concerta

* methylphenidate ER tablet

A

wow FOOD

  • “ghost tablet”
43
Q

Metadate CD; Ritalin LA

* methylphenidate ER capsule

A

wow FOOD

  • capsule can be opened and mixed with applesauce - take without chewing
44
Q

Quillivant XR

  • methylphenidate ER once daily suspension
A

wow FOOD

  • shake VIGOROUSLY for 10 seconds before admin
45
Q

Strattera

  • last dose
  • can capsule be opened
A

wow FOOD - food decrease NAUSEA

  • last dose before 6 pm
  • DO NOT OPEN capsules - med is an EYE irritant
46
Q

why you can’t open Strattera capsule?

A

EYE IRRITANT

47
Q

Adderall XR

  • when to take it?
  • capsule - open?
A

wow FOOD - upon AWAKENING

  • capsule can be open
48
Q

Vyvanse

  • when to take it?
  • open?
A

once daily in the MORNING - wow FOOD

  • capsule can be open - mixed with OJ or yogurt
49
Q

modafinil

A

wow FOOD or with BREAKFAST

50
Q

nuvigil

A

wow FOOD or with BREAKFAST

51
Q

in general, methylphenidate ER and IR

A

methylphenidate ER - wow FOOD

methylphenidate IR - empty stomach 30 min before meal

52
Q

Focalin XR

  • what is generic?
  • how to take?
A

Dexmethylphenidate (D-isomer)
* D-methylphenidate

take in MORNING wow FOOD

  • capsule can be open - mixed with applesauce
  • swallow w/out chewing
53
Q

Focalin IR

A

wow FOOD

** not methylphenidate (Ritalin) IR - empty stomach

dexmethylphenidate - can be taken wow FOOD

54
Q

Zaleplon

  • how to take it?
  • unique?
A

wow FOOD - prefer on empty stomach
* high fat meal - makes it work not as fast

NON-benzo - faster acting than AMBIEN

55
Q

Ambien

Ambien ER

A

empty stomach - immediately before sleeping

  • food slows down onset of action
56
Q

Intermezzo

  • how to take it?
  • unique?
A

use for middle of night awakening

need at least 4 hours of sleep left to take med

57
Q

Edluar

  • what is the form?
A

SL zolpidem

58
Q

Lunesta

  • how to take it
  • how is different than ambien
A

empty stomach - right before sleeping

short acting non-benzo

  • rapid onset - short half-life
  • reduce “hangover”