How to Take this Med 2 Flashcards
phenytoin kapseals
prefer on empty stomach
- can take with food - but be consistent
- swallow whole
can phenytoin kapseal and phenytoin liquid or chewable tablets be interchange
NO.
phenytoin kapseals = 92 % phenytoin
phenytoin suspension or chew tab = 100% phenytoin
phenytoin chew tab
chew well before swallowing
depakene capsules (valproic acid)
swallow whole
do not crush or chew - irritant to mouth
divalproex
take with FOOD –> GI side effects
Depakote sprinkle capsules
can be swallow whole (intact)
can be sprinkled onto applesauce - drink water after taking mixture
phenobarbital tablet
*crushed?
wow FOOD
- can be crushed and mixed with food or fluids
phenobarbital liquid
can be administer undiluted
can be mixed with water or fruit juice
topiramate tablet
wow FOOD - full glass of water (kidney stone)
do not crush tablet – bitter taste
topiramate sprinkle capsules
swallow whole - wow food or
- sprinkled onto soft food (applesauce) - swallow whole without chewing
Gabapentin (Neurontin)
with FOOD – to decrease upset stomach
Horizant or Gralise
with MEALS - at 5 pm
hydroxyzine
wow FOOD
Eletriptan (Relpax)
wow FOOD
- full glass of water
Rizatriptan
wow FOOD
is water needed with Rizatriptan MLT
water is not needed
Sumatriptan tablets
swallow whole - do not crush or chew = unpleasant taste
sumatriptan (subcutaneous)
* where injection
1st dose - in doctor’s office to observe ischemic symptoms
- inject in thigh (fat layer) or upper arm (fat layer)
sumatriptan (nasal spray)
rinse top with HOT water
* careful not to suck water into bottle
benztropine
wow FOOD
sinemet (CR)
* and all dosage form
- 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
RyTary (carbidopa/levodopa ER capsule)
ok with FOOD
capsule can be open
pramipexole
wow FOOD –> food can decrease nausea
ropinorole
wow FOOD –> to decrease nausea
olanzapine
olanzapine ODT
wow FOOD
** ODT - use dry hand
Quetiapine
Quetiapine XR
wow FOOD
Risperdal tablet
wow FOOD
Risperdal liquid
can be mixed with liquid
* except: COLA or TEA
MILK, WATER, OJ - ok
Ziprasidone
swallow whole WITH FOOD & full glass of water
Aripiprazole
wow FOOD
Aripiprazole liquid
* expiration date
wow FOOD
Expired after 6 months
meclizine
FOOD to decrease GI upset
Alprazolam
wow FOOD
Alprazolam XR
*when to take
in MORNING
clonazepam
wow FOOD
diazepam liquid
need to be mixed prior to administration
- add 30 ml of liquid (water, juice, soda-like beverage)
lorazepam solution
mixed with 30 ml liquid
* water, juice, or soda-like beverage prior to admin.
- similar to diazepam concentrated solution
temazepam
at bedtime
phentermine
before breakfast (empty stomach) or 1 to 2 hours after breakfast
methylphenidate
- Ritalin; Methylin
Immediate release methylphenidate tablet
* take 30 to 45 minutes before meals
Ritalin SR; Metadate ER
*methylphenidate ER
wow FOOD - swallow whole
Concerta
* methylphenidate ER tablet
wow FOOD
- “ghost tablet”
Metadate CD; Ritalin LA
* methylphenidate ER capsule
wow FOOD
- capsule can be opened and mixed with applesauce - take without chewing
Quillivant XR
- methylphenidate ER once daily suspension
wow FOOD
- shake VIGOROUSLY for 10 seconds before admin
Strattera
- last dose
- can capsule be opened
wow FOOD - food decrease NAUSEA
- last dose before 6 pm
- DO NOT OPEN capsules - med is an EYE irritant
why you can’t open Strattera capsule?
EYE IRRITANT
Adderall XR
- when to take it?
- capsule - open?
wow FOOD - upon AWAKENING
- capsule can be open
Vyvanse
- when to take it?
- open?
once daily in the MORNING - wow FOOD
- capsule can be open - mixed with OJ or yogurt
modafinil
wow FOOD or with BREAKFAST
nuvigil
wow FOOD or with BREAKFAST
in general, methylphenidate ER and IR
methylphenidate ER - wow FOOD
methylphenidate IR - empty stomach 30 min before meal
Focalin XR
- what is generic?
- how to take?
Dexmethylphenidate (D-isomer)
* D-methylphenidate
take in MORNING wow FOOD
- capsule can be open - mixed with applesauce
- swallow w/out chewing
Focalin IR
wow FOOD
** not methylphenidate (Ritalin) IR - empty stomach
dexmethylphenidate - can be taken wow FOOD
Zaleplon
- how to take it?
- unique?
wow FOOD - prefer on empty stomach
* high fat meal - makes it work not as fast
NON-benzo - faster acting than AMBIEN
Ambien
Ambien ER
empty stomach - immediately before sleeping
- food slows down onset of action
Intermezzo
- how to take it?
- unique?
use for middle of night awakening
need at least 4 hours of sleep left to take med
Edluar
- what is the form?
SL zolpidem
Lunesta
- how to take it
- how is different than ambien
empty stomach - right before sleeping
short acting non-benzo
- rapid onset - short half-life
- reduce “hangover”