How to Take this Med Flashcards
Flagyl: how to take med.
“F”lagyl = Food
No alcohol –> N/V/Flushing or Fainting
Alcohol + Flagyl: what happen?
N, V, Flushing and Fainting
- Disulfuram-like reaction
How is Flagyl ER taken?
Flagyl ER = empty stomach
Fluconazole Tablet
wow FOOD
Ketoconazole Tablet
“N”izoral - NO Food
- Food ok if stomach upset
What should you avoid taking with ketoconazole tablet?
- Avoid acid reducing drug - 2 hours apart
- Avoid ALCOHOL - disulfiram like reaction
- just like metronidazole
- Cola Drink - acidic –> increase absorption (avoid)
Ketoconazole shampoo 2%: how to use it
Leave in place for 5 minutes, then rinse
Ketoconazole gel: warning
flammable
avoid fire; flame and smoking during and immediately after use
Ketoconazole foam: how to use and warning
Spray foam onto CAP – then use finger to pick up and rub into affected area
Warning: foam is flammable
* avoid fire, flame and smoking during and immediately after use
Nystatin Powder: can it be dusted onto socks and shoes?
Yes, recommended to dust in shoes and socks
Terbinafine tablet
WOW food
- most antifungals are taken without regards to meal
- ketoconazole - best on empty stomach - but can be taken with food
Acyclovir Tablet
WOW Food
Acyclovir (Zovirax topical): how to apply
use a GLOVE to avoid transmission of virus to other sites or persons
Why use glove when applying acyclovir gel?
To avoid transmission of virus to other sites or persons
Valacyclovir tablet
WOW Food
- stay well hydrated
Cephalexin capsules
WOW Food
Cephalexin suspension: frig or no frig
Frig - stable for 14 days
Cefuroxime axetil (ceftin) tablet
Swallow whole with FOOD
Cefuroxime suspension: how to take and storage
Food - must
storage: Frig ** think cephalexin
Can you substitute ceftin capsule for suspension on a mg/mg basis?
NO
- tablet and suspension are NOT bioequivalent
- do not interchange without MD’s approval
Omnicef (Cefdinir) capsules and suspensions
Take with FOOD
Suspension: with FOOD and room temp
Think: Toby
How is cefdinir suspension store?
ROOM temperature - NO frig
- remember: cefdinir - “dinir –> do not frig
Ciprofloxacin tablets
- what to avoid
WOW food
2 hours before or 6 hours after any of the following:
- mag/al antacids
- sucralfate
- calcium, iron, zinc
- dairy products - have calciums
Cipro suspension:
- how to take and storage
- feeding tube consideration
- WOW Food, do not chew
- store Room Temp - no frig
- Not administer thru FEEDING Tube
Levofloxacin tablet
* what to avoid
WOW food
Avoid: antacid 2 hours before or after
Levofloxacin solution
- what to avoid
Empty stomach
Avoid antacids, MVI
Moxifloxacin: two forms of eye under the name
- Vigamox
2. Moxeza
moxifloxacin tablets
* what to avoid
WOW FOOD - (milk ok)
Avoid:
- Iron
- sucralfate
- Magnesium or Zinc (MVI)
- antacid (mag/al)
Zithromax: eye drop name
Azasite
How to take azithromycin tablet?
With FOOD - increase tolerability
How to take azithromycin suspension? storage?
WOW Food
Store at room temp
How to take clarithromycin tablet? ER tablet?
With FOOD
- ER – FOOD must
How to store clarithromycin suspension?
Room Temp - do not FRIG
How to take clindamycin capsules?
with or without FOOD; but FULL GLASS of WATER
- do not lie down for 10 minutes
How to take nitrofurantoin
FOOD
* Full glass of water or milk
** help increase tolerance
How to take nitrofurantoin suspension?
can be mixed with water, milk, fruit juice or infant formula
Amoxicillin chew tablet?
must be CHEW before swallowing
** do not swallow WHOLE
Amoxicillin capsules?
WOW FOOD
Augmentin: best time to take
Take at start of meal
- avoid high fat meal
Augmentin chew tablet?
must be CHEW before swallowing
* do not swallow whole
How to store augmentin suspension?
Frig
Penicillin tablets: how to take
WOW FOOD
* better absorption on empty stomach
Penicillin susp: storage
Frig
Bactrim tablets: how to take it
WOW food
* with FOOD to help decrease N,V,D
FULL glass of water
How to take Bactrim susp?
Shake well
Full glass of water
Doxycycline IR tablet or Capsules: how to take it
Food or Milk - if upset stomach
Doxcycline oral administration: in general
Lots of fluid to decrease throat irritation
Do not administer with:
- sucralfate (has aluminum)
- Fe, Calcium, antacid or MVI
Periostat: how to take it
1 hour before morning and evening meal
- empty stomach
Oracea: how to take it
1 hour before or 2 hours after meal = EMPTY STOMACH
Metronidazole Vaginal Gel - how is it different than topical gel
pH different; don’t interachange
Can I use make up after putting on metrogel?
Yes.
- apply med first - wait for 5 minutes before applying makeup
Bactroban. can area be cover?
Yes. can be cover in gauze
Mycolog II:
- what to avoid
- cover dressing concerns?
- avoid normal surrounding skin
2. topical product with steroid in general should not be cover unless directed by MD
Tamiflu cap
WOW food
* food increase tolerability
Tamiflu suspension: expiration
expired 10 days after mixing
can be frig or not frig
Truvada
Swallow Whole
WOW Food
Combivir
WOW Food
Benazepril Enalapril Quinapril Lisinopril Ramipril
all WOW hctz
WOW FOOD
Can Ramipril cap be open?
Yes.
mix with applesauce or apple juice or water
Captopril: how is it taken different?
Empty stomach
- ensure max absorption
- food decrease drug by 30 to 40 %
Doxazosin IR tablet.
WOW FOOD
Cardura XL: how is it taken?
When switching from IR to XL?
Once daily with Breakfast
Before starting XL tablet;
* evening dose of IR tablet should not be taken
Prazosin
Terazosin
WOW FOOD
Clonidine tablet
- take WOW
2. last dose - just prior to bedtime
Clonidine patch: what is the significant in patch size
Size of patch determines strength
How often is clonidine patch changed?
Once a week patch
Where is clonidine patch apply?
- Upper arm or torso - for better absorption
** clean and dry area first
Is clonidine patch affected by water?
What to do if patch falls off?
- patch no affected by water
* can swim or bath with patch on - If patch falls off - use adhesive on side
* if fall offs of - use a new patch
Can clonidine patch be trim or cut?
No - do not trim or cut
- size of patch determines strength of patch
Amiodarone
WOW Food, but be consistent
Multaq
with morning and evening meal
Warfarin
WOW food - be consistent
Antara (30, 0 mg capsule) - fenofibrate
without regards to meal
Tricor (54, 160 mg)
with MEALS to increase bioavailability
Lipofen capsules (50, 100, 150 mg)
with MEALS to increase bioavailability
Lofibra (67, 134 mg)
with MEALS to increase bioavailability
Triglide tablets (50, 160 mg) * what is a warning about this tablet
do not consume chipped or broken tablets
new Tricor generic (48, 145 mg)
without regards to meal
Basically, all fenofibrate brand or generic can be take _____.
with meals to increase bioavailability
Gemfibrozil
take 30 minutes before meals
niacin: administer
take after DINNER to decrease upset stomach
is 2 Niaspan 500 mg = 1 Niaspan 1000mg
No, not the same
Atorvastatin
same time - anytime
avoid grapefruit
Mevacor (lovastatin)
with dinner
Altoprev (lovastatin ER tablet)
at bedtime on EMPTY STOMACH
pravastatin
WOW food - evening or morning
rosuvastatin
wow FOOD - swallow whole; evening or morning
vytorin
with evening meal
what to avoid with vytorin?
take 2 hours before or 4 hours after BILE ACID SEQUESTRANT
zocor
wow FOOD at bedtime
avoid grapefruit juice
Aspirin
with FOOD or full glass of water or milk
can chewable aspirin be swallow without chewing
yes - may be swallow whole without chewing
Exforge
* amlodipine + valsartan
Exforge HCT
* amlodipine + valsartan + hctz
wow FOOD
Diovan
Diovan HCT
wow FOOD
Avapro
Avalide (irbesartan + hct)
wow FOOD
Atacand
Atacand HCT
wow FOOD
Benicar
Benicar HCT
wow FOOD
Cozaar
Hyzaar
wow FOOD
Atenolol
wow FOOD
- OJ decreases bioavailability - avoid at same time
Toprol XL
wow FOOD
Can scored Toprol XL be split?
Yes
- scored tablet can be taken as half tablet, but do not chew
Lopressor
FOOD to increase absorption
** metoprolol succinate - wow FOOD
Zebeta
Ziac (bisoprolol + hctz)
wow FOOD
Tenoretic
atenolol + hctz
wow FOOD - not with OJ
Propranolol
take before meals
Innopran XL
* propranol xl
take at 10 pm
Coreg
with FOOD
- to decrease orthostatic hypotension
Coreg CR
take in morning with FOOD
Avoid alcohol
Can coreg CR capsule be open?
Yes
- capsule can be open and sprinkle onto room temp applesauce
** only applesauce; other food are not studies
Coreg CR and alcohol?
avoid alcohol for at least 2 hours
Labetalol
wow FOOD - be consistent
** food delays absorption but increase drugs absolute bioavailability
Digoxin
all dosage forms: wow FOOD
can digoxin tablet be crushed?
yes
Azor = amlodipine + olmesartan Tribenzor = amlodipine + olmesartan + hctz
wow FOOD
amlodipine
wow FOOD
Adalat CC (nifedipine)
empty stomach
- avoid grapefruit juice before or after taking
nifedipine is best taken on empty stomach, can it be taken with food.
Yes.
ok with meal if gastric irritation
is 2 (adalat cc 30 mg) = 60 mg adalat cc?
is 3 (adalat cc 30 mg) = 90 mg adalat cc?
2 adalat cc 30 mg = 1 adalat cc 60 mg tablet
3 adalat cc 30 mg not equal to 1 adalat cc 90 mg tablet
Lotrel
wow FOOD
- same time
Caduet
wow FOOD
Pradaxa
- taken no regards to meal
2. don’t open capsules
How is pradaxa dispense or expiration date?
- dispense in original date
2. once bottle open - good for 4 months
Klor-Con
Which salt is best absorb?
K chloride is best absorb
potassium: all dosage form - how taken?
full glass of water after FOOD
what is special about Klor-ConM10; M15; M20?
tablet can be broken in half
can be dissolved in 4 oz of water
what is special about Micro-k Extencaps?
capsules can be opened - sprinkle onto apXplesauce or pudding or mix in juice
- swallow without chewing
how to take potassium liquid
dilute in 4 oz of water or juice and drink slowly
when to take xarelto?
if once daily - take in evening with FOOD
how to take xarelto? depending on strength?
xarelto 10 mg - wow FOOD
xarelto 15, 20 mg - with FOOD
** easier to remember - just take all strength with food
can xarelto tablet be crushed?
Yes
- mixed in applesauce
Eliquis
wow FOOD
can eliquis be crushed?
Yes
- crushed and mixed in applesauce
furosemide liquid: for infant - how to give
squirt solution into side of mouth
Not back of throat - may cause gagging
where is Lovenox administer?
Fatty layer of stomach (preferred)
* or thigh or upper arm
can you use 30 mg or 40 mg prefilled lovenox to administer 15 mg dose?
No - 30 or 40 mg prefilled syringes are not graduated
- do not use to administer partial dose
IMDUR
“i saw food”
swallow whole - take with FOOD
Nitrostat SL tablet
Under tongue
avoid eating, drinking or smoking until tablet is dissolved
Nitro spray
spray must be prime first
do not shake spray
spray onto or under tongue
* do not swallow; spit or rinse mouth for 10 minutes
all diltiazem forms - in general can be taken
wow FOOD, except DILACOR XR
DILACOR XR = empty stomach
** all - avoid grapefruit or do not increase grapefruit intake
Cardizem CD or Cartia XT: unique
24 hours (once daily) capsules
- wow FOOD
Cardizem LA tablets: unique
24 hours (once daily) - wow FOOD
- morning or evening
Cardizem SR caps: unique
SR = 12 hours capsules
- wow FOOD
** buproprion SR = 12 hours
Dilacor XR capsules: unique
Once daily
- EMPTY STOMACH - swallow whole
Tiazac or Taztia XT: unique
24 hours capsule
- capsule can be open onto applesauce
which diltiazem capsule can be open?
Tiazac or Taztia XT
what to avoid with verapamil?
avoid grapefruit or grapefruit juice before or after administration
- grapefruit increases bioavailability
Verelan SR - verapamil capsule
swallow whole wow FOOD
Isoptin SR
Calan SR
** verapamil SR tablets
Isoptin and Calan SR
* take with FOOD
- to decrease the difference between peak and trough
do not crush or chew
Covera-HS
* verapamil ER tablet
How is it taken?
once daily at bedtime
Verelan PM ER capsule
- when is taken?
- can capsule be open?
controlled onset - ER capsule
- take once daily at bedtime
- capsules can be open
In general, to help remember how to take VERAPAMIL, what is verapamil taken.
Advice patient to take with FOOD
Plavix
wow FOOD
Dyazide
Maxzide
wow FOOD
Aldactone
Aldactazide
wow FOOD
Lozol - indapamide
FOOD in morning
chlorthalidone
FOOD in morning
HCTZ
* can tablet be crushed?
FOOD in morning
- tablet can be crushed
in general, how are diuretics taken?
with FOOD
metolazone
taken in MORNING upon awakening
Zofran
Zofran ODT
- all they equivalent?
wow FOOD
- antacid does not interfere with absorption
** in general, all oral dosage forms are interchangeable
Zofran ODT
do not push ODT thru foil backing
peel back and remove tablet
admin with liquid is not necessary
once dissolve - can swallow with saliva
Aricept (donepezil)
at BEDTIME prior to sleeping wow FOOD
Aricept ODT
after dissolve - instruct patient to drink some water
Aricept 23 mg tablet
do not break or crush
Rivastigmine Tablet
twice daily with FOOD - due to nausea
Rivastigmine patch
- where?
- water?
lower or upper back
* chest or upper arm may be use
can be used in shower; swimming
Avoid excessive sunlight or sauna
** always remove old patch first before putting new patch
Fiorinal with Codeine
Fioricet with Codeine
wow FOOD
- full glass of water
- at first sign of migraine
Buspar
wow FOOD
** be consistent FOOD or no FOOD
mirtazapine tablet
wow FOOD
** preferably at bedtime
mirtazapine ODT
wow FOOD
water is not needed
Trazodone
after dinner or snack – to decrease lightheadedness or dizziness
** trazadone ER tab – empty stomach
bupropion (in general)
with FOOD –> to decrease upset stomach
Wellbutrin SR
with FOOD
- swallow whole
- dose at least 8 hours apart
Wellbutrin XL
once DAILY in morning
* decrease insomnia
carbamazepine (in general)
with FOOD to decrease GI side effects
carbamazepine chew tablet
chew well before swallowing
Tegretol XR tablet
swallow whole
- with FOOD to decrease GI side effects
Carbatrol ER capsule
* can capsule be open
capsule can be open - sprinkled onto applesauce
Equetro
* what is unique about it?
- can capsule open
consists of 3 different beads
- IR release
- ER release
- enteric-release beads
capsule can be open - sprinkled onto applesauce
lamotrigine (in general)
wow FOOD
lamotrigine chew tablet
chew or can swallow whole
can be dissolved in water or juice
lamotrigine ODT
* what is unique
place and tongue and MOVE AROUND IN MOUTH to facilitate disintegration
swallow wow water
lamotrigine ER tablet
swallow whole wow FOOD
levetirecetam
wow FOOD
can levetirecetam IR tablet be chew
no - swallow whole - do not crush or chew
Keppra XR
do not break, crush or chew
- wow FOOD
Keppra solution
- what is strength?
- unique?
keppra 100 mg/1 ml
- does not contain: alcohol, dye, gluten, lactose, starch, sugar or sucrose
oxcarbazepine (in general)
easily to remember: tell patient to take on empty stomach
- ER tablet - empty stomach - more adverse rxn with food
- IR tablet - wow FOOD