List #2- Female Contraception, Anxiety, and Muscle Spasms

Question 1

ethinyl estradiol/ norgestimate (brand)

Answer 1

Ortho Tri-Cyclen
Tri-Sprintec
Tri-ViLibra

Question 2

ethinyl estradiol/ norgestimate (Common Strengths)

Answer 2

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

Question 3

ethinyl estradiol/ norgestimate (Frequency)

Answer 3

1 first phase tab x7d
1 second phase tab x7d
1 third phase tab x7d
1 inactive tab x7d

Question 4

ethinyl estradiol/ norgestimate (use) (claim to fame)

Answer 4

• oral contraception
• acne
  non FDA:
• regulation of menstrual cycle
• lessen menstrual flow
• reduce painful menses
  tri-phasics mimic the natural menstrual cycle

Question 5

ethinyl estradiol/ norgestimate (counseling)

Answer 5

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

miss a dose?
- take ASAP or with next days’ dose

• increased cardiovascular risk
• not recommended for 35+, smokers, or history of stroke/ blood clots
• if not started day 1 on menses, use non-drug contraception for week 1 of therapy
• take same time each day for max effectiveness
• some anti-convulsants (divalproex, lamotrigine) decrease effectiveness and increase chance of seizures.
• do not protect against HIV, AIDS, or STDs

Question 6

ethinyl estradiol/ norethindrone/ ferrous fumarate (brand)

Answer 6

Loestrin Fe 1/20
Junel Fe
Microgestin Fe

Question 7

ethinyl estradiol/ norethindrone/ ferrous fumarate (strengths)

Answer 7

0.02mg/1mg/75mg

Question 8

ethinyl estradiol/ norethindrone/ ferrous fumarate (frequency)

Answer 8

take one active tab qd x21, then one iron tab qd x7

Question 9

ethinyl estradiol/ norethindrone/ ferrous fumarate (use) (claim to fame)

Answer 9

• oral contraception
• acne
  replaces iron lost during menses

Question 10

ethinyl estradiol/ norethindrone/ ferrous fumarate (counseling)

Answer 10

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

miss a dose?
- take ASAP or with next days’ dose

• increased cardiovascular risk
• not recommended for 35+, smokers, or history of stroke/ blood clots
• if not started day 1 on menses, use non-drug contraception for week 1 of therapy
• take same time each day for max effectiveness
• some anti-convulsants (divalproex, lamotrigine) decrease effectiveness and increase chance of seizures.
• do not protect against HIV, AIDS, or STDs

Question 11

ethinyl estradiol/drospirenone (brand)

Answer 11

Yaz
Loryna
Jasmiel

Question 12

ethinyl estradiol/drospirenone (strengths)

Answer 12

0.02mg/3mg

Question 13

ethinyl estradiol/drospirenone (frequency)

Answer 13

active tablet qd x24, then inactive tab qd x4

Question 14

ethinyl estradiol/drospirenone (use)

Answer 14

• oral contraception
• acne
• premenstrual dysphoric disorder

Question 15

ethinyl estradiol/drospirenone (counseling) claim to fame

Answer 15

• Drospirenone lessens the water retention/weight gain side effects of estrogen
  Only 4 inactive days = shorter menstrual periods

Question 16

ethinyl estradiol/ norelgestromin (brand)

Answer 16

Xulane

Question 17

ethinyl estradiol/ norelgestromin (strengths)

Answer 17

0.53mg/4.86mg

Question 18

ethinyl estradiol/ norelgestromin (frequency)

Answer 18

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

Question 19

ethinyl estradiol/ norelgestromin (use)

Answer 19

contraception

Question 20

ethinyl estradiol/ norelgestromin (counseling)

Answer 20

• more common side effects
  -adhesive may cause skin rash/ rotate sites
• do not cut patch
• apply to butt, upper torso, stomach, upper arm

Question 21

ethinyl estradiol/ etonogestrel (brand)

Answer 21

NuvaRing

Question 22

ethinyl estradiol/ etonogestrel (strengths)

Answer 22

0.015mg/0.12mg/24 hours ER

Question 23

ethinyl estradiol/ etonogestrel (frequency)

Answer 23

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

Question 24

ethinyl estradiol/ etonogestrel (use)

Answer 24

Contraception

Question 25

ethinyl estradiol/ etonogestrel (counseling)

Answer 25

- if it falls out, rinse with cool water and re-insert within 3 hours - don't remove for intercourse - ring is drug delivery device; not a barrier

Question 26

Birth Control Counseling

Answer 26

- water retention (bloating, weight gain, breast tenderness) - upset stomach/ nausea - headache miss a dose? - take ASAP or with next days' dose - increased cardiovascular risk - not recommended for 35+, smokers, or history of stroke/ blood clots - if not started day 1 on menses, use non-drug contraception for week 1 of therapy - take same time each day for max effectiveness - some anti-convulsants (divalproex, lamotrigine) decrease effectiveness and increase chance of seizures. - do not protect against HIV, AIDS, or STDs

Question 27

medroxyprogesterone (brand)

Answer 27

Depo-Provera

Question 28

medroxyprogesterone (strengths)

Answer 28

150mg/mL

Question 29

medroxyprogesterone (frequency)

Answer 29

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

Question 30

medroxyprogesterone (use)

Answer 30

- contraception - endometriosis pain, abnormal uterine bleeding, amenorrhea

Question 31

medroxyprogesterone (counseling) *claim to fame*

Answer 31

- nervousness - administration by healthcare professional - don't use >2 years due to potential bone loss - spotting or absent menses may result *no estrogen*

Question 32

Levonorgestrel (OTC) (brand)

Answer 32

Plan B One-Step EContra One-Step

Question 33

Levonorgestrel (OTC) (strength)

Answer 33

1.5mg

Question 34

Levonorgestrel (OTC) (frequency)

Answer 34

Take one tab po asap within 72 hours of unprotected sex

Question 35

Levonorgestrel (OTC) (use)

Answer 35

Emergency post-coital contraception

Question 36

Levonorgestrel (OTC) (counseling)

Answer 36

- same side effects as oral contraceptives but more common - fatigue - no evidence of interaction with antibiotics - will not terminate existing pregnancy

Question 37

clonazepam (brand)

Answer 37

klonopin

Question 38

clonazepam (strengths)

Answer 38

0.5mg 1mg 2mg

Question 39

clonazepam (frequency)

Answer 39

QD BID TID QID

Question 40

clonazepam (use)

Answer 40

- panic disorder - seizure disorders - off label use: anxiety

Question 41

clonazepam (counseling)

Answer 41

- drowsiness - fatigue - ataxia - behavioral problems

Question 42

alprazolam (brand)

Answer 42

xanax

Question 43

alprazolam (strengths)

Answer 43

0.25mg 0.5mg 1mg 2mg

Question 44

alprazolam (frequency)

Answer 44

BID TID or PRN

Question 45

alprazolam (use)

Answer 45

- panic disorder - anxiety

Question 46

alprazolam (counseling)

Answer 46

- confusion - drowsiness - excessive drowsiness with alcohol-- avoid - do not stop drug suddenly if taking routinely

Question 47

cyclobenzaprine (brand)

Answer 47

flexeril

Question 48

cyclobenzaprine (strengths)

Answer 48

5mg 10mg

Question 49

cyclobenzaprine (frequency)

Answer 49

QD TID or PRN

Question 50

cyclobenzaprine (use)

Answer 50

muscle spasm

Question 51

cyclobenzaprine (counseling)

Answer 51

- dry mouth (xerostomia) - dizziness - drowsiness