List #2- Female Contraception, Anxiety, and Muscle Spasms Flashcards
ethinyl estradiol/ norgestimate (brand)
Ortho Tri-Cyclen
Tri-Sprintec
Tri-ViLibra
ethinyl estradiol/ norgestimate (Common Strengths)
0.035mg/0.18mg
0.035mg/0.215mg
0.035mg/0.25mg
ethinyl estradiol/ norgestimate (Frequency)
1 first phase tab x7d
1 second phase tab x7d
1 third phase tab x7d
1 inactive tab x7d
ethinyl estradiol/ norgestimate (use) (claim to fame)
- oral contraception
- acne
non FDA: - regulation of menstrual cycle
- lessen menstrual flow
- reduce painful menses
tri-phasics mimic the natural menstrual cycle
ethinyl estradiol/ norgestimate (counseling)
- 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
ethinyl estradiol/ norethindrone/ ferrous fumarate (brand)
Loestrin Fe 1/20
Junel Fe
Microgestin Fe
ethinyl estradiol/ norethindrone/ ferrous fumarate (strengths)
0.02mg/1mg/75mg
ethinyl estradiol/ norethindrone/ ferrous fumarate (frequency)
take one active tab qd x21, then one iron tab qd x7
ethinyl estradiol/ norethindrone/ ferrous fumarate (use) (claim to fame)
- oral contraception
- acne
replaces iron lost during menses
ethinyl estradiol/ norethindrone/ ferrous fumarate (counseling)
- 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
ethinyl estradiol/drospirenone (brand)
Yaz
Loryna
Jasmiel
ethinyl estradiol/drospirenone (strengths)
0.02mg/3mg
ethinyl estradiol/drospirenone (frequency)
active tablet qd x24, then inactive tab qd x4
ethinyl estradiol/drospirenone (use)
- oral contraception
- acne
- premenstrual dysphoric disorder
ethinyl estradiol/drospirenone (counseling) claim to fame
- Drospirenone lessens the water retention/weight gain side effects of estrogen
Only 4 inactive days = shorter menstrual periods
ethinyl estradiol/ norelgestromin (brand)
Xulane
ethinyl estradiol/ norelgestromin (strengths)
0.53mg/4.86mg
ethinyl estradiol/ norelgestromin (frequency)
Apply one new patch each week for 3 weeks; week 4 is patch free
ethinyl estradiol/ norelgestromin (use)
contraception
ethinyl estradiol/ norelgestromin (counseling)
- more common side effects
-adhesive may cause skin rash/ rotate sites - do not cut patch
- apply to butt, upper torso, stomach, upper arm
ethinyl estradiol/ etonogestrel (brand)
NuvaRing
ethinyl estradiol/ etonogestrel (strengths)
0.015mg/0.12mg/24 hours ER
ethinyl estradiol/ etonogestrel (frequency)
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
ethinyl estradiol/ etonogestrel (use)
Contraception
ethinyl estradiol/ etonogestrel (counseling)
- 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
Birth Control Counseling
- 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
medroxyprogesterone (brand)
Depo-Provera
medroxyprogesterone (strengths)
150mg/mL
medroxyprogesterone (frequency)
150mg deep intramuscular injection in gluteal or deltoid muscle every 3 months
medroxyprogesterone (use)
- contraception
- endometriosis pain, abnormal uterine bleeding, amenorrhea
medroxyprogesterone (counseling) claim to fame
- nervousness
- administration by healthcare professional
- don’t use >2 years due to potential bone loss
- spotting or absent menses may result
no estrogen
Levonorgestrel (OTC) (brand)
Plan B One-Step
EContra One-Step
Levonorgestrel (OTC) (strength)
1.5mg
Levonorgestrel (OTC) (frequency)
Take one tab po asap within 72 hours of unprotected sex
Levonorgestrel (OTC) (use)
Emergency post-coital contraception
Levonorgestrel (OTC) (counseling)
- same side effects as oral contraceptives but more common
- fatigue
- no evidence of interaction with antibiotics
- will not terminate existing pregnancy
clonazepam (brand)
klonopin
clonazepam (strengths)
0.5mg
1mg
2mg
clonazepam (frequency)
QD
BID
TID
QID
clonazepam (use)
- panic disorder
- seizure disorders
- off label use: anxiety
clonazepam (counseling)
- drowsiness
- fatigue
- ataxia
- behavioral problems
alprazolam (brand)
xanax
alprazolam (strengths)
0.25mg
0.5mg
1mg
2mg
alprazolam (frequency)
BID
TID
or PRN
alprazolam (use)
- panic disorder
- anxiety
alprazolam (counseling)
- confusion
- drowsiness
- excessive drowsiness with alcohol– avoid
- do not stop drug suddenly if taking routinely
cyclobenzaprine (brand)
flexeril
cyclobenzaprine (strengths)
5mg
10mg
cyclobenzaprine (frequency)
QD
TID
or PRN
cyclobenzaprine (use)
muscle spasm
cyclobenzaprine (counseling)
- dry mouth (xerostomia)
- dizziness
- drowsiness
