Manderdrugs, smaller cards Flashcards

1
Q

Omeprazole category

A

PPI

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2
Q

Omeprazole dosing

A

20-40 mg daily to BID

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3
Q

Omeprazole side effects

A

HA
Nausea
Dizziness
Bowel probs

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4
Q

Omeprazole drug interactions

A
warfarin
diazepam
digoxin
carbamazepine
clopidogrel
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5
Q

Omeprazole long term risks

A

malabsorption (b12)
infection (pneumonia, c-diff)
rebound acid hypersecretion

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6
Q

Alendronate category and trade name

A

bisphosphonate, fosamax

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7
Q

alendronate efficacy

A

reduction of vertebral fx in 40-70% of postmenopausal women

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8
Q

alendronate half life and MOA

A

10 years, inhibits osteoclasts

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9
Q

Alendronate special consideration

A

take 30 minutes before meal with water, do not lay down for 30 minutes (contraindicated in bedbound). Make sure to take calcium, vitamin D, and do weight bearing exercise.

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10
Q

Alendronate adverse effects

A

dysphagia
esophageal erosion
esophagitis
osteonecrosis of jaw

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11
Q

Basal insulin onset time and duration

A

1 hour onset, 24 hour duration

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12
Q

Basal insulin trade name

A

lantus

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13
Q

Depo-provera hormone

A

progesterone

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14
Q

depo-provera duration

A

3 months

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15
Q

depo-provera adverse effects

A

acne
decreased libido
weight gain
increased lipids

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16
Q

depo-provera serious adverse effects

A

osteoporosis (max 2 years of use)

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17
Q

depo-provera advantage over ocp

A

little to no CVA/Clot risk

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18
Q

Depo-testosterone advantage over patch and cream

A

no risk to pregger ladies

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19
Q

depo-testosterone disadvantage vs patch and cream

A

not as natural as patch and cream (high level to start and decreases before next shot)

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20
Q

depo-testosterone adverse effects

A

prostate and breast Ca

polycythemia

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21
Q

etonorgesterel implant trade name

A

implanon / nexplanon

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22
Q

etonorgesterel duration

A

3 years

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23
Q

etonorgesterel adverse effects

A

acne
weight gain
breakthrough bleeding
increased clot risk

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24
Q

Finasteride moa

A

5-ar inhibitor (5-ar metabolizes testosterone to dht, dht causes baldness)

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25
Q

finasteride indications

A

bph and male pattern baldness

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26
Q

finasteride special consideration (3)

A

preggers shouldn’t even touch the pills
falsely lowers PSA
Erectile dysfunction

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27
Q

Glipizide category

A

sulfonurea: insulin secretagogue

28
Q

glipizide adverse effects

A

weight gain
hypoglycemia
decreased beta cell function (1-2 years)

29
Q

glipizide special considerations (3)

A

renal adjustment
take with meals
cheap
no old farts

30
Q

Levonorgestrel trade name

A

plan B

31
Q

levonorgestrel hormone

A

high dose progesterone

32
Q

levonorgestrel timing

A

preferably within 72 hours, but up to 5 days

33
Q

levonorgestrel mechanism

A

slows fallopian motility, thickens cervical mucosa

not an abortifacient

34
Q

levonorgestrel side effect and special consideration

A

nausea (should be good if they keep it down for 1 hour)

35
Q

levothyroxine trade name

A

synthroid

36
Q

levothyroxine dosing

A

start low, titrate up

37
Q

levothyroxine lab stuff

A

tsh in 4 weeks

38
Q

levothyroxine dosing time

A

1 hour before eating

same time every day

39
Q

levothyroxine adverse effects

A

palpitations

anxiety

40
Q

metformin category

A

biguanide

41
Q

metformin efficacy

A

reduces microvascular complications
reduces cardiovascular complicaitons
reduces risk of mortality

42
Q

metformin dosing

A

start low, titrate slowly to avoid gi side effects

take with food

43
Q

metformin contraindications

A
elevated creatinine (1.4)
something about GFR
44
Q

mirena hormone and timing

A
progesterone
5 years (studies show it's good up to 7)
45
Q

norgestimate ethinyl estradiol AKA

A

BCP

46
Q

norgestimate ethinyl estradiol indications

A

birth control
dysmenorrhea
acne
DUB

47
Q

norgestimate ethinyl estradiol concern

A

clot risk (esp in smokers over 35)

48
Q

norgestimate ethinyl estradiol adverse effects

A

breast tenderness
headache
nausea
weight changes

49
Q

paraguard hormone

A

trick question, it’s just copper, hahaha, i fooled you so good

50
Q

paraguard timing

A

good for 10 years (studies show good out to 12)

51
Q

mirena adverse effects

A

lighter/absent periods (lots of women like this)

irregular bleeding in early months

52
Q

paraguard adverse effects

A

may cause heavier periods and/or cramping

53
Q

polyethylene glycol moa

A

large molecules cause osmotic diarrhea

54
Q

polyethylene glycol adverse effects

A

diarrhea!
farts
cramps

55
Q

polyethylene drug interaction

A

licorice

56
Q

premarin indication

A

hormone replacement (only give it alone in the uterusless)

57
Q

premarin effects

A

modulate FSH and LH in postmenopausal women
maintains reproductive cycle and secondary sexual characteristics
significantly decreases hot flashes and vaginal atrophy

58
Q

psyllium indications

A

first line treatment for gi distress, diarrhea

59
Q

psyllium moa

A

swells with fluid in gut

60
Q

psyllium adverse reaction

A

farts and blockage

61
Q

do not take psyllium within 2 hours of

A

tetracycline

62
Q

sildenafil moa

A

inhibits smooth muscle contraction in corpus cavernosum

63
Q

sildenafil adverse reactions

A
hypotension (esp with nitrates)
priapism
headache
blue-green vision changes?
flushing
nausea
flu-like sx
64
Q

tamsulosin trade name

A

flomax

65
Q

tamsulosin moa

A

alpha 1 blocker, targeting bladder and prostatic smooth muscle

66
Q

tamsulosin adverse effects

A
orthostatic hypotension
gi distress
decreased libido
headache
dizziness