MED 6 Flashcards
levothyroxine: brands
Levoxyl, Tirosint, Synthroid
Levothyroxine: common frequency
QD
levothyroxine: indications/use
hypothyroidism
levothyroxine: counseling tips/important info
*Take with water at least 30 minutes before breakfast to increase absorption
*Take the same way everyday
*Take >4 hours apart from antacids and iron
*May take several weeks to see symptoms improve
alendronate
Fosamax
FrQ of alendronate
once weekly
Indications of alendronate
Osteoporosis
Counsaling tips for alendronate
Take 30 minutes before breakfast to increase absorption
*Ensure adequate calcium and vitamin D intake
*Take with 8 oz of water and remain upright for 30 minutes
*Report heartburn or bone pain to physician
ferrous sulfate
(OTC BRAND NAME
Slow Fe
FeroSul
FRENQ ferrous sulfate
once daily BID TID
indications of ferrous sulfate
iron deficiency
supplement
Counseling tips ferrous sulfate
Best absorbed on empty stomach, but take with food if
stomach upset occurs
*Separate 2 hours before or after other medications
*Black stools
*Constipation common
sumatriptan brandname
Imitrex
freq of sumatriptan
One tablet PO at first sign of
migraine, may repeat once in 2
hours if no relief
MAX: 200mg/day
indications of sumatriptan
Acute treatment of
migraine
*Cluster headache
counsal for sumatriptan
Tingling, dizziness common
*Avoid if history of cardiovascular disease
*Overuse (more than 10 days per month) may worsen or
increase frequency of headaches
tadalafil Brand name
Cialis
freq of tadalafil
Once daily
indications for tadalafil
Erectile dysfunction
*Benign prostatic
hyperplasia
*Pulmonary
hypertension
Counsal for tadalafil
Do not take more than once daily
*Avoid alcohol due to risk of low blood pressure
*Avoid grapefruit juice or lower dose/frequency of tadalafil
use
*Headache and flushing
*Report sudden loss of hearing or vision and discontinue us
atovaquone/proguanil Brandname
Malarone
atovaquone/proquanil frequeny
Once daily, start 1 to 2 days
prior to entering a malaria-
endemic area, continue
throughout stay and for 7 days
after returning
Indications for atovaquone/proguanil
Malaria prophylaxis
counsal for atovaquone/ proguanil
Abdominal pain
*Nausea, vomiting
*Headache
*Increased liver function test, transient
oseltamivir brandname
Tamiflu
frenq of oseltamivir
Flu Prevention: One capsule
once daily for 10 days
Flu Treatment: One capsule
BID for 5 days
indication for oseltamivir
Influenza prevention or
treatment
cousnal for oseltamivir
Nausea/vomiting
*Headache
*Does not replace influenza vaccine
*Must initiate within 48 hours of onset of symptoms
valacyclovir
valtrex
Freq, valacyclovir
Q8, Q12, Q24
indications for valacyclovir
Tx herpes viral
infections of:
Genitals
Cold sores
Shingles
counsel for valacyclovir
Headache common adverse effect
*Does not prevent disease transmission [avoid sex when sores
are present]
*Drink lots of fluids to prevent accumulation in kidney
fluconazole brand
Diflucan
freq of fluconazole
q24, single dose for vaginitis
indication of fluconazole
Tx fungal infections of:
Mouth
(thrush)
Skin
Vagina
HIV- associate
cousal for fluconazole
QTc prolongation occurs rarely, but possible interaction with
many different medications
*Report any new skin rash to the prescribe
clopidogrel
Plavix
freq of clopidogrel
300mg loading dose, 75mg once daily
indications of clopidogrel
reduce the rate of HA, or stroke
consual for clopidogrel
Avoid NSAIDs unless instructed due to increased bleeding risk
*Seek medical attention for unusual or prolonged bleeding or
bruising
*Avoid abrupt discontinuation
warfarin
coumadin
FREQN of warfarin
Once daily
indications of warfarin
prevent blood clots, atrial fib
consualing of warfarin
Seek medical attention for unusual or prolonged bleeding or
bruising
*Keep dietary vitamin K (green leafy vegetables) and alcohol
consumption consistent
*Many drug interactions; discuss new meds with pharmacist
before starting
*Take missed dose ASAP, but don’t double dose same day
rivaroxaban
Xarelto
Freq rivaroxaban
once daily Bid
indications of rivaroxaban
To prevent blood
clots
*Atrial Fibrillation
consualing for rivaroxaban
*Seek medical attention for unusual or prolonged bleeding or
bruising
*Gastroenteritis
*Vomiting
*Cough (pediatric patients
alprazolam
Xanax
freq of alprazolam
BID, TID PRN
indications for alprazolam
Panic disorder
*Anxiety
conusal alprazolam
Confusion
*Drowsiness
*Excessive drowsiness with alcohol – avoid alcohol use
*Do not stop drug suddenly if taking routinely
estradiol brandname
Estrace
Climara
Vivelle-Dot
dosing/ frewqu estradiol
Estrace: once daily
Climara: once weekly
Vivelle-Dot: twice weekly
indications for estradiol
Hormone therapy
*Menopause symptoms
*Breast cancer
*Osteoporosis
consual estradiol
Headache
*Breast tenderness
*Irritation at application site (patches)
testosterone brandname
Depo-
Testosterone
Androgel
Testim
freq testosterone
Depo-Testosterone: once or
twice weekly
Androgel & Testim: once daily
indications testosterone
Hormone therapy
Hypogonadism
consual for testosterone
*Increased blood pressure
*Increased venous thromboembolism risk
*Localized itching
*Acne
