Med List 10: Misc

Question 1

Levothyroxine

Answer 1

Brand: Synthroid, Levoxyl, Tirosint

Strength: 25, 50, 75, 88, 100, 112, 125, 137, 150, 175, 200 mcg

Frequency: daily

Indications:
- hypothyroidsim

Tips:
- take with water 30 min before breakfast
- take the same way everyday
- take > 4 hours apart from antacids
- may take several weeks to see effect

Question 2

Tamsulosin

Answer 2

Brand: Flomax

Strength: 0.4 mg

Frequency: daily

Indications:
- BPH
- Ureteral stone expulsion

Tips:
- take 30 min after the same meal each day
- orthostatic hypotension
- headache
- dizziness

Question 3

Tolterodine

Answer 3

Brand: Detrol LA

Strength: 2, 4 mg

Frequency: daily

Indications:
- overreactive bladder

Tips:
- constipation
- dry mouth
- headache

Question 4

Donepezil

Answer 4

Brand: Aricept

Strength: 5, 10, 23 mg

Frequency: daily at bedtime
MAX: 23 mg/day

Indications:
- Alzheimer’s Disease
- Dementia

Tips:
- nausea
- diarrhea
- risk of stomach bleed with NSAIDS
- QTc prolongation

Question 5

Alendronate

Answer 5

Brand: Fosamax

Strength: 5, 10, 35, 70 mg

Frequency: once weekly

Indications:
- osteoporosis

Tips:
- take 30 min before breakfast
- ensure adequate Ca and Vitamin D
- take with 8 oz water and remain upright for 30 min
- report heartburn or bone pain

Question 6

Allopurinol

Answer 6

Brand: Zyloprim

Strength: 100, 300 mg

Frequency: daily
MAX: 800 mg/day

Indications:
- gout

Tips:
- report rash to MD
- may cause nausea or diarrhea
- gout attacks can be more frequency at the beginning

Question 7

Oseltamivir

Answer 7

Brand: Tamiflu

Strength: 30, 45, 75 mg

Frequency:
Flu Prevention: one cap once a day for 10 days
Flu Treatment: one cap twice daily for 5 days

Indications:
- influenza prevention and treatment

Tips:
- nausea/vomiting
- headache
- does not replace flu vaccine
- must initiate within 48 hrs of onset of symptoms

Question 8

Ferrous Sulfate

Answer 8

Brand: Slow Fe, Ferosul

Strength: 325 mg (65 mg elemental iron)

Frequency: qd, bid, tid

Indications:
- iron deficiency
- dietary supplement

Tips:
- best absorbed on empty stomach
- separate 2 hrs before or after other medications
- black stools
- constipation

Question 9

Sumatriptan

Answer 9

Brand: Imitrex

Strength: 25, 50, 100 mg

Frequency: one tablet by mouth at first sign of migraine, may repeat once in 2 hrs if no relief

MAX: 200 mg/day

Indications:
- acute treatment of migraine
- cluster headache

Tips:
- tingling, dizziness
- avoid if history of CV
- overuse (more than 10 days per month) can worsen headaches

Question 10

Tadalafil

Answer 10

Brand: Cialis

Strength: 2.5, 5, 10, 20 mg

Frequency: daily

Indications:
- erectile dysfunction
- BPH
- pulmonary hypertension

Tips:
- do not take more than once daily
- avoid alcohol due to risk of low blood pressure
- avoid grapefruit juice
- headache & flushing
- report sudden loss of hearing or vision