med list 2 Flashcards
Brand for ethinyl estradiol/norgestimate?
Ortho Tri-Cyclen, Tri-Sprintec, Tri-ViLibra
Strengths for ethinyl estradiol/norgestimate?
0.035mg/0.18mg 0.035mg/ 0.215mg 0.035mg/ 0.25mg
frequency of ethinyl estradiol/norgestimate?
One first phase tablet QD for 7 days, then one second phase tablet QD for 7 days, then one third phase tablet QD for 7 days, then one inactive tablet QD for 7 days
indication for ethinyl estradiol/norgestimate
oral contraception and acne
brand names for ethinyl estradiol/norethindrone/ferrous fumarate
Loestrin Fe, Junel Fe, Microgestin Fe
strengths for ethinyl estradiol/norethindrone/ferrous fumarate
0.02mg/1mg/75mg
frequency for ethinyl estradiol/norethindrone/ferrous fumarate
take 1 active tablet QD for 21 days then one iron table QD for 7 days
indications for ethinyl estradiol/norethindrone/ferrous fumarate
oral contraception and acne
brand for ethinyl estradiol/norelgestromin
xulane
strength for ethinyl estradiol/norelgestromin
0.53mg/4.86mg
frequency for ethinyl estradiol/norelgestromin
apply one new patch each week for 3 weeks then week 4 is path free
indications for ethinyl estradiol/norelgestomin
contraception
brand names for ethinyl estradiol/drospirenone
yaz, loryna, jasmiel
strengths for ethinyl estradiol/ drospirenone
0.02mg/3mg
frequency for ethinyl estradiol/drospirenone
active tablet QD for 24 days then 1 inactive tablet daily for 4 days
indications for ethinyl estradiol/drospirenone
contraception, acne, PMDD
brand dames for ethinyl estradiol/etonogestrel
NuvaRing
strengths for ethinyl estradiol/etonogestrel
0.015mg/ 0.12mg/24 hours ER
frequency for ethinyl estradiol/etonogestrel
insert 1 ring into vagina on or before day 5 of cycle and leave in for 3 weeks. Then remove on week 4 and discard
indications for ethinyl estradiol/etonogestrel
contraception
brand names for medroxyprogesterone
Depo-Provera
strengths for medroxyprogesterone
150 mg/mL
frequency for medroxyprogesterone
150 mg deep IM in gluteal or deltoid muscles every 3 months
indications for medroxyprogesterone
contraception, endometriosis, abnormal bleeding, amenorrhea
brand names for levonorgestrel
Plan B One-Step, EContra One-Step
strengths for levonorgestrel
1.5mg
frequency for levonorgestrel
Take 1 tablet PO as soon as possible within 72 hours of unprotected sex
indication for levonorgestrel
emergency post-coital contraception
brand names for clonazepam
klonopin
strengths for clonazepam
0.5mg, 1mg, 2mg
frequency for clonazepam
QD, BID, TID, QID
indications for clonazepam
panic disorder, seizure, anxiety (off label)
counseling for clonazepam
drowsiness, fatigue, ataxia, behavioral problems
brand for alprazolam
Xanax
strength for alprazolam
0.25mg, 0.5mg, 1mg, 2mg
frequency for alprazolam
BID, TID, or PRN
indication for alprazolam
Panic disorder and anxiety
counseling for alprazolam
confusion, drowsiness, excessive drowsiness with alcohol (avoid), do not stop drug suddenly if taking routinely
brand for cyclobenzaprine
flexeril
strength for cyclobenzaprine
5mg, 10mg
frequency for cyclobenzaprine
QD, TID, or PRN
indication for cyclobenzaprine
muscle spasm
counseling for cyclobenzaprine
dry mouth, dizziness, drowsiness
What are the side effects for ALL estrogen/progestin medications
-water retention
-upset stomach
-headache
non-FDA approved uses for ALL estrogen/progestin medications
-regulation of menstrual cycle
-lessen menstrual flow
-reduce painful menses
miss a dose?
take as soon as possible or with next days dose
products containing ethinyl estradiol risks
-increase of cardiovascular risk
-not recommended for those older than 35, smoker, history of stroke/blood clot
tips for estrogen/progestin meds
-if OC not started day 1 of menses, use additional contraception
-take same time each day
-some anti-convulsant may decrease effectiveness of contraceptives and increase seizures
-dont protect against HIV/AIDS/STIs
counseling for ethinyl estradiol/drospirenone
lessens water retention and wait gain side effects
counseling for ethinyl estradiol/norelgestromin
-side effects more common
-may cause skin rash/rotate site
-do not cut patch
-apply to butt, upper torso, stomach, or upper arm
counseling for ethinyl estradiol/etonogestrel
-ring falls out, rinse and re insert within 3 hours
-don’t remove for intercourse
-ring is drug, not barrier
counseling for medroxyprogesterone
-nervousness
-admin by professional
-don’t use for more than 2 years due to potential bone loss
-spotting or absent menses
counseling for levonorgestrel
-fatigue
-no evidence of interaction with antibiotics
-will not terminate existing pregnancy