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PUP > Med List #2: Female Contraception, Anxiety, and Muscle Spasms > Flashcards

Med List #2: Female Contraception, Anxiety, and Muscle Spasms Flashcards

1
Q

Contraceptives

A

ethinyl estradiol/norgestimate; ethinyl estradiol/norethindrone/ferrous fumarate; ethinyl estradiol/drospirenone; ethinyl estradiol/norelgestromin; ethinyl estradiol/etonogestrel; medroxyprogesterone; levonorgestrel

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2
Q

Anxiety

A

clonazepam; alprazolam

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3
Q

Muscle Spasms

A

cyclobenzaprine

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4
Q

ethinyl estradiol/norgestimate: Brand Name

A

Ortho Tri-Cyclen; Tri-Sprintec; Tri-ViLibra

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5
Q

ethinyl estradiol/norgestimate: Common Strengths

A

Three Phases: 0.035mg/0.18mg ; 0.035mg/0.215mg ; 0.035mg/0.25mg

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6
Q

ethinyl estradiol/norgestimate: Common Frequency

A

One first phase tab daily for 7 days; then one second phase tab daily for 7 days; then one third phase tab daily for 7 days; then one inactive tab daily for 7 days

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7
Q

ethinyl estradiol/norgestimate: Indications/Use

A
  • Oral contraception
  • Acne

Claim to Fame: Tri-phasics mimic natural menstrual cycle

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8
Q

Contraceptive: Counseling Tips and Important Info - Side effects for ALL estrogen/progestin medications

A
  • Water retention (bloating, weight gain, breast tenderness)
  • Upset stomach/nausea
  • Headache
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9
Q

Contraceptive: Counseling Tips and Important Info - Non-FDA approved uses may include

A
  • Regulation of menstrual cycle
  • Lessen menstrual flow
  • Reduce painful menses
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10
Q

Contraceptive: Counseling Tips and Important Info - Miss a dose?

A

Take as soon as possible or with next days’ dose (e.g. miss Monday, take 2 on Tuesday)
If you miss 2 or more days, refer to package directions

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11
Q

Contraceptive: Counseling Tips and Important Info - Products containing ethinyl estradiol

A

Increased cardiovascular risk (DVT, PE, MI).
Not recommended for those:
- +35 y.o.
- smoker
- Hx of stroke/blood clots

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12
Q

Contraceptive: Counseling Tips and Important Info - Tips

A
  • If OC not started day 1 of menses, use additional non-drug contraception first week of therapy
  • Take same time each day for max effectiveness
  • Some anti-convulsants (ex. divalproex, lamotrigine) may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
  • None of the medications on this list protect against HIV/AIDs/STDs
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13
Q

ethinyl estradiol/norethindrone/ferrous fumarate: Brand Name

A

Loestrin Fe, Junel Fe, Microgestin Fe

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14
Q

ethinyl estradiol/norethindrone/ferrous fumarate: Common Strengths

A

0.02mg/1mg/75mg

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15
Q

ethinyl estradiol/norethindrone/ferrous fumarate: Common Frequency

A

Take 1 active tab daily for 21 days; then 1 iron tab daily for 7 days

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16
Q

ethinyl estradiol/norethindrone/ferrous fumarate: Indications/Use

A
  • Oral contraception
  • Acne

Claim to fame: replaces iron lost during menses

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17
Q

ethinyl estradiol/drospirenone: Brand Name

A

Yaz, Loryna, Jasmiel

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18
Q

ethinyl estradiol/drospirenone: Common Strengths

A

0.02mg/3mg

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19
Q

ethinyl estradiol/drospirenone: Common Frequency

A

Active tab daily for 24 days; then 1 inactive tab daily for 4 days

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20
Q

ethinyl estradiol/drospirenone: Indications/Use

A
  • Oral Contraception
  • Acne
  • Premenstrual Dysphoric Disorder (extreme PMS)

Claim to fame: Only 4 inactive days = shorter menstrual periods

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21
Q

ethinyl estradiol/drospirenone: Counseling Tips and Important Info

A

Drospirenone lessens the water retention/weight gain SE of estrogen

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22
Q

ethinyl estradiol/norelgestromin: Brand Name

A

Xulane

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23
Q

ethinyl estradiol/norelgestromin: Common Strengths

A

0.53mg/4.86mg

24
Q

ethinyl estradiol/norelgestromin: Common Frequency

A

Apply 1 new patch each week for 3 weeks; then week 4 is patch free

25
Q

ethinyl estradiol/norelgestromin: Indications/Use

A

Contraception

26
Q

ethinyl estradiol/norelgestromin: Counseling Tips and Important Info

A
  • Same SE profile as OC but more common
  • Adhesive may cause skin rash/rotate sites
  • Do not cut patch
  • Apply to butt, upper torso, stomach, or upper arm
27
Q

ethinyl estradiol/etonogestrel: Brand Name

A

NuvaRing

28
Q

ethinyl estradiol/etonogestrel: Common Strengths

A

0.015mg/0.12mg/24 hrs ER

29
Q

ethinyl estradiol/etonogestrel: Common Frequency

A

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

30
Q

ethinyl estradiol/etonogestrel: Indications/Use

A

Contraception

31
Q

ethinyl estradiol/etonogestrel: Counseling Tips and Important Info

A
  • If ring falls out, rinse with cool water and re-insert within 3 hours
  • Don’t remove for intercourse
  • Ring is a drug delivery device; not a barrier
32
Q

medroxyprogesterone: Brand Name

A

Depo-Provera

33
Q

medroxyprogesterone: Common Strengths

A

150mg/mL

34
Q

medroxyprogesterone: Common Frequency

A

150 mg deep IM inj in gluteal or deltoid muscle every 3 months

35
Q

medroxyprogesterone: Indications/Use

A
  • Contraception
  • Endometriosis pain, abnormal uterine bleeding, amenorrhea

Claim to fame: No estrogen

36
Q

medroxyprogesterone: Counseling Tips and Important Info

A
  • Nervousness
  • Admin by healthcare professional
  • Don’t use >2 years due to potential bone loss
  • Spotting or absent menses may result
37
Q

levonorgestrel (OTC): Brand Name

A

Plan B One-Step, EContra One-Step

38
Q

levonorgestrel (OTC): Common Strengths

A

1.5mg

39
Q

levonorgestrel (OTC): Common Frequency

A

Take 1 tab PO ASAP within 72 hours of unprotected sex

40
Q

levonorgestrel (OTC): Indications/Use

A

Emergency post-coital contraception

41
Q

levonorgestrel (OTC): Counseling Tips and Important Info

A
  • Fatigue
  • No evidence of interaction w/ antibiotics
  • Will not terminate an existing pregnancy
42
Q

clonazepam: Brand Name

A

Klonopin

43
Q

clonazepam: Common Strengths

A

0.5mg, 1mg, 2mg

44
Q

clonazepam: Common Frequency

A

QD, BID, TID, QID

45
Q

clonazepam: Indications/Use

A
  • Panic disorder
  • Seizure disorders
  • Off label use: Anxiety
46
Q

clonazepam: Counseling Tips and Important Info

A
  • Drowsiness
  • Fatigue
  • Ataxia (clumsy voluntary movement)
  • Behavioral problems
47
Q

alprazolam: Brand Name

A

Xanax

48
Q

alprazolam: Common Strengths

A

0.25mg, 0.5mg, 1mg, 2mg

49
Q

alprazolam: Common Frequency

A

BID, TID, or PRN

50
Q

alprazolam: Indications/Use

A
  • Panic disorder
  • Anxiety
51
Q

alprazolam: Counseling Tips and Important Info

A
  • Confusion
  • Drowsiness
  • Excessive drowsiness w/ alcohol - avoid
  • Do not stop drug suddenly if taking routinely
52
Q

cyclobenzaprine: Brand Name

A

Flexeril

53
Q

cyclobenzaprine: Common Strengths

A

5mg, 10mg

54
Q

cyclobenzaprine: Common Frequency

A

QD, TID, or PRN

55
Q

cyclobenzaprine: Indications/Use

A

Muscle spasm

56
Q

cyclobenzaprine: Counseling Tips and Important Info

A
  • Dry mouth (xerostomia)
  • Dizziness
  • Drowsiness

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