Med List 3 - Allergy, Asthma, Cough and Cold, Cholesterol Flashcards
Loratadine (OTC): Allergy
Fx: Once daily
Indications/use: Allergy symptoms; runny nose, watery eyes, sneezing, drainage
Acute chronic urticaria (itching) and rash
Allergic reaction to med
Loratadine (OTC) Counseling
Headache
Loratadine Brand name
Claritin
Diphenhydramine Counseling:
Drowsiness
Alcohol intensifies drowsiness
Paradoxical hyperactivity in children
Dry mouth
Diphenhydramine (OTC): Allergy
Fx: Allergies q4-6h prn
Sleep: 50mg at bedtime
Use: Allergies, runny nose, watery eyes, sneezing, drainage
Insomnia
Itching
Motion Sickness
Diphenhydramine Brand name
Benadryl
Fluticasone (OTC): Allergies
Fx: 1-2 sprays in each nostril once daily
Use: Chronic nasal allergy symptoms
Fluticasone Counseling:
Gently shake before each use
May take several days for full effect
Headache
Sore throat
Fluticasone Brand name
Flonase
Montelukast (Asthma):
Fx: once daily
Use: Chronic nasal allergy symptoms
Asthma
Montelukast Counseling:
Don’t use for acute asthma attack
Headache
Take dose in the evening to enhance efficacy - airways are more relaxed
Montelukast Brand name
Singulair
Albuterol Sulfate: Asthma
Fx: Acute asthma attack: 2 puffs PO q4-6h as needed
Prevention of exercise induced asthma: 2 puffs pO 15-30 minutes prior to exercise
-Use: Acute asthma attack
Prevention of exercise induced asthma
Albuterol sulfate counseling:
Shake well
Increased Heart Rate
Clean mouthpiece with water regularly
Albuterol Sulfate brand names:
ProAir HFA
Proventil HFA
Ventolin HFA
Budesonide and Formoterol: Asthma
Fx: 2 puffs PO BID
Uses: Asthma, COPD
Budesonide and Formoterol: Counseling
Shake well
Rinse out mouth after to prevent oral thrush (yeast)
Budesonide and Formoterol Brand names
Symbicort
Benzonatate: cough cold
Fx: TID
Use: Cough suppressant to relieve dry cough
Benzonatate counseling:
Drowsiness
Do not chew (numbing, choking)
Benzonatate Brand Name
Tessalon Perles
Dextromethorphan (OTC): Cough and cold
Fx: q12h
Use: Cough suppressant to relieve dry cough
Dextromethorphan Counseling:
Shake well
Potential for abuse - hallucinogen in high dose
Dextromethorphan Brand name:
Delsym
Guaifenesin (OTC): Cough and cold
Fx: 12h
Use: Expectorant to loosen chest congestion
Guaifenesin Counseling:
Drink lots of water to thin mucus
Nausea
Guaifenesin Brand name
Mucinex
Pseudoephedrine (BTC): Cough and Cold
Fx: 60mg - 4-6hPRN
120mg 12h prn
240mg Q24h prn
Use: Nasal decongestant
Pseudoephedrine counseling
Increased heart rate
Jitteriness
Insomnia
Pseudoephedrine brand name
Sudafed
Nirmatrelvir/Ritonavir: COVID
Fx: BID 5 days
Use: COVID-19
Nirmatrelvir/Ritonavir counseling
Diarrhea
Nausea, vomiting
Headache
Nirmatrelvir/Ritonavir Brand name
Paxlovid
Omega-3-fatty acids (Hypertriglyceridemia)
Fx: 4g once daily
2g BID
Use: Hypertriglyceridemia
Dietary supplement
Omega-3-fatty acids counseling
Burping and taste disturbances
Swallow whole; do not open
Refrigerate to reduce taste and smell (fish)
Omega-3-fatty acids brand name
Lovaza
Fenofibrate (Hypertriglyceridemia)
Fx: Once daily
Tx: Hypertriglyceridemia
Fenofibrate counseling
Increased liver enzymes
Discontinue if gallstones form
Photosensitivity
Fenofibrate brand names
Trilipix
Tricor
Atorvastatin (Hyperlipidemia):
Fx: Once daily
Use: Hyperlipidemia
(reduce LDL
Reduce cholesterol
Increase HDL)
Cardiovascular disease prevention
Atorvastatin Counseling:
Increased liver enzymes
Report unusual muscle pain, tenderness, weakness, or dark urine - rhabdomyolysis
Avoid grapefruit juice (increased drug concentration)
Contraindicated in pregnancy
Diarrhea
Atorvastatin Brand Name
Lipitor
Ezetimibe (Hyperlipidemia)
Fx: Once daily
Tx: Hyperlipidemia
Ezetimibe counseling:
Increased liver enzymes
Diarrhea
Ezetimibe brand name
Zetia