Med List #4

Question 1

Insulin lispro (rapid)

Answer 1

Humalog
Indicated: Type 1/2 diabetes
Dosing: Unique, 15min before or right after eating
Counsel: Low blood sugar, refrigerate, discard after 28 days if room temp, inject at room temp

Question 2

Insulin glargine (long)

Answer 2

Lantus
Indicated: Type 1/2 diabetes
Dosing: Unique, q1d
Counsel: Low blood sugar, refrigerate, discard after 28 days if room temp, inject at room temp

Question 3

Metformin

Answer 3

Glucophage
Indicated: Type 2 diabetes, PCOS, weight loss
Dosing: BID, TID (max 2550mg/d)
Counsel: Diarrhea, nausea, take w food, titrate up to dose, long term = vit. B deficiency

Question 4

Dapagliflozin

Answer 4

Farxiga
Indicated: Type 2 diabetes, CKD, heart failure
Dosing: q1d
Counsel: UTI, increased urine, decreased bp

Question 5

Semaglutide

Answer 5

Rysbelsus (po), Ozempic (subq), Wegovy (subq)
Indicated: Type 2 diabetes, weight management
Dosing: Oral: q1d, Subq: once weekly
Counsel: Nausea, headache, low blood sugar

Question 6

Gabapentin

Answer 6

Neurontin
Indicated: Neuropathic pain, seizures, anxiety
Dosing: BID, TID
Counsel: Drowsy, uncoordinated muscle movements

Question 7

Promethazine

Answer 7

Phenergan
Indicated: Nausea, motion sickness, allergies
Dosing: Q4-6h prn
Counsel: Drowsy, avoid alc, sun sensitive

Question 8

Ondansetron

Answer 8

Zofran (ODT)
Indicated: Nausea, vomiting (non-FDA)
Dosing: Q8h prn
Counsel: Fatigue, headache, constipation

Question 9

Ozemprazole (OTC)

Answer 9

Prilosec
Indicated: Acid reflux, ulcers
Dosing: Q1d
Counsel: Works in 1 day, up to 4 days for full effect, take ≤ 1h after food, separate antacids by 2h

Question 10

Famotidine (OTC)

Answer 10

Pepcid AC
Indicated: Acid reflux, ulcers
Dosing: BID
Counsel: Works in 1h, up to 1 day for full effects, can be taken w antacids

Question 11

Calcium Carbonate (OTC)

Answer 11

Tums
Indicated: Calcium supplement, acid reflux
Dosing: Chew 2-4 tabs prn (max 7500mg/d if indigestion, 2500mg/d if supplement)
Counsel: Constipation, use ≤ 2 weeks

Question 12

Docusate Sodium (OTC)

Answer 12

Colace
Indicated: Stool softener
Dosing: Q1d
Counsel: Works in 1-3days, take w water

Question 13

Polyethylene glycol (OTC/Rx)

Answer 13

MiraLAX (OTC), GoLYTELY (Rx)
Indicated: Constipation, colonoscopy prep
Dosing: MiraLAX: 17g in liquid po q1d, GoLYTELY: Mix w water to make 1 gal, drink 8oz every 10min
Counsel: Works in 1-3days or 1h, don’t take longer than 1 week

Question 14

Bisacodyl (OTC)

Answer 14

Dulcolax
Indicated: Constipation, colonoscopy prep
Dosing: Laxative: 5-15mg po q1d or 10mg rectally, Colon: 20-30mg
Counsel: Oral works in 8h, rectal works in 15-60min, don’t take longer than 1 week

Question 15

Loperamide (OTC)

Answer 15

Imodium
Indicated: Slows peristalsis
Dosing: 2 tabs po after first loose stool and 1 tab after each
Counsel: Drowsy, if doesn’t improve in 2 days –> call MD