Med List 5 - CV, Inflammation and Pain Flashcards
Diuretics
Furosemide
Spironolactone
Hydrochlorothiazide (HCTZ)
Furosemide
Fx: Once daily, BID
Indications:
Edema (swelling)
Heart failure
HTN
Furosemide Brand
Lasix
Furosemide counseling:
Sun sensitivity
Decreased electrolytes (Ca++, K++, MG++)
Dizziness upon standing
Avoid taking at bedtime - increases urination
Spironolactone
Fx: Once daily, BID
Indications: Heart failure
HTN
Non FDA Approved:
Acne
Hormone therapy
Spironolactone Brand
Aldactone
Spironolactone Counseling:
Gynecomastia
Increased serum potassium
Diarrhea
Irregular menses
Hydrochlorothiazide (HCTZ) brand:
Microzide
Hydrochlorothiazide (HCTZ)
Fx: Once daily
Tx: Edema
HTN
Hydrochlorothiazide (HCTZ) counseling:
Sun sensitivity
Dizziness upon standing
Avoid taking at bedtime - increases urination
Antihypertensives
Lisinopril
Losartan
Amlodipine
Metoprolol tartrate
Metoprolol succinate
Linsinopril
Fx. Once Daily
Tx. HTN
Heart failure
Heart Attack
Migraine Prevention
Lisinopril brand names
Zestril
Prinivil
Lisinopril counseling
Avoid during pregnancy
Dizziness
Dry cough
Headache
Increases serum potassium
Losartan
Fx. Once daily
Tx: HTN
Heart failure
Diabetic nephropathy
Losartan brand name:
Cozaar
Losartan counseling
Avoid during pregnancy
Dizziness
Headache
Increases serum potassium
Amlodipine
Fx. Once daily
Tx. HTN
Management of angina (chest pain)
Raynaud’s Phenomenon
Amlodipine Brand name
Norvasc
Amlodipine counseling:
Leg swelling (edema)
HA
Metoprolol tartrate
IR: BID
Tx: HTN
Post heart attack
Management of angina
Metoprolol tartrate brand
Lopressor (immediate release)
Metoprolol succinate
Fx: XL: once daily
Tx: HTN
Post heart attack
Heart failure
Metoprolol succinate brand
Toprol XL (extended release)
Metoprolol tartrate/succinate counseling:
Dizziness
Fatigue (goes away within 7 days)
Take w/food - better absorption
Lowers heart rate
Do not discontinue medication abruptly - increased CV risk
NSAIDS
Aspirin
Ibuprofen
Meloxicam
Aspirin, acetylsalicylic acid (ASA) (OTC)
Fx: q4-6h prn
MAX: 4,000mg/day
Tx: Mild to moderate pain
Fever
Inflammation (e.g. arthritis, sprains)
Heart attack and stroke prevention
Aspirin brand
Bayer Aspirin
Aspirin counseling
Stomach upset - possible bleed/ulceration
Take w/ food/milk
Do NOT give to children less than 18 years old due to risk of Reye’s syndrome
Ringing in ears with high dose
Ibuprofen (OTC)
Fx: q4-6h prn
OTC MAX: 1,200 mg/day
RxMAX: 3,200 mg/day
Tx: Mild to moderate pain
Fever
Inflammation
Ibuprofen brand names
OTC: Advil, Motrin IB
RX: Motrin
Ibuprofen counseling
Stomach upset - possible bleed/ulceration
Take w/food or milk
Avoid in patients with history of heart problems
Meloxicam
Fx: Once daily
Tx: Moderate to severe pain in adults, typically adjunct therapy with other analgesics
Osteoarthritis
Rheumatoid arthritis
Meloxicam brand name
Mobic
Meloxicam counseling
Stomach upset - possible bleed/ulceration
Take w/food or milk
Avoid in patients with history of heart problems
Steroidal Anti Inflammatory
Methylprednisolone
Hydrocortisone (OTC)
Methylprednisolone
Fx: once daily
Dose pack: 21 tabs taken over a course of 6 days
Tx: inflammation
Asthma exacerbations
Poison ivy
Methylprednisolone brand
Medrol
Methylprednisolone counseling
Finish entire course
Take with food or milk to avoid stomach upset
Take earlier in the day to avoid insomnia
Hydrocortisone (OTC):
Fx: Once daily, BID
Tx: Topical rash and itching (external)
Inflammation
Hemorrhoids (rectal)
Hydrocortisone (OTC) brands:
Ala-cort
Anucort-HC
Instacort 5
Hydrocortisone counseling
Localized burning
Other analgesics
Acetaminophen (APAP) (OTC)
Tramadol (C-IV)
Oxycodone (C-II)
Acetaminophen (APAP) (OTC)
Fx: q 4-6h prn
MAX: 3,000mg/day
Tx: Mild to moderate pain; fever
Acetaminophen brand
Tylenol
Acetaminophen counseling
APAP in many OTC and RX combo products
Do not treat hangovers with APAP due to potential liver toxicity
Tramadol (C-IV)
Fx: q4-6h prn
Tx: Moderate pain
Tramadol brand
Ultram
Tramadol counseling
Constipation
Drowsiness
Dizziness
Oxycodone (C-II)
Fx: Oxy IR: q4-6h prn
Oxycontin: BID
Tx: Severe pain
Oxycodone brands
Oxy IR
Oxycontin
Oxycodone Counseling
Stomach upset
Constipation
Drowsiness
Do not crush or chew CR tabs