Med List #6

Question 1

Levothyroxine

Answer 1

Levoxyl, Synthroid, Tirosint
Indication: hypothyroidism
Dosing: Q1d
Counseling: take w water ≥30min before breakfast, take same way everyday, take >4h from antacids and iron, may take several weeks to affect

Question 2

Alendronate

Answer 2

Fosamax
Indication: osteoporosis
Dosing: weekly
Counseling: take 30 min before breakfast, adequate calcium and vit D intake, take w 8oz of water and remain upright for 30min, report heartburn or bone pain

Question 3

Ferrous sulfate

Answer 3

Slow Fe, FeroSul
Indication: iron deficiency, supplement
Dosing: Q1d, BID, TID
Counseling: best absorption on empty stomach, take ≥2h apart from other meds, black stools, constipation common

Question 4

Sumatriptan

Answer 4

Imitrex
Indication: acute migraine, cluster headache
Dosing: 1 tab po at first migraine (max 200mg/d)
Counsel: tingling / dizzy, avoid if history of CVD, don’t use >10days per month

Question 5

Tadalafil

Answer 5

Cialis
Indication: ED, prostatic hyperplasia, HTN
Dosing: Q1d
Counseling: don’t take more than q1d, avoid alcohol, avoid grapefruit juice, headache common

Question 6

Atovaquone/Proguanil

Answer 6

Malarone
Indication: malaria prophylaxis
Dosing: Q1d, start 1-2 days before entering area and continue 7 days after
Counseling: abdominal pain, nausea, headache

Question 7

Oseltamivir

Answer 7

Tamiflu
Indication: influenza
Dosing: 1 capsule q1d for 10 days (prevent), 1 cap BID for 5 days (tx)
Counsel: nausea, headache, initiate within 48h of symptoms

Question 8

Valacyclovir

Answer 8

Valtrex
Indication: herpes in genitals, cold sores, shingles
Dosing: Q8h, q12h, q24h
Counseling: headache, not prevention, drink fluids

Question 9

Fluconazole

Answer 9

Diflucan
Indication: fungal infections in mouth, skin, vagina, HIV
Dosing: Q1d, single dose for vaginitis
Counseling: QTc prolongation, report skin rashes

Question 10

Clopidogrel

Answer 10

Plavix
Indication: reduce rate of heart attack and stroke
Dosing: 300mg loading dose, 75mg q1d
Counseling: avoid NSAIDs, avoid disrupt discontinuing

Question 11

Warfarin

Answer 11

Coumadin
Indication: prevent blood clots, atrial fibrillation
Counseling: keep vit K and alcohol consumption consistent, many drug interactions, report if altered bleeding or bruising

Question 12

Rivaroxaban

Answer 12

Xarelto
Indication: prevent blood clots, atrial fibrillation
Dosing: Q1d, BID
Counseling: gastroenteritis, vomiting, cough

Question 13

Alprazolam

Answer 13

Xanax
Indication: panic, anxiety
Dosing: BID, TID, prn
Counseling: confusion, drowsy, avoid alcohol

Question 14

Estradiol

Answer 14

Estrace, Climara, Vivelle-Dot
Indication: hormone therapy, menopause, breast cancer, osteoporosis
Dosing: Estrace (q1d), Climara (weekly), Vivelle (twice weekly)
Counseling: headache, breast tenderness, irritation at site

Question 15

Testosterone

Answer 15

Depo-testosterone, Androgel, Testim
Indication: hormone therapy, hypogonadism
Dosing: Depo (1-2x weekly), Androgel (q1d)
Counsel: increase bp, VTE, acne