Med List 6 - Miscellaneous Flashcards
Levothyroxine (thyroid)
Fx: Once daily
Indications: Hypothyroidism
Levothyroxine Brand names
Levoxyl
Synthroid
Tirosint
Levothyroxine Counseling
Take with water at least 30 minutes before breakfast to increase adsorption
Take the same way every day
Take >4 hours from antacids and iron
May take several weeks to see symptoms improve
Alendronate
Fx: once weekly
Use: Osteoporosis
Alendronate brand name
Fosamax
Alendronate Counseling
Take 30 minutes before breakfast to increase absorption
Ensure adequate calcium and vitamin D intake
Take with 8 oz of water and remain upright for 30 minutes
Report heartburn or bone pain to physician
Ferrous sulfate (OTC)
Fx: Once daily, BID, TID
Tx: Iron deficiency
Dietary supplement
Ferrous Sulfate brand names
Slow fe
Ferosul
Ferrous Sulfate counseling
Best absorbed on empty stomach, but take with food if stomach upset occurs
Separate 2 hours before or after other medications
Black stools
Constipation common
Sumatriptan
Fx: One tab po at first sign of migraine, may repeat once in 2 hours if no relief
MAX: 200mg/day
Tx: Acute treatment of migraine
Cluster headache
Sumatriptan brand name
Imitrex
Sumatriptan Counseling
Tingling, dizziness common
Avoid if history of cardiovascular disease
Overuse (more than 10 days per month) may worsen or increase frequency of headaches
Tadalafil
Fx: Once Daily
Tx: Erectile dysfunction
Benign prostatic hyperplasia
Pulmonary HTN
Tadalafil brand
Cialis
Tadalafil Counseling
Do not take more than once daily
Avoid alcohol due to risk of low blood pressure
Avoid grapefruit juice or lower dose/frequency of tadalafil use
Headache and flushing
Report sudden loss of hearing or vision and discontinue use
Atovaquone/proguanil (antiviral)
Fx: Once daily; start 1-2 days prior entering a malaria endemic area, continue throughout stay and for 7 days after returning
Tx: Malaria prophylaxis
Oseltamivir
Fx: (Flu prevention:): One capsule once daily for 10 days
Flu treatment: One capsule BID for 5 days
Tx: Flu treatment and prevention
Oseltamivir Brand
Tamiflu
Oseltamivir counseling
Nausea/vomiting
Headache
Does not replace influenza vaccine
Must initiate within 48 hrs of onset of symptoms
Valacyclovir
Fx: q8h, q12h, q24h
Indications:
Tx herpes viral infections of:
Genitals
Cold Sores
Shingles
Valacyclovir brand
Valtrex
Valacyclovir counseling
Headache common adverse effect
Does not prevent disease transmission (avoid sex when sores are present)
Drink lots of fluids to prevent accumulation in kidneys
Fluconazole
Fx: q24h, single dose for vaginitis
Tx: fungal infections of:
Mouth
Thrush
Skin
Vagina
HIV associated
Fluconazole brand
Diflucan
Fluconazole counseling:
QTC prolongation occurs rarely, but possible interaction with many different medications
Report any new skin rash to the prescriber
Clopidogrel
Fx: 300mg loading dose, 75mg
Once daily
Use: To reduce rate of heart attack and stroke
Clopidogrel brand name
Plavix
Clopidogrel counseling
Avoid NSAIDs unless instructed due to increased bleeding risk
Seek medical attention for unusual or prolonged bleeding or bruising
Avoid abrupt discontinuation
Warfarin
Fx: Once daily
tx: Prevent blood clots
Atrial fibrilation
Warfarin brand
Coumadin
Warfarin counseling
Seek medical attention for unusual or prolonged bleeding or bruising
Keep dietary vitamin K (green leafy vegetables) and alcohol consumption consistent
Many drug interactions; discuss new meds w/pharmacist before starting
Take missed dose ASAP, but don’t double dose same day
Rivaroxaban
Fx: Once daily, BID
Tx: To prevent blood clots
Atrial fibrillation
Rivaroxaban brand
Xarelto
Rivaroxaban counseling
Seek medical attention for unusual or prolonged bleeding or bruising
Gastroenteritis
Vomiting
Cough (pediatric patients)
Alprazolam
Fx: BID, TID or prn
Tx; Panic disorder, anxiety
Alprazolam brand
Xanax
Alprazolam counseling
Confusion
Drowsiness
Excessive drowsiness with alcohol - avoid alcohol use
Do not stop drug suddenly if taken routinely
Estradiol
Fx: Estrace: once daily
Climara: Once weekl
Vivelle-Dot: Twice-weekly
Tx: hormone therapy
Menopause symptoms
Breast cancer
Osteoporosis
Estradiol brand
Estrace
Climara
Vivelle-Dot
Estradiol counseling
Headache
Breast Tenderness
Irritation at application site (patches)
Testosterone
Fx: Depo - Testosterone: once or twice weekly
Androgel & Testim: Once daily
Tx: Hormone therapy
Hypogonadism
Testosterone brands:
Depo testosterone
Androgel Testim
Testosterone counseling:
Increased blood pressure
Increased venous thromboembolism risk
Localized itching
Acne
