Med List 6 - Miscellaneous Flashcards

1
Q

Levothyroxine (thyroid)

A

Fx: Once daily
Indications: Hypothyroidism

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2
Q

Levothyroxine Brand names

A

Levoxyl
Synthroid
Tirosint

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3
Q

Levothyroxine Counseling

A

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

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4
Q

Alendronate

A

Fx: once weekly
Use: Osteoporosis

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5
Q

Alendronate brand name

A

Fosamax

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6
Q

Alendronate Counseling

A

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

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7
Q

Ferrous sulfate (OTC)

A

Fx: Once daily, BID, TID
Tx: Iron deficiency
Dietary supplement

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8
Q

Ferrous Sulfate brand names

A

Slow fe
Ferosul

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9
Q

Ferrous Sulfate counseling

A

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

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10
Q

Sumatriptan

A

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

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11
Q

Sumatriptan brand name

A

Imitrex

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12
Q

Sumatriptan Counseling

A

Tingling, dizziness common
Avoid if history of cardiovascular disease
Overuse (more than 10 days per month) may worsen or increase frequency of headaches

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13
Q

Tadalafil

A

Fx: Once Daily
Tx: Erectile dysfunction
Benign prostatic hyperplasia
Pulmonary HTN

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14
Q

Tadalafil brand

A

Cialis

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15
Q

Tadalafil Counseling

A

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

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16
Q

Atovaquone/proguanil (antiviral)

A

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

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17
Q

Oseltamivir

A

Fx: (Flu prevention:): One capsule once daily for 10 days
Flu treatment: One capsule BID for 5 days
Tx: Flu treatment and prevention

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18
Q

Oseltamivir Brand

A

Tamiflu

19
Q

Oseltamivir counseling

A

Nausea/vomiting
Headache
Does not replace influenza vaccine
Must initiate within 48 hrs of onset of symptoms

20
Q

Valacyclovir

A

Fx: q8h, q12h, q24h
Indications:
Tx herpes viral infections of:
Genitals
Cold Sores
Shingles

21
Q

Valacyclovir brand

A

Valtrex

22
Q

Valacyclovir counseling

A

Headache common adverse effect
Does not prevent disease transmission (avoid sex when sores are present)
Drink lots of fluids to prevent accumulation in kidneys

23
Q

Fluconazole

A

Fx: q24h, single dose for vaginitis
Tx: fungal infections of:
Mouth
Thrush
Skin
Vagina
HIV associated

24
Q

Fluconazole brand

A

Diflucan

25
Q

Fluconazole counseling:

A

QTC prolongation occurs rarely, but possible interaction with many different medications
Report any new skin rash to the prescriber

26
Q

Clopidogrel

A

Fx: 300mg loading dose, 75mg
Once daily
Use: To reduce rate of heart attack and stroke

27
Q

Clopidogrel brand name

A

Plavix

28
Q

Clopidogrel counseling

A

Avoid NSAIDs unless instructed due to increased bleeding risk
Seek medical attention for unusual or prolonged bleeding or bruising
Avoid abrupt discontinuation

29
Q

Warfarin

A

Fx: Once daily
tx: Prevent blood clots
Atrial fibrilation

30
Q

Warfarin brand

A

Coumadin

31
Q

Warfarin counseling

A

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

32
Q

Rivaroxaban

A

Fx: Once daily, BID
Tx: To prevent blood clots
Atrial fibrillation

33
Q

Rivaroxaban brand

A

Xarelto

34
Q

Rivaroxaban counseling

A

Seek medical attention for unusual or prolonged bleeding or bruising
Gastroenteritis
Vomiting
Cough (pediatric patients)

35
Q

Alprazolam

A

Fx: BID, TID or prn
Tx; Panic disorder, anxiety

36
Q

Alprazolam brand

A

Xanax

37
Q

Alprazolam counseling

A

Confusion
Drowsiness
Excessive drowsiness with alcohol - avoid alcohol use
Do not stop drug suddenly if taken routinely

38
Q

Estradiol

A

Fx: Estrace: once daily
Climara: Once weekl
Vivelle-Dot: Twice-weekly
Tx: hormone therapy
Menopause symptoms
Breast cancer
Osteoporosis

39
Q

Estradiol brand

A

Estrace
Climara
Vivelle-Dot

40
Q

Estradiol counseling

A

Headache
Breast Tenderness
Irritation at application site (patches)

41
Q

Testosterone

A

Fx: Depo - Testosterone: once or twice weekly
Androgel & Testim: Once daily
Tx: Hormone therapy
Hypogonadism

42
Q

Testosterone brands:

A

Depo testosterone
Androgel Testim

43
Q

Testosterone counseling:

A

Increased blood pressure
Increased venous thromboembolism risk
Localized itching
Acne