Med List #9 Counseling tips

Question 1

Clopidogrel

Answer 1

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

Question 2

Warfarin

Answer 2

Same as clopidogrel plus, keep vitamin K and alcohol consumption consistent, many drug interactions, take missed dose ASAP don’t double dose same day

Question 3

Rivaroxaban

Answer 3

Seek medical attention for unusual or prolonged bleeding or bruising, gastroenteritis, vomiting, cough (pediatric patients)

Question 4

Furosemide

Answer 4

Sun sensitivity, decreased electrolytes (Ca, K, Mg), dizziness upon standing, avoid taking at bedtime - increases urination

Question 5

Spironolactone

Answer 5

Gynecomastia, increased serum potassium, diarrhea, irregular menses

Question 6

Hydrochlorothiazide

Answer 6

Sun sensitivity, dizziness upon standing, avoid taking at bedtime - increases urination

Question 7

Lisinopril

Answer 7

Avoid during pregnancy, dizziness, dry cough, headache, increases serum potassium

Question 8

Losartan

Answer 8

Avoid during pregnancy, dizziness, headache, increases serum potassium

Question 9

Amlodipine

Answer 9

Leg swelling (edema), headache

Question 10

Metoprolol tartarate and succinate

Answer 10

Dizziness, fatigue (goes away in 7 days), take with food for better absorption, lowers heart rate, do not discontinue abruptly - increases cardiovascular risk