Med Sheet: Other Meds Flashcards
Levothyroxine Trade Name
Synthroid
Levothroid
Levoxyl
Thyro-tabs
Levothyroxine Category
synthetic T4
Levothyroxine Use
hypothyroid
Levothyroxine Usual Dose
1.7 mcg/kg/day (100-125 mcg/day)
take in AM before food
avoid Ca, Mg, Fe, Al, orlistat, sucralfate for 4 hours
Levothyroxine CIs
.
Levothyroxine AEs
- HTN, tachycardia
- insomnia
- diarrhea
- excessive doses: HF, angina, MI, decreased bone density
- rare allergic rxns
Methimazole Trade Name
Tapazole
Methimazole Category
antithyroid agent
Methimazole Use
hyperthyroid
Methimazole CIs
-relapse more likely in smokers, pts with large goiters, and pts with positive TS antibody at end of therapy
Methimazole AEs
- minor: pruritic rash, arthralgias, fever, benign transient leukopenia
- major: agranulocytosis, lupus-like syndrome, GI intolerance, hepatotoxicity
Orlistat Trade Name
Alli (OTC)
Xenical (Rx)
Orlistat Category
anorexiant (wt loss)
Orlistat Use
Weight management/obesity
Orlistat Usual Dose
- 120 mg td with each meal containing fat
- OTC 60 mg
- also, MVI with fat soluble vitamins qday
- psyllium 6 gm for GI AEs
Orlistat CIs
- chronic malabsorption
- cholestasis
- pregnancy
Orlistat AEs
- HA, fatigue
- GI: loose/oily stools, fecal urgency and incontinence, bloating, gas, nausea
- interference w/ absorption of fat soluble vitamins
- rare cases of severe liver injury or acute hepatic failure
Phentermine/Topiramate Trade Name
Qsymia
Phentermine/Topiramate Category
anorexiant (wt loss)
Phentermine/Topiramate Use
Weight management (obesity)
Phentermine/Topiramate CIs
- pregnancy
- glaucoma
- hyperthyroid
- within 14 days of MAOI
- do not use w/ other CNS stimulants
Phentermine/Topiramate AEs
- dizziness, impaired cognition
- insomnia
- tingling in hands and feet
- dry mouth
- constipation
