Med Sheet: Other Meds Flashcards

1
Q

Levothyroxine Trade Name

A

Synthroid
Levothroid
Levoxyl
Thyro-tabs

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2
Q

Levothyroxine Category

A

synthetic T4

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3
Q

Levothyroxine Use

A

hypothyroid

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4
Q

Levothyroxine Usual Dose

A

1.7 mcg/kg/day (100-125 mcg/day)
take in AM before food
avoid Ca, Mg, Fe, Al, orlistat, sucralfate for 4 hours

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5
Q

Levothyroxine CIs

A

.

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6
Q

Levothyroxine AEs

A
  • HTN, tachycardia
  • insomnia
  • diarrhea
  • excessive doses: HF, angina, MI, decreased bone density
  • rare allergic rxns
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7
Q

Methimazole Trade Name

A

Tapazole

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8
Q

Methimazole Category

A

antithyroid agent

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9
Q

Methimazole Use

A

hyperthyroid

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10
Q

Methimazole CIs

A

-relapse more likely in smokers, pts with large goiters, and pts with positive TS antibody at end of therapy

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11
Q

Methimazole AEs

A
  • minor: pruritic rash, arthralgias, fever, benign transient leukopenia
  • major: agranulocytosis, lupus-like syndrome, GI intolerance, hepatotoxicity
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12
Q

Orlistat Trade Name

A

Alli (OTC)

Xenical (Rx)

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13
Q

Orlistat Category

A

anorexiant (wt loss)

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14
Q

Orlistat Use

A

Weight management/obesity

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15
Q

Orlistat Usual Dose

A
  • 120 mg td with each meal containing fat
  • OTC 60 mg
  • also, MVI with fat soluble vitamins qday
  • psyllium 6 gm for GI AEs
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16
Q

Orlistat CIs

A
  • chronic malabsorption
  • cholestasis
  • pregnancy
17
Q

Orlistat AEs

A
  • 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
18
Q

Phentermine/Topiramate Trade Name

A

Qsymia

19
Q

Phentermine/Topiramate Category

A

anorexiant (wt loss)

20
Q

Phentermine/Topiramate Use

A

Weight management (obesity)

21
Q

Phentermine/Topiramate CIs

A
  • pregnancy
  • glaucoma
  • hyperthyroid
  • within 14 days of MAOI
  • do not use w/ other CNS stimulants
22
Q

Phentermine/Topiramate AEs

A
  • dizziness, impaired cognition
  • insomnia
  • tingling in hands and feet
  • dry mouth
  • constipation