Medication List 1 Flashcards
Antibiotics and Hormonal Contraceptives
generic name of Vibramycin/Adoxa/Monodox
doxycycline monohydrate/doxycycline hyclate
brand name of doxycycline monohydrate/doxycycline hyclate
Vibramycin/Adoxa/Monodox
dosing for doxycycline monohydrate/doxycycline hyclate
q12h
indications for doxycycline monohydrate/doxycycline hyclate
treatment of RTI, UTI, acne/skin infections, STIs
counseling tips/important info for doxycycline monohydrate/doxycycline hyclate
sun sensitivity: use sunscreens, avoid tanning beds
take with food to prevent stomach upset
don’t take food, vitamins, or medications with Al2+, Ca2+, Fe2+, Mg2+, or Zn2+ within 2 hours before or 2 hours after
may decrease effectiveness of oral contraceptives (unlikely), use additional form of birth control during and 1 week after last dose
generic name of Amoxil
amoxicillin
brand name of amoxicillin
Amoxil
common frequency of amoxicillin
q8h
q12h
indications/use of amoxicillin
treatment of RTI, UTI, STI, ear, nose, throat (ENT), skin infections
counseling tips/info for amoxicillin
may decrease effectiveness of OC (unlikely), use additional form of BC during and 1 week after last dose
contraindicated if penicillin allergy
generic name of Keflex
cephalexin
brand name of cephalexin
Keflex
common frequency of cephalexin
q6h
q8h
q12h
indications/use of cephalexin
treatment of RTI, UTI, ENT, skin, and bone infections
counseling tips/info for cephalexin
do not take vitamins or medication with Zn2+ for at least 3 hours after cephalexin
contraindicated if cephalosporin allergy
caution if penicillin allergy
generic name of Zithromax/Z-Pak/Tri-Pak
azithromycin
brand name of azithromycin
Zithromax/Z-Pak/Tri-Pak
common frequency of azithromycin
Z-Pak: two 250 mg tablets PO (500 mg) on day 1, then one tablet days 2-5
q24h
indications/use of azithromycin
treatment of RTI, STI, ENT, skin, and eye infections
counseling tips/info for azithromycin
do not take with an Al2+ or Mg2+ containing antacid
take with food to prevent upset stomach
QTc prolongation occurs rarely but possible interaction with many different medications
contraindicated if macrolide allergy
generic name of Cipro/Ciloxan
ciprofloxacin
brand name of ciprofloxacin
Cirpo/Ciloxan
common frequency for ciprofloxacin
q12h
indications/use of ciprofloxacin
treatment of STI, prostatitis, skin and bone infections, pneumonia, complicated UTI, RTI, and abdominal infections
counseling tips/info for ciprofloxacin
QTc prolongation occurs rarely but possible interaction with many different medications
do not take food or medicine containing Ca2+, Fe2+ within 2 hours after ciprofloxacin
sun sensitivity: use sunscreens, avoid tanning beds
may increase caffeine sensitivity
contraindicated if fluoroquinolone allergy
generic name of Bactrim DS
sulfamethoxazole/trimethoprim (SMZ-TMP)
brand name of sulfamethoxazole/trimethoprim (SMZ-TMP)
Bactrim DS
common frequency of sulfamethoxazole/trimethoprim (SMZ-TMP)
q12h
indications/use for sulfamethoxazole/trimethoprim (SMZ-TMP)
treatment of RTI, UTI, HIV-associated infections
counseling tips/info for sulfamethoxazole/trimethoprim (SMZ-TMP)
sun sensitivity: use sunscreens, avoid tanning beds
take with at least 8 oz of water
contraindicated if sulfa allergy
generic name of Macrobid/Macrodantin
nitrofurantoin
brand name of nitrofurantoin
Macrobid/Macrodantin
common frequency of nitrofurantoin
q12h
indications/uses for nitrofurantoin
treatment of UTI
counseling tips/info for nitrofurantoin
orange or brown urine is expected and not cause for concern
do not take food or medications containing Mg2+ within 2 hours before or 2 hours after nitrofurantoin
take with food/milk to increase absorption
generic name of Flagyl
metronidazole
brand name of metronidazole
Flagyl
common frequency of metronidazole
q6h
q8h
q12h
indications/uses of metronidazole
treatment of abscess, infections of GI, STI, vaginosis
counseling tips/info for metronidazole
contraindicated: alcohol use during therapy and for 3 days following last dose
metallic taste in mouth
headache common adverse effect
generic name of Ortho Tri-Cyclen/Tri-Sprintec/Tri-ViLibra
Tri-phasics: ethinyl estradiol/norgestimate
brand name of tri-phasics: ethinyl estradiol/norgestimate
Ortho Tri-Cyclen/Tri-Sprintec/Tri-ViLibra
common frequency of tri-phasics: ethinyl estradiol/norgestimate
one first phase tablet daily for 7 days, then one second phase tablet daily for 7 days, then one third phase tablet for 7 days, then one inactive tablet daily for 7 days
indications/use for tri-phasics: ethinyl estradiol/norgestimate
oral contraception, acne
claim to fame: mimic natural menstrual cycle
counseling tips/info for tri-phasics ethinyl estradiol/norgestimate
side effects for all estrogen/progestin medications: water retention (bloating, weight gain, breast tenderness), upset stomach/nausea, headache
non-FDA approved uses: regulation of menstrual cycle, lessen menstrual flow, reduce painful menses
miss a dose?: take as soon as possible or with next day’s dose (e.g. miss Monday, take 2 on Tuesday, if you miss 2 or more days, refer to package directions)
products containing ethinyl estradiol: increase cardiovascular risk (DVT, PE, MI), not recommended for those +35 y.o., smoker, or history of stroke/blood clots
tips: if OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy, take same time each day for max effectiveness, some anti-convuslants (ex. divalproex lamotrigine) may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
generic name of Loestrin Fe, Junel Fe, Microgestin Fe
iron containing: ethinyl estradiol/norethindrone/ferrous fumarate
brand name of iron containing: ethinyl estradiol/norethindrone/ferrous fumarate
Loestrin Fe/Junel Fe/Microgestin Fe
common frequency of iron containing: ethinyl estradiol/norethindrone/ferrous fumarate
take one active tablet daily for 21 days then one iron tablet daily for 7 days
indications/use for iron containing: ethinyl estradiol/norethindrone/ferrous fumarate
oral contraception, acne
claim to fame: replaces iron lost during menses
counseling tips/info for iron containing: ethinyl estradiol/norethindrone/ferrous fumarate
side effects for all estrogen/progestin medications: water retention (bloating, weight gain, breast tenderness), upset stomach/nausea, headache
non-FDA approved uses: regulation of menstrual cycle, lessen menstrual flow, reduce painful menses
miss a dose?: take as soon as possible or with next day’s dose (e.g. miss Monday, take 2 on Tuesday, if you miss 2 or more days refer to package directions)
products containing ethinyl estradiol: increase cardiovascular risk (DVT, PE, MI), not recommended for those +35 y.o., smoker, or history of stroke/blood clots
tips: if OC not started day 1 of menses, use additional non-drug form of contraception fist week of therapy, take same time each day for max effectiveness, some anti-convulsants (ex. divalproex lamotrigine) may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
generic name of Yaz/Loryna/Jasmiel
ethinyl estradiol/drospirenone
brand name of ethinyl estradiol/drospirenone
Yaz/Loryna/Jasmiel
common frequency of ethinyl estradiol/drospireone
one active tablet daily for 24 days, then one inactive tablet daily for 4 days
indications/use for ethinyl estradiol/drospirenone
oral contraception, acne, premenstrual dysphoric disorder
claim to fame: only 4 inactive days - shorter menstrual periods
counseling tips/info for ethinyl estradiol/drospirenone
none of the medications on this list protect
drospirenone lessens the water retention/weight gain side effects of estrogen
generic name of Xulane
ethinyl estradiol/norelgestromin
brand name of ethinyl estradiol/norelgestromin
Xulane
common frequency of ethinyl estradiol/norelgestromin
apply one new patch each week for 3 weeks then week 4 is patch free
indications/use for ethinyl estradiol/norelgestromin
contraception
counseling tips/info for ethinyl estradiol/norelgestromin
same side effect profile as oral contraceptives but more common
adhesive may cause skin rash/rotate sites
do not cut patch
apply to butt, upper torso, stomach, or upper arm
generic name of NuvaRing
ethinyl estradiol/etonogestrel
brand name of ethinyl estradiol/etonogestrel
NuvaRing
common frequency of ethinyl estradiol/etonogestrel
insert one ring into vagina on or before day 5 of cycle and leave in for 3 weeks, then remove on week 4 and discard
indications/use for ethinyl estradiol/etonogestrel
contraception
counseling tips/info for ethinyl estradiol/etonogestrel
if ring falls out, rinse with cool water and re-insert within 3 hours
don’t remove for intercourse
ring is drug delivery device, not a barrier
generic name of Depo-Provera
medroxyprogesterone
brand name of medroxyprogesterone
Depo-Provera
common frequency of medroxyprogesterone
150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months
indications/use for medroxyprogesterone
contraception, endometriosis pain, abnormal uterine bleeding, amenorrhea
claim to fame: no estrogen
counseling tips/info for medroxyprogesterone
nervousness
administration by healthcare professional
don’t use >2 years due to potential bone loss
spotting or absent menses may result
generic name for Plan B One-Step/E Contra One-Step
levonorgestrel (OTC)
brand name for levonorgestrel (OTC)
Plan B One-Step/EContra One-Step
common frequency for levonorgestrel (OTC)
take 1 table PO as soon as possible within 72 hours of unprotected sex
indications/use for levonorgestrel (OTC)
emergency post-coital contraception
counseling tips/info for levonorgestrel (OTC)
fatigue
no evidence of interaction with antibiotics
will not terminate an existing pregnancy
spotting or changes in menses may result