Medication List 2 Flashcards
Ortho-Cept branded generic
Apri
Ortho-Cept Usual adult use and frequency
Take one tablet PO daily for 21 days, then one inactive tablet daily for 7 days
Ortho-Cept Indication
Oral Contraception
Ortho-Cept Claim to fame
Monophasics have fewer side effects from hormone fluctuations
Mircette branded generic
Kariva
Mircette usual adult dose and frequency
Take one tablet PO daily for 21 days, then one inactive tablet for 2 days, the one tablet for 5 days
Mircette indication
Oral Contraception
Mircette claim to fame
Biphasics lessen headaches caused by drop in estrogen
Ortho Tri-Cyclen branded generic
Tri-sprintec
Ortho Tri-Cyclen usual adult dose and frequency
Take one tablet PO daily PO daily for 7 days, then one tablet daily for 7 days, then one tablet for 7 days, then one inactive tablet daily for 7 days
Loestrin Fe 1/20 branded generic
Junel Fe
Loestrin Fe 1/20 usual adult dose and frequency
Take one tablet by mouth daily or 21 days, then one iron tablet for 7 days
Loestrin Fe 1/20 Indication
Oral contraception
Loestrin Fe 1/20 claim to fame
replaces iron lost during menses
Seasonale branded generic
Quasense
Seasonale usual adult dose and frequency
Take one tablet PO daily for 84 days, then one inactive tablet daily for 7 days
Seasonale indication
Oral contraception
Seasonale claim to fame
reduces number of periods
Female Contraception Counseling Tips and Important info for all medications (3)
Water retention (bloating, weight gain, breast tenderness, contact lens fit)
Upset stomach/nausea
Headache
Female Contraception non-FDA uses (4)
Regulate cycle
Lessen menstrual flow
Reduce painful menses
Acne (some FDA approved)
Miss a dose of female contracpetion?
Take as soon as possible or with next day’s dose
If you miss 2 or more days, refer to package directions
Estrogen products increase the risk of what?
Cardiovascular risk (DVT, PE, MI)
Estrogen products are not recommended for whom? (3)
+35 years old
Smoker
History of stroke/blood clots
Female Contraception Tips (5)
1) If OC not started day 1 of menses, use addition non-drug form of contraception first week of therapy
2) Take same time each day for max effectiveness
3) Amoxicillin and doxycycline may decrease effectiveness of hormonal contraceptives
4) Some anti-convulsants may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
5) None of the medications on this list protect against HIV/AIDS/STDs
Yaz branded generic
Loryna
Yaz usual adult dose and frequency
Take one tablet by mouth daily for 24 days then one inactive tablet daily for 4 days
Yaz indications (3)
Oral contraception
Acne
Premenstrual dysphoric disorder
Yaz claim to fame
Only 4 inactive days = shorter menstrual periods
Yaz counseling tips and important info
Drospirenone lessens the water retention/weight gain side effects of estrogen
Xulane dosage form
Transdermal (topical patch)
Xulane usual adult dose and frequency
Apply one new patch each week for 3 weeks then week 4 is patch free
Xulane indication
Contraception
Xulane Counseling tips and important information (4)
1) Same SE as OCs but more common
2) Adhesive may cause skin rash/rotate sites
3) Do not cut patch
4) Apply to butt upper torso, stomach, upper arm
NuvaRing dosage form
Vaginal ring insert
NuvaRing usual adult dose and frequency
Insert one ring into vagina on or before day 5 and leave in for 3 weeks, then remove on week 4 and discard
NuvaRing indication
Contraception
NuvaRing counseling tips and important information (3)
1) If it falls out, rinse with cool water and re-insert it within 3 hours
2) Don’t remove for intercourse (ring is drug delivery device; not a barrier)
3) Stored in refrigerator in pharmacy; good at room temp for 4 months
Depo-Provera generic name
medroxyprogesterone acetate
Depo-Provera dosage form
IM injection
Depo-Provera strength
150 mg/mL
Depo-Provera usual adult dose and frequency
150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months
Depo-Provera indication
Contraception
Depo-Provera claim to fame (2)
1) No pills to remember
2) No estrogen
Depo-Provera counseling tips and important info (4)
1) Nervousness
2) Administer in physician’s office
3) Don’t use >2 years due to bone loss
4) Spotting or absent menses
Plan B One-Step generic
levonorgestrel
Plan B One-Step strength
1.5 mg
Plan B One-Step usual adult dose and frequency
Take 1 tablet by mouth as soon as possible within 72 hours of unprotected sex
Plan B One-Step indication
Emergency post-coital contraception
Plan B One-Step counseling tips and important info (4)
1) Same side effects as OCs but more common
2) Fatigue
3) No evidence of interaction with antibiotics
4) Will not terminate existing pregnancy
