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PHRM 822 Spring 2023 > Medication List 2: Contraception, Anxiety, Muscle Spasms > Flashcards

Medication List 2: Contraception, Anxiety, Muscle Spasms Flashcards

1
Q

ethinyl estradiol/norgestimate: brands

A

ortho tri-cylcen, tri-sprintec, tri-ViLibra

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2
Q

ethinyl estradiol/norgestimate: common strengths

A

0.035mg/0.18mg
0.035mg/0.215mg
0.035mg/0.25mg

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3
Q

ethinyl estradiol/norgestimate: common frequency

A

one first phase tablet daily for 7d, then one second phase tablet daily for 7d, then one third phase tablet daily for 7d, then one inactive tablet daily for 7d

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4
Q

ethinyl estradiol/norgestimate: indications/use

A

-oral contraception
-acne
-CLAIM TO FAME: tri-phasics mimic natural menstrual cycle

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5
Q

ethinyl estradiol/norethindrone/ferrous fumarate: brands

A

Loestrin Fe 1/20, Junel Fe, Microgestin Fe

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6
Q

ethinyl estradiol/norethindrone/ferrous fumarate: common strengths

A

0.02mg/1mg/75mg

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7
Q

ethinyl estradiol/norethindrone/ferrous fumarate: common frequency

A

take one active tablet for 21 days, then one iron tablet daily for 7 days

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8
Q

ethinyl estradiol/norethindrone/ferrous fumarate: indications/use

A

-oral contraception
-acne
-CLAIM TO FAME: replaces iron lost during menses

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9
Q

ethinyl estradiol/drospirenone: brands

A

Yaz, Loryna, Jasmiel

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10
Q

ethinyl estradiol/drospirenone: common strengths

A

0.02mg/3mg

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11
Q

ethinyl estradiol/drospirenone: common frequency

A

active tablet for 24 days then once inactive tablet daily for 4 days

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12
Q

ethinyl estradiol/drospirenone: indications/use

A

-oral contraception
-acne
-premenstrual dysphoric disorder
-CLAIM TO FAME: only 4 inactive days = shorter menstrual periods

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13
Q

ethinyl estradiol/drospirenone: counseling tips and important info

A

drospirenone lessens the water retention and weight gain side effects of estrogen

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14
Q

ethinyl estradiol/norelgestromin: brands

A

Xulane

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15
Q

ethinyl estradiol/norelgestromin: common strengths

A

0.53mg/4.86mg

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16
Q

ethinyl estradiol/norelgestromin: common frequency

A

apply one new patch each week for 3 weeks, then week 4 is patch free

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17
Q

ethinyl estradiol/norelgestromin: indications/use

A

contraception

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18
Q

ethinyl estradiol/norelgestromin: counseling tips and important info

A

-same side effects as OC but more common
-adhesive may cause rash - rotate sites
-do not cut patch
-apply to: butt, upper torso, stomach, upper arm

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19
Q

ethinyl estradiol/etonogestrel: brands

A

NuvaRing

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20
Q

ethinyl estradiol/etonogestrel: common strengths

A

0.015mg/0.12mg/24 hours ER

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21
Q

ethinyl estradiol/etonogestrel: common frequency

A

insert one ring into vagina on or before day 5 of cycle and leave it in for 3 weeks, then remove on week 4 and discard

22
Q

ethinyl estradiol/etonogestrel: indications/use

A

contraception

23
Q

ethinyl estradiol/etonogestrel: counseling tips/important info

A

-if it 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

24
Q

Products containing ethinyl estradiol: important info

A

increased cardiovascular risk (DVT, PE, MI); not recommended for those 35+ years old, smokers, or those with history of stroke/blood clots

25
Q

medroxyprogesterone: brands

A

Depo-Provera

26
Q

medroxyprogesterone: common strengths

27
Q

medroxyprogesterone: common frequency

A

150 mg deep IM injection in gluteal or deltoid muscle every 3 months

28
Q

medroxyprogesterone: indications/use

A

-contraception
-endometriosis pain
-abnormal uterine bleeding
-amenorrhea
-CLAIM TO FAME: no estrogen

29
Q

medroxyprogesterone: counseling tips/important info

A

-nervousness
-administration by healthcare professional
-don’t use for >2 years due to potential bone loss
-spotting or absent menses may result

30
Q

levonorgestrel (OTC): brands

A

Plan B One-Step, EContra One-Step

31
Q

levonorgestrel (OTC): common strengths

32
Q

levonorgestrel (OTC): common frequency

A

take 1 tablet PO ASAP within 72 hours of unprotected sex

33
Q

levonorgestrel (OTC): indications/use

A

emergency post-coital contraception

34
Q

levonorgestrel (OTC): counseling tips/important info

A

-same side effects of OC, but more common
-fatigue
-no evidence of interaction with antibiotics
-will NOT terminate existing pregnancy

35
Q

Counseling tips/important info for all contraceptives

A

-water retention (bloating, weight gain, breast tenderness)
-upset stomach/nausea
-headache
-if OC not started day 1 of menses, use additional non-drug form of contraception during first week
-take OC at same time every day for max. effectiveness
-some anti-convulsants may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
-none of these medications protect against HIV/ AIDS / STDs

36
Q

Non-FDA uses of contraceptives may include:

A

-Regulation of menstrual cycle
-Lessen menstrual flow
-reduce painful menses

37
Q

clonazepam: brands

38
Q

clonazepam: common strengths

A

0.5mg, 1mg, 2mg

39
Q

clonazepam: common frequency

A

QD, BID, TID, QID

40
Q

clonazepam: indications/use

A

-panic disorder
-seizure disorders
-off-label use: anxiety

41
Q

clonazepam: counseling tips/important info

A

-drowsiness
-fatigue
-ataxia
-behavioral problems

42
Q

alprazolam: brands

43
Q

alprazolam: common strengths

A

0.25mg, 0.5mg, 1mg, 2mg

44
Q

alprazolam: common frequency

A

BID, TID, PRN

45
Q

alprazolam: indications/use

A

-panic disorder
-anxiety

46
Q

alprazolam: counseling tips/important info

A

-confusion
-drowsiness
-excessive drowsiness with alcohol - avoid
-do not stop taking suddenly if taking it routinely

47
Q

cyclobenzaprine: brands

48
Q

cyclobenzaprine: common strengths

49
Q

cyclobenzaprine: common frequency

A

QD, TID, PRN

50
Q

cyclobenzaprine: indications/use

A

muscle spasms

51
Q

cyclobenzaprine: counseling tips/important info

A

-dry mouth (xerostomia)
-dizziness
-drowsiness

PHRM 822 Spring 2023 (10 decks)

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