Medication list #2 (contraceptives) Flashcards by Paige Tustanowsky

ethinyl estradiol/norgestimate

Brand: Ortho Tri-Cyclen, Tri-Sprintec, Tri-ViLibra

How well did you know this?

Not at all

Perfectly

ethinyl estradiol/norgestimate dosing

Three Phases
-0.035mg/0.18mg
-0.035mg/0.215mg
-0.035mg/0.25mg
-Phase 1 tablet for 7 days, 2nd phase for 7 days, 3rd tablet for 7 days, then 1 inactive tablet for 7 days

How well did you know this?

Not at all

Perfectly

Ethinyl estradiol/norethindrone/ferrous fumarate

Brand: Loestrin Fe, Junel Fe, Microgestin Fe

How well did you know this?

Not at all

Perfectly

Ethinyl estradiol/norethindrone/ferrous fumarate dosing

0.02mg/1mg/75mg
-1 active tablet for 21 days then 1 iron tablet for 7 days

How well did you know this?

Not at all

Perfectly

Ethinyl Estradiol/drospirenone

Brand: Yaz, Loryna, Jasmiel

How well did you know this?

Not at all

Perfectly

Ethinyl Estradiol/drospirenone dosing

0.02mg/3mg
-active tablet for 24 days and then 1 inactive tablet for 4 days

How well did you know this?

Not at all

Perfectly

ethinyl estradiol/norelgestromin

Brand: Xulane

How well did you know this?

Not at all

Perfectly

ethinyl estradiol/norelgestromin dosing

0.53 mg/4.86mg
-apply 1 patch each week for 3 weeks then week 4 is no patch

How well did you know this?

Not at all

Perfectly

ethinyl estradiol/etonogestrel

Brand: Nuvaring

How well did you know this?

Not at all

Perfectly

Ethinyl estradiol/etonogestrel dosing

0.025mg/0.12mg/24 hours extended release
-insert on before/on day 5 of cycle and leave in for 3 weeks, remove on week 4

How well did you know this?

Not at all

Perfectly

medroxyprogesterone

Brand: Depo-Provera

How well did you know this?

Not at all

Perfectly

medroxyprogesterone dosing

150mg/mL
-IM injection in gluteal/deltoid muscle every 3 months

How well did you know this?

Not at all

Perfectly

levonorgestrel

Brand: Plan B One-Step, EContra One-Step

How well did you know this?

Not at all

Perfectly

levonorgestrel dosing

1.5 mg
-1 tablet within 72 hours

How well did you know this?

Not at all

Perfectly

Clonazepam

Brand: Klonopin

How well did you know this?

Not at all

Perfectly

Clonazepam dosing

0.5mg, 1mg, 2mg
up to 4x day

Alprazolam

Brand: Xanax

Alprazolam dosing

0.25mg, 0.5mg, 1mg, 2mg
-BID,TID or PRN

Cyclobenzaprine

Brand: Flexeril

Cyclobenzaprine dosing

5mg, 10mg
-daily, TID, or PRN
-TID most common

what are some side effects for the ethinyl estradiol + progestin combo drugs?

-water retention (bloating, weight gain, breast tenderness)
-upset stomach/nausea
-headache

What do products containing ethinyl estradiol increase the risk of?

cardiovascular risk
-DVT, PE, MI
-not recommended for 35+ old, smoker, history of stroke/blood clots

What do you do if you miss a dose of a ethinyl estradiol + progestin drug?

take dose as soon as possible or take 2 the next day; if more than 2 are missed refer to package insert

What are some counseling tips for ethinyl estradiol + progestin drug combos?

-if not started on day 1 of cycle, use additional non-drug form of contraception first week of therapy
-take same time each day to increase effectiveness
-some anti-convulsants can decrease effectiveness of contraceptive and can increase chance of seizures

What are Non-FDA approved uses of ethinyl estradiol + Progestin combo drugs?

-regulating menstrual cycle -lessen menstrual flow -reduce painful menses

What medication is used for Premenstrual Dysphoric Disorder?

ethinyl estradiol/drospirenone Brand: Yaz, Loryna, Jasmiel)

What medication is used for Endometriosis?

Medroxyprogesterone (Brand: Depo-Provera)

What drug causes excessive drowsiness with alcohol?

Aplrazolam (brand: Xanax)

What are important counseling tips with ethinyl estradiol/norelgestromin?

-more commonly experience side effects -adhesive can cause skin rash/rotate sites -do not cut patch -apply to butt, upper torso, stomach, or upper arm

What are important counseling tips with ethinyl estradiol/etonogestrel?

-if ring falls out, rinse w cold water and reinsert within 3 hours -do not remove for intercourse -not a barrier

What are important counseling tips for medroxyprogesterone?

-nervousness -do not use longer than 2 years can cause bone less -spotting/absent menses can result

What are some important counseling tips for Levnorgestrol?

-fatigue -can not terminate existing pregnancy

What are some side effects of clonazepam?

-drowsiness -fatigue -ataxia (poor muscle control) -behavorial problems

What are some side effects of alprazolam?

-confusion -drowsiness -excessive drowsiness w alcohol -do not stop taking drug if taken routinely

What are some side effects with cyclobenzaprine?

-dry mouth (xerostomia) -Dizziness -Drowsiness