Medication List #2 (Female Contraception, Anxiety, and Muscle Spasms) Flashcards
ethinyl estradiol/norgestimate brand name
Ortho Tri-Cyclen
ethinyl estradiol/norgestimate brand name
Tri-Sprintec
ethinyl estradiol/norgestimate brand name
Tri-ViLibra
ethinyl estradiol/norgestimate common strengths
0.035mg/0.18 mg, 0.035 mg/0.215 mg, 0.035 mg/0.25 mg
ethinyl estradiol/norgestimate common frequency
1 first phase tablet daily for 7 days, 1 second phase tablet daily for 7 days, 1 third phase tablet daily for 7 days, 1 inactive tablet daily for 7 days
ethinyl estradiol/norgestimate indications/uses
-oral contraception
-acne
ethinyl estradiol/norgestimate claim to fame
tri-phasics mimic natural menstrual cycle
ethinyl estradiol/norethindrone/ferrous fumarate brand name
Loestrin Fe 1/20
ethinyl estradiol/norethindrone/ferrous fumarate brand name
Junel Fe
ethinyl estradiol/norethindrone/ferrous fumarate brand name
Microgestin Fe
ethinyl estradiol/norethindrone/ferrous fumarate common strength
0.02 mg/1 mg/75 mg
ethinyl estradiol/norethindrone/ferrous fumarate common frequency
Take 1 active tablet daily for 21 days then 1 iron tablet daily for 7 days
ethinyl estradiol/norethindrone/ferrous fumarate indications/uses
-oral contraception
-acne
ethinyl estradiol/norethindrone/ferrous fumarate claim to fame
replaces iron lost during menses
female contraception side effects
-water retention (bloating, weight gain, breast tenderness)
-upset stomach/nausea
-headache
female contraception non-FDA uses
-regulation of menstrual cycle
-lessen menstrual flow
-reduce painful menses
What do you do if you miss a dose of your birth control?
Take as soon as possible or with next day’s dose (i.e., miss Monday, take 2 on Tuesday). If you miss 2 or more days, refer to package directions.
side effects for products containing ethinyl estradiol
increased cardiovascular risk (deep vein thrombosis, pulmonary embolism, myocardial infarction); not recommended for those older than 35 years old, smoker, or history of stroke/blood clots
female contraception tips
-if OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy
-take at same time each day for maximum effectiveness
-some anti-convulsants (i.e., divalproex, lamotrigine) may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
-none of medications on list protect against HIV/AIDS/STDs
ethinyl estradiol/drospirenone brand name
Yaz
ethinyl estradiol/drospirenone brand name
Loryna
ethinyl estradiol/drospirenone brand name
Jasmiel
ethinyl estradiol/drospirenone common strength
0.02 mg/3 mg
ethinyl estradiol/drospirenone common frequency
1 active tablet daily for 24 days then 1 inactive tablet daily for 4 days
ethinyl estradiol/drospirenone indications/uses
-oral contraception
-acne
-premenstrual dysphoric disorder
ethinyl estradiol/drospirenone claim to fame
only 4 inactive days = shorter menstrual periods
ethinyl estradiol/drospirenone counseling tip
drospirenone lessens the water retention/weight gain side effects of estrogen
ethinyl estradiol/norelgestromin brand name
Xulane
ethinyl estradiol/norelgestromin common strength
0.53 mg/4.86 mg
ethinyl estradiol/norelgestromin common frequency
apply 1 new patch each week for 3 weeks then week 4 is patch free
ethinyl estradiol/norelgestromin indication/use
contraception
ethinyl estradiol/norelgestromin counseling tips
-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
ethinyl estradiol/etonogestrel brand name
NuvaRing
ethinyl estradiol/etonogestrel common strength
0.015 mg/0.12 mg/24 hours ER
ethinyl estradiol/etonogestrel common frequency
insert 1 ring into vagina on or before day 5 of cycle and leave in for 3 weeks, then remove on week 4 and discard
ethinyl estradiol/etonogestrel indication/use
contraception
ethinyl estradiol/etonogestrel counseling tips
-if it falls out, rinse with cool water and re-insert within 3 hours
-do not remove for intercourse
-ring is drug delivery device, not barrier
medroxyprogesterone brand name
Depo-Provera
medroxyprogesterone common strength
150 mg/mL
medroxyprogesterone common frequency
150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months
medroxyprogesterone indications/uses
-contraception
-endometriosis pain, abnormal uterine bleeding, amenorrhea
medroxyprogesterone claim to fame
no estrogen
medroxyprogesterone counseling tips
-nervousness
-administration by healthcare professional
-do not use for more than 2 years due to potential bone loss
-spotting or abstract menses may result
levonorgestrel (OTC) brand name
Plan B One-Step
levonorgestrel (OTC) brand name
EContra One-Step
levonorgestrel (OTC) common strength
1.5 mg
levonorgestrel (OTC) common frequency
take 1 tablet by mouth as soon as possible within 72 hours of unprotected sex
levonorgestrel (OTC) indication/use
emergency post-coital contraception
levonorgestrel (OTC) counseling tips
-same side effects as oral contraceptives but more common
-fatigue
-no evidence of interaction with antibiotics
-will not terminate existing pregnancy
clonazepam brand name
Klonopin
clonazepam common strengths
0.5 mg, 1 mg, 2 mg
clonazepam common frequency
QD, BID, TID, QID
clonazepam indications/use
-panic disorder
-seizure disorders
clonazepam off label use
anxiety
clonazepam side effects
-drowsiness
-fatigue
-ataxia
-behavioral problems
alprazolam brand name
Xanax
alprazolam common strengths
0.25 mg, 0.5 mg, 1 mg, 2 mg
alprazolam common frequency
BID, TID, PRN
alprazolam indications/uses
-panic disorder
-anxiety
alprazolam counseling tips
-confusion
-drowsiness
-excessive drowsiness with alcohol (avoid alcohol)
-do not stop drug suddenly if taking routinely
cyclobenzaprine brand name
Flexeril
cyclobenzaprine common strengths
5 mg, 10 mg
cyclobenzaprine common frequency
QD, TID, PRN
cyclobenzaprine indication/use
muscle spasm
cyclobenzaprine side effects
-dry mouth (aka xerostomia)
-dizziness
-drowsiness
