medication management Flashcards
Megestrol Acetate
Stimulate appetite
Oral Contraceptives
Decrease folate, B6, C
Loop Diuretics
Deplete thiamin, potassium, magnesium, calciu, sodium. chloride
Thiazide Diuretics
Decrease potassium and magnesium, absorb clcium in renal
Methotrexate
Decrease folate
Lithium Carbonate (Antidepressant)
Increased appetite, weight gain;
Lithium and sodium are reabsorbed the same size in kidney;
Maintain consistent sodium and caffeine intake to stabilize levels;
if sodium or caffeine are restricted, lithium excretion decreases, leading to toxicity;
Anticoagulant （Wafarin sodium)
Antagonizes Vitamin K ( consistent intake essential)
Avoid Ginkgo biloba extract, garlic, ginger (may increase bleeding);
Avoid high dose vitamin A, E
Propofol
Administered in oil, consider fat calories, 1.1cals/cc, check triglyceride; positive relationship between propofol and triglyceride;
Cyclosporine (Immunosuppressant)
hyperlipidemia, hyperglycemia, hyperkalemia, hypertension
Isoniazid (Treats TB)
Calcium supplement is needed;
Depletes pyridoxine, peripheral neuropathy, do not take with food, interfere with vitamin D, Calcium, phosphorus
Elavil (Antidepressant)
Sedative effect, weight gain, increased appetite
Vitamin B6 and protein
Decrease effectiveness of L-dopa (levodopa) which controls symptoms of Parkinson’s disease;
Take drug in morning with limited protein;
Consume most protein with evening meal;
Tyramine
Hypertension if taken with MAOI (monoamine oxidase inhibitor);
1. eliminate dopamine and restrict tyramine. MAOI interact releasing norepinephrine which elevates blood pressure. Restrict aged, fermented, dried, pickled, smoked, spoiled foods.
2. avoid hard, aged cheese (cheddar, swiss), sauerkraut, some sausages, luncheon meats, tofu, miso, Chianti wine. Limit sour cream, yogurt, buttermilk
3. OK: cottage cheese, cream cheese;
GOOD ADVICE: buy, cook, eat fresh foods
Curcumin (turmeric) may reduce inflammation, antioxidant, in curry powder
