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Medlist 1 Flashcards

1
Q

Generic name of Vibramysin, Adoxa, Monodox

A

Doxycycline

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2
Q

What are the strengths that Doxycycline come in?

A

20, 50, 75, 100, 150 mg

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3
Q

How often should doxycycline be taken?

A

Every 12 h

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4
Q

What are the indications for doxycycline?

A

RTI, UTI, STI, acne, skin infections

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5
Q

Counseling tips for doxycycline

A

Sun-sensitivity, take with food, do not consume anything with Ca++, Fe++, Mg++, or Zn++ within 2 hrs before or after; may reduce effectiveness of OC (take additional form of BC during and for at least 1 week after)

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6
Q

Generic name of Amoxil

A

Amoxicillin

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7
Q

Strengths of amoxicillin

A

250, 500, 875 mg

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8
Q

Frequency of amoxicillin

A

q8h, q12h

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9
Q

Indications of amoxicillin

A

RTI, UTI, STI, ENT, skin infections

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10
Q

Counseling tips for amoxicillin

A

May decrease effectiveness of OC (Use additional form of BC during and for at least 1 week after)
**CONTRAINDICATED IF PCN ALLERGY

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11
Q

Generic name for Keflex

A

Cephalexin

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12
Q

Strengths of cephalexin

A

250, 500 mg

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13
Q

Frequency of cephalexin

A

q6h, q8h

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14
Q

Indications for cephalexin

A

RTI, UTI, ENT, skin and bone infections

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15
Q

Counseling tips for cephalexin

A

Don’t take vitamins containing Zn++ for at least 3 hrs after; contraindicated if cephalosporin allergy; caution if PCN allergy

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16
Q

Generic for Zithromax, Z-Pak, Tri-Pak

A

Azithromycin

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17
Q

Strengths of Azithromycin

A

250, 500 mg

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18
Q

Frequency of Azithromycin

A

Z-Pak: Two 250 mg tab po (500 mg) on day 1, then 1 t po days 2-5 q24h

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19
Q

Indications of Azithromycin

A

RTI, STI, ENT, skin, and eye infections

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20
Q

Counseling points azithromycin

A

Do not take with Al++ or Mg++ containing antacid
QTc prolongation rarely occurs, but possible interaction
Contraindicated if macrolide allergy

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21
Q

Generic for Cipro

A

Ciprofloxacin

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22
Q

Strengths of ciprofloxacin

A

250, 500, 750 mg

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23
Q

Frequency of ciprofloxacin

A

q12h

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24
Q

Indications for ciprofloxacin

A

STI (prostatitis); skin, bone; pneumonia; complicated UTI, RTI, abdominal infections

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25
Q

Counseling tips for ciprofloxacin

A

QTc prolongation rarely occurs, but possible interaction with different medications; don’t take with Ca++, Fe++ within 2 hours before and after; sun-sensitivity; may increase caffeine sensitivity; contraindicated if fluoroquinolone allergy

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26
Q

Generic for Bactrim DS

A

sulfamethoxazole/trimethoprim

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27
Q

Strengths of sulfamethoxazole/trimethoprim

A

800 mg [S]/160mg [T]

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28
Q

Frequency of sulfamethoxazole/trimethoprim

A

q12h

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29
Q

Indications for sulfamethoxazole/trimethoprim

A

RTI, UTI, HIV-associated infection

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30
Q

Counseling points for sulfamethoxazole/trimethoprim

A

sun-sensitivity; take with at least 8 oz water; contraindicated if sulfa allergy

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31
Q

Generic for macrobid/macrodantin

A

Nitrofurantoin

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32
Q

Strength of Nitrofurantoin

A

100 mg

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33
Q

Frequency of Nitrofurantoin

A

q12h

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34
Q

Indication of Nitrofurantoin

A

UTI

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35
Q

Counseling points of Nitrofurantoin

A

orange or brown urine expected; don’t consume anything with Mg++ within 2 hours before and after; take with food or milk to increase absorption

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36
Q

Generic for Flagyl

A

Metronidazole

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37
Q

Strengths of Metronidazole

A

250 and 500 mg

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38
Q

Frequency of Metronidazole

A

q6h, q8h, q12h

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39
Q

Indications for Metronidazole

A

Abscess, Vaginosis, GI infection, STI

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40
Q

Counseling points for Metronidazole

A

Contraindicated: EtOH use during therapy and for 3 days following last dose; metallic taste in mouth; HA is a common adverse effect

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41
Q

Generic for Diflucan

A

Fluconazole (anti-fungal)

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42
Q

Strengths of Fluconazole

A

100, 150, 200 mg

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43
Q

Frequency for Fluconazole

A

q24h, single dose for Vaginitis

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44
Q

Indications for Fluconazole

A

Mouth (thrush); skin; vagina; HIV-associated

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45
Q

Counseling points for Fluconazole

A

QTc prolongation rarely occurs, but possible with different medications; report any new skin rash to prescriber

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46
Q

Generic for Valtrex

A

Valacyclovir (anti-viral)

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47
Q

Strengths of Valacyclovir

A

500 mg; 1 gram

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48
Q

Frequency of Valacyclovir

A

q8h, q12h, q24h

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49
Q

Indications for Valacyclovir

A

Herpes viral infections of genitals, cold sores, shingles

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50
Q

Counseling points for Valacyclovir

A

HA is common; does not prevent disease transmission (avoid sex when sores are present); drink lots of fluid to prevent accumulation in kidneys

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51
Q

Generic for Ortho Tri-Cyclen,
Tri-Sprintec,
Tri-ViLibra

A

ethinyl estradiol/ norgestimate

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52
Q

Strengths for ethinyl estradiol/ norgestimate

A

Three Phases
0.035mg/0.18mg
0.035mg/0.215mg
0.035mg/0.25mg

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53
Q

Frequency for ethinyl estradiol/ norgestimate

A

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

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54
Q

Indications for ethinyl estradiol/ norgestimate

A
  • Oral Contraception
  • Acne

Claim to fame: tri-phasics mimic natural menstrual cycle

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55
Q

SE for all estrogen/progestin medications

A
  • water retention (bloating, weight gain, breast tenderness)
  • upset stomach/nausea
  • headache
    Non-FDA approved uses may include:
  • Regulation of menstrual cycle
  • Lessen menstrual flow
  • Reduce painful menses
    Miss a dose?
  • Take as soon as possible or with next days’ dose; e.g., miss Monday, take 2 on Tuesday. If you miss 2 or more days, refer to package directions.
    Products containing ethinyl estradiol:
  • ↑ cardiovascular risk (DVT, PE, MI). Not recommended for those: +35 years old, smoker, or history of stroke/blood clots.
    Tips:
  • If OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy
  • Take same time each day for maximum effectiveness
  • Some anti-convulsants [ex: divalproex, lamotrigine] may ↓ effectiveness of hormonal contraceptives and/or ↑ increase chance of seizures
  • None of the medications on this list protect against HIV / AIDS / STDs
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56
Q

Generic for Loestrin Fe,
Junel Fe, Microgestin Fe

A

ethinyl estradiol/ norethindrone/ ferrous fumarate

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57
Q

Strength of ethinyl estradiol/ norethindrone/ ferrous fumarate

A

0.02mg/1mg/75mg

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58
Q

Frequency for ethinyl estradiol/ norethindrone/ ferrous fumarate

A

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

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59
Q

Indications for ethinyl estradiol/ norethindrone/ ferrous fumarate

A
  • Oral Contraception
  • Acne

Claim to fame:
replaces iron lost during menses

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60
Q

Generic for Yaz, Loryna, Jasmiel

A

ethinyl estradiol/ drospirenone

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61
Q

Strength of ethinyl estradiol/ drospirenone

A

0.02mg/3mg

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62
Q

Frequency of ethinyl estradiol/ drospirenone

A

Active tablet daily for 24 days then one inactive tablet daily for 4 days

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63
Q

Indications of ethinyl estradiol/ drospirenone

A
  • Oral Contraception
  • Acne
  • Premenstrual Dysphoric Disorder

Claim to fame:
Only 4 inactive days = shorter menstrual periods

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64
Q

Counseling points for ethinyl estradiol/ drospirenone

A
  • Drospirenone lessens the water retention/weight gain side effects of estrogen
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65
Q

Generic for Xulane

A

ethinyl estradiol/ norelgestromin

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66
Q

Strengths of ethinyl estradiol/ norelgestromin

A

0.53mg/4.86mg

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67
Q

Frequency of ethinyl estradiol/ norelgestromin

A

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

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68
Q

Indications of ethinyl estradiol/ norelgestromin

A

Contraception

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69
Q

Counseling points for ethinyl estradiol/ norelgestromin

A
  • 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
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70
Q

Generic for NuvaRing

A

ethinyl estradiol/ etonogestrel

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71
Q

Strengths of ethinyl estradiol/ etonogestrel

A

0.015 mg /0.12 mg /24 hours ER

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72
Q

Frequency of ethinyl estradiol/ etonogestrel

A

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

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73
Q

Indications for ethinyl estradiol/ etonogestrel

A

Contraception

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74
Q

Counseling points for ethinyl estradiol/ etonogestrel

A
  • If ring falls out, rinse with cool water and re-insert within 3 hrs
  • Don’t remove for intercourse
  • Ring is drug delivery device; Not a barrier
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75
Q

Generic for Depo-Provera

A

medroxyprogesterone

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76
Q

Strengths of medroxyprogesterone

A

150mg/mL

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77
Q

Frequency of medroxyprogesterone

A

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

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78
Q

Indications for medroxyprogesterone

A
  • Contraception
  • Endometriosis pain, abnormal
    uterine bleeding, amenorrhea

Claim to fame:
No estrogen

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79
Q

Counseling points for medroxyprogesterone

A
  • Nervousness
  • Administration by healthcare professional
  • Don’t use >2 years due to potential bone loss
  • Spotting or absent menses may result
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80
Q

Generic for Plan B One-Step, EContra One-Step

A

levonorgestrel (OTC)

81
Q

Strengths of levonorgestrel (OTC)

82
Q

Frequency of levonorgestrel (OTC)

A

Take 1 tablet PO as soon as possible within 72 hours of unprotected sex

83
Q

Indications for levonorgestrel (OTC)

A

Emergency post-coital contraception

84
Q

Counseling points for levonorgestrel (OTC)

A
  • Fatigue
  • No evidence of interaction with antibiotics
  • Will not terminate an existing pregnancy
85
Q

Generic for Klonopin

A

clonazepam

86
Q

Strengths of clonazepam

A

0.5mg
1mg
2mg

87
Q

Frequency of clonazepam

A

QD, BID, TID, QID

88
Q

Indications for clonazepam

A
  • Panic disorder
  • Seizure disorders
  • Off label use: Anxiety
89
Q

Counseling points for clonazepam

A
  • Drowsiness
  • Fatigue
  • Ataxia
  • Behavioral problems
90
Q

Generic for Xanax

A

alprazolam

91
Q

Strengths of alprazolam

A

0.25mg
0.5mg
1mg
2mg

92
Q

Frequency of alprazolam

A

BID, TID or PRN

93
Q

Indications for alprazolam

A
  • Panic disorder
  • Anxiety
94
Q

Counseling points for alprazolam

A
  • Confusion
  • Drowsiness
  • Excessive drowsiness with alcohol – avoid
  • Do not stop drug suddenly if taking routinely
95
Q

Generic for Flexeril

A

cyclobenzaprine

96
Q

Strengths of cyclobenzaprine

97
Q

Frequency of cyclobenzaprine

A

QD, TID, or PRN

98
Q

Indications for cyclobenzaprine

A

Muscle spasm

99
Q

Counseling points for cyclobenzaprine

A
  • Dry mouth (aka xerostomia)
  • Dizziness
  • Drowsiness
100
Q

Generic for Claritin

A

Loratadine (OTC)

101
Q

Strengths of Loratadine

A

5 mg, 10 mg

102
Q

Frequency of Loratadine

103
Q

Indications for Loratadine

A
  • Allergy symptoms; runny nose, watery eyes, sneezing, drainage
  • Acute and chronic urticaria (itching) and rash
  • Allergic reaction to medication
104
Q

Counseling tip for Loratadine

105
Q

Generic for Benadryl

A

Diphenhydramine (OTC)

106
Q

Strengths of Diphenhydramine

A

12.5 mg, 25 mg, 50 mg

107
Q

Frequency of Diphenhydramine

A

q4-6h prn for allergies,
50 mg by mouth at bedtime for sleep

108
Q

Indications for Diphenhydramine

A
  • Allergy symptoms; runny nose, watery eyes, sneezing, drainage
  • Insomnia
  • Itching
  • Motion sickness
109
Q

Counseling tips for Diphenhydramine

A
  • Drowsiness
  • Alcohol intensifies drowsiness
  • Paradoxical hyperactivity in children
  • Dry mouth
110
Q

Generic for Flonase

A

Fluticasone (OTC)

111
Q

Strengths of Fluticasone

A

50 mcg/spray

112
Q

Frequency of Fluticasone

A

2 sprays in each nostril once daily

113
Q

Indications for Fluticasone

A

Chronic nasal allergy symptoms

114
Q

Counseling tips for Fluticasone

A
  • Gently shake before each use
  • May take several days for full effect
  • Headache
  • Sore throat
115
Q

Generic for Singulair

A

Montelukast

116
Q

Strengths of Montelukast

A

4 mg, 5 mg, 10 mg

117
Q

Frequency of Montelukast

118
Q

Indications for Montelukast

A

Chronic nasal allergy symptoms
Asthma

119
Q

Counseling tips for Montelukast

A
  • Don’t use for an acute asthma attack
  • Headache
  • Take dose in the evening to enhance efficacy - airways are more relaxed
120
Q

Generic for ProAir HFA, Proventil HFA, Ventolin HFA

A

Albuterol Sulfate

121
Q

Strength of Albuterol Sulfate

A

90 mcg/puff

122
Q

Frequency of Albuterol Sulfate

A

2 puffs PO q4-6h as needed,
Prevention of exercise induced asthma:
2 puffs PO 15-30 minutes prior to exercise

123
Q

Indications for Albuterol Sulfate

A

Acute asthma symptoms

124
Q

Counseling tips for Albuterol Sulfate

A
  • Shake well
  • Increased heart rate
  • Clean mouthpiece with water regularly
125
Q

Generic for Symbicort

A

Budesonide and formoterol

126
Q

Strengths of Budesonide and formoterol

A

80mcg/4.5mcg/ puff, 160mcg/4.5mcg/ puff

127
Q

Frequency of Budesonide and formoterol

A

2 puffs PO BID

128
Q

Indications for Budesonide and formoterol

A

Asthma and COPD

129
Q

Counseling tips for Budesonide and formoterol

A
  • Shake well
  • Rinse out mouth after each use to prevent oral thrush
130
Q

Generic for Tessalon

A

Benzonatate

131
Q

Strengths of Benzonatate

A

100 mg, 200 mg

132
Q

Frequency of Benzonatate

133
Q

Indications for Benzonatate

A

Cough suppressant to relieve dry cough

134
Q

Counseling points for Benzonatate

A

Drowsiness
Do not chew (numbing and choking)

135
Q

Generic for Delsym (OTC)

A

Dextromethorphan (OTC)

136
Q

Strength of Dextromethorphan

A

30 mg/5 ml

137
Q

Frequency of Dextromethorphan

138
Q

Indications for Dextromethorphan

A

Cough suppressant to relieve dry cough

139
Q

Counseling tips for Dextromethorphan

A

Shake well
Potential for abuse–hallucinogen at high doses

140
Q

Generic for Mucinex

A

Guaifenesin (OTC)

141
Q

Strengths of Guaifenesin

A

600 mg
1200 mg

142
Q

Frequency of Guaifenesin

143
Q

Indications for Guaifenesin

A

Expectorant to loosen chest congestion

144
Q

Counseling tips for Guaifenesin

A

Drink lots of water to thin mucus
Nausea

145
Q

Generic for Sudafed

A

Pseudoephedrine (BTC)

146
Q

Strengths of Pseudoephedrine

A

30 mg, 120 mg, 240 mg

147
Q

Frequency of Pseudoephedrine

A

60mg q4-6h prn,
120mg q12h prn,
240mg q24h prn

148
Q

Indications for Pseudoephedrine

A

Nasal decongestant

149
Q

Counseling tips for Pseudoephedrine

A

Increased HR
Jitteriness
Insomnia

150
Q

Generic for Adderall, Adderall XR

A

amphetamine/ dextroamphetamine
(C-II)

151
Q

Strengths of amphetamine/ dextroamphetamine
(C-II)

A

5mg,
10mg,
15mg,
20 mg,
25mg,
30mg

152
Q

Frequency of amphetamine/ dextroamphetamine
(C-II)

153
Q

Indications for amphetamine/ dextroamphetamine
(C-II)

A
  • ADHD
  • Narcolepsy
154
Q

Counseling tips for amphetamine/ dextroamphetamine
(C-II)

A
  • Take in AM due to insomnia
  • Weight loss from decreased appetite
  • Increases heart rate
  • Dry mouth
  • Headache
155
Q

Generic for Ritalin,
Ritalin LA, Concerta

A

methylphenidate
(C-II)

156
Q

Strengths of methylphenidate
(C-II)

A

Ritalin:
5mg,
10mg,
20mg
Concerta: 18mg,
27mg,
36mg,
54mg

157
Q

Frequency of methylphenidate
(C-II)

158
Q

Indications for methylphenidate
(C-II)

A
  • ADHD
  • Narcolepsy
159
Q

Counseling points for methylphenidate
(C-II)

A
  • Take in AM due to insomnia
  • Weight loss from decreased appetite
  • Increases heart rate
  • Dry mouth
  • Headache
160
Q

Generic for Lexapro

A

escitalopram

161
Q

Strengths of escitalopram

A

5mg,
10mg,
20mg

162
Q

Frequency of escitalopram

163
Q

Indications for escitalopram

A
  • Depression
  • Anxiety
164
Q

Counseling points for escitalopram

A
  • Headache
  • Insomnia or drowsiness
  • Sexual dysfunction
165
Q

Generic for Effexor,
Effexor XR

A

venlafaxine

166
Q

Strengths of venlafaxine

A

37.5mg,
75mg,
150mg,
225mg

167
Q

Frequency of venlafaxine

168
Q

Indications for venlafaxine

A
  • Depression
  • Anxiety
  • Panic disorder
  • Social phobia
169
Q

Counseling points for venlafaxine

A
  • Headache
  • Insomnia or drowsiness
  • Dry mouth
  • Take with food if upset stomach
170
Q

Generic for Prozac,
Sarafem

A

fluoxetine

171
Q

Strengths of fluoxetine

A

10mg,
20mg,
40mg

172
Q

Frequency of fluoxetine

173
Q

Indications for fluoxetine

A
  • Bipolar disorder
  • Bulimia nervosa
  • Major depressive disorder
  • OCD (obsessive compulsive disorder)
  • Panic Disorder
  • Premenstrual dysphoric disorder (PDD, Sarafem only)
174
Q

Counseling points for fluoxetine

A
  • Sexual dysfunction
  • Anorexia
  • Diarrhea
  • Asthenia (lack of energy)
175
Q

Generic for Cymbalta

A

duloxetine

176
Q

Strengths of duloxetine

A

20mg,
30mg,
60mg

177
Q

Frequency of duloxetine

178
Q

Indications for duloxetine

A
  • Depression
  • Anxiety
  • Diabetic peripheral neuropathic pain
  • Chronic musculoskeletal pain (ex: fibromyalgia)
179
Q

Counseling points for duloxetine

A
  • Insomnia or drowsiness
  • Take with food if upset stomach occurs
180
Q

Generic for Zoloft

A

sertraline

181
Q

Strengths of sertraline

A

25mg
50mg
100mg

182
Q

Frequency of sertraline

183
Q

Indications for sertraline

A
  • Depression
  • Panic disorder
  • OCD
  • PTSD (Post traumatic stress
    disorder)
  • PDD
  • Social phobia
184
Q

Counseling points for sertraline

A
  • Headache
  • Insomnia > drowsiness
  • Take with food if upset stomach occurs
  • Sexual dysfunction
185
Q

Generic for Elavil

A

amitriptyline

186
Q

Strengths of amitriptyline

A

10mg
25mg
50mg
75mg
100mg
150mg

187
Q

Frequency of amitriptyline

A

once daily at bedtime

188
Q

Indications for amitriptyline

A
  • Depression
  • Non-FDA approved uses: chronic pain, migraine prevention, insomnia
189
Q

Counseling points of amitriptyline

A
  • Drowsiness
  • Weight gain
  • Constipation
190
Q

Generic for Desyrel

191
Q

Strengths of trazodone

A

50mg
100mg
150mg
300mg

192
Q

Frequency of trazodone

A

BID, TID
(depression)

50mg tablet QHS (insomnia)

193
Q

Indications for trazodone

A
  • Depression
  • Non-FDA approved use:
    insomnia
194
Q

Counseling points for trazodone

A
  • Drowsiness
  • Take with food to increase absorption
195
Q

Generic for Wellbutrin SR, Zyban,
Wellbutrin XL

196
Q

Strengths of bupropion

A

Wellbutrin SR and Zyban:
100mg,
150mg,
200mg
Wellbutrin XL:
150mg,
300mg

197
Q

Frequency of bupropion

A

SR Dosing: One tablet PO daily for 3-7 days, then one bid

XL Dosing: One 150mg tablet daily for 3-7 days, then 300mg tablet daily

198
Q

Indications for bupropion

A

Wellbutrin:
* Depression
* Seasonal Affective
Disorder (SAD)

Zyban:
* Smoking Cessation

199
Q

Counseling points for bupropion

A

-Insomnia
-Begin 1 week before pt intends to quit smoking

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