Medlist 1 Flashcards
1
Q
Generic name of Vibramysin, Adoxa, Monodox
A
Doxycycline
2
Q
What are the strengths that Doxycycline come in?
A
20, 50, 75, 100, 150 mg
3
Q
How often should doxycycline be taken?
A
Every 12 h
4
Q
What are the indications for doxycycline?
A
RTI, UTI, STI, acne, skin infections
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)
6
Q
Generic name of Amoxil
A
Amoxicillin
7
Q
Strengths of amoxicillin
A
250, 500, 875 mg
8
Q
Frequency of amoxicillin
A
q8h, q12h
9
Q
Indications of amoxicillin
A
RTI, UTI, STI, ENT, skin infections
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
11
Q
Generic name for Keflex
A
Cephalexin
12
Q
Strengths of cephalexin
A
250, 500 mg
13
Q
Frequency of cephalexin
A
q6h, q8h
14
Q
Indications for cephalexin
A
RTI, UTI, ENT, skin and bone infections
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
16
Q
Generic for Zithromax, Z-Pak, Tri-Pak
A
Azithromycin
17
Q
Strengths of Azithromycin
A
250, 500 mg
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
19
Q
Indications of Azithromycin
A
RTI, STI, ENT, skin, and eye infections
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
21
Q
Generic for Cipro
A
Ciprofloxacin
22
Q
Strengths of ciprofloxacin
A
250, 500, 750 mg
23
Q
Frequency of ciprofloxacin
A
q12h
24
Q
Indications for ciprofloxacin
A
STI (prostatitis); skin, bone; pneumonia; complicated UTI, RTI, abdominal infections
25
Counseling tips for ciprofloxacin
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
26
Generic for Bactrim DS
sulfamethoxazole/trimethoprim
27
Strengths of sulfamethoxazole/trimethoprim
800 mg [S]/160mg [T]
28
Frequency of sulfamethoxazole/trimethoprim
q12h
29
Indications for sulfamethoxazole/trimethoprim
RTI, UTI, HIV-associated infection
30
Counseling points for sulfamethoxazole/trimethoprim
sun-sensitivity; take with at least 8 oz water; contraindicated if sulfa allergy
31
Generic for macrobid/macrodantin
Nitrofurantoin
32
Strength of Nitrofurantoin
100 mg
33
Frequency of Nitrofurantoin
q12h
34
Indication of Nitrofurantoin
UTI
35
Counseling points of Nitrofurantoin
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
36
Generic for Flagyl
Metronidazole
37
Strengths of Metronidazole
250 and 500 mg
38
Frequency of Metronidazole
q6h, q8h, q12h
39
Indications for Metronidazole
Abscess, Vaginosis, GI infection, STI
40
Counseling points for Metronidazole
Contraindicated: EtOH use during therapy and for 3 days following last dose; metallic taste in mouth; HA is a common adverse effect
41
Generic for Diflucan
Fluconazole (anti-fungal)
42
Strengths of Fluconazole
100, 150, 200 mg
43
Frequency for Fluconazole
q24h, single dose for Vaginitis
44
Indications for Fluconazole
Mouth (thrush); skin; vagina; HIV-associated
45
Counseling points for Fluconazole
QTc prolongation rarely occurs, but possible with different medications; report any new skin rash to prescriber
46
Generic for Valtrex
Valacyclovir (anti-viral)
47
Strengths of Valacyclovir
500 mg; 1 gram
48
Frequency of Valacyclovir
q8h, q12h, q24h
49
Indications for Valacyclovir
Herpes viral infections of genitals, cold sores, shingles
50
Counseling points for Valacyclovir
HA is common; does not prevent disease transmission (avoid sex when sores are present); drink lots of fluid to prevent accumulation in kidneys
51
Generic for Ortho Tri-Cyclen,
Tri-Sprintec,
Tri-ViLibra
ethinyl estradiol/ norgestimate
52
Strengths for ethinyl estradiol/ norgestimate
Three Phases
0.035mg/0.18mg
0.035mg/0.215mg
0.035mg/0.25mg
53
Frequency for ethinyl estradiol/ norgestimate
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
54
Indications for ethinyl estradiol/ norgestimate
* Oral Contraception
* Acne
Claim to fame: tri-phasics mimic natural menstrual cycle
55
SE for all estrogen/progestin medications
* 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
56
Generic for Loestrin Fe,
Junel Fe, Microgestin Fe
ethinyl estradiol/ norethindrone/ ferrous fumarate
57
Strength of ethinyl estradiol/ norethindrone/ ferrous fumarate
0.02mg/1mg/75mg
58
Frequency for ethinyl estradiol/ norethindrone/ ferrous fumarate
Take one active tablet daily for 21 days, then one iron tablet daily for 7 days
59
Indications for ethinyl estradiol/ norethindrone/ ferrous fumarate
* Oral Contraception
* Acne
Claim to fame:
replaces iron lost during menses
60
Generic for Yaz, Loryna, Jasmiel
ethinyl estradiol/ drospirenone
61
Strength of ethinyl estradiol/ drospirenone
0.02mg/3mg
62
Frequency of ethinyl estradiol/ drospirenone
Active tablet daily for 24 days then one inactive tablet daily for 4 days
63
Indications of ethinyl estradiol/ drospirenone
* Oral Contraception
* Acne
* Premenstrual Dysphoric Disorder
Claim to fame:
Only 4 inactive days = shorter menstrual periods
64
Counseling points for ethinyl estradiol/ drospirenone
* Drospirenone lessens the water retention/weight gain side effects of estrogen
65
Generic for Xulane
ethinyl estradiol/ norelgestromin
66
Strengths of ethinyl estradiol/ norelgestromin
0.53mg/4.86mg
67
Frequency of ethinyl estradiol/ norelgestromin
Apply one new patch each week for 3 weeks then week 4 is patch free
68
Indications of ethinyl estradiol/ norelgestromin
Contraception
69
Counseling points for ethinyl estradiol/ norelgestromin
* 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
70
Generic for NuvaRing
ethinyl estradiol/ etonogestrel
71
Strengths of ethinyl estradiol/ etonogestrel
0.015 mg /0.12 mg /24 hours ER
72
Frequency of ethinyl estradiol/ etonogestrel
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
73
Indications for ethinyl estradiol/ etonogestrel
Contraception
74
Counseling points for ethinyl estradiol/ etonogestrel
* 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
75
Generic for Depo-Provera
medroxyprogesterone
76
Strengths of medroxyprogesterone
150mg/mL
77
Frequency of medroxyprogesterone
150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months
78
Indications for medroxyprogesterone
* Contraception
* Endometriosis pain, abnormal
uterine bleeding, amenorrhea
Claim to fame:
No estrogen
79
Counseling points for medroxyprogesterone
* Nervousness
* Administration by healthcare professional
* Don’t use >2 years due to potential bone loss
* Spotting or absent menses may result
80
Generic for Plan B One-Step, EContra One-Step
levonorgestrel (OTC)
81
Strengths of levonorgestrel (OTC)
1.5mg
82
Frequency of levonorgestrel (OTC)
Take 1 tablet PO as soon as possible within 72 hours of unprotected sex
83
Indications for levonorgestrel (OTC)
Emergency post-coital contraception
84
Counseling points for levonorgestrel (OTC)
* Fatigue
* No evidence of interaction with antibiotics
* Will not terminate an existing pregnancy
85
Generic for Klonopin
clonazepam
86
Strengths of clonazepam
0.5mg
1mg
2mg
87
Frequency of clonazepam
QD, BID, TID, QID
88
Indications for clonazepam
* Panic disorder
* Seizure disorders
* Off label use: Anxiety
89
Counseling points for clonazepam
* Drowsiness
* Fatigue
* Ataxia
* Behavioral problems
90
Generic for Xanax
alprazolam
91
Strengths of alprazolam
0.25mg
0.5mg
1mg
2mg
92
Frequency of alprazolam
BID, TID or PRN
93
Indications for alprazolam
* Panic disorder
* Anxiety
94
Counseling points for alprazolam
* Confusion
* Drowsiness
* Excessive drowsiness with alcohol – avoid
* Do not stop drug suddenly if taking routinely
95
Generic for Flexeril
cyclobenzaprine
96
Strengths of cyclobenzaprine
5mg
10mg
97
Frequency of cyclobenzaprine
QD, TID, or PRN
98
Indications for cyclobenzaprine
Muscle spasm
99
Counseling points for cyclobenzaprine
* Dry mouth (aka xerostomia)
* Dizziness
* Drowsiness
100
Generic for Claritin
Loratadine (OTC)
101
Strengths of Loratadine
5 mg, 10 mg
102
Frequency of Loratadine
QD
103
Indications for Loratadine
* Allergy symptoms; runny nose, watery eyes, sneezing, drainage
* Acute and chronic urticaria (itching) and rash
* Allergic reaction to medication
104
Counseling tip for Loratadine
HA
105
Generic for Benadryl
Diphenhydramine (OTC)
106
Strengths of Diphenhydramine
12.5 mg, 25 mg, 50 mg
107
Frequency of Diphenhydramine
q4-6h prn for allergies,
50 mg by mouth at bedtime for sleep
108
Indications for Diphenhydramine
* Allergy symptoms; runny nose, watery eyes, sneezing, drainage
* Insomnia
* Itching
* Motion sickness
109
Counseling tips for Diphenhydramine
* Drowsiness
* Alcohol intensifies drowsiness
* Paradoxical hyperactivity in children
* Dry mouth
110
Generic for Flonase
Fluticasone (OTC)
111
Strengths of Fluticasone
50 mcg/spray
112
Frequency of Fluticasone
2 sprays in each nostril once daily
113
Indications for Fluticasone
Chronic nasal allergy symptoms
114
Counseling tips for Fluticasone
* Gently shake before each use
* May take several days for full effect
* Headache
* Sore throat
115
Generic for Singulair
Montelukast
116
Strengths of Montelukast
4 mg, 5 mg, 10 mg
117
Frequency of Montelukast
QD
118
Indications for Montelukast
Chronic nasal allergy symptoms
Asthma
119
Counseling tips for Montelukast
* Don’t use for an acute asthma attack
* Headache
* Take dose in the evening to enhance efficacy - airways are more relaxed
120
Generic for ProAir HFA, Proventil HFA, Ventolin HFA
Albuterol Sulfate
121
Strength of Albuterol Sulfate
90 mcg/puff
122
Frequency of Albuterol Sulfate
2 puffs PO q4-6h as needed,
Prevention of exercise induced asthma:
2 puffs PO 15-30 minutes prior to exercise
123
Indications for Albuterol Sulfate
Acute asthma symptoms
124
Counseling tips for Albuterol Sulfate
* Shake well
* Increased heart rate
* Clean mouthpiece with water regularly
125
Generic for Symbicort
Budesonide and formoterol
126
Strengths of Budesonide and formoterol
80mcg/4.5mcg/ puff, 160mcg/4.5mcg/ puff
127
Frequency of Budesonide and formoterol
2 puffs PO BID
128
Indications for Budesonide and formoterol
Asthma and COPD
129
Counseling tips for Budesonide and formoterol
* Shake well
* Rinse out mouth after each use to prevent oral thrush
130
Generic for Tessalon
Benzonatate
131
Strengths of Benzonatate
100 mg, 200 mg
132
Frequency of Benzonatate
TID
133
Indications for Benzonatate
Cough suppressant to relieve dry cough
134
Counseling points for Benzonatate
Drowsiness
Do not chew (numbing and choking)
135
Generic for Delsym (OTC)
Dextromethorphan (OTC)
136
Strength of Dextromethorphan
30 mg/5 ml
137
Frequency of Dextromethorphan
q12h
138
Indications for Dextromethorphan
Cough suppressant to relieve dry cough
139
Counseling tips for Dextromethorphan
Shake well
Potential for abuse--hallucinogen at high doses
140
Generic for Mucinex
Guaifenesin (OTC)
141
Strengths of Guaifenesin
600 mg
1200 mg
142
Frequency of Guaifenesin
q12h
143
Indications for Guaifenesin
Expectorant to loosen chest congestion
144
Counseling tips for Guaifenesin
Drink lots of water to thin mucus
Nausea
145
Generic for Sudafed
Pseudoephedrine (BTC)
146
Strengths of Pseudoephedrine
30 mg, 120 mg, 240 mg
147
Frequency of Pseudoephedrine
60mg q4-6h prn,
120mg q12h prn,
240mg q24h prn
148
Indications for Pseudoephedrine
Nasal decongestant
149
Counseling tips for Pseudoephedrine
Increased HR
Jitteriness
Insomnia
150
Generic for Adderall, Adderall XR
amphetamine/ dextroamphetamine
(C-II)
151
Strengths of amphetamine/ dextroamphetamine
(C-II)
5mg,
10mg,
15mg,
20 mg,
25mg,
30mg
152
Frequency of amphetamine/ dextroamphetamine
(C-II)
QD
153
Indications for amphetamine/ dextroamphetamine
(C-II)
* ADHD
* Narcolepsy
154
Counseling tips for amphetamine/ dextroamphetamine
(C-II)
* Take in AM due to insomnia
* Weight loss from decreased appetite
* Increases heart rate
* Dry mouth
* Headache
155
Generic for Ritalin,
Ritalin LA, Concerta
methylphenidate
(C-II)
156
Strengths of methylphenidate
(C-II)
Ritalin:
5mg,
10mg,
20mg
Concerta: 18mg,
27mg,
36mg,
54mg
157
Frequency of methylphenidate
(C-II)
QD
158
Indications for methylphenidate
(C-II)
* ADHD
* Narcolepsy
159
Counseling points for methylphenidate
(C-II)
* Take in AM due to insomnia
* Weight loss from decreased appetite
* Increases heart rate
* Dry mouth
* Headache
160
Generic for Lexapro
escitalopram
161
Strengths of escitalopram
5mg,
10mg,
20mg
162
Frequency of escitalopram
QD
163
Indications for escitalopram
* Depression
* Anxiety
164
Counseling points for escitalopram
* Headache
* Insomnia or drowsiness
* Sexual dysfunction
165
Generic for Effexor,
Effexor XR
venlafaxine
166
Strengths of venlafaxine
37.5mg,
75mg,
150mg,
225mg
167
Frequency of venlafaxine
QD
168
Indications for venlafaxine
* Depression
* Anxiety
* Panic disorder
* Social phobia
169
Counseling points for venlafaxine
* Headache
* Insomnia or drowsiness
* Dry mouth
* Take with food if upset stomach
170
Generic for Prozac,
Sarafem
fluoxetine
171
Strengths of fluoxetine
10mg,
20mg,
40mg
172
Frequency of fluoxetine
QD
173
Indications for fluoxetine
* Bipolar disorder
* Bulimia nervosa
* Major depressive disorder
* OCD (obsessive compulsive disorder)
* Panic Disorder
* Premenstrual dysphoric disorder (PDD, Sarafem only)
174
Counseling points for fluoxetine
* Sexual dysfunction
* Anorexia
* Diarrhea
* Asthenia (lack of energy)
175
Generic for Cymbalta
duloxetine
176
Strengths of duloxetine
20mg,
30mg,
60mg
177
Frequency of duloxetine
QD
178
Indications for duloxetine
* Depression
* Anxiety
* Diabetic peripheral neuropathic pain
* Chronic musculoskeletal pain (ex: fibromyalgia)
179
Counseling points for duloxetine
* Insomnia or drowsiness
* Take with food if upset stomach occurs
180
Generic for Zoloft
sertraline
181
Strengths of sertraline
25mg
50mg
100mg
182
Frequency of sertraline
QD
183
Indications for sertraline
* Depression
* Panic disorder
* OCD
* PTSD (Post traumatic stress
disorder)
* PDD
* Social phobia
184
Counseling points for sertraline
* Headache
* Insomnia > drowsiness
* Take with food if upset stomach occurs
* Sexual dysfunction
185
Generic for Elavil
amitriptyline
186
Strengths of amitriptyline
10mg
25mg
50mg
75mg
100mg
150mg
187
Frequency of amitriptyline
once daily at bedtime
188
Indications for amitriptyline
* Depression
* Non-FDA approved uses: chronic pain, migraine prevention, insomnia
189
Counseling points of amitriptyline
* Drowsiness
* Weight gain
* Constipation
190
Generic for Desyrel
trazodone
191
Strengths of trazodone
50mg
100mg
150mg
300mg
192
Frequency of trazodone
BID, TID
(depression)
50mg tablet QHS (insomnia)
193
Indications for trazodone
* Depression
* Non-FDA approved use:
insomnia
194
Counseling points for trazodone
* Drowsiness
* Take with food to increase absorption
195
Generic for Wellbutrin SR, Zyban,
Wellbutrin XL
bupropion
196
Strengths of bupropion
Wellbutrin SR and Zyban:
100mg,
150mg,
200mg
Wellbutrin XL:
150mg,
300mg
197
Frequency of bupropion
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
Indications for bupropion
Wellbutrin:
* Depression
* Seasonal Affective
Disorder (SAD)
Zyban:
* Smoking Cessation
199
Counseling points for bupropion
-Insomnia
-Begin 1 week before pt intends to quit smoking
