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PHRM 822- MEDLIST > MEDLIST 2 - Female Contraception, anxiety, and muscle spasms > Flashcards

MEDLIST 2 - Female Contraception, anxiety, and muscle spasms Flashcards

1
Q

Ortho Tri-Cyclen,
Tri-Sprintec,
Tri-ViLibra
BRAND NAME FOR

A

ethinyl estradiol/ Norgestimate

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2
Q

ethinyl estradiol/ norgestimate
Common strength

A

Strengths:
- 0.035 mg / 0.18 mg
- 0.035 mg / 0.215 mg
- 0.035 mg / 0.25 mg

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3
Q

ethinyl estradiol/ norgestimate
Common frequency

A

Frequency: one 1st phase tablet for 7 days, one 2nd phase tablet for 7 days, one 3rd phase tablet for 7 days, one inactive tablet for 7 days

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4
Q

ethinyl estradiol/ norgestimate
Indication and use

A

Indications:
- Oral contraceptive
- acne

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5
Q

ethinyl estradiol/ norgestimate
Counseling tips and important info

A

Tips:
- increases CV risk
- not recommended for those +35 years old, smoker, history of blood clot
- take at same time each day
- if OC is not started day 1 of menses, use other form for first week
- anti-convulsant can decreased effectiveness, increase seizures
- do not protect against STD
Side Effects: water retention, upset stomach, nausea, headache

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6
Q

generic
Loestrin Fe,
Junel Fe, Microgestin Fe

A

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate

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7
Q

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate
COMMON STRENGTH

A

0.02mg/1mg/
75mg

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8
Q

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate
COMMON FREQUENCY

A

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

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9
Q

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate
Indication and use

A
  • Oral Contraception
  • Acne

Claim to fame:
replaces iron lost during menses

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10
Q

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate
counseling tips

A

Side effects for ALL estrogen/progestin medications:
* water retention (bloating, weight gain, breast tenderness)
* upset stomach/nausea
* headache
* ↑ cardiovascular risk (DVT, PE, MI). Not recommended for those: +35 years old, smoker, or history of stroke/blood clots.

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11
Q

Yaz,
Loryna, Jasmiel
Generic name

A

ethinyl estradiol/ drospirenone

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12
Q

ethinyl estradiol/ drospirenone
COMMON STRENGTH

A

0.02mg/3mg

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13
Q

ethinyl estradiol/ drospirenone
COMMON FREQUENCY

A

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

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14
Q

ethinyl estradiol/ drospirenone
INDICATION

A
  • Oral Contraception
  • Acne
  • Premenstrual Dysphoric Disorder – really bad PMS (can have sever pain and cramping)

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

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15
Q

ethinyl estradiol/ drospirenone
counseling

A
  • Drospirenone lessens the water retention/weight gain side effects of estrogen
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16
Q

Xulane
Generic name

A

ethinyl estradiol/ norelgestromin

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17
Q

ethinyl estradiol/ norelgestromin
- Patch
common strength

A

0.53mg/4.86mg

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18
Q

ethinyl estradiol/ norelgestromin
- Patch
common frequency

A

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

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19
Q

ethinyl estradiol/ norelgestromin
- Patch
indication

A
  • Contraception
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20
Q

ethinyl estradiol/ norelgestromin
- Patch
Counseling tips

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
    Weight gain and water retension
    Can cause skin rash
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21
Q

generic name
NuvaRing

A

ethinyl estradiol/ etonogestrel

22
Q

ethinyl estradiol/ etonogestrel
common strength

A

0.015 mg /0.12 mg /24 hours ER

23
Q

ethinyl estradiol/ etonogestrel
common frequency

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

24
Q

ethinyl estradiol/ etonogestrel
indication

A
  • Contraception
25
Q

ethinyl estradiol/ etonogestrel
counseling tips

A
  • If ring falls out, rinse with cool water and re-insert within 3 hrs – tendancy to fall out in some patients
  • Not acting as a barrier for intercouse
  • Don’t remove for intercourse
  • Ring is drug delivery device; Not a barrier
26
Q

Depo-Provera
Generic name

A

medroxyprogesterone

27
Q

medroxyprogesterone
Common strength

28
Q

medroxyprogesterone
Common frequency

A

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

29
Q

medroxyprogesterone
indication

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

Claim to fame:
No estrogen

30
Q

medroxyprogesterone
counseling tips

A
  • Nervousness
  • Administration by healthcare professional
  • Don’t use >2 years due to potential bone loss
  • Spotting or absent menses may result
31
Q

Plan B One-Step, EContra One-Step
Generic

A

levonorgestrel (OTC)
brand name

32
Q

levonorgestrel (OTC)
common strength

33
Q

levonorgestrel (OTC)
common frequency

A

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

34
Q

levonorgestrel (OTC)
indication

A
  • Emergency post-coital contraception
35
Q

levonorgestrel (OTC)
counseling

A
  • Fatigue
  • -prevents implantation of pregnancy
  • No evidence of interaction with antibiotics
  • Will not terminate an existing pregnancy
36
Q

Klonopin
generic name

A

Clonazepam (benzodiasapine)

37
Q

Clonazepam (benzodiasapine)
common strength

A

0.5mg
1mg
2mg

38
Q

Clonazepam (benzodiasapine)
common frequency

A

QD, BID, TID, QID

39
Q

Clonazepam (benzodiasapine)
indication

A
  • Panic disorder
  • Seizure disorders
  • Off label use: Anxiety
40
Q

Clonazepam (benzodiasapine)
Counseling tips

A
  • Drowsiness
  • Fatigue
  • Ataxia
  • Behavioral problems
  • No alcohol while taking med
41
Q

Xanax
generic

A

Xanax
Alprazolam
(benzodiasapine)

42
Q

Alprazolam
(benzodiasapine)
common strenght

A

0.25mg
0.5mg
1mg
2mg

43
Q

Alprazolam
(benzodiasapine)
common frequency

A

BID, TID or PRN

44
Q

Alprazolam
(benzodiasapine)
indication

A
  • Panic disorder
  • Anxiety
45
Q

Alprazolam
(benzodiasapine)
counseling tips

A
  • Confusion
  • Drowsiness
  • Excessive drowsiness with alcohol – avoid
  • Do not stop drug suddenly if taking routinely
  • No alcohol while taking med and use as needed
46
Q

Flexeril
generic name

A

cyclobenzaprine

47
Q

cyclobenzaprine
common strength

48
Q

cyclobenzaprine
common frequency

A

QD, TID, or PRN

49
Q

cyclobenzaprine
indication

A
  • Muscle spasm
50
Q

cyclobenzaprine
counseling tips

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

PHRM 822- MEDLIST (10 decks)

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