Medlist 9 Flashcards
Generic for Plavix
clopidogrel
Strengths of clopidogrel
75mg
Frequency of clopidogrel
300mg loading dose, 75mg daily
Indications for clopidogrel
To reduce rate of heart attack and stroke
Tips for clopidogrel
- Avoid NSAIDs unless instructed due to increased bleeding risk
- Seek medical attention for unusual or prolonged bleeding or bruising
- Avoid abrupt discontinuation
Generic for Coumadin
warfarin
Strengths of warfarin
1mg,
2mg,
2.5mg,
3mg,
4mg,
5mg,
6mg,
7.5mg,
10mg
Frequency of warfarin
daily
Indications for warfarin
- To prevent blood clots
- Atrial Fibrillation
Tips for warfarin
- Avoid NSAIDs unless instructed due to increased bleeding risk
- Seek medical attention for unusual or prolonged bleeding or bruising
- Avoid abrupt discontinuation
- Keep dietary vitamin K (green leafy vegetables) and alcohol consumption consistent
- Many drug interactions; discuss new meds with RPh
- Take missed dose ASAP, but don’t double dose same day
Generic for Xarelto
rivaroxaban
Strengths of rivaroxaban
2.5mg,
10mg,
15mg,
20mg
Frequency of rivaroxaban
daily, BID
Indications for rivaroxaban
- To prevent blood clots
- Atrial Fibrillation
Tips for rivaroxaban
- Seek medical attention for unusual or prolonged bleeding or bruising
- Gastroenteritis
- Vomiting
- Cough (pediatric patients)
Generic for Lasix
furosemide
Strengths of furosemide
20mg,
40mg,
80mg
Frequency of furosemide
daily, BID
Indications for furosemide
- Edema (swelling)
- Heart Failure
- Hypertension
Tips for furosemide
- Sun sensitivity
- Decreased electrolytes (Ca++, K++, Mg++)
- Dizziness upon standing
- Avoid taking at bedtime - increases urination
Generic for Aldactone
spironolactone
Strengths of spironolactone
25mg,
50mg,
100mg
Frequency of spironolactone
daily, BID
Indications for spironolactone
- Heart Failure
- Hypertension
Non-FDA:
* Acne
* Hormone Therapy
Tips for spironolactone
- Gynecomastia
- Increased serum potassium
- Diarrhea
- Irregular menses
Generic for Microzide
hydrochlorothiazide
(HCTZ)
Strengths of hydrochlorothiazide
(HCTZ)
12.5mg
25mg
50mg
Frequency of hydrochlorothiazide
(HCTZ)
daily
Indications for hydrochlorothiazide
(HCTZ)
Edema
Hypertension
Tips for hydrochlorothiazide
(HCTZ)
- Sun sensitivity
- Dizziness upon standing
- Avoid taking at bedtime - increases urination
Generic for Zestril,
Prinivil
lisinopril
Strengths of lisinopril
5mg,
10mg,
20mg,
30mg,
40mg
Frequency of lisinopril
daily
Indications for lisinopril
- Hypertension
- Heart failure
- Heart attack
- Migraine prevention
Tips for lisinopril
- Avoid during pregnancy
- Dizziness
- Dry cough
- Headache
- Increases serum potassium
Generic of Cozaar
losartan
Strengths of losartan
25mg,
50mg,
100mg
Frequency of losartan
daily
Indications for losartan
- Hypertension
- Heart failure
- Diabetic nephropathy
Tips for losartan
- Avoid during pregnancy
- Dizziness
- Headache
- Increases serum potassium
Generic for Norvasc
amlodipine
Strengths of amlodipine
2.5mg,
5mg,
10mg
Frequency of amlodipine
daily
Indications for amlodipine
- Hypertension
- Management of angina (chest pain)
- Raynaud’s Phenomenon
Tips for amlodipine
- Leg swelling (edema)
- Headache
Generic for Lopressor
(immediate release)
———
Toprol XL
(extended release)
metoprolol
tartrate
———
metoprolol
succinate
Strengths of metoprolol
tartrate
———
metoprolol
succinate
IR:
25mg
50mg
100mg
———
XL:
25mg
50mg
100mg
200mg
Frequency of metoprolol
tartrate
———
metoprolol
succinate
IR: BID
XL: daily
Indications for metoprolol
tartrate
———
metoprolol
succinate
- Hypertension
- Post heart attack
- Management of angina (IR only)
- Heart failure (XL only)
Tips for metoprolol
tartrate
———
metoprolol
succinate
- Dizziness
- Fatigue (goes away within 7 days)
- Take with food - better absorption
- Lowers heart rate
- Do not discontinue medication abruptly – increased cardiovascular risk