treats certain cancers REMS drug (contract, no refills, 28 day fill only) prompted Kefauver-Harris Amendment

dispense in manufacturer bottle HIV antiviral

Misc. Drugs Flashcards by Christina Barge

Exceptions to poison prevention packaging

Drugs used in hospitals/nursing homes
10mg or less sublingual nitroglycerin & isosorbide dinitrate
cholestyramine & colestipoc powder
unit dose potassium
mebendazole <600mg
methylprednisolone<84 (medrol dose packs)
prednisone pack <105mg
cyclically administered birth control & hormone replacement in dispensers

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Drugs that change urine color:

Yellow/orange: sulfasalazine, isoniazid
Brown: metronidazole, senna, phenytoin, levodopa, chloroquine, iron supplements
Green: amitriptyline, cimetidine, methocarbamol, promethazine, indomethacin, metoclopramide
Red/orange: rifampin
Dark or orange: phenazopyridine
Yellow/brown: nitrofurantoin

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Thalomide

treats certain cancers
REMS drug (contract, no refills, 28 day fill only)
prompted Kefauver-Harris Amendment

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Viberzi (eluxadoline)

CIV for diarrhea and IBS

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Carbamazepine

Comes in chewable form; may lower PT/INR results

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Duloxetine (cymbalta) SNRI

Take one/day in the morning

* treats depression and nerve pain

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Tetracycline (antibiotic)

fatal if expired
antibiotic for skin/acne
side effects: nausea, vomiting, black hairy tongue
permanent staining of teeth (including fetus, if pregnant)

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Naproxen (NSAID)

*may cause dizziness/drowsiness

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Phytonadine (vit k replacement)

*Antidote to Coumadin/warfarin overdose

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Proventil HFA (bronchodilator used to treat asthma, COPD)

2 puffs inhaled q4-6h

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Crixivan

dispense in manufacturer bottle

* HIV antiviral

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Hazardous drugs

Cisplatin, estradiol, ethinyl estradiol, etoposide, fluorouracil, ganciclovir, isotretinoin, methotrexate, tamoxifen, zidovudine

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Drugs with narrow therapeutic index

Aminoglycosides, ciclosporin, carbamazepine, digoxin, digitoxin, flecainide, lithium, phenytoin, phenobarbital, rifampicin, theophylline, warfarin

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USP/Medmarx top 10 drugs involved in errors

Insulin 2. Albuterol 3. Morphine
KCl (potassium chloride) 5. Heparin
Cefazolin 7. Warfarin 8. Furosemide
Levofloxacin 10. Vancomycin 11. Acetaminophen

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High-alert meds in community/ambulatory care facilities

carbamazepine
heparin
Metformin
methotrexate
midazolam liquid
warfarin

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High-alert meds in a cute care facilities

flolan (iv)
methotrexate (oral)
oxytocin
potassium chloride for injection
promethazine (iv)
vasopressin (iv)

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High-alert meds in long term care facilities

anticoagulants
chemo
insulins
parenteral nutrition
opioids

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Drugs measured in units or meq not mg

Heparin, insulin, vitamin E, and some other vitamins, hormones (potassium chloride = meq)

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Drugs causing elevated BUNs

carbamazepine
furosemide
propranolol
spironolactone
cephalosporins
tetracyclines
thiazide diuretics

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Angiotensin II receptor antagonist

Drug endings

-sartan

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Angiotensin converting enzyme (ACE) inhibitors

Drug endings

-pril

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Calcium channel blockers (drug endings)

-dipine

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Loop diuretics (drug endings)

-semide

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Carbamazepine effect on PT/INR

May lower the results

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Ciprofloxacin effects on PT/INR results

May raise or elevate a patient’s results

Levothyroxine effects on PT/INR results

May raise or elevate results

Naproxen effects on PT/INR results

May raise or elevate results

Furosemide

Take with orange juice or banana bc furosemide adverse effect is hypokalemia (low blood potassium)

Januvia

Sitagliptin

Isosorbide is for…

Angina

Coreg

Carvedilol

Which class of drugs contributes to PUD?

NSAIDS

Lescol

Fluvastatin

Kcl (potassium supplement) uses which unit of measurement?

Milliequivalents

Arimidex

Anastrozole

Primaxin

Imipenem/cilastatin

What class does digoxin belong to?

Cardiac glycoside

Chemical disinfectant

Destroys infectious fungi, viruses, and bacteria on inanimate surfaces.

Antiseptic

Inhibits or destroys microorganisms on living tissues

Sanitizing agent (does what)

Reduces the number of bacteria, fungi, and viruses on inanimate surfaces

Med used to reverse the effect of heparin…

Protamine sulfate

Hyzaar

Losartan + hydrochlorothiazide

Alteplase recombinant injection

(Activase) thrombolytic agent after MI

Nexterone

Amioderone HCl injection; class III antiarrhythmic

Abelcet

Amphotericin B lipid complex; antifungal agent

Argatroban

Acova; anticoagulant

Benztropine

Cogentin; anticholinergic; for Parkinson’s

Fluvastatin

Lescol; Available as capsule

Pulse dosing

Dosing that produces escalating antibiotic levels early in the dosing interval, followed by a prolonged dose-free period. (Itraconazole is dosed this way)

Elixir

Clear, sweetened, flavored hydro alcoholic solution that may or may not be medicated

Metoprolol

Lopressor: beta blocker for hypertension; also can lower ldl cholesterol

Abciximab

ReoPro; used to prevent blood clots and heart attacks; must be administered parenterally

Tolterodine

Detrol la: overactive bladder

Antidote to Tylenol overdose

Acetylcysteine

Remicade

Infliximab; for rheumatoid arthritis

Apidra

For diabetes; insulin glulisine

Insulin NOT requiring rx

Humulin R and Novolin R

Clopidogrel

Plavix; antiplatelet

Lovenox

Enoxaparin; administered sub q; anticoagulant; deep vein thrombosis

Rivaroxaban

Xarelto; stroke prophylaxis

Quetiapine

Seroquel; schizophrenia

Zestril

Lisinipril ; ace inhibitor for hypertension

Procardia

Nifedipine; calcium channel blocker; hypertension

Ranitidine

Zantac; h2 antagonist (indicated for GERD)

Furosemide

Lasix; hypertension (loop diuretic); ototoxicity; may increase blood glucose levels; may cause photosensitivity

Travoprost

Travatan; glaucoma

Liraglutide

Victoza; For diabetes; administered sub q

Alendronate with vitamin d

Taken once weekly

Tapazole

Methimazole; treats hyperthyroidism

Cytomel

Liothyronine; treats hypothyroidism

Palonosetron

Aloxi; treats nausea/vomiting

Heparin (anticoagulant) available in how many units/ml?

1,000, 5,000, 10,000, and 20,000 units/ml

Lotronex

Alosetron; legend drug treats diarrhea

Benztropine

Cogentin; treats side effects of antipsychotics by responding to the excess muscle activity produced by them; anticholinergic used to treat Parkinson’s

Guaifenesin

Mucinex; expectorant

Electrolytes are measured in…

MEq

Esomeprazole

Nexium; treats Gerd, PPI

Drugs that may elevate PT/INR levels

Levothyroxine Ciprofloxacin Naproxen Oral contraceptives

Benicar

Olmesartan; angiotensin II receptor blocker (ARB) for hypertension

Beclomethasone (inhaled)

Used to prevent asthma attacks; not for pt’s with glaucoma

Anticonvulsants interact with…

Oral contraceptives

Viracept

Nelfinavir; hiv antiviral

Duloxetine

Cymbalta; SNRI treats depression; may cause hypertension

Vitamin b12

Cyanocobalamin

Vitamin b6

Pyridoxine

Vitamin b1

Thiamine

Vitamin a

Retinol

Ganciclovir

Cytovene; Treats cmv; may cause leukopenia (low white blood cells)

Medication that potentiates the effect of insulin

Metoprolol

What classification does benzonatate (tessalon) belong?

Antitussive

What classification of drug is used for osteoporosis?

Biphosphonates

What classification of drug is used for rheumatoid arthritis and osteoarthritis?

Cox2

Ciprofloxacin

Dose every 12 hours

Ampicillin

Dose every 6 hours

Cephalexin

Dosed 4 times a day

Azythromycin

Dosed once a day