Miscellaneous Dispensing test 2 Flashcards
Carafate generic and details
sucralfate • Antiulcer → binds to ulcer and forms protective barrier against gastric acid • 1 gram tablet • 1 gram per 10 mL oral suspension • Treatment: I gram QID or 2 grams BID • Prophylaxis: 1 gram BID • Take on empty stomach • Do not take antacids within one hour of taking sucralfate
sucralfate Trade
Carafate
Accolate generic and details
zafirlukast • Leukotriene receptor antagonist • Indicated for asthma prophylaxis • 10 mg and 20 mg tablet • Take on empty stomach • Do not skip doses
zafirlukast Trade?
Accolate
Singulair generic and details
montelukast
• Leukotriene receptor antagonist
• Indicated for asthma prophylaxis, allergic rhinitis, and exercise induced asthma
• 10 mg tablet for patients 15 years and older
• 4 mg and 5 mg chewable tablet for patients 2-14 years old
• 4 mg granules for patients 1-5 years old
• Do not skip doses
montelukast Trade?
Singulair
Tessalon generic and details
benzonate
• Antitussive → anesthetizes the stretch receptor in the lungs
• 100 mg and 200 mg soft gelatin capsule
• Swallow whole; will numb mouth and throat for hours
benzonate Trade?
Tessalon
Intuniv generic and details?
guanfacine
• Antihypertensives indicated for ADHD
• 1 mg, 2 mg, 3 mg, 4 mg ER tablet
• Initial dose is 1 mg qdaily → may increase dose 1 mg/week as needed
• May cause somnolence, syncope, and hypotension
• Maintenance dose is qdaily
guanfacine 2 Trades?
Intuniv and Tenex
Tenex generic and details
gaunfacine
Ind: hypertension only
Kapvay generic and details
clonidine
• 0.1 mg and 0.2 mg ER tablet
• Initial dose is 0.1 mg qHS for 1 week → may increase dose 0.1 mg/week as needed
• Maintenance dose is BID
methotrexate details
- Indicated for severe psoriasis, rheumatoid arthritis, cancer
- qweekly
clonidine Trade?
Kapvay
MAOI category details
o Antidepressants
• Monoamine oxidase is an enzyme that metabolizes the four NTs E, NE, 5-HT, and DA → decreases levels of these NTs may cause depression
MAOI Pt. Counseling (4)
o BBW: may increase risk of suicidal thinking in patients under 24 with depression
• Not first line drugs because of the many problems associated with them
o Avoid foods and drinks high in tyramine → cause hypertensive crisis
o Avoid OTC drugs with pseudoephedrine and phenylephrine
o Avoid other antidepressants; must wait 2 weeks before starting and 2 weeks after finishing
Nardil generic
phenelzine
MAOI
Marplan generic
isocarboxazid
MAOI
Parnate generic
tranylcypromine
MAOI
MAOI no trade?
selegiline
phenelzine Trade?
Nardil
isocarboxazid Trade?
Marplan
tranylcypromine Trade?
Parnate
Zyvox generic and details
linezolid • Category: antibiotic • Class: oxazolidinones • Inhibits MAO • Not indicated for depression • Used in ear infections
linezolid Trade?
Zyvox
Corlopam generic and details
fenoldapam
• Indicated for hypertensive crisis
• IV vasodilators
Nitropress generic and details
nitroprusside
• Indicated for hypertensive crisis
• IV vasodilators
Cleviprex generic and details
clevidipine
• Indicated for hypertensive crisis
• IV vasodilators
4 IV vasodialators?
Corlopam fenoldopam
Nitropress nitroprusside
Cleviprex clevidipine
phentolamine
erectile dysfunction term
subsiding erection term
painful erection term
impotence
detumescence
priapism
Yocon gerneric and details
yohimbine • TID • 5.4 mg tablet • FDA approved • Daily dose – 42 mg/day
Caverject Powder generic and details
alprostadil
• Impotence agent
• Prostaglandin and vasodilator
• 20 mcg and 40 mcg single use vials
• Maximum use is 3 times/week
• Powder for solution for intracavernosal injection; reconstituted with SWFI; only stable for 24 hours
• Relaxes smooth muscle in the penis and increases blood flow
• First injection must be done in physicians office → stay until erection is gone
MUSE generic and details
alprostadil
• Impotence agent
• Prostaglandin and vasodilator
• 250 mcg, 500 mcg, 1000 mcg
• Bougie – urethral suppository
• Onset of 5-10 minutes; DOA of 1 hour
• Refrigerate in pharmacy; stable at RT for 14 days
• Urinate prior to insertion because residual urine will dissolve the pellet
• After inserted, push button to release pellet and rock back and forth to knock pellet off the end
alprostadil Trades
MUSE and Caverject Powder
yohimbine Trade
Yocon
phosphodiesterase inhibitors info and pt. counseling
o Take one hour prior to sexual activity; window of efficacy is 4 hours (exception: Cialis)
o Can cause headache, flushing, and alter color vision
o Do not take with nitrates or alpha-1 blockers
o MOA: nitric oxide activates guanylate cyclase → increases synthesis of cGMP → cGMP relaxes smooth muscle in the penis → increased blood flow into the penis
• Nitric oxide is released in men when sexually aroused; man must be sexually aroused for these to work
• Nitric oxide is metabolized by phosphodiesterase
• Inhibit PDE → increase cGMP levels → erection lasts longer
phosphodiesterase Trades:
Viagra, Levitra, Staxyn, Cialis, Stendra
Viagra trade and details
sildenafil • 25 mg, 50 mg, 100 mg tablet • Take on empty stomach • Discovered as adverse effect for angina drug • Has highest incidence of headache • Makes things look blue
Levitra trade and details
vardenafil
• 2.5 mg, 5 mg, 10 mg, 20 mg tablet
• Take on empty stomach
Staxyn trade and details
vardenafil
• 10 mg ODT
• Can be taken without regard to meals
sildenafil Trade?
vardenafil Trade?
Viagra
Levitra/Staxyn
Cialis generic and details
tadalafil
• 2.5 mg, 5 mg, 10 mg, 20 mg tablet
• Treatment of BPH symptoms: 5 mg qdaily
• Can be taken without regard to meals
• Window of efficacy is 36 hours
• Taken like a maintenance drug: twice weekly or 2.5 mg or 5 mg qdaily
• Do not take with other alpha-1 inhibitors → can cause severe hypotension
Stendra generic and details
avanafil
• Can be taken without regard to meals
• Discovered when developing BP medication
tadalafil Trade?
Avanafil Trade?
Cialis
Stendra
fear of public places
agoraphobia
fear of pain
algophobia
absence of menses
amenorrhea
inequality of pupil diameter
anisocoria
lack of appetite
anorexia
small painful grayish-white ulcer in the mouth
canker sore
aphthous stomatitis
jerking movements of the limbs
asterixis
grinding the teeth in sleep
bruxism
double vision
diplopia
difficulty articulating words
dysarthria
decrease in taste
dysgeusia
painful menses
dysmenorrhea
difficulty swallowing
dysphagia
brain inflammation
encephalitis
eyeball protrusion
exophthalmos
visible muscle contractions
fasciculation
excessive gas
flatulence
enlarged gum tissue (not from local irritation)
gingival hyperplasia
tongue inflammation
glossitis
transitional state preceding sleep
hypnagogic
excessive hair growth
hypertrichosis
diminished touch sensitivity
hypoesthesia
involuntary eyeball movement
nystagmus
eye muscle paralysis
ophthalmoplegia
softening of the bones
osteomalacia
burning/tingling sensation on the skin
paresthesia
drooping of upper eyelid
ptosis
snore
stertor