miscellaneous meds Flashcards
brand name for levothyroxine
levoxyl, synthroid, tirosint
common dosing for levothyroxine
once daily
indication for levothyroxine
hypothyroidism
counseling tip/important info for levothyroxine
*Take with water at least 30 minutes before breakfast to increase absorption
*Take the same way everyday
*Take >4 hours apart from antacids and iron
*May take several weeks to see symptoms improve
brand name for alendronate
fosamax
dosing of alendronate
once weekly
indications for aldendronate
osteoporosis
counseling points of aldendronate
*Take 30 minutes before breakfast to increase absorption
*Ensure adequate calcium and vitamin D intake
*Take with 8 oz of water and remain upright for 30 minutes
*Report heartburn or bone pain to physician
brand name for ferrous sulfate (OTC)
slow fe
ferosul
dosing for ferrous sulfate
once daily, BID, TID
indications for ferrous sulfate
iron deficiency
dietary supplement
counseling tips for ferrous sulfate
*Best absorbed on empty stomach, but take with food if stomach upset occurs
*Separate 2 hours before or after other medications
*Black stools
*Constipation common
brand name for sumatriptan
imitrex
dosing for sumatriptan
One tablet PO at first sign of migraine, may repeat once in 2 hours if no relief
MAX: 200mg/day
indications for sumatriptan
*Acute treatment of migraine
*Cluster headache
counseling tips for sumatriptan
*Tingling, dizziness common
*Avoid if history of cardiovascular disease
*Overuse (more than 10 days per month) may worsen or increase frequency of headache
brand name for tadalafil
cialis
dosing for tadalafil
once daily
indications for tadalafil
*Erectile dysfunction
*Benign prostatic hyperplasia
*Pulmonary hypertension
counseling tips for tadalafil
*Do not take more than once daily
*Avoid alcohol due to risk of low blood pressure
*Avoid grapefruit juice or lower dose/frequency of tadalafil use
*Headache and flushing
*Report sudden loss of hearing or vision and discontinue use
brand name for atovaquone/ proguanil
malarone
dosing for atovaquone/proguanil
once daily, start 1 to 2 days prior to entering a malaria- endemic area, continue throughout stay and for 7 days after returning
indications for atovaquone/proguanil
malaria prophylaxis
counseling tips for atovaquone/proguanil
*Abdominal pain
*Nausea, vomiting
*Headache
*Increased liver function test, transient
brand name for oseltamivir
tamiflu
dosing for oseltamivir
Flu Prevention: One capsule
once daily for 10 days
Flu Treatment: One capsule
BID for 5 days
indications for oseltamivir
*Influenza prevention or
treatment
counseling tips for osemltamivir
Nausea/vomiting
*Headache
*Does not replace influenza vaccine
*Must initiate within 48 hours of onset of symptoms
brand name for valacyclovir
valtrex
dosing for valacyclovir
q8h, q12h, q24h
indications for valacyclovir
*Tx herpes viral
infections of:
Genitals
Cold sores
Shingles
counseling tips for valacyclovir
*Headache common adverse effect
*Does not prevent disease transmission [avoid sex when sores are present]
*Drink lots of fluids to prevent accumulation in kidneys
brand name for fluconazole
diflucan
dosing for fluconazole
q24h, single dose for vaginitis
indications for fluconazole
*Tx fungal infections of:
Mouth
(thrush)
Skin
Vagina
HIV- associated
counseling tips for fluconazole
QTc prolongation occurs rarely, but possible interaction with
many different medications
*Report any new skin rash to the prescriber
brand name for clopidogrel
plavix
dosing for clopidogrel
300mg loading dose, 75mg
once daily
indications for clopidogrel
*To reduce rate of heart
attack and stroke
counseling tips for clopidgrel
Avoid NSAIDs unless instructed due to increased bleeding risk
*Seek medical attention for unusual or prolonged bleeding or bruising
*Avoid abrupt discontinuation
brand name for warfarin
coumadin
dosing for warfarin
once daily
indications for warfarin
*To prevent blood clots
*Atrial Fibrillation
counseling tips for warfarin
*Seek medical attention for unusual or prolonged bleeding or bruising
*Keep dietary vitamin K (green leafy vegetables) and alcohol consumption consistent
*Many drug interactions; discuss new meds with pharmacist before starting
*Take missed dose ASAP, but don’t double dose same day
brand name for rivaroxaban
xarelto
dosing for rivaroxaban
once daily, BID
indications for rivaroxaban
*To prevent blood clots
*Atrial Fibrillation
counseling tips for rivaroxaban
*Seek medical attention for unusual or prolonged bleeding or bruising
*Gastroenteritis
*Vomiting
*Cough (pediatric patients)
brand name for alprazolam
xanax
dosing for alprazolam
BID, TID or prn
indications for alprazolam
*Panic disorder
*Anxiety
counseling tips for alprazolam
*Confusion
*Drowsiness
*Excessive drowsiness with alcohol – avoid alcohol use
*Do not stop drug suddenly if taking routinely
brand name for estradiol
estrace
climara
vivelle-dot
dosing for estradiol
Estrace: once daily
Climara: once weekly
Vivelle-Dot: twice weekly
indications for estradiol
*Hormone therapy
*Menopause symptoms
*Breast cancer
*Osteoporosis
counseling tips for estradiol
*Headache
*Breast tenderness
*Irritation at application site (patches)
brand name for testosterone
Depo- Testosterone
Androgel
Testim
dosing for testosterone
Depo-Testosterone: once or
twice weekly
Androgel & Testim: once daily
indications for testosterone
*Hormone therapy
Hypogonadism
counseling tips for testosterone
*Increased blood pressure
*Increased venous thromboembolism risk
*Localized itching
*Acne
