Musculoskeletal Meds Flashcards
Aspirin
Ecotrin, NSAIDs
Inflammation, pain, fever
Celecoxib
Celebrex, NSAIDs
Inflammation, pain
Diclofenac sodium
Voltaren, NSAIDs
Inflammation, pain
Diclofenac potassium
Cataflam, NSAIDs
Inflammation, pain
Etodolac
Lodine, NSAIDs
Inflammation, pain
Ibuprofen
Motrin, NSAIDs
Inflammation, pain, fever
Indomethacin
Indocin, NSAIDs
Inflammation, pain
Ketorolac
Toradol, NSAIDs
Inflammation, pain
Meloxicam
Mobic, NSAIDs
Inflammation, pain
Nabumetone
Relafen, NSAIDs
Inflammation, pain
Naproxen
Naprosyn, NSAIDs
Inflammation, pain, fever
Baclofen
Lioresal, muscle relaxant
Muscle spasms
Carisoprodol
Soma, muscle relaxant
Muscle spasms
Cyclobenzaprine
Flexeril, muscle relaxant
Muscle spasms
Metaxalone
Skelaxin, muscle relaxant
Muscle spasms
Methocarbamol
Robaxin, muscle relaxant
Muscle spasms
Tizanidine
Zanaflex, muscle relaxant
Muscle spasms
Buprenorphine
Subutex, opioid analgesic
Pain, opioid dependence
Butorphanol
Stadol, opioid analgesic
Pain
Codeine
Codeine, opioid analgesic
Pain
Fentanyl
Duragesic, opioid analgesic
Pain
Hydrocodone
Zohydro ER, opioid analgesic
Pain
Hydromorphone
Dilaudid, opioid analgesic
Pain
Methadone
Methadose, opioid analgesic
Pain, opioid dependence
Meperidine
Demerol, opioid analgesic
Pain
Morphine
MS Contin, opioid analgesic
Pain
Oxycodone
Oxycontin, opioid analgesic
Pain
Oxymorphone
Opana, opioid analgesic
Pain
Tapentadol
Nucynta, opioid analgesic
Pain
Tramadol
Ultram, opioid analgesic
Pain
Acetaminophen
Tylenol, misc analgesic
Pain, fever
Capsaicin
Bengay, misc analgesic
Pain
Lidocaine
Lidoderm, misc analgesic
Pain
Codeine/acetaminophen
Tylenol #3, combination drug
Pain
Opioid and misc analgesic
Hydrocodone/acetaminophen
Norco, combination drug
Pain
Opioid and misc analgesic
Oxycodone/acetaminophen
Percocet, combination drug
Pain
Opioid and misc analgesic
Which anti-inflammatory, analgesic, and muscle relaxant drugs are available OTC? (6)
Aspirin (Ecotrin)
Ibuprofen (Motrin)
Naproxen (Naprosyn)
Acetaminophen (Tylenol)
Capsaicin (Bengay)
Lidocaine (Lidoderm)
What drug classes are made up of Scheduled/Controlled substances? (2)
Opioid analgesics and combination drugs
Which opioid analgesics are also used to treat opioid dependence? (2)
Methadone (Methadose)
Buprenorphine (Subutex)
Which opioid analgesics are above C-II status? (3) What combination drug is C-III?
Buprenorphine (Subutex) - C-III
Butorphanol (Stadol) - C-IV
Tramadol (Ultram) - C-IV
-
Codeine/acetaminophen (Tylenol #3) - C-III
Maximum daily dose of Tylenol
4,000 mg / 4 g
What are the special considerations for opioid analgesics? (5)
Abuse potential (Scheduled substance)
High-alert med
REMS med
Interacts with other meds that cause respiratory depression (muscle relaxants, alcohol)
May cause constipation, dizziness, and drowsiness
Which opioid analgesics should not be used in children under 12? (2)
Codeine (Codeine)
Tramadol (Ultram)
This med requires hand washing after use
Capsaicin (Bengay)
Which muscle relaxant is Schedule Drug?
Carisoprodol (Soma) - C-IV
What are the adverse effects of muscle relaxants? (2)
Interacts with meds that cause drowsiness (opioids, benzodiazepines, etc.)
May cause CNS depression (dizziness, drowsiness, etc.)
Patch dosage form should only be worn a max of 12 hours a day
Lidocaine (Lidoderm)
This med can cause chronic liver issues if used with consistently high doses
Acetaminophen (Tylenol)
NSAIDs should be used with caution for patients with these pre-existing issues:
Cardiovascular issues (ex. heart disease)
Adverse interaction of NSAIDs with these types of drugs…
Medications that may cause bleeding, such as warfarin, and probenecid
Except for _______, these NSAIDs should be administered with/without food
Celecoxib (Celebrex); WITH food
These NSAIDs should not be used by patients with NSAID or salicylate allergies (4)
Aspirin (Ecotrin)
Celecoxib (Celebrex)
Diclofenac sodium (Voltaren)
Diclofenac potassium (Cataflam)T
These two NSAIDs are OTC at the 200 mg and 220 mg dosages, respectively
Ibuprofen (Motrin) and Naproxen (Naprosyn)
IV ketorolac can only be used for a maximum of ___ days
5
Muscle relaxants can interact with…
Benzodiazepines
People should not drive or operate machinery when taking this type of med…
Opioid
Alendronate
Fosamax, bisphosphonates
Osteoporosis
Ibandronate
Boniva, bisphosphonates
Osteoporosis
Raloxifene
Evista, SERMs
Breast cancer prophylaxis(prevention), osteoporosis
Risedronate
Actonel, bisphosphonates
Osteoporosis
Which two osteoporosis meds are LASA meds?
Risedronate (Actonel): Actos
Raloxifene (Evista): Avinza
Adverse effects and considerations for raloxifene (Evista)
Avoid smoking, especially over 35 years old
Hot flashes
NIOSH med
Avoid in pregnant/breastfeeding patients
Avoid in patients with history of blood clots
This type of meds should be taken 30-60 minutes before food or other medications / should be taken on an empty stomach
Oral forms of bisphosphonates
Ex. alendronate (Fosamax)
Patients should remain upright for 30-60 minutes after taking these meds
Oral bisphosphonates
Patients should avoid this behavior when taking estrogen-containing meds due to the risk of blood clotting
Smoking
What 3 medications can interact with alendronate (Fosamax)?
Cimetidine
Simvastatin
Zolpidem
Allopurinol
Zyloprim, xanthine oxidase inhibitor
Gout
Febuxostat
Uloric, xanthine oxidase inhibitor
Gout
Colchine
Colcrys, anti-gout med
Gout
Which 2 gout medications are LASA meds?
Allopurinol (Zyloprim): zolpidem
Colchicine (Colcrys): cortrosyn
This gout medication may cause GI issues
Colchicine (Colcrys)
This gout medication is a Beers med
Colchicine (Colcrys)
These two gout medications should be taken with food
Allopurinol (Zyloprim)
Colchicine (Colcrys)
This gout med interacts with grapefruit and certain meds (amiodarone, ciprofloxacin, statins, etc.)
Colchicine (Colcrys)
Xanthine oxidase Inhibitors are intended to…
Lower uric acid levels in the body to treat gout
Colchicine is intended to treat gout by…
Lowering the inflammatory response to gout, which can prevent or treat gout attacks
This med class should be taken daily and should not be discontinued
Xanthine oxidase inhibitors
Probenecid
Benemid; uricosuric agent
Gout
Denosumab
Prolia; RANKL inhibitor
Bone cancer/osteoporosis
Teriparatide
Forteo
Osteoporosis
Conjugated estrogens/bazedoxifene
Duavee; estrogen/progesterone
Osteoporosis
Zoledronic acid
Reclast; bisphosphonate
Bone cancer/osteoporosis
Probenecid/colchicine
Col-Probenecid; uricsuric agent/anti gout
Gout
Abaloparatide
Tymlos; parathyroid hormone analog
Osteoporosis