Pharm Flashcards
Antibiotic used for mastitis
Dicloxacillin
(mastitis usually due to Staph aureus)
Oral progesterone - used for what?
may help decrease hot flashes
won’t help dyspareunia or vaginal atrophy
use for estrogen cream?
pain with sex, vaginal atrophy
treatment for HSV?
acyclovir
Treatment for bacterial vaginosis?
Metronidazole
treatment for trich?
metronidazole
treatment for vag candida?
azole cream (Uwise)
tx for tension headaches in preg?
acetaminophen
(not an NSAID: little anti-inflammatory effect)
NSAID use during preg?
generally avoided
anti-seiz medication with highest risk of fetal malformation?
All roughly double risk to fetus (ie, phenytoin, carbamazepine, phenobarbital)
Valproate has worst risk: neural tube defects
Tx for bipolar? concerns?
Sodium valproate, carbamazepine
concerns for teratogenicity
Most common side effect of fluoxetine?
what category of med is it?
Most common = sleep disturbance
(also: irritability, fatigue, headache, agitation, sexual effects - decr libido)
SSRI
treatment for atrophic vaginitis?
water-based local moisturizer
topical or oral estrogen
Tx for Desquamative inflammatory vaginitis
topical clindamycin cream daily x14d
(clindamycin binds to 50s rRNA; decr protein synthesis)
when taking metronidazole, pt needs to do what?
not drink alcohol
disulfiram-like reaction (antabuse)
Treatment for lichen simplex chronicus?
(the one with the rugae)
short course of high-potency steroid cream + antihistamines for itchiness
magnesium sulfate - use?
tocolytic agent used in preterm labor
thought to have neuroprotective effect on fetus (less cerebral palsy)
drug treatment for ectopic preg?
methotrexate
(remember this is a folate antagonist, prevents DNA creation)
Atenolol: class?
SEs?
beta blocker - anti-anginal, anti-HTN, anti-migraine, anti-arrythmic
chest pain, dizziness
amlodipine: class
SEs
Ca channel blocker (relaxes arterial SMs)
edema, fatigue
zaleplon class?
SEs?
non-benzo sedative
(insomnia)
next-day sedation/cognitive effects
Risperidone
class?
SEs?
atypical antipsychotic - dopamine antagonist
wt gain, metabolic sx, tardive dyskinesia
mirtazapine
class?
SEs?
noradrenergic and serotonergic antidepressant
constip, dry mouth, wt gain, somnolence
sumatriptan
class? SEs?
triptan (anti-migraine, acute)
cardiac events (vasospasm, v-tach, afib)
tylenol
acetominophen/paracetamol
NOT anti-inflammatory
good for headache, pain w mild arthritis
aleve
allopurinol
xanthine oxidase inhibitor (gout/stones - hyperuricemia)
CAN be used in pts with poor kidney fxn
potentially fatal derm effects (stevens johnson/TEN)
carbidopa
