Pharm.

Question 1

Name an example of an oral contraceptive pill that is a combined, triphasic

Answer 1

Ethinyl estradiol/noregestimate

Question 2

what is the trade name for ethinyl estradiol/noregestimate

Answer 2

Ortho Tricyclen Lo

Question 3

What are the 2 indications for ethinyl estradiol/noregestimate

Answer 3

contraption and acne

Question 4

what are the ADR’s of combined OCP’s

Answer 4

edema, wt. gain, bloating, GI disturbance, depression, amenorrhea, infertility, break-thru bleeding, breast tenderness/swelling/dx, worsening of menstrual migraines, thromboembolism

Question 5

what are some DI’s to OCP’s

Answer 5

tobacco, transexamic acid (increases coagulation), some antivirals, abx

Question 6

List an example of the combined, monophasic OCP

Answer 6

ethinyl estradiol/levonorgestrel

Question 7

what is the trade name for ethinyl estradiol/levonorestrel

Answer 7

Alesse

Question 8

give an example fo the OCP that has progestin only and is monophasic

Answer 8

Norethindrone

Question 9

what is the trade name for norethindrone

Answer 9

ortho micronor

Question 10

what is norethindrone’s indication

Answer 10

contraceptive for lactating women especially

Question 11

what is the main MOA of norethindrone

Answer 11

thickens cervical mucus (22 hrs duration)

Question 12

how strict is one need to take norethindrone ?

Answer 12

same time every day, miss by 3 hrs may cause bleeding

Question 13

ADR’s of norethrindrone

Answer 13

nausea, HA, abnl menstrual cycle, breast tenderness, ectopic pregnancy

Question 14

what is an example of an injectable contraceptive (progestin only)

Answer 14

medroxyprogesterone

Question 15

what is the trade name for medroxyprogesterone

Answer 15

depo provera

Question 16

where is the injection given and how often for medroxyprogesterone?

Answer 16

deltoid or gluteal region q 3 months.

Question 17

how long does it take after discontinuation of medroxyprogesterone for ovulation to occur

Answer 17

6-12 months, its the longest one

Question 18

ADR’s of medroxyprogesterone

Answer 18

injection site rxn, wt gain* abd pain, amenorrhea, spotting, reduced libido, fatigue, anaphylaxis, decreased bone density

Question 19

list an example of the intrauterine device, progestin only

Answer 19

levonorgestrel

Question 20

whats the trade name for levonorgestrel the IUD

Answer 20

mirena

Question 21

how often does levonorgestrel the IUD need to be replaced>

Answer 21

q 5yrs

Question 22

list an example of the Menopause HT- transdermal patch

Answer 22

ethinyl estradiol patch aka Climara

Question 23

What do u add to the estrogen patch if the patient has a uterus?

Answer 23

progestin (combo patch climara pro)

Question 24

what are we using for urge incontinence?

Answer 24

oxybutynin a antispasmodic-antimuscarinic

Question 25

what is the MOA of oxybutynin

Answer 25

competitive inhibits muscarinic receptors relaxing smooth muscle, particularly detrusor muscle

Question 26

what are the ADR’s of oxybutynin

Answer 26

anticholinergic effects, HS, seizures

Question 27

what are the DI’s for oxybutynin

Answer 27

CYP450 S, potassium, cholinesterase inhibitors, opiods, drugs that lower seizure threshold

Question 28

why do we give the HPV vaccine and to what age group

Answer 28

prevents cancer to females age 11-12