PHRM 822 Week 2 Med List Flashcards
contraceptive sides
water retention, bloating, weight gain, breast tenderness,
upset stomach
headache
contraceptive non FDA uses
regulation of menstrual cycle
lessen menstrual flow
reduce painful menses
contraceptive miss dose
take as soon as possible or take two on next day; refer to package labeling
contraceptive product contain ethinyl estradiol
increase cardiovascular risk: not recommended for 35+yo, smoker, history blood clots/stroke
contraceptive tips
OC not on day 1 of menses, use additional non-drug contraceptive
take same time everyday
some anti-convulsants may decrease effectiveness of contraceptive and increase seizures
non of the meds protect against HIV, AIDS, STDs
ethinyl estradiol/norgestimate
ortho tri cyclen, tri-sprintec,tri-vilibra
.035mg/.18,.215,.25mg
1st phase for 7 days, 2nd phase for 7 days, 3rd phase, for 7 days, inactive for 7 days
oral contraceptive + acne, claim to fame is tri-phasics mimics menstrual cycle
contraceptive sides
ethinyl estradiol/ norethindrone/ ferrous fumarate
loestrin Fe, Junel Fe, Microgestin Fe
.02mg/1mg/7mg
take 1 API tab x 21D then 1 iron tab x 7D
oral contraceptive + acne, replaces lost iron during menses
same contraceptive sides
ethinyl estradiol/dropsirenone
yaz, loryna, jasmiel
.02mg/3mg
API tab x 24D then 4 inactive x 4D
OC + acne + premenstrual dusphoric dysphoria, 4 inactive = shorter menstrual cycle
drospirenone lessens water retention/ weight gain sides of estrogen, other sides remain
ethinyl estradiol/ norelgestromin
xulane
.53mg/4.86mg
apply 1 new patch each week x 3 weeks then week 4 patch free
contraception
same sides as OC but more common, adhesive can cause skin rash, do not cut patch, apply to butt, upper torso, stomach, upper arm
ethinyl estradiol/etonogestrel
NuvaRing
.015mg/.12mg/24 hr ER
Insert 1 ring into vag on or before day 5 of cycle and leave in x 3 weeks, then remove week 4 and discard
contraception
if ring falls out rinse with cool water and reinsert within 3 hrs, dont remove for sex, ring is drug delivery device not barrier
medroxyprogesterone
depo-provera
150mg/mL
150 mg deep IM in glute/delt every 3 months
contraception + endometriosis pain/abnormal uterine bleeding/ amenorrhea, no estrogen
nervousness, admin by healthcare pro, don’t use 2+ years bc bone loss, spotting/absent menses may result
levonogestrel
plan-B one step, econtra one-step
1.5 mg
T1T po ASAP within 72 hrs of sex
emergency post-coital contraception
same sides as OC but more common + fatigue + no interactions with antibiotics + will not terminate existing prenancy
clonazepam
klonopin
.5mg, 1mg, 2mg
QD,BID,TID,QID
panic disorder + seizure + anxiety
drowsiness, fatigue, ataxia, behavioral problems
alprazolam
xanax
.25mg, .5 mg, 1mg, 2mg
BID,TID,PRN
panic + anxiety
confusion, dowsiness, excessive drowsiness w/ alc, dont stop suddenly if taking routinely
cyclobenzaprine
flexeril
5mg, 10mg
QD,TID,PRN
muscle spasm
dry mouth, dizziness, drowsiness