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D3 Oral Path > Prescriptions > Flashcards

Prescriptions Flashcards

1
Q

Herpes Infection

Rx: Acyclovir 5% cream (Zovirax)

A

Disp: 3 or 15 gm tube

Sig: Apply to affected area six (6) times a day.

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2
Q

Herpes Infection

Rx: Acyclovir (Zovirax) 200 mg. capsules

A

Disp: 38 capsules

Sig: Three (3) stat, then one (1) capsule five times a day.

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3
Q

Herpes Infection

Acyclovir 5% ointment with Dyclonine HCl 1% or Lidocaine 1%

A

Sig: Apply to affected area q2h (start applying prodromal stage)

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4
Q

Herpes Infection

Rx: Docosanol (Abreva) 10% cream

A

Non prescription product that comes in a 2 gram tube. A thin amount is applied to the affected area five times a day.

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5
Q

Herpes Infection

Rx: Famciclovir (Famvir) 125 mg tablets

A

Disp: 10 tablets

Sig: Take one tablet bid for five days.

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6
Q

Herpes Infection

Rx: Penciclovir 1% (Denavir) Cream

A

Disp: 2 gm tube

Sig: Apply a thin amount to affected area q2h during waking hours for a period of 4 days.

Treatment should begin as early as possible (i.e., during prodrome or when lesions appear).

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7
Q

Herpes Infection

Valacylovir (Valtrex) 500mg tablets

A

Disp: 8 tablets

Sig: Take four tablets in prodrome and four tablets 12 hours later

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8
Q

Herpes Infection

Rx: L- Lysine 500 mg tablets

A

Sig: Take one (1) tablet daily; at start of outbreak take ten (10) tablets through outbreak; then go back to one tablet daily

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9
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Betamethasone (Celestone) Syrup

A

Disp: 8 oz

Sig: One (1) tsp qid. Gargle for as long as possible and expectorate.

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10
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Betamethasone dipropionate (Diprolene) gel 0.05%

A

Disp: 15 gram tube

Sig: Apply a thin amount to affected area tid

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11
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Clobetasol propionate .05% gel (Temovate) (ignore external use only)

A

Disp: 15 or 30 gram tube

Sig: Apply a thin amount to affected area bid.

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12
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Dexamethasone elixir .5 mg/5 ml

A

Disp: 12-16 oz.

Sig: Rinse with 1 tsp. for 2 minutes bid-qid and expectorate.

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13
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Fluocinonide (Lidex) .05% gel

A

Disp: 15 or 30 gm tube

Sig: Apply a thin amount 2-3 times daily. (ignore external use only)

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14
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Halobetasol propionate (Ultravate) .05% ointment

A

Disp: 15 gm tube

Sig: Apply a thin amount to affected area bid.

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15
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Medrol dose pack (Prednisone tabs of 4 mg each)

A

Dis: 1 ( Contains 15 tabs of 4 mg each: 5-4-3-2-1)

Sig: Use as directed – 5, 4, 3, 2, 1 for 5 days

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16
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: 20 mg tablets (Under 130 lbs dispense 30 ten mg tablets and use 40 mg/day in am with food for 3 days followed by 30, 20, & 10 mg in the morning with food for 3 days each.)

A

Disp: 24

Sig: Take three tablets (60 mg) in morning with food for four days; Followed by 2 tablets (40 mg) in the morning with food for four days; then one tablet (20 mg) in the morning with food for four days.

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17
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Prograf (Tracrolimus) 1 mg capsules

A

Disp: 1 and mix in 1000 ml of sterile water

Sig: Rinse and expectorate qid.

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18
Q

Chronic vesicular and ulcerative diseases (chronic aphthous ulcers/LP etc)

Rx: Tracrolimus (Protopic) 0.1% ointment

A

Disp: 30 gram tube

Sig: Apply a thin layer to the affected area and rub in gently tid.

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19
Q

recalcitrant oral LP and chronic ulcerative stomatitis and Pemphigus Vulgaris

Rx: Hydroxychloroquine (Plaquenil) 200 mg tabs

A

Disp: 60

Sig: Take 1 tab by mouth BID

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20
Q

recalcitrant oral LP and chronic ulcerative stomatitis, GVHD, and Pemphigus Vulgaris

Rx: Mycophenolate Mofetil (Cellcept) 500 mg tabs

A

Disp : 60

Sig: Take 1 tab by mouth BID

Note: CBC/diff upon prescription

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21
Q

recurring aphthous stomatitis

Rx: Colchicine 0.6mg tabs

A

Disp : 90

Sig : Take 1 tab by mouth TID

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22
Q

recurring aphthous stomatitis

Rx: Pentoxifylline 400 mg tabs

A

Disp : 90

Sig : Take 1 tab by mouth TID

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23
Q

recurring aphthous stomatitis- SEVERE cases only

Rx: Thalidomide 50 mg tabs

A

Disp : 30

Sig : Take 1 tab by mouth QD

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24
Q

Systemic med for Erythema Multiforme

Rx: Prednisone 20 mg tablets (Under 130 lbs dispense 30 ten mg tablets and use 40 mg/day in am with food for 3 days followed by 30, 20, & 10 mg in the morning with food for 3 days each.)

A

Disp: 24

Sig: Take three tablets (60 mg) in morning with food for four days; Followed by 2 tablets (40 mg) in the morning with food for four days; then one tablet (20 mg) in the morning with food for four days.

Note: Consider anti-fungal prophalaxis

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25
Q

Systemic med for Erythema Multiforme

Rx: Prophylactic valacyclovir 500 mg tabs

A

Disp : 30

Sig: 1 QD (for chronic recurring EM)

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26
Q

Systemic med for mucous membrane pemphigoid

Rx: Doxycycline

A

from 50 mg to 200 mg QD in single or divided doses

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27
Q

Systemic med for mucous membrane pemphigoid

Rx: Minocycline

A

from 50 mg to 200 mg QD in single or divided doses

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28
Q

Systemic med for mucous membrane pemphigoid

Rx: Tetracycline

A

from 50 mg to 200 mg QD in single or divided doses

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29
Q

Systemic med for mucous membrane pemphigoid

Rx: Dapsone

A

50 mg to 100 mg QD in single or divided doses

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30
Q

Systemic med for mucous membrane pemphigoid

Rx: Nicotinamide

A

500mg to 2 grams day with one of the antibiotics

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31
Q

Candida Infections

Rx: Clotrimazole troche (Mycelex) 10 mg

A

Disp: 70

Sig: One (1) troche five (5) times a day (let dissolve in mouth) x 2 weeks

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32
Q

Candida Infections

Rx: Fluconazole (Diflucan) 100 mg

A

Disp: 15 tablets

Sig: Take two tablets on day 1 and one tablet for 13 days beginning day 2

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33
Q

Candida Infections

Rx: Ketaconazole (Nizoral) tablets 200 mg

A

Disp: 8 tablets

Sig: Take one (1) tablet with breakfast.

34
Q

Candida Infections

Rx: Miconazole (Oravig) 50 mg buccal tabs

A

Disp: 30

Sig: Dissolve 1 tab in vestibule as directed once a day

35
Q

Candida Infections

Rx: Nystatin (Mycostatin) Oral Suspension (100,000 u/ml)

A

Disp: 240ml

Sig: Take 5 ml, hold in mouth for 2 minutes and expectorate qid.

36
Q

Prophylactic prescription for candidiasis

Rx: Clotrimazole troche (Mycelex) 10 mg

A

Disp: 60

Sig: One (1) troche two (2) times a day (let dissolve in mouth).

37
Q

Prophylactic prescription for candidiasis

Rx: Fluconazole (Diflucan) 100 mg

A

Disp: 30

Sig: Take one tablet every week

38
Q

Prophylactic prescription for candidiasis

Rx: Nystatin (Mycostatin) Oral Suspension (100,000 u/ml)

A

Disp: 240ml

Sig: Take 5 ml, hold in mouth for 2 minutes and expectorate BID

39
Q

Angular Cheilitis

Rx: Hydrocortisone-iodoquinol (Vytone) cream 1%

A

Disp: 30 gm tube

Sig: Apply to affected area qid.

40
Q

Angular Cheilitis

Rx: Triamcinolone 0.1% and Nystatin 100,000 units/gram cream (Mycolog II)

A

Disp: 15 gram tube

Sig: Apply tid until healing occurs.

41
Q

Angular Cheilitis- OTC

For lip repair

A

Aquaphor

42
Q

Angular Cheilitis- OTC

Ointment

A

Lansinoh

43
Q

xerostomia

OTC: Biotene

A

toothpaste and mouthwash

44
Q

xerostomia

Rx: Cevimeline HCL 30mg mg capsules

A

Disp: 90

Sig: one TID (Do not take with uncontrolled asthma, acute iritis, or narrow angle glaucoma)

45
Q

xerostomia

OTC- Crest

A

Crest Pro-Health Rinse (non alcohol containing rinse)

46
Q

xerostomia

OTC- 3 dentin hypersensitivity products

A

1) Duraphat (Colgate)
2) Gluma (Heraeus)
3) Colgate Sensitive Pro-Relief

47
Q

xerostomia

Rx: Mouth Kote Oral Moisturizer 2 oz. and 8 oz. spray bottles

A

“Mucopolysaccharides from Yerba Santa plant”

Parnell Pharmaceuticals

48
Q

xerostomia

Rx: Numoisyn lozenges

A

Disp: 150

Sig: Dissolve 1 lozenge in mouth 3-5 times a day in mouth prn dryness

49
Q

xerostomia

Rx: Prevident Dry Mouth (Colgate) Toothpaste

A

Sig: After brushing, flossing and rinsing, apply qhs or bid.

Do not eat, drink or rinse mouth for 30 minutes.

50
Q

xerostomia

OTC- Oral Balance gel and spray

A

Disp: 1.5 oz (tube) or spray bottle

Sig: Apply to mouth PRN (gel great at night).

51
Q

xerostomia

Optimoist Spray

A

OTC

52
Q

xerostomia

Rx: Pilocarpine

A

Disp: 90 tablets

Sig: one TID

53
Q

xerostomia

Xylitol products

A

Spry mints

54
Q

6 Therapies for xerostomia

A

1) sip water throughout the day
2) suck on ice (do not chew)
3) Discontinue alcohol (including mouthwashes), caffeine and sodas
4) Humidify sleeping area (cool mist vaporizer)
5) Lubricate lips (lanolin, lansinoh)
6) Fluoride supplementation

55
Q

Mouth rinses

Alkaline saline (Salt/Bicarbonate) mouth rinse

A

Disp: Mix 1/2 tsp each of salt and baking soda in glass of H20.

Sig: Rinse with copious amounts qid.

56
Q

Mouth rinses

Rx: Chlorhexidine gluconate 0.12%

A

Disp: 3 x 16 oz.

Sig: Rinse and expectorate 1/2 oz. for 30 seconds bid.

Note: Antiplaque for treatment of gingivitis. This is to be used as an adjunct to regular periodontal therapy

57
Q

Mouth rinses

Diphenhydramine, (Benadryl) elixir 12.5 mg/5 ml with Maalox

A

Disp: Equal amounts of each

Sig: Rinse with 1-2 tsp q2h (especially before meals) and expectorate.

Note: refrigerate

58
Q

Mouth rinses

Rx: Dyclonine HCl (Dyclone) 0.5%

A

Disp: 4 oz.

Sig: One (1) tsp qid. Rinse as long as possible and expectorate. This is best to use prior to meals.

59
Q

Mouth rinses

Rx: Lidocaine (Xylocaine) viscous 2%

A

Disp 8 oz.

Sig : Either apply to affected area or gargle with one (1) tsp q4h prn pain and expectorate

60
Q

Mouth rinses

Rx: Lidocaine Ointment 5%

A

Disp : 30 gram tube

Sig : Apply a thin amount to dried oral mucosa

61
Q

Mouth rinses

Rx: Magic Mouthwash (1 part viscous lidocaine 2% + 1 part Maalox + 1 part diphenhydramine 12.5 mg per 5 ml elixir)

A

Disp : 240 ml bottle

Sig : Rinse and expectorate 5 ml prn - up to 4 times/day

62
Q

Mouth rinses

Rincinol P.R.N. Dose Pack

A

OTC: 6 individual dose packs (0.33oz) or 4 oz bottle.

Sig: One (1) tsp qid. Rinse as long as possible and expectorate

63
Q

Mouth rinses

Rx: Sucralfate (Carafate) Suspension 1 gram/10 ml

A

Disp: 8 oz.

Sig: Gargle for as long as possible and expectorate (or swallow if pharyngeal ulcerations). Patients may also
prepare a slurry using the oral tablets by placing one 1 gram tablet in approximately 15 to 30 ml of water. Tablet disintegrates rapidly in water. Patients may also form a paste by mixing an individual tablet daily
with a topical anesthetic (lidocaine or dyclonine) and apply directly to individual ulcerations.

64
Q

Mouth rinses

OTC- Ulcerease

A

-Alcohol free & comes in 180 ml bottle.

Sig: Gargle for 15 seconds and expectorate every two hours or as needed.

65
Q

Mouth rinses

Caphosol

A

OTC

66
Q

Lubrication

A

Burning mouth syndrome

67
Q

Candidiasis tx can also be used for

A

burning mouth syndrome

68
Q

Nutritional treatment (B12, Folate, Iron and Zinc) can be used for

A

burning mouth syndrome

69
Q

diabetic control can help with:

A

burning mouth syndrome

70
Q

Eliminate triclosan/tarter control products can help with:

A

burning mouth syndrome

71
Q

Switch hypertensive medication if on ACE-inhibitor can help with

A

burning mouth syndrome

72
Q

Trial of evoxac or salagen if xerostomic can help with

A

burning mouth syndrome

73
Q

Clonazepam .5mg wafer , dissolve 1 in mouth and swallow at night, may dissolve additional wafer and SPIT in morning can help with:

A

burning mouth syndrome

74
Q

Neuropathic meds : amitriptyline, nortriptyline, doxepin, neurontin, lyrica can help with

A

burning mouth syndrome

75
Q

magic mouthwash can help with

A

burning mouth syndrome

76
Q

Viscous lidocaine 2 % can help with this syndrome:

A

burning mouth syndrome

77
Q

topical doxepin (zonalon cream) can help with this syndrome:

A

burning mouth syndrome

78
Q

Alpha Lipoic Acid 600 mg tabs OTC . Take 1 TID as needed. This can help with this syndrome

A

burning mouth syndrome

79
Q

Capsaicin

A

burning mouth syndrome

80
Q

Burning mouth syndrome

Rx: Topical doxepin (zonalon cream)

A

Disp 1 tube 30 gm.

Sig: apply on affected area up to qid as needed, hold with gauze x 5 mins.

81
Q

non pharmacological management of burning mouth syndrome

A

Fabrication of soft splint with or without lidocaine use: Indicated when given a history of symptomatic relief with chewing gum, food or having something in mouth

D3 Oral Path (2 decks)

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