Prescriptions Flashcards by michelle peters

Herpes Infection

Rx: Acyclovir 5% cream (Zovirax)

Disp: 3 or 15 gm tube

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

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Herpes Infection

Rx: Acyclovir (Zovirax) 200 mg. capsules

Disp: 38 capsules

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

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Herpes Infection

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

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

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Herpes Infection

Rx: Docosanol (Abreva) 10% cream

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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Herpes Infection

Rx: Famciclovir (Famvir) 125 mg tablets

Disp: 10 tablets

Sig: Take one tablet bid for five days.

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Herpes Infection

Rx: Penciclovir 1% (Denavir) Cream

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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Herpes Infection

Valacylovir (Valtrex) 500mg tablets

Disp: 8 tablets

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

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Herpes Infection

Rx: L- Lysine 500 mg tablets

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

Rx: Betamethasone (Celestone) Syrup

Disp: 8 oz

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

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

Rx: Betamethasone dipropionate (Diprolene) gel 0.05%

Disp: 15 gram tube

Sig: Apply a thin amount to affected area tid

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

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

Disp: 15 or 30 gram tube

Sig: Apply a thin amount to affected area bid.

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

Rx: Dexamethasone elixir .5 mg/5 ml

Disp: 12-16 oz.

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

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

Rx: Fluocinonide (Lidex) .05% gel

Disp: 15 or 30 gm tube

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

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

Rx: Halobetasol propionate (Ultravate) .05% ointment

Disp: 15 gm tube

Sig: Apply a thin amount to affected area bid.

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

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

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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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.)

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

Rx: Prograf (Tracrolimus) 1 mg capsules

Disp: 1 and mix in 1000 ml of sterile water

Sig: Rinse and expectorate qid.

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

Rx: Tracrolimus (Protopic) 0.1% ointment

Disp: 30 gram tube

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

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recalcitrant oral LP and chronic ulcerative stomatitis and Pemphigus Vulgaris

Rx: Hydroxychloroquine (Plaquenil) 200 mg tabs

Disp: 60

Sig: Take 1 tab by mouth BID

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

Rx: Mycophenolate Mofetil (Cellcept) 500 mg tabs

Disp : 60

Sig: Take 1 tab by mouth BID

Note: CBC/diff upon prescription

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recurring aphthous stomatitis

Rx: Colchicine 0.6mg tabs

Disp : 90

Sig : Take 1 tab by mouth TID

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recurring aphthous stomatitis

Rx: Pentoxifylline 400 mg tabs

Disp : 90

Sig : Take 1 tab by mouth TID

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recurring aphthous stomatitis- SEVERE cases only

Rx: Thalidomide 50 mg tabs

Disp : 30

Sig : Take 1 tab by mouth QD

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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.)

Disp: 24

Note: Consider anti-fungal prophalaxis

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Systemic med for Erythema Multiforme Rx: Prophylactic valacyclovir 500 mg tabs

Disp : 30 Sig: 1 QD (for chronic recurring EM)

Systemic med for mucous membrane pemphigoid Rx: Doxycycline

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

Systemic med for mucous membrane pemphigoid Rx: Minocycline

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

Systemic med for mucous membrane pemphigoid Rx: Tetracycline

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

Systemic med for mucous membrane pemphigoid Rx: Dapsone

50 mg to 100 mg QD in single or divided doses

Systemic med for mucous membrane pemphigoid Rx: Nicotinamide

500mg to 2 grams day with one of the antibiotics

Candida Infections Rx: Clotrimazole troche (Mycelex) 10 mg

Disp: 70 Sig: One (1) troche five (5) times a day (let dissolve in mouth) x 2 weeks

Candida Infections Rx: Fluconazole (Diflucan) 100 mg

Disp: 15 tablets Sig: Take two tablets on day 1 and one tablet for 13 days beginning day 2

Candida Infections Rx: Ketaconazole (Nizoral) tablets 200 mg

Disp: 8 tablets Sig: Take one (1) tablet with breakfast.

Candida Infections Rx: Miconazole (Oravig) 50 mg buccal tabs

Disp: 30 Sig: Dissolve 1 tab in vestibule as directed once a day

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

Disp: 240ml Sig: Take 5 ml, hold in mouth for 2 minutes and expectorate qid.

Prophylactic prescription for candidiasis Rx: Clotrimazole troche (Mycelex) 10 mg

Disp: 60 Sig: One (1) troche two (2) times a day (let dissolve in mouth).

Prophylactic prescription for candidiasis Rx: Fluconazole (Diflucan) 100 mg

Disp: 30 Sig: Take one tablet every week

Prophylactic prescription for candidiasis Rx: Nystatin (Mycostatin) Oral Suspension (100,000 u/ml)

Disp: 240ml Sig: Take 5 ml, hold in mouth for 2 minutes and expectorate BID

Angular Cheilitis Rx: Hydrocortisone-iodoquinol (Vytone) cream 1%

Disp: 30 gm tube Sig: Apply to affected area qid.

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

Disp: 15 gram tube Sig: Apply tid until healing occurs.

Angular Cheilitis- OTC For lip repair

Aquaphor

Angular Cheilitis- OTC Ointment

Lansinoh

xerostomia OTC: Biotene

toothpaste and mouthwash

xerostomia Rx: Cevimeline HCL 30mg mg capsules

Disp: 90 Sig: one TID (Do not take with uncontrolled asthma, acute iritis, or narrow angle glaucoma)

xerostomia OTC- Crest

Crest Pro-Health Rinse (non alcohol containing rinse)

xerostomia OTC- 3 dentin hypersensitivity products

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

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

“Mucopolysaccharides from Yerba Santa plant” Parnell Pharmaceuticals

xerostomia Rx: Numoisyn lozenges

Disp: 150 Sig: Dissolve 1 lozenge in mouth 3-5 times a day in mouth prn dryness

xerostomia Rx: Prevident Dry Mouth (Colgate) Toothpaste

Sig: After brushing, flossing and rinsing, apply qhs or bid. Do not eat, drink or rinse mouth for 30 minutes.

xerostomia OTC- Oral Balance gel and spray

Disp: 1.5 oz (tube) or spray bottle Sig: Apply to mouth PRN (gel great at night).

xerostomia Optimoist Spray

OTC

xerostomia Rx: Pilocarpine

Disp: 90 tablets Sig: one TID

xerostomia Xylitol products

Spry mints

6 Therapies for xerostomia

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

Mouth rinses Alkaline saline (Salt/Bicarbonate) mouth rinse

Disp: Mix 1/2 tsp each of salt and baking soda in glass of H20. Sig: Rinse with copious amounts qid.

Mouth rinses Rx: Chlorhexidine gluconate 0.12%

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

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

Disp: Equal amounts of each Sig: Rinse with 1-2 tsp q2h (especially before meals) and expectorate. Note: refrigerate

Mouth rinses Rx: Dyclonine HCl (Dyclone) 0.5%

Disp: 4 oz. Sig: One (1) tsp qid. Rinse as long as possible and expectorate. This is best to use prior to meals.

Mouth rinses Rx: Lidocaine (Xylocaine) viscous 2%

Disp 8 oz. Sig : Either apply to affected area or gargle with one (1) tsp q4h prn pain and expectorate

Mouth rinses Rx: Lidocaine Ointment 5%

Disp : 30 gram tube Sig : Apply a thin amount to dried oral mucosa

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

Disp : 240 ml bottle Sig : Rinse and expectorate 5 ml prn - up to 4 times/day

Mouth rinses Rincinol P.R.N. Dose Pack

OTC: 6 individual dose packs (0.33oz) or 4 oz bottle. Sig: One (1) tsp qid. Rinse as long as possible and expectorate

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

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.

Mouth rinses OTC- Ulcerease

-Alcohol free & comes in 180 ml bottle. Sig: Gargle for 15 seconds and expectorate every two hours or as needed.

Mouth rinses Caphosol

OTC

Lubrication

Burning mouth syndrome

Candidiasis tx can also be used for

burning mouth syndrome

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

burning mouth syndrome

diabetic control can help with:

burning mouth syndrome

Eliminate triclosan/tarter control products can help with:

burning mouth syndrome

Switch hypertensive medication if on ACE-inhibitor can help with

burning mouth syndrome

Trial of evoxac or salagen if xerostomic can help with

burning mouth syndrome

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

burning mouth syndrome

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

burning mouth syndrome

magic mouthwash can help with

burning mouth syndrome

Viscous lidocaine 2 % can help with this syndrome:

burning mouth syndrome

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

burning mouth syndrome

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

burning mouth syndrome

Capsaicin

burning mouth syndrome

Burning mouth syndrome Rx: Topical doxepin (zonalon cream)

Disp 1 tube 30 gm. Sig: apply on affected area up to qid as needed, hold with gauze x 5 mins.

non pharmacological management of burning mouth syndrome

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