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PUP DRUGS - CT Flashcards

1
Q

Doxycycline (vibramycin, monodox, adoxa)

A

sun, w/ food, no Ca, Fe, Mg, Zn, decrease OC

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2
Q

Amoxicillin (amoxil)

A

CI: Penicillin allergy, decrease OC

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3
Q

Cephalexin (keflex)

A

No Zn, CI: cephalosporin, caution if penicillin allergy

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4
Q

azithromycin (zithromax, z-pak, tri-pak)

A

CI: Macrolide allergy, No Al, Mg

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5
Q

ciprofloxacin (cipro, ciloxan)

A

No Ca, Fe, sun, increase caffeine CI: fluoroquinolone

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6
Q

sulfamethoxazole/trimethoprim

A

sun, w/ water, CI: sulfa allergy

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7
Q

nitrofurantoin (macrobid, macrodantin)

A

orange/brown urine/feces, no Mg, take w/ food/milk

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8
Q

fluconazole (diflucan)

A

report new rash

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9
Q

valacyclovir (vatrex)

A

drink lots of fluid

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10
Q

metronidazole (flagyl)

A

CI: EtOH 3d after, metallic taste

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11
Q

Loratadine (claritin)

A

headache

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12
Q

Diphenhydramine (benadryl)

A

hyperactivity in children, No EtOH

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13
Q

Fluticasone (flonase)

A

shake well, may take several days for full effect

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14
Q

Montelukast (singulair)

A

take in evening

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15
Q

albuterol sulfate (proventil, proair, ventolin HFA)

A

shake well, increased HR

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16
Q

budesonide and formoterol

A

Shake well, rinse mouth to prevent thrush

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17
Q

benzonatate (tessalon)

A

do not chew

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18
Q

dextromethorphan (delsym)

A

potential for abuse (hallucinogen)

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19
Q

guaifenesin (mucinex)

A

drink lots of water, nausea

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20
Q

pseudoephedrine (sudafed)

A

Insomnia, jitters, increased HR

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21
Q

amphetamine/dextroamphetamine (adderall, adderall XR)

A

weight loss, increased HR, take in AM (insomnia)

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22
Q

methylphenidate (ritalin, ritalin LA, Concerta)

A

weight loss, increased HR, take in AM (insomnia)

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23
Q

escitalopram (lexapro)

A

insomnia or drowsiness, sexual dysfunction

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24
Q

venlafaxine (Effexor, Effexor XR)

A

insomnia or drowsiness, w/ food

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25
Q

fluoxetine (Prozac, Sarafem)

A

Sexual dysfunction, anorexia, diarrhea, asthenia (lack of energy)

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26
Q

duloxetine (cymbalta)

A

Insomnia or drowsiness, w/ food

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27
Q

sertraline (zoloft)

A

Insomnia > drowsiness, w/ food, sexual dysfunction

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28
Q

amitriptyline (elavil)

A

drowsiness, weight gain, constipation

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29
Q

trazodone (Desyrel)

A

drowsiness, w/ food

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30
Q

Bupropion (wellbutrin XR, zyban, Wellbutrin)

A

Insomnia, take 1 week before pt intends to quit smoking

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31
Q

Aspirin, acetylsalicylic acid (ASA)
(Bayer Aspirin)

A

Stomach Upset(bleed), w/ food/milk, w/ water, don’t give to kids >18, ringing in ear at high dose

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32
Q

Ibuprofen (OTC: advil, Motrin IB / Rx: Motrin)

A

stomach upset (bleed), w/ food/milk, avoid if history of heart problems

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33
Q

Naproxen Sodium (OTC: Aleve / Rx: Anaprox, Anaprox DS)

A

Stomach upset (bleed), w/ food/milk, avoid if history of heart problems

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34
Q

Meloxicam (Mobic)

A

Stomach upset (bleed), w/ food/milk, avoid if history of heart problems

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35
Q

Methylprednisolone (Medrol)

A

Finish entire course, w/ food/milk, insomnia

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36
Q

Hydrocortisone (ala-cort, anucort-HC, Instacort 5)

A

Localized burning

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37
Q

acetaminophen (APAP)
(tylenol)

A

DON’T treat hangovers with APAP due to liver toxicity

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38
Q

Tramadol (Ultram)

A

Constipation, Drowsiness, Dizziness

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39
Q

Hydrocodone/APAP (Norco, Vicodin, Lortab)

A

Stomach upset, constipation, drowsiness, not a hangover treatment

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40
Q

Oxycodone (oxy IR, Oxycontin)

A

stomach upset, constipation, drowsiness, don’t crush or chew CR tabs

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41
Q

olanzapine (zyprexa)

A

drowsiness, weight gain, increased blood sugar, movement disorder, decreased sex drive

42
Q

quetiapine (seroquel)

A

drowsiness, weight gain, increased BP, increases appetite, dizziness

43
Q

aripiprazole (abilify)

A

drowsiness or insomnia, weight gain, movement disorders

44
Q

topiramate (topamax)

A

dizziness/drowsiness, numbness/tingling, memory impairment, weight loss due to increased appetite from nausea

45
Q

pregabalin (lyrica)

A

drowsiness/dizziness, headache, blurred vision, weight gain

46
Q

gabapentin (neurontin)

A

drowsiness/dizziness, uncoordinated muscles movements

47
Q

Lamotrigine (lamictal)

A

drowsiness/dizziness, uncoordinated muscle movements, headache, blurred/double vision

48
Q

divalproex sodium (depakote, depakote ER)

A

drowsiness/dizziness, tremor, muscle weakness, upset stomach

49
Q

Zolpidem (ambien, ambien CR)

A

take 20 mins before bedtime, >8h of sleep, abnormal sleep behaviors

50
Q

temazepam (restoril)

A

take right before you get in bed, >8 hours of sleep, headache

51
Q

Promethazine (Phenergan)

A

Drows/dizz, no EtOH, sun

52
Q

odansetron (zofran)

A

headache, fatigue, constipation or diarrhea

53
Q

omeprazole (prilosec)

A

works in 1day, 4 days for full effect, >1h before food, separate antacid by 2h

54
Q

famotidine (pepcid AC)

A

works in 1h, 1 day for full effect, can take w/ antacids

55
Q

magnesium hydroxide, aluminum hydroxide, simethicone (maalox)

A

shake well, works in mins, MANY drug-drug interactions, constipation (Al), diarrhea (Mg and simethicone)

56
Q

Calcium carbonate (tums)

A

Constipation, chew, don’t use >2 weeks w/out MD approval

57
Q

Docusate Sodium (colace)

A

works in 1-3d, w/ water, diarrhea, cramps

58
Q

polyethylene glycol PEG (miralax, golytely)

A

lax works in 1-3 days, don’t take lax longer than 1 week w/out MD approval, colon prep works in 1h, diarrhea, cramps, bloating

59
Q

bisacodyl (dulcolax)

A

oral dose works in 8h, suppository works in 15-60mins, don’t take >1 week w/out MD approval, diarrhea, cramps

60
Q

Loperamide (imodium)

A

Drowsiness, if not improved in 2 days, call MD (dehydration)

61
Q

Omega-3 Fatty acids (lovaza)

A

burping/taste disturbances, swallow whole, refrigerate to reduce taste/smell

62
Q

Fenofibrate (Trilipix, Tricor)

A

Increased liver enzyme, DC if gallstones form, photosensitivity

63
Q

Atorvastatin (lipitor)

A

Increased liver enzymes, report unusual muscle pain, avoid grapefruit, CI if pregnant, diarrhea

64
Q

Rosuvastatin (crestor)

A

Increased liver enzymes, report unusual muscle pain, avoid grapefruits, CI if pregnant, diarrhea

65
Q

Ezetimibe (zetia)

A

Increased liver enzymes, diarrhea

66
Q

Insulin lispro (humalog)

A

decreased blood sugar, refrigerate unopened vials, discard after 28 days in room temp, let syringe reach room temp, rotate inj sites

67
Q

insulin glargine (lantus)

A

Decreased blood sugar, refrigerate unopened vials, discard after 28 days at room temp, let syringe reach room temp, rotate inj sites

68
Q

Metformin (glucophage)

A

diarrhea, nausea, abdominal pain, w/ food, titrate dose up weekly, long-term use can cause vit b-12 deficiency

69
Q

Dapagliflozin (farxiga)

A

UTI inf, increased urine output, decreased blood pressure

70
Q

Liraglutide (Victoza, Saxenda)

A

Low blood sugar, rotate inj sites, diarrhea, nausea, headache

71
Q

Clopidogrel (plavix)

A

avoid NSAIDs, seek med attn for bleeding/bruising, avoid abrupt DC

72
Q

Warfarin (coumadin)

A

avoid NSAIDs, seek med attn for bleeding/bruising, avoid abrupt DC, keep Vit.K (green leafy vegs) and EtOH consumption consistant, many drug interactions, take missed dose ASAP but don’t double up

73
Q

rivaroxaban (xeralto)

A

seek med attn for bleeding/bruising, gastroenteritis, vomiting, cough(peds)

74
Q

Furosemide (Lasix)

A

sun, decreased electrolytes, dizz upon standing, avoid taking at bedtime (increased urination)

75
Q

Spironolactone (aldactone)

A

Gynecomastia, increased serum potassium, diarrhea, irregular menses

76
Q

Hydrochlorothiazide (HCTZ) (Microzide)

A

sun, dizz upon standing, don’t take at bedtime (increased urination)

77
Q

Lisinopril (Zestril, Prinivil)

A

avoid during pregnancy, dizz, dry cough, headache, increased serum potassium

78
Q

Losartan (cozaar)

A

avoid during pregnancy, dizz, headache, increased serum potassium

79
Q

Amlodipine (Norvasc)

A

Leg swelling, headache

80
Q

Metoprolol Tartrate (lopressor)
Metoprolol Succinate (Toprol XL)

A

dizz, fatigue (7days), w/food, lowers HR, don’t DC abruptly

81
Q

Levothyroxine (Levoxyl, Synthroid, Tirosint)

A

w/ water, 30min before breakfast, take same time everyday, >4h seperation from antacids and Fe, several weeks to to see Sx improve

82
Q

tamsulosin (Flomax)

A

30 mins after the same meal, orthostatic hypotension

83
Q

Tolterodine (Detrol LA)

A

Constipation, dry mouth

84
Q

Donepezil (aricept)

A

Nausea, diarrhea, risk of stomach bleed with NSAIDs, prolonged QT interval

85
Q

Alendronate (Fosamax)

A

30mins before breakfast, get adequate Ca and Vit. D intake, w/ 8oz of water and stand upright for 30mins, report heartburn or bone pain

86
Q

allopurinol (zyloprim)

A

report rash, nausea/diarrhea, Gout attacks may be more frequent in early therapy

87
Q

Oseltamivir (tamiflu)

A

Initiate Tx within 48h of onset of Sx

88
Q

Ferrous Sulfate (slow fe, ferosul)

A

take on empty stomach, 2h before or after other meds, black stool, constipation

89
Q

Sumatriptan (imitrex)

A

tingling, avoid if Hx of cardiovascular Dx, Over use (>10 days per month) may worsen Sx

90
Q

Tadalafil (cialis)

A

Don’t take more than 1 a day, avoid EtOH, avoid grapefruit, report loss of hearing/vision and DC

91
Q

Clonazepam (Klonopin)

A

Drows, fatigue, ataxia, behavioral problems

92
Q

Alprazolam (Xanax)

A

Confusion, drows (EtOH increases), don’t skip suddenly if taking routinely

93
Q

Cyclobenzaprine (flexeril)

A

Dry mouth, dizziness, drowsiness

94
Q

EE/ norgestimate

A

Mimic natural menstrual cycle

95
Q

EE/ norethindrone/ ferrous fumarate

A

replaces iron

96
Q

EE/ drospirenone

A

only 4 inactive days = shorter menstrual cycle

97
Q

EE/ norelgestromin

A

apply new PATCH for 3 weeks, week 4 is patch free

98
Q

EE/ etonogestrel

A

Insert RING on or before day 5 of cycle, leave in for 3 weeks, remove on week 4

99
Q

Medroxyprogesterone

A

Inj in deltoid every 3 months, don’t use >2 years due to potential bone loss

100
Q

Levonogestrel

A

Take ASAP within 72h of sex

DRUGS (35 decks)

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