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
fluoxetine (Prozac, Sarafem)
Sexual dysfunction, anorexia, diarrhea, asthenia (lack of energy)
26
duloxetine (cymbalta)
Insomnia or drowsiness, w/ food
27
sertraline (zoloft)
Insomnia > drowsiness, w/ food, sexual dysfunction
28
amitriptyline (elavil)
drowsiness, weight gain, constipation
29
trazodone (Desyrel)
drowsiness, w/ food
30
Bupropion (wellbutrin XR, zyban, Wellbutrin)
Insomnia, take 1 week before pt intends to quit smoking
31
Aspirin, acetylsalicylic acid (ASA) (Bayer Aspirin)
Stomach Upset(bleed), w/ food/milk, w/ water, don't give to kids >18, ringing in ear at high dose
32
Ibuprofen (OTC: advil, Motrin IB / Rx: Motrin)
stomach upset (bleed), w/ food/milk, avoid if history of heart problems
33
Naproxen Sodium (OTC: Aleve / Rx: Anaprox, Anaprox DS)
Stomach upset (bleed), w/ food/milk, avoid if history of heart problems
34
Meloxicam (Mobic)
Stomach upset (bleed), w/ food/milk, avoid if history of heart problems
35
Methylprednisolone (Medrol)
Finish entire course, w/ food/milk, insomnia
36
Hydrocortisone (ala-cort, anucort-HC, Instacort 5)
Localized burning
37
acetaminophen (APAP) (tylenol)
DON'T treat hangovers with APAP due to liver toxicity
38
Tramadol (Ultram)
Constipation, Drowsiness, Dizziness
39
Hydrocodone/APAP (Norco, Vicodin, Lortab)
Stomach upset, constipation, drowsiness, not a hangover treatment
40
Oxycodone (oxy IR, Oxycontin)
stomach upset, constipation, drowsiness, don't crush or chew CR tabs
41
olanzapine (zyprexa)
drowsiness, weight gain, increased blood sugar, movement disorder, decreased sex drive
42
quetiapine (seroquel)
drowsiness, weight gain, increased BP, increases appetite, dizziness
43
aripiprazole (abilify)
drowsiness or insomnia, weight gain, movement disorders
44
topiramate (topamax)
dizziness/drowsiness, numbness/tingling, memory impairment, weight loss due to increased appetite from nausea
45
pregabalin (lyrica)
drowsiness/dizziness, headache, blurred vision, weight gain
46
gabapentin (neurontin)
drowsiness/dizziness, uncoordinated muscles movements
47
Lamotrigine (lamictal)
drowsiness/dizziness, uncoordinated muscle movements, headache, blurred/double vision
48
divalproex sodium (depakote, depakote ER)
drowsiness/dizziness, tremor, muscle weakness, upset stomach
49
Zolpidem (ambien, ambien CR)
take 20 mins before bedtime, >8h of sleep, abnormal sleep behaviors
50
temazepam (restoril)
take right before you get in bed, >8 hours of sleep, headache
51
Promethazine (Phenergan)
Drows/dizz, no EtOH, sun
52
odansetron (zofran)
headache, fatigue, constipation or diarrhea
53
omeprazole (prilosec)
works in 1day, 4 days for full effect, >1h before food, separate antacid by 2h
54
famotidine (pepcid AC)
works in 1h, 1 day for full effect, can take w/ antacids
55
magnesium hydroxide, aluminum hydroxide, simethicone (maalox)
shake well, works in mins, MANY drug-drug interactions, constipation (Al), diarrhea (Mg and simethicone)
56
Calcium carbonate (tums)
Constipation, chew, don't use >2 weeks w/out MD approval
57
Docusate Sodium (colace)
works in 1-3d, w/ water, diarrhea, cramps
58
polyethylene glycol PEG (miralax, golytely)
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
bisacodyl (dulcolax)
oral dose works in 8h, suppository works in 15-60mins, don't take >1 week w/out MD approval, diarrhea, cramps
60
Loperamide (imodium)
Drowsiness, if not improved in 2 days, call MD (dehydration)
61
Omega-3 Fatty acids (lovaza)
burping/taste disturbances, swallow whole, refrigerate to reduce taste/smell
62
Fenofibrate (Trilipix, Tricor)
Increased liver enzyme, DC if gallstones form, photosensitivity
63
Atorvastatin (lipitor)
Increased liver enzymes, report unusual muscle pain, avoid grapefruit, CI if pregnant, diarrhea
64
Rosuvastatin (crestor)
Increased liver enzymes, report unusual muscle pain, avoid grapefruits, CI if pregnant, diarrhea
65
Ezetimibe (zetia)
Increased liver enzymes, diarrhea
66
Insulin lispro (humalog)
decreased blood sugar, refrigerate unopened vials, discard after 28 days in room temp, let syringe reach room temp, rotate inj sites
67
insulin glargine (lantus)
Decreased blood sugar, refrigerate unopened vials, discard after 28 days at room temp, let syringe reach room temp, rotate inj sites
68
Metformin (glucophage)
diarrhea, nausea, abdominal pain, w/ food, titrate dose up weekly, long-term use can cause vit b-12 deficiency
69
Dapagliflozin (farxiga)
UTI inf, increased urine output, decreased blood pressure
70
Liraglutide (Victoza, Saxenda)
Low blood sugar, rotate inj sites, diarrhea, nausea, headache
71
Clopidogrel (plavix)
avoid NSAIDs, seek med attn for bleeding/bruising, avoid abrupt DC
72
Warfarin (coumadin)
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
rivaroxaban (xeralto)
seek med attn for bleeding/bruising, gastroenteritis, vomiting, cough(peds)
74
Furosemide (Lasix)
sun, decreased electrolytes, dizz upon standing, avoid taking at bedtime (increased urination)
75
Spironolactone (aldactone)
Gynecomastia, increased serum potassium, diarrhea, irregular menses
76
Hydrochlorothiazide (HCTZ) (Microzide)
sun, dizz upon standing, don't take at bedtime (increased urination)
77
Lisinopril (Zestril, Prinivil)
avoid during pregnancy, dizz, dry cough, headache, increased serum potassium
78
Losartan (cozaar)
avoid during pregnancy, dizz, headache, increased serum potassium
79
Amlodipine (Norvasc)
Leg swelling, headache
80
Metoprolol Tartrate (lopressor) Metoprolol Succinate (Toprol XL)
dizz, fatigue (7days), w/food, lowers HR, don't DC abruptly
81
Levothyroxine (Levoxyl, Synthroid, Tirosint)
w/ water, 30min before breakfast, take same time everyday, >4h seperation from antacids and Fe, several weeks to to see Sx improve
82
tamsulosin (Flomax)
30 mins after the same meal, orthostatic hypotension
83
Tolterodine (Detrol LA)
Constipation, dry mouth
84
Donepezil (aricept)
Nausea, diarrhea, risk of stomach bleed with NSAIDs, prolonged QT interval
85
Alendronate (Fosamax)
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
allopurinol (zyloprim)
report rash, nausea/diarrhea, Gout attacks may be more frequent in early therapy
87
Oseltamivir (tamiflu)
Initiate Tx within 48h of onset of Sx
88
Ferrous Sulfate (slow fe, ferosul)
take on empty stomach, 2h before or after other meds, black stool, constipation
89
Sumatriptan (imitrex)
tingling, avoid if Hx of cardiovascular Dx, Over use (>10 days per month) may worsen Sx
90
Tadalafil (cialis)
Don't take more than 1 a day, avoid EtOH, avoid grapefruit, report loss of hearing/vision and DC
91
Clonazepam (Klonopin)
Drows, fatigue, ataxia, behavioral problems
92
Alprazolam (Xanax)
Confusion, drows (EtOH increases), don't skip suddenly if taking routinely
93
Cyclobenzaprine (flexeril)
Dry mouth, dizziness, drowsiness
94
EE/ norgestimate
Mimic natural menstrual cycle
95
EE/ norethindrone/ ferrous fumarate
replaces iron
96
EE/ drospirenone
only 4 inactive days = shorter menstrual cycle
97
EE/ norelgestromin
apply new PATCH for 3 weeks, week 4 is patch free
98
EE/ etonogestrel
Insert RING on or before day 5 of cycle, leave in for 3 weeks, remove on week 4
99
Medroxyprogesterone
Inj in deltoid every 3 months, don't use >2 years due to potential bone loss
100
Levonogestrel
Take ASAP within 72h of sex