random Flashcards
2 SSRI associated with septal heart defect
Paroxetine and fluoxetine
SSRI safe in breastfeeding
Sertraline (zoloft)
depression mnemonic
sigecaps S - sleep I- interest G- guilt E- energy C - concentration A - appetite P - psychomotor S- SI
NAS and PPHN are associated with which med class
SSRI
SSRI and QT
none
SSRI and MAOI
Serotonin syndrome
MAOI should be withdrawn at least 14 days before starting an SSRI
SSRI at least 5 weeks befores starting MAOI
TCAs overdose
wide QRS > 3 squares is pathopneumonic for TCA overdose
switching to a TCA from an SSRI how long to wait?
2 weeks
except fluoxetine which is 5 weeks due to long half life
TCA for bedwetting
imipramine (tofranil)
NAS is seen in which class
SSRI
SNRI
s/s serotonin syndrome
ams - agitation confusion disorientation, anxiety, hallucinations, poor concentration incoordination myoclonus hyperreflexia excessive sweating tremor fever
dilantin (phenytoin)if pregnant
no
doxepin (sinlenor) is what class
TCA
doxepin is used for what
what effects
staying asleep
anticholinergic
side effect is an URI
cardiac toxicity - treat with sodium bicarb
tegretol (carbamazepine) what genetic
HLA-1502 asian
Lotronex is approved for
IBS -D in women
sulfasalazine (Azulfidine) is approved for
IBD which includes Crohn and UC
TCA role in IBS
decreased abd pain
dilantin (phenytoin) side effect
gingival hyperplasia
PUD is linked to what organism
H. Pylori
treatment for H Pylori
2 abx
PPI or H2RA
1st choice is
clarithromycin
amox
PPI
if has PCN allergy give
flagyl
Clarithromycin
PPI
if resitance to clarithromycin is high bismuth subsaliclyate metronidazole tetracycline PPI or H2RA
Amox clarithromycin flagyl - no alcohol Bismuth - black tongue tetracycline - stain teeth tinidazole - no alcohol
Baclofen for CP starts having seizures.
withdrawal
Baclofen is used in what diseases
MS
spinal cord injury
cyclobenzaprine (flexeril) has what kind of effects
anticholinergic)
presentations three or 4 times a year with asthma what to give
Alprazolam (xanax)
which medication turns urine brown black or dark green
Robaxin
when you take a bulk lax what do you do
take with a full glass of water
PPI adverse
hypomag
Pneumonia (report fever and cough)
what do you give for OCD
Paxil (SSRI)
sucralfate (carafate) is used for
antiulcer med - creates a protective barrier against acid and pepsin - approved for acute and maintenance therapy of duodenal ulcers
sucralfate (carafate) may impede absorption of
phenytoin theophylline digoxin warfarin fluoroquinolone abx (cipro)
administer 2 hours apart
if you take an antacid while taking sucralfate (carafate) take it how far apart
30 min
sonata is used for
falling asleep at night (short duration)
when you have to withdraw anti-epileptic do it over
slowly 6 weeks to several months
anxiety disorder give
daily buspar
Omeprazole (prilosec) and antacid how long do you wait
no sooner than 1 hour
to prevent consitpation
colace
