TEST 3 Flashcards
Bile Acid Sequestrants
Cholestyramine
Colestipol
Colesevelam
Statins
Atorvastatin
Simvastatin
Lovastatin
pravastatin
Cholesterol Absorption Inhibitors
Ezetimibe
Fenofibrates
Gemfibrizil
Ezetimibe drug-drug
fenofibrates - increased risk gallstones
warfarin - elevated serum warfarin
Thiazide drug-drug interaction
Bile acid sequestrates - take 1 hour apart
Digoxin - increased digoxin toxicity
Antidiabetic agents - lessen effect of antidiabetic
Loop diuretic cautions
Gout
Diabetes
SLE
Renal disease
Loop drug-drug interactions
anticoagulants - more bleeding
NSAIDS - become less effective
Carbonic anhydrase inhibitor example
Acetazolamide
Acetazolamide indications
Glaucoma
ASA overdose
Acetazolamide cautions
renal
hepatic
emphysema/lung disease
Spironolactone contraindications
hyperkalemia
renal disease
anuria
sprionolactone drug-drug
salicylates - decreased diruresis
Osmotic diuretic example
Mannitol
Mannitol contraindications
renal disease anuria pulmonary congestion intracranial bleeding dehydration CHF
Urinary tract antispasmodics
Oxybutynin
Mirabegron
UT antispasmodic contraindications
recent surgery
pyloric or duodenal obstruction
obstructive UT problem
UT antispasmodic caution
renal
hepatic
glaucoma
UT analgesic
Phenazopyridine
Bladder protectant
Pentosan polysulfate sodium
Pentosan polysulfate sodium contraindication
bleeding condition
Pentoasan polysulfate caution
hepatic
splenic
alpha-adrenergic blocker
doxazosin
Block testosterone drug for BPH
Finasteride
Cautions for BPH drugs
hepatic
renal
H2 antagonists
cimetidine
ranitidine
famotidine
nizatidine
cimetidine AE
all H2s AE
can cross blood brain barrier
gynecomastia
cardiac arrhythmias
tachy
hypo
Antacids
Sodium bicarb
calcium carb
magnesium salts
aluminum salts
aluminum salt specific ae
constipation
magnesium salt specific ae
diarrhea
Proton Pump Inhibitors
Lansoprazole Esomeprazole Omeprazole Pantoprazole Rabeprazole Dexlansoprazole
When to take PPIs
before meals
When to take antacids
1-3 hours PC
HS
Sucralfate contraindication
renal failure
When to take sucralfate
1 hour AC
HS
Sucralfate drug-drug
Dont take antacids within 30-60 min sucralfate
Digestive enzyme supplements
saliva substitute
pancrelipase
Caution for pancrelipase
gout
renal disease
When to take pancrelipase
with meals
Types of laxatives
Chemical stim
bulk stim
osmotic stim
lubricants
chemical stimulant lax
castor oil
cascara
bisacodyl
Bulk stim lax
psyllium
osmotic stim lax
mag citrate
miralax
lubricants lax
mineral oil
docusate
GI stimulant example
Metoclopramide
GI stim contraindication
obstruction
Metoclopramide AE
decreased BP and HR
EPS
Fatigue
When to take metoclopramide
15 min AC
HS
Antidiarrheal drugs
bismuth subsalicylate
loperamide
antidiarrheal drug-drug
ASA - some contain ASA
Centrally acting antiemetics (2 types)
- nonphenothiazines
2. serotonin (5-HT3) blockers
Nonphenothiazine example
metoclopramide
5 HT3 receptor blocker examples
dolasetron
Granisetron
Ondansetron
palonosetron
antiemetic warning
don’t take with alcohol or other CNS depressants
Adrenocortical agents (2 types)
- glucocorticoids
2. mineralcorticoids
Actions of adrenocortical hormones
- increase blood volume
- suppress immune system
- slow rate of protein production
- release glucose
Glucocorticoids examples (2)
Prednisose
methylprednisolone
Prednisone’s mineralocorticoid action
Na+ retention and water retention
Glucocorticoids caution
diabetes
acute peptic ulcer
When to administer glucocorticoids
daily in AM
Mineralcorticoid examples
Fludrocortisone
hydrocortisone
Mineralcorticoid contrainddications
hypertension
CHF
Cardiac disease
Mineralocorticoid caution
high sodium intake
mineralocorticoid important assessemnt
hypokalemia
Antithyroid agents
PTU
PTU caution
hepatic
Insulin drug-drug interaction
beta-blockers - mask hypoglycemia
Sulfonylurea example
glyburide
Nonsulfonylureas example
Metformin
Metformin important consideration
hold if given diagnostic contrast –> renal failure
ondansetron specific contraindication
pregnancy
antiemetic important assessment
neuro
common side effect antiemetics
photosensitivity