Test 3 Prescriptions Flashcards
Prescription for hypothyroidism
- Armour Thyroid 60mg (1 grain)
- Take 1 tablet po every morning before breakfast. Take on empty stomach.
- Disp: #30
- Refill: 2
Prescription for replacing T4
- Synthroid 100mcg
- Take 1 tablet po every morning before breakfast. Take on empty stomach.
- Disp: #30
- Refills: 2
Metformin
- Metformin 500 mg
- Take 1 tablet po two times daily with food
- Disp: #60
- Refills: 2
Metform XR
- Metformin ER 1000 mg
- Take 1 tablet by mouth every evening with food
- Disp: #30
- Refills: 2
Four types of IUDs
- The brand name of the copper containing IUD is ParaGard.
- The brand names of the three hormone containing IUDs are: Mirena, Liletta and Skyla. Each contains the progestin, levonorgestrel, in differing concentrations.
Ind. for testosterone use
- Exogenous administration of testosterone is used in males with inadequate testosterone production (hypogonadism).
- Testosterone is also used in conjunction with other hormones to promote skeletal growth in prepubertal boys with pituitary dwarfism.
- Bone marrow stimulation and anemia
- Severe osteoporosis
- Hormone therapy for transsexual men
- Unapproved use - androgenic steroids are used to increase lean body mass, muscle strength and aggressiveness in athletes and body builders.
- “Anti-aging”
Pros of Combination (estrogen plus a progestin) pills, skin patch or vaginal ring
• Reduced risk of PID.
• Reduced fibrocystic breast changes
• Reduced risk of ectopic pregnancy.
• Fewer or no periods with certain pills.
• Reduced bleeding and cramping with periods, which may lower risk of anemia.
• Reduced pain during ovulation.
• May reduce acne in some women and may contribute to development of acne in other women.
• May reduce size of ovarian cysts.
• May reduce symptoms of endometriosis.
• May protect against ovarian and endometrial cancer.
• No interruption of foreplay or intercourse
Can be used shortly after a medically or surgically induced abortion.
Cons of Combination (estrogen plus a progestin) pills, skin patch or vaginal ring
• Pills must be taken every day.
• Does not protect against sexually transmitted infections.
• Effectiveness may be reduced by concurrent use of certain medicines.
• May delay return of normal cycles
• If used in first months of breast feeding, may reduce milk supply.
• Patches should not be exposed to heat (i.e. application of a heating pad over or near the patch) as this can release a high dose of hormone from the patch, leaving a smaller hormone dose within the patch with decreased efficacy of patch thereafter.
Patches deliver more estrogen than low-dose birth control pills do. Some research has found that women using the patch are more likely to develop blood clots in the legs and lungs. The risk may be even higher for smokers.
Pros of Progestin-only pill, implant or IM injection
- Shot and implant provide extremely effective birth control protection.
- Fewer or no periods (especially with shot or implant)
- May be used by women over 35 who are smokers.
- Reduced cramps and pain during ovulation.
- Reduced bleeding and cramping with periods, which lowers the risk of anemia.
- Reduced risk of pelvic PID.
- Can be used by women who cannot take estrogen.
- May be used while breast-feeding
- Reduces risk of ectopic pregnancy.
- Possible protection against endometrial and ovarian cancer.
- Implant gives rapid return to fertility following removal.
- Shot effective for ≈ 3 months vs. implant effective for ≈ 3 years.
- Shot may reduce symptoms of endometriosis.
- Shot appears to reduce frequency of seizures in women who have a seizure disorder.
- No interruption of foreplay or intercourse.
Cons of Progestin-only pill, implant or IM injection
• Does not protect against STD’s
• Causes more break-through bleeding
• Data suggest that progestins may contribute to the development of type 2 diabetes in women who have had gestational diabetes.
• Progestin-only pills appear to be less effective than combination pills but IM shot and implant are extremely effective.
• Pills must be taken at the same time each day.
• Implant may cause menstrual periods to stop.
• Implant must be inserted and removed by a trained health professional.
• Implant may cause headaches.
• IM shot may delay return of normal cycles for 6 to 8 months after the medicine is stopped but there is no delay with pills or implant.
• Shot may increase the risk of chlamydia or gonorrhea among women who are exposed to these bacteria.
• Shot causes slight weight gain.
• Shot may decrease levels of HDL.
• Shot causes bone mineral loss so calcium supplementation is necessary.
Using the shot for 2 or more years can cause bone loss, which may not be fully reversible after stopping the medicine. This concern may be greatest during the teen years, when young women should be building bone mass.
Pros of Intrauterine devices (IUDs)
• More than 99% effective in preventing pregnancy.
• Easy to use
• Most cost-effective method of birth control over time
• Safe to use while breast-feeding
• Can be removed whenever patient desires to do so.
• Fertility returns with the first ovulation cycle following IUD removal.
• Can be inserted after a normal vaginal delivery, a cesarean section or a first-trimester abortion.
• Hormonal IUD may relieve heavy menstrual bleeding and cramping in most women.
Does not require interruption of foreplay or intercourse.
Cons of Intrauterine devices (IUDs)
- Only a trained health professional should insert an
- Only a trained health professional should remove an IUD.
- Does not provide protection against STDs.
- Screen for STIs prior to insertion of an IUD. An IUD can potentially cause an untreated vaginal or cervical infection to spread to the uterus in the first several months after insertion.
