Top 200 Administration Flashcards
zolpidem (Ambien)
Empty stomach - works faster
- Intermezzo (zolpidem SL) - needs 4 hours left to take
- good for middle of night awakening
amoxicillin (amoxil, trimox)
Can I mix with juice or formula?
WoW
Suspension - can mix with formula, milk, juice or cold drink for administration
- suspension can be mixed with liquid
amoxicillin + clavulanate
Augmentin
How does high fat meal affect augmentin?
Take with meal
* administer at start of meal
- avoid high fat meal - decreased clavulanate absorption
metformin (glucophage)
With Food
furosemide (lasix)
- furosemide liquid
With meal or without food
* to avoid indigestion and irritation
Furosemide liquid
* squirt to side of mouth to allow natural swallow
* do not squit directly to back of throat
* must dispense whole package (must come with dispenser) - do not partial
atorvastatin (Lipitor)
With or without food
* avoid grapefruit juice, will increase concentration
metoprolol (lopressor, Toprol XL)
With Food or immediately after meal
- enhance absorption
hydrochlorothiazide (microzide)
Take with or without food
- take with breakfast
- tablet can be crushed
Reminder: lasix is taken with food
esomeprazole (nexium)
Can capsules be open? Can it be mix with liquid?
Take empty stomach 60 minutes before 1st meal
- capsules can be opened and sprinkled onto cold applesauce, swallowing whole without chewing
- can be mix with liquid and drink immediately
amlodipine (norvasc)
With or without food
oxycodone + apap (Percocet)
If direction is 1 to 2 tablets, can you take both at same time?
With Food or milk
* to decrease GI irritation
Take with a full glass of water
* 1 pill at a time
omeprazole (Prilosec)
Can I take with antacid?
Can capsules be open?
Empty stomach 60 minutes before breakfast
- can take with antacid
- capsules can be open and sprinkle onto applesauce or yogurt and swallow without chewing
- can mix with juice or water and drink immediately
lisinopril (zestril, lisinopril)
Take with or without food
levothyroxine (synthroid)
Can tablet be crushed?
Empty stomach 30 to 60 minutes before breakfast
- full glass of water to decrease risk of choking due to rapid disintegration
- tablets can be crushed and mix with applesauce or 5-10 ml water
atenolol
Tenormin
How does orange juice affect atenolol?
With or without food
- food does decrease bioavailability
- OJ decrease more
hydrocodone + apap
Norco
With Food
- to decrease upset stomach
alprazolam
Xanax
With or without food
azithromycin
Zithromax
With or without food
- more tolerable with food
simvastatin
With or without food
- avoid grapefruit juice
sertraline
With or without food
- in the morning or evening
ibuprofen
With Food
- to avoid upset stomach
lorazepam
Lorazepam oral suspension
With or without food
Lorazepam suspension
* dilute with water, juice soda or mix with applesauce prior to administration
Why? Lorazepam solution is concentrated- needs to be dilute first before taking
citalopram
With or without food
ciprofloxacin
Cipro suspension
Can take with food
- take 2 hours before or 6 hours after vitamin, milk, antacid or Sucralfate
Cipro suspension
* shake we’ll for 15 second prior to administer
* stable at room temperature
warfarin
With or without food
triamterene + hctz
With or without food
cyclobenzaprine
With or without food
- more tolerable with food
fluticasone NS
Shake well before each use
Clean nasal tip once a week
cephalexin
With or without food
clonazepam
Clonazepam ODT
With or without food, full glass of water
- ODT - can be swallow with or without water
escitalopram
** may cause NAUSEA take with food **
With or without food
gabapentin
Can capsules be open?
Gabapentin suspension
With or without food
* food decrease upset stomach
Oral capsules
* swallow whole plenty of water
* can be open- mix with juice or applesauce
Suspension
* can be taken with or without food
clopidogrel
With or without food
pravastatin
With or without food
- morning or evening
albuterol HFA
Inhale deeply and hold for 10 second
Wait 1 minute before next dose
Rinse mouth to avoid dry mouth
fluoxetine
Fluoxetine oral suspension
With or without food
Take in the morning
Fluoxetine oral suspension
* shake well and take in morning
sulfamethoxazole + trimethoprim
With or without food
* best with food to avoid stomach upset
Full glass of water
* to avoid kidney stones
montelukast
Montelukast chewable
Montelukast granules
Take with or without food
Montelukast chewable
* chew tablets prior to swallowing
Montelukast granules
* granules are not intended to dissolve in liquid
* may be administer directly in mouth
* may mix with cold or RT food
* upon opening, must be consumed within 15 minutes
Only applesauce, carrots, rice or ice cream should be use to mix
prednisone
With Food to avoid upset stomach
Best in morning
* to coincide with body’s normal cortisol secretion
tramadol
Tramadol ER
With or without food
Tramadol ER - take with or without food
fluticasone + salmeterol (DPI)
Advair diskus
Advair HFA
Inhale & hold breath for 10 seconds
* rinse mouth, don’t swallow to avoid dry mouth and thrust
Advair HFA
* shake well, inhale and hold breath for 10 second
naproxen
Take with Food or Milk or antacid to minimize stomach upset
Take with full glass of water
cetirizine
With or without food
* morning or evening
Chewable: chew well before swallowing
carvedilol
Coreg
Coreg CR
Take with food to avoid dizziness
- take with food to decrease rate of absorption to decrease orthostatic hypotension OSH
Coreg ER
* take in morning
* avoid alcohol containing products for 2 hours **
- capsules can be open and sprinkle onto applesauce
rosuvastatin
- missed dose?
With or without food
Swallow whole
Missed dose: need 12 hours before next dose
duloxetine
With or without food
- do not chew or crush capsules
trazodone
Administer after dinner or light snack
- drowsiness is common
fluconazole
With or without food
valsartan
With or without food
venlafaxine
Effexor
Effexor ER
With Food to decrease stomach upset
* morning or evening
Effexor ER
* swallow whole with full glass of water
- capsules can be open and sprinkle onto applesauce
amitriptyline
With or without food
- some people may experience stimulation and insomnia then take dose in morning
alendronate
- missed dose?
Administer in morning while sitting or standing not lying
PLAIN water only
30 minutes before 1st food, beverage or other medicines
* separate other drugs at least 30 minutes
Do not lay down for at least 30 minutes or until first meal
Missed dose: wait until next day, then resume regular schedule
potassium chloride
Can capsules be open?
Liquid KCL
With Food and full glass of water
Capsules can be open and sprinkle onto applesauce, swallow whole without chewing
K Cl liquid
** dilute prior to drinking to reduce GI irritation NVD
* MIX with 4 oz of juice or cold water before administer
lovastatin
Once daily with Evening MEAL
Avoid grapefruit juice
meloxicam
With or without food
paroxetine
Paxil
Take with or without food
- take in the morning
- take with breakfast to help with upset stomach
Paxil CR - take with food, do not administer with antacid
diazepam
Valium
Take with or without food
- concentrate solution- mix with liquid or applesauce then take immediately
doxycycline (vibramycin)
Full of glass of water
* to reduce risk of throat irritation and ulceration
Do not take with sucralfate, antacid, vitamin, milk or iron supplements
Oracea: empty stomach at least 1 hour before or 2 hours after meals
To help with memory: best to take on empty stomach with full glass of water
prazosin (minipress)
with or without food
- food delays the rate of absorption but no the extent of absorption
nebivolol (bystolic)
with or without food
pioglitazone (Actos0
with or without food
clonidine (catapres)
Kapvay (clonidine ER)
clonidine patch
with or without food
* last dose should be immediately before going to bed
Kapvay
* with or without food, swallow whole
clonidine patch:
* upper arm or torso (hairless)
* patch not affected by water (shower, swim, bathing)
celecoxib (celebrex)
with or without food
- higher dose - take with food for better absorption
capsules can be open and sprinkle onto applesauce
tamsulosin (Flomax)
Can capsules be open?
30 minutes after the same meal each day, swallow whole
- capsule can be open and sprinkle onto applesauce
insulin glargine (Lantus, Basaglar)
SQ injection in abdomen, upper arms, anterior or lateral aspects of thigh
- Pen currently using, do not refrigerate, store at room temperature less than 86 degrees
levofloxacin (levaquin)
- missed dose?
with or without food
* 2 hours before or after antacid, vitamins
missed dose: needs a minimum of 8 HOURS before next dose
methylprednisone (Medrol)
take with food
- to minimize upset stomach
oxycodone (Oxycontin, Roxicodone)
Oxycodone (Xtampza ER) - capsules
Oxycodone liquid (20 mg/ml)
Oxycodone IR
* take with food or milk to decrease upset stomach
OxyContin
* take with or without food, full glass of water to ensure complete swallowing
* swallow whole, do not crush or chew
Xtampza ER capsules
* take with food
* capsule can be open and sprinkle onto soft food (food does not require to chew)
Oxycodone liquid (20 mg/ml)
* can be mixed with 30 ml of liquid or food
promethazine (phenergan)
with or without food
lansoprazole (prevacid)
30 to 60 minutes before meal
* can take with antacid
Capsules can be open and sprinkle onto applesauce or 2 oz of juice (apple, orange)
* swallow without chewing
azilsartan (edarbi)
with or without food
quetiapine (seroquel)
with or without food
- both IR and seroquel ER
carisoprodol (Soma)
with or without food
- food may help with upset stomach
fenofibrate
Antara micronized capsule (30 and 90 mg)
generic Tricor TABLETS (54 and 160 mg tablets)
Lipofen fenofibrate capsules (50, 100 and 150 mg capsules)
Lofibra fenofibrate micronized capsule (67, 134, and 200 mg capsules)
new Tricor formulation of fenofibrate TABLETS (48 and 145 mg tablets)
Take all Fenofibrate with meal (to help with memorization)
Antara (capsule)
* with or without food
generic Tricor tablets
* with meals
Lipofen fenofibrate capsules (50, 100, and 150 mg)
* with meals
Lofibra capsules (67, 134 and 200 mg)
* with meals
fenofibrate tablets (48 and 145 mg):
* with or without food
acetaminophen with codeine
(Tylenol with Codeine 15mg, 30 mg and 45 mg)
take with FOOD
- codeine - can cause upset stomach
enalapril (vasotec)
with or without food
sildenafil (viagra)
take with or without food
dexmethylphenidate
Focalin
Focalin XR
take with or without food
* to help with memorization
focalin
* take with or without food
Focalin XR
* take with or without food
* capsule can be open and sprinkle onto applesauce
ethinyl estradiol + drospirenone (Yaz)
Yaz
Yasmin
Missed dose?
take with dinner - to minimize upset stomach
* Yasmin - contains 21 active pills
* Yaz - contains 24 active pills
General recommendation for missed dose:
* one dose missed, take as soon as possible and then resume schedule
* 2 doses missed, take 2 tablets today and 2 tablets on next dose
* 3 doses missed - restart new pack
allopurinol
Zyloprim
Take with food with full glass of water
Stay well hydrated
spironolactone
Aldactone
Take with or without food
* just be consistent
Take with food *** to help memory
ramipril
Altace
Take with or without food
methylphenidate (ER) Concerta
With or without food, full glass of water
* don’t crush or chew
** all methylphenidate ER - can be taken with or without food
*** all methylphenidate IR - take on empty stomach
losartan
Cozaar
Take with or without food