Top 200 Drugs Final P2 (weeks 7-11) Flashcards
Lortab, Norco, Vicodin
Hydrocodone/APAP (CIII)
Labeled for moderate to severe pain
Counseling points: DZ, N, V, Sedation. Pts can develop tolerance. Take with food. No additional tylenol, take ibuprofen.
Percocet, Endocet, Primalev, Magnacet
Oxycodone/APAP (CII)
Labeled for Moderate to severe pain
Counseling points: N, V, C, HA. Take w/ food. No alcohol. Should be taken q4-6h. No additional APAP, take ibuprofen.
Advil, Motrin
Ibuprofen
Labeled for inflammatory diseases, rheumatoid disorders, alkylosing spondyltitis.
Counseling points: N, Dz, edema, rash. Serious skin events including SJS. Take with food. Monitor vision long term. Cautious use with asthma.
Ultram, Ryzolt
Tramadol
Labeled for moderate to mod-severe pain
Counseling points: Flushing, DZ, HA, Somnolence, C. No alcohol. Can be taken w/ or w/o food, but should be taken at the same way each time. Should not be taken if <75y/o.
Tylenol #3
APAP/Codeine (CIII)
Labeled for mild to moderate pain
Counseling points: DW, DZ, N, V. No additional tylenol. Should be taken at MOST Q4h
Aleve, Anaprox, Naprosyn, Naprelan
Naproxen
Labeled for mild to moderate pain, dysmenorrhea, fever, OA, RA, Gout, Ankylosing, Vursitis, and tendonitis.
Counseling points: Abdominal pain, N, C, DZ, HA. No alcohol. Take with food or milk.
Cataflam, Volteran
Diclofenac
Labeled for mild to moderate acute pain, ankulosing, dysmenorrhea, RA, and OA.
Counseling points: DZ, HA, Abdominal pain, N, C. Do not take with alcohol. should be taken with food or milk, and n 8oz glass of water
Mobic
Meloxicam
Labeled for OA, RA, and juvenile RA
Counseling points: HA, Dyspepsia, URTI, N. No alcohol. W/ or W/O food, but taking with food/milk may minimize GI effects
Celebrex
Celecoxib
Labeled: OA, Ankylosing, Juvenile RA, acute pain, dysmenorrhea, reducing polyps in FAP
Counseling points: HA, dyspepsia, HTN. Take with food to increase absorption, may be sprinkled on applesauce.
Roxicodone, OxyContin
Oxycodone (CII)
Labeled for moderate to severe pain
Counseling points: Somnolence, C, N, pruritis. Avoid taking with high fat meals, but take with 8oz water. Do not crush or chew
Duramorph, MS Contin, Oramorph SR
morphine sulfate (CII) Labeled for moderate to severe acute and chronic pain, and preanesthetic Counseling points: Dw, xerostomia, C. take consistently w/ or w/o food.
Duragesic
Fentanyl
Labeled for adjunct use with anesthesia, acute post-op pain, moderate to severe chronic pain, breakthrough cancer pain
Counseling points: N, V, CNS depression. No grapefruit juice or alcohol. remove old patch, fold in half, and flush q72h.
Suboxone
buprenorphine/naloxone (CIII)
Labeled for naintenance treatment for opioid dependence
Counseling points: HA, pain, C, abdominal pain. do not take with alcohol. Taper off.
Imitrex
sumitriptan
Labeled for acute treatment of migraines w/ or w/o auras, and cluster headaches
Counseling points: DZ, N, V, fatigue, warm sensation. May cause photosensitivity, watch for symptoms of heavy chest or difficulty breathing
Fioricet, Esgic
butalbital/APAP/caffeine
labeled for relief of symptomatic complex of tension or muscle contraction headaches
Counseling points: DW, DZ, N, V. take with a full glass of water. No alcohol. May cause orthostatic hypotension
Rheumatrex, Trexall
methotrexate
Laveled for cancer indications/psoriasis, severe RA, or juvenile RA
Counseling points: stomatitis, N, V, chills, fatigue. no alcohol. photosensitivity. pregnancy risks. do not take with salicylates.
Plaquenil
hydroxychloroquine
labeled for Malaria, SLE, and RA
Counseling points: DZ, HA, vision changes, D, N. Take with food or milk
Ambien, Ambien CR
Zolpidem (CIV)
Labeled for short term treatment of insomnia
Counseling points: HA, somnolence, DZ. take on an empty stomach, right before bedtime. No alcohol
Lunesta
Eszopiclone (CIV)
labeled for treatment of insomnia
Counseling points: unpleasant taste, headache, xerostomia. Take on an empty stomach. No alcohol. Do not crush or chew. Right before bed or after going to bed, make sure pt gets 7-8hrs of sleep. May cause sleep driving or eating.
Desyrel
trazodone
Labeled for treatment of major depressive disorders
Counseling points: sedation, HA, DZ, Xerostomia. No alcohol. Taking with food will decrease light-headedness and hypotension. Not approved for children or treatment of bipolar disorder
Plavix
Clopidogrel
Labeled to reduce rate of atherothrombotic events
Counseling points: Rash, bleeding, or bruising may occur. Take w/ or w/o food.
Coumadin, Jantoven
Warfarin
Labeled for prophylaxis and treatment of thromboembolic disorders
Counseling points: hemorrhage, D, rash. Do not change diet once on drug (vit K), take at same time each day. Take w/ or w/o food.
Monoket, Imdur, Ismo
isosorbide mononitrate
labeled for prophylactic treatment of angina pectoris
Counseling points: HA, DZ, N, V. Do not crush or chew. Take with a half glass of water. Take IR form 7h apart
Lanoxin
digoxin
labeled for mild to moderate heart failure and Afib
Counseling points: D, N, DZ, mental changes. Maintain vit K levels. Take on an empty stomach. Do not take with bran or pectin (will decrease absorption)
Flomax
tamsulosin
Labeled for BPH
Counseling points: HA, DZ, rhinitis. Take 30 min after a meal. May cause orthostatic hypotension
Viagra, Revatio
sildenafil
Labeled for ED (viagra) or PAH (Revatio)
Counseling points: HA, flushing, dyspepsia. Take 30 min to 4h prior to sexual activity. No grapefruit juice or high fat meals.
Cialis, Adcirca
Tadalafil
Labeled for ED (cialis) or PAH (adcirca)
Counseling points: HA, flushing, URTI. take w/ or w/o food 30 min prior to sexual activity. No grapefruit juice
Proscar, Propecia
finasteride
labeled for BPH and male pattern hairloss
Counseling points: may cause impotence, postural hypotension, weakness, or DZ. W/ or w/o food. Women and children should not touch with bare hands
Cardura
doxazosin
labeled for BPH and hypertension
Counseling points: DZ, HA, fatigue. take with morning meal. may cause orthostatic hypotension
Aricept
donepezil
labeled for mild/moderate/severe Alzheimer’s type dementia
Counseling points: insomnia, N, D, infections possible. Take at bedtime, w/ or w/o food
Namenda
memantine
labeled for moderate to severe Alzheimer’s type dementia
Counseling points: DZ, HTN, C, infections. take w/ or w/o food
Requip
ropinirole
labeled to treat idiopathic Parkinsons and RLS
Counseling points: DZ, somnolence, N, infections. Take w/ or w/o food, but food may decrease N
Zestril, Prinivil
lisinopril
Labeled for HTN, either alone of in combo with other antiHTN agents. Adjunct treatment in HF, and treatment of acute MI or LVD
Counseling points: DZ, HA, D, cough. Take 2 hours before or after antacids. W/ or w/o food.
Vasotec
enalapril
Labeled for HTN, treat symptomatic HF and asymptomatic LVD
Counseling points: DZ, HA, hypotension, and fatigue. Watch K in diet. No salt substitutes
Accupril
quinapril
Labeled for treatment of HTN and HF
Counseling points: DZ, HA, D, cough. Watch K in diet. No salt substitutes
Altace
ramipril
Labeled for treatment of HTN, alone or with thiazide diuretics, treat LVD after MI, reduce risk of MI, stroke, and death
Counseling points: Cough, hypotension, HA, DZ. capsule may be mixed in water or applesauce
Lotensin
benazepril
labeled for HTN w/ or w/o concurrent use of antihypertensive agents
Counseling points: HA, DZ, somnolence. take 2 hours apart from antacids. w/ or w/o food
HydroDIURIL, Hydro-Par, Ezide
HCTZ
labeled for mild to moderate HTN, treatment of edema in heart failure and nephrotic syndrome
Counseling points: anorexia, photosensitivity, and hypotension. take early in the day, w/ food or milk
Lasix
furosemide
labeled for management of edema with heart failure, acute pulmonary edema, HTN alone or in combo therapy
Counseling points: DZ, HA, N, photosensitivity. take on an empty stomach, watch K levels
Inderal
propranolol
Labeled for HTN, angina pectoris, pheochromocytoma, essential tremor, spurave arrhythm, migraine prophylaxis, prevention of NI, and Vtac
Counseling points: DZ, N, fatigue. take IR on empty stomach, ER w/ or w/o food
Tenormin
atenolol
labeled for HTN, alone or in combo therapy, angina pectoris, and secondary prevention post MI
Counseling points: DZ, C, N, insomnia. take w/ or w/o food.
Toprol XL
metoprolol succinate
labeled for angina pectoris, HTN, hemodynamic stable acute MIs
Counseling points: hypotension, D, DZ, fatigue. take with food
Lopressor
Metoprolol tartrate
labeled for angina pectoris, HTN, and to reduce mortality in HF pts
Counseling points: hypotension, D, DZ, fatigue. take with food, do not crush or chew.
Bystolic
nebivolol
labeled for HTN, alone or combo therapy
Counseling points; HA, fatigue, DZ. take with food
Coreg
carvedilol
labeled for mild to severe HF, LVD following MI, and HTN
Counseling points: DZ, fatigue, D, hypotension. take with food
Diovan
valsartan
labeled for essential HTN alone or in combo, HF, and to decrease mortality in LVD pts
Counseling points: DZ, BUN increase, D, Cough. w or w out food
Benicar
olmesartan
Labeled: HTN w or w out concurrent use of antihypertensive agents
Counseling points: DZ, HA, D, flu like symptoms. w or w out food
Prinzide, Zestoretic
lisinopril/HCTZ
labeled for HTN
Counseling points: DZ, HA, D, Cough, Sun sensitivity. 2 hours from antacids, w or w out food
Maxzide, Dyazide
triamterene/HCTZ
Labeled: tx of edema or HTN, not initial, when hypokalemia had developed or needs to be avoided
Counseling points: hypotension, sun sensitivity, anorexia. early in day, w food or milk
Hyzaar
losartan/HCTZ
Labeled: HTN, HTN in pat with LVH
Counseling points: fatigue, weakness, UTI, D. w or w out food, monitor K
Diovan HCT
valsartan/HCTZ
labeled for HTN
Counseling points: DZ, D, sun sensitivity. w or w out food
Norvasc
amlodipine
Labeled: HTN, symptomatic chronic stable angina, angina with CAD
Counseling points: peripheral edema, HF, flushing, DZ, fatigue, w or w out food, limit grapefruit juice
Lotrel
amlodipine besylate/benazapril
labeled for HTN
Counseling points: edema, HA flushing, DZ. w or w out food, limit grapefruit juice
Benicar HCT
olmesartan/HCTZ
Labeled for HTN (not initial therapy)
Counseling points: DZ, HA, D, flu like symptoms. w or w out food
Adalat CC, Nifediac CC, Procardia XL
nifedipine ER
Labeled: chronic stable or vasospastic angina, HTN
Counseling points: flushing, DZ, HA, peripheral edema. avoid alc, no grapefruit juice, no crush, empty stomach
Verelan PM
verapamil ER
Labeled: HTN, angina pectoris, supraventr tachyarrhythmia
Counseling points: HA, C, gingival hyperplasia. Avoid alc, no grapefuit juice, with food, no crush
Hydralazine
hydralazine
Labeled: mod to severe hypertension
Counseling points: Flushing, N, DZ. w meals, no alcohol
Catapres
clonidine
Labeled: mild to mod HTN, IV has other uses
Counseling points: xerostomia, DZ, DW, muscle weakness. do not discontinue abruptly- taper off, avoid alcohol
Cozaar
losartan
Labeled: HTN, Diabet neuropathy, stroke risk reduction in pts with HTn and LVH
Counseling points: fatigue, weakness, UTI, D. w or w out food, monitor K
Aldactone
spironolactone
Labeled: management of edema, htn, primary hyperaldosteronism, hypokalemia, cirrhosis, severe HF
Counseling points: D, N,V, Xerostomia, gynecimastia in men. effects may take 2 to 3 days, with food, watch excessive K intake
Xanax
alprazolam
Labeled: tx of anxiety disorders, panic disorder, anx associated with depression
Counseling points: DW, xerostomia, HA. no alcohol, w/ or without food, take ER tabs in am
Ativan
lorazepam
Labeled: management of anx disorders or short term relief of sympt of anxiety, IV-status epilepticus, amnesia, sedation
Counseling points: Sedation, resp depression. no alcohol,w or without food
Klonopin
clonazepam
Labeled: tx of petit mal variant, akinetic and myoclonic seizures, panic disorders
Counseling points: DW, somnolence, ataxia. do not stop abruptly, with water
Valium
Diazepam
Labeled: manag of anxiety disorders, ethanol withdrawl, skelatal musc relax, tx of convulsive disorders, sedation
Counseling points: D, N, xerostomia, DW, HA. no alchohol, empty stomach, no grapefruit juice
Restoril
temazepam
Labeled: short term tx of insomnia
Counseling points: DW, HA, fatigue, DZ. no alcohol, take right before bed, will be able to stay in bed for a full night
Buspar
buspirone
Labeled: manage of general anxiety disorders (GAD)
Counseling points: DZ, DW, HA, N. no alcohol, with food, no grapefruit juice
Zoloft
sertraline
Labeled: tx of major depression, OCD, panic disorder, PTSD, PMDD, social anxiety disorder
Counseling points: DZ, HA, D, N. no alcohol, with food
Lexapro
escitalopram
Labeled: tx of major depressive disorder (MDD) and GAD
Counseling points: HA, N, insomnia. no alcohol,w or without food
Prozac, Sarafem
Fluoxetine
Labeled: tx of MDD, tx of buliema nervosa, OCD, PMDD, panic disorder, w/ olanzapine for tx resistant or bipolar 1 disorder
Counseling points: insomnia, HA, N. no alcohol, w or without food
Celexa
citalopram
Labeled: tx of depression
Counseling points: N,somnolence, insomnia. no alcohol, w or without food
Effexor ER
venlafaxine
Labeled: tx of MDD, GAD, social anxiety disorder, panic disorder
Counseling points: N, HA, somnolence. avoid alcohol, with food
Paxil
paroxetine
Labeled: tx of MDD, panic disorder, OCD, social anxiety disorder, GAD, PTSD, PMDD
Counseling Points: N, Ejaculation disturb, HA. no alcohol, w or without food
Cymbalta
duloxetine
Labeled: tx of MDD, GAD, pain with diabetic neuropathy, ffibromyalgia, chronic musculoskeletal pain
Counseling points: N, xerostomia, HA. no alcohol, w or without food
Vanatrip, Elavil
amitriptyline
Labeled: relief of symptoms of depression
Counseling points: N, C, DZ. no alcohol, with or without food, no grapefruit juice
Wellbutrin XL, Bupropion SR, Budeprion SR
bupropion
Labeled: tx of MDD, Seasonal affect disorder, adjunct in smoking cessation
Counseling points: HA, N, Xerostomia, insomnia. no alcohol, w or without food
Remeron
mirtazapine
Labeled for depression
Counseling points: somnolence, xerostomi, C. no alcohol, w or without food
Seroquel
quetiapine
Labeled: tx of schizophrenia, bipolar disorders of varying types, adjunct in MDD
Counseling points: somnolence, increased BP, xerostomia. no alcohol, w or without food
Abilify
aripiprazole
Labeled: tx of acute and maint of schizophrenia, bipolar 1 disorder, adjunct MDD, tx of irritability w autistic disorder
Counseling points: HA, weight gain, insomnia. no alcohol, w or without food
Risperdal
risperidone
Labeled: tx of schizophrenia, bipolar disorders, tx of irritabilty/aggression in autistic disorder
Counseling points: somnolence, rhinitis, HA. no alcohol, may take at bedtime if somnolence is bad
Diflucan
fluconazole
Labeled: tx of candidiasis, cryptococal meningitits
Counseling points: HA, N, abd pain. w/ or w/ out food
Nizoral
ketoconazole
Labeled: tx tinea corporis, tinea cruris, tinea versicolor, cutaneous candidiasis, seborrheic dermatitis, dandruff
No Counseling Points
Zovirax
acyclovir
Labeled: tx of genital herpes simplex virus (HSV) and HSV encephalitis. TOP:tx of herpes labialis, muccocutaneous HSV in immuno pts
Counseling points: Malaise, N, HA. w/ or w/ out food
Valtrex
valacyclovir
Labeled: tx of herpes zoster, tx genital herpes, tx of herpes labialis, chickenpox in immuno children
Counseling Points: HA, N, nasopharyngitis, rash. w/ or w/ out food,
Nystatin
nystatin
Labeled: tx of susceptible cutaneous, muccocutaneous and oral cavity fungal infections
Counseling points: D, N, V, stomach pain. swish and spit, or swish and swallow susp after shaking well
Zyloprim
allopurinol
Labeled: prevention of attack of gouty arthritis and nephropathy, tx of secondaryhyperuricemia
Counseling points: D, N. with meals and increase fluids, iron uptake may be increased
Lyrica
pregabalin
Labeled: management of pain with diabetic peripheral neuropathy, post herpetic neuralgia, partial onset seizure, fibromyalgia
Counseling points: DZ, edema, somnolence. no alcohol, w or wout food Schedule 5
Xalatan
latanoprost
Labeled: reduction of elevated intraocular pressure in pts with open angle glaucoma or ocular hypertension
Counseling Points: eyelash changes, eyelid skin darkening, iris pigmentation changes. use in evening, administer 5 min apart from any other eye drops, contacts removed before drops, wait 15 min before reinserted
Guiatuss AC syrup
cheratussin AC (guaifenesin and codeine) Labeled: temporary control of cough due to minor throat and bronchial irritation Counseling points: DW, N, N, V. full glass water, may need to take with food, schedule 5
Bactroban
mupirocin
Labeled: eradication of nasal colonization with MRSA, tx of impetigo or secondary infected traumatic skin lesions
Counseling Points: burning, stinging, pain. may be covered with gauze
Adipex-P
phentermine
Labeled: short term (few weeks) adjunct therapy in obese patients
Counseling Points: DZ, C, hypertension. with weight loss program, before breakfast, not in evening, Schedule CIV
Peridex
chlorhexidine gluconate
Labeled: antibacterial dental rinse
Counseling points: toothache, URI, HA. rinse with 15mL for 30 sec, spit. Nothing to eat for 2-3 hrs
Vistaril
hydroxyzine
Labeled: tx of anxiety, preoperative sedative, antipruritic
Counseling Points: DZ, DW, Xerostomia. avoid alcohol, may potentiate narcotics
Sterapred
prednisone
Labeled: tx of allergic rxns, autoimmune disorders, dermatologic conditions, endocrine disorders, gi diseases, hematologic disorders, respiratory, rheumatic disorders, MS exacerbations
Counseling points: HA, fluid retention, occular changes. take in am, avoid alcohol, inhibits Calcium absorption, limit caffeine- long term therapy may have serious effects- growth suppression, mood changes, secondary infections, cataracts, psych changes, osteoporosis
Medrol
methylprednisolone
Labeled: anti-inflammatory or immunosuppresant in tx of a variety of diseases
Counseling Points: fluid/electroyte imbalance, musc weakness, HA, eye changes. take in am, avoid alchol, inhibits Calcium absorption, limit caffeine, take with food, watch exposure to chic pox, measels
Kenalog
triamcinolone
Labeled: nasal:management of seasonal and perennial allergic rhinitis, top: inflammatory dermatoses responsive to steroids
Counseling Points: dryness, burning, irritation. apply thin film, wash hands before and after, avoid sensitive skin, nasal: may take 1 week to see optimal effects, watch for vision changes, shake bottle well, no nose blow for 15 minutes
Temovate
clobetasol
Labeled: short term relief of inflammation of moderate to severe corticosteroid responsive dermatoses
Counseling Points: burning, stinging, itching, irritation. wash hands before and after, skin should not be covered after application, not on face, groin or armpits
Lotrisone
clotrimazole/betamethasone
Labeled: topical tx of various dermal fungal infections
Counseling Points: stinging, burning, iching, dry skin. wash hands before and after, small amount, thin layer, no tight clothes or dressing
