Top 200 Week 7 (P2)

Question 1

Lortab, Norco, Vicodin

Answer 1

hydrocodone/APAP, pain, C
Store at room temp
tab/cap/sol/elix
2.5,5,7.5,10 with 325,500,650,660,750
Labeled: moderate to severe pain
Unlabeled: none
SE: DZ, N,V,Sedation
Other: CIII, Tolerance can develop, take with food, no additional acetaminophen (may take ibu)

Question 2

Percocet, Endocet, Primalev, Magnacet

Answer 2

oxycodone/APAP, pain, C
Store at room temp
tab/cap/sol
2.5,5,7.5,10 with 325, 500, 650
Labeled: moderate to severe pain
Unlabeled: none
SE: N,C,V,HA
Other, CII, take w/ food, no alcohol, should be every 4 to 6 hours, dose based on Oxy component. No additional APAP, may take ibu

Question 3

Advil, Motrin

Answer 3

ibuprofen, pain, C/D
Store at room temp
tab/cap/inj/susp
100mg/5ml, 200,400,600,800
Labeled: inflammatory diseases, rheumatoid disorders, ankylosing spondyltitis
Unlabeled: CF, Acute migraine, gout
SE: **bbw: cardiotrombic events, perioperative pain in CABG patients, GI irritation, inflammation, ulceration, bleeding, and perforation; N,DZ, edema, rash
Other: serious skin events including SJS, take w/ food, monitor vision long term, caution with asthma

Question 4

Ultram, Ryzolt

Answer 4

tramadol, pain, C
Store at room temp
tab
50, ER 100,200,300
Labeled: moderate to mod-severe pain
Unlabeled: none
SE: Flushing, DZ, HA, Somnolence, C
Other: taper off, no alcohol, can be taken w/ or w/out food- same way each time, < 75 yrs

Question 5

Tylenol #3

Answer 5

APAP/codeine, pain, C
Store at room temp
tab/sol
120/12/5ml, 300/15,300/30,300/60
Labeled: mild to moderate pain
Unlabeled: none
SE: DW, DZ, N, V
Other: CIII, no additional acetaminophen, q4h shortest interval

Question 6

Aleve, Anaprox, Naprosyn, Naprelan

Answer 6

naproxen, pain, C
Store at room temp
tab/cap/susp
220,250,375,500,550,412.5,825
Labeled: mild to mod pain, dysmenorrhea, fever, OA,RA, gout, ankylosing, bursitis, tendonitis
Unlabeled: none
SE: **bbw (cardiotrombic events, perioperative pain in CABG patients, GI irritation, inflammation, ulceration,bleeding, perforation) Ab pain, N, C, DZ, HA
Other: no alcohol, w food or milk,

Question 7

Cataflam, Volteran

Answer 7

diclofenac, pain, C/D
store at room temp
tab/cap/powder
25,50,75 DR 75
Labeled: mild to mod acute pain, ankulosing, dysmenorrhea, RA, OA
Unlabeled: juv RA
SE: **bbw (cardiotrombic events, perioperative pain in CABG patients, GI irritation, inflammation, ulceration,bleeding, perforation) DZ, HA, Ab pain, N, C
Other: no alcohol, w food or milk, 8oz water

Question 8

Mobic

Answer 8

meloxicam, pain, C/D
Store at room temp
tab/susp
7.5, 15
Labeled: OA, RA, juv  RA
Unlabeled: none
SE: HA, Dyspepsia, URTI, N
Other: no alcohol, w or w out food  food or milk may minimize gi effects

Question 9

Celebrex

Answer 9

celecoxib, pain, C/D
store at room temp
cap
50 , 100, 200, 400
Labeled: OA, Ankylosing, juv RA, RA, acute pain, dysmenorrhea, reduc polyps in FAP
Unlabeled: none
SE: **bbw (cardiotrombic events, perioperative pain in CABG patients, GI irritation, inflammation, ulceration,bleeding, perforation) HA, dyspepsia, hypertension
Other: with food to Increase absorption, may be sprinkled on applesauce

Question 10

Roxicodone, OxyContin

Answer 10

oxycodone, pain, B
store at room temp
tab/cap/sol
5,15,30, ER 10,15,20,30,40,60,80 5/5mL or 20/5ml
Labeled: mod to severe pain
Unlabeled: none
SE:***bbw (used with CYP3A4 inhibitors may result in increased effects and potentially fatal respiratory depression, alert for abuse, misuse and diversion, ER is not prn medicarion or immediately post op, do not crush ER tabs), Somnolence, C,N, pruritus
Other: CII, avoid high fat meals, take with 8 oz water, do not crush or chew

Question 11

Duramorph, MS Contin, Oramorph SR

Answer 11

morphine sulfate, pain, C
store at room temp
tab/inj
15,30,60,100,200 sol 10/5, 20/5 inj 0.5/1ml, 1/1ml
Labeled: mod to severe acute and chronic pain, preanesthetic
Unlabeled: none
SE: **bbw (used with CYP3A4 inhibitors may result in increased effects and potentially fatal respiratory depression, alert for abuse, misuse and diversion, ER is not prn medicarion or immediately post op, do not crush ER tabs), DW, xerostomia, C
Other: CII, consistent w/ or w/ out food, Duramorph by anest with resp support only

Question 12

Duragesic

Answer 12

fentanyl, pain, C
Store at room temp
inj/patch/loz/film/tab
patch: 12.5,25,50,75,100, inj: 0.05mg/ml loz: 200-1600mcg
Labeled: adjunct to anesth, acute postop pain, mod to severe chronic pain, breakthrough cancer pain
Unlabeled: none
SE: **bbw (used with CYP3A4 inhibitors may result in increased effects and potentially fatal respiratory depression, alert to problems of abuse, misuse, and diversion, patchnot < 18, specific programs for various dosage forms TRIF, FOCUS), N,V,CNS depression
Other: CII, no grapefruit juice, no alcohol, remove old patch- flush, use conversion guidelines from morphine, patch q 72 hours

Question 13

Suboxone

Answer 13

buprenorphine/naloxone, pain, C
store at room temp
tab/film
2/0.5 , 8/2
Labeled: maintenance treatment for opiod dependence
Unlabeled: none
SE: HA, pain, C, abdom pain
Other: CIII, taper off doses, no alcohol

Question 14

Imitrex

Answer 14

sumatriptan, HA, C
Store at room temp
tab/inj/nasal
25,50,100 nas 5/0.1, 20/0.1 inj4/0.5, 6/0.5
Labeled: acute treatment of migraine w or wout aura, cluster HA
Unlabeled: none
SE: DZ, warm sensation, N, V, fatigue
Other: may cause photosensitivity, watch for symptoms of heavy chest, diff breathing

Question 15

Fioricet, Esgic

Answer 15

butalbital/APAP/caffeine, HA, C
store at room temp
tab/cap/liquid
50-325-40, 50-500-40
Labeled: relief of symptomatic comlex of tension or muscle contaction headache
Unlabeled: none
SE: DW, DZ, N, V
Other: Take with full glass of water, no alcohol, ortho hypotension may occur

Question 16

Rheumatrex, Trexall

Answer 16

methotrexate, RA, X
store at room temp
tab/inj
2.5 tab, inj 25mg/ml
Labeled: cancer indications/psoriasis, severe RA, juv RA
Unlabeled: chrohns, ectopic preg, cancers
SE: **bbw(hepatotoxicity, renal failure, pneumonitits, bone marrow suppression, malignant lymphomas may occur, diarrhea, ulcerative stomatitits, dermatologic reactions, nsaid interactions), stomatitis, N, V, Chills, fatigue
Other: no alcohol, prolonged sun exposure, pregnancy risks, no salicylates

Question 17

Plaquenil

Answer 17

hydroxychloroquine, RA, D
Store at room temp
tab
200
Labeled: malaria, SLE and RA
Unlabeled: porphyria curanea tarda, polymorphus light eruptions
SE: bbw- dr familiar with its use, DZ, HA, Vision changes, D, N
Other: with food or milk

Question 18

Ambien, Ambien CR

Answer 18

zolpidem, Sleep, C
Store at room temp
tab/sol
5,10, ER 6.25, 12.5
short term treatment of insomnia
Unlabeled: none
SE: HA, somnolence, DZ
Other: CIV, not with meal, right before bedtime, no alcohol

Question 19

Lunesta

Answer 19

eszopiclone, Sleep, C
Store at room temp
tab
1,2,3
Labeled: treatment of insomnia
Unlabeled; none
SE: unpleasant taste, HA, xerostomia
Other: CIV not with meal, no alcohol, do not crush or chew, right before bed or after going to bed- get 7 to 8 hrs, may cause sleep driving or eating

Question 20

Desyrel

Answer 20

trazodone, Sleep, C
Store at room temp
tab
50,100,150,300
Labeled: treatment of major depressive disorders
Unlabeled: hypnotic
SE: **bbw- increased risk of suicide sedation, HA, DZ, xerostomia
Other: no alcohol,food will decrease light-headedness and hypotension, NOT approved for children or treatment of bipolar