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Top 200 Drugs > Week 3 > Flashcards

Week 3 Flashcards

1
Q

Vimpat

A

Brand: Vimpat
Generic: lacosamide
Class: anticonvulsant
Indication: focal onset seizures
Counseling points:
- Advise patient to report worsening mood (depression, suicidal ideation, etc)
- May cause nausea or HA
- Report cardiac symptoms (change in heartbeat or heart rhythm like chest pain; dizziness; fast, irregular heartbeat; palpitations; feeling faint or lightheaded; falls; breathing problems) ASAP
- Advise against sudden discontinuation, do not cut/chew

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2
Q

Elavil

A 
Brand: Elavil
Generic: amitriptyline
Class: tricyclic antidepressant
Indication: major depressive disorder
Counseling points: 
- Report any changes in effect and/or behavior, as psychiatric side effects, including suicidal ideation, is possible
- Do not abruptly discontinue therapy
- Avoid alcohol
- May cause drowsiness
- Causes anticholinergic side effects and risk of overdose causing CV death and arrhythmias
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3
Q

Abilify

A

Brand: Abilify
Generic: aripiprazole
Class: 2nd gen (atypical) antipsychotic
Indication: bipolar disorder, major depressive disorder, irritability from autism
Counseling points:
- May cause drowsiness and light-headedness
- Avoid alcohol
- Do not discontinue abruptly
- CYP 450 2D6 and 3A4 substrate
- May be administered without regards to food

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4
Q

Strattera

A

Brand: Strattera
Generic: atomoxetine
Class: SNRI
Indication: ADHD
Counseling points:
- May impair cognitive and motor functions
- Exercise caution in operating heavy machinery
- Not a drug of abuse
- Swallow capsules whole
- Powder in capsules is an ocular irritant

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5
Q

Cogentin

A

Brand: Cogentin
Generic: benztropine
Class: anticholinergic agent, anti-parkinsons
Indication: drug-induced extrapyramidal symptoms, acute treatment
Counseling points:
- May impair cognitive and motor functions
- Exercise caution in operating heavy machinery
- Not a drug of abuse
- Swallow capsules whole
- Powder in capsules is an ocular irritant

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6
Q

Wellbutrin

A

Brand: Wellbutrin
Generic: bupropion
Class: antidepressant, dopamine/norepinephrine reuptake inhibitor
Indication: major depressive disorder, smoking cessation
Counseling points:
- Take XL tabs in AM to avoid insomnia
- Do not crush or chew SR or XL tabs
- Take doses at least 6 h apart, and do not exceed max dose due to seizure risk
- Potential side effects include nervousness, constipation, trouble sleeping, dry mouth, tremor
- Store in dry place

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7
Q

Buspar

A

Brand: Buspar
Generic: buspirone
Class: anti anxiety agent
Indication: generalized anxiety disorder
Counseling points:
- May cause drowsiness or dizziness
- Exhibits little potential for abuse
- Always take with food or always without food for consistent absorption
- Bioavailability is increased with food
- Avoid drinking large amounts of grapefruit juice, as it increases plasma concentrations
- Because of slow onset, not appropriate for PRN use

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8
Q

Celexa

A 
Brand: Celexa
Generic: citalopram
Class: SSRI
Indication: major depressive disorder
Counseling points:
- Report any changes in effect and/or behavior, as psychiatric side effects including suicidal ideation are possible
- Do not abruptly discontinue therapy
- Avoid alcohol
- May cause drowsiness
- Avoid in patients with CV disease as it has been shown to increase QT interval
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9
Q

Cymbalta

A

Brand: Cymbalta
Generic: duloxetine
Class: serotonin/norepinephrine reuptake inhibitor
Indication: fibromyalgia, major depressive disorder, generalized anxiety disorder, chronic musculoskeletal pain
Counseling points:
- Report any changes in effect and/or behavior, as psychiatric side effects including suicidal ideation are possible
- Do not abruptly discontinue therapy
- Avoid alcohol
- Monitor blood pressure, as it may cause increase in blood pressure

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10
Q

Prozac, Sarafem

A 
Brand: Prozac, Sarafem
Generic: fluoxetine
Class: SSRI
Indication: bipolar major depression, major depressive disorder, bulimeia
Counseling points:
- Report any changes in effect and/or behavior, as psychiatric side effects including suicidal ideation are possible
- Do not abruptly discontinue therapy
- Avoid alcohol
- May cause drowsiness
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11
Q

Atarax

A

Brand: Atarax
Generic: hydroxyzine
Class: antiemetic, first gen histamine H1 antagonist
Indication: anxiety, nausea and vomiting, pruritus
Counseling points:
- May cause anticholinergic side effects, drowsiness, and dry mouth

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12
Q

Remeron

A

Brand: Remeron
Generic: mirtazapine
Class: alpha 2 antagonist, antidepressant
Indication: major depressive disorder
Counseling points:
- May cause drowsiness, dizziness, dry mouth, constipation, and weight gain
- Do not discontinue abruptly
- Take at the same time each day, preferably at bedtime
- SolTab: Open blister pack and dissolve on the tongue immediately
- Do not split SolTab

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13
Q

Provigil

A 
Brand: Provigil
Generic: modafinil
Class: CNS stimulant
Indication: narcolepsy
Counseling points:
- Take in morning or 1 h prior to work
- CYP 450 drug interactions
- Avoid alcohol
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14
Q

Zyprexa

A

Brand: Zyprexa
Generic: olanzapine
Class: antimanic agent, 2nd gen (atypical) antipsychotic
Indication: bipolar disorder, treatment resistant major depressive disorder, schizophrenia, acute agitation
Counseling points:
- May cause weight gain, initial dose orthostatic hypotension, impaired judgment, hyperglycemia, and hyperlipidemia
- Avoid alcohol use
- Exercise caution in operating heavy machinery
- ODT dosage form contains phenylalanine

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15
Q

Requip

A

Brand: Requip
Generic: ropinirole
Class: anti-parkinson agent, dopamine agonist
Indication: Parkinson’s, RLS
Counseling points:
- May cause drowsiness or dizziness, orthostatic hypotension, falling asleep without warning
- Avoid alcohol use
- Exercise caution in operating heavy machinery
- Take with food to decrease nausea
- Swallow extended release tablet whole

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16
Q

Desyrel

A

Brand: Desyrel
Generic: trazodone
Class: antidepressant, serotonin reuptake inhibitor/antagonist
Indication: major depressive disorder
Counseling points:
- May cause dizziness, drowsiness, orthostatic hypotension
- Dosing after meals may decrease lightheadedness and postural hypotension
- Risk of priapism

17
Q

Viibryd

A 
Brand: Viibryd
Generic: vilazodone
Class: SSRI/ 5-HT1A receptor partial agonist
Indication: major depressive disorder
Counseling points:
- Take with food 
- Counsel on serotonin syndrome 
- Warn against sudden discontinuation (may cause withdrawal) 
- May cause drowsiness
18
Q

Geodon

A 
Brand: Geodon
Generic: ziprasidone
Class: 2nd gen (atypical) antipsychotic
Indication: acute agitation, schizophrenia, bipolar disorder
Counseling points:
- May cause QTc prolongation
- Do not discontinue use abruptly
- Take at the same time each day with a full meal
19
Q

Eskalith, Lithobid

A

Brand: Eskalith, Lithobid
Generic: lithium
Class: antimanic agent
Indication: bipolar disorder
Counseling points:
- Monitor serum levels
- Multiple drug interactions
- May be taken with meals to avoid GI upset
- Have patient drink 2-3 Liters of water daily
- Slow release tablets must be swallowed whole

20
Q

Seroquel

A

Brand: Seroquel
Generic: quetiapine
Class: 2nd gen (atypical) antipsychotic
Indication: bipolar disorder, major depressive disorder, schizophrenia
Counseling points:
- May cause weight gain, initial dose orthostatic hypotension, impaired judgment
- Avoid alcohol use
- Exercise caution in operating heavy machinery
- Extended release: administer with food or light meal, preferably in the evening
- Swallow whole

21
Q

Effexor

A

Brand: Effexor
Generic: venlafaxine
Class: serotonin/norepinephrine reuptake inhibitor
Indication: anxiety, panic disorder, major depressive disorder, social anxiety disorder
Counseling points:
- Report any changes in effect and/or behavior, as psychiatric side effects including suicidal ideation are possible
- Do not abruptly discontinue therapy
- Avoid alcohol
- Monitor blood pressure, as it may cause increase in blood pressure

22
Q

Tegretol

A

Brand: Tegretol
Generic: carbamazepine
Class: anticonvulsant
Indication: bipolar disorder, focal and general onset seizures, neuropathic pain
Counseling points:
- Take with food
- May cause drowsiness
- Avoid alcohol
- Report hypersensitivity/rash to physician
- Do not abruptly discontinue therapy
- Numerous CYP 450 drug interactions and is highly protein bound

23
Q

Depakote

A

Brand: Depakote
Generic: divalproex
Class: anticonvulsant
Indication: bipolar disorder, seizures, prevent migraines
Counseling points:
- May cause drowsiness, dizziness, nausea
- Avoid alcohol
- Exercise caution in operating heavy machinery
- Report hypersensitivity/rash to physician
- Do not abruptly discontinue therapy
- Depakote ER: swallow whole, do not chew or crush

24
Q

Lamictal

A

Brand: Lamictal
Generic: lamotrigine
Class: anticonvulsant
Indication: bipolar disorder, focal and general onset seizures
Counseling points:
- Report hypersensitivity/rash to physician
- May cause dizziness and drowsiness
- Do not abruptly discontinue therapy
- Exercise caution in operating heavy machinery

25
Q

Keppra, Spritam

A

Brand: Keppra, Spritam
Generic: levetiracetam
Class: anticonvulsant
Indication: focal and generalized onset seizures
Counseling points:
- May cause dizziness and drowsiness
- Exercise caution in operating heavy machinery
- Do not abruptly discontinue therapy
- Swallow tablets whole without regard for food

26
Q

Luminal

A 
Brand: Luminal
Generic: phenobarbital
Class: anticonvulsant, barbiturate
Indication: sedation, seizures
Counseling points:
- May cause dizziness and drowsiness
- Exercise caution in operating heavy machinery
- Do not abruptly discontinue therapy
- Swallow tablets whole without regard for food
27
Q

Dilantin

A

Brand: Dilantin
Generic: phenytoin
Class: anticonvulsant, hydantoin
Indication: focal and generalized onset seizures, epilepsy
Counseling points:
- May cause dizziness and drowsiness
- Exercise caution in operating heavy machinery
- Do not abruptly discontinue therapy
- Emphasize good oral hygiene to reduce risk of gingival hyperplasia
- Numerous CYP 450 drug interactions

28
Q

Topamax

A

Brand: Topamax
Generic: topiramate
Class: anticonvulsant
Indication: migraine prevention, seizures
Counseling points:
- May cause drowsiness, dizziness, nausea
- Avoid alcohol
- Exercise caution in operating heavy machinery
- May be taken before, during or after a meal
- Drink plenty of fluids
- Do not abruptly discontinue therapy
- Because of bitter taste, tablets should not be broken

Top 200 Drugs (9 decks)

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