Week 4 Flashcards
Coditussin
Brand: Coditussin Generic: guaifenesin/codeine, 100/10 mg Class: antitussive, expectorant Indication: cough Counseling points: - Contains codeine and may cause drowsiness - Drink plenty of liquids - Take with food to decrease gastric upset
Suboxone, Bunavail, Zubsolv
Brand: Suboxone, Bunavail, Zubsolv Generic: buprenorphine/naloxone Class: opioid analgesic partial agonist Indication: opioid use disorder Counseling points: - Do not exceed prescribed dosage - May cause drowsiness/dizziness, constipation - Do not operate heavy machinery - Avoid alcohol - Risk of CNS depression - Suboxone sublingual tablet is only indicated for the maintenance treatment of opioid dependence - Prescription use of this product is limited under the Drug Addiction Treatment Act
Differin
Brand: Differin
Generic: adapalene
Class: retinoic acid derivative
Indication: acne vulgaris
Counseling points:
- May cause skin irritation, use sparingly
- Avoid exposure to natural or artificial sunlight during use
- For external use, avoid contact with eyes
- Acne may worsen before getting better when treatment initiated
Zyclara
Brand: Zyclara
Generic: imiquimod
Class: skin and mucous membrane agent
Indication: actinic keratosis, genital and perianal warts, superficial basal cell carcinoma
Counseling points:
- Use specifically as directed
- May cause local skin reactions including inflammation and redness
Bactroban
Brand: Bactroban Generic: mupirocin Class: topical antibiotic Indication: topical infection Counseling points: - For topical use - Approximately one-half of the ointment from the single-use tube should be applied into one nostril and the other half into the other nostril
Mycostatin, Nyamyc, Nystop
Brand: Mycostatin, Nyamyc, Nystop
Generic: Nystatin Topical
Class: antifungal agent
Indication: cutaneous and mucocutaneous fungal infections
Counseling points:
- Suspension can be “swish and spit” (oral candidiasis) or “swish and swallow” (esophageal candidiasis)
Focalin
Brand: Focalin Generic: dexmethylphenidate Class: CNS stimulant Indication: ADHD Counseling points: - When converting from Focalin to Focalin XR, patients may be switched to the same daily dose (maximum 20 mg per day)
Ambien
Brand: Ambien Generic: zolpidem Class: hypnotic Indication: insomnia Counseling points: - Do not take with alcohol - Take right before bedtime - Don't take unless you are able to get 8 h of sleep before being awake again - Can cause complex sleep behaviors (walking, eating, driving) - CYP 450 substrate
Xanax
Brand: Xanax Generic: alprazolam Class: benzodiazepine Indication: anxiety disorders, panic disorder Counseling points: - Do not exceed prescribed dose - May cause drowsiness and dizziness - Avoid alcohol use - Exercise caution in operating heavy machinery - CYP 450 3A4 substrate
Adipex-P, Lomaira
Brand: Adipex-P, Lomaira Generic: phentermine Class: anorexiant, CNS stimulant, sympathomimetic Indication: obesity Counseling points: - Cardiovascular risk caution - Take in the morning before breakfast or 1-2 h after breakfast for appetite control - Short-term use
MS Contin, Avinza, Kadian
Brand: MS Contin, Avinza, Kadian Generic: Morphine ER Class: opioid analgesic Indication: acute and chronic pain management Counseling points: - May cause drowsiness/dizziness, constipation - Do not operate heavy machinery - Avoid alcohol - Risk of CNS and respiratory depression
Oxycontin
Brand: Oxycontin Generic: oxycodone Class: opioid analgesic Indication: pain management Counseling points: - May cause drowsiness/dizziness, constipation - Do not operate heavy machinery - Avoid alcohol - Risk of CNS depression
Ultram
Brand: Ultram
Generic: tramadol
Class: opioid analgesic
Indication: pain management
Counseling points:
- May cause drowsiness
- Avoid alcohol use
- Exhibits some risk of dependence as it is a weak opioid receptor agonist
- Risk of serotonin syndrome with concomitant use of serotonergic agents
- Extended release tablet; swallow whole, do not crush, chew, or spit
Duragesic
Brand: Duragesic
Generic: fentanyl transdermal
Class: opioid analgesic
Indication: chronic pain
Counseling points:
- Caution for respiratory depression: Do not exceed prescribed dose
- Exposure of the patch to high temperatures will result in increase of drug released from patch and potential toxicity
- Properly dispose of used and unused patches: Remove from pouch, fold so adhesive sticks to itself and flush down toilet
- Patch is left in place for several days, normally 72 hours, but this may vary in some patients
- CYP 450 3A4 drug interactions
- Do not drive or operate heavy machinery due to impairment of mental and physical abilities
Lidoderm
Brand: Lidoderm
Generic: lidocaine topical patch
Class: topical analgesic, local anesthetic
Indication: minor, localized pain
Counseling points:
- Do not apply to broken skin
- Do not leave patches on for more than 12 h within a 24-h period
- May cut prior to removing the release liner to fit a specific body area
- Wash hands after handling and avoid contact with eyes
- After removal, fold patch onto itself and properly discard out of reach of pets and children
Lyrica
Brand: Lyrica
Generic: pregabalin
Class: anticonvulsant, GABA analog
Indication: fibromyalgia, neuropathic pain, focal onset seizures
Counseling points:
- May cause drowsiness, dizziness, blurry vision, edema, weight gain, and confusion
- Avoid alcohol
- Exercise caution in operating heavy machinery
- Do not abruptly discontinue therapy
- Take at same time every day
- Report hypersensitivity/swelling/rash
Alphagan P
Brand: Alphagan P
Generic: brimonidine
Class: alpha 2 agonist
Indication: glaucoma –> elevated intraocular pressure, ocular redness (OTC)
Counseling points:
- Counsel patient on proper administration of eye drops
Restasis
Brand: Restasis
Generic: cyclosporin ophthalmic
Class: calcineurin inhibitor, immunosuppressant agent
Indication: Keratoconjunctivitis sicca (want to increase tear production)
Counseling points:
- Counsel patient on proper administration of eye drops
Prior to administration, turn vial over a few times to mix the emulsion until it is uniformly milky
- Throw away vial after one use
- Use once every 12 hours
Xalatan
Brand: Xalatan
Generic: latanoprost
Class: prostaglandin, antiglaucoma
Indication: elevated intraocular pressure
Counseling points:
- Counsel patient on proper administration of eye drops, use at night and warn it may darken eyelids, lashes, and iris with light colored eyes
- Opened bottle may be stored, protected from light, at room temperature, for up to 6 weeks
Alrex, Lotemax
Brand: Alrex, Lotemax
Generic: loteprendol
Class: corticosteroid
Indication: redness and itching of the eyes, pain and swelling after eye surgery
Counseling points:
- Eye pain, corneal edema
- Instruct on proper instillation techniques
- Remove contacts and wait 15 minutes before reinsertion
Patanol, Pataday
Brand: Patanol, Pataday Generic: olopatadine Class: 2nd gen Histamine H1 antagonist Indication: allergic conjunctivitis Counseling points: - Counsel patient on proper administration of eye drops
Cetraxal
Brand: Cetraxal
Generic: ciprofloxacin otic
Class: fluoroquinolone antibiotic
Indication: acute otitis externa, otitis media
Counseling points:
- May be taken with or without food
- Drink plenty of fluids
- Take at least 2 h before or 6 h after iron- or zinc-containing multivitamins and antacids containing magnesium or aluminum, sucralfate or didanosine, or calcium-containing products such as dairy
- May cause sun sensitivity, possible CNS side effects
FDA requires to assess risk of QT prolongation, monitor glucose, tendon rupture warning in older adults, tendonitis in younger athletes
- Significant CYP 450 drug interactions
Temovate
Brand: Temovate Generic: clobetasol Class: topical corticosteroid Indication: Steroid-responsive dermatoses Counseling points: - Use sparingly - Do not use on underarms, face, or groin areas - Avoid contact with eyes
Amitiza
Brand: Amitiza
Generic: lubiprostone
Class: chloride channel activator, gastrointestinal agent
Indication: constipation
Counseling points:
- Take with food and water to reduce change of nausea
