Week 4 Flashcards

1
Q

Coditussin

A
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
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2
Q

Suboxone, Bunavail, Zubsolv

A
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
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3
Q

Differin

A

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

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4
Q

Zyclara

A

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

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5
Q

Bactroban

A
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
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6
Q

Mycostatin, Nyamyc, Nystop

A

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)

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7
Q

Focalin

A
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)
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8
Q

Ambien

A
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
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9
Q

Xanax

A
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
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10
Q

Adipex-P, Lomaira

A
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
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11
Q

MS Contin, Avinza, Kadian

A
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
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12
Q

Oxycontin

A
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
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13
Q

Ultram

A

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

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14
Q

Duragesic

A

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

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15
Q

Lidoderm

A

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

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16
Q

Lyrica

A

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

17
Q

Alphagan P

A

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

18
Q

Restasis

A

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

19
Q

Xalatan

A

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

20
Q

Alrex, Lotemax

A

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

21
Q

Patanol, Pataday

A
Brand: Patanol, Pataday
Generic: olopatadine
Class: 2nd gen Histamine H1 antagonist
Indication: allergic conjunctivitis
Counseling points: 
- Counsel patient on proper administration of eye drops
22
Q

Cetraxal

A

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

23
Q

Temovate

A
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
24
Q

Amitiza

A

Brand: Amitiza
Generic: lubiprostone
Class: chloride channel activator, gastrointestinal agent
Indication: constipation
Counseling points:
- Take with food and water to reduce change of nausea