diabetes and gastrointestinal medication

Question 1

brand name for insulin lispro (rapid-acting)

Answer 1

humalog

Question 2

common frequency of humalog/ insulin lispro

Answer 2

individualized dosing- inject 15 min before or immediately after meals

Question 3

indication for humalog/ insulin lispro

Answer 3

type 1 and 2 diabetes

Question 4

brand name for insulin glargine (long-acting)

Answer 4

lantus

Question 5

common frequency of lantus/ insulin glargine

Answer 5

individualized dosing- once daily

Question 6

indications/ use lantus/ insulin glargine

Answer 6

type 1 and 2 diabetes

Question 7

counseling tips/ important info for lantus/ insulin glargine and humalog/ insulin lispro

Answer 7

*Low blood sugar (sweating, nausea, dizziness)
*Refrigerate unopened vials
*Discard after 28 days if at room temp
*Let syringe reach room temp prior to injection to avoid painful injection
*Rotate injection sites

Question 8

brand name of metformin

Answer 8

glucophage

Question 9

dosing of glucophage/ metformin

Answer 9

BID, TID
max 2,500mg/day

Question 10

indications for glucophage/metformin

Answer 10

type 2 diabetes
polycystic ovary syndrom
weight loss

Question 11

counseling tips for glucophage/metformin

Answer 11

*Diarrhea, nausea, abdominal pain
*Take with food
*Titrate dose up weekly (to reduce stomach
upset, diarrhea)
*Long-term use can cause Vitamin B-12
deficiency

Question 12

brand name of dapagliflozin

Answer 12

farxiga

Question 13

dosing of farxiga/dapagliflozin

Answer 13

once daily

Question 14

inications for farxiga/ dapagliflozin

Answer 14

type 2 diabetes
chronic kidney disease
heart failure with reduced ejection fraction

Question 15

couseling tips for farxiga/dapagliflozin

Answer 15

*Urinary tract infection
*Increased urine output
*Decreased blood pressure

Question 16

brand name of semaglutide

Answer 16

rybelsus
ozempic
wegovy

Question 17

dosing of semaglutide

Answer 17

rybelsus: once daily (orally)
ozempic/ wegovy: subcutaneous once weekly

Question 18

indications for semaglutide

Answer 18

type 2 diabetes
weight management

Question 19

couseling tips for semaglutide

Answer 19

*Nausea, vomiting, diarrhea
*Headache
*Low blood sugar
*Rotate weekly injection sites

Question 20

brand name for gabapentin

Answer 20

neurontin

Question 21

dosing for neurontin/gabapentin

Answer 21

BID, TID

Question 22

indications for neurontin/gabapentin

Answer 22

neuropathic pain
seizures
anxiety

Question 23

couseling tips for neurontin/gabapentin

Answer 23

drowisness/dizziness
uncoordinated muscle movements

Question 24

brand name of promethazin

Answer 24

phenergan

Question 25

dosing of phenergan/promethazine

Answer 25

q4-6h prn

Question 26

indications for phenergan/promethazine

Answer 26

*Prevents and treats nausea/vomiting *Motion sickness *Allergies

Question 27

couseling tips for phenergan/ promethazine

Answer 27

*Drowsiness/dizziness *Avoid alcohol *Sun sensitivity

Question 28

brand name of ondansetron

Answer 28

zofran zofran ODT

Question 29

dosing of zofran/ ondansetron

Answer 29

q8h prn

Question 30

indications for zofran/ondansetron

Answer 30

-prevent nausea/vomiting -non FDA approved for treatment of vomiting

Question 31

couseling tips for zofran/ondansetron

Answer 31

fatique headache constipation or diarrhea

Question 32

brand name of omeprazole

Answer 32

prilosec

Question 33

dosing of prilosec/omeprazole

Answer 33

once daily

Question 34

indications for prilosec/ omeprazole

Answer 34

*Acid reflux/ indigestion *Prevention and treatment of ulcer

Question 35

couseling tips for prilosec/omeprazole

Answer 35

*Works in 1 day, up to 4 days for full effect *Food delays absorption so take >1 hour before food *Separate from antacids by 2 hours

Question 36

brand name of famotidine

Answer 36

pepcid ac

Question 37

dosing of pepcid ac/ famotidine

Answer 37

bid

Question 38

indication of pepcid ac/ famotidine

Answer 38

*Acid reflux/ indigestion *Prevention and treatment of ulcers

Question 39

couseling tips for pepcid ac/ famotidine

Answer 39

*Works in 1 hour, up to 1 day for full effect *Can be taken with antacids

Question 40

brand name of calcium carbonate

Answer 40

tums

Question 41

dosing of calcium carbonate/ tums

Answer 41

Chew 2-4 tablets prn MAX: 7,500 mg/day if used for indigestion MAX: 2,500 mg/day as supplement

Question 42

indications of tums/ calcium carbonate

Answer 42

calcium supplement acute acid reflux/indigestion

Question 43

couseling tip for tums/ calcium carbonate

Answer 43

*Constipation *Chew before swallowing *Do not use > 2 weeks for indigestio

Question 44

brand name of docusate sodium

Answer 44

colace

Question 45

dosing of colace/ docusate sodium

Answer 45

daily

Question 46

indications of colace/ docusate sodium

Answer 46

stool softener to relieve constipation

Question 47

couseling tips for colace/ docusate sodium

Answer 47

*Works in 1-3 days *Take with water *Diarrhea, cramps

Question 48

brand name for polyethylene glycol (PEG)

Answer 48

miralax (OTC) golytely (RX)

Question 49

dosing of polyethylene glycol

Answer 49

MiraLAX (laxative): 17g (1 capful) dissolved in 8 oz. of liquid by mouth once daily prn GoLYTELY (colonoscopy prep): Mix with water to make 1 gallon, drink 8oz every 10 minutes

Question 50

indications of polyethylene glycol

Answer 50

*Osmotic laxative to relieve constipation *Bowel cleansing for colonoscopy prep

Question 51

couseling tips for polyethylene glycol

Answer 51

*Laxative works in 1-3 days *Do not take laxative longer than 1 week without MD approval *Colon prep works in 1 hr *Diarrhea, cramps, bloatin

Question 52

brand name for bisacodyl

Answer 52

dulcolax

Question 53

dosing of dulcolax/ bisacodyl

Answer 53

laxative: 5-15mg PO daily, 10mg rectally daily Colonoscopy prep: 20-30mg dose MAX: 30mg/day

Question 54

indications of dulcolax/bisacodyl

Answer 54

*Stimulant laxative to relieve constipation *Bowel evacuant for colonoscopy pre

Question 55

couseling tips for dulcolax/ bisacodyl

Answer 55

*Oral dose works in 8 hrs *Suppository works within 15-60 minutes *Do not take longer than 1 week without MD approval *Diarrhea, cramps

Question 56

brand name for loperamide

Answer 56

imodium

Question 57

dosing of imodium/loperamide

Answer 57

2 tablets PO after first loose stool, then 1 tablet after each subsequent loose stool MAX: 8mg/day (OTC), 16mg/day (Rx)

Question 58

indications for imodium/loperamide

Answer 58

*Slows peristalsis to treat diarrhea

Question 59

couseling tips for imodium/loperamide

Answer 59

*Drowsiness *If diarrhea not improved in 2 days, call MD due to de-hydration risk