drug formulations and patient counseling Flashcards

1
Q

what are osmotic release oral system

A

OROS are Concerta cardura XL, Procardia XL Asacol HD, Delzicol
fast drug delivery followed by extended release and can form ghost tablet

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2
Q

what are some chewable tablets

A

suprax- cefexime
singulair- montelukast
lamictal- lamotrigine

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3
Q

what are some ODTs

A

lamictal - lamotrigine
remeron - mirtazapine
ondansentron
zyprexa or olanzapine

  • cannot be used in vomiting
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4
Q

what are some Sublinguals

A

edluar- zolpidem
nitrostat -nitroglycerin
subsys, actiq, fentora- fentanyl

  • less drug is loss through 1st pass metabolism and gut degradation
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5
Q

what are some granules that can be dispensed in apple sauce

A

aderrall XR dextroamphetamine
Coreg CR carvedilol
dexilant dexlansoprazole
focalin XR- dexmethylphenidate
namenda XR- memantine
Nexium- esomeprazole
Ritalin LA- methylphenidate

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6
Q

what are some self administered SC injections

A

Evzio- naloxone
imitrex or sumatriptan
insulins

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7
Q

long acting IM

A

abilify - aripriprazole
haldol- haloperidol
invega sustena - paliperidone
lupron depot- leuprolide
risperidal- risperidone
vivitrol- naltrexone
zyprexa- olanzapine

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8
Q

what are some counseling for injectables

A
  • Inject atleast 1 inch away from previous injection site
  • never use the same needle more than once
  • do not rub near anti coag
  • do not use any device to heat up cold injections
  • liquids can degrade, do not use if discolored or beyoond expiration date
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9
Q

Where can patches be applied

A

chest
back
upper arm
flanks

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10
Q

where can butrans not be applied

A

sides of the abdomen

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11
Q

what patches are applied daily

A

methylphenidate- daytrana
nicotine
rivastigmine -exelon
rotigotine - neupro
selgline - emsam
testosterone androderm- nightly not on scrotum
lidocain 12 on 12 off
nitro 12-14 then 10 hours off

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12
Q

what patches are twice daily

A

diclofenac

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13
Q

what patches are twice weekly

A

estradiol- alora, vivelle
oxybutynin - oxytrol

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14
Q

which patches are weekly

A

buprenorphine- butrans
clonidine- catapres
estradiol=- climara
estradiol
ethinyl estradiol- xulane weekly for 3 weeks and off for the 4th week

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15
Q

which patches are 3 days

A

fentanyl
scopolamine- transderm scoop

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16
Q

what are some nasal sprays

A

imitrex or sumatriptan
afrin- oxymetazoline
flonase allergy reilief- fluticasone

17
Q

what are some counseling points with nasal spray

A

shake the bottle gently and remove cap
prime the pump before the first use and after not using for 7-14 days
blow your nose before use

close one nostril
start breathing while applying the spray
breathe out through mouth

18
Q

Eye drop counseling

A

shake before opening bottle, gels can be inverted once
bend neck to loock up pull down eyelid
press a finger between eye and top of your nose for one min
blot extra solution

wait 5 mins between drops

  • might contain BAK -benzalkonium chloride, remove lenses
19
Q

what are some rectal meds

A

Rowasa- mesalamine for local disease,
Pedia lax- glycerin supp
feverall- acetaminophen supp

  • empty bowel before use
    lying on the left side with right lef flexed forward
    remain in position for 30 mins
20
Q

drug for oral candidisi

A

mycelex - clotrimazole troche

21
Q

sumatriptan

A

imitrex
zembrace
symtouch injections

22
Q

injections that do not need to be refrigerated

A

enoxpaparin lovenox
fondaparinux arixtra
methotrexate Otrexup
Sumatriptan- imitrex zembrace sym touch

23
Q

where are different patches applied

A

xulane back abdomen arm butt
daytrana hip
oxybutinin abdomen hip or butt
vivelle DOT lower abdomen or butt
transderm behin ear

24
Q

what drugs if missed doesnt follow the regular rule of taking a missed dose

A

high risk drugs - anticoag transplant
oral contraceptives
specific timed drugs- insulin, pancreatic enzymes phosphate binders

25
Q

which 2 long acting drugs can be cut in scored line

A

toprol XL
Sinemet-carbidopa levodopa

26
Q

MRI causes patches

A

to burn skin

27
Q

flector

A

diclefenac patch

28
Q

which patches can be covered with tegaderm or bio film

A

butrans,
fentanyl

29
Q

whcih two patches are only for ones that can be in buttocks

A

xulane and oxybutynin

30
Q

which patches can be flushed

A

butrans daytrana duragesics

31
Q

which patches need to be removed before MRI

A

clonidine
rotigotine - neupro
scopolamine
testosterone

32
Q

glatiramerinjections brand

A

copaxone

33
Q

etanercept

A

enbrel

34
Q

adalimumab

A

humira

35
Q

cetrolizumab

A

cimzia

36
Q

golimumab

A

simponi