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phrm 820 > Female Contraception, Anxiety, and Muscle Spasms > Flashcards

Female Contraception, Anxiety, and Muscle Spasms Flashcards

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1
Q

ethinyl estradiol/
norgestimate (class)

A

Contraceptives

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2
Q

ethinyl estradiol/
norgestimate (brand)

A

Ortho Tri-Cyclen,
Tri-Sprintec,
Tri-ViLibra

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3
Q

ethinyl estradiol/
norgestimate (common strengths)

A

0.035mg/0.18mg
0.035mg/0.215mg
0.035mg/0.25mg

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4
Q

ethinyl estradiol/
norgestimate (common frequency)

A

One first phase tablet daily for 7 days, then one second phase tablet
daily for 7 days, then one third phase tablet daily for 7 days, then
one inactive tablet daily for 7 days

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5
Q

ethinyl estradiol/
norgestimate (indications)

A
  • Oral Contraception
  • Acne
    Claim to fame:
    tri-phasics mimic natural menstrual cycle
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6
Q

ethinyl estradiol/
norgestimate (counseling points)

A

Products containing ethinyl estradiol:
* ↑ cardiovascular risk (DVT, PE, MI). Not recommended for those: +35 years old, smoker,
or history of stroke/blood clots.

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7
Q

Oral Contraceptives (tips)

A
  • If OC not started day 1 of menses, use additional non-drug form of contraception first week of therapy
  • Take same time each day for maximum effectiveness
  • Some anti-convulsants [ex: divalproex, lamotrigine] may ↓ effectiveness of hormonal
    contraceptives and/or ↑ increase chance of seizures
  • None of the medications on this list protect against HIV / AIDS / STDs
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8
Q

Oral Contraceptives (missed dose)

A

Miss a dose?
* Take as soon as possible or with next days’ dose; e.g., miss Monday, take 2 on Tuesday. If you miss 2 or more days, refer to package directions.

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9
Q

Oral Contraceptives (side effects)

A
  • water retention (bloating, weight gain, breast tenderness)
  • upset stomach/nausea
  • headache
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10
Q

Oral Contraceptives (non-FDA uses)

A

Non-FDA uses may include:
* Regulation of menstrual cycle
* Lessen menstrual flow
* Reduce painful menses

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11
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate (class)

A

contraceptives

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12
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate (brand)

A

Loestrin Fe 1/20,
Junel Fe,
Microgestin Fe

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13
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate
(common strengths)

A

0.02mg/1mg/
75mg

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14
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate (common frequencies)

A

Take one active tablet
daily for 21 days, then
one iron tablet daily
for 7 days

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15
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate (indications)

A
  • Oral Contraception
  • Acne
    Claim to fame:
    replaces iron lost
    during menses
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16
Q

ethinyl estradiol/
norethindrone/
ferrous fumarate
(counseling points)

A

Products containing ethinyl estradiol:
* ↑ cardiovascular risk (DVT, PE, MI). Not recommended for those: +35 years old, smoker,
or history of stroke/blood clots.

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17
Q

ethinyl estradiol/
drospirenone
(drug class)

A

Contraceptive

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18
Q

ethinyl estradiol/
drospirenone (brand)

A

Yaz, Loryna,
Jasmiel

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19
Q

ethinyl estradiol/
drospirenone (common strengths)

A

0.02mg/3mg

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20
Q

ethinyl estradiol/
drospirenone (common frequncies)

A

Active tablet daily for 24 days then one inactive tablet daily for 4 days

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21
Q

ethinyl estradiol/
drospirenone (indication)

A
  • Oral Contraception
  • Acne
  • Premenstrual Dysphoric Disorder
    Claim to fame:
    Only 4 inactive days = shorter
    menstrual periods
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22
Q

ethinyl estradiol/
drospirenone (counseling points)

A
  • Drospirenone lessens the water
    retention/weight gain side effects of estrogen
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23
Q

ethinyl estradiol/
norelgestromin (drug class)

A

contraceptive

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24
Q

ethinyl estradiol/
norelgestromin (brand)

A

Xulane

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25
ethinyl estradiol/ norelgestromin (common strengths)
0.53mg/4.86mg
26
ethinyl estradiol/ norelgestromin (common frequencies)
Apply one new patch each week for 3 weeks then week 4 is patch free
27
ethinyl estradiol/ norelgestromin (indication)
Contraception
28
ethinyl estradiol/ norelgestromin (counseling points)
* Same side effect profile as oral contraceptives but more common * Adhesive may cause skin rash/rotate sites * Do not cut patch * Apply to butt, upper torso, stomach, upper arm
29
ethinyl estradiol/ etonogestrel (drug class)
Contraceptives
30
ethinyl estradiol/ etonogestrel (brand)
NuvaRing
31
ethinyl estradiol/ etonogestrel (common strengths)
0.015 mg /0.12mg /24 hours ER
31
ethinyl estradiol/ etonogestrel (common frequencies)
Insert one ring into vagina on or before day 5 of cycle and leave in for 3 weeks, then remove on week 4 and discard
32
ethinyl estradiol/ etonogestrel (indication)
Contraception
33
ethinyl estradiol/ etonogestrel (counseling points)
* If it falls out, rinse with cool water and re-insert within 3 hrs * Don’t remove for intercourse * Ring is drug delivery device; Not a barrier
34
medroxyprogesterone (drug class)
Contraceptive
35
medroxyprogesterone (brand)
Depo-Provera
36
medroxyprogesterone (common strengths)
150mg/mL
37
medroxyprogesterone (common frequencies)
150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months
38
medroxyprogesterone (indications)
* Contraception * Endometriosis pain, abnormal uterine bleeding, amenorrhea Claim to fame: No estrogen
39
medroxyprogesterone (counseling points)
* Nervousness * Administration by healthcare professional * Don’t use >2 years due to potential bone loss * Spotting or absent menses may result
40
levonorgestrel (OTC) (drug class)
contraceptives
41
levonorgestrel (OTC) (brand)
Plan B One-Step, EContra One-Step
42
levonorgestrel (OTC) (common strengths)
1.5mg
43
levonorgestrel (OTC) (common frequencies)
Take 1 tablet PO as soon as possible within 72 hours of unprotected sex
44
levonorgestrel (OTC) (indication)
Emergency post-coital contraception
45
levonorgestrel (OTC) (counseling points)
* Same side effects as oral contraceptives but more common * Fatigue * No evidence of interaction with antibiotics * Will not terminate existing pregnancy
46
clonazepam (drug class)
Anxiety
47
clonazepam (brand)
Klonopin
48
clonazepam (common strengths)
0.5mg, 1mg, 2mg
49
clonazepam (common frequencies)
QD, BID, TID, QID
50
clonazepam (indications)
* Panic disorder * Seizure disorders * Off label use: Anxiety
51
clonazepam (counseling points)
* Drowsiness * Fatigue * Ataxia * Behavioral problems
52
alprazolam (drug class)
Anxiety
53
alprazolam (brand)
Xanax
54
alprazolam (common strengths)
0.25mg, 0.5mg, 1mg, 2mg
55
alprazolam (common frequencies)
BID, TID, or PRN
56
alprazolam (indications)
* Panic disorder * Anxiety
57
alprazolam (counseling points)
* Confusion * Drowsiness * Excessive drowsiness with alcohol – avoid * Do not stop drug suddenly if taking routinely
58
cyclobenzaprine (drug class)
Muscle Spasms
59
cyclobenzaprine (brand)
Flexeril
60
cyclobenzaprine (common strengths)
5mg, 10mg
61
cyclobenzaprine (common frequencies)
QD, TID, or PRN
62
cyclobenzaprine (indications)
Muscle spasm
63
cyclobenzaprine (counseling points)
* Dry mouth (aka xerostomia) * Dizziness * Drowsiness

phrm 820 (10 decks)

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