Geriatric Drugs Flashcards
(72 cards)
1
Q
alendronate sodium
A
Fosamax
2
Q
alendronate sodium (Fosamax) Strengths
A
5, 10, 35, 40, 70 mg
3
Q
alendronate sodium (Fosamax) Indication
A
Osteoporosis, Paget’s disease
4
Q
alendronate sodium (Fosamax) Category
A
Bisphosphanate Derivative
5
Q
alendronate sodium (Fosamax) Counsel
A
- Take med first thing in the morning with 6-8 oz of water (on empty stomach or at least 30 minutes before food or other medications) & remain upright for 30 minutes afterward * Headache, constipation, diarrhea, erosive esophagitis, bone pain, osteonecrosis of the jaw (ONJ), atypical femur fracture.
6
Q
allopurinol
A
Zyloprim
7
Q
allopurinol (Zyloprim) Strengths
A
100, 300 mg
8
Q
allopurinol (Zyloprim) Indication
A
Gout, Hyperuricemia
9
Q
allopurinol (Zyloprim) Category
A
Xanthine Oxidase Inhibitor
10
Q
allopurinol (Zyloprim) Counsel
A
- Adequate hydration
- Avoid alcohol, caffeine & large dose of vitamin C * Rash, nausea, bone marrow suppression
11
Q
conjugated estrogens
A
Premarin
12
Q
conjugated estrogens (Premarin) Strengths
A
0.3, 0.45, 0.625, 0.9, 1.25 mg
13
Q
conjugated estrogens (Premarin) Indication
A
Symptoms of menopause, hormone replacement
14
Q
conjugated estrogens (Premarin) Category
A
Estrogen
15
Q
conjugated estrogens (Premarin) Counsel
A
- Avoid smoking while on this med
- Avoid eating grapefruit or drink grapefruit juice while on this med
- HA, thromboembolism, breast tenderness, back pain
16
Q
donepezil
A
Aricept, Aricept ODT
17
Q
donepezil (Aricept, Aricept ODT) Strength
A
5, 10, 23 mg
18
Q
donepezil (Aricept, Aricept ODT) Indication
A
Alzheimer’s Dementia
19
Q
donepezil (Aricept, Aricept ODT) Category
A
Acetylcholinesterase Inhibitor
20
Q
donepezil (Aricept, Aricept ODT) Counsel
A
- Take in the evening near bedtime * HA, nausea, diarrhea, insomnia, increased urination
21
Q
Dutasteride
A
Avodart
22
Q
Dutasteride (Avodart) Strengths
A
0.5mg
23
Q
Dutasteride (Avodart) Indication
A
Benign Prostatic Hyperplasia (BPH); (Hair Loss -unlabeled use)
24
Q
Dutasteride (Avodart) Category
A
5-alpha Reductase Inhibitor
25
Dutasteride (Avodart) Counsel
* Pregnant women should avoid handling crushed or broken tablet
* For hair loss, symptomatic improvement may take 3 months or longer.
* Impotence, decrease libido, weakness, dizziness, gynecomastia
26
zoster vaccine live
Zostavax
27
zoster vaccine live (Zostavax) Strength
19,400 units/0.65mL
28
zoster vaccine live (Zostavax) Indication
Shingles Prophylaxis
29
zoster vaccine live (Zostavax) Category
vaccine, live (viral)
30
zoster vaccine live (Zostavax) Counsel
* Not for patients <50 y.
| * Not a substitute for varicella vaccine. Injection site reaction, HA.
31
memantine
Namenda
32
memantine (Namenda) Strengths
5, 10mg
33
memantine (Namenda) Indication
Alzheimer's Dementia
34
memantine (Namenda) Category
NMDA Receptor Antagonist
35
memantine (Namenda) Counsel
* Dizziness, hypertension, headache
36
raloxifene
Evista
37
raloxifene (Evista) Strengths
60 mg
38
raloxifene (Evista) Indication
Osteoporosis, Breast Cancer
39
raloxifene (Evista) Category
Selective Estrogen Receptor Modulator
40
raloxifene (Evista) Counsel
* May cause leg cramp & hotflash especially during the first 6 months of therapy * DVT, PE, peripheral edema, hotflashes, arthralgia
41
rivastigmine, transdermal
Exelon
42
rivastigmine, transdermal (Exelon) Strength
4.6 mg, 9.5 mg
43
rivastigmine, transdermal (Exelon) Indication
Alzheimer's dementia, PD related dementia
44
rivastigmine, transdermal (Exelon) Category
Acetylcholinesterase Inhibitor
45
rivastigmine, transdermal (Exelon) Counsel
* Rotate sites: do not apply to the same site within 14 days
* Do not apply more than 1 patch, as old patch must be removed first before a new one is applied.
* HA, dizziness, N/V/D, anorexia, syncope, application site reaction
46
sildenafil
Viagra
47
sildenafil (Viagra) Strength
25, 50, 100 mg
48
sildenafil (Viagra) Indication
Erectile dysfunction
49
sildenafil (Viagra) Category
Phosphodiesterase Inhibitor
50
sildenafil (Viagra) Counsel
* Report to PCP if erection persists longer than 4 hours
* Should not take more than once per day * Headache, flushing, dyspepsia
51
solifenacin
Vesicare
52
solifenacin (Vesicare) Strength
5, 10 mg
53
solifenacin (Vesicare) Indication
Overactive bladder
54
solifenacin (Vesicare) Category
Anticholinergic Agent
55
solifenacin (Vesicare) Counsel
* Xerostomia, constipation, urinary retention, blurred vision
56
tamsulosin
Flomax
57
tamsulosin (Flomax) Strength
0.4 mg
58
tamsulosin (Flomax) Indication
Benign Prostatic Hyperplasia (BPH)
59
tamsulosin (Flomax) Category
Alpha-1 Blocker
60
tamsulosin (Flomax) Counsel
* To reduce orthostatic hypotension, patient should rise slowly from sitting/lying position * Should not abruptly D/C
* Should take 30 minutes after a meal
* Headache, dizziness
61
teriparatide (injection)
Forteo
62
teriparatide (injection) (Forteo) Strength
250 mcg
63
teriparatide (injection) (Forteo) Indication
Osteoporosis
64
teriparatide (injection) (Forteo) Category
Parathyroid Hormone Analog
65
teriparatide (injection) (Forteo) Counsel
* Rotate injection site with each dose
| * Hypercalcemia, orthostatic hypotension, dizziness, N/V
66
tolterodine
Detrol, Detrol LA
67
tolterodine (Detrol, Detrol LA) Strength
1, 2, 4 mg
68
tolterodine (Detrol, Detrol LA) Indication
Overactive Bladder
69
tolterodine (Detrol, Detrol LA) Category
Anticholinergic Agent
70
tolterodine (Detrol, Detrol LA) Counsel
* Drowsiness, dry mouth, constipation, dysuria
71
Abbreviations
DVT - deep vein thrombosis; NMDA - N-methyl-D-aspartate; HTN - hypertension; LA - long acting;
PE - pulmonary embolism; ODT - orally disintegrating tablet; UTI - urinary tract infection;
PD - Parkinson's Disease; PCP - primary care physician; D/C - discontinued; ONJ-osteonecrosis of the jaw
72
Bisphosphate Derivatives
Bisphosphate derivatives include: etidronate (Didronel), ibandronate (Boniva), risedronate (Actonel), and zoledronic acid infusion (Zometa, Reclast). All carry the same warnings for ONJ and atypical femur fractures. Therapy needs to be evaluated after 5 years of use for efficacy versus safety.
