How to Take this Med Flashcards

(188 cards)

1
Q

Flagyl: how to take med.

A

“F”lagyl = Food

No alcohol –> N/V/Flushing or Fainting

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2
Q

Alcohol + Flagyl: what happen?

A

N, V, Flushing and Fainting

  • Disulfuram-like reaction
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3
Q

How is Flagyl ER taken?

A

Flagyl ER = empty stomach

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4
Q

Fluconazole Tablet

A

wow FOOD

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5
Q

Ketoconazole Tablet

A

“N”izoral - NO Food

  • Food ok if stomach upset
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6
Q

What should you avoid taking with ketoconazole tablet?

A
  1. Avoid acid reducing drug - 2 hours apart
  2. Avoid ALCOHOL - disulfiram like reaction
      • just like metronidazole
  3. Cola Drink - acidic –> increase absorption (avoid)
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7
Q

Ketoconazole shampoo 2%: how to use it

A

Leave in place for 5 minutes, then rinse

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8
Q

Ketoconazole gel: warning

A

flammable

avoid fire; flame and smoking during and immediately after use

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9
Q

Ketoconazole foam: how to use and warning

A

Spray foam onto CAP – then use finger to pick up and rub into affected area

Warning: foam is flammable
* avoid fire, flame and smoking during and immediately after use

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10
Q

Nystatin Powder: can it be dusted onto socks and shoes?

A

Yes, recommended to dust in shoes and socks

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11
Q

Terbinafine tablet

A

WOW food

    • most antifungals are taken without regards to meal
    • ketoconazole - best on empty stomach - but can be taken with food
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12
Q

Acyclovir Tablet

A

WOW Food

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13
Q

Acyclovir (Zovirax topical): how to apply

A

use a GLOVE to avoid transmission of virus to other sites or persons

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14
Q

Why use glove when applying acyclovir gel?

A

To avoid transmission of virus to other sites or persons

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15
Q

Valacyclovir tablet

A

WOW Food

  • stay well hydrated
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16
Q

Cephalexin capsules

A

WOW Food

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17
Q

Cephalexin suspension: frig or no frig

A

Frig - stable for 14 days

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18
Q

Cefuroxime axetil (ceftin) tablet

A

Swallow whole with FOOD

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19
Q

Cefuroxime suspension: how to take and storage

A

Food - must

storage: Frig ** think cephalexin

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20
Q

Can you substitute ceftin capsule for suspension on a mg/mg basis?

A

NO

    • tablet and suspension are NOT bioequivalent
    • do not interchange without MD’s approval
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21
Q

Omnicef (Cefdinir) capsules and suspensions

A

Take with FOOD

Suspension: with FOOD and room temp

Think: Toby

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22
Q

How is cefdinir suspension store?

A

ROOM temperature - NO frig

  • remember: cefdinir - “dinir –> do not frig
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23
Q

Ciprofloxacin tablets

  • what to avoid
A

WOW food

2 hours before or 6 hours after any of the following:

  • mag/al antacids
  • sucralfate
  • calcium, iron, zinc
  • dairy products - have calciums
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24
Q

Cipro suspension:

  1. how to take and storage
  2. feeding tube consideration
A
  1. WOW Food, do not chew
  2. store Room Temp - no frig
  3. Not administer thru FEEDING Tube
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25
Levofloxacin tablet | * what to avoid
WOW food Avoid: antacid 2 hours before or after
26
Levofloxacin solution * what to avoid
Empty stomach Avoid antacids, MVI
27
Moxifloxacin: two forms of eye under the name
1. Vigamox | 2. Moxeza
28
moxifloxacin tablets | * what to avoid
WOW FOOD - (milk ok) Avoid: * Iron * sucralfate * Magnesium or Zinc (MVI) * antacid (mag/al)
29
Zithromax: eye drop name
Azasite
30
How to take azithromycin tablet?
With FOOD - increase tolerability
31
How to take azithromycin suspension? storage?
WOW Food Store at room temp
32
How to take clarithromycin tablet? ER tablet?
With FOOD * ER -- FOOD must
33
How to store clarithromycin suspension?
Room Temp - do not FRIG
34
How to take clindamycin capsules?
with or without FOOD; but FULL GLASS of WATER * do not lie down for 10 minutes
35
How to take nitrofurantoin
FOOD * Full glass of water or milk ** help increase tolerance
36
How to take nitrofurantoin suspension?
can be mixed with water, milk, fruit juice or infant formula
37
Amoxicillin chew tablet?
must be CHEW before swallowing | ** do not swallow WHOLE
38
Amoxicillin capsules?
WOW FOOD
39
Augmentin: best time to take
Take at start of meal * avoid high fat meal
40
Augmentin chew tablet?
must be CHEW before swallowing | * do not swallow whole
41
How to store augmentin suspension?
Frig
42
Penicillin tablets: how to take
WOW FOOD | * better absorption on empty stomach
43
Penicillin susp: storage
Frig
44
Bactrim tablets: how to take it
WOW food * with FOOD to help decrease N,V,D FULL glass of water
45
How to take Bactrim susp?
Shake well Full glass of water
46
Doxycycline IR tablet or Capsules: how to take it
Food or Milk - if upset stomach
47
Doxcycline oral administration: in general
Lots of fluid to decrease throat irritation Do not administer with: * sucralfate (has aluminum) * Fe, Calcium, antacid or MVI
48
Periostat: how to take it
1 hour before morning and evening meal * empty stomach
49
Oracea: how to take it
1 hour before or 2 hours after meal = EMPTY STOMACH
50
Metronidazole Vaginal Gel - how is it different than topical gel
pH different; don't interachange
51
Can I use make up after putting on metrogel?
Yes. * apply med first - wait for 5 minutes before applying makeup
52
Bactroban. can area be cover?
Yes. can be cover in gauze
53
Mycolog II: * what to avoid * cover dressing concerns?
1. avoid normal surrounding skin | 2. topical product with steroid in general should not be cover unless directed by MD
54
Tamiflu cap
WOW food | * food increase tolerability
55
Tamiflu suspension: expiration
expired 10 days after mixing can be frig or not frig
56
Truvada
Swallow Whole WOW Food
57
Combivir
WOW Food
58
``` Benazepril Enalapril Quinapril Lisinopril Ramipril ``` all WOW hctz
WOW FOOD
59
Can Ramipril cap be open?
Yes. mix with applesauce or apple juice or water
60
Captopril: how is it taken different?
Empty stomach * * ensure max absorption * * food decrease drug by 30 to 40 %
61
Doxazosin IR tablet.
WOW FOOD
62
Cardura XL: how is it taken? When switching from IR to XL?
Once daily with Breakfast Before starting XL tablet; * evening dose of IR tablet should not be taken
63
Prazosin | Terazosin
WOW FOOD
64
Clonidine tablet
1. take WOW | 2. last dose - just prior to bedtime
65
Clonidine patch: what is the significant in patch size
Size of patch determines strength
66
How often is clonidine patch changed?
Once a week patch
67
Where is clonidine patch apply?
1. Upper arm or torso - for better absorption ** clean and dry area first
68
Is clonidine patch affected by water? What to do if patch falls off?
1. patch no affected by water * can swim or bath with patch on 2. If patch falls off - use adhesive on side * if fall offs of - use a new patch
69
Can clonidine patch be trim or cut?
No - do not trim or cut * size of patch determines strength of patch
70
Amiodarone
WOW Food, but be consistent
71
Multaq
with morning and evening meal
72
Warfarin
WOW food - be consistent
73
Antara (30, 0 mg capsule) - fenofibrate
without regards to meal
74
Tricor (54, 160 mg)
with MEALS to increase bioavailability
75
Lipofen capsules (50, 100, 150 mg)
with MEALS to increase bioavailability
76
Lofibra (67, 134 mg)
with MEALS to increase bioavailability
77
``` Triglide tablets (50, 160 mg) * what is a warning about this tablet ```
do not consume chipped or broken tablets
78
new Tricor generic (48, 145 mg)
without regards to meal
79
Basically, all fenofibrate brand or generic can be take _____.
with meals to increase bioavailability
80
Gemfibrozil
take 30 minutes before meals
81
niacin: administer
take after DINNER to decrease upset stomach
82
is 2 Niaspan 500 mg = 1 Niaspan 1000mg
No, not the same
83
Atorvastatin
same time - anytime avoid grapefruit
84
Mevacor (lovastatin)
with dinner
85
Altoprev (lovastatin ER tablet)
at bedtime on EMPTY STOMACH
86
pravastatin
WOW food - evening or morning
87
rosuvastatin
wow FOOD - swallow whole; evening or morning
88
vytorin
with evening meal
89
what to avoid with vytorin?
take 2 hours before or 4 hours after BILE ACID SEQUESTRANT
90
zocor
wow FOOD at bedtime avoid grapefruit juice
91
Aspirin
with FOOD or full glass of water or milk
92
can chewable aspirin be swallow without chewing
yes - may be swallow whole without chewing
93
Exforge * amlodipine + valsartan Exforge HCT * amlodipine + valsartan + hctz
wow FOOD
94
Diovan | Diovan HCT
wow FOOD
95
Avapro | Avalide (irbesartan + hct)
wow FOOD
96
Atacand | Atacand HCT
wow FOOD
97
Benicar | Benicar HCT
wow FOOD
98
Cozaar | Hyzaar
wow FOOD
99
Atenolol
wow FOOD * OJ decreases bioavailability - avoid at same time
100
Toprol XL
wow FOOD
101
Can scored Toprol XL be split?
Yes * scored tablet can be taken as half tablet, but do not chew
102
Lopressor
FOOD to increase absorption ** metoprolol succinate - wow FOOD
103
Zebeta | Ziac (bisoprolol + hctz)
wow FOOD
104
Tenoretic | atenolol + hctz
wow FOOD - not with OJ
105
Propranolol
take before meals
106
Innopran XL | * propranol xl
take at 10 pm
107
Coreg
with FOOD * to decrease orthostatic hypotension
108
Coreg CR
take in morning with FOOD Avoid alcohol
109
Can coreg CR capsule be open?
Yes * capsule can be open and sprinkle onto room temp applesauce ** only applesauce; other food are not studies
110
Coreg CR and alcohol?
avoid alcohol for at least 2 hours
111
Labetalol
wow FOOD - be consistent ** food delays absorption but increase drugs absolute bioavailability
112
Digoxin
all dosage forms: wow FOOD
113
can digoxin tablet be crushed?
yes
114
``` Azor = amlodipine + olmesartan Tribenzor = amlodipine + olmesartan + hctz ```
wow FOOD
115
amlodipine
wow FOOD
116
Adalat CC (nifedipine)
empty stomach * avoid grapefruit juice before or after taking
117
nifedipine is best taken on empty stomach, can it be taken with food.
Yes. ok with meal if gastric irritation
118
is 2 (adalat cc 30 mg) = 60 mg adalat cc? is 3 (adalat cc 30 mg) = 90 mg adalat cc?
2 adalat cc 30 mg = 1 adalat cc 60 mg tablet 3 adalat cc 30 mg not equal to 1 adalat cc 90 mg tablet
119
Lotrel
wow FOOD * same time
120
Caduet
wow FOOD
121
Pradaxa
1. taken no regards to meal | 2. don't open capsules
122
How is pradaxa dispense or expiration date?
1. dispense in original date | 2. once bottle open - good for 4 months
123
Klor-Con | Which salt is best absorb?
K chloride is best absorb
124
potassium: all dosage form - how taken?
full glass of water after FOOD
125
what is special about Klor-ConM10; M15; M20?
tablet can be broken in half can be dissolved in 4 oz of water
126
what is special about Micro-k Extencaps?
capsules can be opened - sprinkle onto apXplesauce or pudding or mix in juice - swallow without chewing
127
how to take potassium liquid
dilute in 4 oz of water or juice and drink slowly
128
when to take xarelto?
if once daily - take in evening with FOOD
129
how to take xarelto? depending on strength?
xarelto 10 mg - wow FOOD xarelto 15, 20 mg - with FOOD ** easier to remember - just take all strength with food
130
can xarelto tablet be crushed?
Yes * mixed in applesauce
131
Eliquis
wow FOOD
132
can eliquis be crushed?
Yes * crushed and mixed in applesauce
133
furosemide liquid: for infant - how to give
squirt solution into side of mouth Not back of throat - may cause gagging
134
where is Lovenox administer?
Fatty layer of stomach (preferred) | * or thigh or upper arm
135
can you use 30 mg or 40 mg prefilled lovenox to administer 15 mg dose?
No - 30 or 40 mg prefilled syringes are not graduated * do not use to administer partial dose
136
IMDUR
"i saw food" swallow whole - take with FOOD
137
Nitrostat SL tablet
Under tongue avoid eating, drinking or smoking until tablet is dissolved
138
Nitro spray
spray must be prime first do not shake spray spray onto or under tongue * do not swallow; spit or rinse mouth for 10 minutes
139
all diltiazem forms - in general can be taken
wow FOOD, except DILACOR XR DILACOR XR = empty stomach ** all - avoid grapefruit or do not increase grapefruit intake
140
Cardizem CD or Cartia XT: unique
24 hours (once daily) capsules * wow FOOD
141
Cardizem LA tablets: unique
24 hours (once daily) - wow FOOD * morning or evening
142
Cardizem SR caps: unique
SR = 12 hours capsules * wow FOOD ** buproprion SR = 12 hours
143
Dilacor XR capsules: unique
Once daily * EMPTY STOMACH - swallow whole
144
Tiazac or Taztia XT: unique
24 hours capsule * capsule can be open onto applesauce
145
which diltiazem capsule can be open?
Tiazac or Taztia XT
146
what to avoid with verapamil?
avoid grapefruit or grapefruit juice before or after administration * grapefruit increases bioavailability
147
Verelan SR - verapamil capsule
swallow whole wow FOOD
148
Isoptin SR Calan SR ** verapamil SR tablets
Isoptin and Calan SR * take with FOOD - to decrease the difference between peak and trough do not crush or chew
149
Covera-HS * verapamil ER tablet How is it taken?
once daily at bedtime
150
Verelan PM ER capsule * when is taken? * can capsule be open?
controlled onset - ER capsule * take once daily at bedtime * capsules can be open
151
In general, to help remember how to take VERAPAMIL, what is verapamil taken.
Advice patient to take with FOOD
152
Plavix
wow FOOD
153
Dyazide | Maxzide
wow FOOD
154
Aldactone | Aldactazide
wow FOOD
155
Lozol - indapamide
FOOD in morning
156
chlorthalidone
FOOD in morning
157
HCTZ | * can tablet be crushed?
FOOD in morning * tablet can be crushed
158
in general, how are diuretics taken?
with FOOD
159
metolazone
taken in MORNING upon awakening
160
Zofran Zofran ODT * all they equivalent?
wow FOOD * antacid does not interfere with absorption ** in general, all oral dosage forms are interchangeable
161
Zofran ODT
do not push ODT thru foil backing peel back and remove tablet admin with liquid is not necessary once dissolve - can swallow with saliva
162
Aricept (donepezil)
at BEDTIME prior to sleeping wow FOOD
163
Aricept ODT
after dissolve - instruct patient to drink some water
164
Aricept 23 mg tablet
do not break or crush
165
Rivastigmine Tablet
twice daily with FOOD - due to nausea
166
Rivastigmine patch * where? * water?
lower or upper back * chest or upper arm may be use can be used in shower; swimming Avoid excessive sunlight or sauna ** always remove old patch first before putting new patch
167
Fiorinal with Codeine Fioricet with Codeine
wow FOOD * full glass of water * at first sign of migraine
168
Buspar
wow FOOD ** be consistent FOOD or no FOOD
169
mirtazapine tablet
wow FOOD ** preferably at bedtime
170
mirtazapine ODT
wow FOOD water is not needed
171
Trazodone
after dinner or snack -- to decrease lightheadedness or dizziness ** trazadone ER tab -- empty stomach
172
bupropion (in general)
with FOOD --> to decrease upset stomach
173
Wellbutrin SR
with FOOD * swallow whole * dose at least 8 hours apart
174
Wellbutrin XL
once DAILY in morning | * decrease insomnia
175
carbamazepine (in general)
with FOOD to decrease GI side effects
176
carbamazepine chew tablet
chew well before swallowing
177
Tegretol XR tablet
swallow whole * with FOOD to decrease GI side effects
178
Carbatrol ER capsule | * can capsule be open
capsule can be open - sprinkled onto applesauce
179
Equetro * what is unique about it? * can capsule open
consists of 3 different beads * IR release * ER release * enteric-release beads capsule can be open - sprinkled onto applesauce
180
lamotrigine (in general)
wow FOOD
181
lamotrigine chew tablet
chew or can swallow whole can be dissolved in water or juice
182
lamotrigine ODT | * what is unique
place and tongue and MOVE AROUND IN MOUTH to facilitate disintegration swallow wow water
183
lamotrigine ER tablet
swallow whole wow FOOD
184
levetirecetam
wow FOOD
185
can levetirecetam IR tablet be chew
no - swallow whole - do not crush or chew
186
Keppra XR
do not break, crush or chew * wow FOOD
187
Keppra solution * what is strength? * unique?
keppra 100 mg/1 ml * does not contain: alcohol, dye, gluten, lactose, starch, sugar or sucrose
188
oxcarbazepine (in general)
easily to remember: tell patient to take on empty stomach * ER tablet - empty stomach - more adverse rxn with food * IR tablet - wow FOOD