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Manderdrugs, smaller cards Flashcards

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1
Q

Omeprazole category

A

PPI

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2
Q

Omeprazole dosing

A

20-40 mg daily to BID

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3
Q

Omeprazole side effects

A

HA
Nausea
Dizziness
Bowel probs

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4
Q

Omeprazole drug interactions

A 
warfarin
diazepam
digoxin
carbamazepine
clopidogrel
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5
Q

Omeprazole long term risks

A

malabsorption (b12)
infection (pneumonia, c-diff)
rebound acid hypersecretion

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6
Q

Alendronate category and trade name

A

bisphosphonate, fosamax

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7
Q

alendronate efficacy

A

reduction of vertebral fx in 40-70% of postmenopausal women

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8
Q

alendronate half life and MOA

A

10 years, inhibits osteoclasts

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9
Q

Alendronate special consideration

A

take 30 minutes before meal with water, do not lay down for 30 minutes (contraindicated in bedbound). Make sure to take calcium, vitamin D, and do weight bearing exercise.

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10
Q

Alendronate adverse effects

A

dysphagia
esophageal erosion
esophagitis
osteonecrosis of jaw

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11
Q

Basal insulin onset time and duration

A

1 hour onset, 24 hour duration

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12
Q

Basal insulin trade name

A

lantus

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13
Q

Depo-provera hormone

A

progesterone

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14
Q

depo-provera duration

A

3 months

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15
Q

depo-provera adverse effects

A

acne
decreased libido
weight gain
increased lipids

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16
Q

depo-provera serious adverse effects

A

osteoporosis (max 2 years of use)

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17
Q

depo-provera advantage over ocp

A

little to no CVA/Clot risk

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18
Q

Depo-testosterone advantage over patch and cream

A

no risk to pregger ladies

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19
Q

depo-testosterone disadvantage vs patch and cream

A

not as natural as patch and cream (high level to start and decreases before next shot)

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20
Q

depo-testosterone adverse effects

A

prostate and breast Ca

polycythemia

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21
Q

etonorgesterel implant trade name

A

implanon / nexplanon

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22
Q

etonorgesterel duration

A

3 years

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23
Q

etonorgesterel adverse effects

A

acne
weight gain
breakthrough bleeding
increased clot risk

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24
Q

Finasteride moa

A

5-ar inhibitor (5-ar metabolizes testosterone to dht, dht causes baldness)

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25
finasteride indications
bph and male pattern baldness
26
finasteride special consideration (3)
preggers shouldn't even touch the pills falsely lowers PSA Erectile dysfunction
27
Glipizide category
sulfonurea: insulin secretagogue
28
glipizide adverse effects
weight gain hypoglycemia decreased beta cell function (1-2 years)
29
glipizide special considerations (3)
renal adjustment take with meals cheap no old farts
30
Levonorgestrel trade name
plan B
31
levonorgestrel hormone
high dose progesterone
32
levonorgestrel timing
preferably within 72 hours, but up to 5 days
33
levonorgestrel mechanism
slows fallopian motility, thickens cervical mucosa not an abortifacient
34
levonorgestrel side effect and special consideration
nausea (should be good if they keep it down for 1 hour)
35
levothyroxine trade name
synthroid
36
levothyroxine dosing
start low, titrate up
37
levothyroxine lab stuff
tsh in 4 weeks
38
levothyroxine dosing time
1 hour before eating | same time every day
39
levothyroxine adverse effects
palpitations | anxiety
40
metformin category
biguanide
41
metformin efficacy
reduces microvascular complications reduces cardiovascular complicaitons reduces risk of mortality
42
metformin dosing
start low, titrate slowly to avoid gi side effects | take with food
43
metformin contraindications
``` elevated creatinine (1.4) something about GFR ```
44
mirena hormone and timing
``` progesterone 5 years (studies show it's good up to 7) ```
45
norgestimate ethinyl estradiol AKA
BCP
46
norgestimate ethinyl estradiol indications
birth control dysmenorrhea acne DUB
47
norgestimate ethinyl estradiol concern
clot risk (esp in smokers over 35)
48
norgestimate ethinyl estradiol adverse effects
breast tenderness headache nausea weight changes
49
paraguard hormone
trick question, it's just copper, hahaha, i fooled you so good
50
paraguard timing
good for 10 years (studies show good out to 12)
51
mirena adverse effects
lighter/absent periods (lots of women like this) | irregular bleeding in early months
52
paraguard adverse effects
may cause heavier periods and/or cramping
53
polyethylene glycol moa
large molecules cause osmotic diarrhea
54
polyethylene glycol adverse effects
diarrhea! farts cramps
55
polyethylene drug interaction
licorice
56
premarin indication
hormone replacement (only give it alone in the uterusless)
57
premarin effects
modulate FSH and LH in postmenopausal women maintains reproductive cycle and secondary sexual characteristics significantly decreases hot flashes and vaginal atrophy
58
psyllium indications
first line treatment for gi distress, diarrhea
59
psyllium moa
swells with fluid in gut
60
psyllium adverse reaction
farts and blockage
61
do not take psyllium within 2 hours of
tetracycline
62
sildenafil moa
inhibits smooth muscle contraction in corpus cavernosum
63
sildenafil adverse reactions
``` hypotension (esp with nitrates) priapism headache blue-green vision changes? flushing nausea flu-like sx ```
64
tamsulosin trade name
flomax
65
tamsulosin moa
alpha 1 blocker, targeting bladder and prostatic smooth muscle
66
tamsulosin adverse effects
``` orthostatic hypotension gi distress decreased libido headache dizziness ```

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