Med List 6 - Miscellaneous

Question 1

Levothyroxine (thyroid)

Answer 1

Fx: Once daily
Indications: Hypothyroidism

Question 2

Levothyroxine Brand names

Answer 2

Levoxyl
Synthroid
Tirosint

Question 3

Levothyroxine Counseling

Answer 3

Take with water at least 30 minutes before breakfast to increase adsorption
Take the same way every day
Take >4 hours from antacids and iron
May take several weeks to see symptoms improve

Question 4

Alendronate

Answer 4

Fx: once weekly
Use: Osteoporosis

Question 5

Alendronate brand name

Answer 5

Fosamax

Question 6

Alendronate Counseling

Answer 6

Take 30 minutes before breakfast to increase absorption
Ensure adequate calcium and vitamin D intake
Take with 8 oz of water and remain upright for 30 minutes
Report heartburn or bone pain to physician

Question 7

Ferrous sulfate (OTC)

Answer 7

Fx: Once daily, BID, TID
Tx: Iron deficiency
Dietary supplement

Question 8

Ferrous Sulfate brand names

Answer 8

Slow fe
Ferosul

Question 9

Ferrous Sulfate counseling

Answer 9

Best absorbed on empty stomach, but take with food if stomach upset occurs
Separate 2 hours before or after other medications
Black stools
Constipation common

Question 10

Sumatriptan

Answer 10

Fx: One tab po at first sign of migraine, may repeat once in 2 hours if no relief
MAX: 200mg/day
Tx: Acute treatment of migraine
Cluster headache

Question 11

Sumatriptan brand name

Answer 11

Imitrex

Question 12

Sumatriptan Counseling

Answer 12

Tingling, dizziness common
Avoid if history of cardiovascular disease
Overuse (more than 10 days per month) may worsen or increase frequency of headaches

Question 13

Tadalafil

Answer 13

Fx: Once Daily
Tx: Erectile dysfunction
Benign prostatic hyperplasia
Pulmonary HTN

Question 14

Tadalafil brand

Answer 14

Cialis

Question 15

Tadalafil Counseling

Answer 15

Do not take more than once daily
Avoid alcohol due to risk of low blood pressure
Avoid grapefruit juice or lower dose/frequency of tadalafil use
Headache and flushing
Report sudden loss of hearing or vision and discontinue use

Question 16

Atovaquone/proguanil (antiviral)

Answer 16

Fx: Once daily; start 1-2 days prior entering a malaria endemic area, continue throughout stay and for 7 days after returning
Tx: Malaria prophylaxis

Question 17

Oseltamivir

Answer 17

Fx: (Flu prevention:): One capsule once daily for 10 days
Flu treatment: One capsule BID for 5 days
Tx: Flu treatment and prevention

Question 18

Oseltamivir Brand

Answer 18

Tamiflu

Question 19

Oseltamivir counseling

Answer 19

Nausea/vomiting
Headache
Does not replace influenza vaccine
Must initiate within 48 hrs of onset of symptoms

Question 20

Valacyclovir

Answer 20

Fx: q8h, q12h, q24h
Indications:
Tx herpes viral infections of:
Genitals
Cold Sores
Shingles

Question 21

Valacyclovir brand

Answer 21

Valtrex

Question 22

Valacyclovir counseling

Answer 22

Headache common adverse effect
Does not prevent disease transmission (avoid sex when sores are present)
Drink lots of fluids to prevent accumulation in kidneys

Question 23

Fluconazole

Answer 23

Fx: q24h, single dose for vaginitis
Tx: fungal infections of:
Mouth
Thrush
Skin
Vagina
HIV associated

Question 24

Fluconazole brand

Answer 24

Diflucan

Question 25

Fluconazole counseling:

Answer 25

QTC prolongation occurs rarely, but possible interaction with many different medications Report any new skin rash to the prescriber

Question 26

Clopidogrel

Answer 26

Fx: 300mg loading dose, 75mg Once daily Use: To reduce rate of heart attack and stroke

Question 27

Clopidogrel brand name

Answer 27

Plavix

Question 28

Clopidogrel counseling

Answer 28

Avoid NSAIDs unless instructed due to increased bleeding risk Seek medical attention for unusual or prolonged bleeding or bruising Avoid abrupt discontinuation

Question 29

Warfarin

Answer 29

Fx: Once daily tx: Prevent blood clots Atrial fibrilation

Question 30

Warfarin brand

Answer 30

Coumadin

Question 31

Warfarin counseling

Answer 31

Seek medical attention for unusual or prolonged bleeding or bruising Keep dietary vitamin K (green leafy vegetables) and alcohol consumption consistent Many drug interactions; discuss new meds w/pharmacist before starting Take missed dose ASAP, but don't double dose same day

Question 32

Rivaroxaban

Answer 32

Fx: Once daily, BID Tx: To prevent blood clots Atrial fibrillation

Question 33

Rivaroxaban brand

Answer 33

Xarelto

Question 34

Rivaroxaban counseling

Answer 34

Seek medical attention for unusual or prolonged bleeding or bruising Gastroenteritis Vomiting Cough (pediatric patients)

Question 35

Alprazolam

Answer 35

Fx: BID, TID or prn Tx; Panic disorder, anxiety

Question 36

Alprazolam brand

Answer 36

Xanax

Question 37

Alprazolam counseling

Answer 37

Confusion Drowsiness Excessive drowsiness with alcohol - avoid alcohol use Do not stop drug suddenly if taken routinely

Question 38

Estradiol

Answer 38

Fx: Estrace: once daily Climara: Once weekl Vivelle-Dot: Twice-weekly Tx: hormone therapy Menopause symptoms Breast cancer Osteoporosis

Question 39

Estradiol brand

Answer 39

Estrace Climara Vivelle-Dot

Question 40

Estradiol counseling

Answer 40

Headache Breast Tenderness Irritation at application site (patches)

Question 41

Testosterone

Answer 41

Fx: Depo - Testosterone: once or twice weekly Androgel & Testim: Once daily Tx: Hormone therapy Hypogonadism

Question 42

Testosterone brands:

Answer 42

Depo testosterone Androgel Testim

Question 43

Testosterone counseling:

Answer 43

Increased blood pressure Increased venous thromboembolism risk Localized itching Acne