Medication List 2 Flashcards by Dayna Gumm

Ortho-Cept branded generic

Apri

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Ortho-Cept Usual adult use and frequency

Take one tablet PO daily for 21 days, then one inactive tablet daily for 7 days

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Ortho-Cept Indication

Oral Contraception

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Ortho-Cept Claim to fame

Monophasics have fewer side effects from hormone fluctuations

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Mircette branded generic

Kariva

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Mircette usual adult dose and frequency

Take one tablet PO daily for 21 days, then one inactive tablet for 2 days, the one tablet for 5 days

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Mircette indication

Oral Contraception

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Mircette claim to fame

Biphasics lessen headaches caused by drop in estrogen

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Ortho Tri-Cyclen branded generic

Tri-sprintec

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Ortho Tri-Cyclen usual adult dose and frequency

Take one tablet PO daily PO daily for 7 days, then one tablet daily for 7 days, then one tablet for 7 days, then one inactive tablet daily for 7 days

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Loestrin Fe 1/20 branded generic

Junel Fe

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Loestrin Fe 1/20 usual adult dose and frequency

Take one tablet by mouth daily or 21 days, then one iron tablet for 7 days

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Loestrin Fe 1/20 Indication

Oral contraception

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Loestrin Fe 1/20 claim to fame

replaces iron lost during menses

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Seasonale branded generic

Quasense

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Seasonale usual adult dose and frequency

Take one tablet PO daily for 84 days, then one inactive tablet daily for 7 days

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Seasonale indication

Oral contraception

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Seasonale claim to fame

reduces number of periods

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Female Contraception Counseling Tips and Important info for all medications (3)

Water retention (bloating, weight gain, breast tenderness, contact lens fit)
Upset stomach/nausea
Headache

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Female Contraception non-FDA uses (4)

Regulate cycle
Lessen menstrual flow
Reduce painful menses
Acne (some FDA approved)

Miss a dose of female contracpetion?

Take as soon as possible or with next day’s dose

If you miss 2 or more days, refer to package directions

Estrogen products increase the risk of what?

Cardiovascular risk (DVT, PE, MI)

Estrogen products are not recommended for whom? (3)

+35 years old
Smoker
History of stroke/blood clots

Female Contraception Tips (5)

1) If OC not started day 1 of menses, use addition non-drug form of contraception first week of therapy
2) Take same time each day for max effectiveness
3) Amoxicillin and doxycycline may decrease effectiveness of hormonal contraceptives
4) Some anti-convulsants may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures
5) None of the medications on this list protect against HIV/AIDS/STDs

Yaz branded generic

Loryna

Yaz usual adult dose and frequency

Take one tablet by mouth daily for 24 days then one inactive tablet daily for 4 days

Yaz indications (3)

Oral contraception Acne Premenstrual dysphoric disorder

Yaz claim to fame

Only 4 inactive days = shorter menstrual periods

Yaz counseling tips and important info

Drospirenone lessens the water retention/weight gain side effects of estrogen

Xulane dosage form

Transdermal (topical patch)

Xulane usual adult dose and frequency

Apply one new patch each week for 3 weeks then week 4 is patch free

Xulane indication

Contraception

Xulane Counseling tips and important information (4)

1) Same SE as OCs but more common 2) Adhesive may cause skin rash/rotate sites 3) Do not cut patch 4) Apply to butt upper torso, stomach, upper arm

NuvaRing dosage form

Vaginal ring insert

NuvaRing usual adult dose and frequency

Insert one ring into vagina on or before day 5 and leave in for 3 weeks, then remove on week 4 and discard

NuvaRing indication

Contraception

NuvaRing counseling tips and important information (3)

1) If it falls out, rinse with cool water and re-insert it within 3 hours 2) Don't remove for intercourse (ring is drug delivery device; not a barrier) 3) Stored in refrigerator in pharmacy; good at room temp for 4 months

Depo-Provera generic name

medroxyprogesterone acetate

Depo-Provera dosage form

IM injection

Depo-Provera strength

150 mg/mL

Depo-Provera usual adult dose and frequency

150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months

Depo-Provera indication

Contraception

Depo-Provera claim to fame (2)

1) No pills to remember | 2) No estrogen

Depo-Provera counseling tips and important info (4)

1) Nervousness 2) Administer in physician's office 3) Don't use >2 years due to bone loss 4) Spotting or absent menses

Plan B One-Step generic

levonorgestrel

Plan B One-Step strength

1.5 mg

Plan B One-Step usual adult dose and frequency

Take 1 tablet by mouth as soon as possible within 72 hours of unprotected sex

Plan B One-Step indication

Emergency post-coital contraception

Plan B One-Step counseling tips and important info (4)

1) Same side effects as OCs but more common 2) Fatigue 3) No evidence of interaction with antibiotics 4) Will not terminate existing pregnancy