Medication List 2: Contraception, Anxiety, Muscle Spasms

Question 1

ethinyl estradiol/norgestimate: brands

Answer 1

ortho tri-cylcen, tri-sprintec, tri-ViLibra

Question 2

ethinyl estradiol/norgestimate: common strengths

Answer 2

0.035mg/0.18mg
0.035mg/0.215mg
0.035mg/0.25mg

Question 3

ethinyl estradiol/norgestimate: common frequency

Answer 3

one first phase tablet daily for 7d, then one second phase tablet daily for 7d, then one third phase tablet daily for 7d, then one inactive tablet daily for 7d

Question 4

ethinyl estradiol/norgestimate: indications/use

Answer 4

-oral contraception
-acne
-CLAIM TO FAME: tri-phasics mimic natural menstrual cycle

Question 5

ethinyl estradiol/norethindrone/ferrous fumarate: brands

Answer 5

Loestrin Fe 1/20, Junel Fe, Microgestin Fe

Question 6

ethinyl estradiol/norethindrone/ferrous fumarate: common strengths

Answer 6

0.02mg/1mg/75mg

Question 7

ethinyl estradiol/norethindrone/ferrous fumarate: common frequency

Answer 7

take one active tablet for 21 days, then one iron tablet daily for 7 days

Question 8

ethinyl estradiol/norethindrone/ferrous fumarate: indications/use

Answer 8

-oral contraception
-acne
-CLAIM TO FAME: replaces iron lost during menses

Question 9

ethinyl estradiol/drospirenone: brands

Answer 9

Yaz, Loryna, Jasmiel

Question 10

ethinyl estradiol/drospirenone: common strengths

Answer 10

0.02mg/3mg

Question 11

ethinyl estradiol/drospirenone: common frequency

Answer 11

active tablet for 24 days then once inactive tablet daily for 4 days

Question 12

ethinyl estradiol/drospirenone: indications/use

Answer 12

-oral contraception
-acne
-premenstrual dysphoric disorder
-CLAIM TO FAME: only 4 inactive days = shorter menstrual periods

Question 13

ethinyl estradiol/drospirenone: counseling tips and important info

Answer 13

drospirenone lessens the water retention and weight gain side effects of estrogen

Question 14

ethinyl estradiol/norelgestromin: brands

Answer 14

Xulane

Question 15

ethinyl estradiol/norelgestromin: common strengths

Answer 15

0.53mg/4.86mg

Question 16

ethinyl estradiol/norelgestromin: common frequency

Answer 16

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

Question 17

ethinyl estradiol/norelgestromin: indications/use

Answer 17

contraception

Question 18

ethinyl estradiol/norelgestromin: counseling tips and important info

Answer 18

-same side effects as OC but more common
-adhesive may cause rash - rotate sites
-do not cut patch
-apply to: butt, upper torso, stomach, upper arm

Question 19

ethinyl estradiol/etonogestrel: brands

Answer 19

NuvaRing

Question 20

ethinyl estradiol/etonogestrel: common strengths

Answer 20

0.015mg/0.12mg/24 hours ER

Question 21

ethinyl estradiol/etonogestrel: common frequency

Answer 21

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

Question 22

ethinyl estradiol/etonogestrel: indications/use

Answer 22

contraception

Question 23

ethinyl estradiol/etonogestrel: counseling tips/important info

Answer 23

-if it falls out, rinse with cool water and re-insert within 3 hours
-don’t remove for intercourse
-ring is drug delivery device; not a barrier

Question 24

Products containing ethinyl estradiol: important info

Answer 24

increased cardiovascular risk (DVT, PE, MI); not recommended for those 35+ years old, smokers, or those with history of stroke/blood clots

Question 25

medroxyprogesterone: brands

Answer 25

Depo-Provera

Question 26

medroxyprogesterone: common strengths

Answer 26

150mg/mL

Question 27

medroxyprogesterone: common frequency

Answer 27

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

Question 28

medroxyprogesterone: indications/use

Answer 28

-contraception -endometriosis pain -abnormal uterine bleeding -amenorrhea -CLAIM TO FAME: no estrogen

Question 29

medroxyprogesterone: counseling tips/important info

Answer 29

-nervousness -administration by healthcare professional -don't use for >2 years due to potential bone loss -spotting or absent menses may result

Question 30

levonorgestrel (OTC): brands

Answer 30

Plan B One-Step, EContra One-Step

Question 31

levonorgestrel (OTC): common strengths

Answer 31

1.5mg

Question 32

levonorgestrel (OTC): common frequency

Answer 32

take 1 tablet PO ASAP within 72 hours of unprotected sex

Question 33

levonorgestrel (OTC): indications/use

Answer 33

emergency post-coital contraception

Question 34

levonorgestrel (OTC): counseling tips/important info

Answer 34

-same side effects of OC, but more common -fatigue -no evidence of interaction with antibiotics -will NOT terminate existing pregnancy

Question 35

Counseling tips/important info for all contraceptives

Answer 35

-water retention (bloating, weight gain, breast tenderness) -upset stomach/nausea -headache -if OC not started day 1 of menses, use additional non-drug form of contraception during first week -take OC at same time every day for max. effectiveness -some anti-convulsants may decrease effectiveness of hormonal contraceptives and/or increase chance of seizures -none of these medications protect against HIV/ AIDS / STDs

Question 36

Non-FDA uses of contraceptives may include:

Answer 36

-Regulation of menstrual cycle -Lessen menstrual flow -reduce painful menses

Question 37

clonazepam: brands

Answer 37

klonopin

Question 38

clonazepam: common strengths

Answer 38

0.5mg, 1mg, 2mg

Question 39

clonazepam: common frequency

Answer 39

QD, BID, TID, QID

Question 40

clonazepam: indications/use

Answer 40

-panic disorder -seizure disorders -off-label use: anxiety

Question 41

clonazepam: counseling tips/important info

Answer 41

-drowsiness -fatigue -ataxia -behavioral problems

Question 42

alprazolam: brands

Answer 42

Xanax

Question 43

alprazolam: common strengths

Answer 43

0.25mg, 0.5mg, 1mg, 2mg

Question 44

alprazolam: common frequency

Answer 44

BID, TID, PRN

Question 45

alprazolam: indications/use

Answer 45

-panic disorder -anxiety

Question 46

alprazolam: counseling tips/important info

Answer 46

-confusion -drowsiness -excessive drowsiness with alcohol - avoid -do not stop taking suddenly if taking it routinely

Question 47

cyclobenzaprine: brands

Answer 47

Flexeril

Question 48

cyclobenzaprine: common strengths

Answer 48

5mg, 10mg

Question 49

cyclobenzaprine: common frequency

Answer 49

QD, TID, PRN

Question 50

cyclobenzaprine: indications/use

Answer 50

muscle spasms

Question 51

cyclobenzaprine: counseling tips/important info

Answer 51

-dry mouth (xerostomia) -dizziness -drowsiness