MEDLIST 2 - Female Contraception, anxiety, and muscle spasms Flashcards

(50 cards)

1
Q

Ortho Tri-Cyclen,
Tri-Sprintec,
Tri-ViLibra
BRAND NAME FOR

A

ethinyl estradiol/ Norgestimate

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2
Q

ethinyl estradiol/ norgestimate
Common strength

A

Strengths:
- 0.035 mg / 0.18 mg
- 0.035 mg / 0.215 mg
- 0.035 mg / 0.25 mg

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3
Q

ethinyl estradiol/ norgestimate
Common frequency

A

Frequency: one 1st phase tablet for 7 days, one 2nd phase tablet for 7 days, one 3rd phase tablet for 7 days, one inactive tablet for 7 days

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4
Q

ethinyl estradiol/ norgestimate
Indication and use

A

Indications:
- Oral contraceptive
- acne

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5
Q

ethinyl estradiol/ norgestimate
Counseling tips and important info

A

Tips:
- increases CV risk
- not recommended for those +35 years old, smoker, history of blood clot
- take at same time each day
- if OC is not started day 1 of menses, use other form for first week
- anti-convulsant can decreased effectiveness, increase seizures
- do not protect against STD
Side Effects: water retention, upset stomach, nausea, headache

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6
Q

generic
Loestrin Fe,
Junel Fe, Microgestin Fe

A

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate

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7
Q

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate
COMMON STRENGTH

A

0.02mg/1mg/
75mg

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8
Q

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate
COMMON FREQUENCY

A

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

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9
Q

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate
Indication and use

A
  • Oral Contraception
  • Acne

Claim to fame:
replaces iron lost during menses

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10
Q

Ethinyl Estradiol / Norethindrone/ Ferrous Fumarate
counseling tips

A

Side effects for ALL estrogen/progestin medications:
* water retention (bloating, weight gain, breast tenderness)
* upset stomach/nausea
* headache
* ↑ cardiovascular risk (DVT, PE, MI). Not recommended for those: +35 years old, smoker, or history of stroke/blood clots.

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11
Q

Yaz,
Loryna, Jasmiel
Generic name

A

ethinyl estradiol/ drospirenone

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12
Q

ethinyl estradiol/ drospirenone
COMMON STRENGTH

A

0.02mg/3mg

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13
Q

ethinyl estradiol/ drospirenone
COMMON FREQUENCY

A

Active tablet daily for 24 days then one inactive tablet daily for 4 days

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14
Q

ethinyl estradiol/ drospirenone
INDICATION

A
  • Oral Contraception
  • Acne
  • Premenstrual Dysphoric Disorder – really bad PMS (can have sever pain and cramping)

Claim to fame:
Only 4 inactive days = shorter menstrual periods

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15
Q

ethinyl estradiol/ drospirenone
counseling

A
  • Drospirenone lessens the water retention/weight gain side effects of estrogen
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16
Q

Xulane
Generic name

A

ethinyl estradiol/ norelgestromin

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17
Q

ethinyl estradiol/ norelgestromin
- Patch
common strength

A

0.53mg/4.86mg

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18
Q

ethinyl estradiol/ norelgestromin
- Patch
common frequency

A

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

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19
Q

ethinyl estradiol/ norelgestromin
- Patch
indication

A
  • Contraception
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20
Q

ethinyl estradiol/ norelgestromin
- Patch
Counseling tips

A
  • Same side effect profile as oral contraceptives but more common
  • Adhesive may cause skin rash/rotate sites
  • Do not cut patch
  • Apply to butt, upper torso, stomach, or upper arm
    Weight gain and water retension
    Can cause skin rash
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21
Q

generic name
NuvaRing

A

ethinyl estradiol/ etonogestrel

22
Q

ethinyl estradiol/ etonogestrel
common strength

A

0.015 mg /0.12 mg /24 hours ER

23
Q

ethinyl estradiol/ etonogestrel
common frequency

A

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

24
Q

ethinyl estradiol/ etonogestrel
indication

A
  • Contraception
25
ethinyl estradiol/ etonogestrel counseling tips
* If ring falls out, rinse with cool water and re-insert within 3 hrs – tendancy to fall out in some patients * Not acting as a barrier for intercouse * Don’t remove for intercourse * Ring is drug delivery device; Not a barrier
26
Depo-Provera Generic name
medroxyprogesterone
27
medroxyprogesterone Common strength
150mg/mL
28
medroxyprogesterone Common frequency
150 mg deep intramuscular injection in gluteal or deltoid muscle every 3 months
29
medroxyprogesterone indication
* Contraception * Endometriosis pain, abnormal uterine bleeding, amenorrhea Claim to fame: No estrogen
30
medroxyprogesterone counseling tips
* Nervousness * Administration by healthcare professional * Don’t use >2 years due to potential bone loss * Spotting or absent menses may result
31
Plan B One-Step, EContra One-Step Generic
levonorgestrel (OTC) brand name
32
levonorgestrel (OTC) common strength
1.5mg
33
levonorgestrel (OTC) common frequency
Take 1 tablet PO as soon as possible within 72 hours of unprotected sex
34
levonorgestrel (OTC) indication
* Emergency post-coital contraception
35
levonorgestrel (OTC) counseling
* Fatigue * -prevents implantation of pregnancy * No evidence of interaction with antibiotics * Will not terminate an existing pregnancy
36
Klonopin generic name
Clonazepam (benzodiasapine)
37
Clonazepam (benzodiasapine) common strength
0.5mg 1mg 2mg
38
Clonazepam (benzodiasapine) common frequency
QD, BID, TID, QID
39
Clonazepam (benzodiasapine) indication
* Panic disorder * Seizure disorders * Off label use: Anxiety
40
Clonazepam (benzodiasapine) Counseling tips
* Drowsiness * Fatigue * Ataxia * Behavioral problems * No alcohol while taking med
41
Xanax generic
Xanax Alprazolam (benzodiasapine)
42
Alprazolam (benzodiasapine) common strenght
0.25mg 0.5mg 1mg 2mg
43
Alprazolam (benzodiasapine) common frequency
BID, TID or PRN
44
Alprazolam (benzodiasapine) indication
* Panic disorder * Anxiety
45
Alprazolam (benzodiasapine) counseling tips
* Confusion * Drowsiness * Excessive drowsiness with alcohol – avoid * Do not stop drug suddenly if taking routinely * No alcohol while taking med and use as needed
46
Flexeril generic name
cyclobenzaprine
47
cyclobenzaprine common strength
5mg 10mg
48
cyclobenzaprine common frequency
QD, TID, or PRN
49
cyclobenzaprine indication
* Muscle spasm
50
cyclobenzaprine counseling tips
* Dry mouth (aka xerostomia) * Dizziness * Drowsiness