Top 100 Drugs Flashcards
(35 cards)
Abilify
Aripiprazole Dopamine system stabilizer ODT, tab, IM, liquid Hepatic metabolism Weight, waist, BP, FG, lipids ADR: HA, drowsy, constipation, akathesia, anticholinergic effects BBW: suicide
Accutane
Isotretinoin
Capsule; cystic nodular acne
Hepatic metabolism
Monthly pregnancy test; iPLEDGE
Inxn: retinoids, vit A
ADR: depression, incr TG, sun sensitivity, anemia, muscle pain
Do not donate blood until 30 days after stopping; avoid waxing
Adderall (XR)
amphetamine and dextroamphetamine salts Tablet, Capsule XR Stimulates NE and Dopamine release Hepatic metabolism; Renal excretion MP: BP, ht, wt, growth, tolrnce, dpndnc Inxn: MAOIs, anti-HTN, Meperidine, anti-psychotics CI: anorexia, GLAUCOMA, cardiac issues ADR: poor appetite, anxiety, mood chng BBW: high potential for abuse/depndnc XR does not increase manic/psychosis events
Advair
Fluticasone/Salmeterol (Asthma/COPD) Diskus, Inhaler (ICS + LABA) Hepatic metabolism MP: BG, Pulmonary fxn tests, growth, K+ Inxn: MAOIs, B-agonist, B-blockers CI: acute bronchospasm ADR: oral thrush, chest pain, dizziness, cgh PEd: avoid exposure to chknpox/measles; rinse mouth out after use
Aspirin
Aspirin (ASA) - Mild-Moderate pain, inflammation, Fever, Coronary syndromes, RA
Inhibits COX1&2 irreversibly; inhbts plt aggregation
Hepatic metabolism; Renal excretion
MP: liver fxn
Inxn: ACE-I, SSRIs, SNRIs
ADR: N/V/GI discomfort, bleeding, bronchospasm, ulcer, tinnitus
CI: chldrn & teens with chknpox or flu sx for risk of Reyes syndrome; avoid while preg or brst feeding
PEd: tk with food or milk; avoid alcohol and other NSAIDs; tk with 8oz water
Aldactone
Spironolactone (K+ sparing diuretic)
HTN, ascites, edema, HF
Hepatic metabolism; renal excretion
MP: SCr, BUN, CHEM-7, K and RENAL fxn in HF
Inxn: Eplerenone, ARB, ACE-I, Lithium
CI: DM nephropathy, anuria, renal failure
ADR: hyperK+, GYNECOMASTIA, GI upset
PEd: avoid dehydration; check BP; avoid high K+ food, Tx hirsutism in females
(will not cause acne, wt gain, decr libido)
Advil/Motrin/Caldolar
Ibuprofen (Caldolar is injection)
Inhibits COX1&2
Hepatic metabolism; highly protein bound
MP: CBC, LFTs, SCr, BUN
Inxn: sulfonylureas (hypoglycemia); FQ + NSAIDs incr risk of seizures!!; salicylates
CI: CABG
ADR: GI bleed/anemia; Tinnitus; ARF; esophagitis
PEd: avoid in 3rd trimester; but compatible for breast feeding
Alphagan P
Brimonidine (Ophthalmic solution)
Glaucoma - open angle; Ocular HTN
selective alpha-2 agonist
hepatic metabolism; renal excretion
Inxn: MAOIs, HTN meds
ADR: dry mouth, HA, blurred vision, light sensitivity, bitter taste
PEd: don’t blink or rub eyes; wait 10 mins before other eye meds; 15 mins before contacts
Altace
Ramipril (ACE-Inhibitor) HTN, HF hepatic metabolism; renal excretion MP: SCr, BUN, K+, Na+ Inxn: K+ sparing diuretics CI: Preg, breast feeding, Angioedema ADR: hyperkalemia, COUGH, ARF, dizziness, angioedema PEd: don't treat yourself for coughs/colds/pain
Amaryl
Glimepiride (Diabetes)
stimulates pancreatic cells to incr insulin
Hepatic metabolism; renal elimination
MP: blood glucose
Inxn: fluconazole, rifampin, warfarin
CI: diabetic ketoacidosis, sulfa allergy, CrCl <22
ADR: hypoglycemia, wt gain, sun sensitive
PEd: tk with first meal of day; avoid alcohol; effects fasting glucose levels best
Ambien - Zolpimist - Edluar
Zolpidem (Insomnia)
Tablet, Oral spray, SL tab
Binds to & increases GABA transmission
Hepatic metabolism; Renal excretion
Inxn: caffeine, bupropion, SSRI, alcohol, sedative antihistamines
ADR: daytime drowsy, tolerance, dependnc, HA, STRANGE DREAMS, binge eating, rebound insomnia
Amitiza
Lubiprostone (chronic constipation; IBS)
incr Cl intestinal fluid secretion facilitating stool passage
NO CYP metabolism or Monitoring
CI: bowel obstruction
ADR: N/V/D, HA, bloating, farts, abdm pain
PEd: tk with food
Aranesp
Darbepoetin alpha (IV, SQ) - Anemia
stimulates erythropoiesis
MP: CBC, serum tests
Inxn: epoetin alpha, alcohol, androgens
BBW: incr risk of cardio events, mortality
ADR: HYPO/HTN, fatigue, N/V/D/C, infection, HA
PEd: do not shake solution
Argatroban
Argatroban (IV) - Thrombosis - HIT, PCI
highly selective thrombin inhibitor; directly inhibits factor 2
Hepatic metabolism
MP: Hg, Hct, aPTT, Plts, SCr, Urinalysis
Inxn: ASA, NSAIDs, Hep, Warf, etc
CI: bleeding
ADR: chest pain, hypotension, GI/GU bleed, black tarry stools
PEd: monitor for bruising, avoid injury, MAY FALSELY ELEVATE INR 1-2 pts
Aricept
Donepezil (tab, ODT) - Dementia/Alzheimers
Inhibits ACh breakdown
Hepatic metabolism; renal excretion
MP: neuro fxn, weight
CI: breast feeding, GI bleed, childrn, Jaund
ADR: dizziness, insomnia, N/D
PEd: usually take before bedtime
Arimidex
Anastrozole (breast cancer) - tablet
selective non-steroidal aromatase inhibitor
corticosteroids&aldosterone are NOT effected
Hepatic metabolism
MP: bone density, TC, LDL
Inxn: estrogen derivatives
CI: preg
ADR: vasodilation, fatigue, mood change, HA, pain, hot flashes, weakness, arthritis, cough, osteoporosis
Arixtra
Fondaparinux (SQ) - DVT, PE, STEMI
Direct factor Xa inhibitor; NO FACTOR 2 ACTIVITY! (Renal excretion)
MP: anti-Xa activity, SCr, blood work NOT TYPICALLY MONITORED unless preg/obese
Inxn: anticoagulants
CI: renal failure; CrCl < 30, wt <50kg
ADR: bleeding, fever, anemia, bruising
PEd: do not rub injection site, no antidote
Asacol - Lialda - Apriso
Mesalamine (enema, XR/DR capsules)
Crohn’s disease, Ulcerative colitis; inflammatory suppressant; Renal excretion
MP: CBC and renal fxn
Inxn: Digoxin, antacids, H2 blockers, PPIs
CI: salicylate hypersensitivity
ADR: fever, rash, HA, D, abdm pain, alopecia, flatulence
Ativan
Lorazepam (IM, IV, tab, oral soln)
Anxiety, sedation, Status Epilepticus, EtOH detox, agitation
Enhances GABA
Hepatic metabolism, Renal excretion
(adjust for IV only in renal impairmnt)
MP: HR, BP, respiratory, anxiety
Inxn: EtOH, caffeine, OC, pain meds, theophylline, phenytoin, meds for anxiety
CI: COPD, closed<glaucoma, shock, sleep apnea, preg/BF
ADR: confusion, depression, hallucination, resp depression, dbl vision
Augmentin XR
Amoxicillin-Clavulanate (tabs, chewbl, ER, oral susp) Gm + infections/anaerobes
B-lactam antibiotic w/ b-lactamase inhibtr
Hepatic metabolism; renal excretion(adjust)
MP: LFTs, SCr/BUN, anaphylaxis
Inxn: methotrexate, OC, anticoagulants
ADR: seizure, rash, Diarrhea, allergic rxn
PEd: tk with meal, finish full course of med
Avelox - Vigamox
Moxifloxacin (IV, tab, Opht drops-Vigamox)
Mild-mod CAP, MDR-pneumo; PINK EYE
resp. FQ; no renal or hepatic adjustmnts
MP: WBCs, LFTs, SCr
Hepatic metabolism
Inxn: metal cations(Mg), NSAIDs(seizure), antipsychotics, warfarin, anti-arrhythm
BBW: FQs associated w/ tendon rupture
ADR: N/D, dry eyes, Torsades, SJS, anemia, Liver failure, ARF, SEIZURE
PEd: don’t take antacids 4hrs b4 or 8hrs after, stay out of sun
Bactrim (DS)
Trim/Sulfa (IV, Susp, Tab)
UTIs, AOM, CA-MRSA, traveler’s diarrhea
MP: CBC, LFTs, SCr/BUN
Inxn: warfarin, carbamazepine, fluoxetine
CI: G6PD deficiency, children (kernicteris), BF, renal failure
ADR: HA, N/V/D, dizziness, loss appetite
PEd: tk with full glass of water, photosensitive, monitor glucose if diabetic
Bactroban
Mupirocin (topical ointment, intranasal oint)
MRSA colonization/skin lesion/nasal; Impetigo (Gm+ skin infections)
inhibits protein synthesis
ADR: dry skin, itching, HA
PEd: wash hands, ointmnt into nostrils and squeeze together
Boniva
Ibandronate (Inj q3mon; tab q month) osteoporosis tx and prevention reduces VERTEBRAL fractures but NOT hip; decreases rate of bone resorption MP: Ca, Mg, Phos, SCr/BUN Inxn: AMGs, antacids, NSAIDs, ASA CI: vit D definciency, renal impairment ADR: N/D/C, HA, bone, muscle, joint pain PEd: tk in morning b4 meal w/ full water; do not eat for 1hr