Top 300 Flashcards

Question

Nystatin + Triamcinolone

Answer 1

Mycolog II Topical antifungal + steroid combination Use a sparing amount, avoid application around eyes.

Answer 2

Peridex, PerioGard Tx for gingivitis/Periodontitis Swish/spit 15 mls BID

Answer 3

Tamiflu antiviral against influenza BID dosing for Tx, QD dosing for prophylaxis, tx within 24-48 hours of sx, rarely causes behavioral disturbances inc delirium, risk of anaphylaxis and allergic skin rxns

Answer 4

Truvada Reverse transcriptase inhibitor Adherence important to prevent resistance. May be taken without regard to food. May cause decrease in bone mineral density, fat redistribution, lactic acidosis, hepatomegaly, and renal toxicity. Recently approved for pre-exposure HIV prophylaxis for those whose partner has HIV; must have regular testing every 3 months.

Answer 5

Combivir Reverse transcriptase inhibitor Adherence important to prevent resistance. May be taken without regard to food. May cause fat redistribution, lactic acidosis, hepatomegaly, myopathy, and hematologic toxicity.

Answer 6

Vasotec ACE Inhibitor, antihypertensive Pregnancy category D. May cause a dry cough, first-dose hypotension (especially in CHF and hypervolemia) and hyperkalemia (avoid salt substitutes). Angioedema is a serious reaction; discontinue immediately and medical intervention may be necessary. Drug has renoprotective properties, but may also cause acute renal failure; monitor serum creatinine and discontinue if >30% increase.

Answer 7

Altace ACE Inhibitor, antihypertensive Pregnancy category D. May cause a dry cough, first-dose hypotension (especially in CHF and hypovolemia) and hyperkalemia (avoid salt substitutes). Angioedema is a serious reaction; discontinue immediately and medical intervention may be necessary. Drug has renoprotective properties, but may also cause acute renal failure; monitor serum creatinine and discontinue if >30% increase. May have greater benefit if dosed at bedtime.

Answer 8

Accupril, Accuretic ACE Inhibitor, antihypertensive; Accuretic-combo with HCTZ Pregnancy category D. May cause a dry cough, first-dose hypotension (especially in CHF and hypovolemia) and hyperkalemia (avoid salt substitutes). Angioedema is a serious reaction; discontinue immediately and medical intervention may be necessary. Drug has renoprotective properties, but may also cause acute renal failure; monitor serum creatinine and discontinue if >30% increase.

Answer 9

Lotensin, Lotensin HCT ACE Inhibitor, antihypertensive; HCT-combo with HCTZ Pregnancy category X. May cause a dry cough, first-dose hypotension (especially in CHF and hypovolemia) and hyperkalemia (avoid salt substitutes). Angioedema is a serious reaction; discontinue immediately and medical intervention may be necessary. Drug has renoprotective properties, but may also cause acute renal failure; monitor serum creatinine and discontinue if >30% increase.

Answer 10

Zestril or Prinivil, Zestoretic ACE Inhibitor, antihypertensive; Zestoretic-combo with HCTZ Pregnancy category D. May cause a dry cough, first-dose hypotension (especially in CHF and hypovolemia) and hyperkalemia (avoid salt substitutes). Angioedema is a serious reaction; discontinue immediately and medical intervention may be necessary. Drug has renoprotective properties, but may also cause acute renal failure; monitor serum creatinine and discontinue if >30% increase.

Answer 11

Cardura, Cardura XL Alpha 1 Blocker antihypertensive, also used in BPH May cause postural hypotension/orthostasis after first dose or an increase in dose. Dizziness and headache common.

Answer 12

Hytrin Alpha 1 Blocker antihypertensive, also used in BPH May cause postural hypotension/orthostasis after first dose or an increase in dose. Dizziness and headache common.

Answer 13

Catapres, Catapres TTS, Nexiclon XR, Kapvay ER Alpha II agonist, antihypertensive May cause drowsiness, dry mouth, or skin reactions. Rotate patch application sites and discard patches carefully. Do not discontinue abruptly.

Answer 14

Cordarone Antiarrhythmic Many drug interactions, complicated by extremely long half life of 40-50 days. Hepatic and pulmonary damage possible; notify MD if jaundice, dark urine or trouble breathing occur. May cause thyroid problems, hypotension, bradycardia, ocular disease and exacerbate arrhythmia. Have regular ophthalmic visits. May cause skin to turn bluish-grey in color

Answer 15

Coumadin Anticoagulant Risk of bleeding, especially GI. Very narrow therapeutic index; INR must be monitored regularly and vitamin K intake should be uniform. Many drug interactions; always check with MD or RPh when taking a new medication.

Answer 16

TRICOR, Trilipix Antihyperlipidemic Risk of myopathy; taking with statins increase risk. Discontinue immediately and report any signs (muscle pain, brown urine) to MD and/or RPh. Increases action of sulfonylureas; monitor for hypoglycemia. No good outcome data; FIELD and ACCORD Lipid were not positive. Safer to combine with a statin than gemfibrozil, but not evidence based. Many different "Brand" formulations.

Answer 17

Lopid Antihyperlipidemic Increases effects of statins and therefore myopathy risk; discontinue immediately and report any signs (muscle pain, brown urine) to MD and/or RPh. Should be taken 30 minutes before breakfast and dinner. Increased risk of gall stones.

Answer 18

Niaspan ER Antihyperlipidemic Causes flushing in most individuals (>80%); take at bedtime with a low-fat snack and 325mg aspirin to reduce effects. Doses higher than 2g/day may cause hepatotoxicity.

Answer 19

Lipitor Antihyperlipidemic - HMG CoA reductase inhibitor Pregnancy category X. Myopathy is a serious reaction; discontinue immediately and report any signs (muscle pain, brown urine) to MD and/or RPh. May be taken at any time of day. Avoid excessive alcohol and grapefruit juice. Some CYP 3A4 interactions.

Answer 20

Mevacor, Altoprev ER Antihyperlipidemic - HMG CoA reductase inhibitor Pregnancy category X. Myopathy is a serious reaction; discontinue immediately and report any signs (muscle pain, brown urine) to MD and/or RPh. Take in the evening. Avoid excessive alcohol and grapefruit juice. Several CYP 3A4 interactions.

Answer 21

Pravachol Antihyperlipidemic - HMG CoA reductase inhibitor Pregnancy category X. Myopathy is a serious reaction; discontinue immediately and report any signs (muscle pain, brown urine) to MD and/or RPh. Avoid excessive alcohol. Significantly fewer drug interactions compared to other statins (cleared by kidney rather than liver).

Answer 22

Crestor Antihyperlipidemic - HMG CoA reductase inhibitor Pregnancy category X. Myopathy is a serious reaction; discontinue immediately and report any signs (muscle pain, brown urine) to MD and/or RPh. May be taken at any time of day. Avoid excessive alcohol and grapefruit juice.

Answer 23

Vytorin Antihyperlipidemic - HMG CoA reductase inhibitor and cholesterol absorption inhibitor Pregnancy category X. Myopathy is a serious reaction; discontinue immediately and report any signs (muscle pain, brown urine) to MD and/or RPh. Take in the evening. Avoid excessive alcohol and grapefruit juice. Several CYP 3A4 interactions. Lacks data that combination is superior to simvastatin alone.

Answer 24

Zocor Antihyperlipidemic - HMG reductase inhibitor Pregnancy category X. Myopathy is a serious reaction; discontinue immediately and report any signs (muscle pain, brown urine) to MD and/or RPh. Take in the evening. Avoid excessive alcohol and grapefruit juice. Several CYP 3A4 interactions.

Answer 25

Ecotrin Antiplatelet Used for cardiovascular or cerebrovascular accident treatment/prophylaxis. 75-325 mg pod daily. Risk/benefit important for prophylaxis decisions. Increased risk of bleeding. Be aware of hypersensitivity reactions especially in patients with allergic triad of as a allergy, nasal polyps, and asthma, avoid in children due to risk of Reye syndrome.

Answer 26

Exforge, Exforge HCT ARB + calcium channel blocker combo; HCT also contains diuretic

Answer 27

Diovan, Diovan HCT ARB Antihypertensive, HCT also contains diuretic Black box warning in pregnancy. May cause dizziness, hypotension, hyperkalemia (avoid salt substitutes, potassium sparing diuretics), and renal dysfunction (discontinue if serum creatinine increases >30%). NSAIDs reduce antihypertensive effect and increase risk of renal dysfunction. Taking with ACE inhibitor or renin inhibitor increases side effects with little benefit.

Answer 28

Avapro, Avalide ARB Antihypertensive; Avalide-combo with diuretic Black box warning in pregnancy. May cause dizziness, hypotension, hyperkalemia (avoid salt substitutes, potassium sparing diuretics), and renal dysfunction (discontinue if serum creatinine increases >30%). NSAIDs reduce antihypertensive effect and increase risk of renal dysfunction. Taking with ACE inhibitor or renin inhibitor increases side effects with little benefit.

Answer 29

Atacand, Atacand HCT ARB Antihypertensive; HCT-combo with diuretic Black box warning in pregnancy. May cause dizziness, hypotension, hyperkalemia (avoid salt substitutes, potassium sparing diuretics), and renal dysfunction (discontinue if serum creatinine increases >30%). NSAIDs reduce antihypertensive effect and increase risk of renal dysfunction. Taking with ACE inhibitor or renin inhibitor increases side effects with little benefit.

Answer 30

Benicar, Benicar HCT ARB Antihypertensive; HCT-combo with diuretic Black box warning in pregnancy. May cause dizziness, hypotension, hyperkalemia (avoid salt substitutes, potassium sparing diuretics), and renal dysfunction (discontinue if serum creatinine increases >30%). NSAIDs reduce antihypertensive effect and increase risk of renal dysfunction. Taking with ACE inhibitor or renin inhibitor increases side effects with little benefit. Sprue -like enteropathy (unexplained wt loss and diarrhea)

Answer 31

Cozaar, Hyzaar ARB Antihypertensive; Hyzaar-combo with diuretic Black box warning in pregnancy. May cause dizziness, hypotension, hyperkalemia (avoid salt substitutes, potassium sparing diuretics), and renal dysfunction (discontinue if serum creatinine increases >30%). NSAIDs reduce antihypertensive effect and increase risk of renal dysfunction. Taking with ACE inhibitor or renin inhibitor increases side effects with little benefit.

Answer 32

Tenormin Beta Blocker, Beta-1 Selective May cause drowsiness. Masks symptoms of hypoglycemia. Do not discontinue abruptly. Limited evidence/data.

Answer 33

Toprol XL Beta Blocker, Beta-1 Selective May cause drowsiness. Masks symptoms of hypoglycemia. Do not discontinue abruptly. Succinate and tartrate salts are not interchangeable!

Answer 34

Lopressor Beta Blocker, Beta-1 selective May cause drowsiness. Masks symptoms of hypoglycemia. Do not discontinue abruptly. Succinate and tartrate salts are not interchangeable!

Answer 35

Zebeta, Ziac Beta Blocker, Beta-1 selective; Ziac is combo with diuretic May cause drowsiness. Masks symptoms of hypoglycemia. Do not discontinue abruptly due to risk of tachycardia and hypertension. Bisoprolol has outcome data in heart failure; target dose of 10mg/day

Answer 36

Tenoretic Beta Blocker, Beta-1 Selective/ thiazide diuretic

Answer 37

Inderal, Inderal LA, Innopran, Innopran XL Beta Blocker, nonselective May cause drowsiness. Masks symptoms of hypoglycemia. Do not discontinue abruptly. LA and immediate release formulations are not mg-mg equivalent; dose may need to be increased by up to 30% when converting from immediate release to LA.

Answer 38

Coreg (CR) Beta Blocker, nonselective; Alpha-1 blocker May cause drowsiness. Masks symptoms of hypoglycemia. Do not discontinue abruptly. CR and immediate release formulations are not mg-mg equivalent; CR 10mg equivalent to 3.125mg BID of immediate release.

Answer 39

Normodyne or Trandate Beta Blocker, nonselective; Alpha-1 blocker May cause drowsiness. Masks symptoms of hypoglycemia. Do not discontinue abruptly.

Answer 40

Lanoxin or Lanoxicap Cardiac glycoside: + Inotropic, - chronotropic Narrow therapeutic index, many drug interactions. Digoxin toxicity possible (anorexia, nausea, fatigue, vision disturbances, bradycardia, arrhythmias).

Answer 41

Azor, Tribenzor Combination of ARB + calcium channel blocker; Tribenzor also contains diuretic

Answer 42

Norvasc Dihydro calcium channel blocker May cause drowsiness, risk of hypotension and orthostasis. Risk of peripheral edema that is not responsive to diuretics but may be relieved by ACEi or ARB.

Answer 43

Procardia, Procardia XL, Adalat CC Dihydro calcium channel blocker May cause drowsiness. Risk of peripheral edema that is not responsive to diuretics; ACEi or ARB used to reverse. Adalat and Procardia not equivalent, double-check when dispensing generics.

Answer 44

Lotrel Dihydro calcium channel blocker + ACE inhibitor combo

Answer 45

Caduet Dihydro calcium channel blocker + HMG-CoA reductase inhibitor combo trate amlodipine to response over 1-2 weeks and atorvastatin in 6-8 weeks

Answer 46

Pradaxa Direct thrombin inhibitor Monitor for bleeding. May cause some GI upset. Store capsules in original container or blister pack; discard unused medication after 4 months. Do not crush, chew or open capsules. If a dose is missed, do not take a double dose if more than 6 hours have passed. Drug interactions with p-glycoprotein substrates (dronedarone, ketoconazole, rifampin). Dose should be adjusted for kidney function. Discontinuation for surgery determined by creatinine clearance

Answer 47

Klor-Con Electrolyte supplement May cause GI upset, take with food. Monitor salt intake.

Answer 48

Xarelto Factor Xa inhibitor Monitor for bleeding. Doses of 15 mg or more must be taken with food. Compliance extremely important, but do not take a double dose if a dose is missed. Discontinue at least 24 hours before surgeries. Drug interactions with CYP 3A4 substrates, but benefit outweighs cost in some cases.

Answer 49

Eliquis Factor Xa inhibitor Monitor for bleeding. 5 mg orally twice daily. A dose of 2.5 mg twice daily is recommended for patients at least 80 years old, who weigh no more than 60 kg, or who have serum creatinine of at least 1.5 mg/dL, as well as those receiving strong dual inhibitors of cytochrome P450 3A4 and P-glycoprotein. Boxed warning - inc risk of stroke if DC'd. Not indicated in patients with prosthetic heart valves.

Answer 50

Lasix Loop diuretic May cause hypokalemia; monitor potassium levels and kidney function. Also watch salt intake. May be used as needed in congestive heart failure. Hypersensitivity reaction may occur in individuals with sulfa allergy. Lasix short for "last six hours".

Answer 51

Lovenox Low molecular weight heparin Increased risk of bleeding. Counsel on injection technique. Often used when beginning warfarin to achieve goal INR more quickly. In community pharmacy, double-check to make sure proper package size and quantity are being dispensed/billed.

Answer 52

Imdur, ISMO Nitroglycerin antianginal/vasodilator Frequently causes dizziness and/or headache. Dosed twice daily, but must be taken "asymmetrically" to prevent tolerance; take second dose 8 hours after first dose rather than every 12 hours.

Answer 53

Nitrostat Nitroglycerin antianginal/vasodilator Frequently causes dizziness and/or headache. If chest pain persist after first dose, take second dose in 5 minutes. Call 911 if symptoms persist after second dose. Store in original container.

Answer 54

Nitro-Dur Nitroglycerin antianginal/vasodilator Finish course as prescribed. Apply patch for 12 hours and remove for 12 hours for nitrate-free period.

Answer 55

Cardizem, Cardizem SR, Cardizem CD, Cardizem LA, Tiazac Non-dihydro Calcium Channel Blocker May cause drowsiness/dizziness or headache. Do not discontinue therapy without discussing with MD. Many formulations that may not be equivalent; double-check when dispensing generics.

Answer 56

Calan, Calan SR, Isoptin SR Non-dihydro Calcium Channel Blocker May cause drowsiness/dizziness, headache, or constipation. Do not discontinue therapy without discussing with MD.

Answer 57

Plavix Platelet Inhibitor Monitor for bleeding. Compliance extremely important. CYP 2C19 inhibitors such as omeprazole and esomeprazole greatly decrease efficacy. Check with MD or RPh before starting new medications or taking OTC medications.

Answer 58

Dyazide capsules or Maxzide tablets Potassium-sparing + thiazide diuretic combo Take in the early morning. Monitor renal function, potassium levels, and salt intake; not to be used if renal function impaired. Risk of kidney stones; drink plenty of fluids to reduce risk. Double-check patient profile when dispensing generics; patients should remain on tablets or capsules unless MD changes.

Answer 59

Aldactone, Aldactazide Potassium-sparing diuretic; Aldactazide also contains diuretic Take in the early morning. Monitor renal function, potassium levels, and salt intake. May cause gynecomastia in males, menstrual irregularities in females (antiandrogenic properties). Evidence-based data for heart failure, post MI, and resistant hypertension. Aldactazide may cause hypersensitivity reactions in individuals with sulfa allergy.

Answer 60

Lozol Thiazide diuretic Take in the early morning. Monitor renal function, potassium levels, and salt intake; not to be used in severe renal impairment, but may be used in minimally impaired renal function. Hypersensitivity reaction may occur in individuals with sulfa allergy.

Answer 61

Thalidone, Hygroton Thiazide diuretic Take in the early morning. Monitor renal function, potassium levels, and salt intake; not to be used if renal function impaired. Hypersensitivity reaction may occur in individuals with sulfa allergy. Chlorthalidone is twice as potent as HCTZ.

Answer 62

Oretic, Microzide Thiazide diuretic Take in the early morning. Monitor renal function, potassium levels, and salt intake. Hypersensitivity reaction may occur in individuals with sulfa allergy.

Answer 63

Zaroxolyn Thiazide diuretic Take in the early morning. Monitor renal function, electrolytes (esp. potassium and magnesium) and salt intake. Hypersensitivity reaction may occur in individuals with sulfa allergy. Often used in diuretic-resistant patients in combination with loop diuretics.

Answer 64

Zofran, Zofran ODT 5-HT3 antagonist Antiemetic May cause headache, fatigue. Dissolve ODT under the tongue, store in original container until ready to use. QT prolongation possible.

Answer 65

Aricept Acetylcholinesterase inhibitor Take in the evening. Significant nausea, vomiting and diarrhea possible, as well as anorexia. May also cause bradycardia and fainting. Set realistic expectations for Alzheimer's patients. Keep in mind positive statistical significance vs. clinical significance.

Answer 66

Exelon, Exelon Patch Acetylcholinesterase Inhibitor Take capsules in the evening. Rotate patch application sites. Significant nausea, vomiting and diarrhea possible, as well as anorexia. May also cause bradycardia and fainting. Set realistic expectations for Alzheimer's patients. Keep in mind positive statistical significance vs. clinical significance.

Answer 67

Fiorinal, Fiorinal with codeine Analgesic Combo for Tension Headaches, C-III May cause drowsiness or dizziness; avoid alcohol use during therapy. Caution against taking other products containing aspirin.

Answer 68

Fioricet, Fioricet with codeine Analgesic Combo for Tension Headaches, C-III if it has codeine May cause drowsiness or dizziness; avoid alcohol use during therapy. Do not exceed 4g of APAP per day, 3g if frequent alcohol drinker, 2g if taking warfarin. New black box warning with acetaminophen due to hepatotoxicity.

Answer 69

Buspar Antianxiety- serotonin 5-HT1A receptor partial agonist May cause drowsiness or dizziness, slow onset, mildly effective, little potential for abuse.

Answer 70

Transderm-Scop Anticholinergic May cause drowsiness or dizziness. wash your hands after application as touching your eyes after application may result in blurred vision (dilation)

Answer 71

Remeron Antidepressant May cause drowsiness or dizziness, dry mouth, constipation and weight gain. Do not discontinue abruptly. Open from blister and dissolve SolTab on the tongue.

Answer 72

Desyrel Antidepressant/Sleep Aid May cause dizziness/drowsiness/orthostasis, priapism risk.

Answer 73

Wellbutrin (SR) (XL) or Zyban Antidepressant/smoking cessation aid Take XL tabs in AM to avoid insomnia, do not crush or chew SR or XL tabs, do not take doses too close or exceeding maximum doses because of seizure risk. Potential side-effects inc nervousness, constipation, trouble sleeping, dry mouth, tremor.

Answer 74

Tegretol (XR) Antiepileptic Take with food, may cause drowsiness, avoid alcohol. Serious and sometimes fatal dermatologic reactions (including Stevens-Johnson syndrome and toxic epidermal necrolysis) have been reported, especially in patients with the inherited allelic variant HLA-B*1502. Genetically at-risk patients (IE those form Asia including China) should be screened prior to receiving carbamazepine.

Answer 75

Lamictal Antiepileptic Report hypersensitivity/rash to MD, may cause drowsiness, do not operate heavy machine

Answer 76

Keppra Antiepileptic May cause dizziness/drowsiness, do not operate heavy machinery, do not abruptly discontinue therapy

Answer 77

Trileptal Antiepileptic May cause dizziness/drowsiness, do not operate heavy machinery, do not abruptly discontinue therapy

Answer 78

Dilantin Kapseals Antiepileptic May cause dizziness/drowsiness, do not operate heavy machinery. Emphasize good oral hygiene to reduce risk of gingival hyperplasia

Answer 79

Depakote (ER) Antiepileptic, mood stabilizer Do not abruptly discontinue therapy, avoid alcohol use, may cause drowsiness

Answer 80

Phenobarbital Antiepileptic/hypnotic; C-IV May cause drowsiness or dizziness, avoid alcohol use during therapy

Answer 81

Topamax Antiepileptic/Migraine prophylactic May cause drowsiness or dizziness, avoid alcohol use during therapy. Confusion ("Dopamax") and it is now FDA approved in a combination with phentermine in extended release - Qsymia (C-IV)

Answer 82

Neurontin Antiepileptic/neuropathic analgesic May cause drowsiness or dizziness, avoid alcohol use during therapy. Edema, weight gain and confusion as common side effects, as well as generally need to titrate slowly to higher doses as this agent has dose related kinetics

Answer 83

Atarax Antihistamine May cause anticholinergic side-effects.

Answer 84

Relpax Antimigraine, 5-HT1 agonist Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours. Do not exceed 2 doses or 80mg in a 24 hour period. If 1st dose does not relieve symptoms, reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with CYP 3A4 substrates and ergot derivatives.

Answer 85

Maxalt, Maxalt MLT Antimigraine, 5-HT1 agonist Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours. Do not exceed 2 doses or 30mg in a 24 hour period. If 1st dose does not relieve symptoms, reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with ergot derivatives. Dissolvable tablets contain phenylalanine.

Answer 86

Imitrex Antimigraine, 5-HT1 agonist Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours. Do not exceed 2 doses or 200mg in a 24 hour period. If 1st dose does not relieve symptoms, reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with ergot derivatives. Available in oral tablet, injection kit, and nasal spray.

Answer 87

Cogentin Antiparkinson Agent May take with food to decrease GI symptoms. Potential anticholinergic side-effects

Answer 88

Sinemet (CR) Antiparkinson Agent Avoid products containing B6 as they reduce the effectiveness of levodopa, may be taken with food/milk if GI upset occurs

Answer 89

Mirapex Antiparkinson Agent Hallucinations may occur, report any changes in vision to MD, may cause drowsiness and even sleep attacks (falling asleep without warning)

Answer 90

Requip Antiparkinson/Restless Leg agent May cause drowsiness or dizziness, avoid alcohol use during therapy, orthostasis may occur. May also cause sleep attacks.

Answer 91

Zyprexa Antipsychotic Initially may cause dizziness, use caution when operating heavy machinery due to drowsiness, may cause wt gain, DM and dyslipidemia

Answer 92

Seroquel (XR) Antipsychotic Initially may cause dizziness, use caution when operating heavy machinery due to drowsiness

Answer 93

Risperdal Antipsychotic First doses may cause fainting, may impair judgment, avoid alcohol use

Answer 94

Geodon Antipsychotic May cause arrhythmias, do not discontinue use abruptly, take with food

Answer 95

Abilify Antipsychotic for bipolar, schizophrenia, and major depressive disorder Avoid alcohol, D/I 3A4, QT prolongation, do not discontinue abruptly

Answer 96

Antivert Antivertigo Agent Potential anticholinergic side-effects

Answer 97

Xanax (XR) Benzodiazepine Antianxiety, C-IV Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, avoid abrupt discontinuation

Answer 98

Klonopin Benzodiazepine Antianxiety; C-IV Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Answer 99

Valium Benzodiazepine Antianxiety; C-IV Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Answer 100

Ativan Benzodiazepine Antianxiety; C-IV Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Answer 101

Restoril Benzodiazepine Antianxiety; C-IV Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Answer 102

Adipex-P CNS stimulant - Obesity Management; C-IV Cardiovascular risk caution, take in the morning,

Answer 103

Concerta or Ritalin (ER) or Metadate CD CNS Stimulant for ADD, C-II Take as directed, don’t share your pills

Answer 104

Strattera CNS Stimulant, used for ADD May impair cognitive & motor function, use caution when operating machinery, not a drug of abuse

Answer 105

Adderall (XR) CNS Stimulant, used for ADD; C-II Take as directed, don’t share your pills

Answer 106

Vyvanse CNS Stimulant, used for ADHD; C-II Take as directed, don’t share your pills

Answer 107

Provigil CNS Stimulant, used for narcolepsy; C-IV Take in morning or 1 hour prior to work, avoid driving until deemed safe by MD

Answer 108

Focalin (XR) CNS stimulant; C-II Take as directed, don’t share your pills

Answer 109

Sonata hypnotic, nonbenzodiazepine; C-IV Take 30min to 1h prior to desired sleep, Allocate at least 5 hours after a dose to sleep (T ½ ~1 hour)

Answer 110

Flexeril Muscle Relaxant May cause drowsiness or dizziness and other anticholinergic side-effects, avoid alcohol use during therapy

Answer 111

Skelaxin Muscle Relaxant Least drowsy muscle relaxant, requires frequent dosing

Answer 112

Soma Muscle Relaxant; C-IV Drug of abuse, may be scheduled in some states, caution for drowsiness

Answer 113

Duragesic Narcotic Analgesic; C-II Caution for respiratory depression, do not exceed prescribed dose. Avoid exposing patch on the skin to heat as it will increase the delivery of the fentanyl and increase the risk of toxicity, dispose of the used patch by folding over and flushing it, be careful when starting therapy and remember the patch is used for several days normally 72 hours but may see it changed every 48 hours in some patients. Caution in narcotic naive patients as it is 80-100 times more potent analgesic than morphine.

Answer 114

MS Contin Narcotic Analgesic; C-II Risk of CNS and respiratory depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation

Answer 115

Oxycontin Narcotic Analgesic; C-II CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation

Answer 116

Percocet or Roxicet Narcotic Analgesic; C-II CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation. APAP combination dose will be reduced to no more than 325mg per tablet in the next year. Consider the total daily dose of acetaminophen from all sources.

Answer 117

Tylenol with Codeine Narcotic Analgesic; C-III CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation. Consider the total daily dose of acetaminophen from all sources.

Answer 118

Tussionex Narcotic Analgesic; C-III CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation, taking with food may decrease some GI upset, Max dose 5mls BID

Answer 119

Vicoprofen Narcotic Analgesic; C-III CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation, taking with food may decrease some GI upset

Answer 120

Lortab or Vicodin or Lorcet Narcotic/APAP Analgesic - CIII #1 prescribed drug! CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, avoid concomitant said drugs, constipation. Vicodin reformulated to contain only 300mg of APAP per dose to avoid generic competition and to meet new FDA requirement.

Answer 121

Lyrica Neuropathic Analgesic - CV May cause drowsiness, do not discontinue therapy abruptly. Weight gain, edema and confusion are potential side-effects

Answer 122

Chantix Nicotinic receptor agonist, Smoking cessation Usually titrated upward. Most effective smoking cessation agent to date ~ 44% at 12 weeks, also watch for night mares and any changes in affect and/or behavior and report them to the prescriber. Side-effects may be dose related.

Answer 123

Namenda NMDA receptor antagonist; anti-Alzheimer's agent Take in the evening, potential N & D, dizziness and agitation possible. Set realistic expectations. Keep in mind positive statistical significance vs. clinical significance. Take without regard to food

Answer 124

Voltaren, Cataflam NSAID Take with food, monitor for s/sx of GI bleed. CV and renal risks. Enteric coated diclofenac sodium, slow onset not for PRN pain, greater risk of hepatotoxicity vs. other NSAIDs, use the Cataflam-diclofenac potassium non-enteric coated formulation if for PRN use for pain

Answer 125

Lodine (XL) NSAID Take with food, monitor for s/sx of GI bleed. CV and renal risks.

Answer 126

Indocin NSAID Take with food, monitor for s/sx of GI bleed.CV and renal risks. Most likely NSAID to cause headache and CNS side-effects.

Answer 127

Toradol NSAID Take with food, monitor for s/sx of GI bleed. Very high risk of GI bleeding limits this drug to 5 days max of therapy. CV and renal risks.

Answer 128

Mobic NSAID Take with food, monitor for s/sx of GI bleed. CV and renal risks.

Answer 129

Relafen NSAID Take with food, monitor for s/sx of GI bleed. CV and renal risks.

Answer 130

Naprosyn, Anaprox/Aleve NSAID Take with food, monitor for s/sx of GI bleed. CV and renal risks. Naproxen sodium Aleve/Anaprox fast onset sodium salt vs. regular naproxen-Naprosyn which is slow onset and used for chronic Rx of OA and RA not acute pain relief

Answer 131

Feldene NSAID Take with food, monitor for s/sx of GI bleed, CV and renal risks.

Answer 132

Motrin or Advil NSAID Take with food, monitor for s/sx of GI bleed. CV and renal risks. Motrin at low doses (IE OTC it is analgesic and antipyretic) but if you need anti-inflammatory effects then you need higher doses 2400 to 3200 mg/day

Answer 133

Celebrex NSAID Cox - II selective Report s/sx of GI bleed, caution for CV risk like all NSAIDS, Not safer for renal function but may be slightly safer for GI bleeding risks

Answer 134

Arthrotec NSAID/prostaglandin combo Take with food, Misoprostol may decrease GI bleeding risks. CV and renal risks. Avoid in pregnancy. Diarrhea may be a common side effect of the prostaglandin component

Answer 135

Ultram, Ultram ER Opioid analgesic May cause drowsiness; avoid alcohol. Drug is scheduled in some states but not by the DEA. Some risk of dependence due to weak opioid receptor agonist activity. Drug also has some serotonin reuptake inhibitor properties; caution against GI effects, serotonin syndrome, increased seizure risk, and drug interactions (especially with SSRIs, SNRIs, 5-HT1 agonists/triptans)

Answer 136

Ultracet Opioid analgesic combo May cause drowsiness; avoid alcohol. Drug is scheduled in some states but not by the DEA. Some risk of dependence due to weak opioid receptor agonist activity. Drug also has some serotonin reuptake inhibitor properties; caution against GI effects, serotonin syndrome, increased seizure risk, and drug interactions (especially with SSRIs, SNRIs, 5-HT1 agonists/triptans). Do not exceed 4g of APAP per day, 3g if frequent alcohol drinker, 2g/day if taking warfarin. New black box warning with acetaminophen due to hepatotoxicity.

Answer 137

Vistaril Antihistamine/antianxiety May cause anticholinergic side-effects.

Answer 138

Prozac or Sarafem SSRI Antidepressant May cause drowsiness or dizziness, avoid alcohol use during therapy. Prozac longest half-life SSRI (metabolite norfluoxetine T1/2 is ~ 9 days) hence the Prozac weekly dosage form; also most activating of the SSRIs AM dosing not PM and a major inhibitor of CYP 2D6

Answer 139

Tylenol Pain, antipyretic Limit total daily dose

Answer 140

Lunesta Sedative Hypnotic Do not take with alcohol, take 30min prior to bed. has a long half-life of ~6 hours and thus an increased risk of morning residual sedation, ~40% of patients complain of a bitter taste the morning after, Need to have at least 8 hours to sleep after a dose and all of these agents can cause complex sleep behaviors (walking, eating, driving, etc.) Do not put yourself in a position where impairment may lead to increased risk of an accident until you know how you respond to the medication.

Answer 141

Ambien (CR) Sedative Hypnotic; C-IV Do not take with alcohol, take 30min prior to bed. Same issues as Lunesta. New lower dosing guidelines for women.

Answer 142

Pristiq SNRI antidepressant Avoid alcohol, do not discontinue abruptly, no added benefit over venlafaxine -recommend generic venlafaxine

Answer 143

Cymbalta SNRI Antidepressant Do not abruptly discontinue therapy. report any changes in affect and or behavior as psychiatric side effects including suicidal ideation is possible

Answer 144

Effexor (XR) SNRI Antidepressant Avoid alcohol, do not discontinue abruptly, monitor BP

Answer 145

Celexa SSRI Antidepressant May cause drowsiness, do not discontinue therapy abruptly. new dosage guidelines of no more than 40 mg/day and avoid in patients with CV disease as it has been shown to increase QT interval (previously recommended for patients with CV disease now only sertraline remains in this category)

Answer 146

Lexapro SSRI Antidepressant May cause drowsiness, do not discontinue therapy abruptly, recommend generic Celexa for cost savings

Answer 147

Paxil (CR) SSRI Antidepressant May cause drowsiness, do not discontinue therapy abruptly. Paxil most likely agent to cause discontinuation syndrome, short half-life and also most tricyclic like of the SSRI’s I.e. sedation, and a major inhibitor of CYP 2D6. New 7.5 mg dose and Brand name drug approved for hot flashes related to menopause.

Answer 148

Zoloft SSRI Antidepressant May cause drowsiness or dizziness, avoid alcohol use during therapy. Drug of choice for patients with CV disease and MDD (SAD Heart and ENRICHED Trials, as well as ACC/AHA/APA Guidelines

Answer 149

Lidoderm Patches Topical analgesic Do not apply to broken skin, do not leave patches on for more than 12 hours in a 24 hour period

Answer 150

Elavil Tricyclic Antidepressant May cause drowsiness or dizziness, avoid alcohol use during therapy. Rarely used for depression and usually used in low doses for off label uses (headaches, pain, neuropathy) as it is a side effect of this agent and it is not well tolerated secondary to anticholinergic effects, risk of overdose causing CV death and arrhythmias, caution for suicidal ideation.

Answer 151

Tofranil (PM) Tricyclic Antidepressant May cause drowsiness or dizziness, avoid alcohol use during therapy. Also has significant anticholinergic effects and risk of overdose like Elavil

Answer 152

Eskalith or Lithobid Mood Stabilizer Do not exceed recommended doses, consume 2-3 quarts of water qday. monitor serum levels and watch out for drug interactions with thiazide diuretics which require a dosage reduction of lithium

Answer 153

Differin Topical Acne Product Acne may worsen before it improves; using more than recommended increases risk of skin reactions. Use as little product as can cover the face or affected areas with a thin film. Caution against sun exposure and recommend using sunscreen.

Answer 154

Benzaclin Topical Acne Product May cause skin irritation, use a sparing amount. Topical acne products remind patients that their acne may get worse before it gets better and exceeding the recommended doses will increase the risk of severe adverse effects

Answer 155

Benzamycin Topical Acne Product May cause skin irritation, use a sparing amount. Topical acne products remind patients that their acne may get worse before it gets better and exceeding the recommended doses will increase the risk of severe adverse effects

Answer 156

Clobex Topical Corticosteroid Use a sparing amount, avoid application on face and around eyes

Answer 157

Elocon Topical Corticosteroid Use a sparing amount, avoid application on face and around eyes

Answer 158

Kenalog Topical Corticosteroid Use a sparing amount, avoid application around eyes, available in ointment, cream and lotion

Answer 159

Elidel Topical skin product Black Box warning due to cancer risk

Answer 160

Lotrisone Topical Antifungal/Corticosteroid Use a sparing amount, avoid application on face and around eyes

Answer 161

Lidex, Lidex-E, Vanos Topical Corticosteroid Use a sparing amount, avoid application on face and around eyes

Answer 162

Propecia or Proscar 5 alpha reductase inhibitor Pregnant women should not handle, will not regrow hair but will prevent additional hair loss. new data on sexual dysfunction which may not be reversible in men, when used for BPH they are not rapidly effective and may take 6 plus months to shrink and enlarged prostate and produce a reduction in symptoms, probably best when used in combo with an alpha blocker to reduce symptoms and prevent or delay the need for surgical intervention

Answer 163

Accutane or Claravis Acne treatment Must follow REMS system for isotretinoin dispensing and counseling. teratogenic category X, adverse lipid effects especially increased TG and psychiatric effects and as with the topical products acne may get worse before it gets better

Answer 164

AndroGel Androgen; C-III Use as directed to upper arm and shoulder and not to genitals. Women and children should avoid contact with this medication; men with BPH may get worse

Answer 165

Glucophage (XR), Fortamet Antidiabetic - Biguanide Counsel on GI upset, diarrhea and best titration to minimize symptoms, may lead to B12 deficiency related neuropathy

Answer 166

Januvia, Janumet (XR) Take without regard to food, risk of pancreatitis

Answer 167

Onglyza Antidiabetic - Dipeptidyl peptidase IV inhibitor Take without regard to food, risk of pancreatitis, concomitant use of CYP3A4 Inh - use 2.5mg instead of 5 mg QD.

Answer 168

Amaryl Antidiabetic - Sulfonylurea Take with breakfast, avoid alcohol use, counsel on hypoglycemic risk

Answer 169

Glucotrol (XL) Antidiabetic - Sulfonylurea May cause hypoglycemia due to active metabolites

Answer 170

Micronase, Glucovance Antidiabetic - Sulfonylurea Take with breakfast, avoid alcohol use. Has an active metabolite which is renally eliminated and thus increased risk of hypoglycemia and weight gain as patients age, may also increase CV events and no longer a recommended agent by the ADA

Answer 171

Actos Antidiabetic - Thiazolidinedione Take without regard to meals, increased risk of fractures, macular edema, heart failure, weight gain and edema as well as bladder CA in men.

Answer 172

Byetta, Bydureon Antidiabetic Glucagon-Like Peptide-1 Receptor Agonist Counsel on pen injection technique. Nausea and vomiting tend to be dose related and transient start with 5 mcg daily dose and after a month increase to 10 mcg dose, watch for signs of pancreatitis and can be dosed 60 min or less before meals twice a day

Answer 173

Victoza Antidiabetic Glucagon-Like Peptide-1 Receptor Agonist Counsel on pen injection technique. Nausea and vomiting tend to be dose related and transient, watch for signs of pancreatitis. Box warning - Rodent studies - risk of thyroid C-cell tumors.

Answer 174

Fosamax Bisphosphonate Osteoporosis Agent Take on an empty stomach with a full glass of water, must sit or stand for 30 minutes following the dose, osteonecrosis of jaw and atypical fractures

Answer 175

Boniva Bisphosphonate Osteoporosis Agent Take on an empty stomach with a full glass of water, must sit or stand for 60 minutes following the dose. osteonecrosis of jaw and atypical fractures

Answer 176

Actonel, Atelvia Bisphosphonate Osteoporosis Agent Take on an empty stomach with a full glass of water, must sit or stand for 30-60 minutes following the dose. Atelvia is enteric coated formulation which should be taken after breakfast but not available as generic. osteonecrosis of jaw and atypical fractures

Answer 177

Estratest (HS) Combination Hormone CV, thromboembolic caution

Answer 178

Combipatch Estrogen and Progestin Combination Stable at room temperature for 3 months

Answer 179

Premarin Estrogen hormone May take with food to decrease GI symptoms

Answer 180

Climara, Estrace Estrogen Hormone CV, thromboembolic caution

Answer 181

Evista Estrogen receptor modulator, Post-menopausal Osteoporosis CV risk and thromboembolic black box warnings, may inc TGs, myalgia. May cause or worsen hot flashes

Answer 182

Prempro or Premphase Estrogen-Progestin hormone combo increased risk of CV and DVT as well as dementia with long term therapy, report any abnormal vaginal bleeding

Answer 183

Colcrys Gout - Inflammatory Mediator Long-term therapy requires blood work. no more than 3 tablets for an acute attack with similar efficacy to 8 tablets but with much less risk of GI toxicity

Answer 184

Zyloprim Gout - Xanthine Oxidase Inhibitor Consume large amounts of fluids to prevent kidney stone formation. start with 100 mg QD after an acute gout attack has subsided and gradually increase the dose at no more than weekly interval to about 300 mg QD to reduce the risk of mobilization gout, may also add low dose colchicine 1-2 tabs per day for prevention of mobilization gout, D/C at first signs of a rash

Answer 185

Uloric Gout - Xanthine Oxidase Inhibitor Same as allopurinol but may be safe in patients with a history of adverse skin reactions to allopurinol.

Answer 186

Provera Hormone/Progestin May take with food to decrease GI symptoms, preg cat: X, may lead to uterine bleeding irregularities, long term use may decrease bone mineral density

Answer 187

Humulin R Insulin - Fast Acting counsel on injection technique and hypoglycemia, take 15-30 min prior to meal

Answer 188

Humulin N Insulin - Intermediate Acting counsel on injection technique and hypoglycemia

Answer 189

Levemir Insulin - Intermediate-Long acting cannot be mixed with another insulin

Answer 190

Lantus Insulin - Long Acting cannot be mixed with another insulin, May have an increase in injection site pain/rxn

Answer 191

Novolog Insulin - Rapid Acting Take immediately before meals, counsel on injection technique and hypoglycemia

Answer 192

Humalog Insulin - Rapid Acting Take immediately before meals, counsel on injection technique and hypoglycemia

Answer 193

Apidra Insulin - Rapid Acting Take immediately before meals, counsel on injection technique and hypoglycemia

Answer 194

Yasmin, Ocella, Yaz Oral contraceptive Take everyday - counsel on missed dose protocol, caution with antibiotics. new warnings about increased risk of VTEs especially in older women and those who smoke ; risk of hyperkalemia

Answer 195

Kariva, Ortho-Cept, Mircette, Desogen or Apri Oral contraceptive Take everyday - counsel on missed dose protocol, caution with antibiotics. new warnings about increased risk of VTEs especially in older women and those who smoke ; risk of hyperkalemia

Answer 196

Aviane, Alesse Oral contraceptive Take everyday - counsel on missed dose protocol, caution with antibiotics. new warnings about increased risk of VTEs especially in older women and those who smoke ; risk of hyperkalemia

Answer 197

Loestrin FE Oral contraceptive Take at same time everyday, counsel on missed dose protocol. Caution with antibiotics, smoking

Answer 198

TriNessa, Tri-Sprintec Oral contraceptive Take at same time everyday, counsel on missed dose protocol. Caution with antibiotics, smoking

Answer 199

Ortho Tri-Cyclen (Lo) Oral contraceptive Take at same time everyday, counsel on missed dose protocol. Caution with antibiotics, smoking

Answer 200

Ortho Evra Patch contraceptive Each patch should remain in place for 7 days, CV risk, smoking risk

Answer 201

Novolin 70/30, Humulin 70/30 Pre-Mixed insulin counsel on injection technique and hypoglycemia, 1st # is percent of intermediate release insulin and second is fast acting

Answer 202

Novalog Mix 70/30, Humalog Mix 75/25 Pre-Mixed insulin counsel on injection technique and hypoglycemia, 1st # is percent of intermediate release insulin and second is rapid acting

Answer 203

Depo-Provera Progestin Contraceptive May cause weight gain, preg cat: X, may lead to uterine bleeding irregularities, long term use may decrease bone mineral density

Answer 204

Deltasone Steroid Anti-inflammatory Take with food, may cause agitation, insomnia

Answer 205

Medrol Steroid anti-inflammatory/allergy Take with food, may cause agitation, insomnia

Answer 206

Armour thyroid Thyroid Hormone Take on an empty stomach in the morning

Answer 207

Synthroid or Levoxyl Thyroid Hormone (synthetic T4) Narrow Therapeutic Index Drug: Take on an empty stomach in the morning with full glass of water at least 30 minutes prior to food (Do not take close to Calcium), Stay on specific brand or generic due to bioavailability issues, TSH monitoring (many dosages available from 25mcg to 300 mcg for fine tuning), adverse drug reactions early on often due to too high of dosing (med induced hyperthyroidism - heat intolerance and sweating, frequent bowel movements, restlessness, tachycardias, hair loss). Pregnancy Cat A:may need to increase dose in pregnancy, drug instable in light and humidity. Levothyroxine FDA Orange Book 4 sub categories of AB ratings (i.e. AB1, AB2,AB3 and AB4) so be careful when switching between brands and generic manufacturers stay within the same AB subclass; takes 4 weeks to reach new steady state levels and TSH may lag another 2-3 weeks

Answer 208

Vivelle-Dot, Estraderm Topical estrogen patch Counsel on twice weekly patch application. Note: Climara is once-weekly patch

Answer 209

NuvaRing Vaginal contraceptive Counsel on vaginal application, 3 weeks in, 1 week off

Answer 210

Vagifem Vaginal estrogen Counsel on vaginal tablet use with Vagifem

Answer 211

Bentyl Anticholinergic for cramping/irritable bowel May cause dry mouth, dizziness. Avoid alcohol use.

Answer 212

Levsin/Levbid/Levsinex Anticholinergic for cramping/irritable bowel Take before meals. May experience dizziness, blurred vision, constipation.

Answer 213

Imodium Antidiarrheal May cause drowsiness, contact MD if diarrhea persists longer than 48 hours

Answer 214

Lomotil Antidiarrheal; C-V Do not exceed prescribed dose, anticholinergic side-effects possible

Answer 215

Phenergan Antihistamine - Nausea/Vomiting treatment May cause anticholinergic side-effects.

Answer 216

Amitiza Chloride Channel Activator Take with food to decrease nausea

Answer 217

Xenical Fat absorption inhibitor Caution regarding uncontrollable oily bowel movements especially after high fat meal, patient should take supplemental fat soluble vitamins at least 2 hrs prior to orlistat dose

Answer 218

Pepcid H 2 Antihistamine Do not exceed 14 days of OTC therapy unless directed by MD, report severe abdominal pain/discomfort to MD

Answer 219

Zantac H 2 Antihistamine Do not exceed 14 days of OTC therapy unless directed by MD, report severe abdominal pain/discomfort to MD

Answer 220

Miralax, Glycolax Laxative Safe for daily use, one heaping teaspoon dissolved in 8 oz of water once daily as needed

Answer 221

Reglan Promotility-Antiemetic Take 30 minutes prior to meal, avoid use with alcohol, associated with extrapyramidal symptoms and depression, caution in elderly

Answer 222

Nexium Proton Pump Inhibitor Take 30- 60 min prior to a significant meal. all of these meds are pro-drugs which need to be absorbed in that state and are activated within the parietal cell when the patient stimulates them to secrete acid by eating. They all also have a short half-life of 1-2 hours. Risks include C Diff diarrhea, pneumonia, fractures and low serum magnesium levels in addition to B12 deficiency

Answer 223

Prevacid Proton Pump Inhibitor Take 30- 60 min prior to a significant meal. all of these meds are pro-drugs which need to be absorbed in that state and are activated within the parietal cell when the patient stimulates them to secrete acid by eating. They all also have a short half-life of 1-2 hours. Risks include C Diff diarrhea, pneumonia, fractures and low serum magnesium levels in addition to B12 deficiency

Answer 224

Prilosec Proton Pump Inhibitor Take 30- 60 min prior to a significant meal. all of these meds are pro-drugs which need to be absorbed in that state and are activated within the parietal cell when the patient stimulates them to secrete acid by eating. They all also have a short half-life of 1-2 hours. Risks include C Diff diarrhea, pneumonia, fractures and low serum magnesium levels in addition to B12 deficiency

Answer 225

Protonix Proton Pump Inhibitor Take 30- 60 min prior to a significant meal. all of these meds are pro-drugs which need to be absorbed in that state and are activated within the parietal cell when the patient stimulates them to secrete acid by eating. They all also have a short half-life of 1-2 hours. Risks include C Diff diarrhea, pneumonia, fractures and low serum magnesium levels in addition to B12 deficiency

Answer 226

Aciphex Proton Pump Inhibitor Take 30- 60 min prior to a significant meal. all of these meds are pro-drugs which need to be absorbed in that state and are activated within the parietal cell when the patient stimulates them to secrete acid by eating. They all also have a short half-life of 1-2 hours. Risks include C Diff diarrhea, pneumonia, fractures and low serum magnesium levels in addition to B12 deficiency

Answer 227

Zegerid Proton Pump Inhibitor/Antacid combo Take 30- 60 min prior to a significant meal. all of these meds are pro-drugs which need to be absorbed in that state and are activated within the parietal cell when the patient stimulates them to secrete acid by eating. They all also have a short half-life of 1-2 hours. Risks include C Diff diarrhea, pneumonia, fractures and low serum magnesium levels in addition to B12 deficiency

Answer 228

Avodart BPH - 5 alpha reductase inhibitor Capsules should not be handled by women, takes time for shrinkage of prostate and symptom relief

Answer 229

Flomax BPH - selective alpha blocker Take 30min after the same meal every day. May cause dizziness.

Answer 230

Uroxatral BPH - selective alpha blocker Take prior to bedtime to avoid orthostatic hypotensive effects

Answer 231

Levitra Erectile dysfunction - vasodilator Report erections lasting longer than 4 hours to ER, avoid nitroglycerin use

Answer 232

Viagra Erectile dysfunction - Vasodilator Report erections lasting longer than 4 hours to ER, avoid nitroglycerin use

Answer 233

Cialis Erectile dysfunction - Vasodilator Report erections lasting longer than 4 hours to ER, avoid nitroglycerin use

Answer 234

Ditropan (XL) Urinary Incontinence - Anticholinergic May cause dry mouth, dizziness. Avoid alcohol use.

Answer 235

Detrol (LA) Urinary Incontinence - Anticholinergic May cause dry mouth, dizziness. Avoid alcohol use.

Answer 236

Enablex Urinary Incontinence - Anticholinergic May cause dry mouth, dizziness. Avoid alcohol use.

Answer 237

Pyridium Urinary Tract Analgesic Urine will change to orange-red color …not a cause for alarm, used only for symptom relief and not a cure

Answer 238

Calcitriol Vitamin D supplement Take with food to decrease GI problems

Answer 239

Alphagan P Agent for Glaucoma

Answer 240

Xalatan Agent for Glaucoma

Answer 241

Timoptic (XE) Agent for Glaucoma

Answer 242

Travatan Agent for Glaucoma

Answer 243

Combigan Alpha II agonist/beta blocker/ antiglaucoma

Answer 244

Pataday or Patanol Antiallergy (ophthalmic)

Answer 245

Tobradex Antibiotic/anti-inflammatory (Ophthalmic)

Answer 246

Vigamox Antibiotic/Ophthalmic

Answer 247

Restasis Calcineurin inhibitor (Ophthalmic) nvert vial several times prior to use to create uniform emulsion. Used every 12 hours.

Answer 248

Cosopt Carbonic anhydrase inhibitor/beta blocker/antiglaucoma

Answer 249

Zymar Fluoroquinolone (Ophthalmic)

Answer 250

Lumigan prostaglandin analog for glaucoma treatment

Answer 251

Cortisporin Otic Otic Antibiotic

Answer 252

Ciprodex, Cipro HC Otic Antibiotic/Corticosteroid

Answer 253

Astelin Allergic Rhinitis - Topical H1 antagonist Prime 4x upon assembly, 2x if left unused for 3 days or more

Answer 254

Rhinocort Aqua Allergic rhinitis -Nasal Steroid May cause taste distortion, effects seen after several days of therapy, May cause nasal irritation, bleeding

Answer 255

Flonase Allergic rhinitis -Nasal Steroid May cause dysgeusia (taste distortion), effects seen after several days of therapy, May cause nasal irritation, bleeding

Answer 256

Nasonex Allergic rhinitis -Nasal Steroid May cause dysgeusia (taste distortion), effects seen after several days of therapy, May cause nasal irritation, bleeding

Answer 257

Singulair Anti -asthmatic - Leukotriene inhibitor chewable tablet contains phenylalanine

Answer 258

Proair HFA or Ventolin HFA or Proventil HFA Anti- asthmatic - short-acting beta-2 agonist Available in both MDI and nebulizer soln. Counsel on appropriate device use and prn rescue dosing. May also be use for prophylaxis for exercise-induce asthma. May cause jitteriness, nervousness, tachycardia and decrease effectiveness of beta blockers.

Answer 259

Xopenex (HFA) Anti-asthmatic - short-acting beta-2 agonist counsel on appropriate MDI use and prn rescue dosing

Answer 260

Pulmicort Respules, Flexhaler Anti-asthmatic - Steroid Some effects seen after first 2 days of therapy, maximum effect seen within first 2 weeks of therapy, not to be used for rescue

Answer 261

Flovent Anti-asthmatic - Steroid Some effects seen after first 2 days of therapy, maximum effect seen within first 2 weeks of therapy, not to be used for rescue

Answer 262

Advair Antiasthmatic - Steroid /LA B2 agonist Antiasthmatic - Controller Diskus: Do not shake after activating, counsel on device technique, not to be used for rescue

Answer 263

Respimat or Duoneb Antiasthmatic/COPD Combo Bronchodilator/Anticholinergic see albuterol and ipratropium counseling points, Combivent will no longer be available. Respimat is a new device with a counter - pt counseling required.

Answer 264

Spiriva HandiHaler Anticholinergic bronchodilator for COPD counsel on device technique and once-daily use

Answer 265

Atrovent Anticholinergic antibrochospasm and antisecretory Shake well, hold breath for 10 sec after actuation, wait 1 minute for 2nd inhalation, usually very little systemic side-effects because of poor absorption

Answer 266

Zyrtec Antihistamine, 2nd generation H1 May cause drowsiness, dizziness or dry mouth. Available in syrup and tablets

Answer 267

Clarinex Antihistamine, 2nd generation H1 May cause drowsiness, dizziness or dry mouth

Answer 268

Claritin Antihistamine, 2nd generation H1 May cause drowsiness, dizziness or dry mouth

Answer 269

Allegra (D) Antihistamine, 2nd generation H1 (+Decongestant) May cause drowsiness, do not take with fruit juices. PSE may cause insomnia, take D products in AM

Answer 270

Mucinex (D, DM) Expectorant (+/- decongestant, antitussive) Take with large glass of water, BID dosing, PSE may cause insomnia, PSE contraindicated in patients with CV risk, hypertension, DM drug interactions

Answer 271

Cheratussin AC Expectorant/Antitussive combo - CV Take with water, codeine side-effect possible

Answer 272

Zostavax Herpes Zoster (shingles virus) Vaccine CDC 60 yrs and above, FDA approved for 50 and above. Decreases risk of shingles and complications, such as postherpetic neuralgia. Not a substitute for varicella vaccine. Separate from Pneumovaz by 4 weeks

Answer 273

Gardasil, Cervarix Human papillomavirus vaccine (HPV) Potentially prevents cancer. Given in 3 doses over 6 months, Gardasil approved for males also

Answer 274

Afluria or Fluvirin or Fluzone Influenza Virus Vaccine Once yearly dosing generally recommended before Halloween. Now, a variety of dosage forms available.

Answer 275

Pneumovax Streptococcus Pneumoniae Bacterial Vaccine Once (or twice) life-time dosing in high risk patients. Pneumovax can now also be given along with Prevnar 13 in older patients with significant risks as of 6-21-12 ACIP Meeting

Answer 276

Tdap Tetanus, Diphtheria, Pertussis booster dose after DTaP series in childhood, can replace a Td booster, preferred administration 11-12 years of age.

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