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Top Drugs > Top 300 Counseling Points > Flashcards

Top 300 Counseling Points Flashcards

1
Q

amiodarone (Cordarone, Pacerone)

A

PO: AVOID sun exposure/use sunblock to avoid photosensitivity

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2
Q

amlodipine (Norvasc)

A

N/A

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3
Q

apixaban (Eliquis)

A

AVOID concomitant use of NSAIDs
AVOID concomitant use of combined inducers of both CYP3A4 and P-gp

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4
Q

atorvastatin (Lipitor)

A

AVOID excessive grapefruit juice and alcohol intake

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5
Q

bivalirudin (Angiomax)

A

N/A

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6
Q

bumetanide (Bumex)

A

take early in the day to avoid nocturia

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7
Q

carvedilol (Coreg)

A

take w/ meals
AVOID abrupt D/C

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8
Q

chlorthalidone (Hygroton, Thalitone)

A

take early in day to avoid nocturia

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9
Q

clopidogrel (Plavix)

A

AVOID NSAIDs
stop taking at least 5 days prior to elective surgery

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10
Q

colesevelam (Welchol)

A

administer w/ meals
administer 4HR before/after medications and vitamins

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11
Q

dabigatran (Pradaxa)

A

keep in original container
do NO open capsules

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12
Q

digoxin (Lanoxin)

A

periodic serum drug concentrations needed

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13
Q

diltiazem (Cardizem)

A

do NOT crush/chew long-acting dosage forms

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14
Q

doxazosin (Cardura)

A

for initial doses AVOID tasks that require mental alertness (e.g. operating machinery or driving)

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15
Q

enoxaparin (Lovenox)

A

rotate injection sites

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16
Q

ezetimibe (Zetia)

A

N/A

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17
Q

fenofibrate (Lofibra, Tricor, Trilipix)

A

N/A

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18
Q

furosemide (Lasix)

A

take early in the day to avoid nocturia

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19
Q

heparin (N/A)

A

N/A

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20
Q

hydrochlorothiazide, HCTZ (N/A)

A

take early in the day to avoid nocturia

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21
Q

hydralazine (Apresoline)

A

N/A

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22
Q

isosorbide mononitrate (Imdur)

A

immediate release formulations must be administered twice daily ~7HR apart to allow for nitrate-free interval that prevents tolerance

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23
Q

labetalol (Normodyne)

A

AVOID abrupt D/C

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24
Q

lisinopril (Prinivil, Zestril)

A

N/A

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25
Q

losartan (Cozaar)

A

N/A

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26
Q

metoprolol (Lopressor, Toprol XL)

A

AVOID abrupt D/C
do NOT crush/chew extended release products, but may cut XL in half

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27
Q

nifedipine (Adalat, Procardia)

A

N/A

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28
Q

nitroglycerin (Nitro-Dur, Nitrostat)

A

SL formulation ONLY used PRN for acute angina relief - call 911 if angina is NOT relieved for worsens 3-5min after FIRST SL dose

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29
Q

norepinephrine (Levophed)

A

N/A

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30
Q

omega-3-acid ethyl esters (Lovaza)

A

take w/ meals

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31
Q

Prasugrel (Effient)

A

AVOID NSAIDs
stop taking at least 7 days prior to elective surgery

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32
Q

rivaroxaban (Xarelto)

A

AVOID concomitant use of NSAIDs
AVOID concomitant use of combined inducers of both CYP3A4 and P-gp
doses >15mg should be taken w/ food

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33
Q

rosuvastatin (Xarleto)

A

limit alcohol consumption

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34
Q

sacubitril/valsartan (Entresto)

A

AVOID NSAIDs
only use potassium supplements under a doctor’s supervision
AVOID food/salt substitutes high in potassium

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35
Q

simvastatin (Zocor)

A

AVOID excessive grapefruit juice and alcohol intake

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36
Q

spironolactone (Aldactone)

A

AVOID alcohol, NSAIDs, foods/salt substitutes high in potassium

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37
Q

ticagrelor (Brilinta)

A

AVOID NSAIDs
do NOT take doses of aspirin >100mg/day
stop taking at least 5 days prior to elective surgery

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38
Q

verapamil (Calan)

A

do NOT crush or chew extended release products
AVOID grapefruit juice

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39
Q

warfarin (Coumadin, Jantoven)

A

consistent diet of vitamin K containing foods
AVOID alcohol
AVOID NSAIDs and other drugs that can INC bleeding risk

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40
Q

alprazolam (Xanax)

A

AVOID alcohol
do NOT stop abruptly w/o talking to your doctor, as you may experience significant withdrawal (including seizures)
do NOT take more than prescribed

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41
Q

amitriptyline (Elavil)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
take QHS if taking once daily to minimize sedation
contact your doctor if you have any changes in mood or thoughts of suicide

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42
Q

aripiprazole (Abilify)

A

antipsychotics can INC risk of high blood sugar and DM, cholesterol, and weight gain
contact your doctor if you notice any abnormal movements, as this may be a sign of a potentially irreversible movement disorder called tardive dyskinesia

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43
Q

atomoxetine (Strattera)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
monitor growth regularly (in children)

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44
Q

buprenorphine/naloxone (Suboxone, Zubsolv)

A

wait at least 1HR after administration to brush teeth
do NOT eat or drink anything until formulation has completely dissolved
use other than as prescribed may precipitate withdrawal

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45
Q

bupropion (Wellbutrin)

A

separate doses by at least 6 (IR) or 8 (SR) HR
do NOT take close to bedtime to prevent insomnia
contact your doctor if you have any changes in mood or thoughts of suicide

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46
Q

buspirone (Buspar)

A

take scheduled, NOT PRN
contact your doctor if you have any changes in mood or thoughts of suicide

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47
Q

carbamazepine (Tegretol)

A

contact your doctor if you notice any unexpected rashes, especially irritated eyes, sore throat, nose, muscle aches, and/or fever
contact your doctor if you notice any unexpected bruising, experience fatigue and feel weak, and/or chills
notify all your HCP that you are taking this medication, as it frequently interacts w/ other medications

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48
Q

citalopram (Celexa)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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49
Q

clobazam (Onfi, Sympazan)

A

AVOID alcohol
do NOT stop abruptly w/o talking to your doctor, as you may experience significant withdrawal (including seizures)
do NOT take more than prescribed

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50
Q

clonazepam (Klonopin)

A

AVOID alcohol
do NOT stop abruptly w/o talking to your doctor, as you may experience significant withdrawal (including seizures)
do NOT take more than prescribed

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51
Q

clonidine (Catapres)

A

do NOT stop abruptly as you may experience rebound HTN
take QHS if taking once daily (and if taking split doses, take larger dose QPM) to minimize sedation

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52
Q

desvenlafaxine (Pristiq)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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53
Q

dexmethylphenidate (Focalin)

A

monitor growth regularly (in children)
contact your doctor if you have any changes in mood or thoughts of suicide
do NOT take more than prescribed

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54
Q

diazepam (Valium)

A

AVOID alcohol
do NOT stop abruptly w/o talking to your doctor, as you may experience significant withdrawal (including seizures)
do NOT take more than prescribed

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55
Q

divalproex (Depakote)

A

may cause severe birth defects, so use reliable birth control (females of childbearing age)
contact your doctor if you notice severe stomach pain and vomiting as this may be a sing of a rare but serious SE called pancreatitis
contact your doctor if you notice signs of liver problems such as yellow skin or eyes, dark urine, and stomach pain

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56
Q

doxepin (Sinequan, Silenor)

A

do NOT abruptly w/o talking to your doctor as you may experience significant withdrawal
take QHS if taking once daily to minimize sedation
contact your doctor if you have any changes in mood or thoughts of suicide

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57
Q

duloxetine (Cymbalta)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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58
Q

escitalopram (Lexapro)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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59
Q

eszopiclone (Lunesta)

A

do NOT stop abruptly w/o talking to your doctor as you may experience rebound insomnia
AVOID taking after a heavy meal as it may delay onset of action
D/C if complex sleep behaviors (e.g. sleep driving) occur

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60
Q

fluoxetine (Prozac, Sarafem)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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61
Q

gabapentin (Neurontin, Gralise)

A

separate from magnesium or aluminum-containing antacids by at least 2HR
consider giving first dose QHS to minimize sedation
contact your doctor if you have any changes in mood or thoughts of suicide

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62
Q

guanfacine (Intuniv)

A

do NOT stop abruptly as you may experience rebound HTN
take QHS if taking once daily to minimize sedation

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63
Q

lacosamide (Vimpat)

A

contact your doctor if you have any changes in mood or thought of suicide
do NOT stop abruptly w/o talking w/ your doctor, as you may be at higher risk for seizures

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64
Q

lamotrigine (Lamictal)

A

contact your doctor if you have any changes in mood or thoughts of suicide
do NOT stop abruptly w/o talking to your doctor, as you may be at higher risk of seizures
contact your doctor if you notice any unexpected rashes, especially w/ irritated eyes, sore throat, nose, muscle aches, and/or fever
if you stop taking lamotrigine, contact your doctor as you may need to start back at a lower dose and INC slowly

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65
Q

levetiracetam (Keppra, Keppra XR)

A

contact your doctor if you have any changes in mood or thoughts of suicide
do NOT stop abruptly w/o talking w/ your doctor, as you may be at higher risk for seizures

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66
Q

lisdexamfetamine (Vyvanse)

A

monitor growth regularly (in children)
contact your doctor if you have any changes in mood or thoughts of suicide
do NOT take more than prescribed

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67
Q

lithium (Eskalith, Lithobid)

A

monitor for sx of too much lithium in body (e.g. severe nausea, slurred speech, impaired coordination)
keep your salt and fluid intake consistent, replacing losses

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68
Q

lorazepam (Ativan)

A

AVOID alcohol
do NOT stop abruptly w/o talking to your doctor, as you may experience significant withdrawal (including seizures)
do NOT take more than prescribed

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69
Q

lurasidone (Latuda)

A

antipsychotics can INC risk of high blood sugar and DM, cholesterol, and weight gain
contact your doctor if you notice any abnormal movements, as this may be a sign of a potentially irreversible movement disorder called tardive dyskinesia
take w/ at least 350 calories for adequate absorption

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70
Q

memantine (Namenda)

A

may be opened and sprinkled on applesauce (ER caps only)
administer w/ provided dosing device (PO solution only)

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71
Q

methylphenidate (Ritalin, Concerta)

A

monitor growth regularly (in children)
contact your doctor if you have any changes in mood or thoughts of suicide
do NOT take more than prescribed

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72
Q

mirtazapine (Remeron)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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73
Q

modafinil (Provigil)

A

modafinil is NOT a cure for sleep problems and does NOT replace sleep
may be habit forming w/ long-term use, so do NOT take more than prescribed
may DEC effectiveness of oral contraceptives

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74
Q

nortriptyline (Pamelor)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
take QHS if taking once daily to minimize sedation
contact your doctor if you have any changes in mood or thoughts of suicide

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75
Q

olanzapine (Zyprexa)

A

antipsychotics can INC risk of high blood sugar and DM, cholesterol, and weight gain
contact your doctor if you notice any abnormal movements, as this may be the sign of a potentially irreversible movement disorder called tardive dyskinesia
do NOT administer w/ a parenteral benzo (short-acting IM olanzapine ONLY)

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76
Q

oxcarbazepine (Trileptal)

A

contact your doctor if you have changes in mood or thoughts of suicide
do NOT stop abruptly w/o talking w/ your doctor, as you may be at higher risk for seizures
contact your doctor if you notice any unexpected rashes, esp w/ irritated eyes, sore throat, nose, muscle aches, and/or fever

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77
Q

paroxetine (Paxil, Paxil CR)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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78
Q

phenobarbital (Luminal)

A

AVOID alcohol
do NOT stop abruptly w/o talking to your doctor, as you may experience significant withdrawal (including seizures)
do NOT take more than prescribed

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79
Q

phenytoin (Dilantin)

A

contact your doctor if you have any changes in mood or thoughts of suicide
do NOT stop abruptly w/o talking w/ your doctor, as you may be at higher risk for seizure
may cause severe birth defects, so use reliable birth control (females of childbearing age)

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80
Q

pregabalin (Lyrica)

A

contact your doctor if you have any changes in mood or thoughts of suicide
do NOT stop abruptly w/o talking w/ your doctor, as you may be at higher risk of seizures
administer QPM if taking once daily to minimize sedation

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81
Q

quetiapine (Seroquel, Seroquel XR)

A

antipsychotics can INC the risk of high blood sugar and DM, cholesterol, and weight gain
contact your doctor if you notice any abnormal movements, as this may be a sign of a potentially irreversible movement disorder called tardive dyskinesia

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82
Q

risperidone (Risperdal)

A

antipsychotics can INC the risk of high blood sugar and DM, cholesterol, and weight gain
contact your doctor if you notice any abnormal movements, as this may be a sign of a potentially irreversible movement disorder called tardive dyskinesia

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83
Q

rizatriptan (Maxalt)

A

limit use to <10 days per month to avoid medication-overuse headache
this drug does NOT DEC number of migraines you get

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84
Q

sertraline (Zoloft)

A

do NOT stop abruptly w/o talking to your doctor as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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85
Q

sumatriptan (Imitrex)

A

limit use to <10 days per month to avoid medication-overuse headache
this drug does NOT DEC number of migraines you get

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86
Q

temazepam (Restoril)

A

AVOID alcohol
do NOT stop abruptly w/o talking to your doctor, as you may experience significant withdrawal (including seizures)
do NOT take more than prescribed

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87
Q

topiramate (Topamax)

A

drink plenty of water to help offset the risk of kidney stones
contact your doctor if you have any changes in mood or thoughts of suicide
do NOT stop abruptly w/o talking to your doctor, as you may be at higher risk for seizures

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88
Q

trazodone (Desyrel)

A

take QHS to minimize daytime sedation
call your doctor if you have an erection lasting longer than 4HR
may be used PRN for sleep disturbances

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89
Q

venlafaxine (Effexor, Effexor XR)

A

do NOT stop abruptly w/o talking to your doctor, as you may experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide
may take at least 4-6 weeks for onset of effect

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90
Q

vilazodone (Viibryd)

A

take w/ food
do NOT stop abruptly w/o talking to your doctor as you experience significant withdrawal
contact your doctor if you have any changes in mood or thoughts of suicide

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91
Q

ziprasidone (Geodon)

A

antipsychotics can INC risk of high blood sugar and DM, cholesterol, and weight gain
contact your doctor if you notice any abnormal movements, as this may be a sign of a potentially irreversible movement disorder called tardive dyskinesia
take w/ at least 500 calories for adequate absorption

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92
Q

zolpidem (Ambien, Ambien CR)

A

do NOT stop abruptly w/o talking to your doctor as you may experience rebound insomnia
AVOID taking after a heavy meal, as it may delay onset of action
D/C if complex sleep behaviors (e.g. sleep driving) occur

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93
Q

ondansetron (Zofran)

A

ondansetron ODT: dry hands before handling ODT, do NOT open blister pack that contains tab until you are ready to take it, do NOT push ODT through foil, place tab in mouth, allow to melt, swallow, or drink water

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94
Q

alendronate (Fosamax, Binosto)

A

administer first thing AM and 30+ min before food, beverage (except water) or other meds w/ full glass of water
required to stay upright for 30+ min AND until after first food of day
if taking for osteoporosis, consider calcium and VitD supplementation

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95
Q

benztropine (Cogentin)

A

may impair heat regulation
AVOID activities requiring mental alertness or coordination until drug effects are realized
do NOT drink alcohol

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96
Q

bimatoprost (Lumigan, Latisse)

A

wash your hands and remove contact lenses before using (wait 15min before reinserting)
instruct pt on proper eye drop administration technique
separate from other eye drops by 5min

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97
Q

brimonidine (Alphagan P, Lumify)

A

wash your hands and remove contact lenses before using (wait 15min before reinserting)
instruct pt on proper eye drop administration technique
separate from other eye drops by 5min

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98
Q

carbidopa/levodopa (Rytary, Duopa, Sinemet)

A

place ODT on tongue
does NOT require water or swallowing
may cause bodily fluid discoloration and have it appear as dark color during therapy

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99
Q

ciprofloxacin otic (Cetraxal, Otiprio)

A

warm solution by holding container in hands for at least 1min before use
administer laying down and stay for at least 1min post administration

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100
Q

conjugated estrogens (Premarin)

A

discuss potential long-term adverse effects of hormone therapy including MI, stroke, DVT, PE, and breast cancer
take QHS to minimize side effects
take w/ or w/o meals

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101
Q

cyclosporine ophthalmic (Restasis, Cequa)

A

medicine comes in single-use packages
after opening a single-use package, use medicine right away
remove contact lenses before using this medicine
wait at least 15min before inserting contact lenses after using

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102
Q

darifenacin (Enablex)

A

may cause anticholinergic effects, including constipation urinary retention, blurred vision, dyspepsia, or xerostomia
heat prostration (d/t DEC sweating) can occur while used in hot environment
can be taken w/ or w/o food

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103
Q

donepezil (Aricept)

A

take QHS
w/ or w/o food
allow ODT to dissolve on tongue and follow w/ a glass of water

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104
Q

dutasteride (Avodart)

A

sx may not improve for up to 6mo after starting tx
do NOT donate blood while taking tor for 6mo after stopping dutasteride, as it may be transfused to a pregnant woman
women who are pregnant or may become pregnant should AVOID touching or handling this medicine

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105
Q

estradiol PO (Estrace)

A

report abnormal vaginal bleeding or s/sx of a thromboembolic disorder
do NOT smoke during therapy, as this INC risk of thromboembolic events

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106
Q

estradiol transdermal patch (Climara, Minivelle, Vivelle-DOT)

A

report abnormal vaginal bleeding or s/sx of a thromboembolic disorder
do NOT smoke during therapy, as this INC risk of thromboembolic events
place patch on clean, dry skin, preferably on lower abdomen, upper quadrant of buttock, or outer aspect of hip
do NOT apply to breast or waistline
rotate sites of application w/ 1 week allowed between applications to a particular site

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107
Q

ethinyl estradiol and etonogestrel ring (NuvaRing)

A

general content related to all oral contraceptives
if vaginal ring is inadvertently expelled or removed, it maybe rinsed in cool or lukewarm water and reinserted ASAP, at the latest w/i 3HR

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108
Q

finasteride (Proscar Propecia)

A

for hair loss: may need to take this medicine for 3+ months before seeing an effect
for BPHL may need to take up to 6mo to see full effect
women who are pregnant or may become pregnant should AVOID touching or handling this medicine

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109
Q

gatifloxacin ophthalmic (Zymaxid)

A

complete full course of therapy
wash hands w/ soap and water before and after use
lie down or tilt head back for proper eyedrop administration

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110
Q

latanoprost (Xalatan)

A

wash hands and remove contact lenses before using the medicine
for administration, lie down or tilt your head back for proper administration of eyedrops

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111
Q

loteprednol (Alrex/Lotemax)

A

for suspension: shake well before use, take out contact lenses before use and pt may put contact lenses back in 10miin after using suspension
for ointment: do NOT use contact while using this product

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112
Q

medroxyprogesterone (Provera, Depo-Provera)

A

admin first dose during first 5 days of menstrual period, or w/i first 5 days postpartum if NOT breastfeeding, or at the sixth week postpartum if breastfeeding exclusively
menstrual bleeding should occur 3-7 days after last dose
pt should report if menstruation does NOT occur w/i 7 days after last dose
do NOT use if you become pregnant

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113
Q

moxifloxacin ophthalmic (Vigamox, Moxeza)

A

complete full course of therapy
wash hands w/ soap and water before and after use
instruct on proper administration techniques for eyedrops

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114
Q

oxybutynin (Ditropan)

A

may cause anticholinergic effects, including constipation, urinary retention, blurred vision, dyspepsia, or xerostomia
heat prostration (d/t DEC sweating) can occur when used in hot environment
ER formulation contains a matrix/shell that is expelled in stool

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115
Q

pentosan (Elmiron)

A

take 1HR before or 2HR after meals
use CAUTION and monitor for bleeding if using concomitant NSAIDs or aspirin-containing products

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116
Q

pramipexole (Mirapex, Mirapex ER)

A

take w/ food if nausea occurs
AVOID activities requiring mental alertness or coordination until drug effects are realized
rise slowly from sitting/lying down position

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117
Q

progesterone (Prometrium)

A

menstrual bleeding should occur 3-7 days after last dose
report if menstruation does NOT occur w/i 7 days after last dose
for vaginal formulation, AVOID using other vaginal drugs w/i 6HR before or 6HR after using progesterone

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118
Q

ropinirole (Requip, Requip XL)

A

take w/ food to reduce nausea
AVOID driving and other activities requiring mental alertness or coordination until drug effects are realized
rise slowly from sitting/lying down position

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119
Q

sildenafil (Viagra, Revatio)

A

take 30min to 4HR prior to anticipated sexual activity, but do NOT take more frequently than once Q24HR
AVOID nitrate administration for 24HR after sildenafil dose

120
Q

solfenacin (Vesicare)

A

may cause anticholinergic side effects, including constipation, urinary retention, blurred vision, dyspepsia, or xerostomia
heat prostration (d/t DEC sweating) can occur when used for in hot environment and/or exercise

121
Q

tacrolimus (Prograf, Astagraf XL, Envarsus XR)

A

take on empty stomach
AVOID alcohol, grapefruit, and grapefruit juice
many medications, OTC medications, and foods interact w/ tacrolimus so monitor carefully
NOT interchangeable w/ different formulations

122
Q

tadalafil (Cialis, Adcirca)

A

if taking PRN, take 30min prior to anticipated sexual activity
do NOT take more frequently than once Q24HR
AVOID driving or other activities that require mental alertness until the drug’s effects have been determined
AVOID nitrate administration for 48HR after tadalafil dose

123
Q

metoclopramide (Reglan)

A

NOT for long-term use
if using the ODT, make sure your hands are dry (place tab in your mouth, it should melt quickly, after tab has melted, swallow or take a drink of water)

124
Q

prednisone (Deltasone)

A

take w/ food or milk to prevent GI upset
take QAM to help prevent insomnia
for high-dose or longer term tx, inform pt to monitor for signs of HYPERglycemia, osteoporosis, adrenocortical insufficiency, and infection

125
Q

tamsulosin (Flomax)

A

administer 30min after same meal daily as fasting INC bioavailability by 30%
pt should AVOID activities requiring coordination until drug effects are realized, as drug may cause vertigo or dizziness
tell pt to rise slowly from sitting/lying position, as this drug may cause orthostatic HYPOtension

126
Q

tolterodine (Detrol, Detrol LA)

A

may cause blurred vision, dizziness, and drowsiness
swallow ER cap whole
do NOT crush, break, or chew
in presence of high environmental temp, heat prostration can occur w/ drug use (fever and heat stroke d/t DEC sweating)

127
Q

travoprost (Travatan Z)

A

wash hands and remove contact lenses before using medicine (may reinsert 15min afterwards)
instruct on proper eyedrops admin
do NOT exceed once daily dosing (may DEC efficacy)
separate other ophthalmic drugs by at least 5min

128
Q

vardenafil (Levitra, Staxyn)

A

take 60min prior to anticipated sexual activity
do NOT take more frequently than once Q24HR
ODT should be placed on tongue immediately upon removal form packaging
tab should be taken whole and NOT crushed or split
do NOT take w/ any liquids
tab can be taken w/o regard to food
AVOID nitrate admin for 24HR after vardenafil dose

129
Q

testosterone (AndroGel, Androderm)

A

apply gel to clean, dry, intact skin of shoulders and upper arms and/or abdomen, but should NOT be applied to genitals
gel should be allowed to dry well
swimming and showering should be AVOIDED for 5-6HR after application
pt should keep application site covered, as direct skin contact can transfer drug to others

130
Q

raloxifene (Evista)

A

INC risk of blood clots esp during first 4mo of therapy
AVOID sitting for long periods and be aware of sx of DVT
it taking for osteoporosis, consider calcium and VitD supplementation

131
Q

risedronate (Actonel, Atelvia)

A

admin first thing QAM and 30+ min before food, beverage (besides except water) or other meds w/ full glass of water
required to stay upright for 30+ min AND until first food of day
EXCEPTION: Atelvia take AFTER breakfast
if taking for osteoporosis, consider calcium and VitD supplementation

132
Q

entanercept (Enbrel, Erelzi)

A

store in the refrigerator, but do NOT freeze
allow medication to warm to room temp before injecting
keep in carton to protect to light
follow injection instructions you were taught (do NOT shake, discard syringe in sharps container, rotate inj sites)

133
Q

hydroxychloroquine (Plaquenil)

A

take w/ food or milk
do NOT crush or divide film-coated tabs
protect from light

134
Q

methotrexate (Trexall)

A

emphasize appropriate dosing schedule (weekly vs daily)
AVOID pregnant while taking
causes N/V
ensure pt have antiemetics and know how to take them
AVOID sun exposure

135
Q

propranolol (Inderal, Hemangeol, InnoPran XL)

A

take IR tabs on empty stomach
ER can be taken w/ or w/o food but consistently

136
Q

phentermine (Adipex-P, Lomaira)

A

may impair ability to engage in potential hazardous activities such as operating machinery or driving a motor vehicle
take during the day to avoid insomnia

137
Q

sofosbuvir/velpatasvir (Epclusa)

A

none

138
Q

glecaprevir/pibrentasvir (Mavyret)

A

take w/ food to ensure proper absorption

139
Q

rifaximin (Xifaxan)

A

seek medical attention if severe diarrhea or bloody diarrhea, SOB, or fluid accumulation

140
Q

dexamethasone (Decadron)

A

for short-term tx, inform pt to take doses w/ meals to prevent GI upset
for high dose or long-term tx, inform pt to monitor for signs of HYPERglycemia, osteoporosis, adrenocortical insufficiency, and infection

141
Q

methylprednisolone (Medrol)

A

for short-term tx, inform pt to take doses w/ meals to prevent GI upset
for high dose or long-term tx, inform pt to monitor for signs of HYPERglycemia, osteoporosis, adrenocortical insufficiency, and infection

142
Q

prednisolone oral (Orapred, Prelone)

A

for short-term tx, inform pt to take doses w/ meals to prevent GI upset
for high dose or long-term tx, inform pt to monitor for signs of HYPERglycemia, osteoporosis, adrenocortical insufficiency, and infection

143
Q

interferon beta-1a (Avonex)

A

first inj should be administered under supervision of a HCP
inj site reactions (pain, erythema, swelling)
rotate inj site
ensure proper inj technique
ice inj site
inj site reactions DEC over time
flue like reactions such as chills, fever, and muscle pain are common but resolve w/I 24HR and improve w/ time
to best manage flu-like reactions, pt can administer in the evening and take NSAID or APAP 30min prior to inj

144
Q

albuterol (Proventil HFA, Ventolin HFA, ProAir Respiclick, ProAir Digihaler)

A

this is a rescue inhaler and should be used PRN for sx
counsel on appropriate inhaler technique:
Respiclick and Digihaler - do NOT shake, inhale deeply and quickly
HFA - shake well before use and inhale slowly

145
Q

allopurinol (Zyloprim)

A

take after meals to lessen gastric irritation
maintain adequate hydration to prevent kidney stones
AVOID alcohol and caffeine

146
Q

azelastine (Astepro, Astelin)

A

AVOID spraying in eyes
somnolence has been reported w/ nasal admin
instruct pt to AVOID alcohol use and hazardous activities until level of sedation is known
may cause taste disturbances

147
Q

baclofen (Lioresal)

A

AVOID stopping abruptly
can cause dizziness and drowsiness
contact your physician if mental, mood, or behavior changes that are new or worse

148
Q

budesonide (Pulmicort Respules, Pulmicort Flexhaler)

A

rinse mouth and spit after each use
this is a maintenance inhaler and hours be used routinely, regardless of sx
do NOT shake, inhale deeply and quickly

149
Q

budesonide/formoterol (Symbicort)

A

rinse mouth and split after each use
shake well before use and inhale slowly
this may be used as maintenance therapy only or maintenance and rescue therapy

150
Q

carisoprodol (Soma)

A

if you notice a new blistering rash, stop therapy
do NOT drive or operate heavy machinery until you know how this medication will affect you

151
Q
A
152
Q

clobetasol (various)

A

apply thin layer to affected area of skin
wash hands after administration
skin should be clean and intact at site of administration

153
Q

colchicine (Colcrys)

A

instruct pt on appropriate dosing strategy for gout flares

154
Q

cyclobenzaprine (Flexeril)

A

monitor for drowsiness and sedation
monitor for abnormal heartbeat

155
Q

dexlansoprazole (Dexilant)

A

best to take 30min before food/drink in the morning

156
Q

diclofenac (Voltaren)

A

high BP can occur when taking this drug
you may bleed more easily when taking this medication
contact medical help if you experience darkening of urine or yellowing of eyes

157
Q

dicyclomine (Bentyl)

A

AVOID driving and doing other tasks or actions that call for you to be alert or have clear eyesight until you see how this drug affects you
contact provider if you feel like you or a loved one notice more confusion

158
Q

diphenoxylate/atropine (Lomotil)

A

pancreas problems (pancreatitis) like very bad stomach pain, very bad back pain, or very bad upset stomach or throwing yo
AVOID driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you
keep away from children
accidental exposure and overdose may result in very bad breathing problems or coma

159
Q

esomeprazole (Nexium)

A

best to take 30min before food/drink in the morning

160
Q

etodolac (Lodine)

A

high BP can occur when taking this drug
you may bleed more easily when taking this medication
contact medical help if you experience darkening urine, yellowing of eyes, extreme upper quadrant pain
if you notice a new rash, swollen lymph nodes, fever, rash, joint pain, or lungs contact provider

161
Q

famotidine (Pepcid, Pepcid AC, Zantac 360)

A

N/A

162
Q

febuxostat (Uloric)

A

N/A

163
Q

fentanyl transdermal (Duragesic, Ionsys)

A

take ONLY as prescribe, this medication is ONLY for you and you alone to take
keep in safe place and out of reach of children or pets
AVOID driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you

164
Q

fluocinonide (Lidex)

A

apply thin layer of affected area of skin
skin should be clean and intact at site of application
AVOID contact w/ eyes and do NOT ingest by mouth
AVOID occlusive dressings or tight-fitting clothes over site of administration

165
Q

fluticasone oral inhaler (Arnuity Ellipta, Flovent HFA, Flovent Diskus)

A

rinse mouth and spit after each use
Digihaler, Diskus, Ellipta - do NOT shake, inhale deeply and quickly
HFA - shake well before use and inhale slowly
this is a maintenance inhaler and should be used routinely, regardless of sx

166
Q

fluticasone/salmeterol (Advair Diskus, Advair HFA)

A

rinse mouth and spit after each use
Digihaler, Diskus, Ellipta - do NOT shake, inhale deeply and quickly
HFA - shake well before use and inhale slowly
this is a maintenance inhaler and should be used routinely, regardless of sx

167
Q

hydrocodone (Norco, Lorcet, Vicodin)

A

take ONLY as prescribed
this medication is for you and you alone to take
keep in a safe place and out of reach of children or pets
AVOID driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you

168
Q

indomethacin (Indocin)

A

N/A

169
Q

ipatroprium/albuterol (Combivent Respimat)

A

this may be used as maintenance and rescue therapy
breathe slowly

170
Q

ketoconazole topical (Nizoral)

A

apply thin layer to affected area of skin
skin should be intact
do NOT get in your eyes, nose, mouth, or vagina
do NOT wash the areas where you applied this medicine for at least 3HR after application

171
Q

lansoprazole (Prevacid)

A

take 30min before food/drink in the morning

172
Q

levalbuterol (Xopenex HFA)

A

this is a rescue inhaler and should be used PRN for sx
counsel on appropriate inhaler technique:
HFA - shake well before use and inhale slowly

173
Q

lidocaine topical patch (Lidoderm)

A

instruct pt on appropriate application process
leave patches on skin for no more than 12HR w/i a 24HR period
CAUTION pt to admin ONLY as directed, to intact skin, w/o covering w/ occlusive dressing or tight clothes

174
Q

lubiprostone (Amitiza)

A

take w/ food and water to reduce risk of nausea
seek medical attention for chest pain, SOB, or severe GI sx
dyspnea, described as chest tightness, has been reported and generally occurs w/ the 1st dose and resolves after a few hours w/o intervention

175
Q

meloxicam (Mobic)

A

high BP can occur when taking this drug
you may bleed more easily when taking this medication
if you notice a new rash, swollen lymph nodes, fever, rash, joint pain, or lungs contact provider

176
Q

metaxalone (Skelaxin)

A

if you start experiencing fever, chills, or sore throat contact a provider
you might notice INC sleepiness and tiredness while taking this medication

177
Q

methadone (Dolophine)

A

take only as prescribed, this medication is only for you and you alone to take
keep in a safe place and out of reach of children or pets
AVOID driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you

178
Q

methocarbamol (Robaxin)

A

N/A

179
Q

mometasone nasal (Nasonex)

A

shake well
advise pt on proper administration technique for this product
nasal spray needs to be primed before ruing and if not used for 1 week

180
Q

montelukast (Singulair)

A

when used routinely for asthma, take QHS
report any behavioral changes when taking

181
Q

morphine (MS Continue, Avinza, Kadian)

A

take only as prescribed, this medication is only for you and you alone to take
keep in a safe place and out of reach of children or pets
AVOID driving and doing other tasks or actions that call for you to be alert until you see how this drugs affects you

182
Q

nabumetone (Relafen)

A

high BP can occur when taking this drug
you may bleed more easily when taking this medication
contact a HCP if you experience liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes

183
Q

omeprazole (Prilosec)

A

take at least 30min prior to food/drink in the morning

184
Q

oxycodone (Oxycontin)

A

take only as prescribed, this medication is only for you and you alone to take
keep in safe place and out of reach of children or pets
AVOID driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you

185
Q

pantoprazole (Protonix)

A

take at least 30min prior to food/drink in the morning

186
Q

polyethylene glycol (Golytely)

A

it may take a few days to have full effects of this medication

187
Q

rabeprazole (Aciphex)

A

take at least 30min prior to food/drink in the morning

188
Q

sucralfate (Carafate)

A

take on an empty stomach and do NOT take medications w/I 24HR of sucralfate
shake suspension well before use
suspension can be stored at room temperature

189
Q

tiotropium (Spiriva Handihaler, Spiriva Respimat)

A

Respimat: breathe slowly
Handihaler: do NOT swallow caps, do NOT shake, inhale deeply and quickly
this is a maintenance inhaler and should be used routinely, regardless of sx

190
Q

tizanidine (Zanaflex)

A

do NOT stop this medication abruptly, if you notice liver problems like darkening of urine, fatigue, lack of appetites, nausea, abdominal pain, light-colored stools, vomiting, or yellow-skin contact your HCP
this medication may affect your BP and HR

191
Q

tramadol (Ultram)

A

take only as prescribed, this medication is for you and you alone to take
keep in a safe place and out of reach of children or pets
AVOID driving or doing other tasks or actions that call for you to be alert until you see how this drug affects you

192
Q

triamcinolone nasal (Nasacort AQ)

A

use proper administration technique for this product

193
Q

triamcinolone topical (Kenalog)

A

N/A

194
Q

varenicline (Chantix)

A

start medication 1 week before the quit date
take after food w/ full glass of water
no tapering needed

195
Q

hydroxyzine (Atarax, Vistaril)

A

pt should avoid activities requiring mental alertness or coordination until drug effects are known, as drug may cause dizziness or sedative effects

196
Q

acyclovir (Zovirax)

A

generally very-well tolerated medication
maintain proper hydration during therapy
initiate therapy ASAP as the first sight of a lesion to suppress breakouts (NOT a cure for herpes infections)
dermatologic reactions may occur (transient stinging and burning of skin)
ophthalmic formulation - do NOT wear contact lenses during therapy for herpes keratinitis
buccal tab - place tab w/i 1HR of sx to the upper gum just above the incisor tooth on the same side of the mouth as the prodromal sx

197
Q

valacyclovir (Valtrex)

A

generally very well tolerated medication
maintain proper hydration during therapy
initiate therapy ASAP at the first sight of a lesion to suppress breakouts (NOT a cure for herpes infection)
dermatologic reactions may occur (transient string and burning of skin)
may experience headache, GI discomfort (nausea, abdominal pain) and nasopharyngitis

198
Q

albendazole (Albenza)

A

generally well tolerated medication
administer w/ a high fat meal or grapefruit juice for better absorption
tell your doctor if you are or plan to become pregnant or breastfeeding

199
Q

dolutegravir (Tivicay)

A

may have trouble sleeping and feeling tired initially
take 2HR before or 6HR after cation-containing antacids, sucralfate, or oral supplements containing calcium and iron
alternatively, take calcium or iron containing supplements and dolutegravir together w/ food
do NOT skip or miss any doses of this medication
this medication does NOT prevent transmission of HIV - practice safe sex

200
Q

bictegravir/emtricitabine/tenofovir alafenamide (Biktarvy)

A

administer 2HR before or 6HR after aluminum or magnesium containing antacids
administer w/ food w/ concomitant calcium or iron-containing supplements or antacids
headache, feeling tired, upset stomach, back and joint pain
do NOT skip or miss any doses of this medication
this medication does NOT prevent the transmission of HIV - practice safe sex

201
Q

tenofovir alafenamide (Vemlidy)

A

do NOT skip or miss any doses of this medication
best taken w/ food
headache, feeling tired, upset stomach, back and joint pain
are common

202
Q

efavirenz (Sustiva)

A

anxiety, dizziness, insomnia, headaches, rash, N/V, and HYPERlipidemia
best taken on empty stomach in the evening
pt can have bad dreams and inability to focus that will usually resolve in 2-4 weeks
birth control pills may NOT work well w/ this medication
tell your doctor if you are or plan to become pregnant
do NOT skip or miss any doses of this medication
do NOT chew or crush caps and tabs
cap can be opened and sprinkled onto soft food
do NOT take any new medications, OTC products or herbals w/o consulting w/ your doctor
this medication does NOT prevent transmission of HIV - practice safe sex

203
Q

emtricitabine/tenofovir disoproxil fumarate (Truvada)

A

do NOT skip or miss any doses of this medication
hyperpigmentation, rash, headache, stomach pain, nausea, diarrhea, weight loss, cough, rhinitis may occur
best taken on empty stomach
pt w/ osteoporosis of hx of bone fractures should consider calcium and VitD supplementation
does NOT prevent transmission of hepatitis, HIV or sexually transmitted diseases - practice safe sex

204
Q

entecavir (Baraclude)

A

do NOT stop taking this medication w/o calling your doctor
NOT a cure for HepB
headache, feeling dizzy, tired, weak, and upset stomach may occur

205
Q

fluconazole (Diflucan)

A

rash
do NOT drive until you see how this medication affects you
tell your doctor if you are starting a new rx or OTC medication(s)
tell your doctor if you are or plan to become pregnant

206
Q

micafungin (Mycamine)

A

pain w/ IV infusion
redness and swelling at the IV infusion site

207
Q

nystatin (Nystop)

A

“swish and swallow” suspension: shake well before use
swish suspension about the mouth and retain in the mouth as long as possible (several min) before swallowing
AVOID eating 5-10min after or administer after meals
store suspension at room temp
GI discomfort may occur
topical nystatin can cause skin irritation and rash

208
Q

oseltamivir (Tamiflu)

A

upset stomach, diarrhea, and headache
caps can be mixed w/ sweet liquids such as chocolate syrup

209
Q

amoxicillin (Amoxil, Polymox - no longer available in US)

A

complete full course of therapy
shake suspension well and store in refrigerator
can take w/ food if upset stomach

210
Q

amoxicillin/clavulanate (Augmentin)

A

complete full course of therapy
shake suspension well and store in refrigerator
take w/ food to ensure proper absorption
report severe diarrhea

211
Q

penicillin GK (IV) Pfizerpen
penicillin CK (PO) Pen-V-K
penicillin G benzathine (IM only) Bicillin L-A
penicillin G benzathine/penicillin g procaine (IM only) Bicillin C-R

A

PO: complete full course of therapy, take on empty stomach

212
Q

piperacillin/tazobactam (Zosyn)

A

N/A

213
Q

imipenem/cilastatin (Pimarxin, Recarbrio - imipenem/cilastatin/relebactam)

A

N/A

214
Q

cephalexin (Keflex - no longer available in US)

A

complete full course of therapy
shake suspension well and store in refrigerator

215
Q

cefdinir (Omnicef - no longer available in US)

A

complete full course of therapy
shake suspension well and may be stored at room temp
separate administration of antacids, iron, multivitamins by 2HR

216
Q

cefazolin (Ancef, Kefzol - no longer available in US)

A

N/A

217
Q

ceftriaxone (Rocephin - no longer available in US)

A

N/A

218
Q

cefepime (Maxipime - no longer available in US)

A

N/A

219
Q

cefuroxime (IV) (Zinacef - no longer available in US)
cefuroxime axetil (PO) (Ceftin - no longer available in US)

A

complete full course of therapy

220
Q

ciprofloxacin (Cipro - PO, Ciloxan - ophthalmic, Cetraxal and Otiprio - otic, Ciprodex - otic (ciprofloxacin/dexamethasone))

A

seek medical attention if DEC urination, yellowing of eyes, blistering skin rash or extreme fatigue, unusual bruising or bleeding, SOB or chest pain, tension pain, muscle weakness, a “pins and needles” tingling or prickling sensation, numbness in the arms or legs, confusion or hallucinations
take w/ or w/o food, but NOT w/ milk or other dairy products
take medication at least 2HR before or 6HR after antacids, sucralfate, or mineral supplements and multivitamins w/ calcium, iron or zinc
advise pt to use sunscreen, AVOID tanning beds, and AVOID excessive exposure to sunlight as drug causes phototoxicity
if using the suspension, shake well before using
suspension may be stored at room temp

221
Q

levofloxacin (Levaquin - no longer available in US, Quinsair - oral inhalation)

A

seek medical attention if DEC urination, yellowing of eyes, blistering skin rash or extreme fatigue, unusual bruising or bleeding, SOB or chest pain, tension pain, muscle weakness, a “pins and needles” tingling or prickling sensation, numbness in the arms or legs, confusion or hallucinations
take w/ or w/o food, but NOT w/ milk or other dairy products
take medication at least 2HR before or 6HR after antacids, sucralfate, or mineral supplements and multivitamins w/ calcium, iron or zinc
advise pt to use sunscreen, AVOID tanning beds, and AVOID excessive exposure to sunlight as drug causes phototoxicity

222
Q

moxifloxacin (Avelox - no longer available in US, Vigamox - ophthalmic)

A

seek medical attention if DEC urination, yellowing of eyes, blistering skin rash or extreme fatigue, unusual bruising or bleeding, SOB or chest pain, tension pain, muscle weakness, a “pins and needles” tingling or prickling sensation, numbness in the arms or legs, confusion or hallucinations
take w/ or w/o food, but NOT w/ milk or other dairy products
take medication at least 2HR before or 6HR after antacids, sucralfate, or mineral supplements and multivitamins w/ calcium, iron or zinc
advise pt to use sunscreen, AVOID tanning beds, and AVOID excessive exposure to sunlight as drug causes phototoxicity

223
Q

azithromycin (Zithromax - IV, PO, Zithromax Z-pak - PO, Zithromax Tri-Pak - PO, AzaSite - ophthalmic)

A

complete full course of therapy
take tabs w/ or w/o food, although some pt report INC tolerability when given w/ food
AVOID mixing suspension w/ food or beverages, but food can be taken afterward

224
Q

clarithromycin (Biaxin - no longer available in US)

A

complete full course of therapy

225
Q

fidaxomicin (Dificid)

A

may be given w/ or w/o food

226
Q

doxycycline (Vibramycin, Doryx, Avidoxy, Doxy 100, Oracea)

A

may taken w/ food that does NOT contain calcium
complete full course of therapy
may cause photosensitivity
D/C at first sign of ski erythema (wear sunscreen and AVOID prolonged exposure to sunlight and ultraviolet light)
administer w/ 240mL of water

227
Q

minocycline (Minocin - IV, Solodyn - PO, Ximino - PO, Anzeeq - topical, Zilxi - topical)

A

may take w/ food that does NOT contain calcium (dairy)
complete full course of therapy
acne should improve w/i 1-2weeks
wear sunscreen
AVOID driving or using hazardous machines until SE are known (dizziness)
AVOID pregnancy while taking

228
Q

clindamycin (Cleocin)

A

complete full course of therapy
take w/ full glass of water and remain upright for 30min after dose to minimize risk of GI ulceration
seek medication attention if develop watery diarrhea
may have INC sensitivity to sun (topical)

229
Q

linezolid (Zyvox)

A

significant drug interactions are possible
tell HCP all medications and supplements
periodic labs may be necessary
notify HCP if burning, numbers, or tingling that is abnormal or any change in vision
watch for any signs of agitation, confusion, fever, muscle twitching or stiffness, shivering, shaking or sweating profusely
pt w/ DM receiving HYPOglycemic agents should watch for s/sx of HYPOglycemia as the MAOI effect can INC glucose-lowering effect of HYPOglycemia drugs
AVOID tyramine-containing foods such as red wine and certain cheeses as this may cause a HYPERtensive crisis when used w/ MAOI

230
Q

trimethoprim/sulfamethoxazole (Bactrim, Bactrim DS, Sulfatrim Pediatric)

A

complete full course of therapy
for the suspension, shake well and store at room temp and protect from light
sx should improve w/i 2-3days; if they worsen, seek follow-up w/ HCP
may cause photosensitivity; use sunscreen
maintain adequate hydration during therapy to prevent kidney complications
seek medical attention for severe diarrhea, dark urine, yellowing of skin or eye, unusual bruising or bleeding, blistering skin rash, or SOB

231
Q

metronidazole (Flagyl)

A

AVOID alcohol while taking this medicine and for 3days after as nat cause disulfiram-like reactions (but more recent data supporting not as strong)
complete full course of therapy
may be administered w/ food to minimize stomach upset

232
Q

nitrofurantoin (Macrodantin, Macrobid)

A

complete full course of therapy
may make urine brown; this is NOT harmful and is a breakdown product of the drug

233
Q

vancomycin (IV - various brand names, PO: Firvanq and Vancocin)

A

oral vancomycin is ONLY used for infections in the GI tract (C. diff or Staphylococcus enterocolitis) and NOT for systemic infections

234
Q

anastrozole (Arimidex)

A

can be taken w/ or w/o food
must be taken whole (NOT crushed)
avoiding/limiting caffeine, alcohol, and spicy foods may minimize hot flashes

235
Q

tamoxifen (Nolvadex, Soltamox)

A

avoiding/limiting caffeine, alcohol and spicy foods may minimize hot flashes
if vaginal discharge become bothersome, a mini-pad can be worn
AVOID standing for long periods of time along w/ consuming salty foods to minimize peripheral edema

236
Q

*epoetin alfa (Epogen, Procrit)

A

injection technique if administered SQ
risk of DVT, MI, and stroke are associated w/use of ESAs
monitor BP d/t risk of uncontrolled HTN

237
Q

acetaminophen (Tylenol)

A

limit dose from all sources/routes to <4g/day
be aware of combo product containing acetaminophen
AVOID alcohol use

238
Q

ibuprofen (Advil, Motrin)

A

take w/ food to avoid GI irritation
do NOT drink alcohol or smoke while taking
MDD OTC is 1200mg

239
Q

*naproxen (Aleve, Naprosyn)

A

N/A

240
Q

aspirin (Bayer, Ecotrin)

A

report unusual bleeding
take w/ full glass of water
AVOID combo product containing aspirin

241
Q

dextromethorphan (Delsym, Robitussin)

A

AVOID activities requiring mental alertness
use sugar-free formulation for DM pt
if liquid, shake well

242
Q

diphenhydramine (Benadryl)

A

AVOID alcohol
AVOID w/ medications causing drowsiness
AVOID topical on chickenpox, measles, blisters, large areas of skin

243
Q

guaifenesin (Mucinex)

A

take w/ full glass of water
use sugar-free formulation for DM pt

244
Q

pseudoephedrine (Sudafed)

A

AVOID taking at or near bedtime to avoid insomnia

245
Q

fluticasone nasal (Flonase)

A

advise pt on the proper administration technique for this product

246
Q

loratadine (Claritin)

A

pt should AVOID activities requiring mental alertness until drug effects are realized

247
Q

fexofenadine (Allegra)

A

take the suspension w/ water ONLY (NOT fruit juice)
shake well before use

248
Q

cetirizine (Zyrtec)

A

pt should AVOID activities requiring mental alertness or coordination until drug effects are known, as drug may cause dizziness or sedative effects

249
Q

oxymetazoline (Afrin)

A

blow your nose before use
do NOT tilt your head back before using this medication

250
Q

Nicotine (Nicoderm CQ, Habitrol, Nicorette)

A

all formulations: begin on quit date
derm: apply to clean, dry hairless area (on back, chest or arms), rotate site of application. taper use
gum and lozenge: rotate sites in mouth, use a min of 9 pieces in the first 6weeks, AVOID food/beverages for 15min before and during the use of NRT, taper use
gum ONLY: use the slow chew, park, repeat method; max of 24 pieces/day
lozenge ONLY: max of 20 pieces/day

251
Q

phenazopyridine (Pyridium, AZO)

A

may discolor urine and feces to red or orange, which is normal and not harmful, and may stain clothing and contact lenses
take drug w/ or after food and w/ full glass of water
medication will NOT cure a urinary infection

252
Q

polyethylene glycol 3350 (Miralax)

A

mix thoroughly w/ liquid to ensure powder is completely dissolved and drink right away
may take up to ~4days for results

253
Q

docusate (Colace)

A

may take up to 3-5days for results

254
Q

biscodyl (Dulcolax)

A

swallow tabs whole - do NOT crush/break/chew
do NOT take w/o 1HR of antacids, milk, or milk products
may take up to 24HR for results

255
Q

sennosides (Senna)

A

do NOT take other drugs w/I 2 HR
take QHS if taking once per day
do NOT crush/break/chew tab

256
Q

methylcellulose (Citrucel)

A

mix powder w/ full glass of water or milk and stir well before drinking
take tab w/ full glass of water

257
Q

psyllium (Metamucil)

A

separate from other drugs by 2HR
if you do not take this drug w/ lost of liquid (at least 8oz), it may swell and block your throat or esophagus and may cause choking
do NOT chew/break/crush cap

258
Q

miconazole (Lotrimin AF, Micatin, Monistat)

A

vaginal: do NOT have vaginal sex while using this drug - condoms or diaphragms may NOT work while using and for a period of time after you stop using
vaginal and topical: wash hands before and after use

259
Q

meclizine (Antivert)

A

AVOID alcoholic beverages and other CNS depressants while taking this drug
take w/ food to DEC GI sx

260
Q

dimenhydrinate (Dramamine)

A

AVOID alcoholic beverages and other CNS depressants while taking this drug

261
Q

bismuth subsalicylate (Pepto-Bismol)

A

report if there are s/sx of an allergic reaction or if ringing in the ears, hearing loss, or any other changes in hearing occur
may cause temporary, harmless darkening of the tongue and/or stool

262
Q

loperamide (Imodium)

A

AVOID driving and doing other tasks or actions that call for you to be alert as well as the use of alcohol, marijuana, or other forms of cannabis, or other sedating rx or OTC drugs d/t possible sedative effects

263
Q

docosanol (Abreva)

A

apply at first sign of cold sore
wash hands before and after use
use no more than 10days

264
Q

carbamide peroxide (Debrox)

A

instruct on proper administration of ear drops
keep drops in ear several minutes

265
Q

olopatadine (Pataday, Patanol)

A

wash hands before administration
instruct on proper administration of eyedrops
BID dosing should be at least 6-8HR apart
remove contact lens prior to administration and wait at least 10min before reinserting

266
Q

hydrocortisone topical (Cortisone)

A

apply thin layer to affect area of skin
should be clean and intact at site of application
AVOID contact w/ eyes and do NOT ingest by mouth
AVOID occlusive dressings or tight-fitting clothes over site of administration
wash hands after application

267
Q

adapalene (Differin)

A

do NOT apply on cuts, abrasions, eczematous, or sunburned skin
apply thin layer to affected, intact skin once daily QHS
apply sunscreen SPF >15

268
Q

lactase (Lactaid)

A

take w/ foods to prevent intestinal gas from forming
take at first bite of dairy- or lactose-containing food

269
Q

niacin (Niaspan, Niacor)

A

start w/ low dose and titrate based on tolerability (primarily flushing)
AVOID alcohol and warm beverages w/ niacin to reduce flushing
aspiring or NSAID 30min prior to niacin or take QHS w/ low-fat snack to help reduce flushing

270
Q

terbinafine (Lamisil)

A

apply the anti fungal to clean, dry affected area as directed (in QAM or QPM if once daily, or bother times if BID)
massage the medication into the area
note that creams and solutions are easier to work into the skin
AVOID getting the product in your eyes
wash hands thoroughly w/ soap and water before and after applying the product

271
Q

triamcinolone (Nasacort, Kenalog)

A

advise pt on proper administration technique for this product

272
Q

lidocaine (Aspercreme, Bengay)

A

instruct pt to AVOID applying to non-intact skin

273
Q

salicylic acid (Compound W, Stridex)

A

face: apply gel to affected area, use SPF ≥15
warts: wash hands before and after use
before treatment, soak affected area in warm water for 5min
wash and dry affected area thoroughly before application

274
Q

benzoyl peroxide (BenzePrO, PanOxyl, Rias, Zapzyt)

A

apply thin layer to affected, intact skin once daily QHS
protect affected areas from sun exposure (sunscreen SPF >15)
AVOID contact w/ eyes, lips, mouth, nose, cuts/scrapes, clothes/hair - bleaching
new users: use sparingly, start low and go slow

275
Q

calcium carbonate (Tums, Alka-Seltzer, Maalox)

A

heartburn: longer duration of action when taking after meals, drink water, stay active to avoid constipation

276
Q

ketoconazole (Nizoral)

A

apply the antifungal to clean, dry affected area as directed (QAM or QPM if once daily, or both time if BID)
massage the medication into the area
note that creams and solutions are easier to work into the skin
AVOID getting the product in your eyes
wash hands thoroughly w/ soap and water before and after applying the product
topical gel/foam: advise pt to AVOID fire, flame, and smoking during and after application since products are flammable

277
Q

clotrimazole (Lotrimin, Micotrin)

A

advise pt using the intravaginal formulation to NOT use tampons during tx
instruct pt using the topical formulation to NOT use occlusive dressings over the treated area
pt should AVOID douches or other intravaginal products during drug therapy

278
Q

canagliflozin (Invokana)

A

advise pt on s/sx of ketoacidosis
advise pt on s/sx of genitourinary tract and lower limb infections
advise pt on sx of HYPOtension

279
Q

dapagliflozin (Farxiga)

A

advise pt on s/sx of ketoacidosis
advise pt on s/sx of genitourinary tract and lower limb infections
advise pt on sx of HYPOtension

280
Q

empagliflozin (Jardiance)

A

advise pt on s/sx of ketoacidosis
advise pt on s/sx of genitourinary tract and lower limb infections
advise pt on sx of HYPOtension

281
Q

dulaglutide (Trulicity)

A

counsel pt to consider smaller more frequent food intake in order to DEC GI SE
advise on s/sx of pancreatitis
advise on regular eye exams
counsel on appropriate inj technique

282
Q

semaglutide (Ozempic, Wegovy, Rybelsus)

A

counsel pt to consider smaller more frequent food intake in order to DEC GI SE
advise on s/sx of pancreatitis
advise on regular eye exams
oral formulation has very specific dosing instructions: take at least 30min prior to any other food or drink of the day w/ no more than 4oz of water

283
Q

glimepiride (Amaryl)

A

counsel pt on appropriate management of HYPOglycemia
counsel pt to maintain regular dietary intake to minimize risk of HYPOglycemia

284
Q

glipizide (Glucotrol)

A

counsel pt to consider smaller more frequent food intake in order to DEC GI SE
advise on s/sx of pancreatitis
advise on regular eye exams
counsel on appropriate inj technique

285
Q

levothyroxine (Synthroid)

A

advise pt to take on empty stomach

286
Q

linagliptin (Tradjenta)

A

N/A

287
Q

liraglutide (Victoza)

A

counsel pt to consider smaller more frequent food intake in order to DEC GI SE
advise on s/sx of pancreatitis
advise on regular eye exams
counsel on appropriate inj technique

288
Q

metformin (Glucophage)

A

counsel on methods to reduce GI sx including take w/ food
counsel pt on s/sx of lactic acidosis

289
Q

pioglitazone (Actos)

A

counsel pt on s/sx of HF
counsel pt that additional glucose control may take 2-3mo

290
Q

potassium iodide (SSKI)

A

counsel pt on s/sx of goiter and HYPOthyroidism

291
Q

repaglinide (Prandin)

A

counsel pt on appropriate management of HYPOglycemia
counsel pt to NOT take if they are NOT consuming a meal

292
Q

tirzepatide (Mounjaro)

A

counsel pt to consider smaller more frequent food intake in order to DEC GI SE
advise of s/sx of pancreatitis
advise on regular eye exams
counsel on appropriate inj technique

293
Q

saxagliptin (Onglyza)

A

N/A

294
Q

sitagliptin (Januvia)

A

N/A

295
Q

thyroid (Armour Thyroid)

A

advise pt to take on empty stomach

296
Q

meal time insulin (insulin lispro - Humalog, insulin aspart - Novolog, insulin glulisine - Apidra)

A

counsel pt on appropriate management of HYPOglycemia
counsel pt to NOT take if they are NOT consuming a meal
counsel pt on appropriate inj technique

297
Q

basal insulin (insulin glargine - Toujeo, Lantus, Basaglar; insulin degludec - Tresiba; insulin detemir - Levemir)

A

Top Drugs (3 decks)

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