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CAPP III > Top 300 Drugs > Flashcards

Top 300 Drugs Flashcards

(98 cards)

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1
Q

lorazepam

A

Ativan
May cause drowsiness
avoid alcohol

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2
Q

alprazolam

A

Xanax
May cause drowsiness, avoid driving
Do not crush or break
oral disintegrating tablet may be divided but are unstable
Allow oral disintegrating tablet to dissolve on your tongue
Avoid alcohol

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3
Q

duloxetine

A

Cymbalta
Report withdrawal symptoms
Drug may cause hepatotoxicity
May require 1-4 week for improvement
Report worsening depression, suicidal ideation, or unusual changes in behavior
Watch sign/symptoms of bleeding events and hepatotoxicity
avoid alcohol
monitor cocurrent meds that alter coagulation

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4
Q

escitalopram

A

Lexapro
Avoid activities that require mental alertness
Symptomatic improvement may take several weeks
Report worsening depression
Avoid abrupt discontinutation
Do not drink alcohol
Do not use NSAID or aspirin

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5
Q

eszopiclone

A

Lunesta
Instruct pt to take immediately before bed and to not take with a high fat meal
Seek immediate medical attention if you experience anaphylaxis or angiodema
Warn pt of sleep driving
Avoid activities that require mental awareness
Report insomnia that worsens
advise pt to report abnormal thoughts
instruct pt to take drug only when experiencing insomnia
Should not drink while taking this drug

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6
Q

buspirone

A 
Buspar
Vanspar
Avoid activities that require mental awareness
Advise pt that symptomatic relief may not be seen for several weeks
Advise pt against sudden discontinuation
May take with or without food
Do not drink alcohol or grapefruit juice
Avoid MAOI
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7
Q

clonazepam

A

Klonopin
May cause drowsiness
allow orally disintegrating tablet to dissolve on tongue
Avoid alcohol

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8
Q

diazepam

A

Valium
May cause drowsiness
avoid alcohol

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9
Q

zolpidem

A 
Ambien 
Take on empty stomach
may cause drowsiness
avoid alcohol
take immediately before bedtime
may cause sleep driving, ect
Place sub-lingual tablet under tongue.
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10
Q

temazepam

A 
Restoril
May cause drowsiness
avoid alcohol
Take 30 min before bedtime
May cause complex behavior (sleep driving)
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11
Q

pregabalin

A

Lyrica
Oral solutions must be used within 45 days of first opening bottle
Avoid mental awareness activities
Avoid sudden discontinuation
Avoid drinking alcohol or using CNS depressants

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12
Q

carbamazepin

A

Tegretol
May decrease effectiveness of oral contraceptives, use an alternative form of birth control
avoid activities of mental awareness
Advise pt to report signs and symptoms of serious dermatological reactions
Take with food
Do not take with alcohol or grapefruit juice
Avoid abrupt discontinuation

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13
Q

gabapentin

A 
Neurontin
Avoid mental awareness activities
Report worsening depression
Avoid sudden discontinuation
Wait 2 hours after antacid before taking this medication
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14
Q

divalproex

A

Depakote
Avoid activities requiring mental awareness
Take with food to avoid GI irritation
Patients with convulsive disorder should not discontinue drug therapy abruptly. May precipitate status epilepticus
Avoid alcohol while taking this drug

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15
Q

lamotrigine

A

Lamictal
If rash develops, seek medical attention
Slow titration necessary to minimize side effects
avoid alcohol
Take to doc if you want to become pregnant
Reviewing driving restriction for pt with seizures

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16
Q

oxcarbazepine

A

Trileptal
Suspension should be shaken well and dose prepared immediately usual oral dosing syringe
Suspension can be mixed in a small glass of water just prior to administration
may decrease effectiveness of oral contraceptives
Advise pt to report sign/symptoms of serious dermatological reaction
Take with food. Avoid alcohol and grapefruit juice
Avoid abrupt discontinuation

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17
Q

phenobarbital

A

Luminal
Avoid mental alertness activities
This drug may decrease effectiveness of oral contraceptives
Report signs/symptoms of withdrawal upon dose reduction or d/c.
advise pt against sudden d/c
Do not drink alcohol
Do not use other CNS depressants

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18
Q

levetiracetam

A

Keppra
Keppra XR
Instruct pt to swallow extended release tab whole, do not break or chew
Avoid activities requiring mental alertness
Report mood swings, agitation, hostile behaviors, suicidal idealization, or unusual changes in behavior
Avoid sudden d/c

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19
Q

phenytoin

A

Dilantin
Swallow extended release capsule whole, do not crush
Avoid activities that require mental awareness
Report signs/symptoms of pancytopenia, hepatotoxicity, SLE, severe skin rxn or toxic epidermal necrolysis
Do not drink alcohol

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20
Q

topiramate

A

Topamax
Avoid activities that require mental aware
May cause nausea, diplopia, nervous, confuse
Do not d/c suddenly

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21
Q

epinephrine

A

EpiPen
EpiPen Jr
May cause palpitation, tachy, pale skin, sweat, nausea, vomit, asthenia, dizzy, HA, tremor, pain in eye, anxiety
Instruct pt on proper administration

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22
Q

meloxicam

A

Mobic
Take with food or milk to dec GI upset
For suspension shake gently before using

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23
Q

naproxen

A

Naprosyn
Elderly pt are at inc risk of GI ulceration
pt with underlying heart dysfxn are at inc risk of CVS effects
Use lowest dose for shortest period of time to minimize toxicity
Naproxen is available in 220 mg OTC
If taken for fever, do not take longer than 10 days unless directed by doctor

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24
Q

nabumetone

A

Relafen

Take with food or milk to dec GI upset

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25
indomethacin
Indocin | Take with food or milk to dec GI upset
26
ibuprofen
Motrin | Take with food or milk to dec GI upset
27
diclofenac SR
Voltaren XR | Take with food or milk to dec GI upset
28
etodolac
Lodine | Take with food or milk to dec GI upset
29
celecoxib
Celebrex Take with food or milk to dec GI upset If you cannot swallow capsule, you may open it and pour med over a tsp of applesauce
30
acetaminophen
Tylenol Do not exceed max recommended daily dose avoid alcohol
31
tramadol/acetaminophen
Ultracet Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants
32
tramadol
``` Ultram Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants To take the disintegrating tablet, peel back the foil on blister pack and remove tablet. Do not chew or crush ```
33
oxycodone
Oxycotin Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants
34
morphine ER
MS Contin Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants
35
methadone
Dolophine Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants
36
hydrocodone/ibuprofen
``` Vicoprofen Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants Take with food or milk to dec GI upset ```
37
hydrocodone/acetaminophen
Vicodin Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants
38
fentanyl transdermal
``` Duragesic Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants Apply to clean, dry skin. Skin breaks may inc absorption Remove old patch when new patch applied Febrile pt may have inc absorption ```
39
acetaminophen/codeine
Tylenol with Codeine #3 Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants
40
hydroxychloroquine
Plaquenil If taking weekly, take on same day each week Take with food or milk
41
allopurinol
Zyloprim Take after meals to lessen gastric irritation Maintain adequate hydration during therapy Pt should avoid alcohol or caffeine Seek medical attention if signs/symptoms of myleosuppression, agranulocytosis, or stevens johnson syndrome occur
42
benzonatate
Tessalon Perles Do not chew capsule or allow capsules to dissolve in mouth as oropharyngeal anesthesia will occur Accidental ingestion of as few as 1-2 capsules by kids < 2 y/o have been fatal
43
colchicine
Colcrys | Instruct pt on appropriate dosing strategy for gout flares
44
dicyclomine
Bentyl May case drowsy In the presence of a high enviornmental temp, heat prostration can occur
45
hydrocodone/chlorpheniramine syrup
Tussionex Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants
46
guaifenesin/codeine
Cheratussin AC Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants
47
methotrexate
``` Trexall Causes nausea/vomit Use anti emetics if necessary avoid sun exposure Take with food ```
48
promethazine/codeine
``` Antituss Use a stool softener or laxative May cause drowsy Avoid alcohol or CNS depressants May cause dark urine ```
49
prednisolone oral
No Brand Counseling dependent on dose and intended length of treatment. For short term, inform pt to take doses with meals to prevent GI upset. For long term, inform pt to monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency and infection
50
prednisone
Deltasone Counseling dependent on dose and intended length of treatment. For short term, inform pt to take doses with meals to prevent GI upset. For long term, inform pt to monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency and infection
51
methylprednisolone
Medrol Counseling dependent on dose and intended length of treatment. For short term, inform pt to take doses with meals to prevent GI upset. For long term, inform pt to monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency and infection
52
dexamethasone
Decadron Counseling dependent on dose and intended length of treatment. For short term, inform pt to take doses with meals to prevent GI upset. For long term, inform pt to monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency and infection
53
ferrous sulfate
``` Feosol May require several weeks to work Stools will turn black Take on empty stomach Avoid Calcium ```
54
epoetin
Epogen Do not shake, dilute, or expose to light. Store in fridge in box Do not combine remainders from different syringes May require several weeks to work
55
darbepoetin
Aranesp Do not shake, dilute, or expose to light. Store in fridge in box Do not combine remainders from different syringes May require several weeks to work
56
cyanocobalamin
Cobolin-M May require several weeks for max effect take extended release products with food Avoid alcohol because it inhibits B12 absorption
57
folic acid
Folacin-800 May require several weeks to work Avoid alcohol
58
montelukast
Singular Not indicated for acute asthma attaks report increased use or frequency should take in the evening
59
tiotropium
Spiriva Not indicated for rescue therapy/acute brochcospasm drug may increase heart rate, mouth dryness, constipation, urinary difficulty, resp tract infection, sinusitis capsules are for inhalation only and for device
60
levalbuterol
Xopenex HFA shake inhaler before using, canister should be at room temp, prime for first use breath out fully through mouth close lips around it, hold in for 10 seconds wash mouthpiece and air dry at least once a week store at room temp
61
ipratropium/albuterol
Combivent proper technique wash mouthpiece store at room temp
62
fluticasone oral inhaler
Flovent HFA proper technique monitor for toxicity, adrenal insufficiency, oral candidiasis, worsening pulmonary function
63
fluticasone/salmeterol
Advair Diskus proper technique monitor for renal insufficiency, oral candidasis, and worsening pulmonary function
64
budesonide/formoterol
``` symbicort proper technique wash mouth piece store at room temp not for acute asthma attack ```
65
budesonide
Pulmicort Resuples Pulmicort Flexhaler proper technique not for acute asthma attack
66
albuterol sulfate
ProAir HFA proper technique wash mouth piece do not crush ER tablets
67
mometasone nasal inhaler
Nasonex proper technique monitor for adrenal insufficiency
68
triamcinolone nasal inhaler
Nasacort AQ proper technique monitor for adrenal insufficiency
69
azelastine
Astelin avoid spraying in eyes somnolence has been reported avoid alcohol
70
Fexodenadine
Allegra | avoid mental alertness activity
71
fluticasone nasal inhaler
Flonase proper technique monitor for adrenal insufficiency
72
cetirizine
Zyrtec | avoid mental alertness activity
73
thyroid
Armour Thyroid 6-8 weeks before symptoms improvement do not stop suddenly take on empty stomach with water
74
levothyroxine
``` Synthroid 6-8 weeks before symptoms improvement do not stop suddenly take on empty stomach with water avoid antacids and iron within 2 hours of dose ```
75
levocetirizine
Xyzal | avoid mental alertness activity
76
ibandronate
boniva take as soon as you get up in morning before you eat or drink swallow tablet with entire glass of water do not chew/suck wait to eat/drink for 30 minutes do not lie back down after taking med for at least 30 minutes
77
raloxifene
Evista inc risk of blood clot avoid sitting for long time calcium and vit D supplementation should be considered
78
risendronate
Actonel, Atelvia take as soon as you get up in morning before you eat or drink swallow tablet with entire glass of water do not chew/suck wait to eat/drink for 30 minutes do not lie back down after taking med for at least 30 minutes
79
testosterone
AndroGel, apply to clean dry skin not applied to genitals swimming/showering should be avoided for 5-6 hours after application keep site covered be aware of changes in female family members call doc if you have persistent erection
80
progesterone
Prometrium | menstrual bleeding should occur 3-7 days after last dose
81
alendronate
fosamax take as soon as you get up in morning before you eat or drink swallow tablet with entire glass of water do not chew/suck wait to eat/drink for 30 minutes do not lie back down after taking med for at least 30 minutes
82
medroxyprogesterone
Provera | menstrual bleeding should occur 3-7 days after last dose
83
estradiol transdermal patch
``` Vivelle-DOT, Estraderm report abnormal vaginal bleeding do not smoke place patch on clean dry skin do not apply to breast or waistline ```
84
Estradiol oral
Estrace report abnormal vaginal bleeding do not smoke
85
conjugated estrogens/medroxyprogesterone
Prempro, Premphase menstrual bleeding should occur 3-7 days after last dose long term ADR: MI, stroke, DVT, PE, and breast cancer
86
conjugated estrogens
Premarin | long term ADR: MI, stroke, DVT, PE, and breast cancer
87
sitagliptin
Januvia monitor BG 2-4 times per day take with morning meal if once daily dosing avoid alcohol = may cause disulfiram rxn
88
repaglinide
Prandin monitor BG 2-4 times per day take 15-30 minutesbefore each meal up to four times/day
89
pioglitazone
Actos monitor BG 2-4 times per day may take weeks to see max effect may take without regard to food
90
metformin
``` Glucophage monitor BG 2-4 times per day take with morning meal drink plenty of liquids avoid alcohol ```
91
insulin aspart
``` NovoLog, NovoLog FlexPen monitor BG 2-4 times per day store in fridge dispose of needles rotate injection site ```
92
insulin glargine
``` Lantus monitor BG 2-4 times per day store in fridge dispose of needles rotate injection site ```
93
insulin lispro
``` Humalog monitor BG 2-4 times per day store in fridge dispose of needles rotate injection site ```
94
insulin detemir
``` Levemir monitor BG 2-4 times per day store in fridge dispose of needles rotate injection site ```
95
glimepiride
``` Amaryl monitor BG 2-4 times per day take with food or milk use sunscreen avoid tanning bed do not drink alcohol ```
96
Glyburide
``` Micronase monitor BG 2-4 times per day take 30 minutes before morning meal use sunscreen avoid tanning bed do not drink alcohol ```
97
glipizide
``` Glucotrol monitor BG 2-4 times per day take 30 minutes before morning meal use sunscreen avoid tanning bed do not drink alcohol do not chew or crush ```
98
exenatide
``` Byetta prefilled pen that you inject use this medicine 1 hour before eating store unused medicine in fridge open pens, store at room temp throw pen away after 30 days monitor BG levels ```

CAPP III (1 decks)

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