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Pharmacy School 2015-16 > Top 50 Closeout Drugs > Flashcards

Top 50 Closeout Drugs Flashcards

(81 cards)

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1
Q

Atorvastatin

A

Lipitor | Statin | Nausea/dyspepsia, myalgia, may increase enzyme levels during LFT (ask if follow-up is scheduled)

Take at night | Avoid grapefruit juice | Lifestyle modifications

*generally well tolerated

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2
Q

Lovastatin

A

Mevacor | Statin | Nausea/dyspepsia, myalgia, may increase enzyme levels during LFT (ask if follow-up is scheduled)

Take at night | Avoid grapefruit juice | Lifestyle modifications

*generally well tolerated

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3
Q

Pravastatin

A

Pravachol | Statin | Nausea/dyspepsia, myalgia, may increase enzyme levels during LFT (ask if follow-up is scheduled)

Take at night | Less reaction with grapefruit | Lifestyle modifications

*generally well tolerated

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4
Q

Simvastatin

A

Zocor | Statin | Nausea/dyspepsia, myalgia, may increase enzyme levels during LFT (ask if follow-up is scheduled)

Take at night | Avoid grapefruit juice

*generally well tolerated

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5
Q

Atenolol

A

Tenormin | Beta-blocker | Hypertension |
Exercise intolerance, sexual dysfunction, fatigue, depression, dizziness

Monitor HR/BP | do not discontinue abruptly | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

*let doctor know if you are feeling tired all of the time

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6
Q

Metoprolol Tartrate

A

Lopressor | Beta-blocker | Hypertension |
Exercise intolerance, sexual dysfunction, fatigue, depression, dizziness

Monitor HR/BP | do not discontinue abruptly | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

*let doctor know if you are feeling tired all of the time

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7
Q

Metoprolol Succinate

A

Toprol XL | Beta-blocker | Hypertension |
Exercise intolerance, sexual dysfunction, fatigue, depression, dizziness

Monitor HR/BP | do not discontinue abruptly | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

*let doctor know if you are feeling tired all of the time

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8
Q

Carvedilol

A

Coreg | Beta-blocker | Hypertension |
Exercise intolerance, sexual dysfunction, fatigue, depression, dizziness

Monitor HR/BP | do not discontinue abruptly | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

*let doctor know if you are feeling tired all of the time

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9
Q

Amlodipine

A

Norvasc | Calcium Channel Blocker | Hypertension| Edema, fatigue, constipation

Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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10
Q

Diltiazem

A

Cardizem, Dilacor, Tiazac | Calcium Channel Blocker | Hypertension| Edema, fatigue, constipation

Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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11
Q

Verapamil

A

Calan, Verelan | Calcium Channel Blocker | Hypertension| Edema, fatigue, constipation

Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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12
Q

Lisinopril

A

Zestril, Prinivil | ACE Inhibitor | Hypertension | Cough, dizziness, rarely angiodema

Monitor electrolytes | hypotension on first dose may be worse if dehydrated | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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13
Q

Enalapril

A

Vasotec | ACE Inhibitor | Hypertension | Cough, dizziness, rarely angiodema

Monitor electrolytes | hypotension on first dose may be worse if dehydrated | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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14
Q

Benazepril

A

Lotensin | ACE Inhibitor | Hypertension | Cough, dizziness, rarely angiodema

Monitor electrolytes | hypotension on first dose may be worse if dehydrated | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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15
Q

Losartan

A

Cozaar | Angiotensin Receptor Blocker | Hypertension | Dizziness, angiodema (rare)

Monitor electrolytes | hypotension on first dose may be worse if dehydrated | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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16
Q

Olmesartan

A

Benicar | Angiotensin Receptor Blocker | Hypertension | Dizziness, angiodema (rare)

Monitor electrolytes | hypotension on first dose may be worse if dehydrated | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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17
Q

Hydrochlorothiazide

A

Hydrodiuril, Microzide | Thiazide diuretic | Hypertension | Urination, photosensitivity, rash

Monitor electrolytes | potassium wasting | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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18
Q

Chlorthalidone

A

Hygroton | Thiazide diuretic | Hypertension | Urination, photosensitivity, rash

Monitor electrolytes | potassium wasting | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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19
Q

Furosemide

A

Lasix | Loop diuretic | Hypertension | Urination, photosensitivity, rash

Monitor electrolytes | potassium wasting | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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20
Q

Triamterene/hydrochlorothiazide

A

Maxzide, Dyazide | Potassium sparing diuretic | Hypertension | Urination, photosensitivity, rash

Monitor electrolytes | potassium sparing | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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21
Q

Spironolactone

A

Aldactone | Potassium sparing diuretic | Hypertension | Urination, photosensitivity, rash

Monitor electrolytes | potassium sparing | Monitor BP/HR | dizziness | lifestyle modifications (weight, moderate alcohol, exercise, DASH diet, no smoking, low sodium)

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22
Q

Warfarin

A

Coumadin | Vitamin K Antagonist/Anticoagulant | Thrombosis/Embolism | INR too high you will bleed, too low you will clot

Consistent diet but avoid foods high in vitamin K | Avoid NSAIDs | Watch drug, food and herb interactions | keep ALL INR appointments

*Warfarin interacts with many drugs so encourage patient to talk to provider about any new medications at once

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23
Q

Clopidogrel

A

Plavix | Antiplatelet | Atrial Fibrillation | Increased risk of bleed, rash, pruritus

Avoid use with omeprazole (ask provider first)

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24
Q

Metformin

A

Glucophage | Biguanide | Type 2 Diabetes Mellitus | N/V, diarrhea, flatulence

Monitor AIC, renal function | lifestyle modifications | unlikely to cause hypoglycemia

*if side effects do not reside, talk with doctor about changing dosing

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25
Regular Insulin
Humulin R, Novolin R | Insulin | Type 1 or 2 Diabetes Mellitus | Hypoglycemia, weight gain Encourage home BG monitoring | Ensure patient knows what to do if hypoglycemic | Proper pen/vial technique and storage *ask patient if they are aware of signs of low BG
26
Lispro
Humalog | Insulin | Type 1 or 2 Diabetes Mellitus | Hypoglycemia, weight gain Encourage home BG monitoring | Ensure patient knows what to do if hypoglycemic | Proper pen/vial technique and storage *ask patient if they are aware of signs of low BG **rapid acting
27
Aspart
Novolog | Insulin | Type 1 or 2 Diabetes Mellitus | Hypoglycemia, weight gain Encourage home BG monitoring | Ensure patient knows what to do if hypoglycemic | Proper pen/vial technique and storage *ask patient if they are aware of signs of low BG **rapid acting
28
Glargine
Lantus | Insulin | Type 1 or 2 Diabetes Mellitus | Hypoglycemia, weight gain Encourage home BG monitoring | Ensure patient knows what to do if hypoglycemic | Proper pen/vial technique and storage *ask patient if they are aware of signs of low BG **long-acting (24hrs)
29
Cyclobenzaprine
Flexeril | Muscle relaxant | Dry mouth, hypotension, dizziness, sedation Avoid other CNS depressants | Avoid abrupt withdrawal if taken regularly *make sure patient knows to take only as needed
30
Tizanidine
Zanaflex | Muscle relaxant | Dry mouth, hypotension, dizziness, sedation Avoid other CNS depressants | Avoid abrupt withdrawal if taken regularly *make sure patient knows to take only as needed
31
Tramadol
Ultram | Analgesic | Pain | Sedation, constipation, risk of abuse Abuse/dependence | Avoid other CNS depressants | Watch APAP max dosing (4000mg) *not an opioid but acts like one
32
Oxycodone IR
OxyIR | Opioid Analgesic | Pain | Sedation, constipation, risk of abuse Abuse/dependence | Avoid other CNS depressants | Watch APAP max dosing (4000mg)
33
Oxycodone CR
Oxycontin | Opioid Analgesic | Pain | Sedation, constipation, risk of abuse Abuse/dependence | Avoid other CNS depressants | Watch APAP max dosing (4000mg)
34
Oxycodone/APAP
Percocet | Opioid Analgesic | Pain | Sedation, constipation, risk of abuse Abuse/dependence | Avoid other CNS depressants | Watch APAP max dosing (4000mg)
35
Hydrocodon/APAP
Norco, Lortab, Vicodin | Opioid Analgesic | Pain | Sedation, constipation, risk of abuse Abuse/dependence | Avoid other CNS depressants | Watch APAP max dosing (4000mg)
36
Fentanyl Patch
Duragesic | Opioid Analgesic | Pain | Sedation, constipation, risk of abuse Abuse/dependence | Avoid other CNS depressants | Watch APAP max dosing (4000mg) * dispose in toilet after folding * *do not use heating blankets or hot pads * **exercise may increase absorption * ***can shower with patch on * ****place on upper body, rotate sites
37
Fluoxetine
Prozac | SSRI | Depression | Nausea, headache, restlessness Do not discontinue abruptly | AM or PM depending on how it affects individual patient (fluoxetine generally taken in AM) | can increase suicidal ideation | may take up to 6 weeks to see full effects | most cause sexual dysfunction *potential increased risk of bleeds in those on anticoagulants
38
Paroxetine
Paxil | SSRI | Depression | Nausea, headache, restlessness Do not discontinue abruptly | AM or PM depending on how it affects individual patient | can increase suicidal ideation | may take up to 6 weeks to see full effects | most cause sexual dysfunction *potential increased risk of bleeds in those on anticoagulants
39
Sertralien
Zoloft | SSRI | Depression | Nausea, headache, restlessness Do not discontinue abruptly | AM or PM depending on how it affects individual patient | can increase suicidal ideation | may take up to 6 weeks to see full effects | most cause sexual dysfunction *potential increased risk of bleeds in those on anticoagulants
40
Citalopram
Celexa | SSRI | Depression | Nausea, headache, restlessness Do not discontinue abruptly | AM or PM depending on how it affects individual patient | can increase suicidal ideation | may take up to 6 weeks to see full effects | most cause sexual dysfunction *potential increased risk of bleeds in those on anticoagulants
41
Bupropion
Wellbutrin, Zyban (smoking cessation) | NE and Dopamine reuptake inhibitor | depression | dry mouth, insomnia, agitation, headache, weight loss, tachycardia Do not discontinue abruptly | AM or PM depending on how it affects individual patient | can increase suicidal ideation | may take up to 6 weeks to see full effects Less sexual dysfunction | CI in seizure disorder (if taking over 300mg)
42
Venlafaxine
Effexor | SNRI | Depression | HTN, increased sweating as result of HTN Titrate to minimize SE | Do not discontinue abruptly | AM or PM depending on how it affects individual patient | can increase suicidal ideation | may take up to 6 weeks to see full effects | increased risk of bleeding in those taking anticoagulant
43
Lorazepam
Ativan | Benzodiazepine | Anxiety | anterograde amnesia, somnolence/dizziness, abuse/withdrawal Avoid other CNS depressants | if taken regularly, taper off slowly | prn
44
Alprazolam
Xanax | Benzodiazepine | Anxiety | anterograde amnesia, somnolence/dizziness, abuse/withdrawal Avoid other CNS depressants | if taken regularly, taper off slowly | prn
45
Zolpidem
Ambien | Sedative/hypnotic | insomnia | daytime somnolence, dizziness, parasomnias Take right before bed | plan for full 8 hours of sleep | potential dependence
46
Methylphenidate
Ritalin, Concerta | CNS stimulant | ADHD | Nausea, loss of appetite, insomnia/irritability, HA Monitor BP/HR (height and weight for kids) | Potential for dependency and abuse | ask about follow-up appointments | patient will need new Rx for more
47
Amphetamine Salt Combination (Dextroamphetamine/Amphetamine)
Adderall | CNS stimulant | ADHD | Nausea, loss of appetite, insomnia/irritability, HA Monitor BP/HR (height and weight for kids) | Potential for dependency and abuse | ask about follow-up appointments | patient will need new Rx for more
48
Gabapentin
Neurontin | Antiepileptic | Seizures | Drowsiness/sedation, dizziness, edema, ataxia, "fuzzy headed" at increased doses Various indications | caution with other CNS depressants
49
Albuterol HFA
ProAir, Ventolin, Proventil | SABA | Asthma | HA, tremor, shakiness, tachycardia, lightheadedness Instruct on inhalation technique | for rescue! | if using more than 2x/week reevaluate therapy
50
Fluticasone HFA
Flovent | Corticosteroid | Asthma | Thrush/URI, cough/hoarseness, HA Rinse mouth after every use | use every day | instruct on proper inhalation technique
51
Fluticasone + Salmeterol
Advair | Corticosteroid + LABA | Asthma | Thrush/URI, cough/hoarseness, HA Rinse mouth after every use | use every day | instruct on proper inhalation technique
52
Tiotropium
Spiriva Handihaler | Anticholinergic | COPD | Dry mouth, cough/hoarseness, bitter taste, URI Instruct on proper technique
53
Ipratoprium/Albuterol
Combivent Respimat | Anticholinergic | COPD | Dry mouth, cough/hoarseness, bitter taste, URI Instruct on proper technique
54
Prednisone
Deltasone | Oral Corticosteroid | Asthma/COPD | Insomnia/agitation, fluid retention, can increase BG and BP at high doses Take early in the day | sometimes taper dose | typically take tablets together
55
Triamcinolone
Kenalog | Topical corticosteroid | Allergic rhinitis | skin atrophy, burning, contact dermatitis Apply sparingly | do not occlude unless instructed to | do not use longer than 10-14 days to avoid AE (unless told otherwise)
56
Amoxicillin
Amoxil, Trimox | Beta-lactam | Infection Beware of PCN allergy Take how prescribed and finish whole course | may cause nausea and mild diarrhea; take with food to avoid | predisposed to yeast infection | may interact with oral contraceptives | c.dif risk - use probiotics
57
Amoxicillin w/ Clavulanate
Augmentin | Beta-lactam | Infection Beware of PCN allergy | diarrhea more common Take how prescribed and finish whole course | may cause nausea and mild diarrhea; take with food to avoid | predisposed to yeast infection | may interact with oral contraceptives | c.dif risk - use probiotics
58
Cephalexin
Keflex | Beta-lactam | Infection Beware of PCN allergy Take how prescribed and finish whole course | may cause nausea and mild diarrhea; take with food to avoid | predisposed to yeast infection | may interact with oral contraceptives | c.dif risk - use probiotics
59
Ciprofloxacin
Cipro | Fluoroquinolone | Infection | tendonopathy (Achilles), photosensitivity, peripheral neuropathy, QT prolongation Avoid taking with antacids, multivitamins, and dairy products Take how prescribed and finish whole course | may cause nausea and mild diarrhea; take with food to avoid | predisposed to yeast infection | may interact with oral contraceptives | c.dif risk - use probiotics
60
Doxycycline
Vibramycin | Tetracycline | Infection | Photosensitivity, rash Not for those under 8 due to teeth yellowing | avoid taking mineral supplements and antacids within 2 hours of taking | take with plenty of water, can upset stomach Take how prescribed and finish whole course | may cause nausea and mild diarrhea; take with food to avoid | predisposed to yeast infection | may interact with oral contraceptives | c.dif risk - use probiotics
61
Clindamicin
Cleocin | Lincosamide | Infection | NVD Take how prescribed and finish whole course | may cause nausea and mild diarrhea; take with food to avoid | predisposed to yeast infection | may interact with oral contraceptives | c.dif risk - use probiotics (DO NOT recommend loperamide)
62
Azithromycin
Zithromax | Macrolide | Infection | QT prolongation, GI upset Take with or without food | Do not take with antacids Take how prescribed and finish whole course | may cause nausea and mild diarrhea; take with food to avoid | predisposed to yeast infection | may interact with oral contraceptives | c.dif risk - use probiotics
63
Sulfamethoxazole/Trimethoprim
Bactrim, Septra | Sulfonamide | Infection | Photosensitivity, rash Drink lots of floods to avoid crystalluria | potential allergy Take how prescribed and finish whole course | may cause nausea and mild diarrhea; take with food to avoid | predisposed to yeast infection | may interact with oral contraceptives | c.dif risk - use probiotics
64
Polyethylene Glycol
GoLytely | Bowel prep osmotic laxative | prior colonoscopy | diarrhea, nausea, increased thirst Avoid dark colors | do not plan to leave house | read packet of info from prescriber | product only good for 48 hours once water added
65
Latanoprost
Xalatan | Prostanoid receptor agonist | elevated intraocular pressure | mild irritation, blurred vision, eyelash growth, iris color change Show patient how to administer; qd pm
66
Tobramycin
Tobrex | Aminoglycoside antibiotic | Ocular infection | mild irritation, blurred vision Counsel on administration technique
67
Gentramicin
Gentak | Aminoglycoside antibiotic | Ocular infection | mild irritation, blurred vision Counsel on administration technique
68
Erythromycin
Romycin, Ilotycin | Aminoglycoside antibiotic | Ocular infection | mild irritation, blurred vision Counsel on administration technique (ointment)
69
Ethinyl Estradiol/Norgestimate
Oral contraceptive | breast tenderness, weight gain, HA/migraine, increased clot risk Take every day | if miss 2, see insert | start first day of menstrual cycle | no smoking
70
Ethinyl Estradiol/levonorgestrel
Amethia, Oral Orsythia, Lutera | contraceptive | breast tenderness, weight gain, HA/migraine, increased clot risk Take every day | if miss 2, see insert | start first day of menstrual cycle | no smoking
71
Ethinyl Estradiol/norethindrone
Oral contraceptive | breast tenderness, weight gain, HA/migraine, increased clot risk Take every day | if miss 2, see insert | start first day of menstrual cycle | no smoking
72
Ethinyl Estradiol/drosperinone
Zarah, Ocella, Yasmin, Yaz | Oral contraceptive | breast tenderness, weight gain, HA/migraine, increased clot risk Take every day | if miss 2, see insert | start first day of menstrual cycle | no smoking
73
Acyclovir
Zovirax | Antiviral | Herpes, Varicella | up to 5x/day | malaise, headache, NVD Works best at first sign of outbreak | fluid intake | with or without food
74
Valacyclovir
Zovirax | Antiviral | Herpes, Varicella, HIV | bid-tid | malaise, headache, NVD Works best at first sign of outbreak | fluid intake | with or without food
75
Alendronate
Fosamax | bisphosphonate | 1x/week for osteoporosis | NV, heartburn, atypical femur fracture (rare) and osteonecrosis of jaw (rare) Take on empty stomach with full glass of water in morning | avoid lying down for 30 minutes (heartburn) | calcium and vitamin D
76
Levothyroxine
Synthroid, Levoxyl | Thyroid hormone replacement | no SE if euthyroid; if dose too high, tachycardia, sweating and weight loss Take on empty stomach | monitor TSH | take in morning
77
Tamsulosin
Flomax | Alpha-blocker | BPH | dizziness, orthostatic hypotension, fatigue, HA Monitor BP
78
Sildenafil
Viagra | Phosphodiesterase-5 inhibitor | ED | HA, flushing, color vision change, dyspepsia, priapism CI with nitrates | limit 1 dose/day
79
Vardenafil
Levitra | Phosphodiesterase-5 inhibitor | ED | HA, flushing, color vision change, dyspepsia, priapism CI with nitrates | limit 1 dose/day
80
Tadalafil
Cialis | Phosphodiesterase-5 inhibitor | ED | HA, flushing, color vision change, dyspepsia, priapism CI with nitrates | limit 1 dose/day *take 30-60 minutes prior to sex
81
Epinephrine Pen
EpiPen, Adrenaclick, AuviQ | Epinephrine Tell patients to get comfortable with technique | still need to seek medical attention | always keep on hand and check expiration date

Pharmacy School 2015-16 (34 decks)

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