Shared Flashcard Set

Details

indications
indications/counseling points
100
Pharmacology
Professional
05/01/2012

Additional Pharmacology Flashcards

 


 

Cards

Term

doxycycline

 

Vibamycin

Definition
  • Tx infections of: 
  • respiratory tract
  • urinary tract
  • sexually transmitted diseases
  • acne

  • sun-sensitivity
  • take with food but:
  • separate dairy products (Ca), antacids (Mg, Al), minerals (Fe) 2 hrs before or 4 hrs after dose
  • increase fluid intake
  • may decrease effectiveness of oral contraceptives (OC); use additional form of birth control during and 1 week following last dose
Term

amoxicillin

 

Amoxil

Definition
  • Tx infections of:
  • Respiratory tract
  • UTI
  • STD
  • Ears, nose throat
  • Skin

  • May decrease effectiveness of OC; use additional form of birth control during and 1 week following last dose
  • contraindicated if penicllin allergy
Term

cephalexin

 

Keflex

Definition
  • Tx infections of: 
  • Respiratory tract
  • UTI
  • Ears nose, throat
  • Skin and bone

  • Caution if penicillin allergy
Term

azithromycin

 

Zithromax

Definition
  • Tx infections of:
  • Respiratory tract
  • UTI
  • STD
  • Ears, nose, throat
  • skin and eyes

  • do not take doses with Al or Mg containing antacids
  • take with food to prevent stomach upset
Term

ciprofloxacin

 

Cipro

Definition
  • Tx infections of:
  • Respiratory tract
  • UTI
  • STD
  • Skin and bones

  • dizziness (caution driving)
  • enhances effects of caffeine
  • seperate dairy, antacids, minerals by 2 hrs before or 6 hrs after dose
  • sun-sensitivity
Term

sulfamethoxazole/trimethoprim (SMZ-TMP)

 

Bactrim DS

Definition
  • Tx infections of:
  • Respiratory tract
  • UTI
  • HIV

  • sun-sensitivity
  • drink lots of water
  • contraindicated if sulfa allergy
Term

nitrofurantoin

 

Macrobid

Definition
  • Tx UTI

  • brown-colored urine
  •  avoid Mg containing antacids during therapy
  • take with food/milk
Term

metronidazole

 

Flagyl

Definition
  • Tx infections of:
  • Abscess
  • vaginosis
  • gastrointestinal (GI) tract
  • STD

  • brown-colored urine
  • alcohol contraindicated for 3 days following last dose
  • metallic taste
  • headache
Term

fluconazole

 

Diflucan

Definition
  • Tx fungal infections of:
  • mouth (thrush)
  • skin
  • vagina
  • HIV

  • report skin rash to prescriber
Term

valacyclovir

 

Valtrex

Definition
  • Tx herpes viral infections:
  • Genitals
  • Cold sores
  • Shingles

  • Headache
  • does not prevent disease transmission
  • encourage fluids
Term

ethinyl estradiol/desogestrel

 

Desogen

 

Apri

Definition
  • oral contraception 

  • claim to fame: monophasics have less side effects from hormone flucutations
Term

ethinyl estradiol/desogestrel

 

Mircette

 

Kariva

Definition
  • oral contraceptive

  • claim to fame: lessens headaches caused by drop in estrogen
Term

ethinyl estradiol/levonorgestrel

 

Seasonale

 

Jolessa

Definition
  • oral contraception

  • claim to fame: reduces # of periods
Term

ethinyl estradiol/norethindrone

 

Loestrin Fe 1/20

Definition
  • oral contraception

  • claim to fame: replaces iron lost during menses
Term

ethinyl estradiol/norgestimate

 

Ortho-Tri-Cyclen

 

Tri-Sprintec

Definition
  • Oral contraception
  • Acne

  • Claim to fame: triphasics mimic natural menstrual cycle
Term

ethinyl estradiol/drospirenone

 

Yaz

 

Gianvi

Definition
  • oral contraception
  • acne
  • premenstrual dysphoric disorder

  • claim to fame: shorter menstrual periods
Term

ethinyl estradiol/norelgestromin

 

Ortho Evra

Definition
  • contraception

  • same side effects as OC but enhanced
  • Skin rash/rotate sites
  • do not cut patch
  • apply to butt, upper torso, stomach, upper arm
Term

ethinyl estradiol/etonogestrel

 

NuvaRing

Definition
  • contraception

  • same side effects as OCs
  • if falls out; rinse with cool water and reinsert within 3 hours
  • don't remove before intercourse
  • not a barrier device
  • refrigerate until dispensed
Term

medroxyprogesterone acetate

 

Depo Provera

Definition
  • Contraception

  • Claim to fame: no pills to remember and no estrogen component
  • NOT used for acne
  • same side effects as OCs
  • administer in physician's office
  • do not use >2 years due to bone loss
Term

levonorgestrel

 

Plan B

 

Plan B One-Step

Definition
  • Emergency post-coital contraception

  • fatigue
  • dizziness
  • no evidence of clinical interaction with antibiotics

 

Term

fexofenadine

(OTC)

 

Allegra

Definition
  • prevention, relief, and management of allergy symptoms (runny nose, watery eyes, coughing from drainage)

  • headache
  • separate antacids by ≥30 min
  • take with water, avoid fruit juices
Term

diphenhydramine (OTC)

 

Benadryl

Definition
  • relief of allergy symptoms (runny nose, watery eyes, cough from drainage)
  • sleep aid
  • relieve itching
  • prevention and treatment of motion sickness

  • drowsiness!
  • dry mouth
  • paradoxical hyperactivity in children
Term

montelukast

 

Singulair

Definition
  • management of chronic nasal allergy symptoms
  • asthma exacerbation prevention

  • do not use in an acute asthma attack
Term

fluticasone

 

Flonase

Definition
  • prevention and management of nasal allergy symptoms

  • prime before first use
  • gently shake before each use
  • may take several days for full effect
  • headache
  • sore throat
Term

albuterol sulfate

 

ProAir HFA

 

Proventril HFA

Definition
  • prevention and treatment of acute asthma symptoms

  • use for prevention or treatment of acute attacks
  • shake well
  • may increase heart rate
Term

fluticasone/salmeterol

 

Advair Diskus

Definition
  • management of asthma

  • rinse mouth and spit after use
  • discard after 30 days once opened
  • store in dry area
  • do not shake DPI
Term

guaifenesin

 

Mucinex

Definition
  • treatment of chest congestion (expectorant)

  • drink lots of water
  • do not crush or chew
Term

benzonatate

 

Tessalon Perles

 

Definition
  • treatment of dry cough (cough suppressant)

  • drowsiness
  • do not chew
Term

dextromethorphan

 

Delsym

Definition
  • treatment of dry cough (cough suppressant)

  • shake well
  • time release formulation - no more than every 12 hours
  • potential for abuse
Term

pseudoephedrine (BTC)

 

Sudafed

Definition
  • treatment of nasal congestion

  • need identification (purchase at pharmacy counter)
  • increased heart rate
  • jitters
  • insomnia
Term

velafaxine

 

Effexor XR

Definition
  • depression
  • anxiety disorder
  • panic disorder
  • social phobia

  • insomnia
  • headache
  • take with food
  • caution with NSAIDS-may increase risk of bleeding

 

Term

sertraline

 

Zoloft

Definition
  • depression
  • anxiety
  • panic disoder
  • OCD (obsessive compulsive disorder)
  • PTSD (post traumatic stress disorder)
  • PDD (premenstrual dysphoric disorder)

  • insomnia
  • headache
  • take with food
  • sexual dysfunction
Term

duloxetine

 

Cymbalta

Definition
  • depression
  • anxiety disorder
  • diabetic peripheral neuropathy pain
  • fibromyalgia/chronic musculoskeletal pain 

  • insomnia
  • take with food
  • caution with NSAIDS-may increase bleeding
Term

buproprion

 

Wellbutrin SR

Definition
  • depression
  • seasonal affective disorder
  • smoking cessation

  • insomnia
  • caution if history of seizures or anorexia
  • "ghost" tablet in stool
  • begin 1 week before patient stops smoking
Term

amitriptyline

 

Elavil

Definition
  • depression
  • Non-FDA approved uses:
  • chronic pain
  • migraine prevention
  • insomnia

  • drowsiness
  • weight gain
  • constipation
Term

trazadone

 

Desyrel

Definition
  • depression
  • Non-FDA approved uses: Insomnia

  • drowsiness
  • take IR tablets with food
Term

alprazolam

 

Xanax

Definition
  • anxiety
  • panic disorder

  • sedation/confusion
  • taper dose
  • avoid alcohol
Term

amphetamine/dextroamphetamine

 

Adderall

Definition
  • ADHD
  • Narcolepsy

  • insomnia
  • decreased appetite/weight loss
  • increases heart rate
Term

methylphenidate

CII

 

Concerta (ER)

Definition
  • ADHD
  • Narcolepsy

  • Insomnia
  • decreased appetite/weight loss
  • increases heart rate
Term

hypericum perforatum (OTC)

 

St. John's Wort

Definition
  • Depression

  • Photosensitivity
  • Do not take with other anti-depressants
  • many drug interactions
Term

acetaminophen

 

Tylenol

Definition
  • mild to moderate pain
  • fever

  • watch for max dose; APAP in many combo products
  • do not treat hangovers with APAP
Term

acetylsalicylic acid

 

Bayer aspirin

Definition
  • mild to moderate pain
  • fever
  • inflammation (e.g. arthritis)
  • heart attack and stroke prevention

  • stomach upset
  • take with food/milk, and water
  • risk of Reye's Syndrome in children ≤18 years old
  • ringing in ears with high dose
Term

ibuprofen

 

Advil

Motrin IB

Rx: Motrin

Definition
  • mild to moderate pain
  • fever
  • inflammation (e.g. sprains, bursitis, arthritis)

  • stomach upset
  • take with food/milk
  • avoid if cardiovascular risk
Term

naproxen sodium

 

Aleve

Rx: Anaprox

Definition
  • mild to moderate pain
  • fever
  • inflammation

  • stomach upset
  • take with food/milk
  • avoid if cardiovascular risk
Term

celecoxib

 

Celebrex

Definition
  • mild to moderate pain
  • inflammation (usually arthritis)

  • stomach upset
  • take with food/milk
  • avoid if cardiovascular risk
Term

hydrocodone/acetaminophen

CIII

 

Lortab

Vicodin

Norco

Definition
  • moderate to severe pain

  • watch for max dose; APAP in many combo products
  • do not treat hangovers with APAP
  • stomach upset
  • constipation
  • drowsiness
Term

oxycodone

CII

 

Oxycontin

Definition
  • moderate to severe pain

  • stomach pain
  • constipation
  • drowsiness
  • do not chew or crush controlled release tablets
Term

tramadol

 

Ultram

Definition
  • moderate to moderately severe pain

  • constipation
  • drowsiness
  • dizziness
  • avoid if history of seizures or head trauma
Term

cyclobenzaprine

 

Flexeril

Definition
  • Tx muscle spasms

  • drowsiness!
  • dry mouth
  • not advised for treatment beyond 2-3 weeks
Term

methylprednisolone

 

Medrol

Definition
  • steroidal anti-inflammatory (e.g., treats asthma, poison ivy)

  • finish entire course of medication
  • stomach upset
  • take with food/milk
  • may cause insomnia
Term

risperidone

 

Risperal

Definition
  • bipolar disorder
  • schizophrenia
  • irritability in autism

  • stomach upset/constipation
  • muscle restlessness and/or rigidity
  • weight gain
  • insomnia
Term

aripiprazole

 

Abilify

Definition
  • bipolar disorder
  • schizophrenia
  • depression (adjunct)

  • muscle restlessness and/or rigidity
  • weight gain
  • headache
Term

olanzapine

 

Zyprexa

Definition
  • bipolar disorder
  • schizophrenia
  • Non-FDA: treatment-resistant depression

  • muscle restlessness
  • weight gain
  • dry mouth
  • increased lipids, glucose
Term

topiramate

 

Topamax

Definition
  • seizures
  • migraine prevention
  • Non-FDA: Bipolar disorder 

  • stomach upset/diarrhea
  • weight loss
  • taper dose
  • decreases effectiveness of oral contraceptives
  • abnormal or double vision
Term

pregabalin

C-V

 

Lyrica

Definition
  • seizures
  • nerve pain
  • fibromyalgia

  • constipation
  • weight gain
  • taper dose
  • dry mouth
  • swelling of hands/feet
Term

gabapentin

 

Neurontin

Definition
  • seizures
  • nerve pain

  • taper dose
  • swelling of hands/feet
  • take at least 2 hours apart from antacids
Term

lamotrigine

 

Lamictal

Definition
  • seizures
  • bipolar disorder

  • upset stomach/nausea
  • insomnia
  • headache
  • abnormal or double vision
  • taper dose
Term

divalproex sodium

 

Depakote

Definition
  • seizures
  • bipolar disorder
  • migraine prevention

  • upset stomach/nausea
  • insomnia
  • tremor
  • headache
  • abnormal or double vision
  • taper dose
Term

zolpidem (C-IV)

 

Ambien

Definition
  • insomnia

  • take within 20 minutes of bedtime
  • get >8 hours of rest
  • risk of abnormal sleep behaviors
Term

eszopiclone

 

Lunesta

Definition
  • insomnia

  • take within 20 minutes of bedtime
  • get >8 hours of rest
  • risk of abnormal sleep behaviors
  • headache
  • unpleasant metallic taste
Term

promethazine

 

Phenergan

Definition
  • treatment of:
  • nausea
  • vomiting
  • motion sickness 
  • (pick correct dosage for symptoms)

  • drowsiness
  • avoid alcohol
  • sun sensitivity
Term

ondansetron

 

Zofran

Zofran ODT

Definition
  • prevention of nausea and vomiting
  • non-FDA approved for treatment of nausea and vomiting

  • headache
  • constipation or diarrhea
Term

omeprazole (Rx and OTC)

 

Prilosec (Rx)

Prilosec OTC

Definition
  • prevention of acid reflux/indigestion
  • prevention and treatment of ulcers

  • do not crush/chew
  • take 1-4 days for effect
  • take 1/2-1 hour before food
Term

famotidine (Rx and OTC)

 

Pepcid (Rx)

Pepcid AC (OTC)

Definition
  • prevention of acid reflux/indigestion
  • prevention and treatment of ulcers

  • headache
  • takes 24 hours for effect
Term

magnesium hydroxide, aluminum hydroxide, simethicone (OTC)

 

Maalox Advanced

Definition
  • treatment of acute acid reflux/indigestion (AlOH, MgOH)
  • relief of gas pressure/bloating (simethicone)

  • Shake well
  • many drug-drug- interactions
  • constipation (aluminum)
  • diarrhea (magnesium and simethicone)
Term

calcium carbonate (OTC)

 

Tums

Definition
  • Treatment of acute acid reflux/indigestion
  • calcium supplement

  • if taking for supplementation, take with food or acidic juice to increase absorption
  • constipation
Term

docusate sodium

 

Colace

Definition
  • stool softener to relieve constipation

  • do not crush/chew
  • may take 1-2 days to work
  • do not take within two hours of other medications
  • take with a full glass of water
Term

sennosides (senna)

(OTC)

 

Senokot

Ex-Lax

Definition
  • stimulant laxative to relieve constipation

  • do not crush/chew tablets
  • do not take longer than 1 week
  • takes up to 6-12 hours for effect
  • diarrhea, cramps
Term

polyethylene glycol (PEG)

(Rx and OTC)

 

Miralax (OTC)

Definition
  • pulls water into the intestine to relieve constipation
  • bowel evacuant for colonoscopy prep

  • takes up to 2-4 days
  • do not use longer than 2 weeks without physician supervision
Term

loperamide (Rx and OTC)

 

Imodium (Rx)

Imodium AD (OTC)

Definition
  • slows peristalsis to treat diarrhea

  • drowsiness
  • dry mouth
  • black/bloody stools- call MD
  • if diarrhea not improved in 2 days- call MD
Term

omega-3 fish oil (Rx and OTC)

 

Lovaza (Rx)

Definition
  • reduce triglycerides

  • stomach upset/take with food
  • do not crush/chew
  • refrigerate caps if fishy aftertaste
Term

simvastatin

 

Zocor

Definition
  • reduce cholesterol and triglycerides

  • report unusual muscle pain
  • avoid grapefruit juice
  • avoid alcohol
  • contraindicated in pregnancy
Term

ezetimibe

 

Zetia

Definition
  • reduce cholesterol

  • diarrhea
  • report unusual muscle pain

 

Term

gemfibrozil

 

Lopid

Definition
  • reduce triglycerides

  • report unusual muscle pain, tenderness, or weakness
  • upset stomach/abdominal pain
Term

insulin lispro

 

Humalog

Definition
  • Type I diabetes
  • Type II diabetes

  • rapid acting insulin
  • eat within 15 minutes of using
  • refrigerate unopened insulin
  • after 1st use, store vial at room temp or let syringe reach room temp prior to injection (injecting cold insulin is painful)
  • discard 28 days after 1st use
Term

insulin regular (Rx and OTC)

 

Novalin R

Humulin R

Definition
  • Type I diabetes
  • Type II diabetes

  • short acting insulin
  • eat within 30 minutes of using
  • refridgerate unopened insulin
  • after 1st use, store vial at room temp or let filled syringe reach room temp prior to injection
  • discard 28 days after 1st use
Term

insulin glargine

 

Lantus

Definition
  • Type I diabetes
  • Type II diabetes

  • long acting insulin
  • use at same time each day
  • cannot be mixed in the same syringe with other insulin
  • after 1st use, store vial at room temp or let filled syringe reach room temp prior to injection
  • discard 28 days after 1st use
Term

metformin

 

Glucophage

Definition
  • Type II diabetes

  • titrate up to reduce stomach upset
  • diarrhea
  • take with meals
  • avoid alcohol
  • take with plenty of water
Term

glimepiride

 

Amaryl

Definition
  • Type 2 diabetes

  • take with 1st meal of the day
  • low blood sugar
  • nausea
  • effectiveness decreases over time
  • avoid alcohol
Term

sitagliptin

 

Januvia

Definition
  • Type 2 diabetes

  • low blood sugar
  • stuffed or runny nose
  • sore throat
  • headache
Term

clopidogrel

 

Plavix

Definition
  • to prevent blood clots

  • avoid aspirin and NSAIDS (unless instructed)
  • seek medical attention for unusual bleeding or bruising
Term

warfarin

 

Coumadin

Definition
  • to prevent blood clots

  • avoid aspirin and NSAIDS (unless instructed)
  • seek medical attention for unusual bleeding or bruising
  • keep dietary vitamin K consistent (green leafy vegetables)
  • avoid cranberry juice and cranberry products
  • ask before starting new medications due to many drug interactions 
Term

furosemide

 

Lasix

Definition
  • edema (swelling)
  • hypertension
  • heart failure

  • photosensitivity
  • dizziness upon standing
  • avoid taking at bedtime (inceases urination)
Term

hydrochlorothiazide (HCTZ)

 

Hydrodiuril (tablet)

Microzide (capsule)

Definition
  • Edema
  • Hypertension

  • Photosensitivity
  • Dizziness
Term

triamterene/HCTZ

 

Maxzide-25 (tablet)

Dyazide (capsule)

Definition
  • Edema
  • Hypertension

  • Photosensitivity
  • Dizziness
Term

lisinopril

 

Zestril

Prinivil

Definition
  • hypertension
  • heart failure or post heart attack
  • (non-FDA approved: diabetic nephropathy)

  • avoid during pregnancy
  • dizziness
  • dry cough
  • headache
  • avoid salt substitute that are high in potassium
Term

valsartan

 

Diovan

Definition
  • hypertension
  • heart failure
  • post heart attack

  • avoid during pregnancy
  • headache
  • avoid salt substitutes that are high in potassium
Term

amlodipine

 

Norvasc

Definition
  • Hypertension
  • Prevent angina (chest pain)

  • swelling (edema)
  • headache
  • palpitations
Term

metoprolol tartrate

 

metoprolol succinate

 

Lopressor

Toprol XL

Definition
  • hypertension
  • prevent angina (chest pain)
  • post heart attack

  • low heart rate
  • dizziness
  • diarrhea
  • fatigue
  • take with food (better absorption)
Term

clonidine

 

Catapres

 

Catapres-TTS

Definition
  • hypertension

  • Tablet: 
  • drowsiness
  • dry mouth
  • constipation
  • sudden discontinuation results in rebound hypertension
  • Also for patch:
  • apply to a hairless area on upper arm or upper chest
  • rotate sites
  • do not cut the patch
  • apply cover if patch loosens
Term

levothyroxine

 

Levoxyl

Synthroid

Levothroid

Definition
  • Hypothyroidism

  • Take with water on an empty stomach at least 30 minutes before a meal
  • take 4 hours apart from antacids and iron
  • peak effect in 4-6 weeks
  • do not switch manufacturers (changes blood level/effectiveness)
Term

tamsulosin

 

Flomax

Definition
  • treats enlarged prostate

  • take 30 minutes after the same meal each day
  • rise slowly from a sitting/lying position as drug may cause dizziness
  • headache
  • runny nose
Term

tolerodine

 

Detrol LA

Definition
  • overactive bladder

  • swallow whole
  • dry mouth
  • dizziness
Term

donepezil

 

Aricept

Definition
  • treats Alzheimer's disease by slowing mental decline

  • nausea
  • diarrhea
  • dizziness
  • stomach bleed with NSAIDS
Term

alendronate

 

Fosamax

Definition
  • osteoporosis (prevents bone loss)

  • take 30 minutes before breakfast
  • take with plain water and remain upright for 30 minutes
  • report heartburn or bone pain to physician
Term

allopurinol

 

Zyloprim

Definition
  • Gout

  • Take with food
  • drink 10-12 glasses of fluids daily
  • takes 2-6 weeks for optimal effect
  • avoid alcohol, caffeine, and large doses of vitamin C
Term

varenicline

 

Chantix

Definition
  • smoking cessation

  • begin taking 7 days before scheduled quit date
  • take after eating, with full glass of water
  • vivid, unusual dreams
  • nausea
  • headache
  • insomnia
Term

Iron

 

Slow Fe

 

Fergon

Definition
  • Iron deficiency
  • dietary supplement

  • take with meal
  • stomach discomfort
  • black stools
Term

sumatriptin

 

Imitrex

Definition
  • treatment of migraine
  • cluster headaches

  • do not use for other types of headaches
  • will not prevent a headache
  • avoid if history of cardiovascular disease
Term

tadalafil

 

Cialis

Definition
  • erectile dysfunction

  • do not take more than once daily
  • avoid alcohol, grapefruit juice
  • headache and flushing
  • report erection lasting >4 hours to the prescriber
  • report sudden loss of hearing or vision
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