maxalt MLT(rizatriptan)

zomig ZMT (zomitriptan)

dysphagia

trouble swallow (small children)

ADHD

carbamazepine

(sjs)

allopurinol

(severe cutaneous reaction)

azathioprine

mercaptopurine

(risk of mylosuppresion)

irinotecan(campostar)

increase risk of neutropenia

propofol

clevidipine

ipratropium

clevidipine

propofol

flu shots

DIM IRAQ (IRAN)

sulfa antibiotics

tetracyclines

Nsaid

metronidazole

isoniazid

quinolones

azole antifungal

diuretics

isotretinoin

ritonavir

folic acid 400mcg

calcium 100 

vitamin d 600

DEFFGGGG

dong quai

vitamin E

FeverFew

fish oil (over three grams)

ginger

ginseng

ginkgo

garlic

echinacea

zinc

vitamin c

adult 600 iu

>70 800 iu

decrease amio:

digoxin

warfarin

quinidine

procainamide

(increase bleeding and Qt prolongation)

decrease: statin

increase 3a4

increase ph decrease absorbtion

cyp2C19

cimetidine

espmeprazole

etravirine

efavirenz

fluoxetine

fluvoxamine

ketoconazole

modafinil

omeprazole

topiramate

voriconazole

mostly renally cleared

hypokalemia

decrease dig: cholestryamine,colestipol,metoclopramide

increae dig:

antiarryth, and other renal cleared drugs

drug interaction with 

valproate and lamotrigine

- risk?

lithium risk?

increase when?

decrease when?

100% renally cleared

increase when: decrease salt, Nsaid,ace,arb,dehydration

decrease when: inc na,caffeine,theophylline

antibiotics

anticonvulsants

st john wort

HIV (PI,nevirapine)

smoking

al,mg,ca,iron,zinc (decrease absorbation)

class I,III

quinolone

macrolide

TCA

antipsychotics

apomorphine

droperidol

foscarnet

methadone

pentamidine

FT4 .8-1.7

TSH .3-3

neurotoxcity

nephrotoxicity

trough:right before the next dose

peak: 1/2 hours after the end of drug infusion

draw random level withing 8-12 hours post dose

determine frequency using nomogram

dosing concentration for AMG

gentamycin

tobramycin

Amikacin

gentmycyn: peak 5-10, trough <2

tobramycin:peak 5-10, trough <2

amikacin: 20-30, trough <5

benefits of extended interval over traditional dosing of AMG

less nephro

more cost effective

pcn

cephalosporins

do not use cipro oral solution

use immediate relase, crush it (hold feeding 1 hours before 2 hours after)

what is proquin XR

how to give it interms of food

ciprofloxacin

give with main meal

separate 2 hours before and 4-6 hours after

proquin 4 hours before and 6 after

Oracea is brand for

how to give it

doxycycline

empty stomach (one hours before and 2 hours after meal)

max rate for vanco

max concentration

at least 30 min/500mg

max concentration 5mg/ml

side effect for linezolid

does it require renal adjustment

mylosuppresion

avoid tyramine

no renal adjustment required

syncerid must be diluted in

does it require renal adjust? 

D5W, at least 250ml

no renal adjust

vibativ

BBW: fetal risk, obtain pregnancy test

aztreonam,

inhaled use for CF

aplastic anemia, thrombocytopenia

its an antibiotic

what is ketek

black box?

what does it cause

telithromycin

do not use in myathenia gravis, cause respiratory failure

cause visual disturbance

tegecycline

increase death when tx in serious infection

take on empty stomach

avoid acohol

tinidazole

how should you take it

tindamax

take with food to decrease gi

tx duration of pyelonephritis

when use FQ, ceftriaxone

fQ 5-7

cetriaxone 14 days

isoniazid

take with food/empty

rifampin

with food or empty

myambutol

decrease vision

ceftdinir

cefpodoxime

cefpodoime

cefprozil

cefuroxime

azithromycin

clarithromycine

bactrim

erythromycin-sulfisoxazole

erythromycin-sulfisoxazole

pneumococcol vaccine in children 2-23 months

given 4 doses (ages 2,4,6,12-15 months)

also cover meningitis

dental prophy

primary

alternative

primary: amox 2g

alternative: 

cefazolin

clindamycin

azithromycin

fever

rigidity

and alter mental status

tularemia

tx with gent/tobra

c. krusei

c. glabrata

apap

nsaid

diphen

meperidine (reduce rigors)

saline boluses (reduce of nephrotox)

synergy with AmphoB 

down side "bone marrow suppression"

itraconazole

fluconazole

ketoconazole

(food/empty)

take with food

requires acidity for absorbtion

intraconazole 

oral suspension vs capsule

can not be used interchangebly 

not bio eqivalent

oral solution itraconazole

food/empty

capsule should not use for onchyomycosis

do not admin with cisapride,dofetilide,pimozide,quinidine

-do not admin with cisapride cause arrhythmias

- hepatotoxicity

voriconazole

food/empty

correct K,mg,ca

monitor liver

what agent cover 

c. krusei

c.glabrata

avoid night driving

avoid sunlight

posaconazole

food/empty

noxafil

must be taken with full meal

3a4

(voriconazole is strongest CI)

itraconazole and ketoconazole

PH concerns

caspofungin

dilution fluid

Mycamine

candidemia

100mg IV

esophageal candidias

150 IV over 60 minuts

anidulafungin indication

do not exceed dose

Eraxis

esophageal 

100mg LD iv on day 1, then 50mg qd

candidemia

200 iv LD, then 100 iv qd

do not exceed 1.1mg/min

aspergillus 

cuase which organ disease

tx for candida albican

what is the duration

oral candidiasis

non aids vs aids

aids tx

ampho B: .3mg/kg IV qd

7-14 days

ampho B 

.5mg/kg qd

14-21 days

C. glabrada 

C. krusei

superficial fungal infection 

vaginal infection

vaginal Candida infection

cause?

symptoms

tx

duration: preg,recurrent,

cuase by morbid disease

symptoms: puritis,curd like vaginal discharge

tx: topical azole, 

severe or preg: 7 days

recurrent (>4 episodes/year): 7-14days

-vaginal candida infection

diabetest and HIV pt should

- first timer

see a doctor

apply night before bed

weaken condoms

if recurs within two months after using otc, see a doctor

azithromycin

IR/ER (food/empty)

IR: with or without

ER: empty stomach

several months

vision change

Voriconazole

tablet contain what ingrediant

lactose

do not use if pregnant

abacavir

lamivudine

abacavir

lamivudine

zidovudine

emtricitabine

tenofovir

emtricitabine

tenofovir

efavirene

how to take efavirenz

food/empty

how to take delavirdine

(ph)

hepatoxicity

sjs

3a4 inducer

atazanavir 

food/empty

with food

avoid PPI

darunavir

food/empty

indinavir 

food/empty

which antiviral contain 40% alcohol

food/empty

ritonavir

take with food

kaletra

solution (food/empty)

saquinavir

food/empty

hepatitis

intracranial hemorrage

fuzeon

how to prepare solution

hepatotoxicity

metformin and IV contrast dye

take meglitanide 

(food/empty)

15-30 minute before

no food no drug

prancreatitis

gallstones

alcoholism

bromocriptine

food/empty

80mg/.8 ml

 children 160mg/5ml

ibuprofen 

OTC vs RX

OTC: 200-400

RX: 600-800

naproxen 

otc vs rx

naproxen with esomeprazole

(ppi protect gut)

ce-men

celecoxib

meloxicam

nabumatone

etodolac

nsaid can increase

which vital 

no alcohol

can sprinkle in applesauce

what is relistor

formulation

methylnaltrexone

sq

opioid resistant laxative

morphine/naltrexone

deter abuse

kadian

special instruction

fentanyl

meperidine

methadone

tramadol

morphine frequency

IR

ER

Avinza

ir: 10-30 q4

ER: up to 200 Q8-12

do not use soap, use water

flush in toilet

oxymorphone

food/empty

elderly due to renal

serotonin syndrome

seizure

serotonin

embeda

should avoid

butrans

do not (dose)

wear patch for __ days

buprenorphine patch

exceed 20mcg/hour

 wear patch for 7 days

to prescribe suboxone 

dea ends with

buprenorphine 

injection

somnolence

respiratory depression

pinpoint pupil

miosis

increase bp

sexual side effects

drug mouth

somnolence

decrease appetite

cardiotoxicity

anticholinergics

mild euphoria

blurred vision

weight gain

Cardene SR vs Cardene

dosing

SR: BID

IR: TID

side effect methodopa

what test use

lupus like syndrome

coombs test

amlodipine

omesartan

HCTZ

trandolapril

temlisartan

what is altoprev

give at what time of day

extended release of lovastatin

take at bedtime

fluvastatin

XL at anytimes

lescol: take at bedtime

lescol

lipitor

crestor

lipitor

livalo

pravachol

2-4 packets or scoopful daily

mix the power in water

phenytoin

glyburide

warfarin

niaspan

fenofibrate

ADEK (mostly K)

warfarin

sulfonylurea

active liver disease

active PUD

arterial bleeding

otc

hetapotoxicity 

niaspan tablets 

is it interchangable with other formulation

IV

Sq

UFH 

Tx dose of VTE

80mg/kg bolus

then 18 units/kg/hr infusion

percent drop in platelete to be considered as 

thrombocytopenia

protamine 1 mg

will reverse 100 units

max 50 mg

hyperkalemia

thrombocytopenia

osteoporosis

aptt

at 6 hours post dose and every six hours untill range is 1.5-2.5 the controlled is reach

30 mg sc q 12

40 mg qd

crcl <30ml/min use 30mg SC QD

1mg/kg sc q12h

1.5mg/kg SC qd

crcl< 30ml/min use 1mg/k Sc qd

d/c warfarin and start when INR <2.0

broccoli

brussels sprouts

cabbage

canola oil

cauliflower

chickpea

cole slaw 

collard greens

coriander

endive

green kale

lettuce

mustart greens

parsley

soybean oil

spinach

Tea

Turnips greens

omit 1-2 dose then resume 

or

omit one dose, give 1-2.5 vit K

10mg K by slow IV with FFP

repeat q12

hold warfarin

give FFP,prothrombin complex

or 

recombinant factor VII with Vit K 10mg IV

DC 

lovenox

UFH 

prior to surgery

lovenox: 24 hours

UFH 4 hours

resume LMWH

minor surgery

major surgary

minor resume 24 hours

major 48-72 hours

asa and plavix 

stop when prior to surgery