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used to order C-II controlled substances |
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Controlled substance act of 1970 identified five classes C-I through C-5, requires DEA registration for pharmacies etc |
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Combat Methamphetamine Epidemic Act |
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Set daily and monthly restrictions on pseudofed |
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Prohibited interstate commerce in adulterated or misbranded food, govt pre-approval of drugs required |
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Requires tax and licensing from manufacturers, pharmacists, and importers and physicians who provide narcs |
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1927 Food, Drug and insecticide administration |
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1938 Food Drug and Cosmetic Act (FDC) |
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requires new drugs to be shown safe before marketing after 107 ppl poisoned |
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1950 Alberty Food Products v. US |
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Court of Appeals ruled purpose for which a drug is to be used must be included on label |
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1951 Durham-Humphrey Amendment |
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Requires RX-only on label |
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1962 Kefauver-Harris Amendment |
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Requires proof of both safety and effectiveness before marketing drug |
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1966 Fair Packaging and Labeling Act |
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Requires honest and informative labelling (whatever the hell that means) |
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1970 Poison Prevention Packaging ACt |
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Child-proof packaging on all drugs unless pt request |
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1976 Medical Device Amendment |
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Requires pre-market approval for safety and effectiveness of life-sustaining and life-supporting medical devices |
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Incentives for creating drugs for rare diseases |
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1984 Drug Price Competition and Patent Term Restoration Act (Hatch-Waxman) |
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allows patent term extensions, and earlier generic introductions |
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1987 Prescription Drug Marketing ACt |
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requires state licensing of drug wholesalers and requires drugs to be sold by them only |
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requires pharmacists to offer counseling to medicaid patients regarding medications |
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1996 Health Insurance Portability and Accountability Act |
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HIPPA--privacy rules, cannot share private pt information |
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1990 Anabolic Steroid Control Act |
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anti-steroids for teenagers |
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when blood is forced out of the heart--high pressure |
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when blood pressure is lower--relaxation phase |
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for atrial fibrillation generic: warfarin |
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atrial fibrilation generic: metoprolol |
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congestive heart failure generic: carvedilol |
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congestive heart failure generic: enalapril |
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coronary artery disease generic: amlodipine |
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coronary artery disease genric: clopidogrel |
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hypertension generic: valsartan |
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hypertension generic: furosemide |
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diabetes insipidus (excessive thirst, diluted pee, bad kidney regulation) generic: vasopressin |
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diabetes mellitus (insulin-related diabetes) generic: insulin lispro |
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diabetes mellitus regular insulin is the generic |
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diabetes mellitus generic: tolbutamide |
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hyperthyroidism generic is methimazole |
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hypoaldosteronism (low aldosterone, which regulates sodium potassium and water levels) brand is florinef |
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hypothyroidism brand is levoxyl or synthroid |
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constipation brand: colace |
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diphenoxylate with atropine |
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GERD (gastrointestinal reflux disease) prilosec |
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nausea vomiting brand is compazine |
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acne vulgaris brand: retin-a |
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atopic dermatitis brand: elidel |
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atopic dermatitis brand: protopic |
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herpes labialis (cold sores) brand: abreva |
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impetigo (contagious skin infection pus blisters) brand: keflex |
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impetigo chlamydia (std) myringitis (inflammation of the tympannic membrane) brand: zithromax |
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psoriasis (white scaley flaking) brand: dovonex |
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hemophilia brand: kogenate-fs |
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lymphoma, multiple myeloma brand: cytoxan |
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non-hodgkin's lymphoma brand: rituxan |
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fibromyalgia (muslce pain) |
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gout (defective metabolism of uric acid causes painful arthritis) brand: indocin |
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multiple sclerosis brand: copaxone |
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muscle spasms brand: valium |
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rheumatoid arthritis (immune system attacks cartilage) brand: mobic |
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spasticity (unusual tightness in muscles) brand: lioresal |
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tendinitis brand: naprosyn |
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hsv encephalitis (viral brain inflammation) brand: zovirax |
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parkinson's disease brand: requip binds dopamine receptors |
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parkinson's disease brand: sinemet inhibits conversion of precursors to dopamine in the PNS, so there will be more precursors moving to produce dopamine in the CNS |
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arthritis/spondylitis (spine fuses together 0_0) brand: enbrel |
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osteoporosis brand: actonel |
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osteoporosis brand: fosamax |
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paget's disease (enlarged misshapen bones) brand: didronel |
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rheumatoid arthritis (immune system arthritis) brand: mobic |
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breast cancer brand: ellence |
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dysmenorrea (painful cramps during menstruation) brand: cataflam |
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endometriosis (cells from the womb grow elsewhere in the body, making it hard to get pregnant etc) brand: synarel |
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ovulation induction (fertility drugs that make you have multiple eggs) brand: clomid |
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benign prostatic hyperplasia (enlargement of the prostate) brand: flomax |
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benign prostatic hyperplasia (enlargement of the prostate) brand: proscar |
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genital hsv infection brand: valtrex |
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prostate cancer brand: casodex |
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allergic rhinitis (allergies in your nose) brand: zyrtec |
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chronic obstructive pulmonary disease brand:combivent |
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albuterol and ipratropium |
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mucolytic therapy brand: mucomyst |
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cystinuria (cystine stones in your bladder etc) brand: capoten |
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cystitis (urinary bladder infection) brand: cipro |
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glomerulonephritis (kidney disease, blood in urine, inflammation) brand: solu-medrol |
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urinary incontinence brand: detrol |
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urinary tract infection brand: macrobid |
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urolithiasis (kidney stones) pain management brand: voltaren |
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ceruminosis (excessive earwax) brand: debrox |
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otitis externa (outer ear inflmmation) brand: floxin |
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otitis media (middle ear inflammation) brand: amoxil |
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otomycosis (fungal ear infection of outer canal) brand: nizoral |
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allergic conjunctivitis brand: patanol |
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bacterial conjunctvitis brand: genoptic |
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blepharitis (eyelid infection) brand: polytrim |
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chronic dry eye brand: restasis |
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glaucoma (damage to optic nerve) brand: azopt |
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superficial ocular infection brand: maxitrol |
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line over ss (like the line over 1t, but over two ss instead) |
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ph of the large intestine |
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Brand: Clozaril, FazaClo For schizophrenia, can cause drop in WBC so users need their blood checked each month |
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Brand: thalomid for leprosy and painful inflammation of skin requires STEPS registration (dangerous for unborn) |
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Generic name: alosetron for irritable bowel syndrome, also requires physicians entered in prescribing program because can cause bad GI reactions |
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generic: dofetilide irregular heart beats can be caused--used to treat arrhythmia so needs TIPS program |
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brand: tysabri for multiple sclerosis because can cause rare brain infection, needs to be in TOUCH program |
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Delays release of drug until reaches intestines, so don't irriate stomach or get messed up by acid in stomach |
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Are gummy and also for the mouth |
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Alcohol-based topical solutions |
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Aqueous, more watery than creams |
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Injection into space between dura mater and vertebral column--into cerebral spinal fluid |
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Why intramuscular injections? |
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Definition
Because volume of medicaiton larger, longer duration of action, medicine would irritate the skin |
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Definition
Into subarachnoid space (into your head, into crebral spinal fluid), for narc single injections (pain) and for implantable fusion pumps. reduces side effects, for very low, controlled doses |
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Short-acting bronchodilators |
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Definition
Open airways for quick rescue relief from asthma Albuterol, Metaproterenol, Pirbuterol, Levalbuterol, Proventil, Ventolin, Alupent, Maxair, Xopenex |
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Definition
control inflamation for nose, sinuses, bronchi, lungs, when inhaled |
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Definition
prevent histamine release and prevent inflammation that causes bronchoconstriction |
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Definition
Ipatropium spray blocks neurotransmitter acetylcholine, which initiates inflammation in asthma bronchoconstriction |
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Definition
Prevent leuktrienes, which help initiate inflammatory response in bronchoconstriction |
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Term
Tricyclic antidepressants |
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Definition
increase norepinephrine and serotonin, block acetylcholine They are: amitryptyline, nortryptyline, protryptyline, imipramine, desipramine, doxepin, and clomipramine |
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Monamine Oxidase Inhibitors (MAOIs) |
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Definition
antidepressants that block MAO receptors, allowing accumulation of monoamines like norepinephrine They are: isocarboxazid phenelzine tranylcypromine |
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Term
Selective serotonin reuptake inhibitors |
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Definition
anti-depressants fluoxetine (prozac) paroxetine (paxil) sertraline (zoloft) citalopram (celexa) escitalopram (lexapro) fluvoxamine (luvox) |
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Low potency conventional antypsychotics |
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Definition
developed in the 1950s for psychosis, like schizophrenia include chlorpromazine and thioridazine |
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Intermediate potency conventioanl antipsychotics |
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Definition
developed 1950s for psychosis perphenazine and loxapine |
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high potency conventional antipsychotics |
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Definition
developed 1950s for psychosis like schizophrenia include trifluoperazine, fluphenazine, thiothixene, and halperidol |
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Term
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Definition
work differently from typical antipsychotics, most work on serotonin receptors AND dopamine receptors include: clozapine, olanzepine (zyprexa), risperidone (risperdal), quetiapine (seroquel), ziprasidone (godon), and abilify |
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Definition
relieve nervousness, tension, etc by slowing the cns include: alprazolam (xanax), diazepam (valium), lorazepam (ativan), oxazepam (serax), estazolam (prosom), and temazepam (restoril) |
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Definition
also relieve nervousness and supress CNS, but chemically different than benzodiazepines include: buspirone (buspar), zolpidem (ambien), zaleplon (sonata), chloral hydrate (aquachloral) |
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Definition
CNS depressants--can be mild sedatives to total anesthesia, can be hypnotics or anticonvulsants include: phenobarbital (luminal), barbital (veronal), and amobarbital (amylobarbitone) |
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Definition
prevent rapid firing of nerves (seizure) phentoin (dilantin), fosphenytoin (cerebyx), ethotoin (peganone), diazepam (valium), lorazepam (ativan), clonazepam (klonopin), valproic acid (depakene), divalproex sodium (depakote), carbamazepine (tegretol), primidone (mysoline), gabapentin (neurontin), oxcarbazepine (trileptal), lamotrigine (lamictal), felbamate (felbatol), levetiracetam (keppra), zonisamide (zonegran), topiramate (topamax) |
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Definition
levodopa/carbidopa (sinemet), tolcapon, entacopone, amantidine (symmetrel), bromocriptine (parlodel), pergolide (permax), selegiline (eldepryl), benztropine (cogentin), procyclidine (kemadrin) |
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Definition
lower cholesterol by binding bile in GI tract to prevent its absorption like cholestyramine (questran), colestipol, colesevelam (welchol) |
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Definition
regulate HMG-CoA reductase which is involved in forming cholesterol like: fluvastatin (lescol), lovastatin (mevacor), atorvastatin (lipitor), pravastatin (pravachol), simvistatin (zocor), crestor |
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Definition
stimulate enzymes that digest triglycerides and help build HDL cholesterol (good) gemfibrozil (lopid) and fenofibrate (tricor) |
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Definition
reduce blood volume and blood pressure by making you pee hydrochlorothiazide, chlorothiazide, indapamide, chlorthalidone |
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Definition
reduce blood volume and blood pressure by making you pee furosemide (lasix), bumetanide, torsemide |
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Term
potassium-sparing diuretics |
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Definition
reduce blood volume and blood pressure by making you pee spironolactone, triamterene |
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Term
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Definition
all the ones combined with hctz that reduce blood volume and blood pressure by making you pee |
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Term
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Definition
reduce blood pressure by decreasing force and speed of heart rate, relaxing blood vessels like: atenolol, metoprolol (toprol xl and lopressor), nadolol, propranolol (inderal), timolol, carteolol, bisoprolol, sotalol, acebutolol, carvedilol (coreg), labetolol (normodyne) |
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Definition
block ACE which causes constriction of blood vessels like: captopril (capoten), benazepril, foxinopril, lisinopril, quinapril, ramipril (altace), moexipril |
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Term
angiotensin II receptor blockers |
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Definition
cause widening of blood vessels, block angiotensin (which tenses blood vessels) include losartan (cozaar), valsartan (diovan), irbesartan (avapro), olmesartan (benicar) |
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Term
calcium channel blockers: dihydropyridines |
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Definition
decrease excitatory effects of calcium on heart muscle, decreasing heart beat force, lowering blood pressure amlodipine (norvasc), nifedipine (procardia), felodipine, nisoldipine (sular), nimodipine (nimtop) |
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Term
non-dihydropyridine calcium channel blockers |
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Definition
decrease excitatory effects of calcium on heart muscle, decreasing heart beat force, lowering blood pressure diltiazem (cardizem), verapamil, |
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Term
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Definition
lowers blood pressure (catapres is brand) |
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Term
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Definition
lowers blood pressure (cardura) |
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Definition
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Definition
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Definition
maintain normal heart rate lidocaine (zylocaine), tocainide (tonocard), mexiletine, quinidine, procainamide (procan), disopyramide (norpace), flecainide, amiodarone, sotalol (betapace) |
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Definition
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Definition
(sorbitrate) (isordil) heart medicine |
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Term
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Definition
(imdur) (ismo) (monoket) heart medicine |
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Definition
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Term
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Definition
stop clotting warfarin (coumadin), heparin, enoxaparin (lovenox), dalteparin (fragmin) |
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Term
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Definition
reduce acidic juices in stomach omeprazole (prilosec), pantoprazole (protonix), lansoprazole (prevacid), rabeprozole (aciphex), esomeprazole (nexium) |
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Term
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Definition
reduces production of acidic juices in stomach cimetidine (tagamet), ranitidine (zantac), famotidine (pepcid), nizatidine (axid) |
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Term
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Definition
increase muscle contraction in upper GI, speeds up stomach emptying metoclopramide (reglan) |
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Term
NSAIDs (non-steroidal anti-inflammatory drugs) |
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Definition
inhibit synthesis of inflammatory, pain, and fever chemicals ibuprofen, ketoprofen, diclofenac (voltaren), sulindac (clinoril), etodolac (lodine), ketorolac (toradol), naproxen (naprosyn, napelan), meloxicam (mobic), oxaprozin (daypro), indomethacin (indocin), nabumetone (relafen) |
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Definition
block enzymes to impede chemical messengers of inflammation and pain celebrex |
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Term
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Definition
block pain receptors controlled drugs, CIIs morphine, hydromorphone, meperidine, and fentanyl, along with minor codeine, oxycodone, propoxyphene, nalbuphine, butorphanol, dezocine, tramadol (ultram) |
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acetaminophen (tylenol) stops chemicals taht sensitize pain receptors |
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Definition
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Definition
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skeletal muscle relaxants |
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Definition
block nerve impulses to prevent abnormal muscle contractions include carisoprodol (soma), chlorzoxazone (parafon forte), cyclobenzaprine (flexeril), metaxolone (skelaxin), methocarbamol (robaxin), orphenadrine (norflex) |
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Definition
lispro, aspart, humalog, takes 5-15 minutes |
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Term
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Definition
patient creats no insulin, insulin dependent, pancreas islet cells destroyed |
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Term
type II diabetes mellitus |
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Definition
non-insulin dependent, create little insulin, adult onset, resistant to insulin |
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Term
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Definition
kidneys can't conserve water |
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Term
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Definition
regular humulin r (30-60 minutes) |
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Term
intermediate acting insulin |
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Definition
nph, humulin n, lente (2-4 hours, 3-4 hours) |
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Term
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Definition
lantus, ultralente (6-10 hours), glargine (4 hours) |
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Term
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Definition
increase insulin production in the body |
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Term
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Definition
oral hypoglycemics chlorpropamide (diabinese), tolbutamide, glyburide, glipizide, glimepiride (amaryl) |
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Term
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Definition
oral hypoglycemics repaglinide (prandin), neteglinide (starlix) |
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Term
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Definition
oral hypoglycemics metformin (fortament, glucophage) |
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Term
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Definition
oral hypoglycemics rosiglitazone (avandia), pioglitazone (actos) |
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Term
alpha-glucosidase inhibitors |
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Definition
oral hypoglycemics like acarbose (precose), miglitol (glycet) |
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Term
oral hypoglycemic combination agents |
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Definition
glucovance, metoglip, avandamet (rosiglitazone/metformin) |
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Term
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Definition
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Term
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Definition
chemotherapy intravenous drug |
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Term
intraarterial chemotherapy |
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Definition
floxuridine, fluorouracil, mitomycin-c, cisplatin, streptomycin |
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Term
intralesional chemotherapy (directly into a tumor) |
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Definition
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Term
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Definition
paclitaxel,mitoxantrone,carboplatin,alphainterferon |
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Term
intrathecal (into spinal fluid) chemo |
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Definition
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Term
Check incompatibility for solutions of: |
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Definition
calcium, magnesium, or phosphate, becaues of precipitation properties and acetate or lactate |
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Term
drugs that break down when exposed to light |
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Definition
amphotericin b, cisplatin, and metronidazole |
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Term
cefazolin iv stable how long at room temp? |
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Definition
24 hours room temp, 96 at refrigerator |
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Term
nitroglycerine and filters? |
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Definition
in-line filters can cause up to 90% reduction in nitroglycerin concentration |
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Term
amphotericin b is not compatible with? |
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Definition
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Term
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Definition
not for sue with needles, administration sets, or filters that contain aluminum |
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Term
albumin is sometimes added to admixtures because? |
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Definition
it preferentially binds plastics like pvc, so the drugs don't interact with the plastic |
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Term
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Definition
nitroglycerin, epinephrine, and physostigmine |
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Term
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Definition
corrosive, flammable, toxic, like cyclophosphamide |
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Term
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Definition
molecular weight divided by number of ions |
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Term
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Definition
molecular weight/valence (valence being the number of positive or negative charges) |
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Term
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Definition
technical, chemically pure, usp, fcc (food), acs (american chemical society), ar (analytical reagent), hplc, spectroscopic, primary |
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Term
compound formulations with water should not be used beyond ____ days at cold temperature |
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Definition
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Term
solid and non-aqueous liquid compound formulations should not be used beyond ____ |
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Definition
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Term
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Definition
grinding powders in a mortar and pestle |
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Term
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Definition
mixing two powders--start with equal amounts of small powder and big powder, mix, and then little by little add the big powder so homogenous |
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Term
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Definition
triturating a powder with a solvent in which it is insoluble to make it smaller |
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Term
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Definition
a viscocity enhancer for syrups with artificial sweeteners |
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Term
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Definition
cocoa butter, synthetic triglycerides, fattibas, witepsol, for suppositories |
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Term
water soluble or miscible bases |
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Definition
PEG or glycerinated gelatin for suppositories |
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Term
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Definition
from 000 (1.37 ml) to 5, with 5 the smallest (0.13 ml) |
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Term
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Definition
USP/NF for nonsterile compounds |
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Term
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Definition
USP/NF for sterile compounds |
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Term
DFC (factsandcomparisons.com) |
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Definition
Compare medications in the same therapeutic class |
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Term
Martindale (The Complete Drug Reference) |
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Definition
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Term
AHFS drug information (ashp.org/ahfs) |
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Definition
Off-label medication indications |
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Term
ashp.org Handbook on Injectable Drugs |
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Definition
All preparation, storage, etc information on injectible drugs |
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Term
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Definition
Pricing information for drugs |
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Term
King's Guide to Parenteral Admixtures |
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Definition
stability and compatibility on injectible drugs |
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Term
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Definition
trade and generic names, abbreviations, drug products |
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Term
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Definition
chemical attributes of drugs |
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Term
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Definition
references for physicians on warnings etc for drugs |
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Term
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Definition
compounding, labelling, storace of pharmaceutical products |
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Term
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Definition
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Term
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Definition
cytotoxic products and compounds safety regulations |
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Term
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Definition
the medical letter on drugs and therapeutics, and the pink sheet |
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Term
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Definition
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Term
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Definition
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Term
short stability medications |
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Definition
in IV, they expire within 1-6 hours after preparation--include sulfameth/trimethoprim, phenytoin |
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Term
alkylating agents (chemotheraphy) |
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Definition
chemically react with DNA to prevent tumor cell reproduction busulfan (myleran tablets), cisplatin (platinol iv), streptozocin (zanosar iv) |
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Term
antibiotics (chemotherapty) |
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Definition
inhibit RNA synthesis and prevent tumor cell reproduction bleomycin (blenoxane iv), doxorubicin (adriamycin pfs iv), mitomycin (mutamycin iv) |
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Term
antimetabolites (chemotherapy) |
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Definition
incorporate into normal cell components and alter their function, or inhibit normal function of key enzyme targets that are higher in cancer cells, include capectoabine (xeloda tablets), floxuridine (FUDR iv), fludarabine (fludara iv), methotrexate (rheumatrex tablet) |
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Term
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Definition
hormones inhibit synthesis of adrenal steroids which adrenal tumor cells need to reproduce flutamide (eulexin capsule), megestrol (suspension, tab), triptorelin (trelstar injection), leuprolide (vaidur, eligard, lupron implant,inj) |
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Term
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Definition
bind to dna & rna so tumor cells can't reproduce chlorambucil (leukeran tab), estramustine (emcyt capsule), mechlorethamine (mustargen iv) |
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Term
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Definition
inhibit cell division of tumors docetaxel (taxotere iv), etoposide (vepesid iv, caps), paclitaxel (taxol iv) |
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Term
topoisomerase i inhibitors chemo |
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Definition
cause DNA damage when cells replicate irinotecan (camptosar iv), topotecan (hycamtin iv) |
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Term
fluid ounce (apothecary system) |
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Definition
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Term
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Definition
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Term
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Definition
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Term
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Definition
adult dosage times child's weight over 150 kg |
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Term
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Definition
adult dosage times child's age over child's age plus 12 |
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Term
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Definition
complex two different concentrations of creams together with this method |
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Term
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Definition
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Term
flouroquinolone loses effectiveness when mixed with: |
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Definition
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Term
warfarin's effects become increased with: |
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Definition
heparin, lovastatin, bactrim, metronidazole, erythromycin, clarithromycin, and cipro. |
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Term
warfarin's bleeding effects increase with: |
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Definition
acetaminophen, aspirin, NSAIDs. |
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Term
carbamazepine has increased effects with: |
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Definition
cimetidine (tagamet), erythromycin, clarithormycin, and fluconazole. |
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Term
carbamazepine has decreased effects with: |
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Definition
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Term
phenytoin levels increase with: |
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Definition
cimetidine, ertyrhomycin, clarithromycin, fluconazole. |
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Term
phenytoin levels decrease with: |
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Definition
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Term
phenobarbital levels increase with: |
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Definition
cimetidine, erythromycin, clarithromycin, fluconazole, and rifampin. |
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Term
lithium levels increase with: |
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Definition
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|
Term
oral contraceptives decrease in effectiveness with: |
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Definition
rifampin, antibiotics, and troglitazone. |
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Term
viagra can cause a dramatic drop in blood pressure with: |
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Definition
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Term
viagra can have increased levels with: |
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Definition
cimetidine, ertyrhomycin, itraconazole, ketoconazole. |
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Term
tricyclic antidepressants have increased levels with: |
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Definition
SSRI drugs like prozac and escitalopram. |
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Term
SSRI drugs have increased potential for seizures and serrotonin syndrome with: |
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Definition
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Term
SSRI drugs cause serotonin syndrome with: |
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Definition
St. John's Wort, naratriptan, rizatriptan, sumatriptan, and zolmitriptan. |
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Term
bisphosphonates like alendronate and risendronate have reduced effectiveness with: |
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Definition
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|
Term
anticoagulants like warfarin have reduced effectiveness and increased clotting risks with: |
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Definition
foods high in vitamin K like broccoli, brussels sprouts, spinach, and kale. |
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Term
grapefruit juice reduces metabolism of which drugs? |
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Definition
some benzodiazepines, calcium channel blockers, cyclosporine, estrogen, and oral contraceptives, and certain statin drugs. |
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Term
digoxin loses absorption with what foods? |
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Definition
oatmeal and other fibrous foods. |
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Term
MAO inhibitors like phenelzine and tranylcypromine cause severe headache and potentially fatal blood pressure increase with: |
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Definition
foods high in tyramine like cheese, yogurt, cured meats, dried fish, caviar, avocados, bananas, raisins, sauerkraut, red wine, beers, and caffeine. |
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Term
tetracycline loses absorption with: |
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Definition
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