Advanced Community Lab - Drugs 1 - 168

Front 1

Remeron

Back 1

Mirtazapine
Antidepressant

Hint 1

May cause drowsiness or dizziness, dry mouth, constipation and weight gain.Do not discontinue abruptly. Open from blister and dissolve SolTab on the tongue.

Front 2

Procardia XL

Back 2

Nifedipine ER
Dihydro Ca Channel Blocker

Hint 2

May cause drowsiness and peripheral edema not responsive to diuretic but is to ACE-I or ARB, Procardia XL not equivent to Adalat CC

Front 3

Flagyl (ER)

Back 3

Metronidazole
Antibacterial/Antiprotozoal

Hint 3

Avoid alcohol during and 2 day after therapy, may cause urine to turn reddish-brown, finish course

Front 4

Atacand

Back 4

Candesartan
ARB Antihypertensive

Hint 4

Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit

Front 5

Desyrel

Back 5

Trazodone
Antidepressant/Sleep Aid

Hint 5

May cause dizziness/drowsiness/orthostasis, priapism risk.

Front 6

Lotrel

Back 6

Amlodipine/Benazepril
Dihydro Ca Channel Blocker / ACE-I Antihypertensive

Hint 6

May cause drowsiness, do not discontinue therapy abruptly, cough caution, avoid salt substitute, anaphylaxis caution

Front 7

Diflucan

Back 7

Fluconazole
Antifungal

Hint 7

Finish course, D/I's strongly inhibits 2C9, 2C19 (ex. clopidigrel, warfarin and phenytoin) moderate 3A4, can also prolong QT interval. My cause GI upset, and headache

Front 8

Avapro

Back 8

Irbesartan
ARB Antihypertensive

Hint 8

Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit

Front 9

Wellbutrin (SR) (XL) or Zyban

Back 9

Bupropion
Antidepressant/smoking cessation aid

Hint 9

Take XL tabs in AM to avoid insomnia, do not crush or chew SR or XL tabs, do not take doses too close or exceeding maximum doses because of seizure risk. Potential side-effects inc nervousness, constipation, trouble sleeping, dry mouth, tremor.

Front 10

Bumex

Back 10

Bumetanide
Diuretic -Loop

Hint 10

Diuresis, may be prn for CHF (monitor weight, watch salt intake)

Front 11

Lamisil

Back 11

Terbinafine
Antifungal

Hint 11

Topical formulation is most common, finish course

Front 12

Micardis

Back 12

Telmisartan
ARB Antihypertensive

Hint 12

Avoid salt substitutes, do not open foil pkg until ready to use

Front 13

Dilantin Kapseals

Back 13

Extended Phenytoin
Antiepileptic

Hint 13

May cause dizziness/drowsiness, do not operate heavy machinery. Emphasize good oral hygiene to reduce risk of gingival hyperplasia

Front 14

Demadex

Back 14

Torsemide
Diuretic -Loop

Hint 14

Diuresis, may be prn for CHF (monitor weight, watch salt intake)

Front 15

Nizoral

Back 15

Ketoconazole
Antifungal

Hint 15

Requires acid to be absorbed, Take with food, avoid antacids 2 hours before and after each dose, avoid PPI's and H2's, major 3A4 D/I's

Front 16

Exforge

Back 16

Amlodipine/Valsartan
ARB/Calcium channel blocker

Hint 16

Avoid salt substitutes

Front 17

Keppra

Back 17

Levetiracetam
Antiepileptic

Hint 17

May cause dizziness/drowsiness, do not operate heavy machinery, do not abruptly discontinue therapy

Front 18

Lasix

Back 18

Furosemide
Diuretic -Loop

Hint 18

Diuresis, may be prn for CHF (monitor weight, watch salt intake). Lasix means "lasts six hours"

Front 19

Nystatin

Back 19

Nystatin
Antifungal

Hint 19

Susp can be "swish and spit" (oral candidiasis) or "swish and swollow" (esophageal candidiasis)

Front 20

Hyzaar

Back 20

Losartan/HCTZ
ARB/diuretic

Hint 20

Avoid salt substitutes, take in AM

Front 21

Lamictal

Back 21

Lamotrigine
Antiepileptic

Hint 21

Report hypersensitivity/rash to MD, may cause drowsiness, do not operate heavy machine

Front 22

Aldactone

Back 22

Spironolactone
Diuretic -Potassium Sparing

Hint 22

Take in early morning, monitor renal function and K+, gynecomastia in males, menstrual irregularities in women. Evidence based for heart failure, post MI and in resistant hypertension.

Front 23

Valtrex

Back 23

Valacyclovir
Antiviral against herpes virus

Hint 23

Avoid intercourse during herpes outbreak, dose and duration depends on indication, CNS side-effects especially in elderly and renal impairment, D/I with zoster vaccine, stay well hydrated

Front 24

Inderal (LA)

Back 24

Propranolol
Beta Blocker - Nonselective

Hint 24

May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly, LA and immed release are not mg per mg equivalent (likely need 30% more of the LA when converting from the immediate to the LA form)

Front 25

Tegretol (XR)

Back 25

Carbamazepine
Antiepileptic

Hint 25

Take with food, may cause drowsiness, avoid alcohol. Serious and sometimes fatal dermatologic reactions (including Stevens-Johnson syndrome and toxic epidermal necrolysis) have been reported, especially in patients with the inherited allelic variant HLA-B*1502. Genetically at-risk patients (IE those form Asia including China) should be screened prior to receiving carbamazepine.

Front 26

Dyazide caps or Maxzide tabs

Back 26

Triamterene/HCTZ
Diuretic -Potassium Sparing/Losing

Hint 26

Take in early morning, avoid salt substitutes, may cause kidney stones due to triameterene (must maintain fluid status), can't use in impaired renal status (CCR < 30)

Front 27

Zovirax

Back 27

Acyclovir
Antiviral against herpes virus

Hint 27

Avoid intercourse during herpes outbreak, dose and duration depends on indication, CNS side-effects especially in elderly and renal impairment, D/I with zoster vaccine, stay well hydrated

Front 28

Coreg (CR)

Back 28

Carvedilol
Beta Blocker (+ alpha 1 blocker)

Hint 28

May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly, CR and immed release are not mg per mg equivalent (liver 2d6 has greater opportunity to chew up so need higher once daily release), example Coreg CR 10mg = Coreg 3.125mg BID

Front 29

Trileptal

Back 29

Oxcarbazepine
Antiepileptic

Hint 29

May cause dizziness/drowsiness, do not operate heavy machinery, do not abruptly discontinue therapy

Front 30

Chlorthalidone

Back 30

Chlorthalidone
Diuretic - Thiazide

Hint 30

Evidence based, Twice as potent as HCTZ, Take in early morning, can't use in impaired renal status (CCR<30)

Front 31

Ceftin

Back 31

Cefuroxime
Cephalosporin antibiotic

Hint 31

can cause GI upset and hypersensitivity if allergic to PCN and cephalosporins. Can decrease absorption of oral birth control. Finish course

Front 32

Normodyne or Trandate

Back 32

Labetalol
Beta Blocker (+ alpha 1 blocker)

Hint 32

May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly

Front 33

Depakote (ER)

Back 33

Divalproex
Antiepileptic, mood stabilizer

Hint 33

Do not abruptly discontinue therapy, avoid alcohol use, may cause drowsiness

Front 34

Lozol

Back 34

Indapamide
Diuretic -Thiazide

Hint 34

Can be used in lower renal function, Evidence based

Front 35

Keflex

Back 35

Cephalexin
Cephalosporin antibiotic

Hint 35

can cause GI upset and hypersensitivity if allergic to PCN and cephalosporins. Can decrease absorption of oral birth control. Finish course

Front 36

Lopressor

Back 36

Metoprolol Tartrate
Beta Blocker -Selective

Hint 36

May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly

Front 37

Phenobarbital

Back 37

Phenobarbital
Antiepileptic/hypnotic; C-IV

Hint 37

May cause drowsiness or dizziness, avoid alcohol use during therapy

Front 38

Zaroxolyn

Back 38

Metolazone
Diuretic -thiazide

Hint 38

Often used in diuretic resistance patients in combination with loop diuretics, carefully monitor electrolytes especially K+ and Mg++

Front 39

Omnicef

Back 39

Cefdinir
Cephalosporin antibiotic

Hint 39

can cause GI upset and hypersensitivity if allergic to PCN and cephalosporins. Can decrease absorption of oral birth control. Finish course

Front 40

Tenormin

Back 40

Atenolol
Beta Blocker -Selective

Hint 40

May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly. Limited evidenced based data

Front 41

Topamax

Back 41

Topiramate
Antiepileptic/Migraine prophylactic

Hint 41

May cause drowsiness or dizziness, avoid alcohol use during therapy. Confusion ("Dopamax") and it is now FDA approved in a combination with phentermine in extended release - Qsymia (C-IV)

Front 42

Klor-Con

Back 42

Potassium Chloride
Electrolyte supplement

Hint 42

Avoid salt substitutes, GI upset

Front 43

Avelox

Back 43

Moxifloxacin
Fluoroquinolone antibiotic

Hint 43

Do not take with di or trivalent cations (separarate by 2 hours: milk calcium, antacids, and multivitamins), may cause sun sensitivity, possible CNS side-effects, FDA requires to assess risk of QTc prolongationl, monitor glucose, Tendon rupture warning, finish course

Front 44

Toprol XL

Back 44

Metoprolol Succinate
Beta Blocker -Selective

Hint 44

May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly, XL and immed release are not mg per mg equivalent (200 succinate equal to 150 of tartrate)

Front 45

Neurontin

Back 45

Gabapentin
Antiepileptic/neuropathic analgesic

Hint 45

May cause drowsiness or dizziness, avoid alcohol use during therapy. Edema, weight gain and confusion as common side effects, as well as generally need to titrate slowly to higher doses as this agent has dose related kinetics

Front 46

Lovenox

Back 46

Enoxaparin
Low molecular weight heparin

Hint 46

Increased bleeding risk, review injection technique, often used to bridge with warfarin

Front 47

Cipro (XR)

Back 47

Ciprofloxacin
Fluoroquinolone antibiotic

Hint 47

Do not take with di or trivalent cations (separarate by 2 hours: milk calcium, antacids, and multivitamins), may cause sun sensitivity, possible CNS side-effects, can prolong QT interval, monitor glucose, Tendon rupture warning, finish course

Front 48

Bystolic

Back 48

Nebivolol
Beta blocker, Beta-1 selective

Hint 48

May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly. No outcome data.

Front 49

Cogentin

Back 49

Benztropine
Antiparkinson Agent

Hint 49

May take with food to decrease GI symptoms. Potential anticholinergic side-effects

Front 50

Imdur, ISMO

Back 50

Isosorbide Mononitrate
Nitroglycerine

Hint 50

Dizziness, headache,dose to avoid tolerance, must dose ISMO BID but need asymmetric dosing to avoid development of tolerance (need a nitrate free interval) ex.7 and 3 not Q12

Front 51

Levaquin

Back 51

Levofloxacin
Fluoroquinolone antibiotic

Hint 51

Do not take with di or trivalent cations (separarate by 2 hours: milk calcium, antacids, and multivitamins), may cause sun sensitivity, possible CNS side-effects, can prolong QT interval, monitor glucose, Tendon rupture warning, finish course

Front 52

Ziac

Back 52

Bisoprolol/HCTZ
Beta Blocker - Beta 1 selective/thiazide diuretic

Hint 52

May cause drowsiness, may mask hypoglycemia, do not discontinue therapy abruptly. Bisoprolol does have outcome data in heart failure at a target dose of 10mg QD

Front 53

Mirapex

Back 53

Pramipexole
Antiparkinson Agent

Hint 53

Hallucinations may occur, report any changes in vision to MD, may cause drowsiness and even sleep attacks (falling asleep without warning)

Front 54

Nitro-Dur

Back 54

Topical Nitroglycerin
Antianginal/vasodilator
Nitroglycerine

Hint 54

Take without regard to food, finish full course of therapy, need nitrate free interval

Front 55

Biaxin (XL)

Back 55

Clarithromycin
Macrolide Antibiotic

Hint 55

Metallic taste, 3A4 inhibition, QTc prolongation, finish course

Front 56

Azor

Back 56

Amlodipine/Olmestartan
Calcium channel blocker/ARB

Hint 56

Refer to individual agents

Front 57

Sinemet (CR)

Back 57

Levodopa/Carbidopa
Antiparkinson Agent

Hint 57

Avoid products containing B6 as they reduce the effectiveness of levodopa, may be taken with food/milk if GI upset occurs

Front 58

Nitrostat

Back 58

Nitroglycerin
Antianginal/vasodilator

Hint 58

May cause lightheadedness, if symptoms unrelieved, take second tablet in 5 minutes and if no relief after 2nd dose, phone 911

Front 59

Ery-Tab

Back 59

Erythromycin Base
Macrolide Antibiotic

Hint 59

Causes GI distress, Take on full stomach, 3A4 and 1A2 inhibition, finish course

Front 60

Caduet

Back 60

Amlodipine/Atorvastatin
Calcium channel blocker/HMG-CoA inhibitor

Hint 60

Refer to individual agents alone

Front 61

Requip

Back 61

Ropinirole
Antiparkinson/Restless Leg agent

Hint 61

May cause drowsiness or dizziness, avoid alcohol use during therapy, orthostasis may occur. May also cause sleep attacks.

Front 62

Cardizem(SR)(CD) or Taztia XT

Back 62

Diltiazem
Non dihydro Ca Channel Blocker

Hint 62

May cause dizziness, do not discontinue therapy with MD consult, Look up to see if branded generics are AB rated

Front 63

Zithromax or Zmax

Back 63

Azithromycin
Macrolide Antibiotic

Hint 63

possible QTc prologation, does not inhibit 3A4, finish course

Front 64

Norvasc

Back 64

Amlodipine
Dihydro Ca Channel Blocker

Hint 64

May cause drowsiness and peripheral edema not responsive to diuretic but is to ACE-I or ARB

Front 65

Abilify

Back 65

Aripiprazole
Antipsychotic

Hint 65

Avoid alcohol, D/I 3A4, QT prolongation, do not discontinue abruptly

Front 66

Isoptin (SR) or Calan

Back 66

Verapamil
Non dihydro Ca Channel Blocker

Hint 66

May cause dizziness, do not discontinue therapy with MD consult

Front 67

Cleocin

Back 67

Clindamycin
Other Antibiotic

Hint 67

May cause C.Diff associated severe diarrhea, Susp taste horrible

Front 68

Lanoxin or Lanoxicap

Back 68

Digoxin
+ Inotropic/ -chronotrope

Hint 68

Narrow therapeutic index drug, avoid D/I's, Caution for signs/symptoms of digoxin toxicity (anorexia, nausea, fatigue, vision disturbances, bradycardia, arrthymias)

Front 69

Geodon

Back 69

Ziprasidone
Antipsychotic

Hint 69

May cause arrhythmias, do not discontinue use abruptly, take with food

Front 70

Aggrenox

Back 70

Aspirin/Dipyridamole
Platelet Inhibitor

Hint 70

Monitor for bleeding.

Front 71

Macrobid or Macrodantin

Back 71

Nitrofurantoin
Other Antibiotic

Hint 71

Take with food to enhance absorption, may cause peripheral neuropathy or pulmonary fibrosis

Front 72

Lotensin

Back 72

Benazepril
ACE Inhibitor (diuretic)

Hint 72

Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X

Front 73

Risperdal

Back 73

Risperidone
Antipsychotic

Hint 73

First doses may cause fainting, may impair judgement, avoid alcohol use

Front 74

Aggrastat

Back 74

Tirofiban
Platelet Inhibitor

Hint 74

IV only

Front 75

Zyvox

Back 75

Linezolid
Oxazolidinone

Hint 75

D/I's due to MAO-I properties

Front 76

Zestril or Prinivil

Back 76

Lisinopril
ACE Inhibitor Antihypertensive

Hint 76

Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X

Front 77

Seroquel (XR)

Back 77

Quetiapine
Antipsychotic

Hint 77

Initially may cause dizzyness, use caution when operating heavy machinery due to drowsiness

Front 78

Plavix

Back 78

Clopidogrel
Platelet Inhibitor

Hint 78

Monitor for bleeding. Take everyday, caution with some OTCs

Front 79

Amoxil

Back 79

Amoxicillin
Penicillin Antibiotic

Hint 79

Hypersensitivity to Penicllin abx, can be taken with food to decrease GI upset, can dec effectiveness in oral birth control, can lead to secondary vaginal yeast infections, finish course

Front 80

Mavik

Back 80

Trandolapril
ACE Inhibitor Antihypertensive

Hint 80

Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X

Front 81

Zyprexa

Back 81

Olanzepine
Antipsychotic

Hint 81

Initially may cause dizzyness, use caution when operating heavy machinery due to drowsiness, may cause wt gain, DM and dyslipidemia

Front 82

Brilinta

Back 82

Ticagrelor
Platelet inhibitor

Hint 82

Dyspnea: 14% experienced in trials and transient but contact MD if first time. Dizziness as possible side effect so counsel on fall guidelines. May increase uric acid levels and gout. When to stop before surgery: 5 days before. D/I with CYP 3A4. Monitor for bleeding. FDA approval and Chest guideline recommended agent for ACS with and without stent and with aspirin but no more than 100 mg/day. Ok to load with 325mg. Outcomes better than with clopidogrel and aspirin in the PLATO Trial NNT 53 to prevent one CV death, MI or CVA at 1 year

Front 83

Augmentin (XR)

Back 83

Amoxicillin w/ Clavulanate
Penicillin Antibiotic

Hint 83

May cause GI distress, Take on full stomach, Be aware of clavulanic dose (can't double)

Front 84

Accupril

Back 84

Quinapril
ACE Inhibitor Antihypertensive

Hint 84

Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X

Front 85

Antivert

Back 85

Meclizine
Antivertigo Agent

Hint 85

Potential anticholinergic side-effects

Front 86

Pradaxa

Back 86

Dabigatran
direct thrombin inhibitor

Hint 86

Monitor for signs/sxs of bleeding. Caution in elderly 75 and older, kidney disease, concurrent drugs increase bleeding and if hx of gi bleed. Currently approved for decreasing risks of non valvular afib associated DVT and stroke. Do not break or chew capsule, throw away any unused portion after 4 months, D/I's: dronedarone and ketoconazole due to p-glycoprotein interaction. Keep in original pill container or blister pack. Dyspepsia is most common side-effect. If missed dose remembered after 6 hours, wait to take next scheduled dose. Do not double-up. When to stop before surgery: creatinine clearance based.

Front 87

Veetids

Back 87

Penicillin V Potassium
Penicillin Antibiotic

Hint 87

finish course

Front 88

Altace

Back 88

Ramipril
ACE Inhibitor Antihypertensive

Hint 88

Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X

Front 89

Xanax (XR)

Back 89

Alprazolam
Benzodiazepine Antianxiety, C-IV

Hint 89

Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Front 90

Xarelto

Back 90

Rivaroxaban
Factor Xa inhibitor

Hint 90

DVT, stroke prophylaxis following post-operative knee and hip surgery and non-valvular afib. Doses at 15 mg or above must be taken with food. Important to not miss doses, don't double up either. When to stop before surgery: at least 24 hours. Monitor for signs/sxs of bleeding. D/I with CYP 3A4.

Front 91

Bactrim/Septra (DS)

Back 91

Sulfamethoxazole/Trimethoprim
Sulfonamide Antibacterial

Hint 91

Take with water, caution in sunlight, will increase hypoglycemia if on glyburide and other sulfonylureas, may cause severe life threathening skin reactions

Front 92

Vasotec

Back 92

Enalapril Maleate
ACE Inhibitor Antihypertensive

Hint 92

Risk of dry cough and angioedema, hyperkalemia (avoid salt substitutes), possible first dose hypotension especially in hypovolemia and CHF, renoprotective but may cause acute renal failure (monitor serum Cr and d/C if greater than 30% inc), Preg Cat X

Front 93

Ativan

Back 93

Lorazepam
Benzodiazepine Antianxiety; C-IV

Hint 93

Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Front 94

Epogen or Procrit

Back 94

Epoetin alfa
Red Blood Cell colony stimulating factor

Hint 94

Must have adequate iron stores and be careful not to push the Hbg to the normal range as it may increase the risk of increasing BP, MI, CVA, DVT and death

Front 95

Solodyn

Back 95

Minocycline
Tetracycline Antibiotic

Hint 95

Photosensitivity, vestibular reactions and ataxia, avoid di and trivalent cations

Front 96

Cardura (XL)

Back 96

Doxazosin Mesylate
Alpha 1 Blocker Antihypertensive, BPH

Hint 96

1st dose associated syncope, may cause orthostasis, dizziness

Front 97

Klonopin

Back 97

Clonazepam
Benzodiazepine Antianxiety; C-IV

Hint 97

Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Front 98

Relpax

Back 98

Eletriptan
5-HT1 agonist Antimigraine

Hint 98

Take at onset of migraine. If some relief but returns, may repeat once in 2 hours. Do not exceed 80mg in a 24 hour period. If no relief after 1st dose, rediagnose. Warning: Ischemic events, D/I with 3A4 and ergots.

Front 99

Vibramycin or Doryx or Adoxa

Back 99

Doxycycline Hyclate
Tetracycline Antibiotic

Hint 99

Photosensitivity, avoid di and trivalent cations within 2 hours

Front 100

Hytrin

Back 100

Terazosin
Alpha 1 Blocker Antihypertensive, BPH

Hint 100

1st dose associated syncope, may cause orthostasis, dizziness

Front 101

Catapres (TTS) or Nexiclon XR

Back 101

Clonidine
Alpha II agonist Antihypertensive

Hint 101

May cause drowsiness, do not discontinue therapy abruptly, TTS should rotate sites, skin rxns common, discard carefully

Front 102

Restoril

Back 102

Temazepam
Benzodiazepine Antianxiety; C-IV

Hint 102

Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Front 103

Imitrex

Back 103

Sumatriptan
5-HT1 agonist Antimigraine

Hint 103

Take at onset of migraine. If some relief but returns, may repeat once in 2 hours. Do not exceed 200mg in a 24 hour period. If no relief after 1st dose, rediagnose. Warning: Ischemic events. D/I with ergots.

Front 104

Bactroban

Back 104

Mupirocin
Topical Antibiotic

Hint 104

Used most in hospital to reduce the risk of MRSA infection from carriers

Front 105

Cordarone

Back 105

Amiodarone
Antiarrhythmic

Hint 105

Many D/I's possible. Take into acct. very long half-life (~40-50 days!), thyroid problems, Hypotension, bradycardia, QTc, Hepatic and Pulmonary damage possible; notify MD of any jaundice, dark urine, problems breathing.

Front 106

Valium

Back 106

Diazepam
Benzodiazepine Antianxiety; C-IV

Hint 106

Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery

Front 107

Maxalt

Back 107

Rizatriptan
5-HT1 agonist Antimigraine

Hint 107

Take at onset of migraine. If some relief but returns, may repeat once in 2 hours. Do not exceed 200mg in a 24 hour period. If no relief after 1st dose, rediagnose. Warning: Ischemic events. Dissolve MLT tablet under the tongue. MLT tablet contains phenylalanine. D/I with Ergots.

Front 108

Metro-Gel

Back 108

Metronidazole
Topical antibiotic

Hint 108

Utilize condoms for intercourse during therapy, some systemic absorption so avoid ETOH for 2 days after

Front 109

Coumadin

Back 109

Warfarin Sodium
Anticoagulent

Hint 109

Narrow Therapeutic Index drug, GI bleed risk, control Vitamin K intake, INR monitoring, dose adjustment…, D/I's -don't start or stop another med unless talk to MD or RPh first.

Front 110

Adipex-P

Back 110

Phentermine
CNS stimulant - Obesity Management; C-IV

Hint 110

Cardiovascular risk caution, take in the morning,

Front 111

Zofran (ODT)

Back 111

Ondansetron
5-HT3 antagonist Antiemetic

Hint 111

May cause headache, fatigue. Dissolve ODT under tongue, do not remove ODT from blister unitl needed.

Front 112

Mycolog II

Back 112

Nystatin/Triamcinolone
Topical antifungal/steroid

Hint 112

Use a sparing amount, avoid application around eyes

Front 113

Crestor

Back 113

Rosuvastatin
Antihyperlipidemic - HMG reductase inhibitor

Hint 113

Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), can be taken any time of the day, Preg Cat X

Front 114

Concerta or Ritalin (ER) or Metadate CD

Back 114

Methylphenidate
CNS Stimulant for ADD, C-II

Hint 114

Take as directed, don’t share your pills

Front 115

Aricept

Back 115

Donepezil
Acetylcholinesterase inhibitor

Hint 115

Take in the evening, significant N & V & D and anorexia possible, may cause bradycardia and feinting. Set realistic expectations. Keep in mind positive statistical significance vs clinical significance.

Front 116

Droxia

Back 116

Hydroxyurea
Antimetabolite

Hint 116

In community, for prevention of sickle cell crisis with an experienced physician, may cause bone marrow suppression

Front 117

Lescol

Back 117

Fluvastatin
Antihyperlipidemic - HMG reductase inhibitor

Hint 117

Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), best taken in evening, Preg Cat X. Lescol only statin that does not interact with gemfibrozil – Lopid as it is not altered by inhibition of glucuronidation

Front 118

Strattera

Back 118

Atomoxetine
CNS Stimulant, used for ADD

Hint 118

May impair cognitive & motor function, use caution when operating machinery, not a drug of abuse

Front 119

Exelon

Back 119

Rivastigmine
Acetylcholinesterase Inhibitor

Hint 119

Rotate patch application sites, significant N & V & D and anorexia possible, may cause bradycardia and feinting. Keep in mind positive statistical significance vs clinical significance

Front 120

Trexall/Rheumatrex

Back 120

Methotrexate
Antimetabolite/antirheumatic

Hint 120

Take as directed, pay attention to weekly versus daily dosing. Avoid alcohol and other hepatotoxic agents

Front 121

Lipitor

Back 121

Atorvastatin
Antihyperlipidemic - HMG reductase inhibitor

Hint 121

Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), can be taken any time of the day, Preg Cat X, minor 3A4 D/I

Front 122

Adderall (XR)

Back 122

(Dex)/Amphetamine Mixed salts
CNS Stimulant, used for ADD; C-II

Hint 122

Take as directed, don’t share you pills

Front 123

Razadyne

Back 123

Galantamine
Acetylcholinesterase inhibitor

Front 124

Femara

Back 124

Letrozole
Aromatase Inhibitor

Hint 124

May cause decrease in bone mineral density (supplement with calcium and vit D), may increase cholesterol, side-effects include nausea, vomiting, hot flashes, loss of appetite, musculoskeletal pain, headache, sleepiness, fatigue, dizziness, constipation, diarrhea, or loss of hair (will grow back), can worsen ischemic heart diseas

Front 125

Niaspan

Back 125

Niacin
Antihyperlipidemic

Hint 125

Take at bedtime with a low fat snack, ASA 325mg or NSAIDs may decrease flushing. No outcome data to date (AIM HIGH was not positive when added to simvastatin) and avoid using more than 2 grams per day because of hepatotoxicity risk

Front 126

Vyvanse

Back 126

Lisdexamfetamine
CNS Stimulant, used for ADHD; C-II

Hint 126

Take as directed, don’t share you pills

Front 127

Ultram

Back 127

Tramadol
Analgesic (combo)

Front 128

Arimidex

Back 128

Anastrozole
Aromatase Inhibitor

Hint 128

May cause decrease in bone mineral density (supplement with calcium and vit D), may increase cholesterol, side-effects include nausea, vomiting, hot flashes, loss of appetite, musculoskeletal pain, headache, sleepiness, fatigue, dizziness, constipation, diarrhea, or loss of hair (will grow back), can worsen ischemic heart diseas

Front 129

Pravachol

Back 129

Pravastatin
Antihyperlipidemic - HMG reductase inhibitor

Hint 129

Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), can be taken any time of the day, Preg Cat X

Front 130

Provigil

Back 130

Modafinil
CNS Stimulant, used for narcolepsy; C-IV

Hint 130

Take in morning or 1 hour prior to work, avoid driving until deemed safe by MD

Front 131

Ultracet

Back 131

Tramadol/APAP
Analgesic (combo)

Front 132

Gleevec

Back 132

Imatinib
Tyrosine kinase inhibitor

Hint 132

Take with a big glass of water with food to decrease GI irritation, many potential side-effects and D/I's

Front 133

Tricor

Back 133

Fenofibrate
Antihyperlipidemic

Hint 133

May increase effect of sulfonylurea, Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider)

Front 134

Focalin (XR)

Back 134

Dexmethylphenidate
CNS stimulant; C-II

Hint 134

Take as directed, don’t share your pills

Front 135

Fioricet

Back 135

Butalbital/APAP/Caffeine
Analgesic Combo for Tension Headaches

Front 136

Atripla

Back 136

Efavirenz / Emtricitabine / Tenofovir
Combination drug for treatment of HIV

Hint 136

Adherence important to prevent resistance, many potential D/I's and side-effects, should be taken on an empty stomach, normally at bedtime to increase gastrointestinal tolerance and decrease nervous system manifestations

Front 137

Trilipix

Back 137

Fenofibric acid
Antihyperlipidemic

Hint 137

May increase effect of sulfonylurea, Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider). No good outcome data (FIELD and ACCORD Lipid were not positive) safer to combine with a statin than gemfibrozil but not evidence based.

Front 138

Sonata

Back 138

Zaleplon
hypnotic, nonbenzodiazepine; C-IV

Hint 138

Take 30min to 1h prior to desired sleep, Allocate at least 5 hours after a dose to sleep (T ½ ~1 hour)

Front 139

Fiorinal (+/-codeine)

Back 139

Butalbital/ASA/Caffeine (+/-codeine)
Analgesic Combo for Tension Headaches, C-III

Front 140

Combivir

Back 140

Zidovudine/Lamivudine
Reverse transcriptase inhibitor

Hint 140

Adherence important to prevent resistance, Take without regard to food, may cause fat redistribution, lactic acidosis/hepatomegaly, myopathy, and hematologic toxicity

Front 141

Zocor

Back 141

Simvastatin
Antihyperlipidemic - HMG reductase inhibitor

Hint 141

Myalgias, Rhabdomyolysis caution, report muscle pain asap to provider, take at bedtime, major 3A4 D/I's, avoid large amt of grapefruit juice (>1qt/day)

Front 142

Flexeril

Back 142

Cyclobenzaprine
Muscle Relaxant

Hint 142

May cause drowsiness or dizziness and other anticholinergic side-effects, avoid alcohol use during therapy

Front 143

Namenda

Back 143

Memantine
Anti-alzheimer's agent

Front 144

Truvada

Back 144

Emtricitabine/Tenofovir
Reverse transcriptase inhibitor

Hint 144

Adherence important to prevent resistance, Take without regard to food do not miss any doses, may cause dec in bone mineral density, fat redistribution, lactic acidosis/hepatomegaly, and renal toxicity. Truvada now FDA approved for pre-exposure prophylaxis of HIV in HIV negative patients who have a sexual partner who is HIV positive and must have repeat HIV testing every 3 months.

Front 145

Lopid

Back 145

Gemfibrozil
Antihyperlipidemic

Hint 145

Decreased glucoronidation so increases effects of all statins except fluvastation, Should be taken 30 mins before breakfast and dinner, Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), risk of cholelithiasis

Front 146

Skelaxin

Back 146

Metaxalone
Muscle Relaxant

Hint 146

Least drowsy muscle relaxant, requires frequent dosing

Front 147

Buspar

Back 147

Buspirone
Antianxiety- serotonin 5-HT1A receptor partial agonist

Front 148

Humira

Back 148

adalimumab
Tumor necrosis factor (TNF) alpha inhibitor antiinflammatory

Hint 148

For SubQ injection; rotate injection sites. Store in refrigerator. Black box warnings: infections, malignancy, TB

Front 149

Vytorin

Back 149

Simvastatin/ezetimibe
Antihyperlipidemic - HMG reductase inhibitor and

Hint 149

No good outcome data with addition of ezetimibe to simvastatin. Myalgias, Rhabdomyolysis caution (report muscle pain, brown urine asap to provider), can be taken any time of the day, Preg Cat X, significant 3A4 D/I

Front 150

Soma

Back 150

Carisoprodol
Muscle Relaxant; C-IV

Hint 150

Drug of abuse, may be scheduled in some states, caution for drowsiness

Front 151

Atarax

Back 151

Hydroxyzine Hydrochloride
Antianxiety/Antihistamine

Front 152

Enbrel

Back 152

etanercept
Tumor necrosis factor (TNF) inhibitor antiinflammatory

Hint 152

For SubQ injection; rotate injection sites. Store in refrigerator. Black box warnings: infections, malignancy, TB

Front 153

Altoprev

Back 153

Lovastatin ER
Antihyperlipidemic - HMG reductase inhibitor

Hint 153

Myalgias, Rhabdomyolysis caution, take at bedtime, 3A4 D/I's

Front 154

Duragesic

Back 154

Fentanyl
Narcotic Analgesic; C-II

Hint 154

Caution for respiratory depression, do not exceed prescribed dose. Avoid exposing patch on the skin to heat as it will increase the delivery of the fentanyl and increase the risk of toxicity, dispose of the used patch by folding over and flushing it, be careful when starting therapy and remember the patch is used for several days normally 72 hours but may see it changed every 48 hours in some patients. Caution in narcotic naive patients as it is 80-100 times more potent analgesic than morphine.

Front 155

Transderm-Scop

Back 155

Scopolamine
Anticholinergic

Front 156

Mevacor

Back 156

Lovastatin
Antihyperlipidemic - HMG reductase inhibitor

Hint 156

Myalgias, Rhabdomyolysis caution, take at bedtime, 3A4 D/I's

Front 157

MS Contin

Back 157

Morphine Sulfate
Narcotic Analgesic; C-II

Hint 157

Risk of CNS and respiratory depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation

Front 158

Lovaza

Back 158

omega-3 fatty acid
Antihyperlipidemic

Hint 158

Not evidence based. May cause fishy burp/taste, may cause inc risk of bleeds with coumadin, aspirin, clopidogrel or new alternatives.

Front 159

Oxycontin

Back 159

Oxycodone
Narcotic Analgesic; C-II

Hint 159

CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation

Front 160

Benicar

Back 160

Olmesartan
ARB (diuretic) Antihypertensive

Hint 160

Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit

Front 161

Percocet or Roxicet

Back 161

Oxycodone/APAP
Narcotic Analgesic; C-II

Hint 161

CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation. APAP combination dose will be reduced to no more than 325mg per tablet in the next year. Consider the total daily dose of acetaminophen from all sources.

Front 162

Diovan

Back 162

Valsartan
ARB (diuretic) Antihypertensive

Hint 162

Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit

Front 163

Tylenol with Codeine

Back 163

Acetaminophen/Codeine
Narcotic Analgesic; C-III

Hint 163

CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation. Consider the total daily dose of acetaminophen from all sources.

Front 164

Cozaar

Back 164

Losartan
ARB Antihypertensive

Hint 164

Side-effects include: hyperkalemia, hypotension, renal dysfunction and dizziness . Black box warning in pregnancy. D/I's NSAIDS, avoid salt substitutes, caution with K+ sparing diuretics. If serum creatinine inc over 30% from baseline, d/c ARB until normalizes. Avoid combination use with ACE and/or a direct renin inhibitor (aliskirin) b/c increased side-effect risk with no BP benefit

Front 165

Vicoprofen

Back 165

Hydrocodone/Ibuprofen
Narcotic Analgesic; C-III

Hint 165

CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, APAP max is 4 grams per day (avoid concommitant apap drugs), constipation, taking with food may decrease some GI upset

Front 166

Lortab or Vicodin or Lorcet

Back 166

Hydrocodone/APAP
Narcotic/APAP Analgesic - CIII

Hint 166

#1 prescribed drug! CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, avoid concommitant nsaid drugs, constipation. Vicodin reformulated to contain only 300mg of apap per dose to avoid generic competition and to meet new FDA requirement.

Front 167

Lyrica

Back 167

Pregabalin
Neuropathic Analgesic - CV

Hint 167

May cause drowsiness, do not discontinue therapy abruptly. Weight gain, edema and confusion are potential side-effects

Front 168

Chantix

Back 168

Varenicline Tartrate
Nicotinic receptor agonist, Smoking cessation

Hint 168

Usually titrated upward. Most effective smoking cessation agent to date ~ 44% at 12 weeks, also watch for night mares and any changes in affect and/or behavior and report them to the prescriber. Side-effects may be dose related.