Advanced Community Lab - Drugs 1 - 38

Front 1

Flagyl (ER)

Back 1

Metronidazole
Antibacterial/Antiprotozoal

Hint 1

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

Front 2

Diflucan

Back 2

Fluconazole
Antifungal

Hint 2

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 3

Lamisil

Back 3

Terbinafine
Antifungal

Hint 3

Topical formulation is most common, finish course

Front 4

Nizoral

Back 4

Ketoconazole
Antifungal

Hint 4

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 5

Nystatin

Back 5

Nystatin
Antifungal

Hint 5

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

Front 6

Valtrex

Back 6

Valacyclovir
Antiviral against herpes virus

Hint 6

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 7

Zovirax

Back 7

Acyclovir
Antiviral against herpes virus

Hint 7

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 8

Ceftin

Back 8

Cefuroxime
Cephalosporin antibiotic

Hint 8

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

Front 9

Keflex

Back 9

Cephalexin
Cephalosporin antibiotic

Hint 9

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

Front 10

Omnicef

Back 10

Cefdinir
Cephalosporin antibiotic

Hint 10

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

Front 11

Avelox

Back 11

Moxifloxacin
Fluoroquinolone antibiotic

Hint 11

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 12

Cipro (XR)

Back 12

Ciprofloxacin
Fluoroquinolone antibiotic

Hint 12

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 13

Levaquin

Back 13

Levofloxacin
Fluoroquinolone antibiotic

Hint 13

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 14

Biaxin (XL)

Back 14

Clarithromycin
Macrolide Antibiotic

Hint 14

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

Front 15

Ery-Tab

Back 15

Erythromycin Base
Macrolide Antibiotic

Hint 15

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

Front 16

Zithromax or Zmax

Back 16

Azithromycin
Macrolide Antibiotic

Hint 16

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

Front 17

Cleocin

Back 17

Clindamycin
Other Antibiotic

Hint 17

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

Front 18

Macrobid or Macrodantin

Back 18

Nitrofurantoin
Other Antibiotic

Hint 18

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

Front 19

Zyvox

Back 19

Linezolid
Oxazolidinone

Hint 19

D/I's due to MAO-I properties

Front 20

Amoxil

Back 20

Amoxicillin
Penicillin Antibiotic

Hint 20

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 21

Augmentin (XR)

Back 21

Amoxicillin w/ Clavulanate
Penicillin Antibiotic

Hint 21

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

Front 22

Veetids

Back 22

Penicillin V Potassium
Penicillin Antibiotic

Hint 22

finish course

Front 23

Bactrim/Septra (DS)

Back 23

Sulfamethoxazole/Trimethoprim
Sulfonamide Antibacterial

Hint 23

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

Front 24

Solodyn

Back 24

Minocycline
Tetracycline Antibiotic

Hint 24

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

Front 25

Vibramycin or Doryx or Adoxa

Back 25

Doxycycline Hyclate
Tetracycline Antibiotic

Hint 25

Photosensitivity, avoid di and trivalent cations within 2 hours

Front 26

Bactroban

Back 26

Mupirocin
Topical Antibiotic

Hint 26

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

Front 27

Metro-Gel

Back 27

Metronidazole
Topical antibiotic

Hint 27

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

Front 28

Mycolog II

Back 28

Nystatin/Triamcinolone
Topical antifungal/steroid

Hint 28

Use a sparing amount, avoid application around eyes

Front 29

Droxia

Back 29

Hydroxyurea
Antimetabolite

Hint 29

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

Front 30

Trexall/Rheumatrex

Back 30

Methotrexate
Antimetabolite/antirheumatic

Hint 30

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

Front 31

Femara

Back 31

Letrozole
Aromatase Inhibitor

Hint 31

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 32

Arimidex

Back 32

Anastrozole
Aromatase Inhibitor

Hint 32

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 33

Gleevec

Back 33

Imatinib
Tyrosine kinase inhibitor

Hint 33

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

Front 34

Atripla

Back 34

Efavirenz / Emtricitabine / Tenofovir
Combination drug for treatment of HIV

Hint 34

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 35

Combivir

Back 35

Zidovudine/Lamivudine
Reverse transcriptase inhibitor

Hint 35

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

Front 36

Truvada

Back 36

Emtricitabine/Tenofovir
Reverse transcriptase inhibitor

Hint 36

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 37

Humira

Back 37

adalimumab
Tumor necrosis factor (TNF) alpha inhibitor antiinflammatory

Hint 37

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

Front 38

Enbrel

Back 38

etanercept
Tumor necrosis factor (TNF) inhibitor antiinflammatory

Hint 38

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