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47 Cards in this Set

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Remeron
Mirtazapine
Antidepressant
May cause drowsiness or dizziness, dry mouth, constipation and weight gain.Do not discontinue abruptly. Open from blister and dissolve SolTab on the tongue.
Desyrel
Trazodone
Antidepressant/Sleep Aid
May cause dizziness/drowsiness/orthostasis, priapism risk.
Wellbutrin (SR) (XL) or Zyban
Bupropion
Antidepressant/smoking cessation aid
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.
Dilantin Kapseals
Extended Phenytoin
Antiepileptic
May cause dizziness/drowsiness, do not operate heavy machinery. Emphasize good oral hygiene to reduce risk of gingival hyperplasia
Keppra
Levetiracetam
Antiepileptic
May cause dizziness/drowsiness, do not operate heavy machinery, do not abruptly discontinue therapy
Lamictal
Lamotrigine
Antiepileptic
Report hypersensitivity/rash to MD, may cause drowsiness, do not operate heavy machine
Tegretol (XR)
Carbamazepine
Antiepileptic
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.
Trileptal
Oxcarbazepine
Antiepileptic
May cause dizziness/drowsiness, do not operate heavy machinery, do not abruptly discontinue therapy
Depakote (ER)
Divalproex
Antiepileptic, mood stabilizer
Do not abruptly discontinue therapy, avoid alcohol use, may cause drowsiness
Phenobarbital
Phenobarbital
Antiepileptic/hypnotic; C-IV
May cause drowsiness or dizziness, avoid alcohol use during therapy
Topamax
Topiramate
Antiepileptic/Migraine prophylactic
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)
Neurontin
Gabapentin
Antiepileptic/neuropathic analgesic
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
Cogentin
Benztropine
Antiparkinson Agent
May take with food to decrease GI symptoms. Potential anticholinergic side-effects
Mirapex
Pramipexole
Antiparkinson Agent
Hallucinations may occur, report any changes in vision to MD, may cause drowsiness and even sleep attacks (falling asleep without warning)
Sinemet (CR)
Levodopa/Carbidopa
Antiparkinson Agent
Avoid products containing B6 as they reduce the effectiveness of levodopa, may be taken with food/milk if GI upset occurs
Requip
Ropinirole
Antiparkinson/Restless Leg agent
May cause drowsiness or dizziness, avoid alcohol use during therapy, orthostasis may occur. May also cause sleep attacks.
Abilify
Aripiprazole
Antipsychotic
Avoid alcohol, D/I 3A4, QT prolongation, do not discontinue abruptly
Geodon
Ziprasidone
Antipsychotic
May cause arrhythmias, do not discontinue use abruptly, take with food
Risperdal
Risperidone
Antipsychotic
First doses may cause fainting, may impair judgement, avoid alcohol use
Seroquel (XR)
Quetiapine
Antipsychotic
Initially may cause dizzyness, use caution when operating heavy machinery due to drowsiness
Zyprexa
Olanzepine
Antipsychotic
Initially may cause dizzyness, use caution when operating heavy machinery due to drowsiness, may cause wt gain, DM and dyslipidemia
Antivert
Meclizine
Antivertigo Agent
Potential anticholinergic side-effects
Xanax (XR)
Alprazolam
Benzodiazepine Antianxiety, C-IV
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
Ativan
Lorazepam
Benzodiazepine Antianxiety; C-IV
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
Klonopin
Clonazepam
Benzodiazepine Antianxiety; C-IV
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
Restoril
Temazepam
Benzodiazepine Antianxiety; C-IV
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
Valium
Diazepam
Benzodiazepine Antianxiety; C-IV
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery
Adipex-P
Phentermine
CNS stimulant - Obesity Management; C-IV
Cardiovascular risk caution, take in the morning,
Concerta or Ritalin (ER) or Metadate CD
Methylphenidate
CNS Stimulant for ADD, C-II
Take as directed, don’t share your pills
Strattera
Atomoxetine
CNS Stimulant, used for ADD
May impair cognitive & motor function, use caution when operating machinery, not a drug of abuse
Adderall (XR)
(Dex)/Amphetamine Mixed salts
CNS Stimulant, used for ADD; C-II
Take as directed, don’t share you pills
Vyvanse
Lisdexamfetamine
CNS Stimulant, used for ADHD; C-II
Take as directed, don’t share you pills
Provigil
Modafinil
CNS Stimulant, used for narcolepsy; C-IV
Take in morning or 1 hour prior to work, avoid driving until deemed safe by MD
Focalin (XR)
Dexmethylphenidate
CNS stimulant; C-II
Take as directed, don’t share your pills
Sonata
Zaleplon
hypnotic, nonbenzodiazepine; C-IV
Take 30min to 1h prior to desired sleep, Allocate at least 5 hours after a dose to sleep (T ½ ~1 hour)
Flexeril
Cyclobenzaprine
Muscle Relaxant
May cause drowsiness or dizziness and other anticholinergic side-effects, avoid alcohol use during therapy
Skelaxin
Metaxalone
Muscle Relaxant
Least drowsy muscle relaxant, requires frequent dosing
Soma
Carisoprodol
Muscle Relaxant; C-IV
Drug of abuse, may be scheduled in some states, caution for drowsiness
Duragesic
Fentanyl
Narcotic Analgesic; C-II
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.
MS Contin
Morphine Sulfate
Narcotic Analgesic; C-II
Risk of CNS and respiratory depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation
Oxycontin
Oxycodone
Narcotic Analgesic; C-II
CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation
Percocet or Roxicet
Oxycodone/APAP
Narcotic Analgesic; C-II
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.
Tylenol with Codeine
Acetaminophen/Codeine
Narcotic Analgesic; C-III
CNS depression, avoid alcohol, may cause drowsiness/dizziness, do not operate heavy machinery, constipation. Consider the total daily dose of acetaminophen from all sources.
Vicoprofen
Hydrocodone/Ibuprofen
Narcotic Analgesic; C-III
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
Lortab or Vicodin or Lorcet
Hydrocodone/APAP
Narcotic/APAP Analgesic - CIII
#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.
Lyrica
Pregabalin
Neuropathic Analgesic - CV
May cause drowsiness, do not discontinue therapy abruptly. Weight gain, edema and confusion are potential side-effects
Chantix
Varenicline Tartrate
Nicotinic receptor agonist, Smoking cessation
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.