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47 Cards in this Set
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Feldene
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Piroxicam
NSAID |
Take with food, monitor for s/sx of GI bleed, CV and renal risks.
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Indocin
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Indomethacin
NSAID |
Take with food, monitor for s/sx of GI bleed.CV and renal risks. Most likely NSAID to cause headache and CNS side-efects.
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Lodine (XL)
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Etodolac
NSAID |
Take with food, monitor for s/sx of GI bleed. CV and renal risks.
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Mobic
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Meloxicam
NSAID |
Take with food, monitor for s/sx of GI bleed. CV and renal risks.
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Relafen
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Nabumetone
NSAID |
Take with food, monitor for s/sx of GI bleed. CV and renal risks.
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Toradol
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Ketorolac Tromethamine
NSAID |
Take with food, monitor for s/sx of GI bleed. Very high risk of GI bleeding limits this drug to 5 days max of therapy. CV and renal risks.
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Voltaren, Cataflam
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Diclofenac, NA/K
NSAID |
Take with food, monitor for s/sx of GI bleed. CV and renal risks.Enteric coated diclofenac sodium, slow onset not for PRN pain, greater risk of hepatotoxicity vs. other NSAIDs, use the Cataflam-diclofenac potassium non-enteric coated formulation if for PRN use for pain
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Naprosyn, Anaprox/Aleve
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Naproxen and Naproxen Sodium
NSAID |
Take with food, monitor for s/sx of GI bleed. CV and renal risks. Naproxen sodium Aleve/Anaprox fast onset sodium salt vs. regular naproxen-Naprosyn which is slow onset and used for chronic Rx of OA and RA not acute pain relief
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Motrin or Advil
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Ibuprofen
NSAID |
Take with food, monitor for s/sx of GI bleed. CV and renal risks. Motrin at low doses (IE OTC it is analgesic and antipyretic) but if you need anti-inflammatory effects then you need higher doses 2400 to 3200 mg/day
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Celebrex
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Celecoxib
NSAID Cox - II selective |
Report s/sx of GI bleed, caution for CV risk like all NSAIDS, Not safer for renal function but may be slightly safer for GI bleeding risks
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Arthrotec
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Diclofenac/Misoprostol
NSAID/prostaglandin combo |
Take with food, Misoprostol may decrease GI bleeding risks. CV and renal risks. Avoid in pregnancy. Diarrhea may be a common side effect of the prostaglandin component
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Suboxone
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Buprenorphine/Naloxone
Partial opiod agonist; C-III |
Do not exceed prescribed dose, do not take with alcohol, may cause drowsiness/dizziness, do not operate heavy machinery. Suboxone sublingual tablet is only indicated for the maintenance treatment of opioid dependence. Prescription use of this product is limited under the Drug Addiction Treatment Act
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Lunesta
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Eszopiclone
Sedative Hypnotic |
Do not take with alcohol, take 30min prior to bed. has a long half-life of ~6 hours and thus an increased risk of morning residual sedation, ~40% of patients complain of a bitter taste the morning after, Need to have at least 8 hours to sleep after a dose and all of these agents can cause complex sleep behaviors (walking, eating, driving, etc.) Do not put yourself in a position where impairment may lead to increased risk of an accident until you know how you respond to the medication.
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Ambien (CR)
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Zolpidem
Sedative Hypnotic; C-IV |
Do not take with alcohol, take 30min prior to bed. Same issues as Lunesta
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Cymbalta
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Duloxetine
SNRI Antidepressant |
Do not abruptly discontinue therapy. report any changes in affect and or behavior as psychiatric side effects including suicidal ideation is possible
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Effexor (XR)
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Venlafaxine
SNRI Antidepressant |
Avoid alcohol, do not discontinue abruptly, monitor BP
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Pristiq
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Desvenlafaxine
SNRI antidepressant |
Avoid alcohol, do not discontinue abruptly, no added benefit over venlafaxine -recommend generic venlafaxine
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Celexa
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Citalopram
SSRI Antidepressant |
May cause drowsiness, do not discontinue therapy abruptly. new dosage guidelines of no more than 40 mg/day and avoid in patients with CV disease as it has been shown to increase QT interval (previously recommended for patients with CV disease now only sertraline remains in this category)
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Lexapro
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Escitalopram
SSRI Antidepressant |
May cause drowsiness, do not discontinue therapy abruptly, recommend generic Celexa for cost savings
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Paxil (CR)
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Paroxetine
SSRI Antidepressant |
May cause drowsiness, do not discontinue therapy abruptly. Paxil most likely agent to cause discontinuation syndrome, short half-life and also most tricyclic like of the SSRI’s I.e. sedation, and a major inhibitor of CYP 2D6
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Prozac or Sarafem
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Fluoxetine
SSRI Antidepressant |
May cause drowsiness or dizziness, avoid alcohol use during therapy. Prozac longest half-life SSRI (norfluoxetine T1/2 is ~ 9 days) hence the Prozac weekly dosage form; also most activating of the SSRIs AM dosing not PM and a major inhibitor of CYP 2D6
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Zoloft
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Sertraline
SSRI Antidepressant |
May cause drowsiness or dizziness, avoid alcohol use during therapy. Drug of choice for patients with CV disease and MDD (SAD Heart and ENRICHED Trials, as well as ACC/AHA/APA Guidelines
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Lidoderm Patches
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Lidocaine
Topical analgesic |
Do not apply to broken skin, do not leave patches on for more than 12 hours in a 24 hour period
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Elavil
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Amitriptyline
Tricyclic Antidepressant |
May cause drowsiness or dizziness, avoid alcohol use during therapy. Often used in low doses to help with sleep as it is a side effect of this agent and it is not well tolerated secondary to anticholinergic effects and risk of overdose causing CV death and arrhythmias
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Tofranil (PM)
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Imipramine
Tricyclic Antidepressant |
May cause drowsiness or dizziness, avoid alcohol use during therapy. Also has significant anticholinergic effects and risk of overdose like Elavil
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Eskalith or Lithobid
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Lithium Carbonate
Mood Stabilizer |
Do not exceed recommended doses, consume 2-3 quarts of water qday. monitor serum levels and watch out for drug interactions with thiazide diuretics which require a dosage reduction of lithium
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Aldara
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Imiquimod
Skin and Mucous Membrane Agent |
Use specifically as directed. May cause skin inflammation and redness
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Benzaclin
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Clindamycin/Benzoyl Peroxide
Topical Acne Product |
May cause skin irritation, use a sparing amount. Topical acne products remind patients that their acne may get worse before it gets better and exceeding the recommended doses will increase the risk of severe adverse effects
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Benzamycin
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Erythromycin/Benzoyl Peroxide
Topical Acne Product |
May cause skin irritation, use a sparing amount. Topical acne products remind patients that their acne may get worse before it gets better and exceeding the recommended doses will increase the risk of severe adverse effects
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Differin
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Adapalene
Topical Acne Product |
May cause skin irritation, use a sparing amount, use sunscreen outdoors. Topical acne products remind patients that their acne may get worse before it gets better and exceeding the recommended doses will increase the risk of severe adverse effects
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Elocon
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Mometasone
Topical Corticosteroid |
Use a sparing amount, avoid application on face and around eyes
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Clobex
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Clobetasol
Topical Corticosteroid |
Use a sparing amount, avoid application on face and around eyes
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Elidel
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Pimecrolimus
Topical skin product |
Black Box warning due to cancer risk
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Kenalog
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Triamcinolone
Topical Steroid |
Use a sparing amount, avoid application around eyes
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Propecia or Proscar
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Finasteride
5 alpha reductase inhibitor |
Pregnant women should not handle, will not regrow hair but will prevent additional hair loss. new data on sexual dysfunction which may not be reversible in men, when used for BPH they are not rapidly effective and may take 6 plus months to shrink and enlarged prostate and produce a reduction in symptoms, probably best when used in combo with an alpha blocker to reduce symptoms and prevent or delay the need for surgical intervention
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Accutane or Claravis
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Isotretinoin
Acne treatment |
Must follow REMS system for isotretinoin dispensing and counseling. teratogenic category X, adverse lipid effects especially increased TG and psychiatric effects and as with the topical products acne may get worse before it gets better
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Epipen
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Epinephrine
Alpha/beta agonist |
IM injection, counsel on device (ie, remove back cap to activate)
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Symlin
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Pramlintide
Amylinomimetic |
Hypoglcemia risk, 3 doses per day with each dose of fast onset short duration insulin but requires a separate injection as it cannot be mixed
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AndroGel
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Testosterone
Androgen; C-III |
Use as directed to upper arm and shoulder and not to genitals. Women and children should avoid contact with this medication; men with BPH may get worse
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Sanctura
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Trospium
Anticholinergic for overactive bladder |
May cause drowsiness, blurred vision, and other anticholinergic side-effects
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Glucophage (XR)
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Metformin
Antidiabetic - Biguanide |
Counsel on GI upset, diarrhea and best titration to minimize symptoms
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Januvia
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Sitagliptin
Antidiabetic - Dipeptidyl peptidase IV inhibitor |
Take without regard to food
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Prandin
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Repaglinide
Antidiabetic - Meglitinide |
Take only proir to meals, Interacts with gemfibrozil
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Amaryl
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Glimepiride
Antidiabetic - Sulfonylurea |
Take with breakfast, avoid alcohol use, counsel on hypoglycemic risk
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Glucotrol (XL)
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Glipizide
Antidiabetic - Sulfonylurea |
May cause hypoglycemia due to active metabolites
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Micronase
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Glyburide
Antidiabetic - Sulfonylurea |
Take with breakfast, avoid alcohol use. Has an active metabolite which is renally eliminated and thus increased risk of hypoglycemia and weight gain as patients age, may also increase CV events and no longer a recommended agent by the ADA
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Actos
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Pioglitazone
Antidiabetic - Thiazolidinedione |
Take without regard to meals, increased risk of fractures, macular edema, heart failure, weight gain and edema as well as bladder CA in men.
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