Flipinoff

Front 1

contraindicated if
sulfonamide allergy

Back 1

Celebrex

Front 2

Only 1 in 5 people who develop a serious upper
GI adverse event on NSAID therapy is

Back 2

symptomatic

Front 3

Risk of gi bleed with NSAIDS increases with concurrent oral

Back 3

corticosteroids, anticoagulants

Front 4

__ can cause fluid retention and peripheral
edema, particularly __

Back 4

NSAIDS, indomethacin

Front 5

Potentially fatal hypersensitivity syndrome

Back 5

Clinoril

Front 6

Anaphylactoid reactions
are typically in asthmatic patients and more common in patients that are

Back 6

hypersensitive
to aspirin

Front 7

Reduce dose of NSAIDS in patients with

Back 7

renal or liver function
impairment; also the elderly

Front 8

NSAIDS not recommended in cases of advanced
kidney disease

Back 8

Feldene -piroxicam, Mobic-meloxicam

Front 9

metabolites may contribute
to kidney stones; keep hydrated

Back 9

Clinoril-sulindac

Front 10

Nausea, fatigue, lethargy, pruritis, jaundice, upper
right quadrant tenderness, flu-like symptoms are signs of

Back 10

hepatotoxicity

Front 11

Black Box Warning
For short term (up to 5 days) only
For moderate-severe pain
High risk of GI effects and Renal effects

Back 11

Toradol

Front 12

should be avoided within 2-3 hours of the
Aspirin dose

Back 12

NSAIDS (non-specific)

Front 13

schedule of Hydrocodone products

Back 13

CIII

Front 14

All codeine, oxycodone and hydrocodone products are immediate release except

Back 14

OxyIR

Front 15

narcotic also available as injection and lozenge

Back 15

fentayl

Front 16

Dolophine

Back 16

methadone

Front 17

narcotic; immediate release tablets and injection;
also available in solution and powder

Back 17

methadone

Front 18

Contraindications:
Acute or severe bronchial asthma
Upper airway obstruction
Significant respiratory depression
Premature infants
When delivery of a premature infant is anticipated

Back 18

narcotic agonists

Front 19

narcotics with suicidal implications

Back 19

darvon, darvocet

Front 20

Oxycodone is category

Back 20

B

Front 21

Do appear in breast milk, but effect may not be significant
Recommend to wait 4-6 hrs after use before breast feeding

Back 21

narcotic agonists

Front 22

Fentanyl
Black Box Warning:

Back 22

Hypoventilation

Front 23

Duragesic Patch: Start at lowest dose…particularly elderly d/t

Back 23

muscle wasting and poor fat stores

Front 24

If use is required for more than 3 weeks, oral form can be dispensed at an approved maintenance program only

Back 24

methadone

Front 25

narcotic agonist potentially inappropriate in the elderly

Back 25

Darvon, Darvocet

Front 26

morphine precaution

Back 26

seizures

Front 27

Most patients who receive opiates for medical
reasons do not develop

Back 27

dependence

Front 28

Cigarette smoking may decrease pain relief from

Back 28

Darvon, Darvocet-propoxyphene

Front 29

two drugs which interact with Darvon, Darvocet-propoxyphene

Back 29

Tegretol and anticoags

Front 30

drug interaction with morphine

Back 30

anticoags

Front 31

for spasticity from multiple
sclerosis, spinal cord injury, other spinal cord
diseases

Back 31

Lioresal- baclofen

Front 32

for muscle spasticity

Back 32

Zanaflex - tizanidine

Front 33

Because of similarities to tricyclic
antidepressants, consider all interactions
listed for tricyclic antidepressants

Back 33

flexeril

Front 34

hyperpyretic crisis, severe
convusions, and death have occurred in patients receiving tricyclic
antidepressants and

Back 34

MAOIs

Front 35

__ may cause dry mouth (especially __)

Back 35

skeletal muscle relaxants, flexeril

Front 36

Orally, start low and titrate up to therapuetic dose
* Abrupt withdrawal can result in hallucinations and seizures

Back 36

baclofen

Front 37

Intrathecal, screening phase with bolus dose before implant pump
* Abrupt discontinuation can result in high fever, altered
mental status, rebound spasticity, muscle rigidity

Back 37

baclofen

Front 38

CAUTION in patients with psychotic features…can worsen

Back 38

baclofen

Front 39

Like Baclofen, start at low, sub-therapeutic dose to determine
intolerance, then titrate up to therapeutic dose range

Back 39

zanaflex

Front 40

Drowsiness, Dizzyness, Somnolence, Dry Mouth

Back 40

zanaflex

Front 41

Hypotension... caution with other alpha-adrenergic agonists (ie: Clonidine)

Back 41

zanaflex

Front 42

Possible idiosyncratic Hypersensitivity
- Weakness, Disorientation, Confusion, Agitation

Back 42

soma

Front 43

Skeletal muscle relaxants available injection as well as oral

Back 43

Robaxin and Norflex

Front 44

Structurally related to tricyclic antidepressants…so higher incidence of drug
interactions on anticholinergic effects

Back 44

flexeril

Front 45

Known practically as the least sedating muscle relaxant
- Caution in hepatic impairment

Back 45

skelaxin

Front 46

for cluster headache

Back 46

Imitrex-sumatriptan
injection only

Front 47

Class of:
Maxalt
Zomig
Frova
Relpax
Amerge
Axert

Back 47

Serotonin 5-HT1 Receptor Agonists

Front 48

May discolor urine brown, black, or green

Back 48

robaxin

Front 49

category for flexeril

Back 49

B

Front 50

Insomnia (specific agents)

Back 50

Restoril, Halcion, Dalmane

Front 51

Klonopin, Valium, Tranxene, Ativan (IV)

Back 51

seizures

Front 52

Librium, Klonopin, Tranxene, Valium,
Dalmane; long or short?

Back 52

long

Front 53

Ativan, Xanax, Restoril, Halcion; long or short

Back 53

short