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18 Cards in this Set
- Front
- Back
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Lunesta
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Eszopiclone
Sedative Class 4 No generic Tabs(1,2,3mg) Dosing: 1mg elderly, 2mg nonelderly BEFORE BEDTIME Tx: insomnia MoA: cyclopyrrolone (pyrrolopyrazine), gaba agonist Di's: inc cns depression with cns depressants; cyp3a4 inhibitors/inducers Ci's: insomnia > 10 days may be sign of phyical or psychiatric disorder Ae's: drowsy, headache, taste PxCx: Take at bedtime, on empty stomach, drowsy/machinery/alertness, avoid alcohol, WARNING:habit forming, withdrawls with sudden d/c |
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Ambien
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Zolpidem tartrate
Sedative Class 4 Tabs(5,10mg) Tabs CR(6.25,12.5mg) Dosing: one tab before bedtime Tx: insomnia MoA: imidazopyradine, gaba agonist Di's: inc cns depression with cns depressants Ci's: <nothing memorable> Ae's: drowsy, headache, nausea PxCx: drowsy/machinery/alertness, avoid alcohol, WARNING:habit forming, swallow ambien CR whole |
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Trileptal
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Oxcarbazepine
Antiepileptic Tabs(150,300,600mg) Susp(60mg/5ml) Dosing: start with 300mg BID Tx: Partial seizures MoA: Na+ channel blocker Di's: phenobarbital, phenytoin, valproic acid, cyp3a4/5 induction Ci's: hypersensitivity rxns Ae's: dizzy, somnolence, fatigue, ataxia, abnormal vision, n&v PxCx: drowsy/machinery/alertness, avoid alcohol, shake susp well, take w/wo meals |
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Keppra
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Levetiracetam
Anticonvulsant Tabs(250,500,750,1000mg), tabs ER, soln Dosing: 500mg BID Tx: Partial seizures MoA: pyrolidine deriv Di's: none significant Ci's: dec slowly to avoid triggering seizure Ae's: dizzy, somnolence, asthenia, infection, hostility PxCx: drowsy/machinery/alertness, dont d/c, taper off slowly |
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Topamax
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Topiramate
Antiepileptic Sprinkle caps(15, 25mg), tabs Dosing: 100-200mg BID Tx: seizures, migraines MoA: Na+ channel blocker, gaba agonist Di's: inc cns depression with cns depressants; estrogen, metformin, phenytoin, carbamazepine, valproic acid, hctz Ci's: hyperchloremia, metabolic acidosis, glaucoma Ae's: fatigue, nervousness, concentration, confusion, depression, dec weight PxCx: contact doc if ocular pain and/or dec acuity, drowsy/machinery/alertness, avoid alcohol, hydrate well to avoid kidney stones, dont chew sprinkles |
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Dilantin, Kapseals
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Phenytoin sodium (extended)
Antiepileptic Caps(30,100mg) Dosing: 100mg TID Tx: tonic-clonic and psychomotor seizures MoA: inc Na+ ion extrusion from neurons and cardiac myocytes Di's: amiodarone, chloramphenicol, cimetidine, disulfiram, isoniazid, oral anticoagulants, sulfonamides, fluconazole, trimethazole, antineoplastics, carbamazepine, rifampin, sucralfate, disopyramide, theophillines, oral contraceptives, and many others! Ci's: d/c if rash appears Ae's: Ataxia, slurred speech, mental confusion, rash PxCx: drowsy/machinery/alertness, call doc if rash appears, dont d/c w/o consult, take w/ food, diabetics monitor blood glucose |
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Lamictal
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Lamotrigine
Antiepileptic Tabs, chewable(5,25mg), odt, er Dosing: 25-200mg QD Tx: seizures MoA: Na+ channel blocker Di's: phenytoin, carbamazepine, phenobarbital, rifampin, valproic acid, oral contraceptives Ci's: life threatening rashes during first 2 weeks Ae's: dizzy, ataxia, somnolence, headache, rash, n&v, blurred vision, diplopia(double vision) PxCx: report rash/hypersensitivity, drowsy/machinery/alertness, report if pregnant, dont change dosage w/o consult |
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Tegretol, Carbatrol, Equetrol
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Carbamazepine
Anticonvulsant Tabs(200mg), chewables(100mg), er, caps, susp Dosing: 800-1200mg 3-4 dd's Tx: seizures, trigeminal neuralgia pain MoA: dec synaptic response/potential Di's: oral anticoags, valproic acid, pancuronium, cimetidine, isoniazid, diltiazem, fluoxetine, propoxyphene, verapamil, macrolides, hydantoins, doxycycline, haloperidol, lithium, grapefruit juice Ci's: bone marrow depression, moa-i, many other states... Ae's: dizzy/drowsy, n&v, unsteadiness PxCx: drowsy/machinery/alertness, avoid alcohol, shake susp well, take w/ food/milk, swallow er whole, call doc if rash/fever/ulcers/bruising, drink with full glass of water for chewable |
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Lyrica
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Pregabalin
Anticonvulsant/antineuralgic Class 5 Caps, soln(20mg/ml) Dosing: 150mg in 2-3 dd's Tx: diabetic neuropathy, postherpetic neuralgia, partial seizures, fibromyalgia MoA: alpha2-delta agonist in cns tissue Di's: inc cns depression with cns depressants, thiazolidinedione antidiabetics may inc edema Ci's: rare rhabdomyolysis/myopathy Ae's: dizzy, somnolence, dry mouth PxCx: taper off gradually, drowsy/machinery/alertness, avoid alcohol, dont suddenly d/c, take w/wo meals, report muscle pain/fever, soln must be used w/in 45 days of opening |
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Neurontin
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Gabapentin
Anticonvulsant/antineuralgic Caps, tabs(600, 800mg), soln(250/5ml) Dosing: 900-1800mg in 3 dd's Tx: partial seizures, postherpetic neuralgia MoA: unknown Di's: Antacids dec BA Ci's: caution with kids < 12 Ae's: somnolence, dizzy, ataxia, fatigue, nystagmus PxCx: dont d/c suddenly(taper), drowsy/machinery/alertness, avoid alcohol, take w/wo meals |
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Depakote
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Divalproex sodium
Anticonvulsant/antipsychotic Tabs coated, er, sprinkle caps(125mg) Dosing: 250mg TID Tx: petit mals, partials, mania/bipolar, migraine prophylaxis MoA: inc's gaba Di's: aspirin, carbamazepine, dicumarol, phenobarbital, phenytoin, clonazepam Ci's: (contra)hepatic disease, life threatening pancreatitis, suicide ideation Ae's: n&v, asthenia, somnolence, dizzy, diarrhea PxCx: dont d/c suddenly, drowsy/machinery/alertness, take w/ food/milk if gi upset, dont chew sprinkles, contact doc if facial edema/weakness/malaise |
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Geodon
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Ziprasidone HCL
Antipsychotic No generic Caps, inj(20mg/ml) Dosing: 40-80mg BID Tx: schizophrenia, mania/bipolar MoA: antagonist of dopamine d2, serotonin 5ht2, histamine h1, and alpha1 rx's Di's: carbamazepine, ketoconazole, quinidine, antiarrys, and many others Ci's: (contra)demetia related psychosis, qt prolongation, recent mi, heart failure, and many cautions Ae's: drowsy/dizzy, nausea, constipation, cold symptoms, asthenia, dry mouth PxCx: can cause serious arrys, inform doc of every med you take, take w/ food, drowsy/machinery/alertness, avoid alcohol, dont d/c suddenly |
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Abilify
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Aripiprazole
Antipsychotic No generic Tabs, odt, inj, soln(1mg/ml) Dosing: 10-15mg QD Tx: schizophrenia, mania/bipolar MoA: partial agonist at dopamine d2 and serotonin 5ht1a, antagonist at 5ht2a rx's Di's: cyp3a4 inhibitors and inducers affect plasma levels Ci's: (contra)dementia related psychosis, many cautions Ae's: headache, anxiety, insomnia, asthenia, n&v, constipation, drowsy, tardive dyskinesia PxCx: drowsy/machinery/alertness, avoid alcohol |
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Risperdal
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Risperidone
Antipsychotic Tabs, odt, powder for inj, soln(1mg/ml) Dosing: start with 1mg QD Tx: schizophrenia, mania/bipolar, autistic anger MoA: antagonist of dopamine d2 and serotonin 5ht2 rx's Di's: levodopa, carbamazepine, fluoxetine, clozapine(antischizophrenia drug) Ci's: (contra)dementia related psychosis Ae's: extrapyramidal symptoms, insomnia, agitation, anxiety, n&v, tachycardia, rash PxCx: may cause fainting initially so get up slowly, may impair judgement, avoid alcohol, take with food/milk if gi upset, avoid excess heat/sunlight, dont take otc's w/o consult |
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Zyprexa
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Olanzapine
Antipsychotic Tabs, odt, powder for susp and for inj Dosing: 10-15mg Tx: psychotic disorders, mania/bipolar, schizophrenia MoA: antagonist of dopamine, serotonin, muscarinic, histamine, and alpha1 rx's Di's: inc cns depression with cns depressants; omeprazole, rifampin, activated charcoal, carbamazepine Ci's: (contra)dementia related psychosis Ae's: somnolence, agitation, nervousness, hostility, dizzy, constipation PxCx: may cause fainting initially so get up slowly, drowsy/machinery/alertness, w/wo meals, dont change dosage, zydis(odt) tabs must be used immediately once opened |
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Seroquel
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Quetiapine fumerate
Antipsychotic Tabs, er Dosing: 300-400mg in 2-3 dd's Tx: schizophrenia, bipolar depression, mania/bipolar, major depressive disorder(ER tabs only) MoA: antagonist of dopamine, serotonin, histamine, alpha1&2 rx's Di's: inc cns depression with cns depressants Ci's: (contra)dementia related psychosis, suicide ideation Ae's: somnolence, dizzy, constipation, dry mouth PxCx: may cause fainting initially so get up slowly, drowsy/machinery/alertness, take w/wo meals, dont change dosage, swallow ER whole |
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BuSpar
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Buspirone HCL
Antianxiety agent Tabs(5,10,15,30mg) Dosing: 5-10mg QID Tx: anxiety MoA: inc metab of norepi, presynaptic dopamine agonist, serotonin agonist Di's: MAO-i inc bp, grapefruit juice inc's plasma levels Ci's: caution with hepatic and renal impairment Ae's: skin rash, tachycardia, nervousness, insomnia, headache, fatigue, dizzy/drowsy PxCx: drowsy/machinery/alertness, report involuntary movement of tongue or face(may cause parkinsons or tardive dyskinesia), avoid grapefruit juice |
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Prozac
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Fluoxetine HCL
Antidepressant Tabs(10,20mg),caps(10,20,40mg),caps er,liquid Dosing: 10-40mg Tx: depression, ocd, bulimia nervosa, panic disorder MoA: SSRI Di's: MOA-i(serious), thioridazine, tca, benazodiazepines, phenytoin, carbamazepine, tryptophan, sumatriptan, aspirin, nsaid Ci's: (contra)MAO-i and thioridazine, antidepressants inc suicidal thoughts in kids Ae's: nausea, insomnia, anorexia, headache, nervousness, drowsy, tremor, diarrhea, sweating, asthenia, dec libido PxCx: observe changes in mood, may inc suicidal thoughts, drowsy/machinery/alertness, avoid alcohol, takes up to 2 weeks to see therapeutic effects, dont d/c suddenly, call doc if rash or hives appear |
