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65 Cards in this Set
- Front
- Back
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Amitriptyline (Elavil)
Clormipramine (Anafranil) Desipramine (Norpramine) Doxepin (Sinequan) Imapramine (Tofranil) Maprotiline(Deprilept, Lidiomyl) Nortriptyline (Aventyl, Pamelor) Protriptyline (Vivactil) Trimipramine (Surmontil) |
TCA, depression, bipolar, 2nd line drug for OCD
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Citalopram (celexa)
Escitalopram (Laxapro) Fluoxetine (Prozac, Serafem) Paroxetine (Paxil) Sertaline (Zoloft) --oxemine |
SSRI, antidepressant, first line drug for OCD, PMD, PTSD (best if started with in 2 weeks of event)
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TCA toxicity drug tx
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Physostigmine (counteracts anticholinergic actions)
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Venlafaxine (Effexor, Effexor XR)
Desvenlafaxine (Pristiq) Duloxetine (Cymbalta) |
S/DRI, major depression, anxiety disorders, fibromyalgia, neuropathic pain
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Isocarboxazid (Marplan)
Phenylzine (Nardil) Tranylecopramine (Parnate) Selegipine (Emsam) |
MAOI, depression, atypical depression, ocd, panic attacks
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Welbutrin, Zyban
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antidepressants, stimulate, suppresses appetite, inhibits nicotine desire
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Diazepam (Valium)
Aprazolam (Xanax) loprazepam (Ativan) clonazepam (Klonipin) |
Antiolytic- Bensodiazepines
Drug of choice for insomnia and anxiety |
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Chlordiazepoxide (librium)
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for alcohol withdrawal, benzodiazepine
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Reveres effects of Benzodiazepines
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flumazemil (Romazicon)
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Zolpidem (Ambien, Ambien CR)
Zaleplon (Sonata) Eszopiclone (Lunesta) |
Benzo- like
Prolong sleep duration |
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Ramelteon (Rozerem)
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Melatonin Agonists
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Triopental
Secobarbital phenobarbital |
Barbiturates
Seizures Anesthesia |
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Acute toxicity of Barbiturates
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Triad of symptoms
- respiratory depression - coma - pinpoint pupils - often hypotension and hypothermia |
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Buspirone (Buspar)
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Generalized Anxiety disorder
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Dextroamphetamine sulfate (Dextrostat, Dexodrine, Dexodrine spanules)
Amphetamine, dextroam phetamine mixture Adderall Methamphetamine |
Amphetamines
ADHD and Narcolepsy |
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Methylphenidate (Ritalin, Concerta, Metadate)
Dexmethylphenidate (Focalin) |
Amphetamine-like
ADHD |
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Modafinal (Provigal)
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Promote wakfullness
Shiftwork Narcolepsy Sleep apnea |
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Caffeine
Theophylline Theobromine |
Methylxanthines
neonatal apnea promoting wakfullness |
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Acute toxicity of methyxanthines
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Stimulation of CNS
Tachycardia Respiratory stimulation Sensory phenomena |
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Tamoxifen
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- blocks estrogen receptors and inhibit cell growth in the breast
- prevents and treats breast cancer A/E: hotflashes and increased risk for endometrial cancer and thromboembolism - protects against osteoporosis and good for LDL and HDL |
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CRF potassium limit
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2-4g/day
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CRH protein restriction
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.6-.75g/kg/day when creatinine cleatance is less than 25 mL/min
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CRF potassium restriction
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2-4g/day- see list in med surg book!)
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low phosphate diet
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dairy, nuts, legumes
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Kayexalate
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Cation exchange resins
for hyperkalemia |
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Sevelamar (Renegal, Reneva)
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Lowers phosphate
- swallow whole and with meal! |
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Lanthanium Carbonate (Fosrenal)
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lowers phosphate
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Oxybutynin (Ditropan, Ditropan XL, Glenique, Oxytrol)
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Anticholinergics- preffered for overactive bladder
Antispasmatics FOR overactive bladder |
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Darifenacin (Enablex)
Solifenacin (VESIcare) |
Overactive bladder
- more M3 receptor selective |
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Fesoterodine (Toviaz)
Tolterodine (Detrol, Detrol LA) |
Muscarinic antagonists
Overactive bladder |
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Bethanechol (Urecholine)
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Urinary retention
Muscarinic agonist (SLUD) |
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Phenazopyridine (AZO Standard, Pyridium)
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UTI pain relief
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Sidenafil (Viagra)
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ED
Pulmonary hypertension |
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Verdenafil (Levitra)
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ED
60 min for 4 h |
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Tadalafil (Cialis)
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ED
2h for 36h take daily if sex .2x/wk |
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hypo and hypertension limits for ED drugs
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BP <90/50
BP > 170-110 |
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Finasteride (Proscar)
Propecia |
Benign prostate hyperplasia
(propecia used to treat male bladness) |
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Dutasteride (Avodart)
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Benign prostate hyperplasia
** do not touch pill if pregnant! |
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Terazosin (Hytrin)
Doxazosin (Cardura) Tamsulosin (Flomax) Alfuzosin (Uroxatral) Silodosin (Rapaflo) |
Alpha adrenergic antagonists, benign prostate hyperplasia
* contraindicated with ED drugs |
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Saw palmetto
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decreases prostate size
requires 1-2 months |
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Levodopa (Sinemet, Parcopa)
Carbadopa |
- Parkinson's
** low protein diet |
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Sinemet 25/100 or 50/200 (carbi, levo)
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Parkinson's
most effective casues Neuroleptic malignant syndrome |
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Parcopa (levo, carbi)
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- Parkinson's
- dissolve under tongue |
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Pramipexole (Mirapex)
Ropinorole (Requip) Amantadine (Symmetrel) |
Parkinson's
- Impulsive behaviors |
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Apomorphine (Apokyn/Spontane)
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exacerbations of parkinson's
give with antiemetic |
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Entacarpone (Comtan)
Talcarpone (Tasmar) |
Parkinson's
COMT inhibitors - elevated levadopa levels |
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Stalevo or Stavelo
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Levadop, Carbidopa, Entacarpone
Parkinson's |
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Rasagiline (Azileft)
Seleglinine (Eldepryl, Carbex) |
Parkinson's
MAOB Adminster before noon 2nd or 3rd line drug |
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Artane
Cogentin |
Centrally acting anticholinergic
Parkinson's- restores balance by reducing available AcH |
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Neostigmine (Prostigmine)
Pyridostigmine (Mestinon) |
Reversible Cholinesterase inhibitor
Myasthenia Gravis - produces SLUD |
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Avones
Refib Betaseron |
Interferon beta1a and Betaseron is B1b
MS |
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Glatiramer Acetate (Copaxone)
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long term MS therapy
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Matalizumab (Tysabril)
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MS and Crohn's
- reactivation of JC Virus |
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Mitoxantrone (Novatrone)
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worsening relapsing remitting MS
Cytotoxic agent |
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Tizantidine (Zanaflex)
Carsoprodol (Soma) Chlorzoxazone (Paraflex, Parton Forte) Cyclobenzaprine (Flexiril) Metaxalone (Skelaxin) Methocarbmol (Robaxin) Orphenadrine (Norflex) flex or axin |
centrally acting muscle relaxants
- muscle spasms from MS, low Ca, epilepsy, trauma, pain |
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Baclofen (Lioresal)
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- for spasticity
** no antidote for oversdose |
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Phenytoin (Dilantin)
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Seizures
levels 10-20 mcg/mL |
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Carbamezepine (Tegretol)
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Seizures
levels 4-12 mcg/mL |
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Valproid acid (Depakene, Depakote, Depacon)
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Seizures
bipolar migraine levels 40-100 mcg/mL |
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oxicarbezipine (Trileptal)
Gabapentin (Neurontin) Zonisamide (Zonegran) Topiramate (Topamax) Levitracetam (Keppra) Pregabalin (Lyrica) Lamotigrine (Lamictal) |
Epilepsy
(partial and generalized tonic clonic seizures) new drugs |
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Donepezil (Aricept)
Galantamine (Razadyne) Rivastigmine (Excelon) |
Reversible cholinesterase inhibitors
- mild to moderate alzheimers disease - prevents AcH breakdown |
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Memantine (Namenda)
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NMDA class, only one in new class
- moderate to severe Alzeimers disease |
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Egromar
Ergotamine Cafergot (Wigraine) |
manage migrain headache
give with antiemetic |
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Simatriptan (Imitrex)
---triptan |
Serotonin 1B/1D
**to abort ONGOING migraine |
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Dihydroergotamine (Migranal)
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IM choice drug for terminateing migrain eor cluster HA
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