prescription drug cards quiz 4 review (2)

8/3/2019 Prescription Drug Cards Quiz 4 Review (2)

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PRESCRIPTION DRUG CARDS 1-100 REVIEW (QUIZ 3 )

Anti-Anxiety Agents

Anti-Anxiety Agent

Rank Subclass Brand Name Generic Name(s) Dosage Range

16 Anti-anxiety Xanax (XR) Alprazolam 0.25mg to 0.5 mg initially, given 3 times a day

31 Anti-anxiety Ativan Lorazepam Usual dose is 2 to 6 mg orally per day in divided doses

67 Anti-anxiety Valium Diazepam2 to 10 mg orally, IM, IV initially, repeat in 3 to 4

hours if needed. Use tablets orally 2 to 4 times a day

Patient Consultation:

Xanax:

1) May cause drowsiness. Use caution while operating machinery or when mental alertness

is required

2) Avoid alcohol while taking this medication

3) WARNING: This medication may be habit-forming

4) Store in a cool, dry place away from sunlight and children

5) Contact a physician if the above side effects are severe or persistent

6) If a dose is missed, skip it and return to normal dosing schedule

7) XR (extended release) tablets should not be discontinued abruptly

8)

XR tablets should be swallowed whole –

do not crush, chew, or break

Ativan


is required






Valium

1) Oral concentrate must be diluted prior to use


is required





Advair

1) Avoid contact with the eyes

2)

Rinse mouth after each use3) Contact a physician if the above side effects are severe or persistent

4) Contact a physician if symptoms worsen or if the effectiveness of short-acting beta-2-

agonists decreases


6) Not intended to provide immediate relief of bronchospasm

7) To receive the full benefits of therapy, use on a regular basis. Although benefits can be

seen after two days of treatment, up to four weeks may be needed to observe benefits.

8) It is important that the patient understands how to use the Diskus device and the HFA

inhaler appropriately

Spiriva

1) Store in a cool, dry place away from sunlight and children. Unused capsules should

remain in the blister strip and be used over the next 2 consecutive days

2) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose

than the dose you missed, skip the missed dose and return to your dosing schedule.

3) Contact a physician if the above side effects are sever or persistent

4) This form is not intended for occasional use. Use daily for maximum effectiveness

5) Directions for HandiHaler use:

a.

Open one blister strip to expose one capsule onlyb. Open the dust cap and mouthpiece to expose the center chamber

c. Place the capsule in the center chamber and close the mouthpiece until you hear a

click

d. Press the piercing button completely in once and release

e. Exhale completely. Do not breath into the mouthpiece at any time

f. Place your lips tightly around the mouthpiece and breath in slowly and deeply

until your lungs are full. You should hear the capsule vibrate.

g. Remove the mouthpiece from your lips and exhale

h. Repeat f and g up to 5 more times

i. Open the mouthpiece and discard the empty capsule



Anti-depressants

Antidepressants


7 Antidepressant Zoloft Sertraline Hydrochloride Start with 50 mg once daily

9 Antidepressant Cymbalta Duloxetine Hydrochloride 40 mg – 60 mg daily

12 AntidepressantWellbutrin

Bupropion Hydrochloride 150 to 300 mg given once per dayZyban

17 Antidepressant Celexa Citalopram Hydrobromide 20 mg given once a day

22 Antidepressant Lexapro Escitalopram Oxalate

Begin with a dose of 10 mg given once a day

and gradually increase to a dose of 20 mg once

a day

45 Antidepressant Elavil Amitriptyline Hydrochloride40 mg to 150 mg per day in divided doses or at

bedtime

64 Antidepressant

Effexor

Venlafaxine hydrochloride

75 mg/day administered in a single dose

(Effexor XR) or 2-3 divided doses (Effexor

tablets), taken with foodEffexor XR

73 Antidepressant Prozac Fluoxetine HCl 10 mg to 40 mg


Zoloft

1) Continued therapy may be needed to show noticeable improvement. Do not stop therapy

before consulting with a physician

2) Sertraline oral concentrate must be diluted prior to use. Place the proper dose in 4 oz. of

water, ginger ale, lemon/lime soda, lemonade, or orange juice ONLY. Do not mix in any

other beverage. Take immediately after mixing. Do not premix doses


4) Use caution when performing tasks that require mental alertness

5) Consult with your physician or pharmacist before taking nonprescription medications

6) Do not abruptly discontinue medication




10) Pay close attention to any changes, especially sudden changes, in mood behaviors,thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions.

Cymbalta

1) Therapeutic effects may take as long as 4 weeks to appear


is required




4) Consult with your physician or pharmacist before taking nonprescription medications





9) Pay close attention to any changes, especially sudden changes, in mood behaviors,

thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions

10) Continued therapy of up to 2 weeks may be needed to show noticeable improvement

Wellbutrin, Zyban

1) Take at immediate-release tablets at regular intervals no sooner than three to four times a

day

2) Take extended-release tablets in the morning if possible to avoid insomnia

3) Swallow SR and XL tablets whole –

do not crush or chew4) If a dose is missed, wait until the next scheduled dose – DO NOT DOUBLE DOSE

5) Do not take OTC medications without first consulting a physician or pharmacist



8) Contact a physician if the above side effects are severe or bothersome or if a seizure

occurs

9) Weight loss or gain may be temporary – contact your physician if bothersome


thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions.


Celexa

1) May impair cognitive and motor performance. Use caution while operating machinery or

when mental alertness is required

2) Up to 2 weeks may be needed before therapeutic effects are seen




6) Contact a physician if the above side effects are severe or persistent7) If a dose is missed, skip it and return to normal dosing schedule



Lexapro



1) May impair cognitive and motor performance. Use caution while operating machinery or



3) Consult with your physician or pharmacist before taking nonprescription medication







9)

Continued therapy of up to 2 weeks may be needed to show noticeable improvement

Elavil

1) Do not discontinue therapy unless otherwise directed


is required





Effexor & Effexor XR


2) Patients should be advised to inform their physician if they are taking, or plan to take, any

prescriptions or over-the-counter drugs, since there is a potential for interactions

3) Store in a cool, dry place away from children


5) Swallow capsules whole; do not crush, chew, dissolve, or divide

6) Do not stop therapy before consulting with a physician

7) Pay close attention to any changes, especially sudden changes, in mood behaviors,thoughts, or feelings. Antidepressants may increase suicidal thoughts or actions


Prozac






is required


4) Up to 2 weeks may be needed before therapeutic effects are seen


6) Notify a physician if rash or hives develop




Anti-diabetic Agents

Anti-diabetic agents


10 AntidiabeticGlucophage

Metformin HydrochlorideOne 500 mg tablet given twice a day

with meals or one 850 mg tablet given

with the morning mealGlucophage XR

74 Antidiabetic Lantus Insulin Glargine, rDNA origin Dosage must be individualized

75 Antidiabetic Actos Pioglitazone Hydrochloride 15 mg to 30 mg given once daily


Glucophage, Glucophage XR

1) Should be taken with meals2) Avoid excessive alcohol consumption during treatment. This includes drinking alcohol

all the time or binge drinking for short periods.

3) Closely follow recommended diet and exercise

4) Stop treatment and notify your physician if you experience any of the following

symptoms: unexplained hyperventilation, myalgia, malaise, or unusual somnolence

5) If a dose is missed by more than a couple of hours, skip it and return to your dosing

schedule. Do not double dose


7) Keep well hydrated during therapy by drinking plenty of fluids

Lantus

1) Follow prescribed diet carefully

2) Do not change insulin brands, syringe brands, or dose without first notifying a physician

3) Consult a physician during any illness

4) Do not dilute or mix Lantus with any other insulin or solution




Prinivil, Zestril

1) May be taken with or without meals

2)

Do not discontinue medication unless otherwise directed by your physician3) Avoid non-prescription cough, cold, and allergy medications unless otherwise directed

4) Avoid salt substitutes containing potassium


6) If a dose is missed take it as soon as possible. If it is closer to the time of your next dose

than the dose you missed, skip the missed dose and return to your dosing schedule. Do

not double dose


8) Contact a physician if signs of swelling occur

Norvasc

1) May be taken with or without meals



4) If a dose is missed take it as soon as possible. If taken within 12 hours of the next dose,

skip the next dose and return to schedule

5) Do not take OTC cough and cold remedies without first checking with your physician or

pharmacist

6) Do not stop therapy unless directed to do so by a physician

Toprol-XL


2) Patients with heart failure should contact their physician if their symptoms (weight gain,

shortness of breath) worsens

3) Do not discontinue therapy without first consulting physician

4) Take with food to increase absorption

5) Take whole or halved tablets without crushing or chewing

6) May cause dizziness. Use caution while operating machinery

7) Patients with diabetes need to be aware that this agent can cause masking of

hypoglycemic symptoms

8) Store in a cool, dry place away from the sun

9) If a dose is missed skip it and return to your dosing schedule. Do not double dose

Carvedilol




2) If a dose is missed, take it as soon as possible. If it closer to the time of your next dose


not double dose

3) Take with food to decrease orthostatic hypotension


5) Contact lens wearers may experience decreased lacrimation

6) Do not discontinue therapy without first consulting a physician. Treatment must be

tapered over 1 to 2 weeks


is required



9) Avoid nonprescription cough, cold, and allergy medications unless otherwise directed

Tenormin

1) May be taken with food or milk if GI upset occurs


is required

3) Avoid abrupt withdrawal from therapy





7) If a dose is missed, take it as soon as possible. If it closer to the time of your next dose


not double dose

Lopressor


2) Do not discontinue therapy without first consulting a physician

3) Take with food to increase absorption

4) May cause dizziness. Use caution while operating machinery


hypoglycemic symptoms6) Store in a cool, dry place away from sunlight and children



not double dose.

Caridzem, Cartia, Tiazac



1) Take each dose on an empty stomach at least one hour before or two hours after a meal

unless otherwise directed by physician


3) May cause dizziness. Use caution while operating machinery or when mental alertness is

required




not double dose.


Prinzide, Zestoretic

1) May be taken without regards to meals

2) Timing of dose is important because of increased dieresis. Usually given in the early

a.m.3) Avoid excessive exposure to sunlight

4) Do not discontinue medication unless otherwise directed by your physician

5) Avoid non-prescription cough, cold, and allergy medications unless otherwise directed





not double dose.


10) Contact a physician if signs of swelling occur

Benicar

1) May be administered with or without food

2) May cause dizziness. Use care when operating machinery

3) If pregnancy is detected, discontinue use as soon as possible



Altace

1) Do not discontinue medication unless otherwise directed by your physician

2) Altace capsules may be swallowed whole or their contents sprinkled over soft food and

consumed (without chewing). They also may be mixed into water or apple juice and

consumed. Pre-mixed solutions are stable for 24 hours at room temperature and 48 hours

under refrigeration

3) Avoid nonprescription cough, cold, and allergy medications unless otherwise directed




5) Report any sign of facial swelling, difficulty in breathing, or infection (unexplained fever

or sore throat) to your physician




not double doses.

Anti-Psychotics

Anti-Psychotics


38 Antipsychotic SeroquelQuetiapine

Fumerate

300 mg – 400 mg daily, given in 2 or 3

divided doses, or one extended release

tablet

48 Antipsychotic Risperdal RisperidoneBegin with 1 mg twice daily. For

maintenance use the lowest effective dose

83 Antipsychotic Geodon Ziprasidone HCl 40 mg to 80 mg twice a day

86 Antipsychotic Ablify Aripiprazole 10 to 15 mg once a day

98Agent for Alzheimer’s

Dementia

Namenda Memantine

Hydrochloride10 mg twice a day

Namenda XR


Seroquel

1) Use caution when rising from a prone position, especially during initial dose-titration

period

2) May cause drowsiness – use caution when performing activities that require alertness


4) Seroquel XR should be swallowed whole and not crushed, divided, or chewed

5) Do not change dosage except on the orders of your physician




Risperdal

1) May cause fainting during initial doses – use caution when getting up from a sitting or

lying position

2) May impair judgment – use caution when operating machinery including automobiles



3) Avoid alcohol during therapy

4) May take with food or milk if GI upset occurs

5) Solution is compatible with orange juice, coffee, and low-fat milk

6) Risperdal M-Tab tablets must be used immediately after opening their blister. Do not try

to push the tablet through the blister. Open with dry hands and do not try to split or store

tablets after the blister is opened

7) Avoid overexposure to sunlight and extreme temperatures during therapy

8) Do not take OTC medications without first checking with a physician or pharmacist


10) If a dose is missed take it as soon as possible. If it closer to the time of your next dose


not double dose


Geodon

1) This drug can cause serious heart arrhythmias, please inform your physician of any past

history of heart problems

2) Inform your physician of any prescription or noprescription medications you currently

take

3) Take this medication with food to help its absorption



6) Do not discontinue this medication abruptly

7) If may take several weeks to see symptom improvement after starting this medication

8) Use appropriate precautions against heat exposure and dehydration


10) Contact a physician if the above side effects are severe or persistent or if you experience

fainting, palpitations, or dizziness


Abilify



3) Use appropriate precautions against heat exposure and dehydration4) Store tablets in a cool, dry place away from sunlight and children

5) Store oral solution in the refrigerator and use within 6 months or opening the bottle



Namenda, Namenda XR



1) May be taken with or without food

2) Capsules may be taken whole or opened and sprinkled on applesauce and taken without

chewing




Anti-ulcer Agents

Antiulcer Agent


4 Gastric Antisecretory Prilosec Omeprazole 20 mg give once daily

26 Gastric Antisecretory Nexium Esomeprazole Magnesium 20 – 40 mg daily for 4 to 8 weeks

51 Gastric Antisecretory Protonix Pantoprazole Sodium 40 mg taken once a day for up to 8 weeks55 Gastric Antisecretory Prevacid Lansoprazole 30 mg daily

87 Gastric Antisecretory Zantac Ranitidine Hydrochloride 150 mg twice a day or 300 mg at bedtime

94 Gastric Antisecretory Pepcid Famotidine 20 to 40 mg twice a day for 6 to 12 weeks


Prilosec

1) Take 30 minutes prior to eating

2) Antacids may be taken at the same time3) Store in a cool, dry place away from sunlight and children



not double dose


6) For patients who have difficulty swallowing capsules, the contents of Prilosec capsule

can be added to one tablespoon of applesauce, swallowed immediately and followed with

a glass of cool water. The contents of the capsule should not be crushed or chewed

Nexium

1) Take at least 60 minutes prior to eating

2) Swallow capsules whole, or carefully empty the contents by opening the capsule and

sprinkling the enteric-coated granules over one tablespoonful of applesauce. Ingest the

applesauce/drug mixture without chewing



3) Nexium granules should be mixed with one tablespoonful (15 mL) of water, stirred, left

for 2-3 minutes, then taken orally. Water can be taken to the container a second time if

any medication is remaining. The dose should be taken within 30 minutes of mixing.

4) Antacids may be taken at the same time




not double dose


Protonix

1) May be taken without to regard to meals

2) Swallow tablet whole; do not split, chew, or crush

3) Granules should be mixed with applesauce or apple juice and swallowed immediately

4) Antacids may be taken at the same time5) Store in a cool, dry place away from sunlight and children



not double dose


Prevacid

1) Take on an empty stomach one hour before a meal

2)

The capsules should be swallowed whole or the contents sprinkled onto soft food andswallowed without chewing




Zantac


2) Complete full course of therapy unless otherwise directed

3) Store in a cool, dry place away from sunlight.

4) Do not freeze syrup

5) Effervescent tablets MUST be dissolved in water prior to ingestion

6) If a dose is missed, take it as soon as possible. If it is almost time for the next dose, skip

the next dose and return to dosing schedule

Pepcid



1) Shake suspension well and discard unused portion after 30 days

2) Antacids may be given concomitantly to relieve acute pain




not double doses


Antitussives

Antitussives


95Antitussive /

Expectorant

Mytussin ACCodeine Phosphate with

Guaifenesin

Take 1 to 2 teaspoonful every 4 to 6

hours, not to exceed 12 teaspoonful in

24 hoursRobitussin AC


Mytussin AC, Robitussin AC


is required.


3) May take with food or milk to avoid GI upset

4) If cough persists for more than one week, tends to recur, or is accompanied by fever,rash, or persistent headache, notify a physician

5) WARNING: This medication may be habit forming






Estrogens and Oral Contraceptives

Estrogens and Oral Contraceptives


96 Oral Contraceptive

Tri-CyclenNorgestimate &

Ethinyl EstradiolTake 1 tablet dailyTriSprintec

Trinessa

Tri-Cyclen, TriSprintec, Trinessa



3) Breakthrough bleeding may occur during first few months, notify a physician if it

continues

4) If 1 tablet is missed at any time during therapy, take it as soon as possible or take 2

tablets the next day and then continue regular cycle. If 2 tablets are missed, take 2 tablets

daily for two days then continue normal schedule. If 3 tablets are missed, stop taking

medication and begin new packet 7 days following the last dose.

5) Use a second method of birth control during the first 3 weeks of oral contraceptive use

and during treatment with a broad-spectrum antibiotic. Breakthrough bleeding and/or

diarrhea may be signs of decreased birth control effect

6) Oral contraceptives are intended to prevent pregnancy. They do not protect against

sexually transmitted diseases including HIV infection (AIDS)



GI Anit-Cholinergics

GI ANTI-CHOLINERGICS


49 Urinary Bladder Modifier

Detrol

Tolterodine Tartrate

Starting adult dose is 4 mg a day

in one (Detrol LA 4mg) or two

(Detrol 2 mg) dosesDetrol LA

Patient Consultation

Detrol & Detrol LA

1) May cause dizziness or drowsiness. Use care when operating machinery or when mental

alertness is required


3) May cause dry mouth or blurred vision




Macrolides, Tetracyclines, and Fluoroquinolones

Macrolides, Tetracyclines, and FluoroquinolonesRank Subclass Brand Name Generic Name(s) Dosage Range

18 Macrolide AntibioticZithromax

Azithromycin Dihydrate

500 mg as a single dose on the first day

followed by 250 mg once daily for 4

more daysZmax

41Fluoroquinolone

Antiobiotic

CiproCiprofloxacin HCl 250 to 500 mg every 12 hours

Cipro XR

50 TetracyclineVibramycin

Doxycycline Hyclate 100 mg every 12 hoursDoryx

79Fluoroquinolone

AntibioticLevaquin Levofloxacin 500 mg q24h for 7 days


Zithromax, Zmax

1) May be taken without regard to food or meals

2) Do not take antacids within one hour of administration




4) Report severe or persistent diarrhea to a physician

5) Take a missed dose as soon as possible and continue dosing schedule

6) Shake suspensions well before each dose

Cipro & Cipro XR


2) Avoid prolonged exposure to sunlight



not double dose


5) Discontinue use and contact a physician if a rash develops

6) Finish medication unless otherwise instructed

7) Drink a full glass of water (240 mL) after each dose8) May be taken without regard to food or meals

9) Do not take antacids during therapy

10) Suspension may stored at room temperature or in the refrigerator and is stable for 14 days

after reconstitution. Shake vigorously for 15 seconds before each dose

11) May cause dizziness or light headedness. Use caution while operating machinery or


12) Do not take antacids or products containing calcium calcium, zince, or iron at the same

time. Can be taken 2 hours before or 6 hours after these products

13) Do not chew, crush, or split XR tablets

Vibramycin, Doryx

1) Preferably taken on an empty stomach – one hour before or two hours after meals – with

a full glass of water (240 mL)


3) Taken at even intervals, preferably around the clock


5) Shake suspension well before using


7) Store in a cool, dry place away from sunlight and children8) If a dose is missed take it as soon as possible and return to dosing schedule


Levaquin




Misc. Analgesic and Anti-inflammatory Agents

Misc. Analgesic and Anti-Inflammatory Agents

Rank Subclass Brand NameGeneric

Name(s)Dosage Range

13 Anti-inflammatory Deltasone Prednisone MUST BE INDIVIDUALIZED. Normaldoses range from 5 mg to 60 mg per

day

23 Analgesic

Ultram

Tramadol HCl

Give 50 mg to 100 mg as needed for

the relief of pain every four to six

hours, not to exceed 400 mg per day

Ultram ER

Ryzolt

69 Prostate Anti-inflammatory FloxmaxTamsulosin

HydrochlorideOne 0.4 mg capsule daily

72 Agent for Gout Zyloprim Allopurinol 200 mg to 300 mg per day


Deltasone

1) Take medication only as prescribed

2) Do not discontinue medication without first consulting physician


4) Notify physician if any adverse effects occur


6) If a dose is missed, take it as soon as possible

Ultram, Ultram ER, Ryzolt

1) May cause drowsiness. Use caution while operating machinery or when mental alterness

is required


3) Do not split, crush, or chew extended-release tablets

4) May take with food or milk if GI upset although analgesia may be delayed

5) Continuous use may produce psychic and physical dependence of the morphine-type

6) Do not exceed prescribed dosage




Flomax

1) Take dose one-half hour following the same meal every day. If a dose is missed, skip it

and return to normal dosing schedule



2) May cause dizziness, especially when rising from the sitting position. Use caution when

performing any hazardous task.

3) Store in a cool, dry place away from sunlight

4) Do not discontinue or skip therapy without first consulting physician

5) Contact a physician if adverse effects become severe or bothersome

Zyloprim

1) Compliance with therapy is essential. May take one or more weeks to reach maximum

effectiveness



is required


5) High fluid intake during therapy is beneficial to help prevent kidney stone formation

6) Store in a cool, dry place away from sunlight and children7) If a dose is missed, skip it and return to normal dosing schedule


Misc. Anti-infective

Misc. Anti-Infectives


25 Antibiotic

Bactrim

Sulfamethoxazole withTrimethoprim

160 mg trimethoprim / 800 mg

sulfamethoxazole every 12 hours for 10 to14 daysSeptra

37 Antifungal Diflucan Fluconazole 150 mg as single oral dose


Bactrim, Septra

1) Preferably taken on an empty stomach one hour before or two hours after meals with a

full glass (240 mL) of water

2) Complete the full course of therapy unless otherwise directed3) Avoid prolonged exposure to sunlight







Diflucan

1) Suspensions should be reconstituted prior to dispensing


3) Shake suspension well before each dose

4) If a dose is missed take it as soon as possible. If it is closer to the time of your next dosethan the dose you missed, skip the missed dose and return to your dosing schedule. Do

not double dose.

5) Contact your physician if a rash develops during therapy

Misc. Cardiovascular Agent

Misc. Cardiovascular AgentsRank Subclass Brand Name Generic Name(s) Dosage Range

3 Antihyperlipidemic Zocor Simvastatin 10 to 40 mg per day

15 Antihyperlipidemic Lipitor Atorvastatin Calcium 10 mg to 80 mg per day

19 Diuretic Microzide Hydrochlorothiazide 25 to 100 mg daily in a single or divided dose

24 Diuretic Lasix Furosemide 20 to 80 mg per day in one or two doses

36 AnticoagulantCoumadin Warfarin Sodium

(Crystalline)2 to 10 mg per day

Jantoven

44 Antihyperlipidemic Crestor Rosuvastatin Calcium 5 to 40 mg once daily

65 Hematological Agent - Aspirin, enteric-coated 81 mg to 325 mg once daily

76 DiureticDyazide Triamterene with

HydrochlorothiazideOne to two doses twice a day

Maxzide

80 Antihyperlipidemic Niaspan Niacin (ER) Start with 500 mg at bedtime for 4 weeks

82 Antihyperlipidemic TricorFenofibrate

(nanocrystallized)145 mg daily with meals

90 Hematological Agent Plavix Clopidogrel Bisulfate 75 mg once daily with or without food

91 Antihyperlipidemic Zetia Ezetimibe Daily dose is 10 mg

92 Diuretic Aldactone Spironolactone

Initially 100 mg per day with adjustments at

5 day intervals to a maintenance does of 25

to 200 mg per day


Zocor

1) Contact physician if symptoms of myopathy occur (e.g., muscle pain or tenderness,

especially if accompanied by malaise or fever).



2) Closely follow prescribed diet

3) Avoid overexposure to sunlight due to possibility of photosensitivity. Use a sunscreen

and wear appropriate clothing until the level of sensitivity is determined

4) Do not become pregnant during therapy. If pregnancy occurs or is suspected, discontinue

medication and consult a physician

5) Limit alcohol intake during therapy


7) If a dose is missed take it as soon as possible. If taken within 12 hours of the next dose,

skip the next dose and return to schedule

8) Grapefruit juice increases plasma levels and should be avoided

Lipitor



2) Closely follow prescribed diet3) Avoid overexposure to sunlight due to possibility of photosensitivity. Use a sunscreen

and wear appropriate clothing until the level of sensitivity is determined





7) If a dose is missed take it as soon as possible. If more than 8 hours has lapsed between

the time the dose was to be taken, skip it and return to normal dosing schedule

Microzide


2) Timing of dose is important because of increased 24ieresis. Usually given in early a.m.

3) Avoid excessive exposure to sunlight




Lasix


2) Timing of dose is important because of increased 24ieresis. Usually given in early a.m.

3) Avoid excessive exposure to sunlight

4) Do not take any non-prescription cough or cold medicines, antacids, laxatives, or

antidiarrheals without first consulting your physician or pharmacist

5) May cause orthostatic hypotension; take appropriate precautions






not double dose


Coumadin, Jantoven


2) Do not exceed prescribed dosage, take medication only as directed

3) Avoid alcohol and aspirin or aspirin-containing medications

4) Do not begin or discontinue therapy with other medications unless directed to do so by

your physician




not double doses

Crestor







5)

Store in a cool, dry place away from sunlight and children6) If a dose is missed take it as soon as possible. If more than 8 hours has lapsed between


Aspirin, enteric-coated

1) Many nonprescription medications contain aspirin-read labels to avoid toxic levels

2) Stop use if rash appears or if patient has difficulty in breathing after administration

3) Do not take during the last trimester of pregnancy

4) Do not take for pain for more than 10 days or for fever for more than 3 days unless

directed to do so by a physician

5) Medication should be swallowed whole and followed with a glass of water

6) Do not give to children with chicken pox or flu-like symptoms

Dyazide, Maxzide

1) Timing of dose is important because of increased dieresis. Usually given in early a.m.









Niaspan

1) Take at bedtime with a low-fat snack. Taking on an empty stomach is not recommended

2) Carefully follow the prescribed titration schedule to minimize adverse effects

3) Flushing is a common adverse effect and usually subsides after a few weeks of therapy.

Apirin or NSAIDs taken shortly before bedtime may minimize flushing

4) Avoid alcohol around the same time as NIASPAN, to avoid flushing reactions

5) Do not take OTC vitamins or supplements containing niacin without first checking with a

physician or pharmacist6) Swallow tablets whole, do not break, crush, or chew


8) Notify physician if any of the above side effects are severe or persistent

9) Contact a physician if symptoms of myopathy occur (e.g., muscle pain or tenderness,




Tricor



3) Call a physician if signs of myositis show. This includes muscle pain, tenderness, or

weakness.




Plavix

1) Contact your physician if the above side effects are severe or persistent

2) Contact your physician if you notice any indication of infection including fever, chills, or

sore throat (neutropenia) or signs of TTP including fatigue, weakness, anorexia, nausea,

diarrhea, and abdominal pain

3) Can be taken without regard to meals

4) Bleeding time will be increased during therapy-report unusual bleeding to your physician

5) Tell your physicians and dentists about your therapy before elective surgery



6) Do not exceed prescribed dosage; take medication only as directed




not double doses

Zetia

1) Do not take within 2 hours before or 4 hours after the administration of a bile acid

sequestrant (cholestyramine)


3) May be taken without regard to meals


especially if accompanied by malaise or fever) when Zetia is used with an HMG-CoA

redcutase inhibitor

5) Store in a cool, dry place away from sunlight and children6) If a dose is missed, take it as soon as possible. If more than 8 hours has lapsed between


Aldactone

1) Timing of dose is important because of increased dieresis. Usually given in early

morning



is required4) Store in a cool, dry place away from sunlight and children





Misc. CNS Agents

Misc. CNS Agent


6 SedativeAmbien

Zolpidem Tartrate5 to 12.5 mg immediately before

bedtimeAmbien CR

20 Antiepileptic Klonopin Clonazepam

Adults: 0.5 mg given three times a day

initially

29 Muscle Relaxant

Amrix

Cyclobenzaprine HCl 10 mg three times a dayFlexeril

Fexmid

30Anticonvulsant / Antineuralgic Neurontin Gabapentin

The effective dose is 900 mg to 1800 m

per day in three divided doses

40Antiepileptic Topamax Topiramate

200 mg to 400 mg given in two divided

doses

52 Anticonvulsant / Antineuralgic Lyrica Pregabalin75 mg twice daily or 50 mg three times

day (150 mg/day)

53

CNS Agent for ADHD

Adderall Amphetamine with

Dextroamphetamine

Salts

20 mg per dayAdderall XR

59 Anticonvulsant / AntipsychoticDepakote

Divalproex Sodium250 mg three times a day (Depakote) o

25 mg/kg (Depakote ER) give once dailDepakote ER

63 AntiepilepticLamictal

Lamotrigine 25 mg to 200 mg once dailyLamictal XR

68 Sedative Lunesta Eszopiclone2 mg (nonelderly) or 1 mg (elderly)

immediately before bedtime

70 Agent for Alzheimer’sDementia

Aricept DonepezilHydrochloride

10 mg given at bedtime


Ambien, Ambien CR

1) CR tablets should be swallowed whole, and not divided, crushed, or chewed


3) Because of induced drowsiness, do not operate machinery or engage in activities when

mental alertness is required4) Avoid alcohol while taking this medication



Klonopin




is required



4) Do not stop medication abruptly




not double dose


Amrix, Flexeril, Fexmid


is required

2) Avoid alcohol while taking this medication3) May cause dry mouth




Neurontin


is required

2)

Avoid alcohol while taking this medication3) Do not abruptly discontinue therapy, dose should be tapered over a one week period





Topamax



is required




than the dose you missed, skip the missed dose and return to your normal dosing

schedule. Do not double dose




7) Contact a physician immediately upon experiencing blurred vision or periorbital pain

8) Keep well hydrated during therapy to decrease the risk of kidney stone formation

9) Topamax Sprinkle Capsules may be swallowed whole or by carefully opening the capsule

and sprinkling the contents onto a small amount (one teaspoon) of soft food. This

mixture should be swallowed immediately and not chewed

Lyrica


is required


3) Do not abruptly discontinue therapy, dose should be tapered over a one week period.



6) The oral solution must be used within 45 days of opening the stock container

7) Contact a physician if the above side effects area severe or persistent8) Report unexplained muscle pain, tenderness, or weakness, especially if accompanied by

fever or malaise

9) If a dose is missed, take it as soon as possible. Do not double dose.

Adderall & Adderall XR

1) May cause dizziness – use caution when performing activities that require coordination.


3) This prescription cannot be refilled

4)

WARNING –

this medication may be habit forming5) Store in a cool, dry place away from sunlight and children



8) Adderall XR can be swallowed whole or the capsule carefully opened and the contents

sprinkled on applesauce. The applesauce/drug mixture should be immediately swallowed

whole without chewing

Depakote & Depakote ER

1) Do not abruptly discontinue therapy without first consulting physician


is required. Alcohol will increase this effect


4) Capsules may be swallowed whole or the contents sprinkled over soft food and ingested.

Sprinkle the contents on a teaspoonful of the soft food and ingest without chewing






not double dose

7) Contact a physician if the above side effects are severe or persistent or if any of the

following adverse effects are seen: facial edema, weakness, malaise, lethargy, abdominal

pain, nausea, vomiting, and/or anorexia

Lamictal & Lamictal XR

1) Patient should promptly report and signs of hypersensitivity (fever, lymphadenophathy)

or rash to a physician

2) Do not increase or change dosage without specific instructions from a physician


is required

4) Patients should inform their physician if they become pregnant, intend to become

pregnant,, or intend to breast-feed an infant during therapy5) If a dose is missed, take it as soon as possible but do not double the next dose


7) Lamictal chewable tablets may be chewed or dispersed in a teaspoonful of water or

diluted fruit juice

Lunesta

1) Preferably taken on an empty stomach. High fat meals delay onset of action

2) Because of the rapid onset of action, take immediately before bedtime

3)

Because of induced drowsiness, do not operate machinery or engage in activities whenmental alertness is required



6) A rapid decrease or abrupt discontinuation of therapy may precipitate withdrawal

symptoms



Aricept

1) May be taken with or without food

2) Take in the evening, just prior to retiring



5) If a dose is missed, skip it and return to normal dosing schedule. Do not double doses.



Misc. Gastrointestinal Agents

Misc. Gastrointestinal Agents


54 Antiemetic Zofran Ondansetron HCl 8 mg given three times a day

71 Antiemetic Reglan Metoclopramide HCl5 to 10 mg taken 30 minutes before each

meal and at bedtime for 2 to 8 weeks

77 Laxative

MiralaxPolyethylene Glycol

3350, NF

17 grams (about one heaping

tablespoonful) of powder per day in 8

ounces of water, juice, soda, coffee, or

teaGlycolax

Zofran

1) Do not remove chewable tablets from the blister until just prior to use. Do not try to pushthe tablet through the foil, peel the blister apart to remove




Reglan

1) May cause drowsiness. Use care when operating machinery or when mental alertness is

required


3) Should be taken 30 minutes before meals




Miralax, Glycolax

1) Each dose should be dissolved in 8 ounces of water, juice, soda, coffee, or tea

immediately prior to administration

2) Consult your physician if the above adverse effects are persistent or severe

3) Two to four days may be required to produce a bowel movement4) Do not use for more than 2 weeks unless directed to do so by a physician. Prolonged or

excessive use may result in electrolyte imbalance and dependence on laxatives

5) Exercise and a diet high in fiber and with adequate fluid intake will produce more regular

bowel habits



Misc. Hormone and Electrolyte Agents

Misc. Horomone and Electrolyte Agents


2 Hormone/Thyroid

SynthroidLevothyroxine

Sodium

Adults: 25 to 300 mcg

orally once per dayLevoxyl

Levothroid

35 Electrolyte

Klor-ConPotassium Chloride

(Oral)

16 to 80 mEq per day in

one or two divided dosesK-Dur

Micro-K

85 Hormone/Thyroid Armour Thyroid Thyroid, dessicated 60 mg to 180 mg per day

99 Vitamin ---- Folic Acid Up to 1 mg per day


Synthroid, Levoxyl, Levothroid


2) Notify physician if signs of hyperthyroidism (overdosage) occurs

3) Transient loss of hair may be seen in children, but recovery usually occurs




not double dose

Klor-Con, K-Dur, Micro-K

1) Take with or after meals and with a full glass (240 mL) of water

2) Swallor tablets (except K-Dur) whole

3) K-Dur tablets may be halved or dispersed into 4 ounces of water


5) The unabsorbable wax matrix from Slow K, K-Tab, and Klor-Con may be found in the

stool following administration



8) If a dose is missed take it as soon as possible

Armour Thyroid


2) Notify physician if signs of hyperthyroidism (overdosage) occurs

3) Transient loss of hair may be seen in children, but recovery usually occurs






not double doses

6) Contact a physician if the above side effects are severe or persistent.

Folic acid




Narcotic Analgesics

NARCOTIC ANALGESICRank Subclass Brand Name Generic Name(s) Dosage Range

1 Opioid Analgesic

Lortab

Hydrocodone Bitartrate

with Acetaminophen

1 to 2 tablets or 3

teaspoonsful every four to six

hours as needed for pain

Vicodin

Lorcet

Norco

42 Opioid Analgesic

TylenolAcetaminophen with

Codeine

1 or 2 No.2 or No.3 tablets

every 4 hours as neededPhenaphen

(with Codeine)

56 Opioid Analgesic

PercocetOxycodone with

Acetaminophen

1 tablet every 6 hours as

neededRoxicetEndocet

88 Opioid Analgesic RoxicodoneOxycodone HCl

(immediate release)

5 to 15 mg every 4 to 6 hours

as needed for pain


Lortab, Vicodin, Lorcet, Norco


is required


3) May be taken with food or milk to avoid GI upset







Tylenol and Phenaphen (with Codeine)

1)

May cause drowsiness. Use caution while operating machinery or when mental alertnessis required








Percocet, Roxicet, Endocet


is required




5) WARNING: This medication may be habit forming



8)

Contact a physician if the above side effects are severe or persistent9) If a dose is missed, skip it and return to normal dosing schedule

Roxicodone

1) Oxycodone concentrate should be diluted prior to administration


is required







9) If a dose is missed, take it as soon as possible and reschedule your remaining doses based

upon the schedule your physician prescribed. Do not double doses.

Nonsteroidal Anit-Inflammatory



Nonsteroidal Anti-Inflammatory

Rank Subclass Brand NameGeneric

Name(s)Dosage Range

34 Nonsteroidal Anti-Inflammatory Mobic Meloxicam 7.5 mg once daily

39 Nonsteroidal Anti-InflammatoryNaprosryn

Naproxen 250 mg to 500 mg twice a dayEC Naprosyn

61 Nonsteroidal Anti-InflammatoryVoltaren Diclofenac

Sodium (oral)

50 mg 3-4 times a day, 75 mg twice a

day, or 100 mg XR once or twice a dayVoltaren XR

66 Nonsteroidal Anti-Inflammatory Celebrex Celecoxib200 mg given once a day or 100 mg given

twice a day

97 Nonsteroidal Anti-Inflammatory Motrin Ibuprofen1200 mg to 3200 mg daily in 3 to 4

divided doses


Mobic

1) Compliance with therapy is essential, may require up to 2 weeks to see noticeable

improvement in arthritic conditions



4) Concurrent ingestion of alcohol may increase ulcerogenic effect

5) Avoid aspirin or products containing aspirin without first consulting a physician

6) Store in a cool, dry place away from sunlight and children7) If a dose is missed, take it as soon as possible. If it is closer to the time of your next dose

than the dose you missed, skip the missed dose and return to your dosing schedule

8) Contact a physician if signs of hepatic failure (fatigue, lethargy, pruritus, jaundice, upper

right quadrant tenderness, flu-like symptoms), GI ulceration, skin rash, edema, or weight

gain occur

Naprosryn and EC Naprosyn

1) May require up to 2 weeks to see noticeable improvement in arthritic condition

2) Take on an empty stomach for better absorption, may take with food to reduce GI upset

3) Concurrent ingestion of alcohol may increase ulcerogenic effect

4) Avoid aspirin or products containing aspirin without first consulting your physician

5) May cause drowsiness – use caution when performing activities that require alertness


7) To maintain the integrity of enteric coating, the delayed release tablets should not be

broken, crushed or chewed during ingestion






Voltaren & Voltaren XR


2) Concurrent ingestion of alcohol will increase ulcerogenic effect

3) Avoid aspirin or products containing aspirin without first consulting your physician

4) Swallow whole – do not crush or chew





Celebrex


2) Promptly report any signs of ulcerations and bleeding (intense GI pain, dark stools) to a

physician

3) Avoid aspirin or products containing aspirin without first consulting physician





Motrin

1) Compliance with therapy is essential, may require up to 2 weeks to see noticeable

improvement in arthritic conditions


3) Concurrent ingestion of alcohol will increase ulcerogenic effect

4) Avoid aspirin or aspirin-containing products without first consulting a physician


6) Notify physician if adverse effects are both bothersome or if a rash develops



Penicillins and Cephalosporins



Penicillins and cephalosporins


14 Antibiotic

Amoxil

Amoxicillin TrihydrateAdults: 250 mg to 500 mg every 8 hours or

500 mg to 875 mg every 12 hoursMoxatag

Trimox

28 Anitbiotic

AugentinAmoxicillin with

Clavulanate Potassium

Adults (more severe infections): 1

Augmentin ‘500’ every 8 hours or 1

Augmentin ‘875’ tablet every 12 hours Augmentin

XR

78Cephalosporin

antibioticOmnicef Cefdinir 600 mg daily in one or two doses

100Cephalosporin

antibioticKeflex

Cephalexin

Monohydrate250 mg to 1 gram every six hours


Amoxil, Moxatag, Trimox

1) Preferably taken on an empty stomach – one hour before or two hours after meals – with

a full glass (240 mL) of water

2) Take at even intervals, preferably around the clock


4) Keep suspension refrigerated, discard after 14 days




Augmentin and Augmentin XR

1) Preferably taken at the start of a meal to enhance absorption and decrease GI upset

2) Take at even intervals, preferably around the clock


4) Follow chewable tablets with a full glass of water

5) Keep suspension refrigerated, discard after 10 days

6) Shake suspension well before each dose



Omnicef



3) Do not take antacids or iron supplements within 2 hours of each dose

4) Discard unused suspension after 10 days of mixing



5) Contact a physician if the above side effects, especially diarrhea, are severe or persistent

6) If a dose is missed, take it as soon as possible and return to normal dosing schedule


Keflex

1) Preferably taken on an empty stomach (one hour before or two hours after meals) with a

full glass (240 mL) of water

2) Take at even intervals; preferably around the clock


4) Keep suspension refrigerated. Discard unused portion after 14 days


6) Report persistent or severe diarrhea to a physician




Upper Respiratory Agents

Upper Respiratory Agents


21 Anti-allergy Flonase Fluticasone Propionate (nasal) two sprays in each nostril once a day

46 Anti-allergy Allegra Fexofenadine Hydrochloride60 mg twice a day as needed or 180

mg once a day as needed

58 Anti-allergy Nasonex Mometasone FuroateMonohydrate (Intranasal)

Two sprays in each nostril once a day


Flonase

1) Therapeutic effects are not seen at once. Benefits are usually seen in a few days but may

take as long as three weeks. If no improvement is evident by that time, discontinuemedication and consult physician

2) Use medication at regular intervals for prevention of symptoms or when needed for

treatment of symptoms

3) Do not exceed prescribed dosage; take medication only as directed

4) Clear nasal passages of secretions prior to use. Oral decongestants may be used if needed

5) Shake container well before use




7) If a dose is missed, administer it as soon as possible and return to your normal dosing

schedule.

Allegra


2) Shake suspension well before use

3) May rarely cause drowsiness, use caution when performing activities that require

alertness until effects are known

4) Store in a cook, dry place away from sunlight and children

5) If a dose is missed, take it as soon as possible and return to normal dosing schedule. Do

not double dose

Nasonex

1) Shake the bottle well before each use

2) Therapeutic effects are not seen at once, benefits are usually seen in a few days but may

take as long as three weeks. If no improvement is evident by that time, use should be

discontinued


4) If a dose is missed by more than 12 hours, skip it and return to normal dosing schedule

5) Clear nasal passages of secretions prior to use. Oral decongestants may be used if needed

6) Use at regular intervals


prescription drug cards quiz 4 review (2)

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