Create
Learn
Share

Miscellaneous Meds

rename
sgthuan's version from 2017-07-08 03:28

Miscelaneous

genericsBrandclassdrug pearls
oxaprozinDayproNSAIDs
misoprostolCytotechormoneprevent peptic ulcer with NSAIDs use, use for abortion --> cat. X
mycophenalateMyfortic, Cellceptimmunosuppressivewill decrease the effectiveness of oral contraceptives
nesiritideNatrecorhuman BNPtreat CHF that is getting worse and cause breathing problem
sumatriptanImitrextriptanavailable tablet, SQ, nasal spray, patches, --> non-oral form is good for severe nausea
zolmitriptanZomigtriptanavailable tablet, nasal spray --> non-oral form is good for severe nausea
naratriptanAmergetriptantablet only
almotriptanAxerttriptantablet only
eletriptanRelpaxtriptantablet only
rizatriptanMaxalttriptantablet, ODT
unfractionated Heparinnoneantithrombinuse ABW for calculation, monitoring aPTT, *** OK in renal impairment
enoxaparinLovenoxantithrombin*** RENAL dose adjust, NO monitoring
rivaroxabanXareltodirect factor Xa inhibitordose > 15mg take with FOOD, normal 15-20mg qd, from warfarin INR < 3
apixabanEliquisdirect factor Xa inhibitornormal dose 5mg BID, *** RENAL dose adjust --> 2 out of 3 - age >80, CrCL >1.5, weight <60 --> 2.5mg BID, from warfarin INR < 2
edoxabanSavaysadirect factor Xa inhibitornormal 60mg qd, *** CrCl > 95 do NOT use, **** start after 5-10 days of parenteral anticoagulant, from warfarin INR < 2.5
fondaparinuxArixtradirect factor Xa inhibitorINJECTION only
dabigatranPradaxa (c)direct thrombin inhibitornormal 150mg BID, start after 5-10 days of parenteral anticoagulant, SE dyspepsia, gastritis-like syndrome, bleeding more in stomach, ** antidote - PraxBind, *** do NOT give in NG tube
dalteparinFragminantithrombinSQ only
hepatitis AHavrix, Vaqtavaccines - IMchildren 1 year (2doses), adult - gay, chronic liver disease, illicit drug user, traveler
hepatitis BEngerix-B, Recombivax BVaccine - IMchildren shortly after birth, adult - healthcare, gay, chronic liver disease, illicit drug, HIV, T2DM
hepatitis A+BTwinrixvaccine - IM
HPV-2CervarixHPV - bivalentfor FEMALE ONLY, age 9-26 --> age 9-14 2doses month 0 & 6-12, age 15-26 3 doses month 0,1-2,6
HPV-4GardasilHPV - quadrivalentfor BOTH, age 9-26 --> age 9-14 2doses month 0 & 6-12, age 15-26 3 doses month 0,1-2,6
HPV-9Gardasil 9HPV - 9valent for BOTH, age 9-26 --> age 9-14 2doses month 0 & 6-12, age 15-26 3 doses month 0,1-2,6
influenzaFluarix, Fluzone, Fluzone high dose, Fluzone intradermal, Fluad, Flublok, Flumistvaccinesfor everyone > 6months, Fluzone high dose & Fluad are for adult > 65, Fluzone intradermal is for 18-64 ONLY, Flumist is for 2-49 ONLY, *** Flublok is completely egg-free, *** 2 doses 4 weeks apart for children 6m-8y that never received 2 doses
meningococcal conjugated vaccine 4 MCV4Menactra, Menveomeningococcal vaccinesIM ONLY
meningococcal polysaccharide vaccine 4 MPSV4Menomunemeningococcal vaccinesSQ ONLY
PCV13Prevnar 13pneumococcal vaccinefor children less than 5yo (series of 4 doses) and more than 6 MONTHS, all adult > 64yo, *** IM ONLY
PPSV 23Pneumovax 23pneumococcal vaccinefor all adult > 64 & adult 2-64 years, IM & SQ
TdapAdacel, Boostrix
memorize

Diarrhea & Constipation & IBS & IBD

genericsBrandclassdrug pearls
psylliumMetamucilBulk-forming agentsFIRST line option +/- osmotic agent, **** DOC in pregnancy, take 2 hours before/after other drugs, SE increased gas, bloating, *** ONSET 12 to 72 hours
calcium polycarbophilFiberConBulk-forming agentsFIRST line option +/- osmotic agent, **** DOC in pregnancy, take 2 hours before/after other drugs, SE increased gas, bloating, *** ONSET 12 to 72 hours
methylcelluloseCitrucelBulk-forming agentsFIRST line option +/- osmotic agent, **** DOC in pregnancy, take 2 hours before/after other drugs, SE increased gas, bloating, *** ONSET 12 to 72 hours
magnesium hydroxideMilk of Magnesium, Mylanta, MaaloxOsmoticsSE electrolyte imbalance, *** ONSET 30m - 96 hours for PO and 15-30m for suppository/enema, *** Caution with renal impairment
polyethylene glycol 3350Miralax, GolytelyOsmotics17g in 4-8 oz water qd, SE electrolyte imbalance, *** ONSET 30m - 96 hours for PO and 15-30m for suppository/enema
glycerinFleet, Pedia-laxOsmoticsSuppository ONLY, SE electrolyte imbalance, *** ONSET 30m - 96 hours for PO and 15-30m for suppository/enema
sorbitolNONEOsmoticsSLN & ENEMA, SE electrolyte imbalance, *** ONSET 30m - 96 hours for PO and 15-30m for suppository/enema
lactuloseConstuloseOsmoticsSE electrolyte imbalance, *** ONSET 30m - 96 hours for PO and 15-30m for suppository/enema
sennaSenokotStimulantsCI abdominal pain or obstruction, SE abdominal cramping, electrolyte imbalance, ONSET 6-12h for PO & 15-60m for suppository, *** Preferred in Chronic OPIOIDs
bisacodylDulcolaxStimulantPO & PR, CI abdominal pain or obstruction, SE abdominal cramping, electrolyte imbalance, ONSET 6-12h for PO & 15-60m for suppository, *** Preferred in Chronic OPIOIDs
docusateColaceEmollients - stool softenerPO & PR, CI abdominal pain, ONSET 12-72h for PO & 2-15m for suppository
lubiprostoneAmitizachloride channel activatorCIC&OIC 24mcg BID, *** IBS-C 8mg BID --> FOR WOMEN ONLY, SE nausea, diarrhea, HA
linaclotideLinzessunknownCIC 145mcg QD, IBS-C 290mcg QD, *** take 30m before breakfast on EMPTY STOMACH, SE diarrhea
alvimopanEnteregperipherally mu recptor antagonistBBW potential risk of MI with long term use, CI more than 7 days of opioids, *** used in HOSPITAL ONLY, MAX 15 doses
bismuth subsalicylatePepto-BismoantidiarrhealsCI salicylate allergy, SE black tongue/stool, *** Toxicity - tinnitus & N/V, Caution with aspirin, children, warfarin, renal impairment
loperamideImodiumantidiarrheals4mg (2t) after 1st loose stool then 2mg MAX 16mg/d, ** Traveler's diarrhea MAX 8mg/d, **** self-treatment should NOT be > 48 hours
diphenoxylateLomotilantidiarrheals5mg QID MAX 20mg/d
dicyclomineBentylantispasmodic - antidiarrhealsCI GI obstruction, severe ulcerative colitis, SE dizziness, dry mouth, nausea, blurred vision
eluxadolineViberziperipheral mu receptor agonistONLY for IBS-D, *** REMS program
prednisoneDeltasone, Prednisone Intensol, Rayos (DR tab)steroidsSHORT term - increased appetite, weight gain, fluid retention, mood change, insomnia, GI upset, *** LONG term - adrenal suppression, Cushing's disease, osteoporosis, cataracts, T2DM
budesonideEntocort EC, Ucerissteroids*** Induction --> 9mg qd for 8 WEEKS, Maintenance for CD ONLY --> 6mg qd for 3 MONTHS then taper, extensive 1st pass effect --> decrease systemic absorption, EC is for Crohn's disease, Uceris is for Ulcerative Colitis
mesalamine ERApriso, Pentasa, Asacol HD, Lialda, Rowasa (enema), Canasa (supp)aminosalicylateusually for INDUCTION --> TID-QID for 6-8 WEEKS, *** ONLY enema & suppository QHS for 3-6 WEEKS, Maintenance --> QD, used in UC ONLY, *** Warning sulfa and salicylate allergy, Asacol HD is OROS form
balsalazideGiazo (t), Colazal (c)aminosalicylateGiazo is ONLY for male
sulfasalazineAzulfidineaminosalicylateCI sulfa or salicylate allergy, SE skin rash SJS/TEN, *** cause yellow-orange Dicoloration, **** impair FOLATE absorption --> give 1mg/d for supplement
azathioprineAzasan, Imuranthiopurine - immunosuppressantBBW myelosuppression, risk of malignancy, SE N/V/D, rash, increased LFTs, *** check thiopurine methyltransferase (TPMT) genetic deficiency --> risk of myelosuppression, *** allopurinol INHIBIT the pathway for inactivation --> dose reduction
mercaptopurinePurixanthiopurine - immunosuppressantNO BBW, SE N/V/D, rash, increased LFTs, *** check thiopurine methyltransferase (TPMT) genetic deficiency --> risk of myelosuppression
natalizumabTysabriintegrin receptor antagonist300mg IV q4w --> d/c if no response by 12w --> ONLY for Crohn's disease & multiple sclerosis, BBW progression multifocal leukoencephalopathy PML --> viral infection of the brain, *** REMS TOUCH program, *** stable in NS ONLY
vedolizumabEntyviointegrin receptor antagonist300mg IV 0,2,6 then q8w --> d/c if no response by 14w --> FOR Crohn's & UC, NO live vaccines, **** store in the FRIDGE
adalimumabHumira (SQ)TNF-alpha inhibitor+/- MTX, 40mg SQ qow, TB test, requires refrigeration, OK at room temp for 14 days
infliximabRemicade (IV ONLY)TNF-alpha inhibitor+ MTX, *** requires a FILTER and STABLE ONLY with NS, infusion rxn - premed with steroids, antihistamine, APAP
certolizumabCimzia (SQ)TNF-alpha inhibitor+/- MTX, 200mg SW qow, refrigerated!!!
golimumabSimponi (SQ&IV)TNF-alpha inhibitor+ MTX, 50mg SQ qMONTH ***, IV available and requires a FILTER
memorize

Recent badges