Sunday, January 29, 2017

Saturday minus 1 person

➞This sounded like a disaster to begin, but Ashton is totally amazing in his super energetic and caring demeanor! We have lots things to go over, and so here we go:

  • BASAGLAR (insulin glargine)  VS. LANTUS (from Sanofi Aventis)
    • Another long acting insulin, from LILLY
    • A biosimilar drug to LANTUS, might be cheaper

  • LOTRISONE (betamethasone & clotrimazole)
  • PROVIGIL (modafinilvs. NUVIGIL (armodafinil)

  • METRONIDAZOLE 0.75% (cream, gel, lotion) for the ACNE ROSACEA
    • Apply BID
  • AVENOVA 
  • OXYTROL vs. OXYBUTYNIN ER
  • HYDROQUINONE 
    • Indicated for - bleaching for areas on the skin where there are changes in color; 
    • MOA - reversible suppression of melanocyte metabolism --> so UV/sun light can produce re-pigmentation of the bleached area 
  • METHENAMINE hippurate
    • Indicated for - UTI prophylaxis/suppression to keep urine acidic
    • 1,000mg AM & PM
  • CEFDINIR (3rd generation cephalosporin)
    • stored reconstituted suspension at room temperature x 10 days (so need to pay attention of how to dispense to patients so that in case the dose needs to be > 10 days; however, most direction call for 10-day treatment)
  • CLEOCIN / CLINDAMAX (clindamycin 2% vaginal cream)
    • 7 Disposable plastic applicators are provided with this package. They are designed to allow proper vaginal administration of the cream.

  • Figure
    Remove cap from cream tube --> Screw a plastic applicator on the threaded end of the tube --> Rolling tube from the bottom, squeeze gently and force the medication into the applicator.
    The applicator is filled when the plunger reaches its predetermined stopping point.
    Unscrew the applicator from the tube and replace the cap.
    While lying on your back, firmly grasp the applicator barrel and insert into vagina as far as possible without causing discomfort.
    Slowly push the plunger until it stops. Carefully withdraw applicator from vagina, and discard applicator.
    Figure
    • Indicated for - bacterial vaginosis
    • Nightly for either 3 or 7 nights for non-pregnant, 7 nights for pregnant women

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