Not-my-day kind of day *** to be cont ***

NOTE: first, I overlooked a gabapentin 3 caps daily rx (should have been 1 cap three times daily), and there were 60-tabs of Norco 10mg missing :( I was distracted, and despondent all day...Well, life goes on, and I need to take some notes, and keep this a habit! You'll get there! Believe, and faith!!

• GABAPENTIN
• Indication
• PostHERPETIC neuralgia
• Dose
• 300mg QD x 1 day → 300mg BID x 1 day →  300mg TID x 1 day, then dose can be titrated as needed for pain relief up to 1,800mg
• TRIUMEQ
• NOTE: first time counseling, what should I say??
• Oral Contraceptive counseling
• Estrogen + Progesterone 
• Progesterone only
• Emergency Contraceptive
• Pulmicort  

Stimulants for ADHD or Narcolepsy *** to b cont ***

NOTE: a patient is on DEXEDRINE XR (DEXTROamphetamine) 60mg total a day. Because he's taking 10mg cap x 6 caps daily x 90 days = 540 caps, a floating pharmacist refused to fill unless a doctor re-confirmed! So it turns out that the max daily dose is 60mg!! Here prompts my inquiry into what other stimulants are there, and was DEXEDRINE indeed for ADHD??

Schedule II stimulants

• NARCOLEPSY
• DEXEDRINE (DEXTROamphetamine) (Available = tabs; ER caps 
• 
  
• ADHD

Let's quit smoking and get some CE credit *** to be cont ***

CE - PowerPak - Overactive Bladder

Two drug classes are for treating Overactive Bladder (OAB) per AUA

• Antimuscarinic agents
• Older
• Oxybutynin (DITROPAN XL, OXYTROL; available = Oxytrol Patch (twice weekly), 5mg tab;  5, 10, 15 XL tab, approved by FDA 1988)
• Side Effects (marked anti-cholinergic effects everywhere)
• CNS
• somnolence / confusion / dizziness
• GI
• Dry mouth / constipation
• CV
• Tachycardia / arrhythmia
• Tolterodine (DETROL / available = 1,2mg IR tab; 2, 4mg LA cap / FDA 1998)
• Newer
• 

• ENABLEX (DARIfenacin / available = 7.5, 15mg / FDA 2004) 
• TOVIAZ (FESOterodine / available = 4, 8mg / FDA 2008) 
• TROspium (SANCTURA / available = 20mg IR tab, 60mg XR cap / FDA 2004) 
• 
• VESICARE (SOLIfenacin / available = 5, 10mg / FDA 2004) 
• Beta 3 adrenergic agonist
• 
• MYRBETRIQ (MIRAbegron / available = 25, 50mg / FDA 2012) 
• Side Effects
• CV
• Increased BP / palpitation
• CNS
• Dizziness