Drug Info on the website

DailyMed - US National Library of Medicine

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
  
  
  

Hypotension - Pharmacist Letter *** to be cont. ***

NOTE: another CE quiz question on Pharmacist Letter :)

• Causes for hypotension
• Meds
• Parkinson
• BPH, including selective and non-selective alpha
• DOXAZOSIN (alpha1 adrenergic blocker, Available = 1, 2, 4, 8mg tab, Cardura XL = 4, 8mg) 
• TERAZOSIN (alpha1 adrenergic blocker, Available = 1, 2, 5, 10mg cap)
• TAMSULOSIN (alpha1 adrenergic blocker, Available = 0.4mg cap)
• ALFUZOSIN (UROXATRAL, alpha1 adrenergic blocker, Available = 10mg ER tab)
• RAPAFLO (siloDOSIN, alpha1 adrenergic blocker, Available = 4, 8mg cap with meal)
• Diuretics
• Treatment for hypotension
• Non-med
• Adequate fluid 
• Increase salt intake
• Med
• Fludrocortisone (Available = 0.1mg tab)
• Monitor
• Edema
• High BP
• ↓ potassium
• Midodrine (alpha1 agonist; Available = 2.5, 5, 10mg tab)
• Dose
• 10mg TID during daytime hours when patient is upright

Working with canker soresssss :( *** to be cont. ***

THOUGHTS: canker sores are always a nightmare especially when they are at the back of the throat AND on the lower lips :( Even a simple act of opening the mouth to speak raises the level of pain :( Well, life goes on, and work definitely goes on!!!

• ENTRESTO (SACUbiTRIL / valsartan) (Available = 24/26mg, 49/51mg, 97/103mg tab)
• NOTE: I saw this med ENTRESTO coming up refill too soon, and so I called the patient about it. However, I had no clue what this med is for!