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MOA: Inhibits bone resorption SE: Patients may experience localized skin reaction to the injection or systemic reaction if allergic to salmon
Calcitonin - Miacalcin Nasal Spray, Fortical Nasal Spray
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MOA: Provides calcium for bone formation U: treats post menopausal osteoporosis and prevention of progressive bone loss
Calcium Carbonate - Oscal
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SE: Hot flashes Peripheral edema leg cramps/muscle spasm
Raloxifene - Evista
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DI: Take with food or milk Avoid aspirin May cause drowsiness Do not drink alcohol SE: G.I. Upset
All NSAIDS
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Use: Anti-inflammatory, Analgesic, 1st line for gouty arthritis
Indomethacin - Indocin
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Use: Anti-Inflammatory & Analgesic ~also marketed as immediate release Potassium Salt (Cataflam)
Diclofenac - Voltaren
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Uses: Osteoarthritis, Rheumatoid arthritis and Juvenile Rheumatoid arthritis
Meloxicam - Mobic
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Considered a Schedule III-V drug Commanders will consider it a locally controlled item
Fiorinal
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Considered a Schedule III-V drug
Isometheptene Mucate, Dichloralphenazone, Acetaminophen - Midrin
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Intoxication or poisoning due to an overdose or excessive use of the ergot alkaloids is known as ...........
Ergotism
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Use: Abort or prevent vascular headaches (migraines) Controls effectively up to 70% of acute migraine attacks *contraindicated in pregnancy* SE: Vertigo, itching, nausea and vomiting
Ergotamine Tartrate - Ergomar
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Migranal is a ____________ DHE45 is a ______________
nasal preparation injectable
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A new class of anti-migraine agents that work primarily on the serotonin receptor causing cerebral vasoconstriction
Triptans
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MOA: Reduces the production of uric acid
Allopurinol - Zyloprim, Aloprim
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MOA: Increases urinary excretion of uric acid
Probenecid - Benemid
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What does DMARD stand for?
Disease Modifying Anti-Rheumatic Drug
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Agents that completely block nerve impulses to skeletal muscles causing complete skeletal muscle relaxation
Neuromuscular Blocking Agents
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Agents cause complete blocking of nerve impulses so most pharmacists do not strictly consider them skeletal muscle relaxants
Neuromuscular Blocking Agents
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When nerve impulses that stimulate skeletal muslce tone become blocked at the spinal cord and results in diminished skeletal muscle tone
Skeletal Muscle Relaxation
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Three major categories of skeletal muscle relaxants
Neuromuscular Block Agents Centrally Acting Agents Direct Acting Agents
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The onset of blockade is usually rapid as motor weakness gives way to
total flaccid paralysis
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What 2 drugs are short acting NMBs with an onset of ~1 minute and a duration of action less than 30 minutes?
Mivacurium - Mivacron Rapacuronium - Raplon
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An acetylcholinesterase inhibitor used to antagonize or reverse the action of these agents
Neostigmine - Prostigmin
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MOA: acts like an excess of acetylcholine at NM junction to depolarize the muscle receptor site and prevent its repolarization-causes an initial muscle contraction
Depolarizing blocking agents
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Use: ultra-short acting neuromuscular blocking agent used as an adjunct to anesthesia or for rapid sequence intubation (short procedures Is the only depolarizing agent approved for use in the U.S.
Succinylcholine - Anectine, Quelicin
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Use: Muscle spasticity and rigidity associated with multiple sclerosis or cerebral palsy, also spinal cord injuries SE: Frequent urination
Baclofen - Lioresal
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MOA: Reduces skeletal muscle tone through a direct effect on contraction.
Direct Acting Skeletal Muscle Relaxants
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