-
HAART
- HIV
- Highly Active Antiretroviral Therapy
- combination of 3+ antiretroviral drugs
- reduces drug resistance, decr viral load, keeps immune system strong
- expensive, severe GI symptoms
-
NRTI - Nucleoside-analog Reserse Transcriptase Inhibitor
- HIV
- antiretroviral agent
- 1 of the 3 main drugs that prevent HIV from getting stronger
- works from w/in the cells
- severe GI symptoms
-
NNRTI - Non-Nucleosided Reverse Transcriptase Inhibitors
- HIV
- antiretroviral agent
- 1 of the 3 main drugs that prevent HIV from getting stonger, works from w/in the cells
-
Protease Inhibitors
- HIV
- antiretroviral agent
- 1 of the 3 main drugs that prevent HIV from getting stonger, works from w/in the cells
-
Entry inhibitors
- HIV
- antiretroviral agent
- GI symptoms
-
Fusion Inhibitors
- HIV
- antiretroviral agent
- respiratory symptoms
-
Atripla
- HIV
- antiretroviral agent
- most common viral suppressant
- used in combination w/ others
- recommended as an initial antiretrovirus regimen
-
Compera
- HIV
- antiretroviral agent
- most common viral suppressant
- used in combination w/ others
-
vitamin and mineral supplements
- chronic and acute Pancreatitis
- maintains good nutrition, compensated for inability to digest fats and starches
-
steroids
- pain/inflamation
- reduce autoimmune response
- chronic and acute Pancreatitis
- for pain and inflammation
-
pancreatic enzymes
chronic and acute Pancreatitis
-
pancrelipase (lipancreatin)
- pancreatitis
- replaces pancreatic enzymes used for digestion of fats and starches, improves nutrition, dec stooling
- GI, headache
-
Hydromorphone (dilaudid) IV /PO
- moderate to sever pain
- pancreatitis
- narc
-
-
-
-
Probantheline bromide
- chronic pancreatitis
- pain
- *take 30mins ac
- *do not give within 1hr of an antacid/antidiarrheal
-
Insulin
- acute/chronic pancreatitis, diabetes
- improve digestion, control blood glucose
- corrective and meal coverage
-
Tums, Mylanta, Maalox
- pancreatitis, reflux
- antiacids
- neutralize stomach acids
- *1hr apart from orals
- *Empty stomach
- *Chew/glass water
-
Octreotide (Sandostatin)
- acute pancreatitis
- IV, sick pt, calm down auto digesting
- Inhibits secretion of panc. Enzymes
-
H2 blockers
- acute and chronic pancreatitis, liver failure, reflux
- decr production of HCL
- HCL signals pancreatic enzymes to be activate
- *Give with or immed. after meals
-
Cimetidine (Tagamet)
- acute and chronic pancreatitis, liver failure, reflux
- H2blockers
- decr production of HCL
- HCL signals pancreatic enzymes to be activate
- *Give with or immed. after meals
-
Ranitidine (Zantec)
- acute and chronic pancreatitis, liver failure, reflux
- H2 blockers
- decr production of HCL
- HCL signals pancreatic enzymes to be activate
- *Give with or immed. after meals
-
Famotidine (Pepcid)
- acute and chronic pancreatitis, liver failure, reflux
- H2blockers
- decr production of HCL
- HCL signals pancreatic enzymes to be activate
- *Give with or immed. after meals
-
Protein Pump inhibitors
- pancreatitis, liver failure, reflux
- suppress gastric acid secretion
- **caution use with Digoxin, dilantin, blood thinners, because it causes toxicity issues
-
Lansoprazole (Prevacid)
- pancreatitis, liver failure, reflux
- Protein Pump inhibitors
- suppress gastric acid secretion
- **caution use with Digoxin, dilantin, blood thinners, because it causes toxicity issues
-
Omeprazole (Prilosec)
- pancreatitis, liver failure, reflux
- Protein Pump inhibitors
- suppress gastric acid secretion
- **caution use with Digoxin, dilantin, blood thinners, because it causes toxicity issues
-
Pancrealipase (lipancreatin)
- chronic pancreatitis
- Replaces the enzymes used for digestion of fats and starches, improves nutrition, and decreases stooling
- give with meals
- Monitor stools/frequency/consistency
- If enteric do not crush, chew or mix with milk or ice cream
- If powder sprinkle on food, pt must rinse after use as this is irritating to the mouth
-
potassium sparing Spironolactone (aldactone) Furosemide (lasix)
- used together have the best outcome for controlling ascites and edema
- Diuretics
-
Lactulose
- liver and kidney failure,
- high ammonia levels
- Laxative
- draws ammonia into poop
-
Neomycin
- liver and kidney failure,
- high ammonia levels
- Laxative
- draws ammonia into poop
-
Propanolol (inderal)
- liver failure
- Beta blocker
- for portal hypertension, relaxes blood vessels
-
Isosorbide (isordil)
- liver failure
- Nitrates
- vasodilates
- dizzy, flushing, headache
-
Vitamin K
- liver failure
- blood clotting
-
Oxazepam (serax)
- dt's, Antianxiety
- easier on the liver than valium
-
steroids
do not take w/ liver failure
-
tylenol
do not take with liver failure
-
barbituates
do not take with liver failure
-
seditives
do not take with liver failure
-
hypnotics
do not take with liver failure
-
-
Imuran,
- Crohn's, UC, Lupus
- immune suppressant
-
cyclosporine (Sandimmune)
- Crohn's, UC, RA
- immune suppressant
-
Methlytrexate (Mexate)
- Crohn's, UC
- immune suppressant
-
Remicade
- Crohn's, UC, RA
- DMARD
- biological therapy,targets specific immune responses
- Significant Adverse effects
-
Humira
- Used for moderate to severe cases of Crohn's, UC, RA
- DMARD
- biological therapy, targets specific immune responses
- Significant Adverse effects
-
Sulfasalazine (Azulfidine)
- Crohn's, UC
- Aminosalicylates
- Local Anti-inflammatory Agents targets intestines - Local effects on the intestinal mucosa, it blocks prostaglandin which plays into normal inflammatory response
-
Balsalazide (Colazal)
- Crohn's, UC
- Aminosalicylates
- Local Anti-inflammatory Agents targets intestines - Local effects on the intestinal mucosa, it blocks prostaglandin which plays into normal inflammatory response
-
Loperamide (Imodium)
- Crohn's, UC
- Anti diarrhea
- Dosing is dependent upon stools/day
- ***Antidiarrheals are not given in severe flareups of Colitis as this may cause toxic megacolon!
-
Diphenoxylate with atropine (Lomotol)
- Crohn's, UC
- Anti diarrhea
- Dosing is dependent upon stools/day
- ***Antidiarrheals are not given in severe flareups of Colitis as this may cause toxic megacolon!
-
Metronidazole (Flagyl)
- Crohn's, UC
- Antibiotics
- reactive to certain GI flora that may be causing inflamm, infection
-
Ciprofloxin (Cipro)
- Crohn's, UC, UTI (MS)
- Antibiotics
- reactive to certain GI flora that may be causing inflamm, infection
-
*hydroxychloroquine (Plaquenil)
-
-
-
-
-
Low dose corticosteroids 1 - 5 mg
RA
-
DMARDS
- RA
- disease modifiying anti-rheumatic drug
- reduces s/s, inhibit structural damage, improve function
-
-
-
Methotrexate
- RA, Crohn's. UC
- immune suppressant, DMARD
-
-
-
-
-
fenoterol
bronchio spasms
-
Meperidine (demerol)
pain
-
diazepam (Valium)
- anxiety
- MS
- Muscle Relaxants/spasticity,
- light headed, weak, fatigue, dry mouth, change in balance
-
reteplase
- MI, embolisms, coronary arteries
- thrombolytic
-
tenecteplase
- MI, embolisms, coronary arteries
- thrombolytic
-
pacerons
- afib, tachy
- antidysrthymics
-
-
-
warfin
- afib, blood clot
- antidysrthymics, blood thinner
-
Cholinesterase inhibitors
- Alzheimer's Disease
- they do not increase the amt of acetylcholine but prolong its presence, inhibits the breakdown of actylcholine
- dizzy, diarrhea, weight loss, insomnia
-
Donepezil (aricept)
- early/middle stage Alzheimer's Disease
- Cholinesterase inhibitor
-
Galantamine (razadyne)
- early/middle stage Alzheimer's Disease
- Cholinesterase inhibitor
-
Rivastigmine (exelon) (patch)
- early/middle stage Alzheimer's Disease
- Cholinesterase inhibitor
-
Memantine (Namenda)
- moderate to late Alzheimer's Disease
- use in combination with aricept
- SOB, hallucinations
-
TPA (alteplase)
- ischemic stroke, PE, MI, embolisms, coronary arteries
- thrombolytic, fibrinolysis, clot buster
- hemorrhage
-
coumadin
- ischemic stroke
- Anticoagulant
- reduces synthesis of active clotting factors.
- bleeding, headache, N/V
-
heparin
- ischemic stroke
- Anticoagulant
- prevents formation of fibrin
- bleeding
-
lovenox
- ischemic stroke
- Anticoagulant
- prevents formation of fibrin
- bleeding
-
ticlid
- ischemic stroke
- Anti platelet
- blocks platelet form
- low platelet, WBC, diarrhea
-
plavix
- ischemic stroke
- Anti platelet
- blocks platelet form.
- itching, bleeding, bruising, nosebleed
-
persantine
- ischemic stroke
- Anti platelet
- inhibits platelet aggregation, vasodilates
- dizzy, headache
-
furosemide/Lasix
- acute renal failure
- diuretic
- inhibits the reabsorption of sodium and chloride, thus excreting more water, sodium, chloride, potassium, magnesium, washes out toxins, establish urine output to prevent oliguria
- dizzy, headache, n/v, low potassium
-
Kayexalate
- acute renal failure
- removes potassium by switching out K for sodium
- n/v, constipation, anorexia, low potassium
-
Streptokinase
- PE
- disolves blood clots
- hypotension, bleeding, respiratory depression
-
Beta 2 stimulates
- COPD
- relaxes smooth muscle, dilates bronchioles
- stimulates heart
- short acting: keep track of how often used, too much indicates need for better long acting tx
- long acting: maintainence, take at same time each day
- brady, mouth sores, dizziness, headache, N/V, insomnia
-
metaproterenol,
- COPD
- Beta 2 stimulate
- Short acting bronchodilator - give first
- cardiac stimulation
-
alupent
- COPD
- Beta 2 stimulate
- short acting bronchodilator - give first
- cardiac stimulation
-
albuterol
- COPD
- Beta 2 stimulate
- short acting bronchodilator - give first
- less heart stimulation
- cardiac stimulation
-
proventil,
- COPD
- short acting bronchodilator - give first
- Beta 2 stimulate
- less heart stimulation
-
ventolin,
- COPD
- Beta 2 stimulate
- short acting bronchodilator
- give first
- heart stimulation
-
Formoterol ( Perforomist)
- COPD
- Beta 2 stimulate
- long acting bronchodilator
- cardiac stimulation
-
salmeterol (Serevent)
- COPD
- Beta 2 stimulate
- long acting bronchodilator
- cardiac stimulation
-
Arformoterol tartrate (Brovana)
- COPD
- Beta 2 stimulate
- long acting bronchodilator
- cardiac stimulation
-
Anticholinergic bronchodilators
- COPD
- relaxation of the large airways-Bronchi
- bronchodilation
- good for cardiac pt as it is gentler on the hearts
-
Ipratropium (Atrovent)
- COPD
- anticholinergic bronchodiator
- short acting
-
Tiotropium (Spiriva)
- COPD
- anticholinergic bronchodiator
- longer acting
-
inhaled steroids
- COPD
- Inhaled steroids are not fast-acting medicines, so you must take them on a daily basis in order to obtain the full benefit., for inflammation, not rescue, use short acting meds first
- nasal stuffiness, mouth sores, lung infections
-
Budesonide (Pulmicort)
- COPD
- inhaled steroid
- give second
-
Fluticasone (Flovent)
- COPD
- inhaled steroid
- give second
-
Triamcinolone (Azmacort)
- COPD
- inhaled steroid
- give second
-
Symbicort
- COPD
- combination meds
- steroid + long acting beta antagonist
-
Combivent
- COPD
- combination meds
- 2 bronchiostimulants + anticholinergic
- less side effects
-
Advair
- COPD
- combination med
- steroid + long acting beta antagonist
-
methylxanthines:
- COPD
- direct relaxation of bronchi, pulm. vessels
- IV or oral
- heart stimulate
-
aminophylline
- COPD
- direct relaxation of bronchi, pulm. vessels
- IV or oral
- heart stimulate
-
theophylline
- COPD
- direct relaxation of bronchi, pulm. vessels
- IV or oral
- heart stimulate
-
Mucolytic:
- COPD
- pill, mist,
- emphysema won't use
- N/V, cough
-
mucomyst,
- COPD
- thins mucus so it can be coughed up
- Mucolytic
-
guaifenesin
- COPD
- thins mucus so it can be coughed up
- Mucolytic
-
-
-
-
PZA(Pyrazidimine)
- TB
- bactericidal and bacteristatic
-
Interferon Beta 1B (Betaseron)
- MS
- immuneregulators,
- improves MRI plaques rate, lengthens remissions,
- S/E: flu like symptoms, constipation, depression, swelling in arms and legs
-
Inteferon Beta 1A (Avonex)
- MS
- immuneregulators,
- reduces MRI plaques,
- S/E: infection, change in eye sight, low WBC,
-
glatiramer (Copaxone)
- MS
- Immunosuppressants,
- S/E: infections, flushing, nervous/excitability, liver damage,
- 20mg SQ Daily
-
Ampyra (dalfampridine)
- MS
- potassium channel blocker,
- interacts with excitability in neurons, assist with mobility issues, walking primarily,
- Do not take if known kidney disease,
- BID as extended release
-
Gilenya (fingolimod)
- MS
- immunomodulator,
- interferes with WBC migration to the cells which is triggering the destruction of the myelin,
- used for loss of balance,
- muscle spasms,
- recommends all patients be observed for six hours after receiving their first dose due to Bradycardia effects. also recommends eye examinations to detect macular edema
-
-
baclofen (lioresal, gablofen)
- MS
- Muscle Relaxants/spasticity
- S/E: dizzy, light headed, N/V
-
dantrolene (Dantrium)
- MS
- Muscle Relaxants/spasticity
-
carbamazepine (Tegretol)
- MS
- anti seizure/Neuropathic pain,
- light headed, weak, fatigue, dry mouth, change in balance
-
gabapentin (Neurontin)
- MS
- anti seizure/Neuropathic pain,
- light headed, weak, fatigue, dry mouth, change in balance, fatigue
-
modafinil (Provigil)
- MS
- for fatigue, promotes wakefullness/dopamine
-
Sulfamethoxazole (Bactrim, Septra)
-
Papaverine injections
Erectile Dysfunction
-
tadalafil (Cialis)
Erectile Dysfunction
-
sildenafil (Viagra)
Erectile Dysfunction
-
vardenafil (Levitra)
Erectile Dysfunction
-
DDAVP (desmopressin)
Urinary urgency
-
onabotulinumtoxinA (Botox)
Bladder Dysfunction
-
tolterodine (Detrol)
Bladder Dysfunction
-
oxybutynin (Ditropan)
Bladder Dysfunction
-
tamsulosin (Flomax)
Bladder Dysfunction
-
terazosin (Hytrin)
Bladder Dysfunction
-
docusate (colace)
Constipation
-
-
bisacodyl (dulcolax)
Constipation
-
Levadopa
- parkinsons
- dopamine
- nausea, loss of appetite, vomiting, and lowered blood pressure.
-
Carbidopa
- parkinsons
- reduces the side effects of levadopa
-
Simemet
- parkinsons
- carbidopa + Levadopa
- 25/100
- Gold Standard
- 3 - 4 x/day
-
ComT inhibitor
- parkinsons
- inhibit 3-0 methyldopa - which breaks down dopamine
- liver toxicity issues
-
Stalevo
- parkinsons
- Simemet + ComT inhibitor
- (levadopa carbidopa entacapone)
- liver toxicity issues
-
Tasmar (tolcapone)
- parkinsons
- ComT inhibitor
- **liver damage and failure
- Adverse: dizziness, dyskinesias, GI upset, ?b/p, sleep disorders
- don't do these right away, try sinamet first
-
Comtan (entacopone)
- parkinsons
- ComT inhibitor
- used to manage fluctuations combined w/ sinamet
- Adverse: dizziness, dyskinesias, GI upset, ?b/p, sleep disorders
- don't do these right away, try sinamet first
-
Cogentin (benztropine)
- parkinsons
- anticholinergic
- blocks acetylcholine so more dopamine can be absorbed
- not as affective, more side effects
- use if tremor and drooling are not otherwise controlled
- Dry mouth, nausea, blurred vision, nervousness, dizziness
-
Benadryl
- parkinsons
- effective in elderly to control drooling
-
dopamine agonists
- parkinsons
- not dopamine, but the body "thinks" it is
-
Mirapex (pramipexole)
- parkinsons
- dopamine agonists
- excessive daytime sleepiness, low blood pressure and behavioral problems
-
Requip (ropinirole)
- parkinsons
- dopamine agonists
- excessive daytime sleepiness, low blood pressure and behavioral problems
-
Amantadine (Symmetrel)
- parkinsons, MS,
- anti viral
- for fatigue, promotes wakefullness/dopamine
- nausea, insomnia
-
vivitrol
- alcoholism
- longer acting naltrexone
- blocks the good feelings
- liver dysfunction
-
acamprosate (campral)
- alcholism
- eases withdrawal symptoms
- liver dysfunction
-
naltrexone (revia
- alcoholism
- blocks the good feeling
-
antabuse
- alcoholism
- very ill if alcohol is consumed
-
ziprasidone (geodon)
bipolar
-
olanzapine (zyprexa)
bipolar
-
lamotrigine (lamictal)
bipolar
-
valproic acid (depakote)
bipolar, seizures
-
lithium (lithobid)
- bipolar
- hypothyroid warning
-
MOAI
- atypical antidepressant
- tyamine warning
-
doxepin (adapin, sinequan)
- depression
- trycyclic
- heart failure, dizziness
-
amitriptyline (elavil)
- depression
- tricyclic
- hear failure, dizziness
-
buspiron (buspar)
- general anxiety dsorder
- 2 weeks for effect
- insomnia, excitement
-
alprazolam (xanax)
- general anxiety disorder, panic disorder
- quicker acting
-
Lorazepam (ativan)
- general anxiety disorder
- quicker acting
-
clonazepam (klonopin)
- general anxiety disorder
- quicker acting
-
bupropion (wellbutrin)
- general anxiety disorde
- rsnri
-
venlafaxine (effexor)
- general anxiety disorder
- snri
-
citalopram (celexa)
- anxiety depression, bipolar,
- antidepressant, OCD, PTSD
- ssri
-
paroxetine (paxil)
- anxiety, depression, bipolar
- ssri, antidepressant
-
escitalopram (lexapro)
- anxiety, depression, bipolar
- ssri, antidepressant
-
sertaline (zoloft)
- anxiety, depression bipolar
- ssri, antiepressant
-
fluoxetine (prozac)
- anxiety, depression, bipolar,
- ssri, antidepressant
-
haloperidol (haldol)
- delirium
- dizzy, nervous, const., weight gain
-
risperidone (risperdal)
- delirium
- dizzy, insomnia, HTN
-
quetiapine (seroquel)
- delirum
- dizzy, HTN, high chol. & trigly
-
olanzapine (zyprexa)
- delirium
- dizzy, HTN, hostility
-
-
ketoconazole (nizorsal)
- cushings
- attacks exess steroid cells
-
mytyrapone (metopirone)
- cushings
- decrease activity of adrenal cortex
-
Beta-blockers
- *olol
- mild to severe hypertension,
- management of heart failure, portal hypertension
- management of angina pectoris following myocardial infarction.
- anxiety and panic disorders,
- migraine prophylaxis,
- tremor,
- ophthalmic products for the treatment of glaucoma
- blocks the response to beta-adrenergic stimulation
- hypotension
-
Angiotensin-Converting Enzyme (ACE) Inhibitor
- *pril
- high blood pressure
- scleroderma
- migrainesrelaxes blood vessels by preventing the body from producing angiotensin II, which narrows blood vessels and releases hormones that raises blood pressure.
- chronic cough
-
Angiotensin II Receptor Blocker
- *sartan
- hypertenstion
- post MI
- heart failure
- blocks angiotensin II, which relaxes blood vessels
- more effective and less side effects than ACE inhibitors
-
Statins:
atorvastatin (Lipitor)
simvastatin (Zocor)
lovastatin (Mevacor)
pravastatin (Pravachol)
rosuvastatin (Crestor)
- hyperlipidemia
- lowers cholesterol by blocking the substance the body needs to make cholesterol,
- may also help the body reabsorb cholesterol that has already built up in the blood vessels
- Muscle and joint aches (most common)Nausea
- Diarrhea
- Constipation
- high blood sugar in DM
- liver damage
-
Magnesium Sulfate
- constipationseizures in preclampsia
- eclampsia
- cardiac arrhythmias
- osmotic retention of fluid in bowels;
- decreases acetylcholine in motor nerve terminals;
- acts on myocardium by slowing rate of S-A node impulse formation and prolonging conduction time.
- diarrhea
|
|
