-
repaglinide
- Prandin
- I: T2DM - meglitinides
- O: take only with meals, unusual schedules
-
nateglinide
- Starlix
- I: T2DM - meglitinides
- O: take only with meals, unusual schedules
-
brimonidine
- Alphagan P
- I: glaucoma - alpha 2 agonist - more outflow, less production
- O: TID, CNS depression
-
finasteride
- Proscar, Propecia
- I: BPH vs alopecia
- O: different dosing = 5 mg vs 1 mg
-
two OTC with Rx and dosing
- ibuprofen: Motrin, Advil = Rx 3200/day vs OTC 1200/day
- naproxen: Aleve = Rx 250-550 mg BID vs OTC 220 mg Q8-12H
-
controlled substances: agents and prescriptions
any agent can orally or electronically transmit III-V with name of agent recorded
-
oral controlled prescriptions
- only III-V verbal to reduce to writing
- II only for emergency situations and resident of skilled nursing facility, hospice, home health agency, hospice, intermediate care facility
-
faxed controlled prescriptions
- only III-V and prescriber manually signs
- II only to fill before they come with the real one and resident of skilled nursing facility, hospice, home health agency, hospice, intermediate care facility
-
testosterone patches
- Androderm
- I: hormone replacement - CIII
- O: daily, take off in MRI
-
promethazine + codeine
- -
- I: cough and cold - syrup with narcotic = C-V
- O: promethazine is an antihistamine. AGE: avoid codeine-containing <12 yo (FDA), avoid all OTC cough and cold products <6 yo (AAP), avoid many OTC cough and cold products <4 yo (PI), for <2 yo: avoid OTC cough and cold products (FDA), avoid promethazine (FDA), avoid topical menthol and camphor (PI). WHOEVER write the script needs a DEA number for any controls
-
medroxyprogesterone
- Provera
- I: systemic hormone to prevent endometrial hyperplasia with estrogens
- O: no need with no uterus
-
clarithromycin suspension
- Biaxin
- I: abx - atypicals, Haemophilus, community-acquired upper and lower respiratory tract infections and certain sexually transmitted infections
- O: 3A4 major substrates and inhibitors
-
compounding recordkeeping
master formula, compounding log with name, strength, date of preparation, any pharmacy personnel engaged in compounding the preparation, pharmacist reviewing, quantity of each ingredient used, manufacturer, expiration date, and lot number
-
lithium
- Lithobid
- I: bipolar
- O: titrate slowly, toxic SE: n/diarrhea, confusion, hydration, sodium affects, food to help with nausea
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