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For an NDC# (xxxxx-xxxx-xx) what does the first set, second set, and third set stand for?
first five refer to manufacturer, second four refer to drug identity, last two represent package size.
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How many names are drugs given at discovery? What are they?
two, brand and generic name
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How long do patents last? How long do the trials last? How long is the marketing protection?
about 20 years; trials are about 6-8 years; about 12 years of marketing protection
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What is a narcotic?
an addictive drug, such as opium, that reduces pain, alters mood and behavior, and usually induces sleep or stupor (a daze)
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What kind of narcotics are used in medicine to control pain?
natural and synthetic narcotics
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what are the common side effects for narcotics?
constipation, abdominal pain, dizziness, drowsiness
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what are opioid analgesics?
pain relievers that act on the CNS and may become habit forming if used over long periods
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How are drug schedules determined?
by the drugs: potential for abuse, medical use, and safety
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What are the classes and which one has the highest potential for abuse?
C-I (highest potential), C-II, C-III, C-IV, C-V, C-VI (in some states)
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In NC what are some important facts about C-IIs?
they cannot have refills, they have no expiration date, and they mat not be faxed (unless for a nursing home or hospice patient)
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What are some common C-II medications (that were in power point)?
cocaine, some codeine products, hydromorphone, meperidine, methadone, oxycodone
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What are some common C-III medications (that were in power point)?
testosterone, anabolic steroids, butalbital, chlorhexadol, hydrocodone
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What are some common C-IV medications (that were in power point)?
alprazolam, clonazepam, clorazepate, diazepam, phentermine
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What are some common C-V medications (that were in power point)?
some codeine products, diphenoxylate products (Lomotil), opium preparations (Kapectolin)
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What is the max adult dose for APAP?
4 grams/day
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What is/are the brand name(s) for hydrocodone/APAP?
lortab and lorcet
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What are the ingredients and strengths in lortab 5? Lortab 10?
5mg hydrocodone/500mg APAP; 10mg hydrocodone/500mg APAP
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What is the difference between lortab vs. lorcet? (be specific)
the amount of APAP, Lorcet is 650mg and Lortab is 500mg
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What is the drug class, brand name, and indications of Butalbital/APAP/Caffeine?
Barbituate Analgesic; fioricet; used for the relief of the symptom complex of tension (or muscle contraction) headache
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What are the side effects for Butalbital/APAP/Caffeine? What is some consult info?
Dizziness, drowsiness, lightheadedness; Caution with heavy machinery, may take with food, avoid alcohol and extra OTC APAP
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What is the drug class, schedule, brand name, and indications of Propoxyphene Napsylate/APAP?
Opioid analgesic combination; C-IV; Darvocet; used for mild to moderate pain with or w/out fever
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What are the side effects for propoxyphene napsylate/APAP? What is some consult info?
dizziness, drowsiness, nausea; Consult: caution when driving heavy machinery, avoid alcohol, may be habit forming, do not take additional Tylenol without consulting a RPH
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What is the drug class, schedule, brand name, and indications of Morphine Sulfate ER?
opioid analgesic; C-II; MS Contin; for moderate to severe pain
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What is the drug class, schedule, brand name, and indications of Hydrocodone Bitatrate/APAP?
opioid analgesic combo; C-III; Vicodin; use for moderate to moderately severe pain
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What is the drug class, schedule, brand name, and indications of Oxycodone Immediate Release?
Opioid analgesis; C-II; OxyIR, Roxicodone;used for the management of moderate to severe pain
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What is the drug class, schedule, brand name, and indications of Oxycodone Controlled Release?
Opioid analgesic; C-II; Oxycontin; used for management of moderate to severe pain
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What is the drug class, schedule, brand name, and indications of APAP/COdeine?
opioid analgesic; C-III; Tylenol/Codeine; mild to moderate pain
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What is the drug class, schedule, brand name, and indications of Oxycodone/APAP?
opioid analgesic; C-II; Percocet, Roxicet, Endocet; used for relief of moderate to moderately severe pain
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What is the drug class, brand name, and indications of Tramadol?
opioid analgesic; Ultram; used for management of moderate to moderately severe pain
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What is the drug class, brand name, and indications of Tramadol/APAP?
Opioid analgesic; Ultracet; used for short term (five days or less) management of acute pain
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What is the drug class, schedule, brand name, and indications of Hydrocodone Bitartrate/Ibuprofen?
opioid analgesic/NSAID; C-III; Vicoprofen; use for short term (generally less than 10 days) management of acute pain
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What are the side effects for morphine sulfate ER? What is some consult info?
constipation, lightheadedness, dizziness; caution with heavy machinery, may take with milk or food to avoid GI upset, avoid alcohol, must be taken whole
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What are the side effects for hydrocodone/APAP? What is some consult info?
dizziness, drowsiness, constipation; caution with heavy machinery, may take with food or milk to avoid GI upset, avioid alcohol and extra OTC APAP
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What are the side effects for oxycodone immediate release? What is some consult info?
constipation, nausea, vomiting; caution with heavy machinery, may take with food to avoid GI upset, avoid alcohol
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What are the side effects for oxycodone controlled release? What is some consult info?
constipation, nausea, somnolence; must be taken whole, caution with heavy machinery, avoid alcohol, may take with food or milk for GI upset
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What are the side effects for codeine/APAP? What is some consult info?
dizziness, drowsiness, constipation; use caution with heavy machinery, may take with food/milk for GI upset; avoid alcohol and OTC APAP
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What are the side effects for oxycodone/APAP? What is some consult info?
dizziness, drowsiness, constipation; caution with heavy machinery, avoid alcohol and OTC APAP, may take with food/milk for GI upset
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What are the side effects for tramadol? What is some consult info?
dizziness/vertigo, nausea, constipation; avoid alcohol, may take with food/milk for GI upset (may delay analgesia)
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What are the side effects for tramadol/APAP? What is some consult info?
constipation, somnolence, increased sweating; caution with heavy machinery, avoid alcohol and OTC APAP, may take with food/milk for GI upset (may delay analgesia?
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What are the side effects for hydrocodone/ibuprofen? What is some consult info?
headache, dizziness, somnolence; may take with milk/food for GI upset, avoid alcohol, caution with heavy machinery, watch OTC ibuprofen usage
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