Other Notes to Remember

Antihistamines - Azelastine side effect:

drowsiness

Levothyroidzine (Synthroid) Notes

Take on empty stomach

Pure food and drug act - 1906

Prohibited the sale of impure and improper label drugs → FDA establish

Durham Humphrey Amendment - 1951

Establish OTC and BTC drugs

Poison Prevention Packaging Act - 1971

require child resistance packaging for certain meds

Drug listing act - 1972

Drug manufactors reuqired to provide the FDA with list of marketed drugs and give all drugs NDC numbers

Omnibus Budget Reconciliation ACt (OBRA) - 1990

Mandate pharmacists to perform DUR and provide patient counseling

HIPPA - 1996

Protect patient privacy info and med records

Micromedex’s identidex

identifies meds by shape, color, and imprint

Merck Manual

a guide on diagnosing and treating med conditions

Red book

pricing info

Orange book

list of FDA approved drugs and their equivalents

Ident a drug

online resources with over 38000 tablet identifications

Combat Methamphetamine Act - 2005

Pharm Tech must ID the customers who by BTC meds containing controlled substances. Document name, address, date/time, and quantity sold.

Sale limit: 3.6 g/day and 9 g/month.

Records must be kept for 2 yrs.

Lisinopril side effect / adverse rxns

side: hypotension, dizziness, rash, constipation, diarrhea

adverse: acute kidney injury, agioedema, hyperkalemia

Amlodipine side effect + adverse

side: rash, abdominal pain, nausea, fatigue, and dyspnea

adverse: peripheral edema

Warfin overdose notes

use vitamin K

Heparin overdose notes

Use protamine sulfate

Statins contraindications

Should not use when pregnant

Latanoprost (Xalatan) notes

refridgerated before open

Benzodiazopines notes

Can cause drowsiness and impaired coordination

CNS Stimulants note

can raise heart rate should not use if have hypertension.

Hormonal Contraception Contraindications

Pregnancy, breastfeeding, unexplained vaginal bleeding, migraine headaches, liver disease/history of liver tumor, history of cancers, heart diseas, clotting diseas, or diabetes

Hormonal Contraception Side effects

weight gain, mild headaches, breast tenderness, nausea and vomitting, hypertension, etc.

DAW 1

Generic substitution is authorized, or no generic is available

DAW 1

Prescriber indicated the specific brand must be dispensed, no substitutions

DAW 2

Generic is available and allowed, but patient prefers the brand

DAW 3

Even with generic option, the pharmacist chose the brand for dispensing

DAW 4

Generic was not in stock, so brand was dispensed

DAW 5

Pharmacy dispensed a generic that is branded

DAW 6

Any exceptions or overrides to usual procedures

DAW 7

State laws mandate the brand.

USP 795

Standards for non-sterile compounding

USP 797

Standard for sterile compounding

DEA Form 222

Used to order, buy, sell or transfer Class I and II controlled substances

DEA Form 41

Used to document the destro and dipose of controlled substances

DEA Form 106

Used to theft or loss of controlled substances