generic meds and their brand names

acyclovir

Zovirax - cream or tablets for HSV-1 & 2 and shingles

antiviral medication used to treat herpes infections, shingles, and chickenpox.

penciclovir

Denavir- antiviral medication for herpes labialis

docosanol

(Abreva)- Antiviral otc medication for herpes labialis

valacyclovir

Valtrex- Antiviral medication for genital herpes

amlexanox

Aphthasol- anti-inflammatory antiallergic medication that was used to tx RAU

(currentyl discontinued)

sulfonated phenolics/sulfuric acid

Debacterol- liquid topical agent that is used in the tx of oral ulcers and other minor mouth irritatinons

triamcinolone acetonide

Kenalog- a corticosteroid used to reduce inflammation and treat various skin conditions. (AKA aphthous ulcers due to trauma)

Rho(D) immunoglobin

RhoGam- a medication used to prevent Rh immunization/ incompatibility during pregnancy. It is administered to Rh-negative women who are carrying an Rh-positive baby to prevent the mother's immune system from attacking the baby's red blood cells.

Five Medications That tx TB (Stripe)

Streptomycin, Rafampin, Isoniazid, Pyrazinamide, Ethambutol

Epinephrine (adrenergic drug)

tx of anaphylaxis, asthma, hypotension, incr cardiac output and heartrate; added to L.A

levonordefrin (adrenergic drug)

Neo-Cobefrin- vasoconstrictor with less effects than epinephrine

phenylephrine (adrenergic drug)

Neo-Synephrine- nasal decongestant: pseudoephedrine Sudafed

Ratalin, Concentra, Adderall (Adrenergic Drugs)

Tx of ADD, ADHD ; weight loss

Beta2Agonists (adrenergic drugs)

albuterol (Proventil, Ventolin) - Tx of asthma

Clinical Uses of BetaBlockers? “-olol”

tx of hypertension, angina, arrhythmias, CHF, anxiety; glaucoma; prevent migraine and MI

Adverse rxns of Adrenergic Blockers (aka Beta Blockers)

hypotension, bradycardia fatigue, depression, hypoglycemia, impotence

propranolol

(Beta blocker) Inderal- tx of migraine, CHF, hypertension

Dental concerns: crosses the blood-brain barrier, may cause dry mouth and sedation.

metoprolol

(Beta blocker) Toprol, Toprol XL, Lopressor- tx of CHF, hypertension, “cardioselective beta blocker”

atenolol

(beta blocker) Tenormin- tx of CHF, hypertension, “cardioselective beta blocker”

pilocarpine

Cholinergic drugs- Salagen for xerostomia (sialogogue) used to increase saliva production.

neostigmine (Prostigmine)

pyridostigmine (Mestinon)

physostigmine (Eserine)

Tx for myasthenia gravis (autoimmune disease that causes muscle weakness)

bethanechol

Urecholine- used to tx urinary retention following general anesthesia

atropine

anticholinergic drug- (Atropen) preanesthesia agent to decrease salivary and respiratory secretions.

oral sedation meds

diazempem (Valium) and midazolam (Versed or Halcion) aka benzodiazepines

Inhalation Sedation

NItrous Oxide- Oxygen analgesia

intravenous conscious sedation

Minimally depressed lebel of consciousness

deep sedation

pt may occasionally become unconscious for short periods of time; NPO 6-8hrs prior; protective reflexes may or may not be present

General Anesthesia

Controlled State of Consciousness

Endotracheal intubatation for GA

to maintain airway for lengthy procedures

Adverse reactions to Anesthetics due to toxic amount or lethal doses

respiratory depression and arrest

arrythythmias

increase or decrease in BP; cardiac arrest

headache, fatigue, irrability, nausea, vomitng

hepatoxicity- repeated sxposure to Ga to HCWs

fetal abnormalities- HCWs increased rates of miscarriages

explosions

central nervous system depressants

• opioid analgesic

• barbiturates

• benzodiazepine

• chloral hydrate

• antipsychotics

• antidepressants

• other anesthetics

• antihistamine

• alcohol

• kava kava

• valerian

(cause miosis)

succinylcholine (Anectine)

Paralyzes skeletal muscles at start of general anesthesia to facilitate intubation