Counseling Exam for Pharmacy Practice

lisinopril

brand: zestril, prinivil

class: ACE inhibitors

indications: hypertension, heart failure, myocardial infarction

side effects: dry cough, dizziness, hyperkalemia

key counseling: avoid in pregnancy; caution with salt substitutes and potassium supplements; monitor blood pressure

losartan

brand: cozaar

class: ARBs

indication: hypertension, diabetic nephropathy

side effects: dizziness, dry cough, hyperkalemia; angioedema

key counseling: avoid in pregnant, caution with salt substitutes and potassium supplemens, monitor blood pressure

hydrochlorothiazide

brand: hydrodiuril

class: thiazide diuretic

indications: hypertension, edema

side effects: polyuria, dizziness, photosensitivity

amlodipine

brand: norvasc

class: calcium channel blocker

indications: hypertension, angina, coronary artery disease

side effects: peripheral edema, dizziness, flushing, fatigue

key counseling: monitor blood pressure, be careful getting up at night to urinate

carvedilol

brand: coreg

class: beta blocker

indication: hypertension, heart failure

side effects: orthostatic hypotension, fatigue, sexual dysfunction, bradycardia

key counseling: do not abruptly stop medication, cautions in asthma

metoprolol succinate

brand: Toprol XL

class: beta blocker

indications: hypertension, heart failure, angina

side effects: orthostatic hypotension, fatigue, sexual dysfunction; bradycardia

key counseling: do not abruptly stop medication, caution in asthma

rosuvastatin

brand: crestor

class: HMG-CoA reductase inhibitor

indication: hypercholesterolemia, hypertriglyceridemia, cardiovascular event prevention

side effects: myopathy, hepatic enzyme elevation

key counseling: modifiable risk factors for atherosclerosis, pregnancy

atorvastatin

brand: lipitor

class: HMG-CoA reductase inhibitor

indication: hypercholesterolemia, hypertriglyceridemia, cardiovascular event prevention

side effects: myopathy, hepatic enzyme elevation

key counseling: avoid grapefruit juice, modifiable risk for atherosclerosis

montelukast

brand: singulair

class: leukotriene receptor antagonist

indications: asthma

side effects: upper respiratory infection, xerostomia, urinary retention

key counseling: take daily to prevent symptoms, cough, headache, hallucinations, cause depression

albuterol HFA

brand: proair, ventolin, proventil

class: SABA

indications: bronchospasm

side effects: tremor, nervousness, palpitations, tachycardia, upper respiratory infection

key counseling: assess inhalation technique, spacer maybe useful, may need to step up treatment if using >2x/week for asthma

Umeclidinium/vilanterol

brand: anoro ellipta

class: LAMA/LABA

indication: COPD

side effects: upper respiratory infections, pharyngitis, xerostomia

key counseling: assess inhalation technique

budesonide/formoterol

brand: symbicort

class: ICS/LABA

indication: Asthma, COPD

side effects: thrush, upper respiratory infections, pharyngitis

key counseling: rinse month after use

tiotropium respimat

brand: spiriva

class: anticholinergics LAMA

indications: COPD, asthma

side effects: upper respiratory infection, xerostomia; urinary retention

key counseling: dont forget to prime

fluticasone/salmeterol

brand: advair, airduo

class: ICS/LABA

indication: asthma, COPD

side effects: headache, upper respiratory infection

key counseling: rinse month after use

fluticasone/vilanterol

brand: breo ellipta

class: ICS/LABA

indication: COPD, Asthma

side effects: Flu-like symptoms, Common cold symptoms, Change in voice, joint pain 

key counseling: rinse month after use

metformin

brand: glucophage

class: biguanide

indications: type 2 diabetes

side effects: flatulence; gastrointestinal upset, nausea, vomiting

key counseling: avoid excessive drinking, lifestyle modifications, start low and go slow

insulin glargine

brand: lantus, basaglar, toujeo

class: insulin (long acting)

indications: type 1 and type 2 diabetes

side effects: hypoglycemia, weight gain

key counseling: assess injection technique, be aware of hypo/hyperglycemia

semaglutide

brand: ozempic

class: GLP-1 analogs

indication: type 2 diabetes, weight loss

side effects: GI upset, nausea, diarrhea, decreased appetite

key counseling: rotate injection site, store in the refrigerator

canagliflozin

brand: invokana

class: SGLT-2 inhibitor

indication: type 2 diabetes

side effects: UTI, polyuria, lower limb amputations

key counseling: monitor for s/s Urinary tract infection

apixaban

brand: eliquis

class: anticoagulant

indications: atrial fibrillation, post op venous thomboprophylaxis

side effects: increased risk of bleeding

key counseling: take regularly to prevent blood clot, increased risk of bleeding, watch signs of bleeding in the stool, gums, bruising, vaginal bleeding

varenicline

brand: chantix

class: NRT

indication: nausea, vivid dreams, insomnia

key counseling: report mood changes, limit alcohol use, take with food to minimize nausea, drink water after eating

hydrocodone/acetaminophen

brand: norco, vicodin

class: analgesics opioids

indication: pain management

side effects: constipation, sedation, respiratory depression, 

key counseling: avoid driving, drinking, recommend OTC laxatives, maximum dose is 3-5g/day, potential risk of abuse and dependence

oxycodone

brand: IR OxyIR, ER: oxycontin

class: analgesics opioids

indication: pain management

side effects: constipation, sedation

key counseling: avoid driving, drinking, recommend OTC laxatives, maximum dose is 3-5g/day, potential risk of abuse and dependence

tramadol

brand: ultram

class: analgesic opioids

indication: pain management

side effects: constipation, sedation, flushing, dizziness

key counseling: avoid driving, drinking, recommend OTC laxatives, maximum dose is 3-5g/day, potential risk of abuse and dependence

cyclobenzaprine

brand: flexeril

class: muscle relaxant

indication: muscle spasm

side effects: somnolence, dry mouth

key counseling: avoid driving or operating heavy machinery, avoid alcohol