pharm tech cb

Klonopin

Clonazepam

Ambien

Zolpidem

Plavix

Clopidogrel

MS Contin

Morphine ER

Flonase

Fluticasone

Pepcid

Famotidine

Provera

Medroxyprogesterone

Buspar

Buspirone

Paxil

Paroxetine

Seroquel

Quetiapine

Ultram

Tramadol

Xalatan

Latanoprost

Glucophage

Metformin

Zestril

Lisinopril

Floxacin

Antibiotics

Azole

Antifungal

Olol

Beta blockers

Vir

Antivirals

Zosin

Alpha blockers

Statin

Cholesterol lowering

Pril

ACE inhibitor

Carcinogenicity

cancer-hormones, biologics

Teratogenicity

Birth defects-acne meds, antidepressants

Hepatotoxicity

Liver damage - analgesics, antifungals

Nephrotoxicity

Kidney damage- ACE inhibitors, NSAIDS

Hematological effects

Blood thinning, clotting, bone marrow issues - hormones, antineoplastics

Gastrointestinal effects

anorexia, nausea, vomiting, constipation, heartburn, and diarrhea, ulcerations and colitis

Side effects - aspirin, potassium chloride

Esophageal ulcer

Side effects - NSAIDS, theophylline

Esophageal reflux

NSAIDS

Gastritis

Iron supplements, calcium supplements

Constipation

Side effects- Antibiotics like clindamycin, amoxicillin- clavulanic acid

Diarrhea

Drug drug interaction - warfarin and acetaminophen

Increases effects of warfarin

Drug drug interaction- warfarin and vitamin K

Decreases effects of warfarin

Drug to disease - antacids

Kidney disease

Drug to disease - NSAIDS

Gastrointestinal disease

Drug to disease - Antitussives

Glaucoma

Drug to disease - Beta blockers

Asthma

Drug to disease - Nasal decongestants

Heart disease and high blood pressure

Drug to disease - Nicotine replacement products

Heart disease and high blood pressure

Nighttime sleep aids

Dementia

Black cohosh and estrogens

May increase estrogen activity

Ginkgo biloba and NSAIDS, clopidogrel, warfarin

May increase risk of bleeding

St. John’s wort and warfarin

Decrease effectiveness of warfarin

St. John’s wort and paroxetine or venlafaxine

Increase risk of toxicity

Grapefruit juice and alprazolam, amiodarone, cholesterol lowering, calcium channel blocker, carbamazepine

Increases effects of meds

Caffeine and central nervous system stimulants like methylphenidate

Increases effects of meds

BG test vs diuretics

Elevated blood sugar

BG test vs beta blockers

Decreases blood sugar

Prothrombin time/ International Normalized Ratio vs warfarin

May increase INR

Cholesterol vs diuretics

Elevated cholesterol levels

Cholesterol vs beta blockers

Decreases HDL levels

Buccal

Inside the cheek

Sublingual

Under the tongue

Oral

Small intestine

Rectal

Rectum

Enteral

Buccal, SL, PO, PR

Parenteral

Everything besides digestive system

Intraocular

Eye

Intranasal

Nose

Dermal

Through or on skin

Inhalation

Lungs

Intravenous IV

Venous circulatory system

Intradermal

Dermal layer of skin

Vaginal PV

Vagina

Subcutaneous SC

Subcutaneous layer of the skin

Intramuscular IM

Muscle

Tablets, capsules, bulk powders, solutions, suspensions, elixirs, syrups

Oral

Tablets, solutions

Buccal

Tablets, lozenges, films

Sublingual

Solutions, ointments, suppositories

Rectal

5 Rs

Patient, dose, drug, time/frequency, route

FDA

safety of drug products, recalls, review info on medwatch, review new drugs, maintain REMS list

DEA

enforce Controlled Substance Act including manufacturing, distributing, and dispensing, investigate and prepare for the prosecution of major violators of controlled substance

USP

public standards setting authority for all prescription and otc meds, food ingredients and dietary supplements, non sterile compounding requirements, and sterile compounding

usp 795

non-sterile compounding

usp 797

sterile compounding

TJC

patient care, patient safety

OSHA

safe and healthy working conditions, SDS, handling hazardous medications

NIOSH

list of hazardous drugs

BOP

state, practice of pharmacy, discipline pharmacies, rPhs and techs, continuing education requirements

CE requirements

every 2 years, 20 hours

NABP

all state BOPs

p-list hazardous waste

nicotine, arsenic trioxide, warfarin

u-list hazardous waste

nitroglycerin, cyclophosphamide, selenium sulfide

CI drugs

no accepted use, heroin, LSD, marijuana, cocaine, fentanyl, ecstasy

CII drugs

accepted medical use but high potential for abuse w sever physchoogical of physical dependency - ex codeine, methylphenidate, morphine, oxycodone, vyvanse, hydromorphone

CIII drugs

accepted medical use w moderate to low potential for dependency - ex. florenal, tylenol w codeine, ketamine, testosterone, anabolic steroids

CIV drugs

accepted medical use w low potential for abuse or dependency - ex, zolpidem, lorazepam, clonazepam, tramadol

CV drugs

lower potential for abuse and dependency - ex. lyrica, lomotil, cough meds w/ codeine

scheduled listed chemical product

contains ephedrine, pseudophedrine, or phenylpropanolamine - ex. sudafed, primatene, claritan D

DEA number

hospital/doctor, last name, 7 numbers - 1,3,5 add, 2,4,6 add and x 2 then add and last digit

controlled substance new prescriptions must have

date of issue, patients name and address, practitioners name, address, DEA number, drug name, strength, dosage form, and quantity spelled out or written numerically, directions for use, number of refills

transfer rules for controls

2 cannot be, 3-5 must be picked up once then can be transferred once, keep record for 2 years, 3-5 prescriptions good for 6 months

cII emergency fills

only in case of natural disaster

DEA 106

name and address of pharmacy, DEA registration number, date of theft or loss, name of local police department, type of theft, list of missing

PDMP

statewide electronic database that collects info on dispensed substances, support and investigate use and misus

iPledge

isotretionoin medications can cause sever birth defects, spontaneous abortions, adverse physchiatric effects

iPledge requirements

only a 30 day supply, female negative monthly pregnancy test, pu within 7 days males have 30 days, informed consent form, blood tests, registry

Thalomide REMS program

avoid taking if pregnant ro could become, 28 day supply w no refills, 7 day pu female, 30 days nale, never donate blood or sperm while taking