top 300 counseling points quiz 1

bacterial vaiginosis (overgrowth of bacteria in vagina), trichomoniasis (STP)

Flagyl, Flagyl ER/metronidazole (PO) common indications

possibly carcinogenic

Flagyl, Flagyl ER/metronidazole (PO) BBW

pregnancy (1st trimester), use of alcohol or prophylene glycol-containing products during treatment or within 3 days of treatment discontinuation (disulfiram reaction - body cannot break down alcohol so puking and headache occur)

Flagyl, Flagyl ER/metronidazole (PO) contraindictations

metallic taste, darkened urine, nausea

Flagyl, Flagyl ER/metronidazole (PO) side effects

can increase INR (how fast blood clots) in patients taking warfarin (weak CYP2C9 inhibitor)

Flagyl, Flagyl ER/metronidazole (PO) drug interactions

take IR tablets with food to decrease GI upset

Flagyl, Flagyl ER/metronidazole (PO) notes

bacterial vaiginosis (overgrowth of bacteria in vagina), trichomoniasis (STP)

Metrogel, Metrocream/metronidazole (topical) common indications

possibly carcinogenic

Metrogel, Metrocream/metronidazole (topical) BBW

pregnancy (1st trimester), use of alcohol or prophylene glycol-containing products during treatment or within 3 days of treatment discontinuation (disulfiram reaction - body cannot break down alcohol so puking and headache occur)

Metrogel, Metrocream/metronidazole (topical) contraindications

can increase INR (how fast blood clots) in patients taking warfarin (weak CYP2C9 inhibitor)

Metrogel, Metrocream/metronidazole (topical) side effects

can increase INR (how fast blood clots) in patients taking warfarin (weak CYP2C9 inhibitor)

Metrogel, Metrocream/metronidazole (topical) drug interactions

take IR tablets with food to decrease GI upset

Metrogel, Metrocream/metronidazole (topical) notes

bacterial vaiginosis (overgrowth of bacteria in vagina), trichomoniasis (STP)

Nuvessa, Vandazole/metronidazole (vaginal) common indications

possibly carcinogenic

Nuvessa, Vandazole/metronidazole (vaginal) BBW

pregnancy (1st trimester), use of alcohol or prophylene glycol-containing products during treatment or within 3 days of treatment discontinuation (disulfiram reaction - body cannot break down alcohol so puking and headache occur)

Nuvessa, Vandazole/metronidazole (vaginal) contraindications

metallic taste, darkened urine, nausea

Nuvessa, Vandazole/metronidazole (vaginal) side effects

can increase INR (how fast blood clots) in patients taking warfarin (weak CYP2C9 inhibitor)

Nuvessa, Vandazole/metronidazole (vaginal) drug interactions

take IR tablets with food to decrease GI upset

Nuvessa, Vandazole/metronidazole (vaginal) notes

yeast infections, nail bed infections, oral thrush/oral candidasis (fungal infection in mouth)

Diflucan/fluconazole common indications

hepatotoxicity, not recommended in pregnancy

Diflucan/fluconazole warnings

elevated LFTs (liver function tests), QT prolongation (heart takes longer rests), rash/pruritis, headache, hair loss

Diflucan/fluconazole side effects

a lot of drug interactions

Diflucan/fluconazole drug interactions

vaginal candidiasis dose = 150 mg PO x 1 dose, renal dose adjustment required

Diflucan/fluconazole dose for vaginal candidasis

mainly used topically

Nizoral/ketoconazole common indications

severe hepatotoxicity (has lead to transplant and/or death), QT prolongation, oral use is considered last-line for antifungal therapy

Nizoral/ketoconazole BBW

elevated LFTs (liver function tests), QT prolongation (heart takes longer rests), rash/pruritis, headache, hair loss

Nizoral/ketoconazole side effects

a lot of drug interactions

Nizoral/ketoconazole drug interactions

shampoo can cause altered hair texture

Nizoral/ketoconazole shampoo effect

mild, localized candida infections

Nystop (topical), Mycostatin (oral)/nystatin common indications

suspension, tablet

Nystop (topical), Mycostatin (oral)/nystatin dosage forms

shake well before using; switch in the mouth and retain for as long as possible (seven minutes) before swallowing

Nystop (topical), Mycostatin (oral)/nystatin suspension counseling points

dermatophytes (nail bed infection)

Lamisil/terbinafine common indications

tablet and topical

Lamisil/terbinafine dosage forms

hepatotoxicity

Lamisil/terbinafine warnings

headache, elevated LFTs, skin rash, pruritus

Lamisil/terbinafine side effects

for nail bed infection treatment, may take several months after treatment continuation to see benefit due to the time it takes for nails to grow

Lamisil/terbinafine nail bed infection treatment

herpes simplex virus (blisters/ulcers), varicella zoster virus (chicken pox), herpes zoster (shingles), herpes simplex labialis (cold sores)

Zovirax/acyclovir common indications

capsule, tablet, buccal tablet (dissolves between top gum and upper lip), suspension, injection, topical

Zovirax/acyclovir dosage forms

caution in renal impairment, geriatrics, concomitant nephrotoxic medications (use of 2 or more kideny-damaging drugs)

Zovirax/acyclovir warnings

apply topically 5 times daily for 4 days (can be used on genital sores)

Zovirax/acyclovir dosing for herpes labialis

800 mg PO 5x daily for 7 or 10 days

Zovirax/acyclovir dosing for herpes zoster

does not cure herpes infections - use proper contraception methods during sexual intercourse to avoid transmission; start treatment within 24 hours of symptom onset, maintain adequate hydration

Zovirax/acyclovir counseling

herpes simplex virus (blisters/ulcers), varicella zoster virus (chicken pox), herpes zoster (shingles), herpes simplex labialis (cold sores)

Valtrex/valacyclovir common indications

tablet

Valtrex/valacyclovir dosage forms

caution in renal impairment, geriatrics, concomitant nephrotoxic medications (use of 2 or more kideny-damaging drugs)

Valtrex/valacyclovir warnings

1 gram PO TID for 7 days

Valtrex/valacyclovir dosing for herpes zoster

does not cure herpes infections - use proper contraception methods during sexual intercourse to avoid transmission; start treatment within 24 hours of symptom onset, maintain adequate hydration

Valtrex/valacyclovir counseling

skin infections (MSSA), strep throat

Keflex/cephalexin common indications

cross-sensitivity with penicillin allergy

Keflex/cephalexin warnings

GI upset, diarrhea, serious skin reactions

Keflex/cephalexin side effects

250-500 mg PO Q6-12H

Keflex/cephalexin dosing

acute otitis media (infection of middle ear - fluid trapped behind eardrum), community-acquired pneumonia (caught outside hospital)

Ceftin/cefuroxime axetil common indications

cross-sensitivity with penicillin allergy, GI upset, diarrhea, serious skin reactions

Ceftin/cefuroxime axetil warnings/side effects

separate by 2 hours from short-acting antacids; avoid PPIs and H2RAs

Ceftin/cefuroxime axetil drug interactions

acute otitis media

Omnicef/cefdinir common indications

cross-sensitivity with penicillin allergy, GI upset, diarrhea, serious skin reactions

Omnicef/cefdinir warnings/side effects

Cipro/ciprofloxacin common indications

Cipro/ciprofloxacin BBW

Cipro/ciprofloxacin warnings

Cipro/ciprofloxacin counseling

Levaquin/levofloxacin common indications

Levaquin/levofloxacin notes

Avelox/moxifloxacin common indications

Avelox/moxifloxacin notes

Zithromax/azithromycin common indications

Zithromax/azithromycin warnings/precautions

Zithromax/azithromycin side effects

Zithromax/azithromycin drug interactions

Zithromax/azithromycin dosing

Z-Pak/azithromycin common indications

Z-Pak/azithromycin warnings/precautions

Z-Pak/azithromycin side effects

Z-Pak/azithromycin drug interactions

Z-Pak/azithromycin dosing

Biaxin/clarithromycin common indications

Biaxin/clarithromycin contraindications

Biaxin/clarithromycin warnings/precautions

Biaxin/clarithromycin side effects

Biaxin/clarithromycin drug interactions

Clindagel, Cleocin, Cleocin T/clindamycin common indications

Clindagel, Cleocin, Cleocin T/clindamycin BBW

Clindagel, Cleocin, Cleocin T/clindamycin side effects

Clindagel, Cleocin, Cleocin T/clindamycin dosage forms

Macrobid, Macrodantin/nitrofurantoin common indications

Macrobid, Macrodantin/nitrofurantoin contraindications

Macrobid, Macrodantin/nitrofurantoin warnings

Macrobid, Macrodantin/nitrofurantoin side effects

Macrobid, Macrodantin/nitrofurantoin dosing