top 200 spring pregnancy/box warnings/counseling points

ER tablet may appear in stool

how may albuterol affect GI

priming, wash mouthpiece weekly, DPI doesn't need priming, hold breathe for 10 seconds

albuterol inhaler instructions

if more is needed to control symptoms

when should provider be contacted when using albuterol

wash mouthpiece and airdry daily, store at room temp, use entire nebulizer after opening and deliver over 5-15 minutes

Albuterol Sulfate; Ipratropium Bromide inhaler counseling points

if dose doesn't provide relief or symptoms worsen

Albuterol Sulfate; Ipratropium Bromide when to contact provider

large glass of plain water, stay upright for 30 min, don't take anything else for 30 minutes, don't lie down for 30 minutes and having food

how should non effervescent alendronate be taken

dissolve in 120ml of plain water, stay upright for 30 min, don't take anything else for 30 minutes, don't lie down for 30 minutes and having food

how should effervescent alendronate be taken

SOB, swelling, chest pain, vaginal bleeding, blistering rash, rapid weight gain, severe nausea and vomiting, yellowing of the eyes or skin

when should medical attention be seeked when on anastrozole

either

should anastozole be taken with or without food

loss of BMD, increased fracture risk

what can anastrozole lead to

spraying in eyes, alcohol use, hazardous activities until sedation level known

what should be avoided in azelastine use

prime, don't use for over 3 days, blow nose before, don't spray into septum, keep tip of spray clean

on azelastine what administration tips should be taught

somnolenance, taste distrubances

what can azelastine cause

don't chew/crush due to anesthesia and foul taste, take with food/milk if GI upset

administration counseling points for benzonatate

fatal for children under 2, keep out of reach

counseling points for benzonatate use in children

asthma deaths pediatrics, increased risk of hospitalization

box warning for budesonide;formoterol

if over 1 inhaltion needed- wait 1 min after 1st and shake inhaler before second, rinse mouth after, wash mouthpiece at least once a week

budesnoide;formoterol counseling points for inhaler

activities requiring mental alertness until drug effects are known

what should be avoided on cetririzine

before first meal of day(to reduce post meal hyperglycemia), without regard to food

when should dapagliflozin be taken

dehydration, UTI

what symptoms should a patient report while on dapgliflozin

women over 35 who smoke

box warning for desogestrel;ethinyl estradiol

severe or persistent headache; blurred or loss of vision; shortness of breath; severe leg, chest, or abdominal pain; or any abnormal vaginal bleeding occur

what symptoms should be reported while on desogestrel;ethinyl estradiol

drowsiness, heat prostration

what can dicylomine cause

driving, operating heavy equipment

what should be avoided while on dicyclomine

rectal bleeding, no bowel movement

what symptoms should be reported while on docusate

lifestyle interventions

what should docusate be used with

mineral oil

what should be avoided with docusate use

yes

can docusate be used in several divided doses

days

how long may docusate take before notieable stool softening

women over 35 who smoke

box warning for drospirenone; ethinyl estradiol

new severe or persistent headache; blurred or loss of vision; shortness of breath; severe leg, chest, or abdominal pain; or any abnormal vaginal bleeding occur

what symptoms on drospirenone; ethinyl estradiol should be reported

risk of thyroid cancer

box warning for dulaglutide

thyroid cancer (eg, lump in neck, trouble breathing or swallowing), hypoglycemia (eg, dizziness, sweating, anxiety), and kidney problems (eg, decreased urination, blood in urine)

what symptoms on dulaglutide should be reported to provider

separate injections/don't mix, may administer to same area but don't give directly adjacent to another

counseling points for dulaglutide and insulin administration

refrigerated, but stable at room temp fo 14 days

how should dulaglutide be stored

same day each week, can change day as long as at least 3 days have happened

with regard to timing, when should dulaglutide be taken

in the morning

when in the day should empagliflozin be taken

dietary plan, weight managment, exercise

what does empagliflozin need to be given with in diabetes

1 hour before meals

when should esomeprazole be taken

should not be used to decrease risk of cv disease/breast cancer/dementia, increased risk of endometrial cancer, secondary exposure risk-transdermal

box warning for estradiol

vaginal bleeding, vte symptoms

what abnormal symptoms should be reported with estradiol use

lower abdomen, upper buttock outer hip

where can estradiol patch be placed

smoking

what should not be done on estradiol therapy

cv risk with cigarette smoking

box warning for ethinyl estradiol; etonogestrel

wash, reinstered within 3 hours

what should be done to ethinyl estradiol;etonogestrel if expelled

women over 35 who smoke

box warning for ethinyl estradiol; levonorgestrel

new severe or persistent headache; blurred or loss of vision; shortness of breath; severe leg, chest, or abdominal pain; or any abnormal vaginal bleeding occur

what symptoms should be reported on ethinyl estradiol; levonorgestrel

women over 35 who smoke

Ethinyl Estradiol; Norethindrone box warning

new severe or persistent headache; blurred or loss of vision; shortness of breath; severe leg, chest, or abdominal pain; or any abnormal vaginal bleeding occur

what symptoms should be reported while on ethinyl estradiol; norethindrone

women over 35 who smoke

box warning for ethinyl estradiol; norgestimate

new severe or persistent headache; blurred or loss of vision; shortness of breath; severe leg, chest, or abdominal pain; or any abnormal vaginal bleeding occur.

what symptoms should be reported while on ethinyl estradiol; norgestimate

bedtime

when should famotidine be taken

food, antacid

what can famotidine be taken with if needed

famotidine

what gerd agent comes as a suspesion commonly and should be shaken before use

6 months or longer

how long of duration is needed for finasteride effect for alopecia

over 12 months

how long of duration is needed for finasteride effect for enlarged prostate

pregnant women, or women that may become pregnant

who should avoid touching/handling/semen from a man on finasteride

bc can get in through skin

prevent development of genitalia

what can finasteride do to unborn male baby

sob, breast swelling, breast mass

what symptoms should be reported on finasteride

toxicity, adrenal insufficiency

what should signs should patients report on flonase

scent with product, takes several days to work, proper admin

patients should be taught what when taking flonase

toxicity, adrenal insufficiency, oral candidisis, worsening pulmonary function

what signs should patients report on flovent

proper technique, rinse mouth after, package insert, repeat training

what should patients be given on flovent dispensing

increased asthma related deaths

box warning for fluticasone propionate; salmeterol xinafoate

toxicity, especially adrenal insufficiency, oral candidiasis worsening pulmonary function

what symptoms should be reported on fluticasone propionate; salmeterol xinafoate

proper technique, rinse mouth after

what should patients be educated on fluticasone propionate; salmeterol xinafoate

click means inhaler ready, don't close cover until taken dose, wash out, powder device

counseling points for Fluticasone; Vilanterol

food, milk, in morning, sunscreen

what should Glimepiride be taken with

sunlamps, tanning bed, alcohol

what should be avoided on glimepirirde

dose reductions, holds if npo, decreased caloric intake

when should you contact your provider on glimepiride

dose reductions, holds if npo, decreased caloric intake

when should you contact your provider on glipizide

30 minutes before morning meal, with sunscreen

when should glipizide be taken

sunlamps, tanning bed, alcohol

what should be avoided on glipizide

ER

what glipizde formulation should not be chewed/crushed

activities requiring mental alertness or coordination until drug effects known

what should be avoided on hydroxyzine

blood glucose, frequently 2-4/d

what should be monitored on any insulin product

eat non sugar free candy, glucose tablets, or juice and contact prescirber

what should be done on insulin if bg under 70

unopened stored in fridge, open keep at room temp if painful

storage counseling points for insulin

don't share needles, rotate injection sites

injection counseling points for insulin

empty stomach, 1hr before eating, separated from antacids

when should lansoprazole be taken

lansoprazole

what gerd agent can be sprinkled on applesauce

taken regularly

when is lansoprazole more effective

activities requiring mental alertness, coordination

what should be avoided on levocertizine

not for weight reduction

box warning for levothyroxine

6-8 weeks

how long may levothyroxine be taken for before symptomatic improvment

abrupt discontinuation, antacids and iron within 4 hours, switching products

what should be avoided on levothyroxine

empty stomach, with water, 30 min before food

when should levothyroxine be taken

increased risk of thyroid cancer

liraglutide box warning

bg, daily or more often if sulfonylurea and insulin

what should be monitored on liraglutide

eat non sugar free candy, glucose tablets, drink juice and contact prescriber

what should be done if bg under 70 if on liraglutide

administer in upper arm/thigh/abdomen, change each needle for injection, don't share pens even if needle changed, separate insulin injection with nonadjacent area, injected without regard to meals

administration counseling points for liraglutide

allergic triggers, acitivites requiring coordination until drug effects know, additive sedation with alcohol

what should be avoided on loratadine

no, not as effective

can loratadine be taken prn

after 3-4 days, 14d for full benefit

when should symptoms improve on loratadine

severe hepatic/renal dysfunction, may require different dose

loratadine should be used in caution in what patients

lactic acidosis

box warning for metformin

meals, plenty of fluids

what should be taken with metformin

alcohol

(lactic acidosis)

what should be avoided on metformin

ER

metformin ___ may be given with food in evening

lactic acidosis

box warning for metformin hydrochloride; sitaglipitin phosphate