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wvc musc/skel meds

wvc musc/ skel meds winter 2011

QuestionAnswer
alendronate/ Forsamax, risedronate/ Actonel , ibandronate/ Boniva: Biphosphonates (bone resorption inhibitors) ATE PATIENTS MUST SIT UP FOR 1-2 HRS AFTER TAKING…acid reflux, abdominal pain, joint & muscle pain, diarrhea
aspirin, Bayer, Excedrin//, ibuprofen, Advil, Motrin,// naproxen sodium, Aleve, Anaprox: NSAIDs SE=hard on kidneys and GI bleeds
acetaminophen, Paracetamol; Tylenol: (non-opoid analgesics, antipyretic) ASSESS FOR LIVER TOXICITY & AVOID USE WITH ALCOHOL - SE= Hepatotoxicity
pregabalin, Lyrica :Non-opioid analgesic (analgesic) (first approved fibromyalgia medication) AVOID USE OF ALCOHOL, drowsiness, dizziness, edema, dry mouth
Pharmalogical Interventions for Fibromyalgia Pregabalin (Lyrica), NSAIDs, Muscle relaxants, Antidepressant medication
enoxaparin/ Lovenox, dalteparin/ Fragmin: Antithrombotics/ low molecular weight heparins (anticoagulants) PARIN dosage based on PT & INR, SE= bleeding, anemia, dizziness….. highly interactive with herbs St. Johns Wart, Chamomile, dong quai, garlic, ginger, ginko, licorice.
raloxifene, Evista: Selective estrogen receptor (bone re-absorption inhibitors) ASSESS FOR DVT AND PE, SE= leg cramps, hot flashes, dvt, pulmonary embolism
Calcitonin nasal spray: hormone (hypocalcemic) ALTERNATE NOSTRILS WITH EACH USE- SE=headache, rhinitis, facial flushing
hydroxchloriquin, Plaquenil: (antimalarials, antirheumatics) REGULAR EYE EXAMS ARE NEEDED- SE= N& V, intestinal cramping, seizures, leucopenia, aplastic anemia, agranulocytosis
hydrocortisone, Prednisone: corticosteroid (anti inflammatories steroidal) ASSESS FOR OSTEOPOROSIS-SE= moon face, buffalo hump, hypertension
rituximab/ Rituxan, adalimumab/ Humira, inflixmab: monoclonal antibodies (antirheumatics) MAB ASSESS FOR SIGNS OF INFECTION SE= rituximab/ Rituxan, adalimumab/ Humira, inflixmab: monoclonal antibodies (antirheumatics) MAB# ASSESS FOR SIGNS OF INFECTION SE= HA, abdominal pain, N&V, infections, leukopenia, rhinitis, URI, injection site reaction.
abatocept, Orencia: fusion proteins (antirheumatics) ASSESS FOR SIGNS OF INFECTION- SE= headache, infections, leukopenia, abdominal pain, N&V, infections, leukopenia, rhinitis, URI, injection site reaction.
methotrexate, Rheumatrex, Trexall: antimetabolites (immunosuppressants, antirheumatics) ASSESS FOR SIGNS OF INFECTION- SE = N& V, hepatotoxicity, leukopenia, anemia
allopurinol, Zyloprim: xanthine oxidase inhibitors (anti gout agent) MONITOR LIVER AND KIDNEY FUNCTION (promotes uric acid excretion or reduces production) SE= hypotension/ bradycardia, heart failure, drowsiness, N&V, diarrhea)
etanercept, Enbrel: anti tnf agents (antirheumatics) ASSESS FOR SIGNS OF INFECTION- SE= headache, rhinitis, upper respiratory infections
aspirin, Bayer, Excedrin//, ibuprofen, Advil, Motrin,// naproxen sodium, Aleve, Anaprox: ASSESS KIDNEY FUNCTION AND WATCH FOR GI BLEEDS
VICODIN hydrocodone bitartrate and acetaminophen
Vancomycin & Gentamicin main side effects autotoxicity/ hearing loss and nephrotoxicity
Medications for Osteoporosis Biphosphonates (alendronate/ Forsamax, risedronate/ Actonel , ibandronate/ Boniva)& Selective estrogen receptor/bone re-absorption inhibitors:(raloxifene/ Evista) & Homone: Calcitonin
Medications for RA antimalarials:(hydroxchloriquin, Plaquenil), NSIDS, immunosuppressants: (methotrexate,Rheumatrex, Trexall),Corticosteroids: (hydrocortisone, Prednisone), BRMs:(rituximab/ Rituxan, adalimumab/ Humira, inflixmab) (abatocept, Orencia)
medications for SLE antimalarials:(hydroxchloriquin, Plaquenil), NSIDS, immunosuppressants: (methotrexate,Rheumatrex, Trexall),Corticosteroids: (hydrocortisone, Prednisone),
Medications for Scleroderma immunosuppressants: (methotrexate,Rheumatrex, Trexall),Corticosteroids: (hydrocortisone, Prednisone)& joint pain control
medications for gout xanthine oxidase inhibitors: (allopurinol, Zyloprim) & NSAIDs (avoid aspirin)
Medications for DVT Antithrombotics: (enoxaparin/ Lovenox) & (dalteparin/ Fragmin)
Created by: wvc
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