Meds
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| mon·te·lu·kast [mon'-t@-LOO-kast] Brand? | Singulair
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| leu·ko·tri·ene [loo'-kuh-TRI-een] | A lipid produced by white blood cells in an immune response to antigens, that contributes to allergic asthma and inflammatory reactions. Related to prostaglandins.
[leuko(cyte) + triene, a compound containing three double bonds (tri- + -ene).]
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| mon·te·lu·kast [mon'-t@-LOO-kast] ADT dose | ADT - 10mg tab PO
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] How supplied | Tablets (film-coated): 10 mg
Tablets (chewable): 5 mg
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Indications | For prophylaxis and long-term treatment of asthma
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] dosage | Adults and children ages 15 and older: 10 mg (film-coated tablet) P.O. once daily in evening.
Children ages 6 to 14: 5 mg (chewable tablet) P.O. once daily in evening.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Adverse reactions | CNS: HEADACHE, dizziness, fatigue, asthenia.
EENT: nasal congestion, dental pain.
GI: dyspepsia, infectious gastroenteritis, abdominal pain.
GU: pyuria.
Hepatic: increased ALT and AST levels.
Respiratory: cough.
Skin: rash.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Drug interactions | Drug-drug. Phenobarbital, rifampin: may decrease bioavailability of montelukast because of induction of hepatic metabolism. Monitor closely.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Nursing considerations (1/5) | Use cautiously and with appropriate monitoring in patients whose dosages of systemic corticosteroids are reduced.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Nursing considerations (4/5) | Alert: Although dose of inhaled corticosteroids may be reduced gradually, don't abruptly substitute drug for inhaled or oral corticosteroids.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Nursing considerations (5/5) | Drug isn't indicated for use in patients with acute asthmatic attacks, status asthmaticus, or as monotherapy for management of exercise-induced bronchospasm. Appropriate rescue drug should be continued for acute exacerbations.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Nursing considerations (2/5) | Assess patient's underlying condition and monitor for effectiveness.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Nursing considerations (3/5) | Safety and efficacy for patients under age 6 haven't been established.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Patient teaching (1/6) | Advise patient to take drug daily, even if asymptomatic, and to contact doctor if asthma isn't well controlled.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Patient teaching (2/6) | Warn patient not to reduce or stop taking other prescribed antiasthma drugs without doctor's approval.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Patient teaching (3/6) | Advise patient to seek medical attention if short-acting inhaled bronchodilators are needed more often than usual during drug therapy.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Patient teaching (4/6) | Warn patient that drug isn't beneficial in acute asthma attacks or in exercise-induced bronchospasm, and advise him to keep appropriate rescue drugs available.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Patient teaching (5/6) | Advise patient with known aspirin sensitivity to continue to avoid using aspirin and NSAIDs during drug therapy.
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| montelukast sodium - Singulair mon·te·lu·kast [mon'-t@-LOO-kast] Patient teaching (6/6) | Advise patient with phenylketonuria that chewable tablet contains phenylalanine.
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| montelukast sodium - Singulair Pregnancy Risk | Category B
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| acyclovir - Acyclo-V, Zovirax Pregnancy Risk | Category C
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| acyclovir - Acyclo-V, Zovirax How supplied | Ointment: 5%
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| acyclovir - Acyclo-V, Zovirax Action | Inhibits herpes simplex and varicella-zoster viral DNA synthesis by inhibiting viral DNA polymerase action.
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| acyclovir - Acyclo-V, Zovirax Indications | Initial herpes genitalis; limited, non-life-threatening mucocutaneous herpes simplex virus infections in immunocompromised patients
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| acyclovir - Acyclo-V, Zovirax dosage | Adults: cover all lesions q 3 hours six times daily for 7 days. Although dose varies depending on total lesion area, use about 1/4-inch (1.3-cm) ribbon of ointment on each 4-inch (10-cm) square of surface area.
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| acyclovir - Acyclo-V, Zovirax Adverse reactions | Skin: transient burning and stinging, rash, pruritus, vulvitis; edema, pain at application site.
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| acyclovir - Acyclo-V, Zovirax Nursing considerations (1/5) | Start therapy as early as possible after onset of symptoms, as ordered.
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| acyclovir - Acyclo-V, Zovirax Nursing considerations (2/5) | Apply drug with a finger cot or rubber glove to prevent autoinoculation of other body sites and transmission of infection to other persons.
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| acyclovir - Acyclo-V, Zovirax Nursing considerations (3/5) | All lesions must be thoroughly covered.
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| acyclovir - Acyclo-V, Zovirax Nursing considerations (4/5) | Drug is for cutaneous use only; don't apply to eye.
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| acyclovir - Acyclo-V, Zovirax Nursing considerations (5/5) | Drug isn't a cure, but it will help with symptoms.
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| acyclovir - Acyclo-V, Zovirax Patient teaching (1/6) | Teach patient that virus transmission can occur during treatment.
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| acyclovir - Acyclo-V, Zovirax Patient teaching (2/6) | Tell patient that there may be some discomfort with application.
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| acyclovir - Acyclo-V, Zovirax Patient teaching (3/6) | Stress importance of compliance for successful therapy.
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| acyclovir - Acyclo-V, Zovirax Patient teaching (4/6) | Teach patient that therapy should begin as soon as signs and symptoms appear.
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| acyclovir - Acyclo-V, Zovirax Patient teaching (5/6) | Tell patient to notify doctor if adverse reactions occur.
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| acyclovir - Acyclo-V, Zovirax Patient teaching (6/6) | Instruct patient to store drug in a dry place at 59° to 77° F (15° to 25° C).
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| acyclovir - Acyclo-V, Zovirax | (blank)
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| acyclovir - Acyclo-V, Zovirax | (blank)
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| a·cy·clo·vir [ey-sahy"-kloh-veer, -kluh-] brand names | Acyclo-V, Zovirax
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| a·cy·clo·vir [ey-sahy"-kloh-veer, -kluh-] description | an oral antiviral drug (trade name Zovirax) used to treat genital herpes; does not cure the disease but relieves the symptoms
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