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Meds

Meds for MSII

QuestionAnswer
Donepezil (aricept), Rivastigmine (Exelon), Galantamine (Razadyne). Cholinesterase inhibitors for mild-moderate DEMENTIA. Inhibits breakdown of acetycholine.
Memantine (Namenda) For mild to moderate DEMENTIA. Suppresses glutamate an excitatory neurotransmitter.
Beta-Interferon May change long-term prognosis of MULTIPLE SCLEROSIS.
Copaxone Immunomodulator. Med for MS.
Novantrone Supresses T-Cells and B-Cells in MS.
Dexamethason (Decadrone) Prevents cerebral edema. Strong anti-inflammatory. Used in brain injury pts/INTRACRANIAL BLEED
lorazepam (Ativan), diazepam (Valium), phenytoin (Dilantin), fosphenytoin (cerebyx). ANTISEIZURE for Status Epilepticus.
levetiracetam (Keppra), ANTICONVULSANT. No need to monitor blood levels. Monitor CBC
phenytoin (Dilantin) ANTICONVULSANT. Causes ginival hyperplasia, bone marrow suppression, rash, multiple drug interactions, IV vesicant.
carbamazipine (Tegretol) ANTICONVULSANT. Causes bone marrow suppression. Monitor blood level and CBC.
divalproex (Depakote) ANTICONVULSANT. Causes hepatotoxicity, bone marrow suppression. Monitor blood levels, CBC, and LFTs.
Medications to avoid Myasthenia Gravis aminoglycosides, procainamide, beta blockers, quinindine, phenytoin, psychotropic drugs, neuromuscular blockers.
Tensilon used to diagnose Myasthenia Gravis. It is short-acting acetycholinesterase blocker.
levodopa/carbidopa (Sinemet), ANTIPARKINSON
ropinirole(Requip), pramipexole (Mirapex), rotigotine (Neupro) ANTIPARKINSON. Dopamine Agonists.
benztropine (Congentin) ANTIPARKINSON. Anticholinergic.
tPA STROKE. Must be initiated 3-4.5 hours. Contraindications: Rapidly improving symptoms, bleed on CT, major sugery or trauma within 14 days, Recent arterial puncture and noncompressible site, SBP>185, Low platelets, elevated PT or PTT
methotrexate Antineoplastics. RHEUMATOID ARTHRITIS
Plaquenil Antimalarial. RHEUMATOID ARTHRITIS
Entanercept, infliximab RHEUMATOID ARTHRITIS DMARD - TNF inhibitors.
pregabalin (Lyrica) FIBROMYALGIA.
Created by: bubbastina