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Drug Test #4
| Question | Answer |
|---|---|
| What is a common name fore HMG CoA Reductase Inhibitors? | Statins |
| What do statins treat? | Hyperlipidemia |
| Words that end in -ase are what? | enzymes |
| What are HMG CoA Reductase? | enzymes involved in the final step of cholesterol synthesis |
| What do statins do? | Inhibit HMG CoA reductase (therefore, inhibit final step in synthesis of cholesterol) |
| What do statins do with LDL? | they increase clearance of LDL (low density lipoproteins : "lousy" cholesterol |
| When are statins usually taken? | once daily (usually evening or bedtime) |
| Adverse reactions of Statins? | myositis *inflammation of muscle*, Rhabdomyolysis *breakdown of muscle tissue*, muscle cramps/pain, liver dysfunction |
| What is the generic of Crestor? | rosuvastatin |
| What is the generic of Lescol? | fluvastatin |
| What is the generic of LIpitor? | atorvastatin |
| What is the generic for Mevacor? | lovastatin |
| What is the generic for Pravachol? | pravastatin |
| What is the generic for Zocor? | simvastatin |
| Dosages for rosuvastatin | tablets-5mg, 10mg, 20mg, 40mg |
| Dosages for fluvastatin | capsules-20mg, 40mg - extended release tabs 80mg |
| Dosages for atorvastatin | tablets- 10mg, 20mg, 40mg, 80mg |
| Dosages for lovastatin | tablets- 20mg, 40mg |
| Dosages for pravastatin | tablets- 10mg, 20, 40mg |
| Dosages for simvastatin | tablets 5mg, 10mg, 20mg, 40mg, 80mg |
| Which statins should you avoid grapefruit juice with? | atorvastatin, lovastatin, simvastatin |
| What should you avoid with rosuvastatin? | antacids containing magnesium |
| What do antiplatelets treat? | myocardial infarction (MI, heart attack) & stroke |
| How do antiplatelets work? | interfere with clot formation process |
| What do antiplatelets interact with commonly? | OTC products |
| Adverse reaction to all platelets? | Bleeding |
| Signs of internal bleeding are: | black, tarry stool, blood in vomit or urine, red or purple spots on skin |
| What is the generic of Aggrenox? | dipyridamole + ASA |
| What is the generic of Aspirin? | acetylsalicylic acid (ASA) |
| What is the generic ofPersantine? | dipyridamole |
| What is the generic of Plavix? | clopidogrel |
| What is the generic of Ticlid? | ticlopidine |
| What is the generic of Brilinta? | ticagrelor |
| What is the generic of Effient? | prasugrel |
| Dosage for dipyridamole/ASA | capsule 200mg/25mg *commonly twice a day* |
| Which antiplatelets should you take with food? | dipyridamole/ASA, ticlopidine, ASA |
| Dosage for ASA | tablets- 80mg chewable, 81mg *commonly once per day* |
| Dosage for dipyridamole | tablets & injections are available |
| Dosage for clopidogrel | tablets- 75mg, 300mg *ODB does not cover 300mg tabs* |
| Dosage for ticlopidine | tablets-250mg |
| Dosage for ticagrelor | tablets - 90mg |
| Which antiplatelet should you not discontinue use? | Ticagrelor (Brilinta) |
| Dosage for prasugrel | tablets -10mg |
| Which antiplatelet should you take on an empty stomach? | dipyridamole |
| What should you avoid if taking ASA? | other NSAID or ASA containing products |
| Which antiplatelet should be dispensed in it original container? | Aggrenox |
| What do anticoagulants treat? | myocardial infarction (MI, heart attack) & stroke |
| How do anticoagulants work? | inhibit clotting factors & prevent clot formation |
| Common adverse reaction of anticoagulants? | bleeding |
| Common Aux labels needed for anticoagulants: | avoid ASA & NSAIDs - do not use OTC without medical supervision |
| What is the generic for Arixtra? | fondaparinux |
| What is the generic for Coumadin? | warfarin |
| What is the generic for Fragmin? | dalteparin |
| What is the generic for Hepalean | heparin |
| What is the generic for Innohep? | tinzaparin |
| What is the generic for Lovenox? | enoxaparin |
| What is the generic for Pradaxa? | dapigatran |
| Which anticoagulants come in oral form? | warfarin, dabigatran |
| Dosage for warfarin | tablets- 1mg,2mg,2.5mg,3mg,4mg,5mg,10mg *commonly daily, can be a few days per week* |
| Dosage for dabigatran | capsules-110mg, 150mg *commonly twice daily* |
| Common form of administration for most anticoagulants? | injectable or solution for injection |
| What is an overdose of warfarin treated with? | Vitamin K |
| What is an overdose of heparin treated with? | protamine sulfate |
| Which injectable anticoagulant is usually dosed every 12 hours or every 24 hours? | enoxaparin |