Drug interactions with SSRIs
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MAOIs and other serotonergic drugs (other anti-depressants- SNRIs,
MAOIs, TCAs, triptans), tramadol, and linezolid (antibiotic), st johns wort
Papaverine plus phentolamine patient education
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, erection develops within 10 minutes and lasts 2-4 hours
priapism can occur
development of painless fibrotic nodules in the corpus cavernosum is
common
Adverse effects: orthostatic hypotension with dizziness, transient
paresthesia's ecchymosis, and difficulty in achieving orgasm or ejaculation
injection not oral
When is intravaginal estrogen route used
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local effects primarily for treatment of vulval and vaginal atrophy
associated with menopause
vaginal ring used for systemic effects (hot flashes and night sweats) as well
as local effects (vulval and vaginal atrophy)
Kava adverse effects
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can cause severe liver injury (ABSOUTELY contraindicated in
hepatotoxicity.
Outpatient treatment with pelvic inflammatory disease (PID)
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doxycycline 100 mg PO BID x 14 days plus either cefoxitin 2 G IM once or
ceftriaxone 250 mg IM once with or without metronidazole 500 mg PO BID
, x 14 days
COMT inhibitors when to use/prescribe
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ex. entacapone
only for use with levodopa, inhibits the metabolism of levodopa in the
intestine and peripheral tissues. This prolongs the plasma half-life of
levodopa and thereby prolongs the time that levodopa is available to brain
Cholinesterase inhibitors side effects
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dizziness, orthostatic hypotension, weight loss, falls d/t bradycardia,
N/V/D, insomnia
How can phenytoin affect birth control
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decreases effects of oral contraceptives
provider may need to increase oral contraceptive dosage or switch to
another form of oral contraception
, Dietary supplement and non-prescription drug consumer protection act of 2006
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mandates the reporting of serious averse events for non-prescription drugs
and dietary supplements. The following should be reported: deaths,
hospitalizations, life-threatening experiences, persistent or significant
disabilities and birth defects
When is it safe to prescribe progestin
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required for women that have an intact uterus and have undergone
hormone therapy
For lactating patients give progesterone meds, cannot have estrogen
Approved for long-term only for protection against endometrial cancer
When is abortive therapy used?
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treatment should begin at earliest sign of attack
limit to 1-2 days per week. more frequent use can lead to medication
overuse headache (MOH)
Rivastigmine patient teaching
Give this one a try later!
MAOIs and other serotonergic drugs (other anti-depressants- SNRIs,
MAOIs, TCAs, triptans), tramadol, and linezolid (antibiotic), st johns wort
Papaverine plus phentolamine patient education
Give this one a try later!
, erection develops within 10 minutes and lasts 2-4 hours
priapism can occur
development of painless fibrotic nodules in the corpus cavernosum is
common
Adverse effects: orthostatic hypotension with dizziness, transient
paresthesia's ecchymosis, and difficulty in achieving orgasm or ejaculation
injection not oral
When is intravaginal estrogen route used
Give this one a try later!
local effects primarily for treatment of vulval and vaginal atrophy
associated with menopause
vaginal ring used for systemic effects (hot flashes and night sweats) as well
as local effects (vulval and vaginal atrophy)
Kava adverse effects
Give this one a try later!
can cause severe liver injury (ABSOUTELY contraindicated in
hepatotoxicity.
Outpatient treatment with pelvic inflammatory disease (PID)
Give this one a try later!
doxycycline 100 mg PO BID x 14 days plus either cefoxitin 2 G IM once or
ceftriaxone 250 mg IM once with or without metronidazole 500 mg PO BID
, x 14 days
COMT inhibitors when to use/prescribe
Give this one a try later!
ex. entacapone
only for use with levodopa, inhibits the metabolism of levodopa in the
intestine and peripheral tissues. This prolongs the plasma half-life of
levodopa and thereby prolongs the time that levodopa is available to brain
Cholinesterase inhibitors side effects
Give this one a try later!
dizziness, orthostatic hypotension, weight loss, falls d/t bradycardia,
N/V/D, insomnia
How can phenytoin affect birth control
Give this one a try later!
decreases effects of oral contraceptives
provider may need to increase oral contraceptive dosage or switch to
another form of oral contraception
, Dietary supplement and non-prescription drug consumer protection act of 2006
Give this one a try later!
mandates the reporting of serious averse events for non-prescription drugs
and dietary supplements. The following should be reported: deaths,
hospitalizations, life-threatening experiences, persistent or significant
disabilities and birth defects
When is it safe to prescribe progestin
Give this one a try later!
required for women that have an intact uterus and have undergone
hormone therapy
For lactating patients give progesterone meds, cannot have estrogen
Approved for long-term only for protection against endometrial cancer
When is abortive therapy used?
Give this one a try later!
treatment should begin at earliest sign of attack
limit to 1-2 days per week. more frequent use can lead to medication
overuse headache (MOH)
Rivastigmine patient teaching
