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215 Cards in this Set
- Front
- Back
|
What is Copaxone? Dose?
|
Glatiramer (for Multiple Sclerosis)
20mg SC QD |
|
Storage for Copaxone?
|
Fridge
Room temperature, good for 1 month |
|
What is Avonex? What's another brand name?
|
Interferon beta-1A
Rebif |
|
What is the dosing difference between Avonex and Rebif?
|
Avonex - 30mcg IM Qweek
Rebif - 8.8-44mcg SC 3x week |
|
Storage for Interferon beta 1A?
|
Refrigerate
Good for 30 days @ RT except for the Avonex prefilled syringe which is good for 7 days. |
|
Other names for Interferon beta-1B
|
Betaseron
Extavia |
|
Storage for Interferon beta-1B
|
Room temperature until reconstitute, then refrigerate and use within 3 days
|
|
What is Tysabril?
|
Natalizumab, for Multiple Sclerosis
|
|
Who are given Tysabril?
|
Multiple Sclerosis patients who are enrolled in a program; patient and prescriber needs to be enrolled in a program bec the medicine causes brain infection.
|
|
Dosing for Tysabril?
|
300mg IV infusion over 1H Q4 weeks
|
|
Monitoring parameters when using Interferons
|
#1 Symptom: Flu - like symptoms
CBC CV disease Depression Seizure Suicidal ideation Thyroid function |
|
What's the diagnostic test for Cystic Fibrosis?
|
Sweat Gland Chloride test
|
|
What is cystic fibrosis also known as?
|
Mucoviscidosis
|
|
What should you avoid when taking Pancreatic enzymes?
|
Calcium carbonate
Magnesium hydroxide |
|
What is Nebcin? Other brands?
|
Tobramycin, used to prevent pseudomona infections in Cystic Fibrosis.
TOBI (another brand name) |
|
Dosing for TOBI?
|
300mg (nebulizer soln) BID 28 days on, 28 days off
|
|
What are the Aztreonam nebulizers used for CF?
|
Cayston - 75mg INH TID 28 days on, 28 days off
Azli |
|
Dosing for Cayston?
|
5mg TID (via Altera Nebulizer System), 28 days on & 28 days off
|
|
Storage for Cayston?
|
Fridge
Room temperature, okay for 28 days |
|
What are the mucolytics used in Cystic Fibrosis?
|
Acetylcysteine (Mucomyst)
Pulmozyme (DNAse alpha) |
|
Mucomyst nebulization dose?
|
3-5mL of 20% solution TID-QID, diluted with NaCl or sterile water
|
|
Storage for Pulmozyme?
|
Refrigerate
Protect from light |
|
What allergy should you look out for when using Cayston?
|
Beta-lactam allergy
|
|
First line meds for glaucoma?
|
Beta blockers
|
|
What is Betoptic?
|
Betaxolol
|
|
Important patient counseling on Betoptic S?
|
Shake well before use
1-2 gtts BID |
|
What is Ocupress?
|
Carteolol
|
|
What is Betagan?
|
Levobunolol
|
|
What is Timoptic?
|
Timolol
|
|
What is the strength of Betoptic S?
|
0.25% suspension
Shake!!!! |
|
What is Travoprost? Dose?
|
Travatan
QHS |
|
What is Bimatoprost?
|
Lumigan
Latisse |
|
What is Latanoprost? Dose?
|
Xalatan
QHS |
|
Storage for Travatan?
|
Refrigerate unopened
Room temperature, discard after 6 weeks |
|
Storage for Xalatan?
|
Refrigerate unopened
Room temperature: open, discard after 6 weeks. |
|
Patient counseling on the use of Latisse?
|
Apply QHS to the upper eyelid margin at the base of the eyelashes
|
|
What is Alphagan P?
|
Brimonidine, alpha adrenergic
|
|
What should you not use with Alphagan P?
|
MAO inhibitor
|
|
What is Cosopt?
|
Dorzolamide - Timolol
|
|
What is Combigan?
|
Brimonidine - Timolol
|
|
What is Azopt?
|
Brinzolamide 1% susp
|
|
Patient counseling on Azopt?
|
Suspension. Shake well!!!!!
|
|
What is Trusopt?
|
Dorzolamide
|
|
Dosing for Azopt?
|
1 gtt TID
|
|
Dosing on Trusopt?
|
1 gtt TID
|
|
Trusopt strength?
|
2% solution
|
|
What is Diamox? Regular dosing? ER dosing?
|
Acetazolamide
Dose: 350mg PO QID ER: 500mg BID |
|
Diamox dosing for acute glaucoma?
|
500mg IV
|
|
What is Neptazane? Dose?
|
Methazolamide is given 100mg Q12H
|
|
What should you look out for when using Carbonic Anhydrase Inhibitors?
|
Sulfa allergy
|
|
What are the brand names for Naphazoline/Pheniramine?
|
***VON
Visine-A Opcon-A Naphcon-A |
|
Patient counseling on the use of Naphazoline/Pheniramine (2)?
|
Remove contact lenses, to avoid accumulation of the preservative benzalkonium chloride
Should not be used >3 days. |
|
Naphazoline/Pheniramine is contraindicated with (4)?
|
***GEHH
Glaucoma Enlarged prostate Heart disease HTN |
|
What is Emadine? Strength? Dose?
|
Emedastine 0.05% is a pure antihistamine given QID
|
|
What is Elestat? Strength? Dose?
|
Epinastine 0.05%
BID |
|
What is Zaditor? Strength?
|
Ketotifen 0.025% (OTC)
|
|
What is Olopatadine? Strength? Dose?
|
Pataday 0.2% - QD
Patanol 0.1% - BID |
|
What is Optivar? Strength? Dose?
|
Azelastine 0.05%
BID |
|
Other names for Levofloxacin eye drops? Strength?
|
Iquix 1.5%
Quixin 0.5% |
|
What is Zymar? Strength? Dose?
|
Gatifloxacin 0.3% soln
1-2 gtts Q2H x 2days, then 1-2 gtts Q4H x 5days |
|
Brands for Moxifloxacin eye drops? Indication? Strength? Dose?
|
Vigamox, approved for >1 yr old, is a 0.5% soln given 1 gtt TID x 7 days.
Moxeza, approved for >4 mos, is also a 0.5% soln given 1 gtt BID x 7 days. |
|
What is Besifloxacin? Strength? Dose?
|
Besivance 0.6% soln
SUSPENSION!!!! 1 gtt TID x 7 days |
|
What is AzaSite? Dose? Storage?
|
Azithromycin
1 gtt Q12H x 2 days, then 1 gtt x 5 days Fridge, discard after 14 days |
|
What is Xerophthalmia?
|
Dry eyes
|
|
What are the two medications used for Hyperthyroidism? Dosing?
|
Methimazole (Tapazole), given WITH FOOD
Propylthiouracil (PTU), given TID |
|
What do you monitor when on Hyperthyroidism medications?
|
Pregnancy Cat D
WBC - b/c it causes agranulocytosis LFT's TSH - hepatitis |
|
Monitoring parameters when treating Hyperthyroidism
|
WBC (bec of agranulocytosis)
LFT's TSH |
|
Can you use propranolol for hyperthyroidism?
|
Yes; it provides symptomatic relief by blocking conversion of T4 to active T3
|
|
Can you use Diltiazem for hyperthyroidism?
|
Yes, it is an alternative to using B-blockers
|
|
Can you use Cholestyramine for hyperthyroidism?
|
Yes, it increases fecal excretion of T4
|
|
What is Armour thyroid?
|
Dessicated (pig) thyroid which provides both T3 & T4
|
|
Brands for Levothyroxine
|
Levoxyl
Synthroid Levothryoid |
|
Half-life of Levothyroxine? What is the equivalence ratio of PO to IV? Storage? Points to remember when making IV soln?
|
Half-life: 7 days
PO to IV: 1/2 of the PO dose Storage: Room temperature Dilution: 5mL Normal saline, shake well and use immediately |
|
What is Triostat? Other name?
|
Liothyronine, synthetic pure T3
Cytomel |
|
What is Thyrolar?
|
Liotrex, synthetic T3 & T4
|
|
What is Zyban?
|
Bupropion SR 150mg
|
|
What is Chantix?
|
Varenicline
|
|
Dosage for Nicorette?
|
***OTC
<25 cigs/d: 2mg gum >25 cigs/d: 4mg gum 1 gum Q1-2H x 6 wks then 1 gum Q2-4H x 3 wks then 1 gum Q4-8H x 3 weeks |
|
Other names for the Nicotine patch? Dose?
|
NicoDerm CQ
Habitrol -worn for 24H or 16H to avoid insomia/vivid dreams Dose: If >10 cigs/day, then 21mg/24H x 4 wks (6wks for Nicorderm CQ), then 14mg/24H x 2 wks, then 7mg/24H x 2 wks |
|
What is Nicotrol NS? Max dose?
|
nasal spray, 1 dose = 2 sprays
Max: 40 doses/day |
|
Nicotrol comes in what form? Hold old must the client be to purchase nicotine products?
|
Inhaler
Nasal spray ***FDA prohibits sale of nicotine products to individuals <16 YO. |
|
Dosing for Zyban?
|
150mg QAM x 3 days then BID
|
|
Dosing for Chantix?
|
0.5mg QD x 3 days then 0.5mg BID x 3 days then 1mg BID
- PC with a full glass of water to avoid nausea |
|
What are the caution/contraindication for using Chantix?
|
Renal (CrCl<30mL/min)
Psychiatric disorders Driving/operating machinery Nicotinic receptors activation causes insomia |
|
How often do you change Fentanyl patch?
|
Q3 days (72H)
|
|
What is the ratio of Morphine IV to Oral?
|
1:3
IV = 10 PO = 30 |
|
Equivalent dose of Morphine to Fentanyl patch?
|
Morphine 45mg = Fentanyl 12.5
|
|
What is Opana?
|
Oxymorphone
|
|
Morphine comes in what forms?
|
Tabs
Elixir IV/SC/IM suppositories |
|
Name 2 morphine antagonists?
|
Naloxone (Narcan)
Nalmefene (Revex) |
|
Where is morphine metabolized? Major SE?
|
Morphine is metabolized in the liver and excreted with active metabolized by the kidneys.
SE: CNS, constipation, vasodilation, histamine release (itching), respiratory depression |
|
Which morphine brand can you crush?
|
MSIR (immediate release tabs)
|
|
Which morphine brand can be opened and sprinkled on food?
|
Avinza ER
Kadian CR |
|
What is Embeda? Dosing? Why can't you use it with alcohol?
|
Morphine - Naltrexone, ER; around the clock dosing for chronic, moderate to severe pain
Dose: QD/BID, can be opened and sprinkled on food Caution: alcohol speeds up the release of morphine which can lead to respiratory depression |
|
What is Lorcet?
|
Hydrocodone - APAP
10/650 tabs |
|
What is Percodan? What schedule does it belong?
|
Oxycodone - Aspirin
Control II |
|
Brands for Oxycodone - APAP
|
Roxicet
Percocet |
|
What do you need to avoid when using Oxycodone?
|
Inhibitors (its a substrate), bec it can cause respiratory depression
|
|
Brand names for Methadone?
|
Diskets
Dolophine Methadose |
|
Dosing for Methadone?
|
Severe pain: 5 & 10 mg
Opioid dependence: 40 mg |
|
What can you give to patients allergic to morphine?
|
Methadone
Meperidine, Sufentanil, Fentanyl, or Remifentanil |
|
What are the different brands of Fentanyl products?
|
INJECTION: IM/IV Sublimaze
LOZENGES: for cancer patients, ACTIQ IR TABS: Abstral, NEW!!!!! REMS required PATCH: Duragesic BUCCAL - tabs: FENTORA; film: ONSOLIS |
|
Name 4 Opoiod Agonists with their brand names
|
Hydromorphone (Dilaudid: IM/SC/IV) (Exalgo ER: OROS tabs)
Meperidine (Demerol, Pethidine) Oxycodone (Roxicodone, Oxycontin, Percolone) (3A4 substrate) Oxymorphone (Opana) |
|
What are the different forms of Morphine?
|
IR tabs - MSIR
CR - Ms Contin & Oramorph; don't break or chew!!!! Caps - Avinza ER & Kadian CR, can be opened and sprinkled on applesauce Solution: Roxanol Suppository: RMS |
|
What is Stadol?
|
Butorphanol
|
|
What is Dilaudid?
|
hydromorphone
|
|
What is Nubain?
|
Nalbuphine
|
|
Wha tis Subutex?
|
Buprenorphine
|
|
What is Suboxone?
|
Buprenorphine - Naloxone
|
|
Max dose for Tramadol?
|
400mg/day
300mg/day for >75 yo |
|
Can you use Tramadol for renal patients (CrCl<30mL/min)?
|
Yes, but max dose is 200mg/day
|
|
Who can use Utram ER?
|
>18 yo
|
|
List the medications for urinary incontinence
|
Oxybutinin (Ditropan)
Trospium (Sanctura) Darifenacin (Enablex) Solifenacin (Vesicare) Fesoterodin (Toviaz) Tolterodine (Detrol) |
|
What do you monitor when using Azulfidine?
|
CBC
LFT's CNS |
|
What is Dipentum?
|
Olsalazine
|
|
What is Colazal?
|
Balsalazide
|
|
What is Ambien?
|
Zolpidem
|
|
What is Sonata?
|
Zaleplon, good for early night awakening. 3A4 substrate
|
|
What is Lunesta?
|
Eszopiclone, longest half life. Keeps you asleep
|
|
What is Rozerem? Dose?
|
Ramelteon
8mg QHS, 30 min before sleeping |
|
Accutane is approved for use by patients over what age?
|
>12 yo
|
|
Accutane dosing?
|
0.5 - 1 mg/kg/day divided BID
|
|
SE of Accutane?
|
cheilitis
Sun sensitivity Psych Hepatotoxicity CBC |
|
What is Elidel?
|
Pimecrolimus (Elidel) 1% cream
|
|
What is Protopic?
|
Tracrolimus (Protopic)
|
|
What is Abreva? Dose?
|
Docosanol (OTC) is a cream for facial herpes
Dose: 5x/day for 10 days >12 YO |
|
What is Denavir? Equivalent to what OTC medication?
|
Pencyclovir 1% (Rx), a cream for cold sores, is equivalent to Abreva.
|
|
What is Aldara?
|
Imiquimod 5% cream for genital herpes
|
|
What is Tacrolimus?
|
Prograf, 3A4 substrate
|
|
What is Rapamune?
|
Sirolimus, Rapamycin
3A4 Substrate |
|
Other names for Cyclosporine?
|
Sandimmune
Neoral Gengraf -3A4 substrate |
|
What is CellCept? How do you take it?
|
Mycophenolate taken on EMPTY STOMACH
|
|
What is Ditropan?
|
Oxybutinin
|
|
What is Enablex?
|
Darifenacin
|
|
What is Vesicare?
|
Solifenacin
|
|
What is Toviaz?
|
Fesoterodin
|
|
What is Detrol?
|
Tolterodine
|
|
What is Sanctura?
|
Trospium
|
|
What are the oral agents for Erectile Dysfunction?
|
***All are substrates
Sildenafil (Viagra, Revatio - 20mg TID) Tadalafil (Cialis, Adcirca - 40mg QD) Vardenafil (Levitra) |
|
Trade names for Mycophenolate mofetil?
|
Cellcept
Myfrotic |
|
MoA for Alprostadil? Brands? Dosing?
|
Alprostadil is a PGE-1 that works by widening blood vessels, increase flow to the penis and helps cause erection.
Muse - pellet inserted into the penis. No more than BID. Fridge; RT: 14days Caverject - injected; not to be used >3x/week. Room Temperature! |
|
Monitoring parameters when using CellCept?
|
***PIC
Pregnancy test (prior to initiation due to risk of malformations & abortions) Infections: signs & symptoms CBC |
|
What is Butrans? MoA? Schedule? Dose?
|
Buprenorphine patch
MoA: partial opioid agonist and antagonist Schedule: III, once-a-week patch |
|
What is Vivitrol? Dose?
|
Naltrexon ER helps patients stay off opioids after detox.
Dose: once a month IM injection |
|
MoA of Nucynta? Indication?
|
Nucynta (Tapentadol)
MoA: Opioid agonist & NE reuptake inhibitor Indication: moderate to severe acute pain >18 yo |
|
SE for Nucynta?
|
Respiratory depression
CNS depression Increased risk in seizure and serotonin syndrome |
|
What is Ofirmev?
|
Acetaminophen IV for patients weighing >50kg
|
|
What are the two Inflammatory Bowel Diseases?
|
Ulcerative Colitis - blood in the stool due to ulcerations
Crohn's Disease - no blood in the stool, only inflammation |
|
Management of Ulcerative Colitis
|
Salicylates
Corticosteroids: oral, then rectal Immunosupressants |
|
List the brand names for Mesalamine
|
***L-CRAP
Lealda: QD Canasa: rectal suppository Rowasa: rectal suspension Asacol: 400mg DR Pentasa: CR caps, QID |
|
Monitoring parameters for Azulfidine use?
|
Azulfidine (Sulfasalazine)
Monitor: LFT's, CBC, CNS |
|
What is IBS?
|
Iriitable Bowel Syndrome involves abdominal pain & abnormal bowel movements.
|
|
What is the first line of treatment for diarrhea?
|
Imodium (Loperamide)
|
|
What is Lotronex? Who can prescribe this medication?
|
Lotronex (Alosetron) is a 5-HT3 antagonist for patients who've failed Imodium.
Prescribers must be enrolled in the Prescribing Program for Lotronex (PPL) and the prescription must have a PPL sticker before it can be filled. |
|
Treatment for diarrhea in IBS
|
Calcium supplements
Decrease coffee, alcohol, spicy foods and sweeteners. Lotronex (Alosetron) (Rx) Imodium |
|
Treatment for constipation in IBS?
|
Mg supplements
Amitiza (Lubiprostone) (DoC) Zelnorm (Tegaserod maleate) |
|
What is Amitiza?
|
Amitiza (Lubiprostone)
Dose: 24mcg BID (Chronic Idiopathic Constipation in adults) 8mcg BID for IBS |
|
Causes of lung infections in Cystic Fibrosis patients
|
Pseudomona aeruginosa
Haemophilus influenza Staph aureus (MSSA, MRSA) Brukholeria cepacia ABPA (Allergic Broncho Pulmonary Aspergillosis) MAC |
|
Early symptoms of Cystic Fibrosis
|
Failure to gain weight
No bowel movement in the first 24-48H Salty tasting skin Pale, foul smelling stools with mucus Recurrent episodes of pneumonia |
|
List the medications used for Multiple sclerosis
|
Gilenya (fingolimod caps)
Glatiramer (Copaxone) Interferon beta-1A (Avonex, Rebif) I terferon beta-1B (Betaseron, Extavia) Natalizumab (Tysabri) |
|
Dosing for Gilenya? Monitor what?
|
Gilenya (Fingolimod) - Multiple sclerosis
Dose: 0.5mg caps PO Observe for 6H for S/Sx of bradycardia. |
|
List the Equivalent dosing for Steroids
|
Cortisone 25mg
Hydrocortisone 20mg Methylprednisolone 4mg Triamcinolone 4mg Prednisolone 5mg Prednisone 5mg Dexamethasone 0.75mg |
|
What are the tests for Sickle Cell Disease?
|
CBC
Hemoglobin electrophoresis Sickle cell test |
|
What age does the symptoms for Sickle Cell Disease start to show?
|
>4 months
|
|
Patients with Asplenia should be vaccinated with?
|
Pneumococcal vaccine - Prevnar PLUS Pneumovax
Hib Annual influenza Meningococcal vaccine - >2 YO |
|
Sickle Cell Disease measures
|
PCN prophylaxis
Vaccinations Hydroxyurea Folic Acid: 1mg QD Malaria Chemoprophylaxis Bone marrow or stem cell transplants |
|
What can you give as PCN prophylaxis to Sickle Cell Disease patients less than 5 YO?
|
PVK 125mg BID
PCN allergy: Erythromycin |
|
Brand names for Hydroxyurea? MoA? Monitor?
|
Brands: Hydrea & Droxia
Monitor: CBC MoA: reactivates fetal hemoglobin production instead of hemoglobin S. |
|
How do you give Zovirax IV? Storage?
|
Slow IV infusion over at least an hour.
Refrigerate. |
|
What do you reconstitute Zovirax with? Solutions for infusion?
|
Reconstitution: Sterile water
Infusion: D5W, NS, LR |
|
What Cephalosporins are okay to use in renal patients?
|
Cefoperazone
Ceftriaxone (Rocephin) |
|
What is Ancef? Storage?
|
Cefazolin
Fridge: 10 days |
|
What is Ceftriaxone? Storage?
|
Rocephin
Fridge: 10 days |
|
What is Cefobid? Storage?
|
Cefoperazone
Fridge: 5 days |
|
What is Cefotan? Storage?
|
Cefotetan
Fridge: 4 days |
|
What is Fortaz? Storage?
|
Ceftazidime
Fridge: 7 days |
|
What is Maxipime? Storage?
|
Cefepime
Fridge: 7 days |
|
What is Mefoxin? Storage?
|
Cefoxitin
Fridge: 7 days |
|
What is Zinacef? Storage?
|
Cefuroxime
Fridge: 7 days |
|
What is the max dose for Rocephin?
|
4 grams IM injection (with 1% lidocaine)
|
|
What should never be mixed with Rocephin?
|
Calcium
|
|
Storage for Ciprofloxacin IV powder?
|
Room temperature
|
|
Storage for premixed Levofloxacin?
|
Room temperature
|
|
Storage for diluted levofloxacin?
|
RT: 72H
Fridge: 14 days Freezer: 6 months |
|
Storage for Vancomycin?
|
RT: 24H
Fridge: 14 days |
|
What can you mix Bactrim with? Storage?
|
D5W
DON'T REFRIGERATE RT: 6H |
|
What is the usual IV Bactrim dosing?
|
8 - 10mg/kg/day div 2x, 3x, 4x/d
|
|
IV Bactrim dose for PCP?
|
15-20mg/kg/day in divided doses
|
|
What is the Bactrim dose for renal patients?
|
CrCl 15-30mL/min
- 50% of usual dose Q12H |
|
What do you dilute Flagyl IV with? How is it given?
|
Normal Saline, given as slow IV drip infusion
|
|
What do you dilute Rifampin with?
|
D5W - stable for 4H @ RT
NS - stable for 24H |
|
Storage for IV Diltiazem?
|
Refrigerate, DON'T freeze
Room Temperature - 1 month |
|
Indications for Octreotide?
|
Acromegaly
Diarrhea |
|
Sandostatin dosing?
|
Diarrhea: 100-600mcg/day SC/IV
Sandostatin LR: IM Q4W x 2 |
|
What is Anectine?
|
Succinylcholine
|
|
What is Diprivan?
|
Propofol
|
|
List some OTC meds that can cause bleeding (3G's & DEFF)
|
Ginger, Garlic, Ginko
Dong Quai Vit. E Fever Few Fish Oil |
|
Black Cohosh is used for?
|
Menopausal symptoms
|
|
Everning primrose oil is used for?
|
Eczema; but it decreases seizure threshold
|
|
What is Fever few used for?
|
Migraine prophylaxis
|
|
Glucosamine-Chondroitin is contraindicated in what allergy?
|
Shellfish
|
|
Dosing for ferrous sulfate?
|
Iron Deficiency Anemia: 325 TID
Hgb 7- 9 325 TID Hgb 9-10 325 BID Hgb >10 325 QD |
|
Iron SE?
|
Constipation
Diarrhea (when given too much) Black stool |
|
APAP dose for well-hydrated children? Dehydrated? Max dose?
|
well-hydrated: 15mg/kg Q4-6H
dehydrated: 10mg/kg Q4-6H Max: 90mg/kg/day |
|
What is Acetadote?
|
IV form of acetylcysteine
|
|
Dose of NAC?
|
1st dose: 140mg/kg
Following doses: 70mg/kg Q4H x 17 doses |
|
What should be given for Aspirin toxicity?
|
Sodium Bicarbonate, to increase pH of urine which results to aspirin elimination
|
|
What is Anaprox?
|
Naproxen sodium 550mg Q12H
|
|
What is Zostrix?
|
Capsaicin, AAA 3-5x QD
|
|
What is Qutenza? Dosing?
|
Capsaicin patch, may be repeated Q3 months; apply within 4H or opening pkg.
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What is Tessalon Perles?
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Benzonatate, 100-200mg TID
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What is Hycotuss? Schedule?
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Control III
Hydromorphone-Guaifenesin |
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What is Hycodan? Schedule?
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Hydrocodone - Homatropin
Control III |
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What is Lomotil?
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Diphenoxylate - Atropine
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What is Imodium? Dosing? Max?
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Loperamide
Initial: 4mg PO Titrate: 2mg PO after each loose stool Max: 16mg/day; OTC: 8mg/day |
