Advanced Pharmacology for Care of the Family
Doxazosin side effects (due to alpha 1 receptor being blocked) -
dizziness/syncope, headache, first-dose orthostatic hypotension,
drowsiness, nasal congestion
Dutasteride (finasteride) patient teaching - benefits take months to develop,
must continue taking med even if improvement not rapidly seen
may lower ejaculatory volume & libido
How to know Terazosin is working? - improved symptoms of dysuria,
urgency, urinary tract infections, hesitancy etc.
When is it safe and not safe to prescribe Progesterone (Progestin)? - if
woman has had a hysterectomy/pregnant
side effects of progestin-only oral contraceptives? - more likely to cause
irregular/inconsistent bleeding, must be taken at same time every day to be
effective
Benefits of prescribing medroxyprogesterone acetate - doesn't cause
thromboembolic disorders, headaches, nausea, or most of the other adverse
effects associated with combo OCs.
does not decrease milk supply during lactation
Testosterone replacement therapy routes: - treatment that involves
administering testosterone supplements through pills, injections, or skin
patches
testosterone patch patient teaching: - ○ good hand washing is required after
application
○cover application site with clothing after medication has dried
○wash the application site before skin-to-skin contact with another person
■ females and children may experience negative effects from exposure to
testosterone
■ if cross contamination occurs, wash the affected area with soap and
water to prevent absorption
When is androgen therapy appropriate vs. not needed related to puberty? -
Short term: The psychological pressures of delayed sexual maturation are
causing a boy significant distress.
Long term: if delayed puberty related to true hypogonadism
testosterone replacement therapy side effects? - Hot flashes, bone fractures,
decreased libido, insulin resistance, erectile dysfunction, gynecomastia,
, acne, HTN, sterility, hepatotoxicity, mood swings/ aggression.