Beta-lactam antibiotics
Penicillins
Cephalosporins
Carbapenems
Monobactams
Before Liraglutide, Ensure pt....
Can administer injections
Ongoing monitoring for Liraglutide
Hgb, Triglycerides, s/s of cholecyctitis, pancretitis, depression, and SI
Pt. teaching for Naltrexone
Can precipitate withdrawal. Monitor for s/s of liver injury
Naltrexone/Bupropion (Contrave) will NOT cause
Withdrawal symptoms (for weightloss)
Baseline data/monitoring for Naltrexone/Bupropion (Contrave)
Blood glucose, Liver function, renal function, psych./mental status
Baseline/ongoing monitoring for phentermine
Cardiac assessment
Role of Topiramate in tx. of obesity
Induces a sense of satienty.
Obese BMI
30-39.9 kg/m2
Overweight BMI
25-29.9 kg/m2
Tx. for stage I obesity
Lifestyle therapy. Drug therapy may be considered
DEA schedule for phentermine, diethylpropion, lorcaserin
IV
Potential Drug interactions for Lorcaserin
bupropion, dextromethorphan, monoamine oxidase (MAO) inhibitors, SNRIs, SSRIs, St.
John's Wart, Triptans
Baseline Data for Lorcaserin
Assessment to rule out Valvular disorders and Pulmonary HTN
Ongoing Assessment for Lorcaserin
Cognitive changes, CBC with Dif for s/s of blood dyscrasias
Monitoring for Phentermine/topirmate
BMP, electrolytes, sCr, s/s acidosis or depression
AEs for Orlistat
Oily rectal leakage, flatulence with discharge, fecal urgency
Drug interactions of Orlistat
Levothyroxine
Ongoing assessment for Orlistat
s/s of fat soluble vitamin def. and liver damage
What dietary changes for Orlistat
decrease fat intake to prevent GI effects
Rare AEs of Lorcaserin
, Blood dyscrasias, Pulmonary HTN, Cognitive impairment, psych. disorders, valve
disease
Black Bod Warning for Isotretinoin
SEVERE structural and cognitive defects in developing fetus.
Pt. edu. for Isotretinoin
Avoid Vit. A and alcohol. May sunburn easily. 2 reliable forms of birth control.
Depression and SI are possible
What symptoms does Loratadine Control?
Sneezing, rhinorrhea, and nasal itching
What controls rebound congestion?
Nasal glucocorticoids
Role of biologics such as Omalizumab for tx. of allergies?
Monoclonal antibodies directed at IgE
Benzoyl Peroxide or Retinoid is used to treat what acne?
Mild
Oral abx., retinoid, and benzoyl is used to treat what acne?
Moderate
Isotretinoin (acccutane) is used for what acne?
Severe
Eczema 1st line
Moisturizers and topical glucocorticoids
Eczema Mild to Mod.
Pimecrolimus 1% cream (Elidel)
Eczema Mod. to Severe
Tacrolimus (Protopic)
Most common SE of eczema Tx.
Burning, itching, and stinging
Serious SEs of Montelukast
CNS: agitation, hallucinations, depression, insomnia, restlessness, SI
AEs of intranasal glucocorticoids
Drying of nasal mucosa and burning and itching sensation
Most effective medication for seasonal and perennial rhinitis
Intranasal Glucocorticoids
Pt. education for intranasal glucocorticoids
Max. effects may take a week or more
AEs of sympathomimetics
Rebound nasal congestion mostly, but also anxiety and excitability
Which sympathomimetic is most associated with abuse?
Pseudoephedrine
AEs of phenylephrine
CV and CNS effects
NRTI drug names
<sine, bine, and dine> didanosine (Videx), emtricitabine (Emtriva), lamivudine (Epivir)
Antihistamines do NOT do what?
Relieve nasal congestion
Most common AEs of brimonidine (glaucoma)
Penicillins
Cephalosporins
Carbapenems
Monobactams
Before Liraglutide, Ensure pt....
Can administer injections
Ongoing monitoring for Liraglutide
Hgb, Triglycerides, s/s of cholecyctitis, pancretitis, depression, and SI
Pt. teaching for Naltrexone
Can precipitate withdrawal. Monitor for s/s of liver injury
Naltrexone/Bupropion (Contrave) will NOT cause
Withdrawal symptoms (for weightloss)
Baseline data/monitoring for Naltrexone/Bupropion (Contrave)
Blood glucose, Liver function, renal function, psych./mental status
Baseline/ongoing monitoring for phentermine
Cardiac assessment
Role of Topiramate in tx. of obesity
Induces a sense of satienty.
Obese BMI
30-39.9 kg/m2
Overweight BMI
25-29.9 kg/m2
Tx. for stage I obesity
Lifestyle therapy. Drug therapy may be considered
DEA schedule for phentermine, diethylpropion, lorcaserin
IV
Potential Drug interactions for Lorcaserin
bupropion, dextromethorphan, monoamine oxidase (MAO) inhibitors, SNRIs, SSRIs, St.
John's Wart, Triptans
Baseline Data for Lorcaserin
Assessment to rule out Valvular disorders and Pulmonary HTN
Ongoing Assessment for Lorcaserin
Cognitive changes, CBC with Dif for s/s of blood dyscrasias
Monitoring for Phentermine/topirmate
BMP, electrolytes, sCr, s/s acidosis or depression
AEs for Orlistat
Oily rectal leakage, flatulence with discharge, fecal urgency
Drug interactions of Orlistat
Levothyroxine
Ongoing assessment for Orlistat
s/s of fat soluble vitamin def. and liver damage
What dietary changes for Orlistat
decrease fat intake to prevent GI effects
Rare AEs of Lorcaserin
, Blood dyscrasias, Pulmonary HTN, Cognitive impairment, psych. disorders, valve
disease
Black Bod Warning for Isotretinoin
SEVERE structural and cognitive defects in developing fetus.
Pt. edu. for Isotretinoin
Avoid Vit. A and alcohol. May sunburn easily. 2 reliable forms of birth control.
Depression and SI are possible
What symptoms does Loratadine Control?
Sneezing, rhinorrhea, and nasal itching
What controls rebound congestion?
Nasal glucocorticoids
Role of biologics such as Omalizumab for tx. of allergies?
Monoclonal antibodies directed at IgE
Benzoyl Peroxide or Retinoid is used to treat what acne?
Mild
Oral abx., retinoid, and benzoyl is used to treat what acne?
Moderate
Isotretinoin (acccutane) is used for what acne?
Severe
Eczema 1st line
Moisturizers and topical glucocorticoids
Eczema Mild to Mod.
Pimecrolimus 1% cream (Elidel)
Eczema Mod. to Severe
Tacrolimus (Protopic)
Most common SE of eczema Tx.
Burning, itching, and stinging
Serious SEs of Montelukast
CNS: agitation, hallucinations, depression, insomnia, restlessness, SI
AEs of intranasal glucocorticoids
Drying of nasal mucosa and burning and itching sensation
Most effective medication for seasonal and perennial rhinitis
Intranasal Glucocorticoids
Pt. education for intranasal glucocorticoids
Max. effects may take a week or more
AEs of sympathomimetics
Rebound nasal congestion mostly, but also anxiety and excitability
Which sympathomimetic is most associated with abuse?
Pseudoephedrine
AEs of phenylephrine
CV and CNS effects
NRTI drug names
<sine, bine, and dine> didanosine (Videx), emtricitabine (Emtriva), lamivudine (Epivir)
Antihistamines do NOT do what?
Relieve nasal congestion
Most common AEs of brimonidine (glaucoma)
