Anti-epileptic Medications
What food interacts with anti-epileptic medications and should be avoided to prevent drug toxicity?
What is grapefruit?
The nasolacrimal duct of the eye should be compressed after administering drops for glaucoma to minimize this complication
What are systemic effects?
Medication that enhances the action of acetylcholine to improve cognitive function
What is donepezil?
Drowsiness, dizziness, and fatigue are signs of this adverse drug effect
What is CNS depression?
Drug category that may cause esophageal erosion
What is bisphosphonates?
Substance that should not be taken with anti-epileptic medications to prevent excessive CNS depression
What is alcohol?
To prevent ophthalmic medications from absorbing into soft contact lenses, the client should wait for this period of time after administering drops to insert contacts.
What is 15 minutes?
Medication that treats glaucoma by stimulating muscarinic recepts to relax the eye muscle and open the drainage angle. May cause systemic cholinergic effects
What is pilocarpine?
The nurse should monitor I&O, BUN, and Creatinine to assess for what adverse drug effect?
What is nephrotoxicity?
Take with 8 oz of water to prevent kidney stones
What is calcium supplements
Anti-seizure medication that makes oral contraceptives less effective
What is oxcarbazepine?
Glaucoma medication that may cause bradycardia if absorbed into the blood stream
What is timolol?
Medication that stimulates muscarinic receptors with the therapeutic effect of contracting the bladder muscles, making it easier to void
What is bethanechol?
What type of medication may cause adverse effects such as diaphoresis, bradycardia, drooling, pupil constriction, watery eyes, and diarrhea?
What is cholinergic?
Hormone that may decrease serum calcium levels
What is calcitonin?
Anti-seizure medication that may cause bleeding of the gums
What is phenytoin?
Prostaglandin analog used to treat glaucoma that may turn the irises brown
What is latanoprost?
Medication that blocks muscarinic receptors used to relax the bladder muscle and treat overactive bladder
What is oxybutyinin?
Drug that may cause orthostatic hypotension, tachycardia, tardive dyskinesia, or activation of malignant melanoma
What is levodopa-carbidopa?
Milk and orange juice decrease absorption
What is alendronate?
Anti-epileptic medication with a high risk of Stevens-Johnson syndrome and suicidal thoughts. Drug should be stopped if headache, stiff neck, and photophobia develop
What is lamotrigine?
Combination Glaucoma medication in which one drug works to decrease the amount of aqueous humor and the other relaxes the ciliary body to widen the drainage angle. May cause a bitter taste in the mouth
What is Timolol/Dorzolamide?
Medication that inhibits breakdown of acetylcholine at the neuromuscular junction with the therapeutic effect of increasing muscle contractions
What is neostigmine?
Medications that suppress the immune system to reduce inflammation caused by autoimmune disorders. Come with a high risk of infection
What are DMARDs?
An estrogen receptor modulator that decreases bone resorption
What is Raloxifene