Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
22 Cards in this Set
- Front
- Back
Vitamins for PMS (4)
|
1.) Calcium
2.) Magnesium 3.) Vitamin E 4.) Multivitamin |
|
Calcium
a.) dosing b.) effect on PMS c.) caution |
a.) 1200mg/day or 600mg twice daily
b.) decreases DEPRESSION, bloating, pain, fatigue, insomnia, food cravings c.) can cause constipation, so avoid people with kidney stones |
|
Magnesium
a.) dosing b.) effect on PMS c.) ADR |
a.) 200-400 mg daily
b.) decreased bloating, breast tenderness c.) DIARRHEA |
|
Vitamin E
a.) dosing b.) effect on PMS |
a.) 400 IU during luteal phase
b.) mood, breast tenderness |
|
Naproxen
|
220-250mg q6-8 hours
|
|
Ibuprofen
|
200-400mg q4-6 hours
|
|
Acetaminophen dosing
|
500-1000mg q4-6 hours
|
|
First line for bloating
|
Sodium restriction
|
|
2nd line for bloating
|
Pamabrom, a diuretic. Seen in pamprin, midol, etc
|
|
3rd line for bloating
|
Spironolactone diuretic
|
|
Oral contraceptives: Which is preferred?
|
Those that have drospirenone (Yaz, Yasmin, Beyaz, Safyral) bc it helps with mood (ant-androgen) and bloating (diuretic). Use biphasic or triphasic for 3-6 cycles
|
|
Danazol
|
Restrict use to SEVERE pms only. This causes amenorrhea
|
|
Leuprolide acetate
a.) class b.) indication |
a.) This is a GnRH agonist
b.) severe PMS (can worsen mood. dont use >6months). endometriosis |
|
PMDD
a.) defining characteristic b.) duration before defining c.) when does it occur |
a.) severe decreased mood that interferes with daily activity
b.) need to have symptoms (5+) for a year or more c.) before your period (last week luteal) |
|
1st line PMDD
|
SSRI's (PFS: Paroxetine, Fluoxetine, Sertraline), taken as needed (before period) or continuously
|
|
2nd line options (2) for PMDD
|
1.) SNRI (venlafaxine) or TCA (chlomipramine/anafranil)
2.) Birth control: Yaz & Beyaz. Other birth controls in general won't work for PMDD because birth control can worsen mood |
|
Primary dysmenorrhea
a.) when does it occur? b.) MOA c.) risk factors |
a.) this is painful period, so occurs DURING menstruation day 1
b.) too much prostaglandin release, resulting in stronger contractions, ischemia, sensitive nerves c.) started early, heavy periods, long periods, smoking/alcohol, obesity |
|
Primary dysmenorrhea- 1st line (2)
|
1.) NSAIDS: Ibuprofen 200-400mg q4-6h; Naproxen 225-250mg q8-12h
2.) Birth control |
|
Secondary dysmenorrhea
a.) what b.) symptoms |
a.) This is dysmenorrhea due to an underlying disease (endometriosis, tumors, etc)
b.) very heavy bleeding than normal and lasts longer, no response to NSAIDs. refer to doctor |
|
Endometriosis
a.) what b.) risk factors |
a.) When the endometrium grows outside of the uterus. Very painful periods or obstruction of periods, infertility
b.) never had kids, genetics, early start |
|
Treatment for endometriosis - Nonpharm
|
SURGERY. Depends if patient wants to get pregnant or not. If she does want to get pregnant some day, do a conservative surgery, where they laproscopically remove the lesions. If she does not want to get pregnant, do a definitive surgery and take out the uterus or ovaries
|
|
Treatment for endometriosis - Pharm
|
NSAIDS or oral contraceptives (just like dysmenorrhea)
|