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		<title>Drug Forms:  A Guide For The Medical Transcriptionist</title>
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<div><em><strong>Connie Limon</strong> asked: </em><br/><br/><br/><br/><br/>Drugs are created in many different forms that include:<br/><br/>?Tablet<br/><br/>?Capsule<br/><br/>?Cream<br/><br/>?Ointment<br/><br/>?Lotion<br/><br/>?Powder<br/><br/>?Liquid<br/><br/>?Suppositories<br/><br/>?Transdermal<br/><br/>Tablets:<br/><br/>Contain dried powdered active drug as well as binders and fillers to provide bulk and proper tablet size. Scored tablets have an indented line running across the top. A scored tablet can be easily broken into two pieces with a knife to produce two doses.<br/><br/>Enteric tablets are covered with a special coating that resists stomach acid and dissolves in the alkaline environment of the small intestine to avoid irritation.<br/><br/>Slow-release tablets are made to provide a continuous, sustained release of certain drugs. Abbreviation for slow-release tablet is SR and for long acting tablets, the abbreviation is LA in the trade name of the drug. Example: Procan SR and Entex LA.<br/><br/>Caplets are easy-to-swallow coated tablets in the form of capsules.<br/><br/>Capsules is a drug form that comes in two varieties, soft gelatin shell made in one piece in which the drug is in a liquid form inside the shell and a hard shell made in two pieces that fit together and hold the drug, which is in a powdered or granular form.<br/><br/>Cream is a semisolid emulsion of oil such as lanolin or petroleum and water. The main ingredient is water. Many topical drugs are made in a cream base.<br/><br/>Ointment is a semisolid emulsion of oil such as lanolin or petroleum and water. Oil is the main ingredient. Many topical drugs are made in an ointment base such Kenalog ointment and specially formulated ophthalmic ointments.<br/><br/>Most creams and ointments are applied to the skin without precise measurement with the exception of nitroglycerin ointment used to prevent angina. Nitroglycerin is precisely measured in inches on a specially marked applicator paper which is taped to the patient&#8217;s skin.<br/><br/>Lotion is a suspension of an active drug in a water base for external use. Example is Keri lotion.<br/><br/>Powder is a finely ground form of an active drug.<br/><br/>Liquid comes in the form of either solutions or suspensions. Solutions come in the form of elixirs, syrups, tinctures, liquid sprays and foams.<br/><br/>Elixirs contain an alcohol and water base with added sugar and flavoring. Example would be Tylenol elixir.<br/><br/>Liquid sprays contain a solution of the drug combined with water or alcohol to be sprayed by a pump or aerosol propellant.<br/><br/>Suspensions contain fine, un-dissolved particles of a drug suspended in a liquid base.<br/><br/>Suppositories contain a solid base of glycerin or cocoa butter containing the drug.<br/><br/>Transdermal form of drugs is relatively new. It consists of a multi-layered disk containing a drug reservoir, a porous membrane, and an adhesive layer to hold it to the skin.<br/><br/>It helps to know the meanings of the different kinds of drug forms as you transcribe medical dictation.<br/><br/>This article is FREE to publish with the resource box.<br/><br/>? 2007 Connie Limon All Rights Reserved<br/><br/><br/><br/><a href='http://www.uspainpharmacy.com'>Carisoprodol, Fioricet, Tramadol</a></div>
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		<description><![CDATA[jerry asked: DilaudidDilaudid is the brand name of a strong analgesic prescribed for relief from pain and sometimes from cough. The generic name is Hydromorphone, which belongs to the family of narcotic pain relievers.  Also known as opioids, this narcotic pain reliever has effects similar to morphine. Dilaudid is available as an injection, in tablet, [...]]]></description>
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<div><em><strong>jerry</strong> asked: </em><br/><br/><br/><br/><br/>Dilaudid<br/><br/>Dilaudid is the brand name of a strong analgesic prescribed for relief from pain and sometimes from cough. The generic name is Hydromorphone, which belongs to the family of narcotic pain relievers.  Also known as opioids, this narcotic pain reliever has effects similar to morphine. Dilaudid is available as an injection, in tablet, rectal suppository, as well as liquid forms. Taken in any of the mentioned forms, Dilaudid needs to be administered with caution, as overdoses may prove hazardous.<br/><br/>The dosage of opioid analgesics is individualized for each patient, as complete relief may not take place when adverse events occur. After comprehensive assessment of the nature of the pain -its severity, etiology, frequency, and pathophysiology- the doctor decides on a dosage in concurrence to the medical status of the patient.<br/><br/>Usually prescribed for immediate relief from continuous pain, the drug is injected into the buttock, hip or any large muscle, into an intravenous fluid that will enter the vein dripping through a needle or through a catheter placed under your skin or in the vein.  The oral form of Dilaudid contains hydromorphone hydrochloride, plus other ingredients such as purified water, propylparaben, methylparaben, glycerin, and sucrose.<br/><br/>Oral dosage of Dilaudid for adults ranges from 2.5 ml to two teaspoonfuls every 3 to 6 hours. However, higher dosages may be prescribed by the doctor depending on the patient’s clinical condition. In the tablet form, Dilaudid 2 mg, 4 mg and 8 mg. The usual starting dose is 2 mg to 4 mg tablet taken orally once every 4 to 6 hours. Caution and careful clinical evaluation is required when 8 mg tablets are prescribed. If the analgesia proves to be inadequate, the doctor may suggest a gradual increase in dosage. Inadequacy of analgesia can occur due to increase in the severity of pain or as tolerance develops.<br/><br/>For patients who are non-opioid-tolerant, hydromorphone therapy is typically initiated with 2-4 mg tablet, every four hours with an exception to elderly patients who require lower doses. Patients receiving opioids need varied doses of analgesia and the duration also varies according to the patient&#8217;s opioid tolerance. Since hydromorphone affects patients with hepatic and renal impairment, a very low dose should be started on and increased, depending on the severity of the problem.<br/><br/>Frequently observed side effects in patients taking Dilaudid include light-headedness, sedation, nausea, vomiting, dizziness, sweating, flushing, dry mouth, dysphoria, euphoria, and pruritus. Other side effects seen are respiratory depression, apnea, shock, circulatory depression, respiratory arrest, and sometimes cardiac arrest. There have also been reports of CNS such as agitation, weakness, headache, uncoordinated muscle movements, tremor, mood swings; cardiovascular effects such as bradycardia, palpitation, chills, tachycardia, faintness, hypertension, syncope and hypotension; gastrointestinal adverse effects like diarrhea, constipation, biliary tract spasm, cramps, ileus, anorexia, and taste alteration. Respiratory depression is a common side effect among the elderly, the incapacitated, and those suffering from conditions linked with hypoxia and hypercapnia.<br/><br/>Before taking Dilaudid, patients must inform the doctor about any present or planned pregnancy or surgery. Even in the case of a dental surgery or sterilization, the patient must inform the doctor about his use of Dilaudid. The patient’s nature of job should be known to the doctor, as the drowsiness caused by the drug could prove risky for car drivers and operators of large and heavy machinery. Also inform the doctor about:<br/><br/> Any prescription and nonprescription medications the patient may be taking  Any kidney, liver, thyroid or heart disease  Seizures, asthma, or bronchitis  Prostatic hypertrophy; or urinary problems.  Pregnant- present or planned  Nursing infants <br/><br/>Patients receiving Dilaudid need to look out and inform the doctor, for the following symptoms of catheter-related infection:<br/><br/> tenderness  warmth  irritation  drainage  redness  swelling  pain  <br/><br/>Dilaudid belongs to the family of opioid analgesics and can cause psychological and physical dependence. In patients who abruptly discontinue the drug, withdrawal symptoms are common.  Similar to other opioid agonists, Dilaudid can also be abused or misused. This morphine-type drug is sought by people with addiction disorders, drug abusers and those subject to criminal diversion. Prescribers of Dilaudid should monitor patients for signs of abuse, addiction and misuse. Though administration of Dilaudid is allowed in people with a personal or family history of alchohol or drug abuse and mental illness, intensive monitoring is required to detect signs of misuse or abuse.<br/><br/><br/><br/><a href='http://www.tramadols.bz'>Tamadol, Buy Tramadol</a></div>
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		<pubDate>Wed, 21 Jul 2010 22:49:46 +0000</pubDate>
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		<description><![CDATA[Scientist VK ? asked: Tramadol has been making me very sick lately so i asked the pharmacist for a antiemetic. He said it would be pointless and told me to ask the doctor for a drug I can&#8217;t remember the name of. It sounded something like atranium but I can&#8217;t remember. Any ideas to what [...]]]></description>
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<div><em><strong>Scientist VK ?</strong> asked: </em><br/><br/><br/>Tramadol has been making me very sick lately so i asked the pharmacist for a antiemetic. He said it would be pointless and told me to ask the doctor for a drug I can&#8217;t remember the name of.</p>
<p>It sounded something like atranium but I can&#8217;t remember. Any ideas to what it could be.<br />
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<div><em><strong>Jaun Koos</strong> asked: </em><br/><br/><br/><br/><br/>Buy tramadol if you are suffering from pain. Pain may be caused by certain physical conditions, old age or cancer like diseases. If you are in pain feel free to buy tramadol as it is FDA approved but never forget to consult your doctor. In fact tramadol is an anti inflammatory drug. Though it is a pain reliever but it should not be confused with steroid.<br/><br/>In technical term tramadol pain medication behave like narcotic drugs but still it is different from the medicines of narcotic group. If tramadol pain medication is used for long, patient may not build up tolerance against it. In other words it is not as habit forming drug as other pain relievers are. Tramadol pain medication is also used as an intermediary between the other pain killers. There are some indications that require you to buy tramadol. For example, in post operative pain condition sone drugs may not prove effective while some drugs may be too hard to be taken and so in that case tramadol pain medication is used as an intermediary and it really works in that condition.<br/><br/>Sometimes pain relapses again and again in a patient. In this condition tramadol pain medication improves this condition and then the real cause of recurrence of pain is determined. The regular prescribed dose of tramadol pain medication is 50 gm tablet. One or two 50 gm tablet is taken every 5 to 6 hours. But more than 8 tablets of tramadol should not be taken at any cost. There are some side effects involved in taking tramadol. If the patient is already taking an anti depressant, tramadol is not recommended for him.<br/><br/>Moreover pregnant women are not allowed to undergo tramadol pain medication. If a patient is already historically addicted to some pain killers, drugs or alcohol, tramadol pain medication would not produce desired result for him. In addition to all these risks, patients should discuss all the complications involved before going for tramadol pain medication. Those people, who are not able to tolerate this pain killer, are not recommended to buy tramadol. In case of intolerance tramadol may develop complications and raise some other serious health problems.<br/><br/><br/><br/><a href='http://www.fioricetinfo.com'>Buy Fioricet</a></div>
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