Friday, September 27, 2013

MEDICATIONS

We are often asked about medications…so here is a list of current meds:
As of 12-21-12
Diagnosis:  Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma, hypogammaglubulinemia)




    1. Advair 250/50 – 2/day


    2. nasonex 1 spray each nostril – 2/day


    3. Saline 1 spray each nostril (for allergies& bloody noses) – 2/day

    4. zyrtec 10mg – PM

    5. acidophilus (to combat med side effects) – AM

    6. acetaminophen compound (corn-free) 500 mg (every 4 hrs as needed)

    7. Indomethacin 25 mg.AM and 50 mg PM

    8. tramadol 50 mg (every 4-6 hours as needed, works better when taken with acetaminophen)

    9. Albuteral inhailer (prior to sports/outdoor play and as needed)

    10. Albuteral vials in nebulizer (as needed)

    11. Colace 100mg 2/day

    12. Predinsone 12.5mg

    13. Omeprazole 20 mg – AM/PM

    14. Morphine SUL 10mg/5ml (2mg/ml) -1 tsp – as needed

    15. Morphine sulfate ER 15 mg – PM


    16. Fentenyl Patch (50 mg) – new patch every 72 hrs/with tegrederm over


    17. Fluoxetine 10 mg – AM (began on 7/27/11)

    18. Folic Acid (1mg) – PM

    19. Currafate as needed

    20. Epi-shot (on hand if needed for allergic reaction)

    21. methotrexate –six 2.5mg pills, began10-14-11 (Friday nights)


    22. Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)


    23. Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)

    24. Calcium with Vitamin D

    25. Rilonacept (began RAPPORT study in 5/12) – 1.3ml weekly shot

    26. Hizentra (began 11/12)  7 grams, weekly infusion, sub-q

    27. With Hizentra infusions:  doxepin, zofran, acetaminophen compound (then benedryl and acetaminophen for 24 hours and zofran as needed)




    As of 3-23-12
    Diagnosis:  Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma)





      1. Advair 100/50 – 2/day


      2. nasonex 1 spray each nostril – 2/day


      3. Saline 1 spray each nostril (for allergies& bloody noses) – 2/day

      4. zyrtec 10mg – PM

      5. acidophilus (to combat med side effects) – AM

      6. acetaminophen compound (corn-free) 500 mg (every 4 hrs as needed)

      7. Indomethacin 25 mg.AM and 50 mg PM

      8. tramadol 50 mg (every 4-6 hours as needed, works better when taken with acetaminophen)

      9. Albuteral inhailer (prior to sports/outdoor play and as needed)

      10. Albuteral vials in nebulizer (as needed)

      11. Colace 100mg 2/day

      12. Predinsone 40mg at 10 days, 30 mg 14 days – AM (3-18-12)

      13. Omeprazole 20 mg – AM/PM

      14. Morphine SUL 10mg/5ml (2mg/ml) -1 tsp – as needed

      15. Morphine sulfate ER 15 mg – PM


      16. Fentenyl Patch (50 mg) – new patch every 72 hrs/with tegrederm over


      17. Fluoxetine 10 mg – AM (began on 7/27/11)


      18. Folic Acid (1mg) – PM

      19. Epi-shot (on hand if needed for allergic reaction)


      20. methotrexate –six 2.5mg pills, began10-14-11 (Friday nights) (during infusion wks gets 1cc inj)


      21. Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)


      22. Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)


      23. Enbrel 25 mg (Tuesday nights)


      24. Calcium with Vitamin D


      25. Actemra (began 3/25, increased 12/16/11, last dose 3/9), 600mg (12mg/kilogram)


      26. Kineret 100 mg twice daily infused in port with saline and heprine


      27. IVIG (began 12/11)  250 mg Over  15 hours


      28. With infusions:  Benadryl, Solumedral, zofran, cortisone or solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate 1cc


      Medication, as needed, for allergic reaction:  Benadryl, prednisone, epi-shot




      As of 12/31/11
      Diagnosis:  Systemic Onset JA with Overlap Syndrome (vasculitis, myositis, psoriatic features, allergies/asthma)




        1. Advair 100/50 – 2/day


        2. nasonex 1 spray each nostril – 2/day


        3. Saline 1 spray each nostril (for allergies& bloody noses) – 2/day

        4. zyrtec 10mg – PM

        5. acidophilus (to combat med side effects) – AM

        6. acetaminophen compound (corn-free) 500 mg (every 4-6 hrs as needed)

        7. Indomethacin 25 mg.AM and 50 mg PM

        8. tramadol 50 mg (every 4-6 hours as needed, works better when taken with acetaminophen)

        9. Albuteral inhailer (prior to sports/outdoor play and as needed)

        10. Albuteral vials in nebulizer (as needed)

        11. Colace 100mg 2/day

        12. Predinsone 8mg – AM (decreased 11-12-11)

        13. Omeprazole 20 mg – AM/PM

        14. Morphine SUL 10mg/5ml (2mg/ml) -1 tsp – as needed


        15. Morphine sulfate ER 15 mg – PM


        16. Fentenyl Patch (25mg) – new patch every 72 hrs/with tegrederm over


        17. Fluoxetine 10 mg – AM (began on 7/27/11)


        18. Folic Acid (1mg) – PM

        19. Epi-shot (on hand if needed for allergic reaction)


        20. methotrexate -.5mg pills, began10-14-11 (Friday nights) (was on 1cc inj)


        21. Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)


        22. Leucovorin 10mg (compounded corn-free) (Saturday night, 24 hrs after methotrexate)


        23. Enbrel 25 mg injection (Tuesday nights)


        24. Calcium with Vitamin D

        25. Actemra infusion (began 3/25, increased 12/16/11), 600mg (10mg/kilogram)

        26. IVIG infusion

        27. Mucinex as needed

        28. Often on an antibiotic

        29. With infusions (every 2 weeks):  Benadryl, Solumedral, zofran, solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate 1cc



      Medication, as needed, for allergic reaction:  Benadryl, prednisone, epi-shot



        As of 3/27/11
        Diagnosis:  Systemic Juvenile Arthritis with possible psoriatic JA and allergies/asthma


        1. Advair 100/50 – 2/day


        2. nasonex 1 spray each nostril – 2/day


        3. Saline 1 spray each nostril (for allergies& bloody noses) – 2/day

        4. zyrtec 10mg – PM

        5. acidophilus (to combat side effects…) – AM

        6. acetaminophen compound (corn-free) 500 mg (every 4 hrs)

        7. naproxen 500 mg. – 2/day

        8. tramadol 50 mg (every 6 hours as needed…needs big time right now)

        9. Albuteral inhailer (prior to sports/outdoor play and as needed)

        10. Albuteral vials in nebulizer (as needed)

        11. colace 2/day

        12. Predinsone (10 mg. daily) – AM

        13. Omniprozel 40 mg – PM

        14. Morphine 15mg – PM

        15. Epi-shot (on hand if needed for allergic reaction)


        16. methotrexate injection-1cc (Friday nights)


        17. Lidocaine cream (for numbing injection site) (Friday nights)


        18. Zofran (Friday night, Saturday morning, Saturday night, and sometimes Sunday morning)


        19. Leucovorin 10mg (Saturday night, 24 hrs after methotrexate)


        20. Actemra (began 3/25, to replace remicade)


        21. Solumedral Infusion (every 2-4 wks)


        22. With infusions:  Benadryl, cortisone or solumedral (500-1000mg), toradol, acetaminophen compound, methotrexate




        Medication, as needed, for acute allergic reaction:  Benadryl, prednisone, epi-shot


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