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Microsoft word - english_med_rc_0406.doc
WOMEN’S INTERAGENCY HIV STUDY ENGLISH VERSION MEDICATION RESPONSE CARDS RESPONSE CARD D1 1. Rarely 2. Sometimes
Form 22MED: Medication Use, Question B7b
RESPONSE CARD D2 2. Some of the time 3. About half of the time 4. Most of the time 5. All of the time RESPONSE CARD D3 1. I am HIV negative 2. My CD4 was too high / my viral load was too low 3. I feel too healthy 4. I am taking alternative medications 5. I don’t want side effects 6. They are too hard to swallow 7. My doctor did not prescribe them 8. I can’t afford them / have no insurance coverage 9. Concerned about resistance 10. I’m having a baby 11. Personal decision to wait 12. Didn’t work for my friends 14. Liver problems 13. Any other reason
Form 22MED: Medication Use, Question B10
RESPONSE CARD D4 A. Inhaled Medications Pentamidine (aerosolized) B. Injected or infused drugs Foscavir (foscarnet) Ganciclovir (DHPG, Cytovene IV) Nandrolone (Deca-durabolin) Medication to increase white blood cell count (G- CSF, GM-CSF, Neupogen) Medication to increase red blood cell count (erythropoietin, Epogen, Procrit, Epo) Interferon alfa-2b (Intron A) Amphotericin B (Ampho B) Pegylated interferon (PEGASYS, Peg-intron, peginterferon alfa-2a, peginterferon alfa-2b) RESPONSE CARD D4 (continued) C. Pills, Liquids or Creams Bactrim (Septra, cotrimoxazole, trimethoprim- sulfamethoxazole, TMP/SMZ) (clarithromycin) (ciprofloxacin) Diflucan (fluconazole) (famciclovir) Ganciclovir (Cytovene, valganciclovir, Valcyte) (isoniazid) Lamprene (clofazimine) (atovaquone) Methadone Monistat (miconazole) Myambutol (ethambutol) Mycelex or lotrimin (clotrimazole) RESPONSE CARD D4 (continued) C. Pills, Liquids or Creams (continued) (ketoconazole) Nystatin (mycostatin) Oxandrin (oxandrolone) Prednisone (Deltasone) (pyrazinamide) Rebetron (ribivirin & interferon alfa-2b) Rifabutin (mycobutin) (rifampin) Sporanox (itraconazole) (terconazole) (valacyclovir) (voriconazole) Zithromax (azithromycin) (acyclovir) RESPONSE CARD D4a Hepatitis Medications Interferon alfa-2b (Intron A) Pegylated interferon (PEGASYS or Peginterferon alfa-2a) (PEG-Intron or Peginterferon alfa-2b) Ribavirin (Virazole, Rebetol, Copegus) Rebetron (Ribavirin and interferon alfa-2b) Epivir (lamivudine, 3-TC) Viread (tenofovir) Hespera (adefovir, Preveon) Emtriva (Coviracil, emtricitabine, FTC) Infergen (interferon alfacon-1) Famvir (famciclovir) Truvada (Viread + Emtriva) Baraclude (entecavir) RESPONSE CARD D4h Hormone Replacement Therapies Estrogen: Premarin, Estrace, Estratab, Menest, Ogen, Cenestin, Estraderm, Climera, Menostar, Estrasorb Progesterone: Provera, Cycrin, Amen, Prometrium, Micronor, Nor-QD Combination Estrogen/Progesterone: Premphase, Prempro, Combipatch Other Hormone Replacement Therapy: Tamoxifen, Raloxifene, testosterone patch or cream, Estratest (combination estrogen / testosterone), birth control pills, Norplant, Ortho Evra (birth control patch), NuvaRing (a vaginal ring containing hormone)
Form 22MED: Medication History, Question E8
RESPONSE CARD D4b Heart and Blood Pressure Medications Cordarone, Pacerone (amiodarone) Cardioquin, Quinaglute, Quinidex (quinidine) Calan, Verelan, Isoptin (verapamil) Cardizem, Dilacor, (diltiazem) Cardene (nicardipine) Procardia, Adalat (nifedipine) Plendil (felodipine) Norvasc (amlodipine) Tenormin (atenolol) Inderal (propranolol) Lotensin (benazepril) Lopressor, Toprol (metropolol) Capoten (captopril) Zestril, Prinivil (lisinopril) Vasotec (enalapril) Altace (ramipril) Accupril (quinapril) Monopril (fosinopril) digoxin (Digitek, Lanoxin, Lanoxicaps) nitroglycerin (Nitro-Bid, Nitrocine, Nitroglyn, Nitrolingual, Nitrong, Nitrostat) Catapres (clonidine) Cozaar (losartan) Hyzaar (losartan + hydrochorothiazide)
Form 22MED: Medication Use, Question E10a
RESPONSE CARD D4c Cholesterol, Triglyceride and Lipid Medications Lescol (fluvastatin) Lipitor (atorvastatin) Mevacor, Altocor (lovastatin) Pravachol (pravastatin) Zocor (simvastatin) Crestor (rosuvastatin) Lopid (gemfibrozil) TriCor (fenofibrate) Colestid (colestipol) Questran (cholestyramine) Welchol (colesevelam) Niaspan (niacin) Zetia (ezetimibe) Caduet (amlodipine + atorvastatin) Vytorin (ezetimibe + simvastatin) Advicor (lovastatin + niacin) Pravigard (pravastatin + buffered aspirin)
Form 22MED: Medication Use, Question E10b
RESPONSE CARD D4d Blood Sugar or Diabetes Medications Insulin (injection) Byetta (exenatide, injection) Symlin (pramlintide, injection) Precose (arcarbose) Diabinese (chlorpropamide) Amaryl (glimepiride) Glucotrol (glipizide) Micronase, Diabeta, Glynase (glyburide) Glucophage (metformin) Glyset (miglitiol) Actos (pioglitazone) Prandin (repaglinide) Avandia (rosiglitazone) Starlix (nateglinide) Tolinase (tolazamide) Tol-Tab (tolbutamide) Dymelor (acetohexamide) Avandamet (metformin + rosiglitazone) Metaglip (metformin + glipizide) Glucovance (metformin + glyburide)
Form 22MED: Medication Use, Question E10c
RESPONSE CARD D4e Osteoporosis Medications Fosamax, Fosamax Plus D (alendronate) Evista (raloxifene) Forteo (teriparatide) Miacalcin (calcitonin) Boniva (ibandronate)
Form 22MED: Medication Use, Question E10d
RESPONSE CARD D4f Seizure Medications Tegretol, Carbatrol, Epitol, Equetrol (carbamazepine) Dilantin, Phenytek (phenytoin) Felbatol (felbamate) Mysoline (primidone) Topamax (topiramate) Mebaral (mephobarbital) Solfoton (Phenobarbital) Depakote, Depacon, Depakene (valproic acid, valproate) Klonapin (clonazepam) Cerbyx (fosphenyton) Neurontin (gabapentin) Lamictal (lamotrigine) Pentothal (thiopental)
Form 22MED: Medication Use, Question E10e
RESPONSE CARD D4g Psych Medications Zyprexa (olanzapine) Serzone (nefazodone) Luvox (fluvoxamine) Zoloft (sertraline) Celexa (citalopram) Wellbutrin, Zyban (bupropion) Lexapro (escitalopram) Prozac, Sarafem (fluoxetine) Paxil (paroxetine) Effexor (venlafaxine) Symbyax (Prozac + Zyprexa) Cymbalta (duloxetine) Elavil (amitriptyline) Norpramin (desipramine) Tofravil (imipramine) Remeron (mirtazapine) Aventyl (nortriptyline) Desyrel, Dividose (trazodone) Sinequan (doxepin) Seroquel (quetiapine) Risperdal (risperidone) Haldol (haloperidol) Abilify (aripiprazole)
Form 22MED: Medication Use, Question E10f
RESPONSE CARD D4i Medications for Lipodystrophy / Body Fat Changes Protropin (somatrem) Serostim, Genotropin, Humatrope, Norditropin, Nutropin, Saizen (somatropin) Megace (megestrolacetate) Avandia (rosiglitazone) Glucophage (metformin)
Form 22MED: Medication Use, Question E10g
RESPONSE CARD D5 Enzyme therapies (plant or pancreatic) Flower remedies Chinese herbs in combination Echinacea (with or without goldenseal) Milk thistle St. John’s Wort (hypericin) Homeopathic remedies Nutritional Supplements Aciophilus A-vitamins Beta-carotene B-complex B-vitamins (B1 thiamine, B2 riboflavin, B5 pantothenic acid, B6 pyridoxine, B12) RESPONSE CARD D5 (continued) Nutritional Supplements (continued) C-vitamins (rosehips) Coenzyme Q-10 E-vitamins Folic acid Multivitamins / minerals Megadose vitamins Omega-3 type oils Protein powder Other Complementary / Alternative Treatments NAC (N-acetyl-cysteine) Thymus glandular RESPONSE CARD D6 1. To treat or reduce side effects from standard medications 2. To boost immune system 3. To prevent opportunistic and general infections 4. To treat HIV infection 5. For general health 6. Beneficial without causing side effects 7. Standard HIV medications don’t work 8. To gain weight 9. To lose weight RESPONSE CARD E1 1. 1 week or less 2. More than 1 week but less than 1 month 3. 1 – 2 months 4. 3 – 4 months 5. 5 – 6 months 6. More than 6 months
Drug Form 1: Antiretroviral Medications, Question 3
Drug Form 2: Non-antiviral Medications, Question 4
RESPONSE CARD E4 5% 15% 25% 35% 45% 55% 65% 75% 85% 95% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Drug Form 1: Antiretroviral Medications, Questions 7, 8, 9
RESPONSE CARD E5 2. Yesterday 3. Earlier this week 5. Less than a month ago 6. More than a month ago
Drug Form 1: Antiretroviral Medications, Question 10
RESPONSE CARD E6 5% 15% 25% 35% 45% 55% 65% 75% 85% 95% 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Drug Form 1: Antiretroviral Medications, Question 11
KINDL Publications Prof. Dr. Ulrike Ravens-Sieberer Geisler, A., Lass, N., Reinsch, N., Uysal, Y., Singer, V., Ravens-Sieberer, U., & Reinehr, T. (2012). Quality of life in children and adolescents with growth hormone deficiency: association with growth hormone treatment. Hormone Research in Paediatrics, 78(2), 94-99. doi: 10.1159/000341151 2011 Ellert, U., Ravens-Sieberer,
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