Patient Counseling Skills

Clinical Concepts Notebook

Administration Timing Exercise
Name Sherifa C. Williams
Part I: Identify a time of administration and rationale for the following medications based on
chronotherapeutics or to maximize efficacy and minimize adverse drug reactions.
Suggested Time of Administration

Rationale

1. Synthroid

1 hour before meals in the A.M.

body to absorb less

Some foods may cause your

2. Nexium

In the morning 1 hr before breakfast

early in the morning

3. Lo-Ovral

Same time each day

gastric acid secretion peaks

Hormone levels need to remain

consistent in body
4. Wellbutrin

____________________________

5. Prempro

Same time each day

________________________________
Hormone levels need to remain

consistent in body

6. Lipitor

Administered in the morning

Exception b/c of long elimination T1/2

7. HCTZ

Take in the morning

BP rises steeply during the early

morning

8. Norvasc

Take in the morning

BP rises steeply during the early

morning

9. Prilosec

In the morning 1 hr before breakfast

early in the morning

10. Lasix

Once daily in the morning

11. Boniva

____________________________

12. Metformin

Administer at meal times

gastric acid secretion peaks

________________________________
________________________________

Mimic the normal physiologic pattern of

endogenous insulin
13. Prednisone

____________________________

________________________________

14. Remeron

____________________________

________________________________

15. Provera

Same time each day

Hormone levels need to remain

consistent in body

16. Aspirin

once daily in the morning

17. Hytrin(for BPH)

____________________________

Better morning absorption

________________________________

18. Aciphex

In the morning 1 hr before breakfast

early in the morning

Gastric acid secretion peaks

19. Covera HS

____________________________

________________________________

20. Plavix

between noon and midnight

________________________________

21. Coumadin

____________________________

________________________________

22. Pravachol

Should be dosed in the evening

Higher rates of cholesterol intake

during the
hypercholesterolemia and hepatic
cholesterol genesis occur during the evening
hours
23. Fosamax
24. Lantus

____________________________
Administer at meal times

________________________________

Mimic the normal physiologic pattern of

endogenous insulin
25. Veralan PM

____________________________

________________________________

26. Avandia

____________________________

________________________________

27. Accolate

____________________________

________________________________

28. Singulair

Administer in the morning

in the early-mornings

29. Protonix

Early in the morning

Allergy symptoms are more severe

Gastric acid secretion peaks early in the

morning
30. Nicoderm CQ

____________________________

________________________________

31. Ambien

____________________________

________________________________

32. Prozac

____________________________

________________________________

33. Ritalin

____________________________

________________________________

Part II: Develop a Medication Timing chart for your Mock Patient Gina. Provide the necessary
patient counseling tips for each medication.
Use specific Use the following format:

Medication Time
Morning

Medications
730am: Drug 1
Take Drug 1 on an empty stomach 30 minutes before any other medications
with a full glass of water, no juice or coffee
8am: Drug 2

Afternoon
Evening

As needed

8am Drug 3
12pm
5pm:Drug 1
8pm:Drug 2
Bedtime: Drug 3
Drug 1:
Take drug 1 as needed for pain, with a maximum of 2,800mg per day.