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KS
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  1. What to monitor w. Imuran?
    • Azathioprin
    • s/e thrombocytopenia
    • neutorpenia
    • livertoxicity
    • so,check CBC, LFT...and what els?
  2. Zanaplex?
    • Daclizumab ( transpant drug )-immunosupprssant
    • for prophylaxis of acute renal transplant rejection
  3. Prempro* what combination?
    • Conjujgated estrogens/ Medroxyprogesterone
    • 1po QD
  4. Dyseryl
    • Trazodone
    • antidepression ( max 400mg / day )
    • * for Insomnia
    • 25-100 mg/ HS ( max 200 mg/day )
    • s.e priaprism
  5. Compare Singular & Accolate
    both in same class: AntileukienCysLT1
    • Singulair ( Montelukast ) QD in the evening
    • Accolate( Zirfirlukast ) BID emptystomach ( Inhibitor )
  6. compare Vitravene & Vitrasert?
    • Vitravene ( Inject to the eye like IV) q MONTH
    • VitraSERT ( implant ( insert a small bullet into the eye) ->q 6 M
  7. what is NL  of ANC?
    Absolute Neutrophile Count ( Bands + Seg ) x WBC
    • 1,500 - 8,000 cell/ mm3 ( 1.5-8 ) considering normal
    • But for Clozeril need to have ANC > 2 , and WBC 3.5 to fill.
  8. which drugs can cause Fanconi syndrom?
    • Tenofovir- Viread
    • Cidofovir-Vistide
    • Tetracycline- Sumycin, Acromycin
  9. Two Bio terorism that NO Cure?
    Smallpox & Ebola only supportive care ( NO CURE)!
  10. DOC tx Anthrax?
    • Cipro 500 mg po BID x 60 days
    • or
    • Doxycycline
  11. SLS is ?
    emulsifing agent
  12. Olive oil use in?
    Calamine lotion
  13. Zosyn?
    • Piperacillin/tazobactam
    • tx pseudomonas
  14. Bezamycin gel for acne?
    • After mixing w. alcohol must keep in Fridge 2-8 C ( 36-46 F )
    • Write EXP for 3 month after mixing!
    • - only use " water base cosmetic " only ( Not oil base )
  15. Fomepizole ( Antizole ) if antidote for ?
    Methanot/ antifreeze
  16. Barbiturate antidote?
    Sodium Bicarbonate IV
  17. Amphetamine overdose?
    give NH4Cl ( acidify urine )
  18. What form DOESN'T nitroglyceline come in?
    • No oral solution
    • No suppostory
  19. What happen if ab.ruptly stop taking prednisone?
    Addisonian crisis --> no steroid in the body at all!
  20. SR = Wt min . % Error
  21. DynaCirc?
    Isradipine ( CCB )
  22. Bicarb
    • HCO3 ( -1)
    • NaHCO3 -Sodiumbicarb
  23. Flow Rate?
    • Volumme/ Time
    • ml/min, or ml--> gtt/min
  24. know Acohol USP?
    95% Alcohol USP
  25. check digoxin level in ?
    1 week d/ t long haft live ( 5 t/2)
  26. which drug CI if BP< 90?
    • Morphine
    • Nesiritide- Natrecor s.e hypotension
  27. Lovenox MoA?
    Xa*

    • Pradoxa- Dabigatran
    • MoA: Factor II ( 2)
  28. Pradaxa
    75, 150 mg capsule
    exp; 4 months
    • Dabigatran  --> Crcl
    • Crcl >30 , give 150 mg BID po
    • Crcl < 30-15, give 75 mg BID
  29. for DVT usually tx w. anticoagulants for ?
    6-9 months unless there multi risk factor ex. protein C/ or protien S may req. lifetime anti coagulants
  30. t-PA?
    reconstituted amust be used w. 8 hr*
    vs r-PA( Reteplase ) use w/n 4 hr*
    Streptokinase use w/n 8 hr* Don't shake vial!-( Antigen)
    • Alteplase - Activase ( t-PA )
    • thrombolytic class ( all IV )
  31. Herbal Inc. INR?
    • Horse chestnut,
    • Feverfew - Migrain
    • Drug:
    • Valproic acid ( Inhibitor )
    • Methimazole, Propylthioruacil ( tx hyperthyroid drugs )

    Note: Chloroquine & hydroxychlorquine -> inc. throombocytopenia*
  32. Arixtra ( LMWH) SC*
    " Factor Xa Inhibitor" same as "Xarelto-Rivaroxaban "
    • Fondaparinux
    • on the Shelves ( RT)
    • 2.5 mg SC QD
    • CI; Crcl<30
    • Monitor : CBC & Kidney
    • No antidot " can give factor 7 "
  33. Normiflo ( LMWH)
    Ardeparin SC q 12  like Lovenox

    • vs Fragmin- Dalteparin ( SC QD*) 
    • Fondaparinux SC QD 2.5 mg*
  34. Campral?
    • Acamprosate 333mg tab
    • for: maintenance Alcohol abstinence
    • dose: 2 (333) mg tab po TID
    • Adv: Not cause disulfiram reaction w/ alcohol
  35. Viroptic ( eye drop in FRIDGE)
    • trifluridine
    • tx viral infection
  36. Vasopressin ?
    • it's Antidiuretic Hormone ( ADH ) -> It inc. water absorption in kidney.
    • So, there is a drug wrk as Antagonist of Vasopressin
    • " Vaprisol - Conivaptan" is Vasopressin Receptor Antagonist"
    • tx: hyponatremea in envolemic & hypervolemic ,hyponatremia in hospital pt-->IV
    • It inc. Urine output and restore Na+
  37. Regradex?
    • for Diabetes Ulcer wound
    • Keep in Fridge.
  38. Risperdal
    • Risperdone
    • Oral solution,
    • IV,
    • ODT
    • Tab
  39. Alinia?
    • Nitazoxamide
    • tx diarrhea in Aids pt
    • 500 mg tab BID x 3 days
  40. Ask dose how to take Selegiline?
    ( parkinson dz )
    • Eldepryl ( tab 1,25 & 5 mg tab )
    • Zelapar ( ODT tab )
    • Emsam ( patch but for depression only )
    • Dose Selegiline BID ( AM & Lunch time )*
  41. Alavert
    Loratadine
  42. SE of warfarin?
    • must know technical term all kind of bleeding:
    • ecchymosis-blood under skin
    • hematuria-blood in urine
    • melena-black stiool
    • epistaxis- nose bleed
    • hemoptysis- cough up blood
    • hematemesis- vomit blood
    • hemorrahgic stroke-intracerebral bleeding
    • puple toe syndrome*
    • alopecia
  43. How long to stop these drugs b/4 surgery?
    • Stop 5 days b/4 surgery
    • Plavix- Clopidogrel
    • Coumadin
    • Brilinta-Ticagrelor
    • Exception w. Pradaxa-Dabigatran ( adjust dose w renal)
    • Stop drug 1-2 days if good kidney crcl >= 50
    • stope 3-5 day if Crcl <50
    • Nsaids : stop drug 7 days b/4 surgery
  44. Reopro
    GP IIB/3A Antagonist
    Must use Fillter & Do not shake!
    • Abciximab ( TEA & AIR )=ATE TEA IV
    • uniqe ; -only one that NO DOSE adjust in renal dz*
    •            - it's antigenic*
    • use adjuct w/ heparin when "percutanous coronary intervention=PCI" is schedule w/n 24 hrs.
    • Dose* 0.25 mg/kg IV bolus admins 10-60 mins b/4 start PCI then follow by 0.125 mcg /kg/min for 12 hr
  45. What s/e of " Thienopyridine class Inh--> ADP of P2Y12 receptor"
    Neutropenia & Thrombocytopenia --> check CBC
  46. Prodrug
    Plavix
    Codien
    Tamoxifen-Novaldex
    • DI w. Those enz. Inhibitor* ingeneral
    • Plavix CI Nexium, Prilosec--> Rec. H2 blocker( except;cimetidne )
    • Tamoxifen CI w. SSRI inh ex Prozac,paxil--> Rec. Effexor-Venlafaxine in this case.
  47. LD of plavix?
    LD of Effient?
    • LD plavix- clopidogrel--> 300mg Po, then d/c w. 75 mgQD
    • LD effient- Prasugrel --> 60 mg, then d/c w. 10 mg QD
  48. which drug use for " Cardiac exercise testing fo r people who cant' walk on treadmill"
    • Persantine-Dipyridamole
    • s/e Fertility impairment,hepatic
    • Hypotensioin
  49. Stents have 2 typs
    • 1. Bare metal - must be on Plavix ( min 1-12 months)
    • 2. Drug- Eluting stent -> must be on Plavix at least 1 year!*
  50. NTG MOA
    use in Angina, MI
    Hypertensive Emergency
    • MoA
    • dec. preload Vein & After load ( high dose)
    • S.E H/A, dizziness Orthostatic hypotension
    • ( take SL NTG sitting down )
  51. if does't have NTG SL what to use instead?
    • Amy Nitreate ( X)
    • crudh the capsule and snipp under nose
    • it's flamable, HA
  52. Isodil
    TID ( 7 am, N. 5pm)
    Isosorbide Dinitrate
  53. NiCARdipine
    most specific CCB , so  only use in Angina
    • Cardene
    • 20-40 mg IR po. TID
  54. Bepridil
    • Vascor
    • CCB use in Agina
    • s.e Torsades
  55. Dyna Circ
    • Isradipine
    • CCB
  56. NTG oint
    1 inch = 15 mg
  57. Nitrolingual pump spray
    spray under the tongue
    • must prime 5 time at the fist time
    • don't shake!
    • if never been use >= 6 wks , must pime 1 x before use
  58. If pt allergic to Morphine give?
    • Meperidine ( Demerol )
    • 50-150 mg IM, SC. PO * q 3-4 hr
  59. avoid morphine if SBP?
    less than 90
  60. what CI w. Morphine & NTG?
    Note: must know that NTG vasodilate on ALL vascular ( coronary artery, peripheral and venous )
    • SBP < 90
    • severe Bradycardia ( Pulse < 50 ) NL 60-100
    • PDE -5 inh Viagra-Sildalaphil w/n 24 hr , Cialis-Tadalaphil-36hr
    • Note: extream tachycardia DO not use NTG*
  61. BB use in MI?
    PAM
    • Propanolon
    • Atenolol
    • Metoprolol
  62. the only LMWH that FDA appv for MI & unstable angina is?
    Lovenox - Enoxaparin Wrk on factor Xa*
  63. Enalaprilat ( VAsotec ) ACEI IV, what the dose?
    IV dose ;1.25-5 mg q 6 hr
  64. CI W/ ACEI in MI?
    • SBP < 100*
    • pregnancy
    • Bilateral renal artery stenosis
    • renal failure
    • angioedema
  65. what is tx of " STEMI"?
    ST evaleate MI
    •   Fibrinolytic therapy- thrombolytic agents
    • PCI ( percutaneous coronary intervention)--> Stent
  66. why give LD of plavix b/4 perform PCI?
    • give LD plavix 300mg TAB. at least 6 hr BEFORE PCI* perform! will reduce the risk of MI or strok prior to PCI by 38% use in hospital
    • After PCI 24 hr after pt should on Plavix 75 mg QD >= 1 year.
  67. LDL goal ? in Cardio Artery disease
    • DM alone 100
    • CAD alone 100 ( Angina )
    • * DM +CAD = 70
    • But high risk CAD ex MI & unstable Angina--> 70*
  68. rare but seroius s/e of plavix is?
    • TTP ( trhombotic thrombocytopenia purpura )
    • bleeding
    • diarrhea
  69. 0.9% NaCl has how many Na mEq in 1 liter?
    154 mEq / Liter
  70. Voprisol?
    • Conivaptan IV
    • use for Hypo.natremia in SIADH
  71. when to check thyroid level after give the drug?
     ( SIX ) 6 weeks
  72. what cause Hyper thyroidism?
    • grave's dz
    • sign: Exothalmus* eye pop out -irriversible
  73. what cause Hypothyroidism?
    Hashimoto both autoimmune dz ( most wowen )
  74. what test for Siphylis?
    RPR*= VDRL
  75. *Zanaflex?
    alpha 2 adrenergic Agonist--> like " Clonidine"*
    • Tizanidine ->Zanaflex= Clonidine
    • 2,4 mg tab
    • Dose 4 mg q6-8 prn
    • tx muscle spascitic d/t MS, spinalcord injury
  76. First pass effect?
    • PO med is absorbed from GI tract ->hepatic Portal vein-> Liver-> systemic circulation
    • Note: IV, Patch, suppository are bypass first pass effect! ( basically, all the drug don't go thrugh mouth-> GI will bypass first pass effect.
    • ---------------------------

    • Drug metabolize by phase1 ( Oxidation,reduction,hydrolysis ) try to make drug more polar
    • Phase 2: Conjugation pathway ( Glucoronidation most common--> very polar --> help elimination drug from the body.
  77. Periodex, Periogard?
    • Chlorhexidine 0.12%
    • 15 ml gargle for 30 secs BID* and spit out. Do not eat & drink any things couples hr after
  78. Lactolose*?
    • use in encephalophathy to get rid of Ammonia ( NH4)
    • MOA: Osmotic laxative ( increse stool water content, and trapping NH4 ions)
  79. Cephalosporin come in IV & IM only are those popular!?
    5 drugs
    • Cefotetan-Cefotan
    • Cefuroxime-Ceftin, Zinacef
    • 3 gen:
    • Fortaz-CefTAZidiem
    • Rocephin- Ceftriaxone
    • 4gen;
    • Cefepime-Maxipime
  80. Cepharosporin only come in IV?
    • 1gen;-->Ancef-Cefazolin ( surgery prophylaxis )
    • 2gen: Cefoxitin-Mefoxin
    • 3 gen: CefoTAXxime- Claforan
  81. Macular degeneration
    Maculoregenesis?
    • " damage of retina" in DM pt
    • DOC give vitamin for eye " Lutein"
  82. " Pernicious Anemia"
    Pt will need to get B12 by IM inj 1000 unit per month
    IM ; 20-23 gauge and 1-3 inches
    is autoimmune dz. which thier own body attack GASTRIC Cell in stomach, so B12 can NOT form a complex w. intrinsic factor in order to get absorb--> "Pernicious Anemia vit b12 difficiency--> Magaloblastic or Macrocytic anemia ( could be either Folic acid or B12 )
  83. Eosinophil
    • Allergy *& Asthma
    • Parasite

    • Xolair - Omalizumab SC* q2-4 wks ( 1-2 x a month) in MD office must check IgE first
    • MoA it's IgG monoclonal antibody that  inh IgE binding to the IgE receptor on mast cell.
  84. Amy & Lipase test for?
    • Pancreatitis
    • Which drug cause pancreatitis
    • hiv, vaproic acid
  85. Fordaril?
    • Formoterol
    • at pharmacy keep in Fridge, after dipense to pt keep at RT for 4 months.
    • Symbicort 3months ( 90 days) after open foils!
  86. What are 2 drugs " long acting beta 2 Agonist come in Nebulizer!"?
    • Brovana* -argormoterol ( Fridge , or up to 6wks at RT)
    • Perforomist - Formoterol (Never mix to other drug)
    • tx; COPD related to bronchoconstriction
  87. which first PO for COPD?
    • Dali.resp ( think respiratory --COPD)
    • MOA: Phosphodiesterase 4 ( PDE4 inhibitor) compare to Viagra PDE-5 inhibitor
    • Daliresp-Roflumilast 500 mcg po QD w/wo food
    • s.e Wight loss
    • it's substate so caution w. enz Inh & ind
    • CI w. liver impairment!
  88. * if pt has MILK allergy ( do not give drug that have lactose ,most dry powder inhaltion)?
    5 DPI that have lactose?
    • think " Spiriva-PAAF" have lactose CI w/ milk allergy!
    • Spiriva- Tiotropium ( anti cholinergic QD)
    • Pulmicort Flexhaler- Budesonide
    • Asmanex- Mometasone
    • Advair Diskus ( 1 puff BID ) Fluticasone/salmeterol
    • Foradil-Fometerol
  89. Xoponex -Levalbuterol
    DeoNeb --> Nebulizer from of Combivent ( Albuterol / Ipratopium) QID
    • both ok only 1 wks after out of foil
    • but 2 wk if keep it in foil
  90. Vomax
    Albuterol ( tab ) in Fridge!
  91. " Churg Strauuss syndrom" is s/e of what drug?
    • Zafirlukast - Accolate! ( inhibitor )
    • BID eat later - empty stomach
  92. Xopenex
    ( HFA, Neb )
    • HFA > 4 yo ( 2 puff q4-6 hr )
    • Neb > 6 yo (1 neb q 6-8 hr )
  93. Advair Diskus vs
    Advair HFA?
    • Diskus-less dose & less age
    • Advair Diskus > 4 y/o --> 1 puff BID
    • VS
    • Advair HFA ( harder bc hand& mouth coordinator )
    • so HFA--> 12 y.o --> 2 PUff BID*
  94. Albuterol forma available?
    4 forms
    • Tab -Volmax - in fridge( 2 & 4 mg )
    • Tab ER- Vospire ER ( 4&8 mg )
    • MDI -> HFA
    • Neb-> inhale solution Xopenex
  95. Fosrenol*?
    • Lanthanum ( Lantanum carbonate) tab 500,750,1000 mg
    • PO4 scavenger
    • for reduce serum phoshphate in ESRD
    • "chew or crush tablet completely-DO NOT swallow whole" take with meals ( or right after meals )
  96. what are use for Preterm Labor?
    • Makena*-Hydroxyprogesterone IM* once a week form 16th to the 37th wks of pregnancy
    • Mgso4
    • Indomethacin
    • Nifedipine
  97. Asmanex twisthaler, can start how old?
    ( Nasonex & Elocon topical--> Mometasone )
    • Mom use in her kid as 4 y/o*
    • 1-2 puff q PM ( QD)
  98. For-Bud--> Symbicort Turbuhaler --> DPI*(formetorol/Budisonide )
    opposit of
    • Dulera ( For-Mom--> M*DI )
    • Formetorol/ Mometasone
    • Both > 12 y.o
  99. B2 Agonist moa?
    Increase in " cyclic AMP which acts on CA to produce smooth muscle relaxation"
  100. Antichlolinergic moa?
    Inhibiting C-GMP
  101. Febuxostat
    40,80 mg tab
    • Urolic
    • Xanthine oxidase inh ( like Alloporinol )
    • start at 40 mg,may inc. to 80 mg po QD
    • tx; Chronic gout
  102. general rule to " taper drug"
    • apply to all drugs:
    • 1. decrease the dose
    • 2. take it QOD
    • do it over a couple weeks
  103. Metformin IR-> BID
    ER--> w . evening meal
    However if TID for " Polycystic ovary syndrom"
  104. Don't give Avandia w. Insulin--> Inc. CHF & weight gain
    • Don't' give Symlin-Pramlintide ( 1&2) w. class alpha -glucosidase -> Miglitol-Glyset
    •                    -> Acarbose-Precose
  105. compare b/w Requip & Aricept?
    • Requip- Ropinirole --> tx; parkinson
    • vs
    • Aricept-Donepazil --> Alzheimer
  106. Zolinza
    • Vorinostat
    • only Histone Inhibitor
    • tx: Lymphoma cancer
  107. Zanocar ( Alkylating agent-> G1 phase)
    • Streptozocin
    • tx pancreatic cancer
    • cause type 1 DM
  108. which chemo drug can cause Feritlity ?
    women dont' touch!
    • Melphalan - Alkeran
    • Mustaragen-Mechlorethamine
    • Hexalen- Altretamine CI w. MAOI drugs
    • Note: all are Alkerlating agents
  109. Matulane
    • Procarbazine--> MAOI
    • avoid Alcohol cause disulfiram like reaction
  110. Treanda
    • Bendamustine
    • IV & protected from light
    • cause " tumor lysis syndrom"
    • reconstitute w. sterile water! --> then mix w. 0.9% Nacl
    • Colorless- pale yellow
    • stable in fridge 24 hr ( onlyl 3 hr in RT)
  111. Adriamyacin, Doxil -liposomal
    ( antibiotic --cin , except Mitoxantrone--blue)
    • Doxorubicin ( Life time dose < 550, vs Dauna--> 900 )
    • give Zinecard- Dexrazoxane ( Iron chelator) protect agaist cardiotoxicity
    • S.E
    • everythings --red
    • give Cold for extravasation
    • cat D* never give to pregnancy
  112. Taxol
    Plant alkaloid -> G2 phase
    • Paclitaxol
    • Non PVC
    • s.e hypersensitivity--> need premedicate* w.
    • 1. steroid 8 mg Bid x 3-5 days ( start 1 day b.4 chemo)
    • 2. anti emetic
    • 3. benadryl
    • it has alcohol & caster oil in it-> watch for DI w. alcohol w. flagyl and NMTT side chain
    • * need inline filter d/t hypersensitivity 0.22 micron
  113. Gleevec
    tyorsine kinase Inh
    • substrate & 3A4 inhibitor
    • No grapfuite juice*
    • Inc. bleeding DI w. warfarin
    • Only one in this class take w. Food
    • Fluid retention & edema
    • Monitor: CBC, LFT, and Weight gain d/t fluid retention!
  114. Trastuzumab* is a DOC for?
    Herceptin doc for "HER2-positive breast cancer"
  115. Megace
    • Megestrol--> thromboembolism
    • It's Progestin--> estrogen
    • weight gain
    • tx/ advance breast cancer, endometrial cancer
    • - also used for stimulate appetite--> like Marinol
  116. Atevia
    • new ER form of Residornate ( Actonel )
    • 35 mg / wk just like Actonel
    • every things still the same except " take after breakfast" w/ 4 oz of plain water ( vs Actonel w. 8 oz of water & empty stomach)
  117. Bactroban
    • Mupirocin ( cream / oint )
    • 1. Inpetigo -> TID 3-5 days
    • 2. Nasal MRSA colonizaton eradication
    •     ointment * BIDx 5 days ( in practice give x 30 days )
  118. Mycolog II  for what?
    • Nystatin/ triamcinolone
    • BID
    • tx; TAPE Burn & Diaper rash
  119. Vusion
    Miconazole+ Xinc oxide
  120. Koapectate, or  Pepto- Bismol ?
    • Bismuth subsalicylate ( BSS)
    • tx ; 2 tab q 30 min* up to 8 doeses
    • prevention: 2 tab QID upto 3 wks
  121. Dificid
    Fidoxamycin 200 mg BID x 10 days has lower recurrencr rate but more expensive
  122. Moxatag
    • Amoxicillin 775 mg ER QD
    • strep throat
  123. Augmentin ES--> 600 mg/ 5 ml suspension*
    • Augmentin XR --> 1000 mg
    • form: tab, chewable tab, suspension
    • Both ES & ER --> BID* W. food
  124. Gonnorhrea tx
    • Ceftriaxone IV,IM* 250 mg IM once ( Rocephine)
    • or 2 gm Azithromycin PO
    • Or Suprex*- CeFIXime PO, Supension ( alternate for rochephine )
  125. ZMAX?
    Azithromycin Suspenson--> 2 gm in 60 ml single dose -EMPTY stomach --> ZMAX*
  126. Bactrim
    • inc. K
    • CI crcl< 15
    • watch for DI with Tekturna , ACEI
  127. CefTAZidime & Cefepime cover?
    • Ceptaz, Fortaz* & Maxipime cover pseudomonas
    • both IM & IV
  128. what are doc for pancreatitis infection?
    • Carbapenem* most board spec trum. ( inc. seizure)
    • 1. Primaxin - imi penem/ cilastatin
    • 2 Merrem - Mero. pene,
    • 3. Invanz- Erta.penem
    • 4. Doribax- Doripenem
  129. Ciprofloxaxin ( Cipro )
    Ear?
    Eye?
    • Ciprodex-> Ear
    • 4 gtt BID x 7 days
    • Ciloxan* -> Eye
    • Oint & Solution both 0.3%
    • Ciloxan Ointment-> apply 0.5 ribbon TIDx first 2 days, then 0.5 ribbon BID next 5 days ( total 7 days )
    • Ciloxan solution--> 1-2 gtt q2hr x 2 days while awake, then 1-2 gtt q 4 hr for next 5 days ( 7 days )
  130. Gatifloxacin only  for eye drop?
    • Zymar - gatifloxacin
    • 0.3% solution
    • direction like Ciloxan 0.3% solution
    • Note : only Besivance - Besifloxacin is Suspension* the rest are solution for ATX eye drop
    • Ofcourse: CiproDEX-> for EAR only it's Suspension d/t dexamethosasone in it. so SHAke well.
  131. Ofloxacin 2generation - floxin what form?
    Po. Eye & Ear drops
  132. Periostat?
    • Doxycycline 20 mg for Periodontitis
    • Note:
    • Doxycycline-Adoxa, Vibramycin,Orecea 40mg qAM
  133. Tetramycin
    • Sumycin
    • 250-500 mg QID EMPTY STOMACH*
    • Note: BID only for Acne
  134. Minocin, Dyancin, Solodyn-only one w. food
    Minoccycline
  135. what drug that if see Crystal can warm up?
    • Manitol*
    • Flagyl- Metronidazole
    • Acyclovir IV
    • Phenytoin
  136. Do NOT put in Fridge!
    • Biaxin- Clarithromycin suspension
    • Cleocin- Clindamycin
    • Omnicef- Cefdinir
    • Vfend- Variconazole
  137. see " Amphojel"* careful not Ampho B
    It's AlOH antacid!- AmphoJEL*
  138. Abelcet,
    Ambisome
    Amphotec
    lipid form Ampho B--> to protect kidney!
  139. pretreat w. AmphoB?
    • Tylenol
    • Benadryl
    • Steroid
    • " only have chill--> Meperidine- Demerol*
  140. Oravig?
    Don't crush/chew/ swallow
    • Miconazole buccal tablet > 16 y.o
    • tx Oropharyngeal cnadidiasis
    • 50 mg buccal tab QD in AM x 14 days
    • CI allergy to Milk protien
  141. Tamiflu
    • Oseltamivir
    • for prevention up to 42 days*
    • 75 mg QD* x 10 day up to 42 days!

    tx-> 75 mg BID x 5 days
  142. Foscarnet what special about it?
    • Foscavir
    • tx CMV in Aids
    • * supply in glass bottle/ IVbag, but need to dilute w. D5w b/4 use--> after dilute MUST transfrer to PVC container
    • ( After dilute must put in PVC container! )
  143. * what to monitor w. Interferon?
    • 4 things;
    • TSH
    • CBC
    • LFT
    • Electrolyte
    • #1 s.e Flu like symtoms , all cause Depression
  144. * Tyzeka what for?
    • Tyzeka- > Telbivudine ( NRTI )
    • tx Heb B
    • sx Lactic acidosis & irregular heart beat
    • dose: 600 mg QD for >= 16 yo.
  145. waht is Lactinex & VSL-3?
    ( others are Culturelle , Acidophilus
    • Probiotic -> keep in Fridge
    • must tell pt to SEPARATE from ATX by 2 hr to prevent ATX killing the probiotic oraganism.

    Note: only Florastor 2 caps BID => at RT bc it for FUNGI!
  146. Lariam?
    • Mefloquine
    • malaria prophylaxis
    • 1 wk b/4 departure,then 4 wks after return
  147. Aralen?
    • Chloroquine
    • antimalaria
  148. Plaquenil?
    ( Plaq in the eye, take W: FOOD )
    • Hydroxychloroquine
    • IL-1 inhibitor ( Akina-Kinarat )
    • s.e plaque in the eye--> check eye & CBC q 3 months
  149. Drugs have alchohol in it--> watch for DI?
    don't give w. NMTT side chain & Flagyl
    • Hiv drugs
    • -Aptivus, Norvir, and Kaletra ( alc in capsules )
    • Donnatal
    • Nystatin
  150. Fomivirsen?
    • Vitravene
    • tx; CMV virus-> blindness
    • shot directly into the eye q 1 MONTH
    • vs
    • VitraSERT - Ganciclovir implant --> INSERT q 6 M
  151. Egrifta
    • Tesamorelin
    • GRF growth h. releasing factor
    • 2 mc SC QD for fat distrophy
  152. dysgeusia?
    taste changes
  153. Cuprimine
    antidose of Copper
    use in wilson dz
    • D- Penicillamine ( need to titrate dose slowly = Sulfasulazine
    • month 1- 250 mg QD
    • month 2- 500 mg QD
    • month 3 750 mg QD
    • month 4 - 1,000mg QD
    • Maintaneient dose : 750-1,000 mg QD*
    • Note; however ,the dose of Azulfidine - Sulfasalazine in
    • 500mg 1-2 x day w/ food starter
    • then incrase to 1,000 mg BID
  154. Tizanidine
    • Zanaflex
    • MOA* alpha 2 Agonist (just like clonidine )
    • muscle relaxant class
    • t 4 mg,
    • c 2,4 6
    • Only IR form*
  155. what are the s/e of Parlodel?
    • Bromocriptine
    • s/e N/V, HA, hallucination and hypotension*
    • ok to use in renal dz
  156. REquip what special about it?
    • tx parkinson
    • Ropinirole po TID ( max 24 mg/day)
    • it has the least hypotension , least accident of falling d/t least alpha block than other drugs in same class ( all parkinson meds cause hypotension inc.risk of fall.
    • caution in liver dysfuntion, Ok in renal pt.
  157. Apomorphine
    • Apokyn
    • bbw; hypotension* and loss of consciusness use in parkinson dz last stage ( it's SC*)
    • s/e; QT prolong and Falling asleep during activityes of daily activity.
    • Monitor Blood pressure
    • use w. Tigan- Trimethobenzamide 3 days b/4 initiating Apokyn!
  158. Alpha tocopherol
    Vit E
  159. Sublimaze
    ( Sub IV/IM into skin)
    Fentanyl IV*
  160. Zarontin
    Ethosuximide
  161. Mysoline
    Primidone
  162. Dilantin
    Phenytoin
  163. Luminal*
    Phenobabital
  164. Cachexia
    low weight , weakness d/t chronic dz
  165. " Pt notice insulin clump, streak" what to do?
    • Discard it and get a new vial!
    • Clump/ Steak sign of insulin break down! Do not use it.
  166. Neurontin max?
    • Gabapentin
    • Max 3600 mg/day
  167. Keppra
    • Levetriacetam
    • max 3000mg/ day
  168. Topamax max1600 mg
    • Topiramate
    • #1 rx for migrain prevention
    • From: only Cap & Tab BID*

    Vs Zonegran--> Zonisamine only 100mg cap QD*
  169. Klonopin
    • Clonazepam
    • max 20 mg/day
    • VS Diazepam max 90 mg.day
  170. Horizant*
    ( Gabapentin ER tab ) w. food
    • Gabapentin ( Neurontin)
    • Indication only for " Restless leg syndrom"

    also Lyrica ( C-V)
  171. Keppra
    levetiracetam
  172. Tiagabine
    • Gabitril
    • s.e susden unexpected death! Must titrate dose by inc by 4 mg per week:
    • Start wk 1: give 4 mg PO QD
    • wk 2-> 8 mg BID
    • wk3-> 12 mg TID
  173. Couseling point for Topiramat?
    • Don't break tab
    • Drink plenty of Fluid to prevent Nephrolithiasis
    • s/e Hyperthermia
    • metabolic acidosis
  174. Vimpat ( V-> IV & C- V ) cause Euphoria
    IV, Po
    • Lacosamide
    • s/e * AV block
    • tx; Seizure
    • check EKG= ECG base line
  175. Banzel
    • Rufinamide
    • tx; Seizure > = 4yo
    • 400-800 mg Bid w. Food*
    • Max 3200 mg
  176. SaBril ( B-> Blidness )
    • Vigabatrin ( V-> vision loss )
    • last line fro complex partial seizure & infantile spasms
    • Noly qualified MD can cprescribe and the drug ship directly to the Pt.
  177. DHEA
    • Testosterone hormone
    • NEVER ever give with any type of Cancer/ BPH, prostate cancer.
  178. which lipid drug appove for DM?
    Welchol-Colesevelam ( dec. Alc 0.5% )
  179. Niacin think "3H"?
    • HyperUricemia- Gout*
    • Hyperglycemia-DM pt*
    • Hepatotoxicity
    • Monitor
    • 1. LFT
    • 2. Lipid
    • 3. Glucose - DM
    • 4. Uric acid - Gout pt
  180. s/e of Fibric acid class is
    Lopid- Gemfibrozil- Big enz- Inhibitor!
    Tricor- Finofibrate
    Trilipix- Finofibrate
    Atromid-S*- Clofibrate
    • cholelithiasis / Nephrolithiasis
    • CI
    • renal
    • liver
    • gallbladder dz
  181. Which 2 imp drugs need to take " 30 min b/4 meals"?
    Glipizide- Glucotrol*  QD*( IR- max 40 mg,/ XR-max 20 mg)

    • Gemfibrozil- Lopid tx ; dec. TG, Inc. HDL
    • 600mg BID* AM & PM
  182. What need to know Lovaza?
    • dec TG for Pt > 500
    • Inc. bleeding
    • > 18 yo
    • s/e nausea , loose stool, heart burn
  183. what #1 s/e of Buspar-Buspirone?
    Dizziness
  184. what #1 Chantix- Varenicline
    Nausea ( not rec. to use w. nicotinine replacement )
  185. what are opiod antagonist?
    • Naloxan-Narcan
    • Nalmefene - Revex
    • Morphine Form:
    • Tab,
    • Elixir
    • rectal suppository
    • sc,iv,im
  186. what is Vivitrol?
    • Naltrexone ER - IM form*
    • give ONCE a month IM* tx & prevent relapse after pt undergone detocification tx. --> help pt stay off opiods.
  187. what is Ofirmev???
    Acetaminophen IV* >= 2 yo
  188. what is Amitiza*?
    take W/ FOOD BID
    • Lubiprostone
    • tx; IBS- Constipation*
    • 8 mcg BID w. meals only for WOmen > 18 yo
    • 24 mcg* BID w. meals for both men & women
  189. Zelnorm?
    • Tegaserod
    • tx IBS- Constipation relate to heart problem 
    • only use in life threthening case
  190. Lotronex?
    • Alosetron
    • tx IBS- Dirarrhea* only one
    • must have PPL sticker to dispense
    • 0.5 mg BID
    • DI w. Luvox- Fluvoxamine 1A2 inhibitor
  191. Loperamide?
    • Imodium
    • Solution&  2mg tab
    • start at 4mg then after loose stool may repeat
    • OTC max 8 mg/day
    • In pt: max 16 mg/day
  192. what form of Oxybutynin?
    • tabs, ER tabs
    • Syrup*
    • Patch TWICE weekly- Oxytrol* ( release per 24 hr )
    • Gel ( gelnique 10% ) QD- Oxybutynin
  193. Enablex
    ( Ena married w. Dari)
    Dari.fenacin
  194. VeSicare
    ( has to care bc she -> " Solo.life"
    Solife.nacin
  195. Toviaz
    Fesoterodine ER tab*
  196. Detrol
    Tolterodine
  197. Sanctura
    Trospium

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