Random Drug Questions

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Random Drug Questions
2011-08-21 17:57:11
Random Drug Questions

Random Drug Questions @ independent retail pharmacy
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  1. drug interactions:
    simvastatin + gemfibrozil
    combo may increase simvastatin level, risk of myopahty, rhabdomyolysis

  2. How many refills can a C-II have?
  3. How many refills can a C-III, C-IV, & C-V have?
    • 5 refills
    • Refills are valid for up to 6 months from written date.
  4. NPLEX
    • National Precursor Log Exchange
    • Dear valued customer, as you may be aware, many cold and allergy medications containing pseudoephedrine are regulated by state & federal laws. Sales of these medications are monitored to help stop the illicit manufacture of methamphetamine and other dangerous drugs.
  5. Common adverse effect to counsel patient on for promethazine
    Promethazine (Phenergan) is a 1st generation antihistamine that is used for the prevention of n/v. However, taking this medication can cause drowsiness.
  6. promethazine vs. children
    BBW: cannot give promethazine to children < 2 y/o d/t fatal respiratory depression.
  7. SLUDGE(M) acronym
    • S = salivation stimulation
    • L = lacrimation stimulation
    • U = urination (relaxation of the internal sphincter muscle of urethra)
    • D = defecation (relaxation of internal anal sphincter)
    • G = gastrointestinal upset (diarrea)
    • E = emesis (vomiting)
    • M = miosis/muscle spasm (pupillary constrictor)
  8. s/s of HYPERthyroidism
    • nervousness
    • irritability
    • difficulty sleeping
    • unblinking stare
    • hoarseness/deep voice
    • dry/sore throat
    • difficulty swallowing
    • rapid heartbeat
    • menstrual irregularities
    • infertility
    • weight loss
    • frequent bowel movements
    • increased sweating
    • warm, moist palms
    • excessive vomiting in pregnancy
  9. s/s of HYPOthyroidism
    • tiredness
    • puffy eyes
    • forgetfullness/slower thinking
    • moodiness/irritability
    • hoarseness/deepening of voice
    • depression
    • dry/sore throat
    • difficult swallowing
    • thinning hair/hair loss
    • slower heartbeat
    • loss of body hair
    • menstrual irregularities
    • infertility
    • constipation
    • dry skin
    • weight gain
    • cold intolerance
    • muscle weakness/cramps
    • elevated cholesterol
  10. treatment of n/v for children <2 y/o
    n/v can cause a lot of patients to throw-up & loosing water. Therefore, dehydration is a common thing. Ask parents to replenish with popsicle or any other water source and refer them to see a PCP.
  11. Can montelukast (Singulair) treat an asthma attack?
    No b/c montelukast (Singulair) is a leukotriene inhibitor that can only prevent asthma from happening, NOT treating it.
  12. Which drug requires the coadministration of vitamin B9 (folic acid)?
    methotrexate (Trexall) is a DMARDs & immunosuppressnat drug that requires the administration of folic acid to reduce hematologic, gastrointestinal, & hepatic adverse events
  13. Which adverse effect should outpatient be counseled on while on ACE-inhibitor?
    coughing d/t bradykinin release
  14. BBW for metoclopramide (Reglan)
    tardive dyskinesia - involuntary muscle movement
  15. What are the ingredients of Tussionex?
  16. MAX dose of Tussionex in 24hr for adults
    5 mL every 12 hours; do not exceed 10 mL/24 hours
  17. Librax
  18. Drug interactions:
    potassium chloride vs. Librax
    Concurrent use of CLIDINIUM and POTASSIUM CHLORIDE may result in risk of gastrointestinal lesions.
  19. Zoloft
    • sertraline
    • Antidepressant
    • SSRIs
    • selectively inhibits serotonin reuptake
  20. Celexa
    • citalopram
    • Antidepressant
    • SSRIs
    • selectively inhibits serotonin reuptake
  21. Paxil
    • paroxetine
    • Antidepressant
    • SSRIs
    • selectively inhibits serotonin reuptake
  22. Examples of SNRIs
    • venlafaxine (Effexor)
    • duloxetine (Cymbalta)
    • milnacipran (Savella)
  23. Dysrel
    • trazodone
    • Antidepressant
    • SARI
    • inhibits serotonin reuptake, antagonizes alpha-1 adrenergic and serotonin 5-HT2A/C receptors
  24. wax-coated drug puropose
    delays absorption by allowing the drug to reach the stomach before it is breaking down for absorption
  25. Examples of 1st-Gen Antihistamine
    • 1st-Gen = sedation
    • cetirizine (Zyrtec)
    • chlorpheniramine (Chlor-Trimeton)
    • diphenhydramine (Benadryl)
    • promethazine (Phenergan)
  26. Examples of 2nd-Gen Antihistamines
    • 2nd-Gen = non-sedation
    • cimetidine (Tagamet)
    • famotidine (Pepcid)
    • ranitidine (Zantac)