Glaucoma
True/False: Open Angle Glaucoma should be treated as a medical emergency
False
Angle Closure is a Medical Emergency
What lifestyle modification would be the primary recommendation in the treatment of age-related macular degeneration?
Smoking Cessation
< or equal to 5%
>9 mg/dL
normal range 3.6 - 8.3mg/dL
What's the difference between biologic versus versus traditional medication?
Biologics generally have a much larger molecular weight and are more complex in structure (produced by living system) compared to small-molecule drugs (synthetically produced).
What are TWO other forms of Glaucoma Treatment besides pharmacotherapy
Laser therapy
Surgery
What would be the first step in the application of ophthalmic solutions/suspensions?
WASH your hands with soap and water!
What common trigger is associated with a psoriasis flare-up?
STRESS
skin injury, infection, obesity, tobacco, cold/dry weather, medications)
What dietary measures need to be AVOIDED to minimize duration or flare-up of gout attacks?
Organ meats
High fructose sodas
Alcohol
Vancomycin
Which Beta-Blocker would be recommended with a patient with pulmonary disease?
Betaxolol (Betoptic)
What pharmacotherapy has been shown to slow progression of AMD in patients with intermediate and advanced disease?
Antioxidants Vitamins and Minerals
Preservision AREDS
What OTC medication class may aggravate or worsen psoriasis?
NSAIDs
Acceptable combinations therapies for acute gout attack include:
Colchicine and NSAID
Oral corticosteroids and colchicine
Intraarticular steroids with all other modalities
A reference compendium of drugs approved as biosimilars and interchangeable biosimilar agents by the FDA
Purple Book
Xalatan (latanoprost) belongs to what class of medicatoins?
Prostaglandin Analog
•Most prescribed of the 1st line agents for glaucoma
What agent would you recommend to a patient with "itchy eyes" likely due to allergies?
Antihistamines:
azelastine, olopatadine, and ketotifen
What is the first-line treatment for mild to moderate psoriasis?
Corticosteroids (Betamethasone -> hydrocortisone)
DON'T sleep on the Vitamin D analogs (calcipotriene, etc)
When do you start urate lowering therapy (ULT)?
Gouty arthritis
•Tophus or tophi by clinical exam or imaging study
•Frequent attacks of acute gouty arthritis (≥2 attacks/yr)
•CKD stage 2 or worse
•Past urolithiasis
The Immune mechanism associated with anaphylaxis:
IgE
When two agent therapy is indicated for glaucoma an acceptable treatment is Timolol and Betaxolol?
NO.
Timolol & Betaxolol are both beta-blockers
Drugs with different pharmacologic mechanisms may have additive effects.
Drugs in the same drug class are NOT more effective when used together to treat glaucoma.
When would you add a steroid to conjunctivitis ("pink eye")?
Severe inflammation
According to American College of Rheumatology (ACR), what lifestyle modification is recommended in the guidelines for the treatment of psoriatic arthritis
What are two Xanthine Oxidase Inhibitors?
•Allopurinol (Aloprim®, Zyloprim®)
•Febuxostat (Uloric®)
What is First Line Therapy for Anaphylaxis?
Epinephrine