Drug Class
What drug class(s) do the following medications belong to?
Advil, Aleve, Tylenol, Aspirin
Analgesics and Antipyretics
What side effects could a patient expect while taking Benadryl?
drowsiness, blurred vision, dry mouth, urinary retention
A 23 yr old female comes into the pharmacy looking for a cold medication. She has had a "wet" sounding cough for a couple days now and sometimes coughs up phlegm. What product would you recommend?
Mucinex (guaifenesin)
What drug class alleviates allergy and cold symptoms by blocking histamine and leukotriene receptors?
Antihistamines
[Intro]
Oh, baby, baby
Oh, baby, baby
[Verse 1]
Oh, baby, baby
How was I supposed to know
That somethin' wasn't right here?
Oh, baby, baby
I shouldn't have let you go
And now you're out of sight, yeah
[Pre-Chorus]
Show me how you want it to be
Tell me, baby, 'cause I need to know now
Oh, because
[Chorus]
My loneliness is killin' me (And I)
I must confess, I still believe (Still believe)
When I'm not with you, I lose my mind
Give me a sign
Hit me, baby, one more time
[Verse 2]
Oh, baby, baby
The reason I breathe is you (Oh yeah)
Boy, you got me blinded
Oh, pretty baby
There's nothing that I wouldn't do
It's not the way I planned it
Pre-Chorus]
Show me how you want it to be
Tell me, baby, 'cause I need to know now
Oh, because
[Chorus]
My loneliness is killin' me (And I)
I must confess, I still believe (Still believe)
When I'm not with you, I lose my mind
Give me a sign
Hit me, baby, one more time
[Post-Chorus]
Oh, baby, baby (Oh)
Oh, baby, baby (Yeah, yeah)
[Bridge]
Oh, baby, baby
How was I supposed to know?
Oh, pretty baby
I shouldn't have let you go
I must confess that my loneliness is killin' me now
Don't you know I still believe
That you will be here and give me a sign?
Hit me, baby, one more time
[Chorus]
My loneliness is killin' me (And I)
I must confess, I still believe (Still believe)
When I'm not with you, I lose my mind
Give me a sign
Hit me, baby, one more time
[Outro]
I must confess that my loneliness (My loneliness is killin' me)
Is killin' me now (I must confess, I still believe)
Don't you know I still believe (When I'm not with you, I lose my mind)
That you will be here and give me a sign?
Hit me, baby, one more time
...Baby One More Time by Britney Spears
What drug class(s) do the following medications belong to?
Zyrtec, Claritin, Allegra, Benadryl
Antihistamines
What side effects could a patient expect while taking Sudafed?
high blood pressure, heart palpitations, insomnia, skin rash
A patient of yours comes into the pharmacy today. They are picking up a prescription for Vicodin because they recently broke their arm. They recall the doctor saying opioid prescriptions can cause constipation and is looking to get a product to help with this. What product would you recommend?
docusate + senna combination (Senna Plus, Senna-S, Senokot-S)
stool softener + stimulant
What are the different laxative mechanism of action categories? (hint: 6)
bulk forming, emollient (softening), lubricant, saline, hyperosmotic, stimulant, or combination.
It's fine, it's cool
You can say that we are nothing, but you know the truth
And guess I'm the fool
With her arms out like an angel through the car sunroof
I don't wanna call it off
But you don't wanna call it love
You only wanna be the one that I call "baby"
You can kiss a hundred boys in bars
Shoot another shot, try to stop the feeling
You can say it's just the way you are
Make a new excuse, another stupid reason
Good luck, babe (well, good luck), well, good luck, babe (well, good luck)
You'd have to stop the world just to stop the feeling
Good luck, babe (well, good luck), well, good luck, babe (well, good luck)
You'd have to stop the world just to stop the feeling
I'm cliché, who cares?
It's a sexually explicit kind of love affair
And I cry, it's not fair
I just need a little lovin', I just need a little air
Think I'm gonna call it off
Even if you call it love
I just wanna love someone who calls me "baby"
You can kiss a hundred boys in bars
Shoot another shot, try to stop the feeling
You can say it's just the way you are
Make a new excuse, another stupid reason
Good luck, babe (well, good luck), well, good luck, babe (well, good luck)
You'd have to stop the world just to stop the feeling
Good luck, babe (well, good luck), well, good luck, babe (well, good luck)
You'd have to stop the world just to stop the feeling
When you wake up next to him in the middle of the night
With your head in your hands, you're nothing more than his wife
And when you think about me, all of those years ago
You're standing face to face with "I told you so"
You know I hate to say, "I told you so"
You know I hate to say, but, I told you so
You can kiss a hundred boys in bars
Shoot another shot, try to stop the feeling (well, I told you so)
You can say it's just the way you are
Make a new excuse, another stupid reason
Good luck, babe (well, good luck), well, good luck, babe (well, good luck)
You'd have to stop the world just to stop the feeling
Good luck, babe (well, good luck), well, good luck, babe (well, good luck)
You'd have to stop the world just to stop the feeling
You'd have to stop the world just to stop the feeling
You'd have to stop the world just to stop the feeling
You'd have to stop the world just to stop the feeling
Good Luck, Babe! by Chappell Roan
What drug class(s) do the following medications belong to?
Pepcid, Prilosec, Pepto-Bismol, Tums
Gastrointestinal Agents
Why should people < 19 years NOT take aspirin?
*Bonus if you can explain what Reye's Syndrome is*
Reye's Syndrome
A life-threatening condition that causes swelling of the brain and liver damage that occurs in children and adolescents after a viral infection, such as the flu or chickenpox.
A 78 year old man comes into the pharmacy today looking for an allergy medication. He has been sneezing and having a constant runny nose for days. What product would you recommend, and why?
Claritin, Allegra, Zyrtec (2nd gen antihistamine)
NOT Benadryl (1st gen antihistamine) --> drowsiness, dry mouth, urinary retention. Older people have a higher risk for falls.
How are ibuprofen and acetaminophen metabolized in the body?
ibuprofen- kidneys
acetaminophen- liver
It can't be said I'm an early bird
It's ten o'clock before I say a word
Baby, I can never tell
How do you sleep so well?
You keep telling me to live right
To go to bed before the daylight
But then you wake up for the sunrise
You know you don't gotta pretend, baby, now and then
Don't you just wanna wake up, dark as a lake?
Smelling like a bonfire, lost in a haze?
If you're drunk on life, babe, I think it's great
But while in this world
I think I'll take my whiskey neat
My coffee black and my bed at three
You're too sweet for me
You're too sweet for me
I take my whiskey neat
My coffee black and my bed at three
You're too sweet for me
You're too sweet for me
Ooh
Ooh
Ooh
Ooh
I aim low
I aim true, and the ground's where I go
I work late, where I'm free from the phone
And the job gets done, but you worry some, I know
But who wants to live forever, babe?
You treat your mouth as if it's Heaven's gate
The rest of you like you're the TSA
I wish I could go along, babe, don't get me wrong
You know you're bright as the morning, as soft as the rain
Pretty as a vine, as sweet as a grape
If you can sit in a barrel, maybe I'll wait
Until that day
I'd rather take my whiskey neat
My coffee black and my bed at three
You're too sweet for me
You're too sweet for me
I take my whiskey neat
My coffee black and my bed at three
You're too sweet for me
You're too sweet for me
Whoa, oh
Whoa, oh
Whoa, oh
Whoa, oh
Whoa, oh
Whoa, oh
Whoa, oh
Whoa, oh
I take my whiskey neat
My coffee black and my bed at three
You're too sweet for me
You're too sweet for me
Too Sweet by Hozier
What drug class(s) do the following medications belong to?
Coricidin, Afrin, Zicam
Decongestants
What side effects could a patient expect while taking Advil (ibuprofen)? What is the Black Box Warning for Ibuprofen?
(full points if both are answered correctly)
Side Effects: GI ulcers, GI bleeding, abdominal cramps, kidney effects
BBW: increased risk of stroke, MI, cardio thrombotic events for those already at risk for cardiovascular disease and GI bleeds
RD is a 47 year old male who comes into the pharmacy looking for a decongestant medication. He is also there to pick up his monthly refill for lisinopril 40 mg and amlodipine 10 mg. What decongestant medication would you recommend?
Coricidin HBP
Sudafed can increase blood pressure, so it is not recommended for anyone who has hypertension.
What is the difference between antitussives and expectorants?
*Bonus if you can correctly give examples of medications from each class*
Antitussives- suppress unproductive coughs (dextromethorphan, Robitussin DM, Delsym, NyQuil)
Expectorants- help with productive coughs by loosening and thinning mucus and phlegm (guaifenesin, Mucinex, Robitussin)
It's nine o'clock on a Saturday
The regular crowd shuffles in
There's an old man sittin' next to me
Makin' love to his tonic and gin
He says, "Son, can you play me a memory?
I'm not really sure how it goes
But it's sad and it's sweet and I knew it complete
When I wore a younger man's clothes"
La, la-la, di-dee-da
La-la, di-dee-da, da-dum
Sing us a song, you're the piano man
Sing us a song tonight
Well, we're all in the mood for a melody
And you've got us feelin' alright
Now John at the bar is a friend of mine
He gets me my drinks for free
And he's quick with a joke or to light up your smoke
But there's some place that he'd rather be
He says, "Bill, I believe this is killing me"
As the smile ran away from his face
"Well, I'm sure that I could be a movie star
If I could get out of this place"
Oh, la, la-la, di-dee-da
La-la, di-dee-da, da-dum
Now Paul is a real estate novelist
Who never had time for a wife
And he's talkin' with Davy, who's still in the Navy
And probably will be for life
And the waitress is practicing politics
As the businessmen slowly get stoned
Yes, they're sharing a drink they call loneliness
But it's better than drinkin' alone
Sing us a song, you're the piano man
Sing us a song tonight
Well, we're all in the mood for a melody
And you've got us feelin' alright
It's a pretty good crowd for a Saturday
And the manager gives me a smile
'Cause he knows that it's me they've been comin' to see
To forget about life for a while
And the piano, it sounds like a carnival
And the microphone smells like a beer
And they sit at the bar and put bread in my jar
And say, "Man, what are you doin' here?"
Oh, la, la-la, di-dee-da
La-la, di-dee-da, da-dum
Sing us a song, you're the piano man
Sing us a song tonight
Well, we're all in the mood for a melody
And you've got us feelin' alright
Piano Man by Billy Joel
What specific drug class is famotidine and example of? What specific drug class does omeprazole belong in?
famotidine is an H2 receptor antagonist
omeprazole is a proton pump inhibitor (PPI)
What drug classes do pseudoephedrine and phenylephrine interact with and what effect does it cause when taken together?
Monoamine Oxidase Inhibitors (MAOi): Isocarboxazid (Marplan), Phenelzine (Nardil), Selegiline (Emsam)
Tricyclic Antidepressants (TCAs): Amitriptyline (Elavil), Clomipramine (Anafranil), Doxepin (Sinequan), Imipramine (Tofranil), Nortriptyline (Pamelor)
Herbals: Ephedra, Yohimbe
PH is a 57 year old female with a PMH of hypertension, T2DM, cirrhosis, and alcohol use disorder (AUD). She was recently tested positive for the flu and was wondering what product she could use to relieve her fever and body aches. What product would you recommend and what counseling points would you make?
Ibuprofen 200 mg every 4-6 hours as needed. Do not take more than 6 tablets in a day (max dose 1200 mg/day). You may experience GI side effects.
Acetaminophen is not recommended due to cirrhosis and AUD which are conditions that affect the LIVER and use of APAP will increase her risk for liver toxicity.
Tell me about the active ingredients used in antiflatulents and what they do.
Simethicone and activated charcoal: relief once gas has ALREADY formed
Alpha-galactosidase and lactase replacements: help STOP gas from FORMING
Hey, hey
Hey, hey, hey, hey
Hey, hey, hey, hey
Your lipstick stains
On the front lobe of my left side brains
I knew I wouldn't forget you
And so I went and let you blow my mind
Your sweet moonbeam
The smell of you in every single dream I dream
I knew when we collided
You're the one I had decided who's one of my kind
Hey, soul sister
Ain't that Mr. Mister on the radio, stereo
The way you move ain't fair you know
Hey, soul sister
I don't wanna miss a single thing you do tonight
Hey, hey
Hey, hey, hey, hey
Hey, hey, hey, hey
Just in time
I'm so glad you have a one track mind like me
You gave my life direction
A game show love connection we can't deny
I'm so obsessed
My heart is bound to beat right out of my untrimmed chest
I believe in you, like a virgin you're madonna
And I'm always gonna wanna blow your mind
Hey, soul sister
Ain't that Mr. Mister on the radio, stereo
The way you move ain't fair you know
Hey, soul sister
I don't wanna miss a single thing you do tonight
The way you can cut a rug
Watching you is the only drug I need
So gangsta, I'm so thug
You're the only one I'm dreaming of
You see, I can be myself now finally
In fact, there's nothing I can't be
I want the world to see
You'll be with me
Hey, soul sister
Ain't that Mr. Mister on the radio, stereo
The way you move ain't fair you know
Hey, soul sister
I don't wanna miss a single thing you do tonight
Hey, soul sister
I don't wanna miss a single thing you do tonight
Hey, hey
Hey, hey, hey, hey
Hey, hey, hey, hey
Tonight
Hey, hey
Hey, hey, hey, hey
Hey, hey, hey, hey
Tonight
Soul Sister by Train