Pain
Adult maximum dose of acetaminophen
4000 mg or 4 G/day
Patches is determined by what for a starting dose?
Number of cigarettes per day (10 is the number ; below or above)
Which degree burn requires a doctor's visit right away
3rd degree
Citalopram would interact with what class of pain medications?
NSAIDs
Cream for vaginal yeast that is also available for topical fungus/yeast infections
clotrimazole and miconazole (12 and over)
Maximum OTC adult amount of ibuprofen
1200 mg or 1.2 grams
Preferred NRT treatment for pregnancy
counseling is preferred but NRT short acting so gum or lozenge
Name a medication to help treat poison ivy
Boro-Packs®, Domeboro® soothing soak- aluminum acetate solution
Astringent so it is a drying agent
Aveeno®- Colloidal oatmeal
soothing
Caladryl®, IvaRest®- Calamine lotion/pramoxine
anesthetic
Which PPI would interact with clopidogrel?
Omeprazole or esomeprazole
What is the onset of action for antacid, H2 blocker, and PPI?
Antacid -30 to 60 minutes
H2 blocker- about 60 minutes, lasts 4-10 hours
PPI- 1-3 days but lasts > 24 hours; may take up to 4 days to work
OTC dose of Aleve
220mg (1 tab) every 8 to 12 hours, max of 3 per 24 hours
Dose for patient who smokes 1 pack per day for patches
Drugs in Neosporin
Polymyxin/ bacitracin/ neomycin
supplement for mood with interactions with many medications especially transplant medications, warfarin, and birth control
St Johns Wart
MOA of capsaicin and what is it made of?
decreases substance P and from chili peppers
Cardioprotective dose of Aspirin
81 to 162mg per day
Dose for gum for patient who smokes 1 pack per day and first cigarette is within 30 minutes of waking
4mg every 1-2 hours x 6 weeks then 4mg every 2-4 hours x 3 weeks then 4mg every 4-8 hours x 3 weeks
Lice treatment for 2 months and over vs 2 years and older
Permethrin 1% (Nix)- repeat in 7 days
Ages ≥2 months
Piperonyl butoxide/ pyrethrin (RID)- repeat in 7-10 days
Ages ≥2 years
5 Gs supplements increase bleeding risk
Garlic, Ginkgo, Ginseng, ginger, glucosamine
Dose for diclofenac gel for knee
4G QID
How long does it take for capsaicin cream to work?
2 to 4 weeks
Name a contraindication for using NRT without a prescription
Avoid immediately post- MI
Avoid in life threatening arrhythmias
Avoid in severe or worsening angina
Avoid in pregnancy
As of Dec 2019, have to be 21 and over to buy nicotine products
Remove before an MRI
treatment option for tinea pedis
Butenafine- 12 and over; BID x 1 week or QD x4 weeks
Clotrimazole- 2 and over; BID for 4 weeks
miconazole- 2 and over; BID for 4 weeks
Terbinafine 1%- 12 and over; BID until 1 week after resolution (usually about2 weeks)
Tolnaftate- 2 and over; BIDx 4 weeks
Fat soluble vitamins
A, D, E, K
Natural supplement that is used for hot flashes
Black Cohosh, Evening Primrose Oil, Red Clover, Soy, Flaxseed, Dong Quai, St John's Wart, and chasteberry
Black Cohosh most common used; Do not use with meds for heart failure: ACE-I, ARBs, Beta blockers, amiodarone