Horses
What is the recommended duration of use of PPIs for GERD or gastritis?
What is 6-8 weeks
True or false, SSRIs increase the risk of GI bleeding
What is true
How long can Afrin (oxymetolazone) be used for and why?
What is up to 10 days; risk of rhinitis medicamentosa
What are two non-sedating antihistamines?
Loratadine (Claritin)
Desloratadine (Clarinex)
Fexofenadine (Allegra)
[remember cetirizine (Zyrtec) and levocetirizine (Xyzal) are sedating]
What is the black box warning for Montelukast (Singulair)?
What is Mood changes/depression/suicidality
Which is the most sedating SSRI?
What is paxil (paroxetine)
What test needs to be performed before starting Humira (adalimumab)
What is TB screening - ie PPD or Quantiferon
What inhaler is recommend for ACUTE asthma exacerbations per the 2022 GINA recommendations?
What is Budesonide/Fomoterol (Symbicort)
What are two classes of OTC meds that can raise BP?
What are:
Caffeine containing pills (Excedrin Migraine)
Decongestants - phenylephrine, pseudoephedrine
NSAIDs
What is and increased risk of decreased bone mineral density if used more than 2 years
What is the most common side effect of ondansetron (Zofran)?
What is Diarrhea
[most serious - QT prolongation, serotonin syndrome, can mask ileus]
What antifungal cream has the highest efficacy?
What is terbinafine (lamisil)
Why is Flexeril (cyclobenzaprine) the muscle relaxant recommended by the American Rheum Association for fibromyalgia?
What is - because of its TCA properties
How many 100 gram tubes of Voltaren should be prescribed for one month for a patient with knee OA?
what is 5 tubes - 4 grams four times a day = 16 grams/day x 30 days = 480 grams = 5 tubes
[Don't write "apply sparingly!"]
What is the block box warning for Actos (pioglitazone)
What is risk of exacerbating heart failure
What is unique about Premarin (compared to estradiol patch)
It is made from pregnant mare urine and contains a number of non-bioidentical estrogens
What are 2 advantages of celecoxib over ibuprofen?
What is:
1) less GI side effects
2) Doesn't inhibit platelets - can take with ASA and preop
(same effects on renal function, risk of CVA, CAD)
What ICS is recommended for pregnant asthmatics?
What is budesonide (Pulmicort)
True or false, Oral contraceptives can be purchased in the US without a doctor's prescription?
What is True - FDA Approved "Opill" in July 2023 which will be avaialble OTC
Pharmacists can prescribe OCPs without a doctor's orders (although not sure how many actually do)
What is the black box warning on all combined oral contraceptives?
What is Women over 35 years old who smoke should not use OCPs because of risk of serious cardiovascular events from combination oral contraceptive (COC) use.
What class of antihypertensive medications is most likely to cause diarrhea?
What is ACES n ARBs
Why does Allscripts have a warning about using statins in diabetics?
Statins increase blood sugar via increased insulin resistance
Which NSAID has the highest risk of GI bleeding?
What is ketorolac (toradol)
Why should aspirin be avoided in children with viral illness?
Risk of Reye syndrome - mitochondrial injury
Most associated with chicken pox but can occur with any virus.
Causes encephalopathy and acute hepatitis
What is the black box warning for Lamotrigine (lamictal)?
What is serious skin reactions - Stevens Johnson / TEN