NTI medications
Interactions
Federal Requirements
Generic vs Brand
Pharmacy Laws and Acts
100

A pharmacy receive the following prescription:  Digoxin 125mcg (disp liquid)

Sig: 125mcg PO QD

Quantity: 1 month supply

Digoxin oral solution is supplied as .05 mg/ml.  How much should be dispensed for this NTI (narrow therapeutic index) medication?


75 ml 

100

A person on birth control should know this "type" of medication can reduce the effectiveness of birth control

Antibiotics


100

Adderall requires what number be present on a prescription?  

DEA number

100

Aricept

Donepezil

100

 What act established the five schedules?

Comprehensive Drug Abuse Prevention and Control Act or  CSA (Controlled Substance Act) of 1970

200

Coumadin goes by which other name and requires which lab value monthly?

Warfarin, INR blood test

200

What should a patient not take with Flagyl?

Alcohol

200

A DEA number must begin with these letters....name all.

A  B  F  G

200

Plaquenil

Hydroxychloroquine

200

What does HIPAA stand for and what does it do?

Protect Patient information

Health Insurance Portability and Accountability Act

300

Digoxin has which reversal agent?

Digibind

300

Fluoroquinolone antibiotics should not be administered concurrently with which of the following?

Antacids (they bind to it and decrease absorption)

300

A DEA number (in exception to the normal rule) must have an "X" in front if they are allowed to order which medication?

SUBOXONE (buprenorphine and naloxone)

300

Apresoline

Hydralazine

300

This act required counseling for patients with new prescriptions and at patient request

Omnibus Reconciliation Act 1990 (OBRA)

400

According to the FDA, a small difference in the dose of NTI medications may an increase in what?

Increased side effects

400

The concurrent use of MAOI's and SSRI's can cause which potentially fatal condition?

Serotonin Syndrome

400

Per federal law, how many months are partial fills of a Schedule V controlled substance prescription permitted?

6 months

400

Singulair

Montelukast

400

The amendment sought to guarantee the safety, purity, and efficacy of both prescription and non-prescription medicines;

Kefauver-Harris Amendment, 1963

500

Which lab test is performed prior to the initiation of Tegretol because of it's black box warning?

CBC- It can cause anemia 

500

Patients who take statin medications should avoid which food?

Grapefruit

500

According to federal Law, how long after issue does a prescription for a Schedule III and Schedule IV expire?

6 months

500

Haldol

Haloperidol

500

What act required prescriptions for "legend" medications?

Durham-Humphrey Amendment, 1951