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124 Cards in this Set

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Type B or Bizarre type

Anaphylaxis belongs to what type is ADR ?

Adverse drug event

It is defined as any event associated with the use of a drug in humans, whether or not considered as drug related.

Salting-out

It occurs when ions of the added electrolyte interact with water molecules and, thus, reduce the amount of water available for solution of the non-electrolyte.

Type D or "delayed" ADR

Teratogenicity and carcinogenicity are what type of ADR ?

Addison's disease

Sudden withdrawal of steroids can result what disease?

Potentiation

0 + 1 = 2

Synergism

1 + 1 = > 2

Antagonism

1 + 1 = 0

Hypercalcemia and hypokalemia

Give 2 conditions that amplify the activity of cardiac glycosides

Phenylbutazone

Warfarin is contraindicated with what drug and causing warfarin displacement resulting to hemorrhage and increased activity of warfarin?

Phenobarbital and griseofulvin

Give 2 drugs that are enzyme inducers of coumarin

Gray baby syndrome

A fatal cyanosis with symptoms of vomiting, abdominal distention and loose, green stools, owing to the inability of the infant to metabolize the drug.

Chloramphenicol

Gray baby syndrome is caused by what drug ?

Herxheimer reaction

A fever response to antibiotic therapy caused by the sudden release of endotoxins from various killed microorganisms.

Tetracycline - Lyme disease


Penicillin - Syphilis


Chloramphenicol - Typhoid fever

Eutectic mixture

Physical incompatibility manifested by lowering of melting point.

Albumin

What is the most common protein that binds to drug ?

It binds to acidic drugs.

Glycoprotein and Lipoprotein

What are the proteins that bind to basic drugs?

Ototoxicity and Nephrotoxicity

What are the common side effects of aminoglycosides ?

Racemization

The conversion of optically active form to an optically inactive form is called ?

Polymorphism

The existence of a substance in more than one crystalline form is called ?

Polymerization

The combination of two or more identical molecules forming a larger molecule.

Co-solvents

Are water-miscible solvent in which the drug has good solubility and are used in combination to increase the solubility of the solute.

Eg:


Ethanol, sorbitol, glycerin, PG, PEG.

Drug dependence

It is the physiological and psychological state resulting from drug administration dominating urge to use the drug periodically and repetitive.

Drug habituation

It is the psychological dependence to produce euphoric state of mind, absence if psychological dependence on or slight tendency to increase the dose.

Drug tolerance

It occurs when the dose needs to be increased after repetitive administration of the drug to maintain its effects.

Drug tolerance

It occurs when the dose needs to be increased after repetitive administration of the drug to maintain its effects.

Drug addiction

Is a state of periodic or chronic intoxication that is damaging and caused by repetitive use of drugs.

Side-effects

Are undesired consequences of the therapeutic effect of the drug.

Type B or Bizarre type of ADR.

Refers to totally abnormal effects, unrelated to the known therapeutic or pharmacologic action of the drug.

Example is anaphylaxis.

Side effects

Are predictable, dose dependent, and manifestation of the main pharmacological effect but occurring at some other site.

Subscription

Direction to the pharmacist - part of the prescription

Superscription

The Rx symbol in a prescription

Inscription

Medicine prescribed in a prescription

SG = m/v

Formula of specific gravity

Signa

Instruction to the patient - part of prescription

Dimercaprol

Indicated for As poisoning

Aka BAL (British anti-Lewisite)

Epinephrine injection

Immediate remedy for anaphylaxis

Ferric salts

Acacia + ______ = gelatinization

Bismuth

Acacia + ________ = Cementation

Competition for tubular secre

Probenecid and Penicillin exhibit this type of interaction

Griffin scale

Hydrophile Lipophile Balance system is also known as ?

Auxiliary label

It emphasizes important aspects of the dispensed medications : proper use, handling, storage, refill status, warnings or precautions

Type C or Continuous type

Ecstasy (MDMFA) exhibits this type of ADR

Continuous type or type C

Addiction falls under what type of ADR?

Bizarre type

Type of ADR that are totally abnormal effects unrelated to the known therapeutic or pharmacologic actions of the drug.

Bizarre type

Idiosyncratic reactions are consider what type of ADR ?

Colestyramine

An anionic exchange resin intended to bind acids, cholesterol metabolites and co-administered drugs

Hermetically sealed

This container is impervious to air and other gases under ordinary conditions of handling storage and transport

Antioxidants

BHT, BHA, sulfites, benzophenones and benzotriazoles are examples of ?

Steven-Johnsons syndrome

Exfoliative dermatitis is a characteristic manifestation of what syndrome ?

0.065 g

1 grain = ___ g

30 mL

1 fl.oz = ____ mL

Antacids

It is given with corticosteroids to reduce ulceration and bleeding

Suspending agents

Uses:


- Increase the viscosity of the vehicle.


- Slow down the rate of settling down.


- Cause the preparation to remain in suspension

Chloral hydrate

A trichloroethanol derivative of acetaldehyde and an effective sedative.

Warfarin

This drug inhibits the vitamin K dependent synthesis of clotting factors II, VII, IX, and X

Acidic drugs

Type of drug strongly bound to albumin

Rx or superscription

Petition for favor of healing and warning from great care and precaution

Rx or Superscription

It means "take thou" or "you take"

Signa

It means "mark thou"

Indication

The approved clinical use of the product based on substantial evidence of the efficacy and safety of the drug

Precautions

Instruction and special care to avoid undesired effects and to ensure the safe and effective use of the product

- Opium and derivatives (heroin & morphine) - cocaine- LSD (lysergic acid diethylamide) - Indian hemp

Examples of PROHIBITED DRUGS

Includes "self-inducing" sedatives


- ( -barbital )


- amphetamine (Benzedrine or Dexedrine)


- Methaqualone or Nitrazepam (hypnotic drugs)


Examples of REGULATED DRUGS

INN - International Nonproprietary Names

Facilitates the identification of pharmaceutical substances or active pharmaceutical ingredients

Papyrus ebers

This parchment scroll found in Egypt mentioned 700 drugs with formulas for more than 800 remedies

De Materia Medica

Contains 600 plants that were known to have medicinal properties

Written by Dioscorides

Base

The chief active constituent

Principal display panel

It comprises 40% of the total surface of the container.

Violative

A prescription where generic name is not written

Violative

Generic name is not legible and brand name is legible

Violative

"No substitution" is added

Impossible

Only generic name is written but is not legible

Impossible

When the generic name is the one in parenthesis

Impossible

Where the brand name is not in parenthesis

Impossible

Where more then one drug is prescribed on one prescription

Essential drugs list or


National drug formulary

It is the of drugs prepared and periodically updated by the DOH based on health conditions obtaining in the Philippines as well as on internationally accepted criteria.

Core list

List of drugs that meets the health care needs of the majority of the population (part of national drug formulary)

Complementary list

List of alternative drugs used when there is no response or has hypersensitivity reaction to the core essential, or core cannot be given. (part of national drug formulary)

Complementary list

List of alternative drugs used when there is no response or has hypersensitivity reaction to the core essential, or core cannot be given. (part of national drug formulary)

Magnesium hydroxide

Generic of Riopan

Piroxicam

Generic of Feldene®

Zinc sulfate

Salt of zinc that is valuable as an eyewash for the treatment of conjunctivitis

0.25%

Zinc oxide

Salt of zinc used in ointments as astringent and protestant

Eutectic mixtures

These are formed due to the lowering of melting points of the solid substances combined.

Hygroscopic powder

Substances which absorb moisture from the air

Effervescent powders

Powders that release carbon dioxide gas

Anhydrous powders

Powders that have no water of hydration/crystallization

Efflorescent powders

Powders that release water of hydration upon exposure to air

Sulfonamides

Urinary alkalinizer is administered with what drug to prevent crystalluria ?

Benzalkonium chloride;


Antimicrobial agent in opthalmic solution

What is the generic name of Zephiran® and its use?

Idiosyncrasy

Adverse drug reactions characterized by exaggerated or inordinate response to normal doses of a drug

Sodium benzoate

Substance used as a test for liver function by measuring the amount of hippuric acid in urine

Reye's syndrome

The risk of Aspirin in children with fever due to viral infection

Aspirin

Drug that should not be given to patients who have undergone surgery including dental surgery

Aplastic anemia

The most serious drug-induced blood disorder

Aplastic anemia

Characterized by acellular or hypocellular bone marrow

Agranulocytes

Characterized by marked reduction or disappearance of neutrophilic granulocytes in the peripheral blood

Thrombocytopenia

Characterized by platelet count below 100,000/mm³

Antabuse® (Disulfiram)

Used in the treatment of alcoholism by inhibiting the activity of aldehyde dehydrogenase

Probenecid

It increases serum levels and prolongs the activity of penicillin derivatives by blocking the latter's tubular excretion.

Abdominal cramps

Most common side effects of erythromycin therapy ?

Chloral hydrate

A drug that increases the anticoagulant action of warfarin because its metabolite competes with the anticoagulant for plasma protein

Allopurinol

It inhibits xanthine oxidase and thus increases the plasma levels of Mercaptopurine

Augmented type

Extension effect and side effect belongs to what type of ADR?

Delayed type

Teratogenesis and carcinogenesis belongs to what type of ADR ?

Magnesium stearate

It is used as a lubricant. The water proofing of this insoluble material can retard penetration by the gastrointestinal fluids and delay drug dissolution and absorption

Titanium dioxide

It is used as white pigment in creams and paints. Its major use is in sunscreens

O/W

Emulsions made with tweens are usually

W/O

Emulsions made with spans are usually

Polyoxyalkene derivatives

Spans and tweens are

Keratolytic

Primary use of salicylic acid?

Sublimation

Freeze drying is based on

Sorbitol

It is used as plasticizer in formulations of soft gelatin capsules

Should be taken with meals

Caution in taking Niacin

Rifampicin

It gives colored urine

Surface evaporation

A humectant retards what ?

Potential toxicity

Primary disadvantage of ethylene glycol as a solvent in oral preparations

A micelle

What is ferritin ?

O/W

Vanishing creams are classified as ?

Tetracycline and fluoroquinolone

Calcium may decrease the absorption of what drugs?

Steven-Johnson's syndrome

It is a blistering disorder, more severe than erythema multiforme.

Sulfonamides

Steven-Johnson's syndrome is a drug-induced hypersensitivity reaction caused by what drug ?

Type F (failure of therapy)

This type of ADR may result from non-compliance.