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77 Cards in this Set

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An elderly woman picks up a prescription for ____. You also notice she has a bottle of Tylenol Arthritis. You warn her about the maximum daily amount of acetaminophen
Ultram
Tramadol
_____ should be administered as soon as symptoms of a migraine attack appear. A second dose may be taken two hrs. after the first.
Imitrex
Sumatriptan
An elderly man with past herpetic neuralgia complains that his pain medication _____ is causing a burning sensation and skin irritation upon application around the patch.
Lidoderm
Lidocaine patch
A patient calls the pharmacy wanting her ____ refilled. You state the pt. needs a new Rx to get more.
Oxycontin
Oxycodone
_____ is a potent non-selective NSAID often used for acute gout that has a black box warning for CV and GI risks.
Indocin
Indomethacin
____ is an NSAID commonly used for arthritis pain. Should take with food.
Mobic
Meloxicam
As a patch, it is crucial to counsel a pt that ____ should be applied to the skin on the upper torso. IT should be removed and replaced every 72 hrs.
Duragesic
Fentanyl
Chronic dosing of ____ can worsen diabetes, cause weight gain, and weaken the immune system.
Deltasone
Prednisone
_____ is indicated for muscle spasms associated with acute, painful musculoskeletal conditions.
Flexeril
Cyclobenzaprine
A common side effect of ____ is hyponatremia. Monitor Na+ levels.
Trileptal
Oxcarbazepine
_______ is used for depression and smoking cessation. Pt. called asking if it may have caused a seizure.
Wellbutrin
Buproprion
Pt. comes in complaining of kidney stones. _____ may have caused this due to carbonic anhydrase inhibition.
Topamax
Topiramate
_____ may cause fatal blood cell abnormalities and Steven Johnson's Syndrome.
Tegretol
Carbamazepine
A potential side effect of ____ is used in high doses to treat depression and as off label use for insomnia in low doses.
Desyrel
Trazodone
_____ is a fluoroquinolone, broad spectrum antibiotic and works against Gram +/- bacteria.
Vigamox
Moxifloxacin
This antihistamine is available as eye drops/nasal spray. Can cause bitter taste, headache, cold symptoms.
Patanol
Olapatadine
Prolonged use of ______ may result in overgrowth of non-susceptible organisms.
Tobradex
Tobramycin/Dexamethasone
While refilling her prescription for ___, a pt. informs you she has noticed fuller eyelashes and darker eyes.
Lumigan
Bimatoprost
This anticonvulsant _____, is available as an oral soln.
Keppra
Levitiracetam
Pt. with social anxiety disorder takes _____, and a drug interaction with MAOIs pop up.
Paxil
Paroxetine
A common side effect of ____ is hyponatremia. Monitor Na+ levels.
Lithonate
Lithium Carbonate
A potential side effect of ____ is drowsiness, so be careful when recommending to elderly patients.
Antivert
Meclizine HCl
____ is a medication for postmenopausal osteoporosis. Taken once monthly and an hour before first food/drink/medication. Pts. should not lie down after an hr of taking medicine.
Boniva
Ibandronate Na
A pt. on augmentin is also on ____ and you counsel them to use a second form of birth control while on augmentin.
Alesse
Levonorgestrel/Ethinyl Estradiol
This combined OC _____, contains a drug that can increase serum K+ levels. Should be used with caution who have impaired renal function, ACE inhibitors, K+sparing diuretics, heparin, NSAIDS
Yasmin
Drospirenone/Ethinyl Estradiol
A mother brings in her son's ADHD medicine, _____. It is a schedule II so it cannot be refilled according to state law
Concerta
Methylphenidate
A mother brings in her child's ADHD medicine, _____, which can be refilled b/c it is not a C-II. It's max daily dose is 100 mg in children.
Strattera
Atomoxetine
Teen wants to stop her depression medication. She needs to be tapered off or she'll experience adverse side effects.
Lexapro
Escitalopram
You are entering a Rx for _____. A drug disease interaction pops up for VTE/DVT/PE and RVT
Evista
Raloxifene
____ is a synthetic hormone and pregnancy category A. Should remain on same brand since levels can be affected.
Synthroid/Levoxyl
Levothyroxine
A pt. comes in to pick up ____. He complains of mild heartburn.
Pepcid
Famotidine
An elderly pt. wants to know about ____. It should be dissolved in water and it may take 2 days before experiencing a bowel movement.
Miralax
PEG
A pt. brings in a Rx for _____ which is part of a triple therapy regimen against H. Pylori.
Prevacid
Lansoprazole
An elderly man complains about his BPH medicine _____ which is causing him to feel dizzy. You counsel him on orthostatic hypertension and to exercise care when rising from a sitting position.
Flomax
Tamsulosin
Administration of ____ with triamterene or spironolactone may predispose a pt. to dangerous levels and lead to cardiac arrythmias.
Klor-Con
Potassium
A pt. comes in asking about his gout medication ____. It is a xanthine oxidase inhibitor.
Zyloprim
Allopurinol
A woman comes in asking about ___ used to treat IBS. It is making her heart beat faster.
Bentyl
Dicyclomine HCl
A man complains about the price of ____ which is only brand only. Used for gout
Colcrys
Colchicine
A man asks about his BPH medication ____ which may cause a decreased libido. It could be due to the Diflucan he's on as well.
Avodart
Dutasteride
____ is an antibiotic with two ingredients to combat certain types of resistance.
Augmentin
Amoxicillin/Clavulanate
A woman presents with a UTI Rx. _____ is taken with a full glass of water and she may experience increased photosensitivity
Bactrim/Septra
Sulfamethoxazol/Trimethoprim
Since antacids/multivitamins can bind to fluoroquinolones _____ & _____, pts. are counseled on when to take them 2 hrs. before or 6 hrs. afterwards.
Cipro
Levaquin
Ciprofloxacin
Levofloxacin
When counseling a pt. she is being treated for vaginal candidiasis with _____.
Diflucan
Fluconazole
When a pt. is on ____ they should avoid all alcohol, mouthwashes, elixers, etc. for 3 days.
Flagyl
Metronidazole
When dispensing two cephalosporins ____ & _____, there may be cross-sensitivety to penicillin.
Keflex
Omnicef
Cephalexin
Cefdinir
A pt. has flu-like symptoms and the doctor prescribes ____.
Tamiflu
Oseltamivir
____ was the first antibiotic discovered.
Veetids
Penicillin V K
_____ is a prodrug for _____. Neither is a cure for HSV
Valtrex
Zovirax
Valacyclovir
Acyclovir
_____ should be used with caution in young children and can cause discoloration of forming teeth.
Vibramycin
Doxycycline Hyclate
Up to 120 ml of ____ can be purchased without a prescription. It is often abused
Mytussin AC
Codeine/Guafenesin
There is a drug interaction between ____ and gemfibrozil. Combined use may lead to rhabdomylosis or myopathy.
Zocor
Simvastatin
_____ is used sublingually for angina.
Nitro-stat
Nitroglycerine
You should monitor a pts. INR when on ______. Counsel them to keep their intake of green leafy vegetables consistent.
Coumadin
Warfarin Na
Counsel pts. to inhale the contents of each capsule of ______ daily for COPD.
Spiriva
Tiotropium
_____ is usually kept behind the counter. Pts. with uncontrolled hypertension should not take this medication.
Zyrtec-D
Cetirizine (Pseudophedrine)
Taking ____ and prevacid together can increase the risk of thrombosis.
Plavix
Clopidogrel
Digibind is used to treat an overdose of _____.
Lanoxin/Lanoxicap
Digoxin
Concurrent use of _____ and digoxin can lead to digoxin toxicity. Dose should be reduced to 50%
Cordarone
Amiodarone
The SPARCL trial showed that 80 mg of ____ reduced the incident of stroke and CV events with recent stroke or TIA
Lipitor
Atorvastatin
Before using _____, the pt should blow their nose and clear the passages. Side effects nasal irritation/bleeding.
Flonase
Fluticasone
____ should not be used for rapid relief of an asthma attack. Pt. should rinse their mouth after each use.
Advair
Fluticasone/Salmeterol
A mother asks if the granule form of ____ can be mixed with applesauce. They should not be chewed.
Singulair
Monteleukast
When counseling pts. on _____, be sure to let them know that it may make their urine an orange/red color.
Pyridium
Phenazopyridine HCl
A patient calls concerned that her medication isn’t working because she has found what appears to be the extended-release _________________________________ tablet in her stool. You inform her that this is fine because it is just the tablet shell.
Ditropan XL
Oxybutynin
A dry cough is a common adverse event with ________________________. This is mediated through bradykinin and can only be relieved with discontinuation of the drug.
Accupril
Quinapril
A woman comes into your pharmacy with a new Rx for an alpha-2 agonist for HTN to be dosed weekly called _____________________________. You counsel her to change skin sites with each application.
Catapres (TTS)
Clonidine
A 30-year-old female patient recently stopped benazepril due to a cough. You talk to the patient and inform there that there is another class of drugs that she can talk to her physician about. An ARB, such as _________________________________, can be used. However, like an ACE-1, it is contraindicated in pregnancy so counseling should be provided.
Benecar
Olmesartan
A patient with HTN and history of angina should be counseled to avoid abrupt discontinuation of their beta-blockers such as __________________ __________________. Patients on this drug who also have diabetes and are on insulin should also be counseled that this medication can mask signs and symptoms of hypoglycemia, so home monitoring of glucose is important.
Lopressor
Metoprolol Tartrate
Peripheral edema is a common adverse effect of dihydropyridine calcium channel blockers such as _____________________________.
Norvasc
Amlodipine
A patient comes to pick up his ______________________________ and complains of diarrhea and recent tingling in his hands. You note this medication may cause peripheral neuropathy by depleting B12. You also know the most common tolerability side-effects related to GI, including diarrhea. He should talk to his physician about his concerns.
Glucophage
Metformin
A patient’s adult daughter calls your pharmacy stating that her mother (age 60) is experiencing blurry vision, sweating, tremor, hunger, and confusion. You note from her profile that she is taking ______ and ______. You recommend her daughter check her blood sugar as both of these drugs can lead to hypoglycemic episodes.
Lantus
Glucotrol
Insulin - Glargine
Glipizide
A patient with diabetes and heart failure asks about a drug his neighbor is taking for diabetes. Because _____________________________ is contraindicated in heart failure patients, you inform him that this would not be a good option for him.
Avandia
Rosiglitazone
_____________________________ is a diuretic commonly used in heart failure and some kidney disorders. It is used mostly for decreasing excess fluid volume. Hypokalemia is a potential side effect.
Lasix
Furosemide
A physician calls the pharmacy to see if you stock Kayexalate (sodium polystyrene sulfonate). He has a patient who has been taking the potassium-sparing diuretic, ___________________________________, which has led to hyperkalemia.
Aldactone
Spironolactone
_________________________________ is commonly used for blood pressure control, should be taken in the morning, because it is a thiazide diuretic, and will cause increased urination.
HCTZ
Hydrochlorothiazide
__________________________________ is used for hypertension, but is also used to assist in rate control in the treatment of atrial fibrillation or atrial flutter.
Cardizem
Diltiazem
The most common side effect of ______________________________ is constipation. This medication is also used as rate control in the treatment of atrial fibrillation or atrial flutter.
Calan/Isoptin
Verapamil