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38 Cards in this Set

  • Front
  • Back
What are the possible side effects of the topical fluoroquinolone ciloxan when used to treat a corneal ulcer?
superficial white precipitates in the cornea
What is the dosage schedule for ciprofloxacin when used to treat a corneal ulcer?
2 gtt q 15 min for 6H
2 gtt q 30 min for 18H
2 gtt q 1H for 24H
What is the dosage schedule for ciloxan when used to treat a conjunctivitis?
1 gtt q 2H for 2 days
q 4h or
ung tid x 2 days then bid x 5 days
What drug class must be administered separately from pencillin to avoid inactivation?
aminoglycosides
What topical aminoglycoside is only available in combination?
neomycin
available as maxitrol, A-K spore, and Neosporin
What is the drug of choice in treating blepharitis? What area of infections is it usually used in treating?
bacitracin, usually used in treating mucous membrane infections
Gramicidin has the same mechanism of action as polymyxin B and colistin, but what are two things that are different?
1. Gramicidin is more effective against gram positive bacteria.
2. Gramcidin is available in solution unlike polymyxin B and colistin
Which gram positive bacteria is polymyxin ineffective against?
staphylococcus aureus
Which type of hypersenstivity would you classify Steven's Johnson syndrome resulting from penicillin allergy as being?
Type IV
What is the mechanism of action of trimethoprim (bactrim) and pyramethamine (daraprim)?
inhibits dihydrofolate reductase from reducing dihydrofolic acid to tetrahydrofolic acid.
What is the mechanism of action of sulfonamides?
stops the conversion of PABA to dihydrofolic acid
What is the current center for disease control recommendation for treating chlamydia?
oral doxycycline for 7 days
What category of teratogen are tetracyclines?
category D, contraindicated in pregnant women, lactating women, and children <8yoa
What drugs combine to form cortisporin?
polymyxin B, bacitracin, neomycin, hydrocortisone
What two drugs make up Neosporin suspension, different from neosporin ointment?
polymyxin B + gramicidin, polymyxin E is colistin and not the same as polymyxin B
What topical antibiotic solution is the treatment of choice in children because of its effectiveness against haemophilus and strep pneumoniae?
polytrim
What two drugs combine to form blephamide (vasocidin)?
sulfacetamide and prednisolone
What drugs combine to form maxitrol (ointment/suspension)?
neomycin
polymyxin B
dexmethasone
What two drugs combine to form zylet?
lotopredenol
tobramycin
What drug is used to treat cytomegalovirus? What are its side effects?
cidofovir, side effects are renal impairment and granulocytopenia
What drug is used to treat cytomegalovirus in an AIDS patient?
foscarnet
What drug is used to treat HSV infection in an AIDS patient?
foscarnet
What are the side effects of foscarnet?
renal impairment
What drug is contraindicated for concommitant use with foscarnet?
pentamine
What is the only FDA approved drug for the treatment of topical ocular fungal infections?
natamycin (pimaracin, natacyn 5% suspension)
What antifungal drug must be compounded by a pharmacist?
amphotericin B 0.15%
What is the predominant Beta receptor in the eye?
Beta 2, the same as in the lung
When is the best time to administer timolol during the day?
upon awakening, due to adrenoreceptor down regulation during sleep
What class of drugs might mask the symptoms of hyperthyroidism?
beta blockers
Which ocular hypotensive beta blocker crosses the blood brain barrier the least and may be best for glaucoma patients with depression?
carteolol (ocupress) 1%
Which prostaglandin analogue used to treat glaucoma causes the most local ocular side effects with offsets the fact that it is also the most effective?
lumigan (bimatoprost)
What prostaglandin ocular hypotensive causes the least side effects in its class?
xalatan (latanoprost)
What prostaglandin analogue works the best in African Americans?
travatan (travoprost)
What rarely prescribed glaucoma drug causes CME in aphakes?
epinephrine
Which muscles do cholinergic agonist act on in the ciliary body?
longitudinal muscles
How many drops and what concentration of pilocarpine is ocusert equivalent to?
0.5-1% drops qid
How many drops and what concentration of pilocarpine is ocusert equivalent to?
2-3% drops qid
What is the trade name for the cholinergic agonst not used in practice but is indicated for glaucoma?
Eserine 0.25 % ointment (physostigimine)