P3 Top 200 Final

Which medication has a boxed warning for use in children who are CYP2D6 ultrarapid metabolizers?

Codeine

Which medication has a box warning for CYP3A4/5 drug interactions?

Norco (hydrocodone/acetaminophen)

Patients should be advise to take mirtazapine (Remeron) :

At bedtime

Patients should be advised not to chew extended release morphhine due to increase risk of:

Respiratory depression

Rizatriptan (Maxalt) orally disintegrating tablets should be dissolved

On the tongue

Which medication is used at onset of migraine headaches

Sumatriptan (Imitrex)

Patients who are started on trazadone should be counseled on risk of

Priapism

Complex sleep behaviors is a box warning for patients who take

Ambien (Zolpidem)

Patients who use chronic opioids like Oxycontin (oxycodone) should be advises to use

Stimulant laxatives

Which medication has a boxed warning due to the increased risk of mortality inelderly patients with dementia?

Aripiprazole (Abilify)

Patients started donepezil (Aricept) should be advised to

Take at bedtime

Which medication has a risk of causing extrapyramidal effects

Lurasidone (Latuda)

Namenda (memantine) is used to treat

Alzhemier disease

Which medication can cause metabolic changes like hyperlipidemia and weight gain

Olanzapine (Zyprexa)

Which medication has a box warning due to the increased risk of suicidality

Quetiapine (Seroquel)

Which medication has the potential to cause impulse control disorders like gambling urges or compulsive buying?

Pramipexole (Mirapex)

Patients on Requip (ropinirole) should be advised to avoid:

Discontinuing abruptly

Which medication is an antipsychotic?

Risperidone (Risperdal)

Which medication can leave the tablet shell intact in the stool?

Bupropion extended release (Wellbutrin)

Patients on SSRIs, like citalopram, should invoid NSAIDs due to risk of:

Bleeding

Patients started Pristiq (desvenlafaxine) should be warned about the increased risk of:

Suicidal Thoughts

Effexor (venlafaxine) inhibits the reuptake of:

Serotonin and Norepinephrine

Patients on Cymbalta (duloxetine) should be counseled on:

Risk of withdrawal if stopped abruptly

Fluoxetine is an inhibitor of which CYP enzyme?

2D6

Which antidepressant is approved for use in children?

Sertraline (Zoloft)

Patients started on SSRIs, like escitalopram (Lexapro), should be counseled that mood improvements will be noticed after several:

Weeks

Which medication inhibits the reuptake of ONLY serotonin:

Paroxetine (Paxil)

Lamotrigine (Lamictal) levels can be significantly INCREASED by:

Carbamazepine (Tegretol)

Tegretol (carbamazepine) is a CYP \___

Inducer

Neurontin (Gabapentin), especially when first started, may cause:

Dizziness

Patients on levetiracetam (Keppra) should be counseled to monitor for:

Unusual changes in behavior

Patients started on oxcarbazepine (Trileptal) should be advised to monitor for:

Skin rash

Which medication should patients drink adequate amounts of fluid while on to reduce the risk of kidney stones?

Topamax (topiramate)

Which medication can leave the tablet sheel intact in the stool

Bupropion extended release

Patients on SSRIs, like citalopram, should avoid NSAIDs due to risk of

Bleeding

Patients started Pristiq (desvenlafaxine) should be warned about the increased of risk of

Suicidal thoughts

Effexor (venlafaxine) inhibits the reuptake of

Serotonin and norepinepherine

Patients on Cymbalta (duloxetine) should be counseled on

Risks of withdrawal if stopped abruptly

Fluoxetine (prozac) is an inhibitor of which CYP enzyme

2D6

Which antidepressant is approved for use in children?

Sertraline (zoloft)

Patients started on SSRIs, like escitalopram, should be counseled that mood improvements will be noticed after several:

Weeks

Which medication inhibits the reuptake of ONLY serotonin?

Paroxetine (Paxil)

Patients should not abruptly stop

Xanax (alprazolam)

A common side effect of amitriptyline (Elavil) is

Sedation

What is the box warning for Klonapin (clonazepam)

Avoid concurrent use with opioids

Patients on diazepam (Valium) should be counseled to

Avoid alcohol

What is the box warning from lithium (Eskalith)

Checking levels required

Lorazepam (Ativan) can be used to treat

Anxiety

A common side effect of nortriptyline (Pamelor) is

Constipation

Patients should be advised to take phentermine (Adipex-P)

In the morning

What is the box warning for Pamelor (nortriptyline)

Increased risk of suicidality

Patients on buprenorphine/naloxone tablets should be advice to place medication:

Under the tongue and allow to dissolve

Buspirone (Buspar) is used to treat

Anxiety

Which medication can increase the risk of cardiovascular events (MI,CVA) in patients?

Focalin (dexmethylphenidate)

Patients who cannot swallow Adderall (amp/dextro) XR should be advised to

Open capsules, mix in applesauce, swallow without chewing.

Patients on guanfacine (Intuniv) must be tapered off due to the risk of

Rebound hypertension

Patients who cannot swallow Vyvanse (lisdexamfetamine) should be advised to

Open capsules, dissolve in yogurt and consume immediately

Patients on methylphenidate patch should be advised to remove patch after

9 hours

Close monitoring of growth rate and weight is important for children on which medication?

Vyvanse (lisdexamfetamine)

Patient who have insomnia should take melatonin

That is USP verified

Which is an important counseling point regarding ProAir (albuterol) inhaler technique?

Prime before use

If using more than one puff of Symbicort (budesonide/formoterol), patients should be advised: After first puff...

Wait 1 min, shake inhaler again, administer second puff

Patients started on Flonase (fluticasone) should be counseled that symptom improvements will be noticed after several

Days

Patients started on fluticasone (flonase) inhaler should be counseled on risk of:

Oral infections

Which medication has a boxed warning for risk of behavior and mood related effects?

Montelukast (Singulair)

Tiotropium (Spiriva) is used to treat

COPD and Asthma

Atrovent (ipratropium) contains which type of medication?

Anticholinergic and beta 2 agonist

What are the active ingredients in Breo Ellipta?

Fluticasone/vilanterol

Patients prescribed Anoro Ellipta (umeclidinium and vilanterol) should be counseld to

Take a quick, forceful breath

Which medication contains an inhaled corticosteroid and long acting beta 2 agonist?

Advair (fluticasone and salmeterol)

Which medication has a box warning due to increased risk of serious infections?

Adalimumab (Humira)

Which medication can be fatal in children less than 2 years old?

Benzonatate (Tessalon)

Which medication can cause constipation AND black stools?

Ferrous Sulfate (Iron)

Pts who are preganant or plan on becoming pregnant should take which medication to prevent neural tube defects?

Folic Acid

Which medication is used for vertigo?

Meclizine (Antivert)

Patients who are pregnant or plan on becoming pregnant, even patients assigned male at birth, should NOT take which medication?

Methotrexate

Which medication is used for chemotherapy-induced nausea and vomiting?

Ondansetron (Zofran)

Which medication can be fatal in children less than 2 years old?

Promethazine (Phenergan)

Which medication has a box warning due to risk of renal impairment?

Methotrexate (Trexall)

Which antihistamine should be taken scheduled every night instead of as needed?

Levocetirizine (Xyzal)

Which drug is a nasal antihistamine?

Azelastine (Asteopro)

Patients should not use which medication if they have an active, untreated infection:

Prednisolone

Pts should take prednisone

With meals

Pts started on Claritin (loratadine) can expect to have symptom improvement after

3 - 4 days

Pts on cetirizine (Zyrtec) may experience:

Drowsiness

Children given Benadryl (diphenhydramine) may experience:

Paradoxical excitability

Which medication is an antihistamine used for anxiety?

Hydroxyzine

Long-term use of which medication can cause osteoporosis?

Methylprednisolone (medrol)

High doses of acetaminophen can cause:

Liver injury

Which medication can cause constipation?

Dicyclomine (Bentyl)

Medications like diclofenac can cause:

GI upset

Which medication is a stool softener

Docusate (Colace)

Pepcid (famotidine) is what class?

H2 antagonist

Pts prescribed naproxen (Aleve) should be advised to take:

With food

Pts started on omperazole (Prilosec) should be advised to take

1 hour prior to meal

How would you counsel a patient on how to take sulcrafate (carafate)?

Shake well, take on empty stomach, do not take medications within 2-4 hours of sucralfate

Which medication can be used safely with clopidogrel (Plavix)?

Pantoprazole (Protonix)

Which medication has a box warning against abrupt discontinuation?

Baclofen (Lioresol)

Pantoprazole (Protonix) is what class?

Proton pump inhibitor

Pts prescribed Zyloprim (Allopurinol) shoudl be advised to take:

After a meal