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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