Clonodine - Answer- Has several off-label uses including: alcohol and nicotine withdrawal and post therpautic neuralgia
Guanfacine - Answer-
... [Show More] hypertension drug that has also been approved to use for ADHD
Ramelteon (Rozerem) - Answer- Insomnia med that does not have inverse risk for patients engaging in activities while somnolent with no memory of having taking pill
Common mistakes practitioners make in treating anxiety disorders - Answer- General diagnosis and following up to see if treatment goals are being met
Xanax - Answer- The benzodiazepine with the greatest likelihood of causing dependency s/t it has a short half-life
Although a patient sees a neurologist for the management of her partial seizures, why is it important to know her medication regimen? - Answer- There are many drug-drug interactions with anticonvulsants
Routine education for patient being treated with levetiracetam (Keppra) for seizures - Answer- To not abruptly discontinue Keppra due to risk for withdrawal seizures
What advice you would give a woman who has been on Depakote for seizure and wants to get pregnant - Answer- Valproate is a known teratogen but may be taken after the first trimester if necessary
Prior to starting antidepressants, the patient should have lab testing to rule out - Answer- hypothyroidism
Cholinergic blockers are used to: - Answer- Counteract the ERS effects of phenothiazines
Control tremors and relax smooth muscles in Parkinson's Disease
Inhibit the muscarinic action of Ach on bladder muscle
Memantine - Answer- A drug used to treat Alzheimer's disease but is not an anticholinergic
Verapamil - Answer- Preventative therapy for cluster headache
Minocycline (PO) - Answer-
When prescribing for migraines, patient education includes: - Answer- Stress reduction and regular sleep are integral to migraine treatment
Acetaminophen - Answer- Migraines in pregnancy may be safely treated with this
When are migraines considered cured? - Answer- There is no known cure
Nonpharmacologic Therapy for tension headache includes: - Answer- biofeedback, stress management, massage therapy
Fluoxetine - Answer- First-line antidepressant for children with major depression between 8 to 17 years old
SSRIs - Answer- Contains a black-box warning of suicidal ideation in pediatric and adolescent groups
Stimulants (methylphenidate or amphetamine salts) - Answer- Are the most effective therapy and are generally first line of treatment of ADHD in children unless contraindications exist
Hypercalcemia - Answer- Pt treated with more than 100 grams per week of topical calcipotriene for psoriasis need to be monitored for
An adolescent female calls the clinic with concerns that her acne is worse 2 weeks after starting topical tretinoin. What would be the appropriate care for her? - Answer- Reassure her that the worsening of acne is normal and it should improve with continued use
Treatment for Tinea capitis - Answer- Oral griseofulvin or Biweekly shampoo with selenium sulfide or ketoconazole for 6 to 8 weeks
Treatment for Tinea corporis and tinea pedis - Answer- Topical antifungals like miconazole applied twice daily for 4 weeks
Treatment of Onychomycosis - Answer- Oral griseofulvin, ketoconazole, itraconazole, or terbinafine for several months; topical product is ciclopirox 8% (Penlac)
Common treatments and counseling points for scabies - Answer- Common therapies: permethrin, ivermectin, crotamiton
For permethrin, apply from the neck down, and leave the medication on for at least eight to 10 hours. Often, all household members and other close contacts should be treated.
Bedding, clothing, and towels used by infested persons or their household, sexual, and close contacts (as defined above) anytime during the three days before treatment should be decontaminated by washing in hot water and drying in a hot dryer, by dry-cleaning, or by sealing in a plastic bag for at least 72 hours.
Reduces Oral contraceptive efficacy - Answer- Concomitant use of hepatic enzyme inducers such as rifampin; barrier methods of contraception should be used as backup
Long-term use of androgens requires specific laboratory monitoring of: - Answer- Calcium, testosterone, PSA, liver function, glucose, & lipids
existing pregnancy - Answer- A contraindication to using the morning after (Plan B) contraceptive for emergency contraception (EC)
To avoid breakthrough bleeding - Answer- When a hormonal contraceptive and a hormone replacement therapy drug are taken together, they should be taken at the same time each day
A progestin-only type of contraceptive - Answer- Can cause irregular menstrual bleeding during the first month of use
Effects of estrogen include - Answer- regulation of the menstrual cycle and maintaining normal skin structure and blood vessel integrity.
Medroxyprogesterone injection - Answer- may cause an adverse effect of depression
Older male patients using testosterone replacement therapy (TRT) - Answer- should have a digital prostate screening examination at 3 and 6 months after starting therapy
Diarrhea - Answer- Is not a side effect of anticholinergic therapy for urinary incontinence
antimicrobial efficacy - Answer- For an uncomplicated UTI in a child, reduced symptoms within 48 hours is a good indicator of
Amoxicillin - Answer- A woman who is in her first trimester of pregnancy with a diagnosed urinary tract infection (UTI) is treated with
Nitrofurantoin - Answer- Can be used to treat UTI in pregnant women if there is an amoxicillin resistance
benzoyl alcohol - Answer- The only antifungal agent effective for head lice that is not neurotoxic
Serotonin 5-HT3 receptor antagonists should be avoided in which of the patient populations? - Answer- Pregnant patients
Treatment for preeclampsia - Answer- Bedrest (not strict bedrest), control of BP, seizure prophylaxis, and timely delivery
Treatment algorithm for symptomatic bacterial vaginosis - Answer- First line - Flagyl (PO) [Show Less]