Pharmaseer,./13,./Drug-to-Drug,./Interactions
1. A,./patient,./tells,./a,./pharmacy,./tech,./"My,./infection,./has,./not,./gone,./away,./even,./though,./
I,./have,./taken,./my,./antibiotic,./every,./morning,./with,./my,./antacid",./The,./tech,./should,.
/recognize,./that,./the,./combination ,./of,./the,./patient's,./meds,./has,./likely,./resulted,./in,./
which,./of,./the,./following:,./A,./pharmacokinetic,./interaction
2. A,./pharmacy,./tech,./should,./recognize,./that,./which,./of,./the,./following,./will,./lower,./t
he,./levels,./of,./theophylline,./(Uniphyl),./if,./taken,./concurrently:,./St.,./John's,./wort
3. A, . / pharmacy, . / tech, . / should, . / recognize, . / that, . / which, . / of, . / the, . / following, . / is, . / an, .
/ example,./of,./a,./cytochrome,./P450,./(CYP450),./inducer,./medication:,./Rifampin,./(Rifadin)
4. A, . / pharmacy, . / tech, . / should, . / recognize, . / that, . / combining, . / a, . / beta, . / blocker, . /
with, . / a,./beta2,./stimulant,./results,./in,./which,./of,./the,./following,./effects:,./a,./neutralization,./
ettect
5. A,./patient,./who,./is,./taking,./warfarin,./(Coumadin),./is,./experiencing,./nosebleeds,
,./bruising,,./and,./rectal,./bleeding.,./The,./pharmacy ,./tech,./should,./expect,./the,./patie
nt,./to,./receive,./a,./prescription,./for,./which,./of,./the,./following:,./Vitamin,./K,./(Phytonadione)
6. A, . / patient, . / is, . / told, . / by, . / their, . / provider, . / not, . / to, . / take, . / aspirin, . / (Bayer), . / for, . / arthri
tis, . / while,./taking,./warfarin,./(Coumadin).,./A,./pharmacy,./tech,./should,./recognize,./tha
t,./taking,./these, . / meds, . / together, . / can, . / result, . / in, . / which, . / of, . / the, . / following, . / effect
s, . / as, . / a, . / result, . / of,./the,./meds,./interacting:,./protein,./displacement
7. A,./pharmacy,./tech,./should,./recognize,./that,./which,./of,./the,./following,./will,./increas
e,./the,./levels,./of,./warfarin,./(Coumadin),./if,./taken,./concurrently:,./Cimetidine,./(Tagamet)
8. A, . / pharmacy, . / tech, . / should, . / recognize, . / that, . / which, . / of, . / the, . / following, . / combi
nations,./result,./in,./a,./synergistic,./effect:,./Piperacillin-tazobactam,./(Zosyn)
9. A, . / patient, . / who, . / smokes, . / tobacco, . / tells, . / a, . / pharmacy, . / tech, . / "my, . / pain, . / med,
. / is, . / not,./working, . / very, . / well"., . / the, . / tech, . / should, . / recognize, . / that, . / tobacco, . / can,
. / have, . / which, . / of,./the,./following ,./effects:,./decreases,./the,./amount,./of,./active,./medication,./available
10. A, . / patient, . / who, . / is, . / taking, . / hydrocodone, . / bitartrate, . / and, . / acetaminophen, . / (No
rco), . / is, . / also, . / purchasing, . / acetaminophen, . / (Tylenol)., . / a, . / pharmacy, . / tech, . / shou
ld, . / ask, . / the,./pharmacist,./to,./intervene,./for,./which,./of,./the,./following,./reasons.:,./Both,./m
eds,./contain,./acetaminophen,./and,./should,./be,./taken,./in,./lower,./doses,./to,./avoid,./overdose.
1. A,./patient,./tells,./a,./pharmacy,./tech,./"My,./infection,./has,./not,./gone,./away,./even,./though,./
I,./have,./taken,./my,./antibiotic,./every,./morning,./with,./my,./antacid",./The,./tech,./should,.
/recognize,./that,./the,./combination ,./of,./the,./patient's,./meds,./has,./likely,./resulted,./in,./
which,./of,./the,./following:,./A,./pharmacokinetic,./interaction
2. A,./pharmacy,./tech,./should,./recognize,./that,./which,./of,./the,./following,./will,./lower,./t
he,./levels,./of,./theophylline,./(Uniphyl),./if,./taken,./concurrently:,./St.,./John's,./wort
3. A, . / pharmacy, . / tech, . / should, . / recognize, . / that, . / which, . / of, . / the, . / following, . / is, . / an, .
/ example,./of,./a,./cytochrome,./P450,./(CYP450),./inducer,./medication:,./Rifampin,./(Rifadin)
4. A, . / pharmacy, . / tech, . / should, . / recognize, . / that, . / combining, . / a, . / beta, . / blocker, . /
with, . / a,./beta2,./stimulant,./results,./in,./which,./of,./the,./following,./effects:,./a,./neutralization,./
ettect
5. A,./patient,./who,./is,./taking,./warfarin,./(Coumadin),./is,./experiencing,./nosebleeds,
,./bruising,,./and,./rectal,./bleeding.,./The,./pharmacy ,./tech,./should,./expect,./the,./patie
nt,./to,./receive,./a,./prescription,./for,./which,./of,./the,./following:,./Vitamin,./K,./(Phytonadione)
6. A, . / patient, . / is, . / told, . / by, . / their, . / provider, . / not, . / to, . / take, . / aspirin, . / (Bayer), . / for, . / arthri
tis, . / while,./taking,./warfarin,./(Coumadin).,./A,./pharmacy,./tech,./should,./recognize,./tha
t,./taking,./these, . / meds, . / together, . / can, . / result, . / in, . / which, . / of, . / the, . / following, . / effect
s, . / as, . / a, . / result, . / of,./the,./meds,./interacting:,./protein,./displacement
7. A,./pharmacy,./tech,./should,./recognize,./that,./which,./of,./the,./following,./will,./increas
e,./the,./levels,./of,./warfarin,./(Coumadin),./if,./taken,./concurrently:,./Cimetidine,./(Tagamet)
8. A, . / pharmacy, . / tech, . / should, . / recognize, . / that, . / which, . / of, . / the, . / following, . / combi
nations,./result,./in,./a,./synergistic,./effect:,./Piperacillin-tazobactam,./(Zosyn)
9. A, . / patient, . / who, . / smokes, . / tobacco, . / tells, . / a, . / pharmacy, . / tech, . / "my, . / pain, . / med,
. / is, . / not,./working, . / very, . / well"., . / the, . / tech, . / should, . / recognize, . / that, . / tobacco, . / can,
. / have, . / which, . / of,./the,./following ,./effects:,./decreases,./the,./amount,./of,./active,./medication,./available
10. A, . / patient, . / who, . / is, . / taking, . / hydrocodone, . / bitartrate, . / and, . / acetaminophen, . / (No
rco), . / is, . / also, . / purchasing, . / acetaminophen, . / (Tylenol)., . / a, . / pharmacy, . / tech, . / shou
ld, . / ask, . / the,./pharmacist,./to,./intervene,./for,./which,./of,./the,./following,./reasons.:,./Both,./m
eds,./contain,./acetaminophen,./and,./should,./be,./taken,./in,./lower,./doses,./to,./avoid,./overdose.
