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PTCB Exam Study Guide

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PTCB Exam Study Guide Dosage of Controlled Substances ans: *Hydrocodone/Acetaminophen* Hydrocodone: Range in strength from 2.5 to 10mg Acetaminophen: Range in strength from 325mg to 650mg Lorazepam: Total of 6mg each day in divided doses. Available in oral tablet and injectable solution. Methylphenidate: Dosed up to 72mg each day. Immediate-release can be taken once or twice a day as for the extended-release are only to be taken once a day. Dosage of Acetaminophen ans: Maximum Daily Dosage(with healthy liver) is 4,000mg Maximum Daily Dosage(with compromised liver) is 2,000mg In some cases, patients cannot metabolized acetaminophen at all. *Medications Acting on the Respiratory System* Medications That Are Commonly Used to Treat COPD: ans: 1.) *Bronchodilators* - albuterol/ Ventolin® - formoterol/ Performist® - salmeterol/ Serevent Diskus® 2.) *Anti-Inflammatory Agents* - ipratropium/ Atrovent® - tiotropium/ Spiriva® - fluticasone/ Flovent Diskus ® - budesonide/ Entocort® *Medications Acting on the Nervous System* Commonly Prescribed Antidepressants: ans: - sertraline/ Zoloft® - fluoxetine/ Prozac® - paroxetine/ Paxil® - citalopram/ Celexa® - escitalopram/ Lexapro® - venlafaxine/ Effexor XR® - desvenlafaxine/ Pristia® - duloxetine/ Cymbalta® - trazodone - bupropion/ Wellbutrin XL® - amitriptyline/(Brand name discontinued) - nortriptyline/ Pamelor® Dosages on Antidepressants ans: Amitriptyline: This medication is started at a dose of 10mg and can be increased to up to 300mg per day. The dose can be taken at one time or divided over 2-3 occurrences. Available for oral tablets and intramuscular injections. Bupropion: The usual daily adult dose for this drug is 150mg to 300mg, either divided doses or in a single extended release tablet. The maximum daily dose is 450mg. Available in standard or extended-release tablets. Citalopram: This drug is dosed at 20mg to 40mg daily; it's recommended no to exceed 40mg per day. Available in oral tablets or as an oral solution. Mirtazapine: This drug is usually dosed between 15mg to 45mg each day. Available in oral tablets or disintegrating oral tablets. Drug-Food and Drug-Nutrient Interactions MAOIs and Tyramine ans: Foods like wine, cheese, pickled foods, and certain meats carry tyramine that can cause high blood pressure when prescribed with MAOIs. MOAIs include - phenelzine, selegiline, and tranylcypromine. *Medications Acting on the Nervous System* Commonly Prescribed Benzodiazepines: **the majority of Benzodiazepines are labeled as Class IV controlled substances** ans: - diazepam/ Valium® - lorazepam/ Ativan® - clonazepam/ Klonopin® - alprazalam/ Xanax® - midazolam/ Versed® - temazepam/ Restoril® Drug-OTC Interactions Antihistamines and Sedatives ans: Patients taking sedatives like diazepam, lorazepam, alprazalam, and midazolam should be cautious when taking over-the-counter medications since it can cause drowsiness, sedation, and hypnotics. *Medications Acting on the Nervous System* Commonly Prescribed Antipsychotics: ans: - chlorpromazine/ Thorazine® - fluphenazine/ Modecate® - haloperidol/ Haldol Decanote® - aripiprazole/ Ablify® - olanzapine/ Zyprexa® - risperidone/ Risperdal® - ziprasidone/ Geodone® - clonzapine/ Clorazil® *Medications Acting on the Nervous System* Commonly Prescribed Stimulant Medications (Sympathomimetic Drugs): ans: - methylphenidate/ Daytrana®, Ritalin®, Concerta® - dextroamphetamine/ ProCentra® - lisdexamfetamine/ Vyvanse® - atomoxetine/ Strattera® Drug-OTC Interactions Antihypertensives and Decongestants an

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PTCB Exam Study Guide 2020-2021
Dosage of Controlled Substances ans: *Hydrocodone/Acetaminophen*
Hydrocodone: Range in strength from 2.5 to 10mg
Acetaminophen: Range in strength from 325mg to 650mg

Lorazepam: Total of 6mg each day in divided doses. Available in oral tablet and injectable solution.

Methylphenidate: Dosed up to 72mg each day. Immediate-release can be taken once or twice a day as
for the extended-release are only to be taken once a day.

Dosage of Acetaminophen ans: > Maximum Daily Dosage(with healthy liver) is
4,000mg
> Maximum Daily Dosage(with compromised liver) is 2,000mg
> In some cases, patients cannot metabolized acetaminophen at all.

*Medications Acting on the Respiratory System*
Medications That Are Commonly Used to Treat COPD: ans: 1.) *Bronchodilators*
- albuterol/ Ventolin®
- formoterol/ Performist®
- salmeterol/ Serevent Diskus®
2.) *Anti-Inflammatory Agents*
- ipratropium/ Atrovent®
- tiotropium/ Spiriva®
- fluticasone/ Flovent Diskus ®
- budesonide/ Entocort®

*Medications Acting on the Nervous System*
Commonly Prescribed Antidepressants: ans: - sertraline/ Zoloft®
- fluoxetine/ Prozac®
- paroxetine/ Paxil®
- citalopram/ Celexa®
- escitalopram/ Lexapro®
- venlafaxine/ Effexor XR®
- desvenlafaxine/ Pristia®
- duloxetine/ Cymbalta®
- trazodone
- bupropion/ Wellbutrin XL®
- amitriptyline/(Brand name discontinued)
- nortriptyline/ Pamelor®

Dosages on Antidepressants ans: Amitriptyline: This medication is started at a dose of 10mg and can be
increased to up to 300mg per day. The dose can be taken at one time or divided over 2-3 occurrences.
Available for oral tablets and intramuscular injections.

, Bupropion: The usual daily adult dose for this drug is 150mg to 300mg, either divided doses or in a single
extended release tablet. The maximum daily dose is 450mg. Available in standard or extended-release
tablets.

Citalopram: This drug is dosed at 20mg to 40mg daily; it's recommended no to exceed 40mg per day.
Available in oral tablets or as an oral solution.

Mirtazapine: This drug is usually dosed between 15mg to 45mg each day. Available in oral tablets or
disintegrating oral tablets.

Drug-Food and Drug-Nutrient Interactions
MAOIs and Tyramine ans: > Foods like wine, cheese, pickled foods, and certain meats carry tyramine
that can cause high blood pressure when prescribed with MAOIs.
MOAIs include - phenelzine, selegiline, and tranylcypromine.

*Medications Acting on the Nervous System*
Commonly Prescribed Benzodiazepines:
**the majority of Benzodiazepines are labeled as Class IV controlled substances** ans: - diazepam/
Valium®
- lorazepam/ Ativan®
- clonazepam/ Klonopin®
- alprazalam/ Xanax®
- midazolam/ Versed®
- temazepam/ Restoril®

Drug-OTC Interactions
Antihistamines and Sedatives ans: > Patients taking sedatives like diazepam, lorazepam, alprazalam, and
midazolam should be cautious when taking over-the-counter medications since it can cause drowsiness,
sedation, and hypnotics.

*Medications Acting on the Nervous System*
Commonly Prescribed Antipsychotics: ans: - chlorpromazine/ Thorazine®
- fluphenazine/ Modecate®
- haloperidol/ Haldol Decanote®
- aripiprazole/ Ablify®
- olanzapine/ Zyprexa®
- risperidone/ Risperdal®
- ziprasidone/ Geodone®
- clonzapine/ Clorazil®

*Medications Acting on the Nervous System*
Commonly Prescribed Stimulant Medications (Sympathomimetic Drugs): ans: - methylphenidate/
Daytrana®, Ritalin®, Concerta®
- dextroamphetamine/ ProCentra®
- lisdexamfetamine/ Vyvanse®
- atomoxetine/ Strattera®

Drug-OTC Interactions

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