Mnemonics for NAPLEX 2023/2024

Warfarin interactions - ANSWER-FLAMES o Fluconazole o Levofloxacin (really increase INR) o Amiodarone (worse interaction - decrease warfarin dose *by 50%*) o Metronidazole (decrease warfarin dose *by 1/3*) o Erythromycin (macrolides in general but this one is the worse) o Sulf-TMP CYP Inducers - ANSWER-PS PORCS o Phenytoin o Smoking o Phenobarbital o Oxcarbazepine (and eslicarbamazepine) o Rifampin o Carbamazepine (and its auto-inducer) o St. John's wort CYP Inhibitors - ANSWER-G PACMAN o Grapefruit o Protease Inhibitors o Azoles o C - cyclosporine, cimetidine, cobicistat o Macrolides o Amiodarone o Non-DHP CCBs (diltiazem and verapamil) 5 G's (natural products) that increase bleeding risk - ANSWER-o Gingko o Garlic o Ginger o Glucosamine o Gingseng Drugs that require non-PVC containers - ANSWER-LATTINS o Lorazepam o Amiodarone o Tacrolimus o Taxanes o Insulin o Nitroglycerin o Sufentanil Common Drugs that require SALINE only - ANSWER-ACID APE Ampicillin