PHMY 670 Drug Final questions well
answered to pass
Atarax - correct answer ✔✔Hydroxyzine hydrochloride
Antihistamine
May cause anticholinergic side-effects.
Vistaril - correct answer ✔✔Hydroxyzine pamoate
Antihistamine/Antianxiety
May cause anticholinergic side-effects.
Relpax - correct answer ✔✔Eletriptan
Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours.
Do not exceed 2 doses or 80mg in a 24 hour period. If 1st dose does not relieve symptoms,
reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with CYP 3A4
substrates and ergot derivatives.
Maxalt, Maxalt MLT - correct answer ✔✔Rizatriptan
,Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours.
Do not exceed 2 doses or 30mg in a 24 hour period. If 1st dose does not relieve symptoms,
reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with ergot
derivatives. Dissolvable tablets contain phenylalanine.
Imitrex - correct answer ✔✔Sumatriptan
Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours.
Do not exceed 2 doses or 200mg in a 24 hour period. If 1st dose does not relieve symptoms,
reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with ergot
derivatives. Available in oral tablet, injection kit, and nasal spray.
Cogentin - correct answer ✔✔Benztropine
Antiparkinson Agent
May take with food to decrease GI symptoms. Potential anticholinergic side-effects
Sinemet (CR) - correct answer ✔✔Levodopa/Carbidopa
Antiparkinson Agent
Avoid products containing B6 as they reduce the effectiveness of levodopa. May be taken with
food/milk if GI upset occurs
,Mirapex - correct answer ✔✔Pramipexole
Antiparkinson Agent
Hallucinations may occur, report any changes in vision to MD. May cause drowsiness and even
sleep attacks (falling asleep without warning)
Requip - correct answer ✔✔Ropinirole
Antiparkinson/Restless Leg agent
May cause drowsiness or dizziness. Avoid alcohol use during therapy. Orthostasis may occur.
May also cause sleep attacks.
Zyprexa - correct answer ✔✔Olanzapine
Antipsychotic
Initially may cause dizziness. Use caution when operating heavy machinery due to drowsiness.
May cause weight gain, DM and dyslipidemia. Now has a combination with fluoxetine (Symbyax)
Seroquel (XR) - correct answer ✔✔Quetiapine
Antipsychotic
, Initially may cause dizziness. Use caution when operating heavy machinery due to drowsiness.
"Baby Heroine" due to mind altering effects. Case reports often in incarcerated population
Risperdal - correct answer ✔✔Risperidone
Antipsychotic
First doses may cause fainting. May impair judgment. Avoid alcohol use
Geodon - correct answer ✔✔Ziprasidone
Antipsychotic
May cause arrhythmias. Do not discontinue use abruptly. Take with food
Abilify - correct answer ✔✔Aripiprazole
Antipsychotic for bipolar, schizophrenia, and major depressive disorder
Avoid alcohol. D/I 3A4. QT prolongation. Do not discontinue abruptly
Antivert - correct answer ✔✔Meclizine
Antivertigo Agent
Potential anticholinergic side-effects. Take night before "motion sickness" anticipated to reduce
side-effects experienced and maximize benefit. Available OTC as Bonine.
answered to pass
Atarax - correct answer ✔✔Hydroxyzine hydrochloride
Antihistamine
May cause anticholinergic side-effects.
Vistaril - correct answer ✔✔Hydroxyzine pamoate
Antihistamine/Antianxiety
May cause anticholinergic side-effects.
Relpax - correct answer ✔✔Eletriptan
Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours.
Do not exceed 2 doses or 80mg in a 24 hour period. If 1st dose does not relieve symptoms,
reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with CYP 3A4
substrates and ergot derivatives.
Maxalt, Maxalt MLT - correct answer ✔✔Rizatriptan
,Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours.
Do not exceed 2 doses or 30mg in a 24 hour period. If 1st dose does not relieve symptoms,
reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with ergot
derivatives. Dissolvable tablets contain phenylalanine.
Imitrex - correct answer ✔✔Sumatriptan
Antimigraine, 5-HT1 agonist
Take at onset of migraine. If headache is relieved but returns after 1st dose, repeat in 2 hours.
Do not exceed 2 doses or 200mg in a 24 hour period. If 1st dose does not relieve symptoms,
reevaluate condition. Ischemic cardiovascular events possible. Drug interactions with ergot
derivatives. Available in oral tablet, injection kit, and nasal spray.
Cogentin - correct answer ✔✔Benztropine
Antiparkinson Agent
May take with food to decrease GI symptoms. Potential anticholinergic side-effects
Sinemet (CR) - correct answer ✔✔Levodopa/Carbidopa
Antiparkinson Agent
Avoid products containing B6 as they reduce the effectiveness of levodopa. May be taken with
food/milk if GI upset occurs
,Mirapex - correct answer ✔✔Pramipexole
Antiparkinson Agent
Hallucinations may occur, report any changes in vision to MD. May cause drowsiness and even
sleep attacks (falling asleep without warning)
Requip - correct answer ✔✔Ropinirole
Antiparkinson/Restless Leg agent
May cause drowsiness or dizziness. Avoid alcohol use during therapy. Orthostasis may occur.
May also cause sleep attacks.
Zyprexa - correct answer ✔✔Olanzapine
Antipsychotic
Initially may cause dizziness. Use caution when operating heavy machinery due to drowsiness.
May cause weight gain, DM and dyslipidemia. Now has a combination with fluoxetine (Symbyax)
Seroquel (XR) - correct answer ✔✔Quetiapine
Antipsychotic
, Initially may cause dizziness. Use caution when operating heavy machinery due to drowsiness.
"Baby Heroine" due to mind altering effects. Case reports often in incarcerated population
Risperdal - correct answer ✔✔Risperidone
Antipsychotic
First doses may cause fainting. May impair judgment. Avoid alcohol use
Geodon - correct answer ✔✔Ziprasidone
Antipsychotic
May cause arrhythmias. Do not discontinue use abruptly. Take with food
Abilify - correct answer ✔✔Aripiprazole
Antipsychotic for bipolar, schizophrenia, and major depressive disorder
Avoid alcohol. D/I 3A4. QT prolongation. Do not discontinue abruptly
Antivert - correct answer ✔✔Meclizine
Antivertigo Agent
Potential anticholinergic side-effects. Take night before "motion sickness" anticipated to reduce
side-effects experienced and maximize benefit. Available OTC as Bonine.
