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not to be taken w/ warfarin or lithium
Benefits of Etonogestrel subdermal implant (Nexplanon)?
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it is one of the most effective forms of contraception, long-term option
(contraception up to 5 years), reversible by
removing rod
,First-line treatment options for sleep disturbance?
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Benzodiazepines: Triazolam
Benzodiazepine-Like Drugs: Zolpidem (Ambien), Zaleplon (sonata),
eszopiclone
(Lunesta)
Melatonin Receptor Agonist: Melatonin, Ramelteon (Rozerem)
Orexin Receptor Agonist:
Suvorexant (Belsomra)
What is the Patient teaching for Dutasteride
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1. Goal is to relieve urinary symptoms,
2. benefits take months to develop, must continue taking med even if the
improvement is not rapidly seen
3. The most common adverse effect is sexual dysfunction.may lower
ejaculatory volume & libido
4. Men should not donate blood while using dutasteride or for at least 6
months after stopping it to avoid transmission to women through the
administration of blood products
5. Is teratogenic. It can be absorbed through the skin, so pregnant women
should not handle the drug.
6. should not be used for prostate cancer prevention.
P.G. 464
mechanism of action for sumatriptan:
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, suppresses the release of CGRP from trigeminal
neurons lead to vasoconstriction and decreased perivascular inflammation
to relieve migraine pain
When is it not safe to prescribe Progesterone (Progestin)?
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NOT SAFE FOR Progesterone
1. Presence of undiagnosed abnormal vaginal bleeding.
2. Active thrombophlebitis or a history of thromboembolic disorders,
3. active liver disease, and
4. carcinoma of the breast.
side effects of progestin-only oral contraceptives?
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more likely to cause irregular/inconsistent bleeding, must be taken at same
time every day to be effective
What are sleep attacks associated with Parkinsons treatment?
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overwhelming/irresistible sleepiness that comes on without warning
, Which patient statement indicates understanding of administration of flaxseed?
A.) "I need to have my cholesterol checked every 6 months because it can make it go
really high"
B.) "Flaxseed can increase the absorption of a few of my daily medications, so I have
to wait 30 min between"
C.) "I cannot use this because I have a history of thyroid disease"
D.) Flaxseed can reduce absorption of two of my daily medications so I should take it
1 hour before or 2 hours after taking my other medicine"
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d)Flaxseed can reduce the absorption of two of my daily medications so I
should take it 1 hour before or 2 hours after taking my other medicine" pg.
643
How to know someone would be appropriate for preventative migraine therapy?
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Indicated for patients who have frequent attacks (3+ a month), severe
attacks, or attacks that do not respond adequately to abortive therapy
Syphilis first line drug/dose/route/frequency -
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Penicillin G IV (dose depends on the patient