PHARMACOTHERAPEUTICS Maryville
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What is Tiotropium (SPIRIVA) used to treat? - 🧠 ANSWER ✔✔Used in the
management/ maintenance treatment of chronic obstructive pulmonary
disease (COPD) which includes chronic bronchitis and emphysema.
What is the drug classification of Tiotropium? - 🧠 ANSWER ✔✔>It is a long-
acting, 24H anticholinergic-bronchodilator.
>It is a muscurinic receptor antagonist, often referred to as an
antimuscurinic or anticholinergic agent.
What is the mechanism of action of Tiotropium (SPIRIVA) - 🧠 ANSWER
✔✔It does not display selectivity for specific muscarinic receptors, when
topically applied it acts mainly on M3 muscarinic receptors[8] located on
, smooth muscle cells and submucosal glands. This leads to a reduction in
smooth muscle contraction and mucus secretion and thus produces a
bronchodilatory effect.
What are the adverse effects with montelukast (Singular) - 🧠 ANSWER
✔✔Anxiety, aggression, depression, suicidal thoughts,
What patient teaching should accompany the prescription of montelukast
(Singulair)? - 🧠 ANSWER ✔✔Teach pt regarding adverse effect about
aggression , depression suicidal thoughts that could occur
What patient teaching should be provided when prescribing inhaled
corticosteroids? - 🧠 ANSWER ✔✔They should be taken 2x a day every day
for the use of prevention of asthma.
Rinse mouth after use to prevent oral thrush.
What ethnic background should not be prescribed long-acting beta
agonists? - 🧠 ANSWER ✔✔African Americans, increased incidence of
death in this population
What medication would you prescribe for bronchospasm for a patient taking
propranolol? - 🧠 ANSWER ✔✔Ipratropium