antivirals/fungals: counseling

Question 1

oseltamivir doesn’t

Answer 1

• prevent spread of flu to others

- treat common cold

Question 2

oseltamivir should not replace

Answer 2

flu shot

Question 3

val/acyclovir can cause

Answer 3

crystallization of drug in kidneys

Question 4

val/acyclovir crystallization prevention

Answer 4

drink lots of non-caffeinated beverages

Question 5

does val/acyclovir cure herpes/varicella?

Answer 5

no, not a cure

Question 6

val/acyclovir helps herpes/varicella by

Answer 6

• Decreases pain & itching, helps sores to heal, and prevents new ones from forming
• Suppressive therapy – reduces frequency of genital herpes recurrences by 70-80% for those with frequent occurrences

Question 7

while on val/acyclovir, patients should still

Answer 7

• inform current and future sexual partners since there is potential for transmission even during asymptomatic episodes
• implement “safe sex” practices (e.g. using condoms, oral dams)

Question 8

OTC topical antifungals, time to administer

Answer 8

administer at bedtime

Question 9

OTC topical antifungals, before administration

Answer 9

wash hands before/after use

Question 10

OTC topical antifungals, may cause

Answer 10

vaginal irritation

Question 11

fluconazole DDI

Answer 11

• Strong: 2C19 inhibitor

- Moderate: 3A4 inhibitor, 2C9 inhibitor

Question 12

terbinafine warning, monitor for

Answer 12

hepatotoxicity

Question 13

terbinafine hepatotoxicity signs

Answer 13

• Dark urine
• Not hungry
• Upset stomach or stomach pain
• Light colored stools
• Throwing up
• Monitor with liver function tests (LFTs)