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1. NAPLEX Prep > Chapter 5- Drug References > Flashcards

Chapter 5- Drug References Flashcards

1
Q

Package Inserts

A

Include the FDA approved drug information that is part of the drugs official labeling.
Prescribing information, boxed warning, recent major changes, indications and usage, dosage and administration, dosage forms and strengths, contraindications, warnings/precautions, AE, drug interactions, use in specific populations, drug abuse/dependence, overdosage/toxicology, pharmacology/MOA

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2
Q

Package inserts locations

A

DailyMed- online
Drugs@FDA- online and app
The drug manufacturers website
Attached to physical product

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3
Q

What happens when drug safety information changes?

A

The FDA publishes a safety communication or alert on their website and an updated PI will reflect the changes

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4
Q

Boxed Warnings

A

Strictest warnings.
Alerts the prescribers to the risk of death or permanent disability

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5
Q

Contraindications

A

When a patient has a contraindication, the drug cannot be used.
The risk will outweigh the benefit.

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6
Q

Warnings/precautions

A

Includes serious reactions that can lead to death, hospitalization, medical intervention, disability, or teratogenicity.
May or may not change prescribing decision.

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7
Q

The American Hospital Formulary Service (AHFS) Clinical Drug Information

A

Provides comprehensive monographs that link to supporting evidence and references. The off label drug section is well researched with linked references.
Collection of drug monographs for medications available in the US.

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8
Q

Clinical Pharmacology

A

Online and mobile app
Monographs for Rx, OTC, natural products, and investigational products

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9
Q

Drug Information Portal

A

Online
Free from NLM

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10
Q

Epocrates/Epocrates+

A

Online and mobile app
Free with registration
Drug information plus guideline summaries

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11
Q

Facts and Comparisons

A

Online
Collection of databases; includes drug monographs, comparative drug charts, and other unique resources

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12
Q

Lexicomp

A

Book, online, and app
Drug monographs and multiple clinical databases

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13
Q

Micromedex

A

Online and mobile app
Multiple clinical databases

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14
Q

Prescribers digital reference

A

Online and mobile app
Free with registration
Includes information on drugs, vaccines, and biologics
Detail is more than the drugs PI and contains more practical information

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15
Q

Drugs.com

A

Online and mobile app
Free
Drug info is primarily sourced from other products

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16
Q

RxList

A

Online
Free

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17
Q

RxList

A

Online
Free
Drug info is primarily sourced from other products

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18
Q

Which references include off-label uses?

A

All except mobilePDR

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19
Q

Which references include IV Drug Compatibility?

A

AHFS, Clinical Pharmacology, Facts and Comparisons, Lexicomp, Micromedex

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20
Q

Which references include drug/pill identification?

A

All except AHFS

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21
Q

Which references include natural products?

A

All except AHFS and mobilePDR

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22
Q

Which references include drug class comparisons?

A

All except AHFS

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23
Q

Which references include pricing?

A

Clinical pharmacology, Drugs.com, Epocrates, Lexicomp, Micromedex

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24
Q

Which references include international drug names?

A

All except epocrates and mobilePDR

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25
Q

Pharmacists Letter

A

Does not contain traditional drug monographs, but is a valuable resource that provides evidence-based drug information.
Subscribers receive a monthly newsletter with short summaries of new or updated drug information and have online access to helpful practical tools
-Charts, patient flyers, CR, training material

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26
Q

Labeling requirements for OTC drugs

A

Written for patients who may not have medical training.
Package labeling is typically in the Drug Facts panel
-active ingredients, including amount in dosage unit and purpose
-Uses
-Warnings
-AE
-Dosage instructions
-Inactive ingredients

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27
Q

OTC drug approval

A

2 methods-
NDA and OTC monograph process

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28
Q

Anticoagulation guideline

A

CHEST guidelines
-Stroke Prevention in AFib
-VTE

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29
Q

CV disease guidelines

A

ACC/AHA Guidelines:
-Acute coronary syndromes
-Afib
-HF
-High cholesterol
-HTN

30
Q

Diabetes guidelines

A

ADA, AACE

31
Q

Infectious disease guidelines

A

IDSA
HIV/AIDS: US dept of Health and Human Services
STD: CDC

32
Q

Oncology guidelines

A

ASCO, NCCN

33
Q

Pediatrics guidelines

A

AAP

34
Q

Pregnancy/Womens health guidelins

A

ACOG

35
Q

Psychiatric conditions guidelines

A

APA DSM5

36
Q

Pulmonary conditions guidelines

A

Asthma- GINA and NHLBI
COPD- GOLD

37
Q

Renal disease guidelines

A

KDIGO

38
Q

Vaccine guidelines

A

ACIP, CDC

39
Q

Specialty references for AE

A

ASHPs Drug Induced diseases
FDAble: FDA searchable database
MedWatch (FAERS)
VAERS
Manufacturer and user facility device experience (MAUDE)
Safety reporting portal
Meylers side effects of drugs

40
Q

Compounding and pharmaceutics specialty references

A

Allen’s
ASHP Guidelines
SDS
Merck Index
Remington
Trissels
USP Compounding compendia

41
Q

USP 795

A

Non sterile drugs

42
Q

USP 797

A

Sterile preparations

43
Q

USP 800

A

Hazardous drugs

44
Q

USP-NF

A

Monographs for drug substances, dosage forms, compounded preparations, and excipients

45
Q

Drug interactions specialty resources

A

Hansten and Horns
Drug Interaction Facts: Facts and Comparisons

46
Q

Drug Pricing Resources

A

Red Book (Micromedex)
Med-Span Price Rx

47
Q

Drug Shortages references

A

ASHP Current drug shortages, FDA drug shortages, CDC vaccine shortages, AHFS CDI

48
Q

Drug substitution references

A

FDAs Orange Book- approved drug products with therapeutic equivalent evaluations
FDAs Purple Book- List of licensed biological products with reference product exclusivity and biosimilarity or interchangeability evaluation

49
Q

Geriatrics drug references

A

Beers criteria

50
Q

Immunization references

A

CDCs Pink Book- epidemiology and prevention of vaccine preventable diseases
Immunization action coalition
CDC ACIP

51
Q

ID resources

A

IDSA and Sanford guide

52
Q

HIV Resources

A

HIV.info.NIH.gov

53
Q

Travel Medicine resources

A

CDC
WHO
CDC Yellow book- international travel
CDC Travelers Health

54
Q

International drug information

A

Index Nominum
Martindale
USP Dictionary of USAN and international drug names
Lexicomp
European drug index

55
Q

IV Drug compatibility and stability resources

A

ASHPs handbook on injectible drugs
King Guide
Trissels

56
Q

Natural Products resources

A

Natural Medicines
Dietary Supplements Label Database
USP Dietary Supplements Compendium

57
Q

Overdoses, Poisoning, and toxicology resources

A

Lexi-Tox
Micromedex Toxicology Management
TOXLINE in Pubmed

58
Q

Pediatrics resources

A

NeoFax (micromedex)
Lexicomp
Red Book- report on infectious diseases
The Harriet Lane handbook
AAP

59
Q

Pharmacology resources

A

Goodmans and Gilmans

60
Q

Pregnancy and Lactation Resources

A

Briggs
CDC
Hales medication and mothers milk
LactMed (NLM)
Micromedex
MothertoBaby

61
Q

Regulatory and Business development Resources

A

FDA CDER
Pink Sheet

62
Q

Therapeutics and Disease Management Resources

A

DiPiros
Handbook of Nonprescription Drugs
Koda-Kimbles
The Merck Manual
UptoDate
CDC

63
Q

Veterinary references

A

Plumbs

64
Q

Orange Book (FDA)

A

List of approved drugs that can be interchanged with generics based on therapeutic equivalence

65
Q

Pink Book (CDC)

A

Information on epidemiology and vaccine preventable diseases

66
Q

Pink Sheet (Pharma Intelligence)

A

News reports on regulatory, legislative, legal, and business developments

67
Q

Purple Book (FDA)

A

List of biological drug products, including biosimilars

68
Q

Red Book, Pharmacy

A

Drug Pricing Information

69
Q

Red Book, Pediatrics (AAO)

A

Summaries of pediatric infectious diseases, antimicrobial treatment, and vaccinations

70
Q

Yellow Book (CDC)

A

Information on the health risks of international travel, required vaccines, and prophylaxis medications

71
Q

Green Book (FDA)

A

Information on approved animal drug products

1. NAPLEX Prep (15 decks)

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