DRUGS

Question 1

Mylanta

Answer 1

Antacid

Question 2

Mylanta

Answer 2

Calcium malabsorption

Hypomagnesemia

Question 3

Nardil (MAOI)

Answer 3

antidepressant

Question 4

Nardil (MAOI)

Answer 4

avoid high tyramine foods!

Question 5

warfarin (coumadin)

Answer 5

anticoagulant

Question 6

warfarin (coumadin)

Answer 6

interferes with hepatic synthesis of vitamin K

Question 7

thaizide (hydrodiuril)

Answer 7

Potassium wasting diuretic

Question 8

thaizide (hydrodiuril)

Answer 8

avoid natural licorice

Ginkgo biloba may increase BP

Question 9

prevacid

Answer 9

Proton pump inhibitor

Question 10

prevacid

Answer 10

Hypomagnesemia

may result in decreased iron, calcium, mg, and thiamin absorption

Question 11

nicotinic acid

Answer 11

Decrease in VLDL and TG, effective way to raise HDL-C

Question 12

fenofibrate (tricor),gemfibrozil (lopid)

Answer 12

Fibric acid derivative

Question 13

fenofibrate (tricor),gemfibrozil (lopid)

Answer 13

Lower tg and vldl, HDL-C may go up

Question 14

mevacor, pravacol or lipitor

Answer 14

Statin

Question 15

mevacor, pravacol or lipitor

Answer 15

Avoid grapefruit juice and seville oranges.

May lower coenzyme Q 10 and 100-150 mg/day supplement

Question 16

nexium (esomeprazole)

Answer 16

Proton pump inhibitors

Treat heartburn of GERD

Question 17

nexium (esomeprazole)

Answer 17

take B12 and eat high mg foods
may also decrease iron, calcium, mg, and thiamin absorption, may increase activation of vitamin D, increased risk of osteoporosis

Question 18

tetracycline

Answer 18

Anti infective, antibiotic

Question 19

tetracycline

Answer 19

Calcium, iron, mg and al will form a chelate with tetracycline reducing the absorption of both the tetracycline and the mineral.
Tetracycline should not be taken for 3hrs before or 2hrs after foods, medications, or supplements containing divalent,

Question 20

Lasix

Answer 20

Na, cl, ca, k, mg, and water excretion are enhance. K supplement may be needed

Question 21

aldactone (spironolactone)

Answer 21

K sparing diuretic

Question 22

phenytoin (dilantin)

Answer 22

Anticonvulsant, antiarrhymic

Question 23

phenytoin (dilantin)

Answer 23

Ca supplements may decrease Dilantin absorption

Question 24

methotrexate

Answer 24

Immunosuppressant, cancer RA

Question 25

methotrexate

Answer 25

Hyperuricemia may occur so encourage high fluid intake to decrease risk of kidney stone Can cause folate deficiency Echinacea may increase risk of hepatic damage If taken as a chemo agent-o folate

Question 26

isoniazid (INH)

Answer 26

tuberculosis

Question 27

isoniazid (INH)

Answer 27

Inhibitor of vitamin B6, moderate supplements of B6 do not decrease the antibiotic activity of INH

Question 28

cholestyramine (questran)

Answer 28

Cardiac, hypertension, anticoagulant, hyperlipidemia

Question 29

cholestyramine (questran)

Answer 29

Constipation is common, high fiber and fluid intake may be recommended Never take dry Long term therapy can cause depletion of fat soluble vitamins so supplements of vitamin ADEK are recommended Osteodystrophy from vitamin D deficiency and bleeding from Vitamin K deficiency have been reported in a few cases

Question 30

digoxin (digitalis, sulfasalazine

Answer 30

Antiarrhythmic, CHF

Question 31

digoxin (digitalis, sulfasalazine

Answer 31

Monitor ser K,Na,Ca, and Mg levels avoid hypers or hypos as they may effect heart rhythm Use may increase excretion of ca, mg, and zinc Avoid calcium supplements, ensure adequate K AVOID REAL LICORICE

Question 32

Amphojel

Answer 32

Aluminum carbonate/hydroxide Antacid Phosphate binder for lowering serum phosphorus in CRF

Question 33

Amphojel

Answer 33

Phosphorus deficiency

Question 34

Milk of magnesia

Answer 34

constipation

Question 35

Milk of magnesia

Answer 35

Avoid haley MOM, don’t give to kidney patients

Question 36

penicillamine

Answer 36

antibiotic

Question 37

penicillamine

Answer 37

Vitamin K synthesis by gastrointestinal tract bacteria may be decreased, folate utilization may be reduced, and vitamin B6 may be inactivated Vitamin B12, ca, mg, and carotene absorption may be decreased

Question 38

mineral oil (algoral)

Answer 38

constipation

Question 39

mineral oil (algoral)

Answer 39

May cause slight decrease in fat soluble vitamin absorption, best not to take at meal time

Question 40

cyclosporine (sanimmune)

Answer 40

Immunosuppressant | Inhibits interleukin-2

Question 41

cyclosporine (sanimmune)

Answer 41

May cause hypomagnesemia and hyperkalemia May cause hyperlipidemia, high BG and hyperuricemia Do not take with grapefruit juice

Question 42

Levodopa

Answer 42

Neurological disorder | Antiparkinson

Question 43

Levodopa

Answer 43

High protein diet may decrease the drugs effectiveness | Protein redistribution diet