Exam 1 Drugs/Dosing

Question 1

Acetaminophen

Answer 1

650-1000mg Q4-6 hrs; max 4g/day

No anti-inflammatory activity

Question 2

Aspirin

Answer 2

2-3 (325mg) T Q4-6H

Question 3

Ibuprofen

Answer 3

200-400mg Q4-6H; max 1200mg/day

Question 4

Naproxen

Answer 4

220mg Q8-12H; Max 660mg
OR
440mg; max 400mg in any 8-12 hr period

Question 5

Glucosamine

Answer 5

500mg TID

Slow onset of pain relief 4-6 months for full effect; 6-8 weeks to see results

Question 6

Chondroitin

Answer 6

400mg TID

Maintain viscosity of joints, stimulate cartilage repair, inhibit degradation

Question 7

INCS

Answer 7

2 sprays in each nostril QD; titrate to 1 spray

Question 8

Cromolyn Sodium

Answer 8

1 spray in nostril 3-4x/day; max 6x/day

mast stabilizer

Question 9

Diphenhydramine

Answer 9

25-50mg Q 4-6H
for cough –> 25mg Q4H
for insomnia –> 25-50mg 30 min prior to bed
first gen

Question 10

Chlorpheniramine

Answer 10

4mg Q4-6H

first gen

Question 11

Brompheniramine

Answer 11

4mg Q4-6H

first gen

Question 12

Loratidine

Answer 12

10mg QD

second gen

Question 13

Cetirizine

Answer 13

5-10mg QD
second gen
drowsiness

Question 14

Levocetirizine

Answer 14

5mg QD
second gen
drowsiness

Question 15

Fexofenadine

Answer 15

60mg Q12H or 180 mg Q24H

avoid juices

Question 16

Phenylephrine

Answer 16

topical decongestant –>2-3 sprays each nostril Q24H PRN
short acting
oral decongestant –> 10mg Q4H
opthalmic decongestant –> 1-2 drops 4x/day

Question 17

Propylhexedrine

Answer 17

2 inhalations not more than Q2H prn

long acting topical decongestant

Question 18

Oxymetazoline

Answer 18

2-3 sprays BID

long acting topical decongestant

Question 19

Pseudoephedrine

Answer 19

60mg Q6H or 120mg Q12H

Question 20

Guaifenesin

Answer 20

200-400mg Q4H

expectorant

Question 21

DXM

Answer 21

10-20mg Q4H 
OR
30mg Q6-8H
max 120mg/day
Don't use if using MAOI's or SSRI's

Question 22

Topical Anesthetics

Answer 22

spray to AA and wait 15 sec and rinse out; use Q2H

Question 23

Topical Zinc

Answer 23

13.3mg Q2-4H; max 6 lozenges/day

Question 24

Doxyalamine

Answer 24

25-50mg prior to bedtime

Question 25

Melatonin

Answer 25

insomnia –> 0.3mg-8mg PO 30-60 min prior to bed
Jet lag –> 2-5mg on day of arrival at night on day of arrival and 2-5 days after

Don’t use if using MAOI’s or SSRI’s, anticoags

Question 26

Caffeine

Answer 26

100-200mg Q3-4H; max 600mg/day

200mg max as single dose considered safe

Question 27

Ketofumarate

Answer 27

1 drop/eye Q8-12H

Opthalmic antihistamin/mast cell stabilizer

Question 28

Tetrahydroxoline

Answer 28

1-2 drops Q4H

Opthalmic decongestant

Question 29

Oxymetazoline

Answer 29

1-2 drops Q6H

Opthalmic decongestant

Question 30

Naphazoline

Answer 30

1-2 drops 4x/day
Opthalmic decongestant
recommend this first

Question 31

Pheniramine maleate

Answer 31

1-2 drops 3-4x/day

opthalmic antihistamine

Question 32

Antazoline phosphate

Answer 32

1-2 drops 3-4x/day

opthalmic antihistamine

Question 33

2% NaCl Solution

Answer 33

used for corneal edema –> look at algorithm

Question 34

Carbamide Peroxide 6.5% in anhydrous glycerin

Answer 34

earwax

Question 35

Isopropyl alcohol 95% in anhydrous glycerin 5%

Answer 35

water clogged ears

Question 36

50;50 mix of acetic acid 5% and isopropyl alcohol 95%

Answer 36

water clogged ears

Question 37

Orlistat

Answer 37

OTC: 60mg TID during/within 1hr of eating fat-containing meal
Rx: 120mg TID during/within 1hr of eating fat-containing meal