Head, Ears, Eyes, Nose, Throat

Question 1

Alphagan P

brimonidine (ophthalmic)

Answer 1

Pharmacologic Category: Alpha2 agonist
Common Indications: Elevated IOP
Key Side Effects: ocular hypersensitivity, drowsiness, allergic conjunctivitis, conjunctival hyperemia, ocular pruritus
Other Notes: CI with MAOI therapy

Question 2

Trusopt 
dorzolamide (ophthalmic)

Answer 2

Pharmacologic Category: Carbonic anhydrase inhibitor
Common Indications: Elevated IOP
Key Side Effects: ocular hypersensitivity, burning, and stinging, blurred vision, dysgeusia

Question 3

Restasis

cyclosporine (ophthalmic)

Answer 3

Pharmacologic Category: Calcineurin inhibitor
Common Indications: keratoconjunctivitis sicca
Key Side Effects: ocular burning, stinging, and pruritus, foreign body sensation, hypersensitivity reaction

Question 4

Betimol, Timoptic, Timoptic XE, Istalol

Timolol (ophthalmic)

Answer 4

Pharmacologic Category: Non-selective beta-blocker
Common Indications: Elevated IOP
Key Side Effects: ocular stinging and burning

Question 5

Nix, Elimite

Permethrin (topical)

Answer 5

Pharmacologic Category: Pediculocide
Common Indications: Lice, scabies
Key Side Effects: itching, redness, swelling of scalp

Question 6

Lumigan, Latisse

Bimatoprost (ophthalmic)

Answer 6

Pharmacologic Category: Prostaglandin analog
Common Indication: Elevated IOP, eyelash hypotrichosis
Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation

Question 7

Xalatan

latanoprost (ophthalmic)

Answer 7

Pharmacologic Category: Prostaglandin analog
Common indication: Elevated IOP
Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation

Question 8

Travatan Z

Travoprost (ophthalmic)

Answer 8

Pharmacologic Category: Prostaglandin analog
Common Indication: Elevated IOP
Key Side Effects: eyelash growth, conjunctival hyperemia, ocular pruritus, iris color change, periocular hyperpigmentation

Question 9

Cosopt, Cosopt PF

Dorzolamide and timolol (ophthalmic)

Answer 9

Pharmacologic Category: Carbonic anhydrase inhibitor and non-selective beta-blocker
Common Indication: Elevated IOP
Key Side Effects: Ocular hypersensitivity, burning, and stinging, blurred vision, dysgeusia

Question 10

Hibiclens, Peridex

Chlorhexidine (topical, PO)

Answer 10

Pharmacologic Category: Antiseptic
Common Indication: Skin cleanser, periodontitis, gingivitis
Key Side Effects: Dysgeusia, increased tartar formation, mouth discoloration, mouth irritation

Question 11

Tessalon Perles

Benzonatate (PO)

Answer 11

Pharmacologic Category: Antitussive
Common Indication: Cough
Key Side Effects: Sedation, nasal congestion, chills, chest numbness, bronchospasm
Other Notes: Do not break capsule because it may cause choking

Question 12

Temovate, Clobex

Clobetasol (topical)

Answer 12

Pharmacologic Category: Corticosteroid
Common Indication: Psoriasis, atopic dermatitis
Key Side Effects: burning of skin, dryness of skin, hypopigmentation, secondary infection
Other Notes: do not use for > 2 weeks because it may cause adrenal suppression

Question 13

Vanos

Fluocinonide (topical)

Answer 13

Pharmacological Category: Corticosteroid
Common Indication: Psoriasis, atopic dermatitis
Key Side Effects: burning of skin, dryness of skin, hypopigmentation, secondary infection
Other Notes: do not use for > 2 weeks because it may cause adrenal suppression

Question 14

Kenalog

Triamcinolone (topical)

Answer 14

Pharmacologic Category: Corticosteroid
Common indication: Psoriasis, atopic dermatitis
Key Side Effects: burning of skin, dryness of skin, hypopigmentation, secondary infection
Other Notes: do not use for > 2 weeks because it may cause adrenal suppression

Question 15

Flonase
Fluticasone (intranasal)

Answer 15

Pharmacologic category: Corticosteroid
Common indication: allergic rhinitis
Key Side Effects: nasal dryness, epistaxis, nasal burning, headache

Question 16

Nasonex
Mometasone (intranasal)

Answer 16

Pharmacologic category: corticosteroid
Common indication: allergic rhinitis
Key side effects: nasal dryness, epistaxis, nasal burning, headache

Question 17

Pred Forte, Pred Mild, Omnipred

Prednisolone (ophthalmic)

Answer 17

Pharmacologic category: corticosteroid
Common indication: Ophthalmic inflammation
Key side effects: glaucoma, cataract formation, corneal thinning, secondary infection

Question 18

Astepro 
Azelastine (intranasal)

Answer 18

Pharmacologic category: Histamine (H1) blocker
Common indication: allergic rhinitis
Key side effects: headache, nasal dryness, epistaxis, bitter taste

Question 19

Benadryl

Diphenhydramine (PO, IV)

Answer 19

Pharmacologic category: histamine (H1) blocker
Common Indication: Allergic reaction, allergic rhinitis, insomnia
Key side effects: drowsiness, constipation, xerostomia

Question 20

Atarax, Vistaril

Hydroxyzine (PO, IV)

Answer 20

Pharmacologic category: histamine (H1) blocker
Common Indication: pruritus, nausea, anxiety
Key side effects: dizziness, somnolence, xerostomia, blurred vision, QTc prolongation

Question 21

Xyzal

Levocetirizine (PO)

Answer 21

Pharmacologic category: histamine (H1) blocker
Common indication: allergic rhinitis
Key side effects: drowsiness, constipation, xerostomia

Question 22

Pataday, Patanol

Olopatadine (ophthalmic)

Answer 22

Pharmacologic category: histamine (H1) blocker
Common indication: allergic conjunctivitis
Key side effects: ocular burning, discomfort, dryness

Question 23

Phenergan with Codeine

Promethazine and codeine (PO)

Answer 23

Pharmacologic category: histamine (H1) blocker and opioid analgesic
Common indication: cough, cold
Key side effects: dizziness, somnolence, xerostomia, blurred vision, constipation, respiratory depression (dose-related)
US Boxed Warning: concomitant use of opioids with benzodiazepines or other CNS depressants (including alcohol), may result in profound sedation, respiratory depression, coma, and death
Other Notes: Opioid-containing cough and cold products no longer indicated for use in patients < 18 years of age

Question 24

Tussionex, Pennikinetic ER

Chlorpheniramine and hydrocodone (PO)

Answer 24

Pharmacologic Category: histamine (H1) blocker and opioid analgesic
Common indication: cough, cold
Key side effects: dizziness, somnolence, xerostomia, blurred vision, constipation, respiratory depression (dose-related)
US Boxed Warning: concomitant use of opioids with benzodiazepines or other CNS depressants (including alcohol), may result in profound sedation, respiratory depression, coma, and death
Other Notes: Opioid-containing cough and cold products no longer indicated for use in patients < 18 years of age

Question 25

Robitussin AC, Cheratussin AC

Guaifenesin and codeine (PO)

Answer 25

Pharmacologic category: opioid analgesic and expectorant
Common indication: cough, cold
Key side effects: dizziness, somnolence, constipation, respiratory depression (dose-related)
Other Notes: opioid-containing cough and cold products no longer indicated for use in patients < 18 years of age

Question 26

Cortisporin Otic

Neomycin, polymyxin B, and hydrocortisone (otic)

Answer 26

Pharmacologic category: topical antibiotics and corticosteroid
Common indication: ear infections
Key side effects: local irritation, itching, burning