Medications

Question 1

H2 antagonist acid suppression

Answer 1

Famotidine
Tagamet, Zantac, Pepcid
Decreases b12, iron and calcium absorption
Mg/aluminum interfere with medication absorption

Question 2

PPI acid suppression

Answer 2

Protonix
Prilosec, nexium, Prevacid
Food decreased drug concentrations
Hypomagnesemia with long term use

Question 3

Antacid acid suppression

Answer 3

Tums

Anorexia

Question 4

Anti diarrheal

Answer 4

Lomotil
Imodium
Anorexia

Question 5

Steroid, corticosteroid

Answer 5

Prednisone, hydrocortisone
Increase BG, weight and appetite
Increased risk for osteoporosis impairs vit D metabolism and decreases calcium stores

Question 6

Promotility

Answer 6

Metoclopramide (reglan), erythromycin
Possibly alter insulin regimen
Dry mouth

Question 7

Antipsychotic

Answer 7

Haloperidol (haldol)
Risperidone
Increases BG, weight and appetite

Question 8

Cathartic

Answer 8

Copacetic, bisacodyl

Increases glucose and K. May alter electrolytes

Question 9

Appetite stimulant, cannabinoids

Answer 9

Megace, Marinol

Increases appetite and weight

Question 10

Loop diuretics

Answer 10

Furosemide (lasix) bumeranide (bumex)
Potassium wasting.
Avoid licorice , increases thirst

Question 11

Thiazide diuretics

Answer 11

Chlorothiazide
Hydrocloorothiazide
Increases K excretion and Ca resorption
Avoid licorice, increases thirst thirst

Question 12

Potassium sparing diuretics

Answer 12

Spironolactone (aldactone)

Increases K resorption, avoid licorice and salt substitutes

Question 13

Ace inhibitors, anti hypertensive

Answer 13

Lisinopril, prinivil, benazepril
Increase K resorption
Avoid salt substitutes

Question 14

Analgesic opioids

Answer 14

Morphine, codeine, fentanyl

N/V, hypotension, constipation, suppression of CNS

Question 15

Anti anxiety, benzodiazepine

Answer 15

Alprozolam (Xanax)
Suppression of CNS
Avoid grapefruit

Question 16

Antidepressant phenelzine (MAOI)

Answer 16

Avoid tyramine foods, ginseng, licorice and caffeine. Increases appetite and weight

Question 17

Antidepressant lithium carbonate

Answer 17

Keep consistent Na intake, limit caffeine. May decease lithium levels

Question 18

Antitubercular

Answer 18

Isoniazid
Potential niacin deficiency (pellagra)
Potential pyridoxine deficiency

Question 19

Anticonvulsant

Answer 19

Dilantin, phenytoin
Taken 1-2 hours before and after food and enteral nutrition
Inhibits folic acid, Vit D and Ava. Potentially causes osteomalacia or rickets

Question 20

Anticoagulants

Answer 20

Warfarin (Coumadin)

Vitamin K interaction, inverse relationship increase K, decrease drug effect

Question 21

Antihyperlipidemic, statin

Answer 21

Atorvastatin, Lipitor
Avoid grapefruit and red yeast
CoQ10

Question 22

Anti Parkinson’s

Answer 22

Levodopa
Avoid favs beans, vit D and protein. Higher CHO diet
Take meds on empty stomach

Question 23

Immunosuppressant

Answer 23

Cyclosporine
Avoid grapefruit or salt substitutes
Vit E increases absorption of drug

Question 24

Antirheumatic

Folic acid antagonist

Answer 24

Methotrexate

Decreased folic acid availability

Question 25

Anti ADHD

Answer 25

Methylphenidate (Ritalin)

Wt loss, anemia, N/V

Question 26

Anti gout

Answer 26

Colchicine

Avoid prunes and grapefruit

Question 27

Lipase inhibitor

Answer 27

Orlistat

Decreases absorption of fat soluble vitamins

Question 28

Anti hypertension. Calcium channel blockers

Answer 28

Felodipine, plendil, nicardipine, cardene

Avoid grapefruit juice