ontrack 10/05

Question 1

A patient uses simvastatin 40 mg nocte and presents with a prescription for an antibiotic.

Which of the following antibiotics may precipitate rhabdomyolosis if given concomitantly with simvastatin?

• Amoxicillin
• Ciprofloxacin
• Co-amoxiclav
• Daptomycin
• Doxycycline

Answer 1

Daptomycin

Statins predicted = increase risk of rhabdomyolosis with daptomyci n

Question 2

is phenoxymethylpenicillin safe for breastfeeding

Answer 2

Penicillin V is considered compatible for breastfeeding but the infant should be monitored for adverse effects.

Question 3

mild hypo tx

Answer 3

Initially 10-20 grams of glucose is given by mouth for treatment of a mild hypo. This can be in the form of a glucogel can be STAT

Question 4

s.e of Ropinirole

Answer 4

• impulse control disorder symptoms = binge eating, gambling or shopping uncontrollably or having an unusually high sex drive
• ## you feel unusually sleepy or suddenly fall asleep during the day.