Pharm

Question 1

Lipitor / atorvastatin

Answer 1

Hmg/coa reductase inhibitor. Blocks production of cholesterol

Question 2

What supplement should be taken with atorvastatin which causes coenzyme depletion up to 50% within 30 days

Answer 2

100mg CoQ10. 10 to 30mg can prevent initial decline.

Question 3

What medication interferes with atorvastatin absorption

Answer 3

Magnesium and aluminum containing antacids. Take lipitor 2 hours before or after any antacids.

Question 4

Niacin is ..

Answer 4

Vitamin b3. Used to lower cholesterol.

Question 5

Niacin taken along with ___ can cause myopathy (muscle disorders) amd can enhance cholesterol lowering effects.

Answer 5

Hmg-coa reductase inhibitors.

Question 6

Vitamin a blood levels increased over time when used with ___. People who take ___ should get blood work monitored if they intend to supplement with vitamin a.

Answer 6

Hmg-coa reductase inhibitors

Question 7

Prilosec / omeprqzole

Answer 7

Proton pump inhibitor. Blocks production of stomach acid.

Question 8

Folic acid is needed by the body to utilize ___

Answer 8

Vitmin b12

Question 9

what medication inhibits absorption of folic acid?

Answer 9

Antacids

Question 10

People taking antacids are advised to supplement with ___

Answer 10

Folic acid

Question 11

Omeprazole interferes with the absorption of ___ from food (not suppliments)

Answer 11

Vitamin b12

Question 12

The fall of vitamin b12 status may result from ___

Answer 12

The decrease in stomach acid required for vitamin b12 absorption from food caused by the drug (antacids, omeprazole etc)

Question 13

People taking omeprazole and related antacids should ___

Answer 13

either take a vitamin b12 supplement or get levels checked yearly

Question 14

10 to 50mg per day of vitamin b12 can __

Answer 14

Protect against drug induced vitamin depletion

Question 15

What suppliment decreases omperazole blood levels by accelerating the drugs metabolism?

Answer 15

St. Johns wort

Question 16

People taking omperazole may increase absorption of ____ by drinking ____ or other acidic liquids with _____ containing foods.

Answer 16

Vitamin b12, cranberry juice, vitamin b12

Question 17

Montelukast

Answer 17

LTRA - leukotriene receptor antagonist used to treat asthma and allergies

Question 18

Lansoprazole

Answer 18

Proton pump inhibitor

Question 19

Omeprazole and lansoprazole taken for several days led to a near - total loss of ___ in healthy people and interfered with the ___ of a single administration of 120mg of beta-carotene.

Answer 19

Stomach acid, absorption

Question 20

What blood levels should be checked for people taking acid-blocking drugs for long periods of time

Answer 20

Carotenoid blood levels

Question 21

What recommendation should you give for people taking acid blocking medications

Answer 21

Eat plenty of fruits and vegetables and consider supplementing with carotenoids

Question 22

Folic acid is needed by the body to ____

Answer 22

Utilize vitamin b12

Question 23

What to antacids inhibit?

Answer 23

Folic acid absorption

Question 24

People taking antacids should suppliment with ___

Answer 24

Folic acid

Question 25

Lansoprazole dosing

Answer 25

30 minutes before a meal dame time every day.

Question 26

Venlafaxine

Answer 26

Depression

Question 27

L-tryptophan

Answer 27

Essential amino acid, serotonin precursor, biosynthesis of protein. Must be obtained from diet.

Question 28

5-HTP (hydroxytryptophan)

Answer 28

Serotonin reuptake inhibitor, amino acid. Converts protein to serotonin in the brain.

Question 29

Venlafaxine with what SRI / herbs should be avoided.

Answer 29

5-hydroxytryptophan, L-Tryptophan, St. Johns wort, sour date nut.

Question 30

Why is 5-HTP better than L-Tryptophan

Answer 30

Crosses blood brain barrier at higher rate, converts serotonin more efficiently with stronger effects.

Question 31

What is serotonin syndrome

Answer 31

Over production of serotonin because of a medication or combo of meds. Extreme nerve cell activity.

Question 32

When to take Valsartan

Answer 32

Ingestion of food woth valsartan may decrease the maximum blood level of the drug by %50 therefore should be taken an hour before or two hours after a meal.

Question 33

Crestor - rosuvastatin

Answer 33

Reduce cholesterol and fat levels in the blood and to increase HDL (good cholesterol) levels. Class - HMG-CoA reductase inhibitor.

Question 34

Niacin and crestor

Answer 34

High doses of niacin (higher than normal nutritional suppliment doses) isn’t recommended to take with crestor because of increased risk of rhabdomyolysis and kidney damage. Greater risk in elderly or if preexisting kidney damage.

Question 35

Simvastatin

Answer 35

HMG-CoA reductase inhibitor blocks bodys production of cholesterol. Lower elevated cholesterol reduces risk of heart attack / death