Primary Care 2

Question 1

Amoxicillin

Answer 1

Brand:
Class: Penicillin abx
Uses: Ear infections, lower respiratory infections, pharyngitis, tonsillitis, strep, ear nose and throat infections, H. pylori
SE: Diarrhea, nausea, rash, headache, severe allergy/reaction, kidney/liver problems
Other: complete full course of treatment, can be taken with food, caution with cephalosporin allergy, may reduce effectiveness of oral birth control

Question 2

Alprazolam

Answer 2

Brand: Xanax
Class: Benzodiazepine
Uses: Anxiety, panic disorder, alcohol withdrawal syndrome
SE: Drowsiness, lethargy, retrograde amnesia, weight gain, constipation, fatigue, decreased libido, change of heart rate, nausea/vomiting, confusion, blurred vision, mania, depression
Other: avoid tasks requiring alertness, avoid alcohol, dependence can occur, extreme caution with other sedating medication‘s, may need to be tapered

Question 3

Atenolol

Answer 3

Brand: Tenormin
Class: Beta Blocker
Uses: Angina, HTN, migraine prevention, cardiac dysrhythmia
SE: Cold extremities, dizziness, fatigue, hypotension, difficulty breathing, sexual dysfunction, heart failure
Other: n/a

Question 4

Citalopram

Answer 4

Brand: Celexa
Class: SSRI
Uses: Depression, OCD, panic disorder
SE: Headache, dizziness, insomnia, constipation, nausea, dry mouth, drowsiness, excessive sweating, fatigue, impotence, agitation, anxiety, tremor, serotonin syndrome, heart problems
Other: Watch for thoughts of suicide, best tapered, full benefit may take several weeks, avoid alcohol, NSAIDs, and aspirin

Question 5

Insulin Glargine

Answer 5

Brand: Lantus,Basaglar KwikPen
Class: Long-acting insulin
Uses: Control blood sugar in diabetics
SE: Weight gain, fluid retention, low blood sugar, diarrhea, allergic reaction
Other: Monitor blood sugar, educate on symptoms of low blood sugar, store properly, rotate injection sites

Question 6

Montelukast

Answer 6

Brand: Singulair
Class: Leukotriene receptor antagonist
Uses: Exercised induced bronchoconstriction, seasonal allergies/rhinitis, asthma
SE: Drowsiness, rash, dizziness, liver problems, headache, indigestion, behavior changes, suicidal thoughts problems headaches indigestion
Other: FDA blackbox warning for neuropsychiatric events

Question 7

Trazodone

Answer 7

Brand: Desyrel
Class: Antidepressant
Uses: off-label INSOMNIA = most common, depression
SE: Headache, nausea, drowsiness, dizziness, dry mouth, Becca, blurred vision, constipation, diarrhea, hypotension, bleeding problems, heart rhythm issues, serotonin syndrome, suicidal thoughts
Other: Watch for improvement or worsening of symptoms, caution during activities requiring alertness, monitor heart and liver, avoid alcohol, food improves absorption