Initial treatment of an uncomplicated case of Helicobacter pylori-negative peptic ulcer disease?
H2 receptor antagonists
Z-P
Has the shortest half-life of about 2 hours
Triazolam (Halcion)
Has a half-life of 12 hours
Alprazolam (Xanax)
Has a half-life of 15 hours
Lorazepam (Ativan)
Has a half-life of 34 hours
Clonazepam (Klonopin)
- Sulfonylureas class are typically well tolerated
- Levofloxacin (Levaquin)
Sulfa allergy
Bactrim
Medications is indicated for the treatment of obsessive-compulsive disorder?
Paroxetine (Paxil CR)
SSRI
Haloperidol (Haldol)
Antipsychotic
Alprazolam (Xanax)
Benzodiazepine
Amitriptyline
Tricyclic antidepressant
First-line treatment for osteoporosis
Bisphosphonates
- (DEXA) scores are reported as either T-scores or Z-scores, but T-scores are more commonly used.
- A T-score between -1 and -2.5 indicates osteopenia.
- T-score of -1 or higher is normal
Dual-energy x-ray absorptiometry (DEXA)
Ciprofloxacin is the preferred drug and other option is levofloxacin (Levaquin).
Anthrax (Bacillus anthracis) prophylaxis
- motion/sea sickness.
- small, circular patch that is placed behind the ear and is effective for 3 days.
- apply it 4 hours before the trip to be effective.
Scopolamine patch (Transderm Scop)
Determines how much of the active drug is available to the body (bioavailability). Depending on the drug and other factors, a drug may be poorly metabolized or extensively metabolized by the liver.
First-pass metabolism (first-pass effect)
Can adversely affect the retina (scotomas or visual field defects, loss of central vision, loss of color vision). Higher doses and long-term use increase the risk of retinal toxicity.
Hydroxychloroquine (Plaquenil)
Penicillin (Pen VK) is safe to use for strep throat
During pregnancy
Clarithromycin (Biaxin) BID, amoxicillin BID, and omeprazole (Prilosec) daily
“Triple therapy” for treating a Helicobacter pylori infection?
- Mimic the action of estrogen in the body. They are derived from soybeans and soybean products (soy milk, tofu). - Supplementation with isoflavones may help some women with menopausal hot flashes.
Soy isoflavones (phytoestrogens)
- Best option is to use azithromycin
- Patient is a child, the levofloxacin is contraindicated.
Severe penicillin allergy
