Important extracts from the Naplex digest, pharmpreponline & APhA

[ginas202]

BE ALERT WHEN YOU ARE TAKING RX FOR ANTI-CANCER DRUG...ESPECIALLY RX INTERACTIONS.....

Never mix Warfarin and digoxin to any drug if possible.

There are few internal drugs problems like never Cyclophosphamide with emend.

Leucovarin tragedy with 5FU and MTX.
----------------------------------------
Don't mix together any with leucovarin.
Try to do synergistm : Use leucovarin prior to 5FU
Try to rescue MTX toxicity : Use after 24 hours from MTX use.

Best luck guys....

[YESYOUCAN]

Hope this will raise some eye brows!!

Bimatoprost 0.03% solution - Lumigan - for glaucoma - one drop in effected eye once daily in the evening.

Bimatoprost 0.03% solution - Latisse - for eye lashes improvement - once at night time - at the base of Upper eye lashes - with provided sterile applicator - dispose off the applicator - use another sterile applicator for the other eye. See website for more info.

[ginas202]

I want to add .....

xalatan exact at 9.00 pm best... check their TV commercial and site... b/c the IOP rise peak is in the morning around 9 to 12 am. Xalatan take 12 hours to work... so best to instill exact at 9.00 pm (night)....

Thanks YesYouCan...

[ginas202]

I remember one more thing about the nitrates....

ISDN is taken apart exact 8 hours.... if you take in morning 8.00 am then take second dose at exact 16.00 (4.00 pm)...

If I am wrong, please correct me....

[ginas202]

Specials of timings....
-------------------------------

1. simvastatin in evening (b/c peak cholesterol synthesis at night 2.00 am)
2. Diuretics in morning (b/c patient does not goto bathroom at night).
3. Zocins (alpha blockers) in evening
4. Metoclopramide in night
5. Morphine always after food (with laxative if possible).
6. Morphine (kadian) sprinkled over apple sauce too.
7. Grape fruit juice is liver enz. inducer/st john wort is inhibitor.


Best luck guys...

[ginas202]

do you know guys ?

Which is OTC dyslipidemia drug ? = Niacin

Best luck

[ginas202]

which MAOI is more frequently used to treat parkinsonism ?

- Silly Sam got Parking ticket (Selegiline - EmSAM)

[I can do it!]

Hi Gina, temp or anyone who can give me an answer.

I read in OTC chapter that nicotine patch/gum/lozenges help quit smoking cigarettes (not chewing tobacco, pipes or cigars) What would you suggest to a patient who asks you how to quit chewing tobacco?

[bob271340]

I would suggest the chewing gum (NMT 24 a day)...

Still he can't stop smoking then I would recommend Rx nicotine nasal sprays (8 max a day)

[I can do it!]

thanks bob, I asked my preceptor too, and he said that for chewing tobacco or cigarettes, it should be the same principle to help quit. He won't recommend the OTC as it is nicotine. He prefers recommending Chantix as he saw better responses. Any input?