This oral contraceptive contains the estrogen ethinyl estradiol, and the progestin norethindrone. Teach your patient that if she misses a dose to take it right away and take the next one at the regular time. For two missed doses, take two tablets right away and two the next day, and use a second form of birth control for 7 days.

b. each gram contains: neomycin sulfate, equivalent to 3.5 mg neomycin base; polymyxin B sulfate, 10,000 units: hydrocortisone acetate, 5 mg

Prescribed to treat an infected skin rash, this cream contains the topical antibiotics neomycin and polymyxin B, and hydrocortisone, a corticosteroid. Tell your patient to call his primary care provider if redness or irritation increases or persists.

c. lipase, 5,000 USP units; protease, 18,750 USP units; amylase. 16.600 USP units

A child with cystic fibrosis may take this delayed-release capsule to improve digestion. It contains the pancreatic enzymes lipase, protease, and amylase. Tell her parents to spread the contents over pureed food before she eats it; she should swallow the food without chewing, then drink a glass of juice or water.

d. triamterene, 37.5 or 75 mg; hydrochlorothiazide, 25 or 50 mg

Containing hydrochlorothiazide, a thiazide diuretic, and triamterene, a potassium-sparing diuretic, this combination is used to control hypertension. Tell your patient to take it in the morning to reduce nighttime urination.

e. chlordiazepoxide, 5 mg; amitriptyline HCl, 12.5 mg

Used to relieve anxiety and tension, this combination contains chlordiazepoxide, a benzodiazepine, and amitriptyline, a tricyclic antidepressant. Your patient could become drowsy and have blurred vision, so tell him to be careful while driving.

ANSWERS; 1a, 2d, 3b, 4c, 5e.

BY MARCY PORTNOFF GEVER, RPH, MED

Marcy Portnoff Gever is an independent pharmacist consultant and educator in Ringoes, N.J.

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