You routinely administer combination drugs.. but do you know what's in them? To find out, match each combination of ingredients in Section II with its correct name in Section I.
SECTION I
1. Combivir (Glaxo Wellcome)
2. Vicoprofen (Knoll)
3. Apresazide 50/50 (Novartis)
4. Menogen (Breckenridge)
5. Vanex Forte-R (Schwarz Pharma)
SECTION II
a. esterified estrogen, 1.25 mg; methyltestosterone, 2.5 mg
This tablet may be prescribed to relieve the vasomotor symptoms of menopause. Esterified estrogen helps relieve hot flashes and vaginal dryness and reduces the risk of osteoporosis. Methyltestosterone, an androgen, relieves hot flashes. Tell your patient she may experience androgenrelated adverse reactions such as abnormal hair growth.
b. hydrocodone bitartrate, 7.5 mg; ibuprofen, 200 mg This tablet may be prescribed to control moderate to moderately severe pain. Hydrocodone bitartrate is an opioid analgesic. Ibuprofen, a nonsteroidal anti-inflammatory agent, is a nonopioid analgesic. Caution your patient against performing activities that require alertness.
c. chlorpheniramine maleate, 12 mg; phenylpropanolamine HCI, 75 mg
This extended-release capsule may be prescribed to control allergy symptoms. Chlorpheniramine maleate is a first-generation (sedating) antihistamine; phenylpropanolamine HCI is a decongestant. Warn your patient to avoid diet pills or other products containing phenylpropanolamine (PPA).
d. hydralazine, 50 mg; hydrochlorothiazide, SO mg This combination may be prescribed to control hypertension. Hydralazine is a peripheral-dilator antihypertensive; hydrochlorothiazide is a thiazide diuretic. Tell your patient to contact her physician if she experiences prolonged fatigue, fever, or pain in her muscles or joints; these symptoms may signal a lupuslike adverse reaction related to hydralazine.
e. lamivudine, 150 mg; zidovudine, 300 mg This tablet is indicated for treatment of HIV infection. Lamivudine, formerly known as 3TC, is a synthetic nucleoside analogue. Zidovudine, formerly known as AZT, is a pyrimidine nucleoside analogue. Tell your patient that this isn't a cure for HIV infection and she must continue taking it even if she feels well.
ANSWERS: 1e, 2b, 3d, 4a, 5c.
Copyright Springhouse Corporation Nov 1998
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