UAMS Dispensing Test 3 Questions
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| Serevent Diskus onset of action | 20 min
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| Foradil Aerolizer onset of action | 10 min
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| Inhalers stored in refrigerator | Foradil Aerolizer, Brovana
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| How long can Foradil Aerolizer be at room temperature? | 4 months
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| levalbuterol is the _ isomer of __ | R isomer of albuterol
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| arformoterol is the _ isomer of __ | R isomer of formoterol
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| I for Brovana | chronic obstructive pulmonary disease (COPD)
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| 2 examples of COPD | chronic bronchitis and emphysema
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| How long can Brovana be at room temperature? | 6 weeks
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| ages for Atrovent NS 0.03% | 6 years and older
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| ages for Atrovent NS 0.06% | 12 years and older
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| Atrovent HFA onset of action | 15 min
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| Inhalers that have soya lecithin | Atrovent HFA and Combivent
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| soya lecithin is a __ | suspending agent
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| most common adverse effect with tiotropium | xerostomia
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| 5 types of inflammatory cells | mast cells, eosinophils, neutrophils, macrophages, and lymphocytes
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| 4 types of inflammatory mediators | histamine, eicosanoids, leukotrienes, and cytokines
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| net effect of corticosteriods | to reduce chronic inflammation in asthmatic airways
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| two adverse effects with orally inhaled corticosteriods | oral candidiasis and dysphonia
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| should you use a bronchodilator or corticosteriod first if using both? | use bronchodilator several minutes before the corticosteroid in order to enhance penetration of the corticosteroid
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| I of Singulair | asthma prophylaxis, allergic rhinitis
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| 4mg Singulair is I for pts age _ | 2 through 5 years old
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| 5 mg Singulair is I for pts age _ | 6 through 14 years old
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| 10 mg Singulair is I for pts age _ | 15 years and older
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| 4mg/packet Singulair is I for pts age _ | 12 to 23 months old
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| mix Singulair granules with food or water? | mix with soft food, do not mix with liquid
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| admin Singulair with/without food? | Singulair can be admin without regard to meals
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| admin Accolate with/without food? | admin Accolate on an empty stomach
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| I of intranasal corticosteriods | tx allergic rhinitis
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| pt may use a topical decongestant __ min before admin of intranasal corticosteriod | 5 to 10 min
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| do not use topical nasal decongestants longer than __ | 3 days
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| long term use of topical nasal decongestants may result in __ | rhinits medicamentosa
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| adverse effect with intranasal corticosteriods | epistaxis
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| localized infections of the nose and pharynx with __ have dev with intranasal corticosteriods | Candida albicans
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| antihistamines are useful as _, _, and _ | sedatives, antiemetics, and antitussives
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| first generation antihistamines bind to _ | non-selectively bind to central and peripheral H-1 receptors
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| second generation antihistamines bind to _ | more selective for peripheral H-1 receptors
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| __ generation antihistamines cause more drowsiness | first generation
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| class of clemastine | 1G ethanolamine
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| class of diphenhydramine | 1G ethanolamine
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| class of pyrilamine | 1G ethylenediamines
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| class of brompheniramine | 1G alkylamines
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| class of chlorpheniramine | 1G alkylamines
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| class of promethazine | 1G phenothiazines
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| class of hydroxyzine | 1G piperazine
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| class of cyproheptadine | 1G piperidine
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| class of cetirizine | 2G piperazine
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| class of fexofenadine | 2G piperadine
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| class of loratadine | 2G piperadine
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| class of desloratadine | 2G piperadine
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| class of azelastine | 2G phthalazinones
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| white half of Allegra D tablet contains | IR fexofenadine
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| tan half of Allegra D tablet contains | insoluble wax matrix that slowly releases pseudoephedrine
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| I of Zyrtec | allergic rhinitis, urticaria
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| ceterizine is a metabolite of | hydroxyzine
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| I Clarinex | allergic rhinitis, urticaria
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| I Tussionex | relief of cough and allergy
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| dosage form of Tussionex | oral suspension
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| Pseudomembranous colitis is caused by | Clostridium difficile enterotoxins
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| tx with antibiotics may permit overgrowth of | Clostridium difficile
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| penicillins are bactericidal/bacteristatic? | bactericidal - inhibit cell wall synthesis
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| 4 categories of penicillins | natural penicillins, aminopenicillins, penicillinase resistant penicillins, and extended spectrum penicillins
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| category of penicillin G | natural penicillin
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| category of penicillin V | natural penicillins
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| category of ampicillin | aminopenicillins
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| category of amoxicillin | aminopenicillins
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| category of amoxicillin/potassium clavulanate | aminopenicillins
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| category of dicloxacillin | penicillinase resistant penicillins
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| category of nafcillin | panicillinase resistant penicillins
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| category of oxacillin | penicillinase resistant penicillins
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| category of carbenicillin | extended spectrum penicillins
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| category of piperacillin | extended spectrum penicillins
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| category of ticarcillin | extended spectrum penicillins
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| take ampicillin with/without food | take on empty stomach
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| take amoxicillin with/without food | without regards to meals
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| storage/duration of amoxicillin oral suspension | 14 days refrigeration or room temp
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| dosage of amoxicillin | usually admin 2 or 3 times a day
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| storage of augmentin oral suspension | refrigerate
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| potassium clavulanate is a | beta-lactamase inhibitor
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| Pencillin G procain is admin _ | IM, never IV
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| penicillin G benzathine is admin _ | IM, never IV
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| penicillin G potassium/aqueous is admin | IV or IM, IV is preferred
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| penicillin G potassium is a _ | solution
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| tetracyclines are bactericidal/bacteriostatic | bacteriostatic
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| tetracyclines are effective agains G+ or G-? | wide range of G+ and G-
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| do not admin tetracyclines with | antacids, milk, food, and vitamin/mineral products
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| tetracyclines are associated with | photosensitivity
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| use of tetracyclines during pregnancy or in infants/children under 8 may cause | permanent discoloration of teeth
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| tetracyclines are FDA pregnancy risk factor category _ | D
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| __ is associated with outdated tetracyclines | nephrotoxicity
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| non-FDA approved use of doxycycline | prevent travelers diarrhea caused by E. coli
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| FDA approved med for travelers diarrhea | Xifaxan (rifaxamin)
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| strength of Xifaxan | 200 mg tablet
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| dosage of Xifaxan | admin 200 mg tab TID for 3 days
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| storage/duration of Biaxin oral suspension | 14 days at room temp - do not refrigerate
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| product I for tx of Helicobactor pylori | Prevpac
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| Helicobacter pylori is associated with | duodenal ulcers
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| Biaxin is used in combo with other meds to tx | Helicobacter pylori
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| Prevpac contains | 500 mg clarithromycin, 500 mg amoxicillin, 30 mg lasoprazole
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| dose for Prevpac | admin all three meds together BID for 14 days
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| Z-Pak contains | 250 mg tablets azithromycin
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| Tri-Pak contaiins | 500 mg tablets azithromycin
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| Zmax contains | 2 gram single dose
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| admin azithromycin oral suspension with/without food | take on empty stomach
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| admin azithromycin tablets with/without food | without regards to meals
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| I of Zithromax single one gram packet for oral suspension | tx Chlamydia trachomatis
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| directions for Zithromax single one gram packet | mix powder with 60 mL water and admin on empty stomach immediately after mixing
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| directions for Zmax | mix microspheres with 60 mL water and consume as one dose on an empty stomach within 12 hours
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| cephalosporin cross-reactivity is __% in pts allergic to penicillin | 3-7%
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| most cephalosporin suspensions should be stored _ | under refrigeration
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| storage/duration of Omnicef oral suspension | 10 days at room temp, do not refrigerate
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| adv. effect of cefdinir oral suspension | may cause orange or red stools
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| therapeutic concentrations of nitrofurantoin are achieved in | the urine
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| two forms of nitrofurantoin | microcrystalline and macrocrystalline
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| take nitrofurantoin with/without food | with food
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| dose of Macrodantin for UTI | 50 to 100 mg four times a day
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| dose for Macrodantin capsules for long term suppressive therapy | single daily dose
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| take single dose Macrodantin therapy at _ | bedtime
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| strength of Furadantin | 25 mg/ 5 mL suspension
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| nitrofurantoin monohydrate is a | blend of powders that, upon exposure to gastric/intestinal fluids, forms a gel matrix that releases nitrofurantoin over time
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| fluoroquinolones are bactericidal/bacteriostatic | bactericidal
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| fluoroquinolones are active against G+/G- | both G+ and G-
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| fluoroquinolones are not recommended for | pts under 18
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| rupture of Achilles tendon is associated with | fluoroquinolones
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| increased intracranial pressure and seizures have occurred with | fluoroquinolones
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| severe phototoxic reactions have been reported with | Maxaquin
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| Avelox ABC Pack contains | five 400 mg tablets to be admin once daily
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| Leva-pak contains | five 750 mg tablets to be admin once daily
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| I of Leva-pak | tx of community acquired pneumonia
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| Cipro oral suspension diluent contains | sucrose, water, and flavoring
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| do not use _ to form the Cipro oral suspension | water
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| storage/duration of Cipro Oral Suspension | 14 days refrigerated or at room temp
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| Cipro Oral Suspension is not I for | pts under 18
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| Impetigo is | a contagious staphylococcal or streptococcal skin infection characterized by vesicles, pustules, and yellowish crusts
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| I for Bactroban | impetigo
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| I for Altabax | impetigo
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| admin of Altabax | admin BID for 5 days
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| contents of Benzamycin Gel package | 20 grams of benzoyl peroxide and a vial of 800 mg erythromycin powder
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| directions for Benzamycin Gel | add 3 mL ethyl alcohol to the erythromycin and then mix into gel
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| storage of Benzamycin | refrigerate
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| contents of BenzaClin package | 20 grams benzoyl peroxide gel and a vial of 300 mg clindamycin powder
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| directions for BenzaClin | add 5 mL water to clindamycin and then add to gel
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| storage of BenzaClin | store at room temp for 10 weeks
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| I of fluconazole | tx of localized fungal infections such as oral and vaginal candidiasis
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| I of ketoconazole cream | tx of tinea pedis, tinea cruris, and tinea corporis
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| I ketoconazole shampoo | reduction of scaling due to dandruff
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| admin Nizoral tablets with/without food | admin with food
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| rare side effect of oral ketoconazole | gynecomastia
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| I Sporanox oral solution | tx oral candidiasis
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| directions for Sporanox oral solution | swish 10 mL in mouth for several seconds and swallow
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| admin Sporanox capsules with/without food | admin with food
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| admin Noxafil oral suspension with/without food | admin with food
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| admin Vfend with/without food | admin on empty stomach
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| admin fluconazole with/without food | admin with or without food
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| storage/duration of Diflucan oral suspension | 14 days at room temp
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| I of Diflucan 150 mg single dose | vaginal candidiasis
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| dose of terbinafine for onychomycosis (fingernail) | one tablet daily for 6 weeks
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| dose of terbinafine for onychomycosis (toenail) | one tablet daily for 12 weeks
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| admin oral terbinafine with/without food | admin without regard to meals
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| I of topical terbinafine | tinea cruris, tinea pedis, and tinea corporis
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| Lamictal | lamotrigine, anticonvulsant
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| I oral acyclovir | tx and prophylaxis of genital herpes, tx of herpes zoster and varicella
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| __ acyclovir is more effective than __ acyclovir in the tx of genital herpes | oral is more effective than topical
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| oral acyclovir is most effective is started with _ of onset of symptoms | 24 hours
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| strength of Zovirax Oral Suspension | 200 mg/5 mL
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| I of Zovirax Ointment | initial episodes of genital herpes
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| Zovirax Ointment contains | 5% acyclovir in a polyethylene glycol base
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| I of Zovirax Cream | recurrent herpes labialis
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| I of Denavir Cream | tx of herpes labialis
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| Denavir Cream | penciclovir
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| Valtrex dose for Herpes zoster | one gram TID for 7 days
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| Valtrex dose for recurrent genital herpes | 500 mg BID for 3 days
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| Valtrex dose for Herpes labialis | two grams BID for one day
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| valacyclovir is converted to | acyclovir
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| Famvir dose for Herpes zoster | 500 mg TID for 7 days
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| Famvir dose for Genital herpes | 125 mg BID for 5 days
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| Famvir dose for Herpes labialis | 1500 mg as a single dose
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| admin oseltamivir with/without food | admin with food to reduce nausea
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| storage/duration of Tamiflu oral suspension | 10 days, refrigerate
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