Page 49 - Naplex Q&A 2025 Version

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should not be used for more than 3 days for fever Patients should also be informed of the possibility
and 7 days for pain. of eyelash and vellus hair changes in the treated eye
during treatment with Travatan Z. These changes
59. (b) Transderm Scop (Scopolamine HBr) is may result in a disparity between eyes in length,
classified as an anticholinergic/antispasmodic thickness, pigmentation, number of eyelashes or
agent. It is indicated in adults for prevention of vellus hairs, and/or direction of eyelash growth.
nausea and vomiting associated with motion
sickness and recovery from anesthesia and surgery. Eyelash changes are usually reversible upon
discontinuation of treatment.
To prevent the nausea and vomiting associated with
motion sickness, one Transderm Scop patch 61.(c) The active ingredients found in Maalox Plus
(programmed to deliver approximately 1.0 mg of are Aluminum hydroxide, Magnesium hydroxide
scopolamine over 3 days) should be applied to the and Simethicone. Mylanta II and Gelusil have the
hairless area behind one ear at least 4 hours before same active ingredients that Maalox Plus does.
the antiemetic effect is required. Gaviscon has Aluminum hydroxide and Magnesium
carbonate, but not Simethicone.
To prevent post-operative nausea and vomiting, the
patch should be applied the evening before 62.(c) The aluminum ion is responsible for causing
scheduled surgery. To minimize exposure of the constipation whereas the magnesium ion is
newborn baby to the drug, apply the patch one responsible for causing diarrhea. Basaljel and
hour prior to cesarean section. Only one patch Amphojel contain ONLY aluminum and should be
should be worn at any time. avoided by patients suffering from a severe
constipation. Mylanta contains both Aluminum and
Nausea, vomiting, dryness of mouth, constipation, Magnesium where both Aluminum and Magnesium
urinary retention, increased intraocular pressure ions countereffect each other pharmacological
and xerostomia (altered taste perception) are property.
reported side effects of Scopolamine.
63.(e) The active ingredient found in Cytotec is
60.(e) Travatan Z (Travoprost ophthalmic solution) Misoprostol. It is a synthetic prostaglandin E analog.
0.004% is indicated for the reduction of elevated It is indicated for the prevention of gastric ulcers
intraocular pressure in patients with open angle associated with the use of non-steroidal anti-
glaucoma or ocular hypertension. inflammatory drugs. It has a cytoprotective as well
as an antisecretory action.
The recommended dosage is one drop in the
affected eye(s) once daily in the evening. Travatan Z The recommended adult oral dose of Cytotec for
(Travoprost ophthalmic solution) should not be reducing the risk of NSAID-induced gastric ulcers is
administered more than once daily since it has been 200 mcg four times daily with food. If this dose
shown that more frequent administration of cannot be tolerated, a dose of 100 mcg can be used.
prostaglandin analogs may decrease the intraocular
pressure lowering effect. It is available in 0.1 mg to 0.2 mg of oral strength. It
is also available in combination with Diclofenac
Patients should be advised about the potential for sodium under the brand name of Arthrotec.
increased brown pigmentation of the iris, which
may be permanent. Patients should also be It is contraindicated, because of its abortifacient
informed about the possibility of eyelid skin properties, in women who are pregnant or going to
darkening, which may be reversible after be pregnant in near future. It may cause
discontinuation of Travatan Z. miscarriage.

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