Page 51 - Naplex Q&A 2025 Version

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69.(e) Duragesic TDS (Fentanyl) is classified as a nasopharyngeal irritation, burning, dryness,
schedule II control substance. It is indicated for the headache, and stinging are reported with Nasonex.
treatment of moderate to severe pain. Life-
threatening hypoventilation, severe respiratory 72. (b) Pylera capsules are a combination
depression, skeletal muscle rigidity and apnea are antimicrobial product containing Bismuth subcitrate
reported side effects of the drug. potassium, Metronidazole, and Tetracycline
hydrochloride for oral administration. Each hard
The recommended initial dose of the drug is gelatin capsule contains:
25mcg/hour (patch) for three days. The dose can be
increased gradually upon developing tolerance to 1. Bismuth subcitrate potassium, 140 mg
the drug. The prescription is written for one month 2. Metronidazole, 125 mg
and the patient is using 1 patch every third day, and 3. Tetracycline hydrochloride, 125 mg
therefore the dispensing quantity is supposed to be
10 instead of 20. Pylera capsules, in combination with Omeprazole
are indicated for the treatment of patients with
A schedule II controlled substance prescription must Helicobacter pylori infection and duodenal ulcer
contain a valid signature of a prescribing physician disease (active or history of within the past 5 years)
and his/her DEA number, and it cannot be refilled to eradicate H. pylori. The eradication of
under any circumstances. Helicobacter pylori has been shown to reduce the
risk of duodenal ulcer recurrence.
70.(d) The active ingredients found in (DuoNeb, Each dose of Pylera includes 3 capsules. Each dose
Combivent) are Ipratropium bromide and Albuterol. of all 3 capsules should be taken 4 times a day, after
DuoNeb is an inhalation solution of Albuterol and meals and at bedtime for 10 days.
Ipratropium whereas Combivent is an inhaler form
of these drugs. They are indicated for the treatment Patients should be instructed to swallow the Pylera
of bronchospasm associated with COPD in patients capsules whole with a full glass of water (8 ounces).
requiring more than one bronchodilator. One Omeprazole 20 mg capsule should be taken
twice a day with Pylera after the morning and
Albuterol is a short-acting β2-adrenergic evening meal for 10 days.
bronchodilator whereas Ipratropium is Atropine-like
anticholinergic bronchodilator.

The recommended dose of DuoNeb is one vial (3
ml) via nebulizer four times a day.

Anticholinergic side effects such as dry mouth,
constipation, urinary retention and increased
intraocular pressure are reported with DuoNeb
therapy.

71.(e) Nasonex (Mometasone furoate
monohydrate) is classified as an intranasal steroidal
agent. It is indicated for the treatment of nasal
symptoms associated with seasonal allergic and
perennial allergic rhinitis.

The recommended dose of Nasonex is 2 sprays in
each nostril once daily. Nasal irritation,

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