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A84 C Orlistat is a pancreatic lipase inhibitor used in conjunction with a hypocaloric diet to reduce the absorption of dietary fat in obese patients. Orlistat is administered twice daily immediately before, during or up to 1 hour after each meal. If the meal contains no fat there is no need to take Orlistat. A85 A All angiotensin-converting enzyme inhibitors including enalapril, may precipitate a hypoglycaemic attack in a diabetic patient because they may potentiate the effect of sulphonylureas. Repaglinide is a newer oral hypoglycaemic agent, indicated in type 2 diabetes either in combination with metformin or as monotherapy. A87 E Urinalysis for glucose monitoring can detect hyperglycaemia but not hypoglycaemia.

Blood glucose monitoring gives a direct measure of the glucose concentration at the time of the test. It can detect both hyperglycaemia and hypoglycaemia and it is used in preference to urinalysis. Random blood glucose concentrations must be maintained at 7.8 mmol/L (140 mg/dL) but the level is expected to rise post-prandially.

A88 D Both budesonide and fluticasone are corticosteroids but hydrocodone bitartrate addiction fluticasone is more potent than budesonide and has a higher first-pass effect, hence more of the drug is metabolised leading to fewer adverse effects.

A dose of 100 pg of budesonide is equivalent to 50 pg of fluticasone. Both budesonide and fluticasone are indicated for the prophylaxis of allergic rhinitis (hay fever).

A89 B Xalatan drops is a proprietary preparation of latanoprost (prostaglandin analogue), indicated in glaucoma. A90 A Xalatan (latanoprost) is a prostaglandin analogue, which increases the uvoscleral outflow, thereby decreasing propranolol la with clonazepam the intraocular pressure. The drops, which are applied once daily, preferably in the evening, may cause eye discoloration especially in patients with mixed colour irides. A91-94 Imipramine is a tricyclic antidepressant (TCA), which acts by blocking the reuptake of serotonin and noradrenaline. TCAs may cause cardiovascular side-effects including arrhythmias and heart block. There is no interaction between imipramine and angiotensin-converting hydrocodone bitartrate addiction enzyme inhibitors such as perindopril, which can be used as a first-line treatment in the management of hypertension. The risk of postural hypotension occurring as a result of the use of diuretics such as bendroflumethiazide (thiazide diuretic) is increased in patients who are taking imipramine. Plasma concentration of imipramine is increased with concomitant administration of propranolol (beta-blocker). Furosemide is a loop diuretic that is not normally recommended cheap link online phentermine valtrex in the management of hypertension. A91 2 A92 4 A93 1 A94 3 A95 B Zestril contains lisinopril, an angiotensin-converting enzyme inhibitor. Angiotensin-converting enzyme inhibitors tend to retain potassium, thereby counteracting the potassium loss caused by the thiazide diuretic bendroflumethiazide. A96 C Concomitant administration of methotrexate and Voltarol, a proprietary preparation hydrocodone bitartrate addiction of diclofenac, a non-steroidal anti-inflammatory drug, may result in accumulation of methotrexate as its excretion is reduced. The use of diclofenac and diuretics such as bendroflumethiazide may increase the risk of nephrotoxicity. Concomitant use of alcohol and an angiotensin-converting enzyme inhibitor such as lisinopril (Zestril) may result in an enhanced hypotensive effect. Alcohol and the benzodiazepine diazepam (Valium) may result in enhanced sedation. A97 B Methotrexate is a cytotoxic agent that may cause pulmonary toxicity and therefore patients are advised to contact the doctor if cough develops. Also occurrence of cough may indicate a bacterial respiratory tract infection that requires antibacterial therapy. Patients who are receiving methotrexate may experience a drop in white-cell count, making them more susceptible to infections. A98 A Methotrexate is an hydrocodone bitartrate addiction antimetabolite, which is metabolised by the renal and hepatic systems and may lead to renal and hepatic toxicities. Liver and renal function tests buy tramadol order are therefore carried out for patients who are administered the drug.

Methotrexate can lead to myelosuppression and therefore full blood counts must be monitored for patients taking it.

A99 D Methotrexate is one of the disease-modifying antirheumatic drugs, which are administered once a week.

The initial dose is 7.5 mg administered once a week and the maximum dose is 15-20 mg administered once a week. A100 A Deltacortil is a proprietary preparation of the corticosteroid prednisolone. As with other corticosteroids, prednisolone may lead to precipitation of osteoporosis, insomnia and candidiasis. Test 3 Questions Questions 1-18 Directions: Each of the questions or incomplete statements is followed by five suggested answers.

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