Top Drugs II Exam 11

What is the generic for Xarelto?

Rivaroxaban

What is the generic for Coumadin?

Warfarin

What is the generic for Jantoven?

Warfarin

What is the brand name for Clopidogrel?

Plavix

What is the brand name for Dabigatran Etexilate Mesylate?

Pradaxa

What is the generic for Nascobal?

Cyanocobalamin (Vitamin B12)

What is the generic for Aggrenox?

Dipyridamole with Aspirin

What is the brand name for Apixaban?

Eliquis

What is the drug class of Rivaroxaban (Xarelto)?

Anticoagulant

What is the drug class of Warfarin?

Anticoagulant

What is the drug class of Clopidogrel (Plavix)?

Hematological Agent

What is the drug class of Dabigatran (Pradaxa)?

Hematological Agent

What is the drug class of Cyanocobalamin (Nascobal)?

Hematological Agent

What is the drug class of Aggrenox?

Antiplatelet Agent

What is the drug class of Apixaban (Eliquis)?

Hematological Agent

Which drug comes in tablets and powder for injection, lyophilized?

Warfarin

Which drug comes in intranasal gel, sublingual tablets, and solution for injection?

Cyanocobalamin (Vitamin B12)

Which drug comes in 75 mg and 300 mg tablets?

Clopidegrel (Plavix)

How many mcg are in each activation of intranasal gel Cyanocobalamin?

500 mcg

Which drug comes in an OTC form?

Cyanocobalamin (Vitamin B12)

How much of each ingredient (Dipyridamole and Aspirin) is in an Aggrenox capsule?

200 mg Dipyridamole
25 mg Aspirin

Which drug only comes in 2.5 mg and 5 mg tablets?

Apixaban (Eliquis)

Which drugs are indicated for treatment and prophylaxis for venous thrombosis?

Warfarin
Xarelto
Eliquis

Which drug is indicated for prophylaxis and treatment of pulmonary embolism?

Warfarin

Which drug is indicated for the reduction of atherosclerotic events (MI, stroke, and vascular death) in patients with atherosclerosis documented by recent stroke, recent MI, or established Peripheral Aterial disease (PAD)?

Plavix

Which drug is indicated to reduce the risk of stroke in patients who have had transient ischemia of the brain or completed ischemic stroke due to thrombosis?

Aggrenox (Dipyridamole with Aspirin)

Which drug is indicated for maintenance of normal hematological status in pernicious anemia patients (associated with folic acid deficiency, fish tapeworm infestation, total gastrectomy, pancreas or bowel malignancies)?

Cyanocobalamin (Vitamin B12)

Which drug is usually supplemented with folic acid?

Cyanocobalamin (Vitamin B12)

Which drug is indicated for the reduction of atherosclerotic events in patients with acute coronary syndrome including unstable angina and non-Q-wave myocardial infarction?

Plavix

When using Plavix for the reduction of atherosclerotic events in patients with acute coronary syndrome, what other drug and dose should be used in conjunction?

Aspirin (75 mg-325 mg)
*Most patients will also be treated acutely with Heparin.

Which drug should be taken with food?

Rivaroxaban (Xarelto)

When changing to a parenteral anticoagulant, one should wait how long after the last dose of Pradaxa?

12 hours (CrC>30 ml/min)
or
24 hours (CrCl 15-30 min)

When changing from Warfarin to Pradaxa, one should wait till the INR reaches below what level?

2.0

When changing from Pradaxa to Warfarin, the patient should start Warfarin before stopping Pradaxa for how many days?

3 days: CrCl >50 ml/min
2 days: CrCl 30-50 ml/min
1 day: CrCl 15-30 ml/min

Which enzyme converts Clopidogrel to its active metabolite?

CYP2C19

Which drug's active metabolite inhibits platelet aggregation by irreversibly modifying platelet receptors thereby selectively inhibiting the binding of aadenosine diphosphate (ADP) to the receptor, which inhibits the activation of the glycoprotein GPIIb/I

Clopidogrel (Plavix)

Which drug inhibits platelet aggregation in response to platelet activation factor (PAF), collagen and adenosine diphosophate (ADP) by inhibiting the uptake of adenosine into platelets causing a stimulation of platelet adenylate cyclase and subsequent inc

Dipyridamole

Which drug inhibits prostaglandin and thromboxane A2 synthesis by acetylating the enzyme cyclooxygenase?

Aspirin

Which drug antagonizes vitamin K resulting in a decreased hepatic synthesis of vitamin K-dependent clotting factors (II, VII, IX, and X)?

Warfarin

What are the vitamin K-dependent clotting factors inhibited by Warfarin?

II
VII
IX
X

What drug and its metabolites are competitive, direct thrombin inhibitors?

Dabigatran Etexilate Mesylate (Pradaxa)

Which drugs are selective inhibitors of Factor Xa?

Apixaban (Eliquis)
Rivaroxaban (Xarelto)

Which enzyme metabolizes Eliquis?

CYP3A4

What is the first sign of Vitamin B12 or folic acid deficiency?

Megaloblastic anemia

Which drug inhibits the CYP2C9 enzyme?

Clopidogrel (Plavix)

Which drug has been reported to rarely cause thrombotic thrombocytopenic purpura (TTP)?

Clopidogrel (Plavix)

What is the Pregnancy Category of Clopidogrel?

Category B

Which drug is contraindicated in patients with early Leber's disease (hereditary optic nerve atrophy)?

Cyanocobalamin (Vitamin B12)

Which drug has anaphylactic shock as a risk with the initiation of parenteral therapy, so the first dose should be given in a clinic setting?

Cyanocobalamin (Vitamin B12)

Which drug should be stopped at least 18 hours before removing an epidural catheter and not started therapy within 6 hours after removal?

Rivaroxaban (Xarelto)

Which drug is Pregnancy Category X?

Warfarin

Which drug is contraindicated in patients with inadequate mental state, spinal puncture, lumbar block anesthesia and in patients with malignant hypertension?

Warfarin

Which drug should be used with caution in patients with severe diabetes, and congestive heart failure?

Warfarin

Which drug is contraindicated in patients with the syndrome of asthma, rhinitis, and nasal polyps?

Dipyridamole with Aspirin (Aggrenox)

Which drug is Pregnancy Category D in the third trimester?

Dipyridamole with Aspirin (Aggrenox)

Which drug has alopecia, fever, and dermatitis as adverse effects?

Warfarin

Which drug has contusion, hematoma, and gingival bleeding as adverse effects?

Apaxaban (Eliquis)

Which drug has upper respiratory tract infection (8.7%), chest pain (8.3%), head ache (7.6%), flu-like symptoms (7.5%), arthralgia (6.3%), dizziness (6.2%) back pain (5.8%) coughing, and depression as adverse effects?

Clopidogrel (Plavix)