Pharmacology For Care Of Family Questions And
Answers | A Grade 2025
Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) ANS alternatives for hormone
replacement therapy
Selective Estrogen Receptor Modulators (SERMs) ANS Tamoxifen, toremifene, raloxifene -- provide
estrogen benefits while avoiding its drawbacks
Dysfunctional uterine bleeding ANS 10-14 day course of progestin
Amenorrhea treatment ANS progestin helps induce menstrual flow
Amenorrhea estrogen levels are low ANS give progestin for 5-10 days
Long term progestin therapy ANS protection against endometrial cancer
Estradiol ANS most active estrogenic compound. oral estrogen option
Advantages of estrogen transdermal patch ANS lower total estrogen dose. less n/v. less fluctuation of
estrogen blood levels. lower r/f DVT, PE and stroke
Femring ANS intravaginal ring controls hot flashes and night sweats. Treats vulval and vaginal atrophy
No gap method of changing from one OC to another ANS go straight from one type of OC to the other
without taking a gap.
initiating OC treatment ANS first day of menstrual cycle (no backup BC needed) OR first sunday after
onset of menses (backup BC needed for 7 days)
, Initiating androgen therapy short term ANS delayed sexual maturation causing a boy significant distress.
Limited course of Fluoxymesterone and methyltestosterone are approved.
androgen therapy long term ANS if delayed puberty is the result of true hypogonadism
role of androgens in anemia ANS promote synthesis of erythropoietin the renal hormone that stimulates
production of RBCs
Alprostadil preferred administration ANS direct injection into the corpus cavernosum. Rapid response
Finasteride ANS BPH tx 5a reductase inhibitor. Causes prostate to shrink. benefits take months
Tamsulosin ANS BPH tx alpha adrenergic antagonist. relaxes smooth muscle. benefits are rapid
Adverse effects of silodosin and tamsulosin ANS r/f floppy iris syndrome during cataract surgery.
Chlamydia tx ANS azithromycin 1g PO x single dose. doxycycline 100mg PO BID 7 days
Gonococcal urethritis tx ANS ceftriaxone IM single dose 250mg-1g based on weight
Bacterial vaginosis tx ANS metronidazole 500mg PO 2x day for 7 days.
Herpes (HSV) tx ANS acyclovir 400mg TID 7-10 days, valacyclovir or famciclovir
Trichomoniasis tx ANS metronidazole 2g PO x1 dose or tinidazole
Syphilis ANS benzathine penicillin 2.4mil units IM
Mild symptoms PD tx ANS MAO-B inhibitor like rasagiline or selegiline