Pharma Tips-296

1496. H. pylori treatment is clarithromycin + amoxicillin + omeprazole +/- metronidazole.
1497. Transdermal Systems Should Be Changed Accordingly:
  • Clonidine patch every 7 days. Change on the same day each week.
  • Estradiol patch once or twice weekly, depending on the specific brand. Follow your prescription label carefully.
  • Fentanyl patch every 3 days (72 hours). Strict adherence to this schedule is critical for safety.
  • Lidocaine patch: Once daily (for 12 hours). Apply for 12 hours, then remove for 12 hours.
  • Nicotine patch: Every 24 hours, Applied daily, often as part of a tapering schedule.
  • Nitroglycerin patch is administered every 24 hours. It usually requires a patch-free period each day to prevent tolerance.
  • Oxybutynin patch twice weekly (every 3-4 days). Common schedules are Sundays and Wednesdays, or Mondays and Thursdays.
  • Scopolamine patch every 3 days (72 hours). Often used for motion sickness for the duration of a trip. 
1498. Osteoarthritis could be caused by estrogen deficiency, diabetes, and gout.
1499. Amoxicillin is the most widely prescribed antibiotic in chewable form.
1500. Uncomplicated gonorrhea is best treated with ceftriaxone 500mg IM, which may be combined with a single dose of azithromycin 1 g orally; cefixime 800mg can be used if ceftriaxone can not be used.

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