Muhammad Arshad

Student Name Professor Name Subject Code Dated Pharmacology Q1. What are the recommended medications to start this specific patient on? Please provide the drug class, generic & trade name, and the initial starting dose. Answer: The Recommended medications to start this specific patient on are a macrolide antibiotic such as azithromycin 500mg once daily, or doxycycline 100mg twice daily; an inhaled beta-agonist such as salmeterol 50mcg every day, or terbutaline 0.25mg twice daily; and an antihistamine such as cetirizine 10mg once daily. Q2. Please discuss the mechanism of action of each of the drugs you listed. Answer: The mechanism of action of macrolide antibiotic, doxycycline, salmeterol, terbutaline and antihistamine are: Macrolides are antibiotics that interfere with the synthesis of bacterial proteins. Doxycycline is a tetracycline derivative and an analog of tetracycline. Salmeterol is a long-acting beta2 agonist used to prevent bronchospasm in asthma. Terbutaline is a short-acting beta2 agonist used to prevent bronchospasm in asthma. [ CITATION Uni12 \l 1033 ] Q3. Please discuss the side effect profile of each medication you listed. Answer: The side effect of macrolide antibiotic, doxycycline, salmeterol, terbutaline and antihistamine are: Macrolides may cause gastrointestinal upset and headache. Doxycycline may cause nausea, vomiting, diarrhea, loss of appetite and vaginal yeast infections. Salmeterol may cause wheezing in asthma patients. Terbutaline may cause heart palpitations or tachycardia in asthma patients. Antihistamines may worsen allergic reactions in people with sensitive skin or who have had an allergic reaction to the drug before. Q4. Are there any interactions between any of the medications you prescribed? Answer: In some cases, these drugs can interact with each other and cause serious side effects. Therefore, it is important for doctors to be aware of these interactions in order to make the best decisions for their patients. Q5. What other non-pharmacological interventions would be suggested? Answer: A pharmacology case study would suggest other non-pharmacological interventions such as avoidance of allergen exposure, use of air purifiers, and intranasal corticosteroids. However, for a Caucasian male case study, the most common suggestion would be to take an antihistamine. Antihistamines can be taken orally or through injection and are available over-the-counter or by prescription. [ CITATION Moi17 \l 1033 ] Works Cited Moises A Calderon, c. a. (2017, 3 8). Topical nasal corticosteroids versus oral antihistamines for allergic rhinitis. Retrieved from ncbi.nlm.nih.gov: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC-/ University of Wisconsin Hospital and Clinics. (2012). ANTIMICROBIAL USE. US: University of Wisconsin Hospital and Clinics.