Melissa, your 56 year old caucasian female patient presents with
Melissa, your 56 year old caucasian female patient presents with a health history of hypertension, migraines, hyperlipidemia, seasonal depression, and obesity (BMI 32) for a visit to establish care. She was without any medical care for a long time and being newly established to your clinic is prescribed the following: aspirin (Bayer) 81mg PO daily, atorvastatin (Lipitor) 4Omg PO daily, ezetimibe (Zetia) 10mg PO daily, lisinopril (Zestril) 20mg PO daily, amlodipine (Norvasc) 10mg PO daily, and bupropion (Wellbutrin) 300mg PO daily as well as diet and exercise. After the visit, she calls your office nurse and states she has been experiencing considerable lower extremity edema and constipation since starting these meds after your visit. Which of the pharmacologic agents she is prescribed is most likely the common cause of these side effects? Amlodipine (Norvasc) or Lisinopril (Zestril) Your patient has presented with progressive asthma which has prompted you to increase therapy from short acting beta agonist only to other agents. Which drug must never be used as monotherapy for asthma management? Mast cell stabilizers. Long acting beta agonists. Leukotriene inhibitors. Inhaled corticosteroids.
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