Friday, January 27, 2017

Happy Friday

Nothing out of ordinary today.

I did chat with a co-worker at lunch break about balancing life and work. I feel like it's one or the other, and it might not EVER be balanced!

And Tianhang kept wanting to visit grandpa in China :( 


  • What exactly differs between ADVAIR HFA vs. ADVAIR DISKUS??
    • ADVAIR HFA 
      • (+) uses propellent, so less effort to inhale
      • (-) breathe and hand coordination needed to maximize effectiveness
    • ADVAIR DISKUS
      • (+) no need for coordination; ready to use
      • (-) expired after unwrapped from foil for 1 month / need to forcefully inhale
  • SOOLANTRA 1% cream, my first reaction is "what is this?" Sounds like a start-up company :P
    • Indicated for ROSACEA
    • Apply each affected area on face daily
  • ELMIRON (pantosan)
    • Indicated for interstitial cystitis
    • Dose - 100mg TID with water, 1 hr before or 2 hr after meals
  • What is better than SINGULAIR (montelukast)?
    • Cannot say because the only other leukotriene receptor antagonist is ZAFIRLUKAST (ACCOLATE), which is indicated for 1) asthma (20mg BID), 2) chronic urticaria  (20mg BID), and zafirlukast has no indication for allergic rhinitis, which MONTELUKAST (SINGULAIR) has indication for 
      • MONTELUKAST has indications for
        1. allergic rhinitis (perennial or seasonal)
        2. Asthma
        3. Bronchoconstriction, exercise-induced (prevention)
        4. Chornic urticaria (hives)
  • What is an alternative to RESTASIS (cyclosporine)??
    • XIIDRA (lifitegrast)
  • NIACINAMIDE vs. NIACIN??
    • NIACINAMIDE is a form of water-soluble vitamin B3
      • Indication -  prevent and treate pellagra (niacin deficiency); CANNOT be used in place of NIACIN to treat hyperlipidemia
      • (+) better tolerated than NIACIN for flushing

Thursday, January 26, 2017

Post 7-9pm shift

Luckily, the day starts at 3:15pm :)


  • Dispensed a BUTRANS (buprenorphine) patch pack, weekly dose
  • NEED to learn about SYNCING up medications of a patient 
  • Why do AZITHROMYCIN / AMOXICILLIN need a loading dose while others need not??
  • Also, AUGMENTIN suspension expired in 10-days
  • CEFDINIR suspension is room temp storage
  • FLUOCINONIDE gel to replace UREA cream for a small bump on the skin of the arm
    • Long term side effect of steroid topical?
  • What is TRANDOLAPRIL?? It is ACE inhibitor, approved in 1996, indicated for hypertension, heart failure, or post-MI heart failure or LV dysfunction
  • TRIUMEQ 
    • Triumeq is a combination of three drugs: Tivicay (dolutegravir), Ziagen (abacavir) and Epivir (lamivudine).
    • Administration
      • with or without food

Tianhang first day home

Today's unusual that I'm working from 7-9pm, and surprisingly I got to go home at around 11:40pm


  • A girl came in with pink eye that's been bothering her. Doctors from urgent care did not seem to offer her good advice. One prescribed VIGAMOX (moxifloxacin) while another prescribed POLYTRIM (trimethoprim / polymyxin B). I had to look up, but turns out that both are indicated for bacterial conjunctivitis. The difference is $$$
  • A pediatric patient, 3 year old, was taking RANITIDINE syrup with dose of 0.75ml (15mg/mL); makes me wonder why?!!?
  • PILOCARPINE was prescribed for dry mouth
  • CLOTRIMAZOLE has vaginal dosage form!! (GYNE-LOTRIMIN)