What are the recommended medications to start this specific patient on?

Eric Johnson is a 21-year-old Caucasian male who is in his senior year of college. The patient has a history of seasonal allergies. He does not remember what his allergist told him to take for his allergies in the past. He wants to know what he can take. He presents to the clinic today with complaints of a stuffy nose, shortness of breath, fever TMAX 102 at home, and a productive cough. He also notes that over the past few months he has also noticed a watery discharge and burning when he urinates. He does admit to having unprotected intercourse last month. He undergoes rapid testing and a chest x-ray while in the clinic. His diagnoses are pneumonia, chlamydia, and seasonal allergies.

Clinic Vital Signs: BP 125/75, HR 116, Temp 102.5, O2 94%. He has no known drug allergies.

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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.

Q2. Please discuss the mechanism of action of each of the drugs you listed.

Q3. Please discuss the side effect profile of each medication you listed.

Q4. Are there any interactions between any of the medications you prescribed?

Q5. What other non-pharmacological interventions would be suggested?

SAMPLE SOLUTION

A1. The recommended medications to start this specific patient on are:

Antibiotics:

  • Azithromycin (generic), Zithromax (trade name), 500mg orally once
  • Doxycycline (generic), Vibramycin (trade name), 100mg orally twice daily

Allergy:

  • Loratadine (generic), Claritin (trade name), 10mg orally once daily

A2. Azithromycin: Azithromycin is a macrolide antibiotic. It works by stopping the growth of bacteria.

Doxycycline: Doxycycline is a tetracycline antibiotic. It works by stopping the growth of bacteria.

Loratadine: Loratadine is an antihistamine. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms.

A3. Azithromycin: Common side effects of azithromycin include nausea, vomiting, abdominal pain, headache, and diarrhea. Rare side effects may include hearing.. ORDER A COSTOMIZED AND COMPREHENSIVE ANSWER. CLICK HERE

Doxycycline: Common side effects of doxycycline include nausea, vomiting, abdominal pain, headache, and diarrhea. Rare side effects may include hearing loss, vision ORDER A COSTOMIZED AND COMPREHENSIVE ANSWER. CLICK HERE

Loratadine: Common side effects of loratadine include dry mouth, headache, fatigue, and dizziness. Rare side effects may include allergic reactions, rashes, and increased heart rate.

A4. There are no known interactions between the medications prescribed.

A5. Non-pharmacological interventions that would be suggested include:

  • Humidifying the air with a humidifier
  • Drinking plenty of fluids
  • Avoiding triggers, such as pollen, dust, and pet dander
  • Taking a daily antihistamine
  • Practicing good hygiene
  • Using a neti pot
  • Taking a warm shower
  • Avoiding smoking and second-hand smoke
  • Avoiding alcohol
  • Exercise ORDER A COSTOMIZED AND COMPREHENSIVE ANSWER. CLICK HERE

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