問題詳情

59.陳先生53歲,服用下列藥品:nitroglycerin (NTG) 0.6 mg/tab 1 tab SL prn;isosorbide dinitrate 10 mg/tab 1tab tid;metoprolol 50 mg/tab 1 tab tid。有關用藥指導,下列何者正確?
(A)服用NTG 24小時後,就可以安全的使用vardenafil
(B)應提醒病人避免服用sildenafil
(C)應提醒病人若發生頭痛的副作用要立即請醫師改藥
(D)為確保療效,isosorbide dinitrate和metoprolol 一定要照時間服藥,一天三次,三餐飯後服用

參考答案

答案:B
難度:簡單0.885246
統計:A(0),B(54),C(4),D(3),E(0)

用户評論

Yee】評論

請問若照題目敘述「isosorbide dinitrate 10 mg/tab 1 tab tid;metoprolol 50 mg/tab 1 tab tid」則(D)照時間服藥,一天三次,三餐飯後服用 為什麼錯誤~~?

袁偉智】評論

Administration Do not administer around the clock; allow nitrate-free interval ≥14 hours (immediate release products) and 18 hours (sustained release products). Do not chew or crush sublingual tablets or sustained release formulations.Immediate release products: For twice daily dosing, consider administering at 8 AM and 1 PM. For 3 times daily dosing, consider 8 AM, 1 PM, and 6 PM.Sustained release products: Consider once daily in morning or twice-daily dosing at 8 AM and between 1 PM and 2 PMUptodate:Isosorbide dinitrate Drug informatio...