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@megiangcogu: Áo thun thể thao unisex cho bé siêu nhẹ chạy bộ cầu lông mát mẻ đẹp #megiangcogu #quanaotreem #bococtaychobe #setcoctaychobe #dobochobe
MẸ GIANG CÓ GU
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💊💙 PHARMACY POP QUIZ #196 | BRAND vs. GENERIC! 🚨 PHARMACY STUDENTS! CAN YOU IDENTIFY THIS HIGH-YIELD HEART MEDICATION? 🤔 What is the BRAND NAME of TICAGRELOR? ⏳ You have 5 seconds! A. Plavix B. Effient C. Brilinta D. Aggrenox ✅ CORRECT ANSWER: C. BRILINTA! 🎉❤️ 💊 GENERIC: Ticagrelor 🏷️ BRAND: Brilinta 🔵 DRUG CLASS: Antiplatelet medication / P2Y12 receptor antagonist 🧠 MECHANISM OF ACTION: Ticagrelor reversibly blocks platelet P2Y12 ADP receptors. ➡️ Inhibits platelet activation ➡️ Reduces platelet aggregation ➡️ Helps prevent harmful blood clots ⭐ HIGH-YIELD NAPLEX PEARL: Unlike clopidogrel (Plavix), ticagrelor does NOT require metabolic activation to inhibit platelets! ❤️ IMPORTANT FDA-APPROVED USES: ✅ Acute coronary syndrome (ACS) ✅ Reduce cardiovascular death, heart attack, and stroke in eligible patients ✅ Reduce stent thrombosis following certain coronary interventions ✅ Selected patients with coronary artery disease ✅ Selected patients with acute ischemic stroke or high-risk TIA 💊 COMMON DOSING AFTER ACS: 🔹 Loading dose: 180 mg once 🔹 First year: 90 mg TWICE DAILY 🔹 After one year: 60 mg TWICE DAILY when continued therapy is indicated ⚠️ Dosing differs for certain other indications. 🚨 BOXED WARNING: BLEEDING RISK! Brilinta can cause serious, potentially fatal bleeding. ❌ CONTRAINDICATIONS INCLUDE: 🔴 Active pathological bleeding 🔴 History of intracranial hemorrhage 🔴 Serious hypersensitivity to ticagrelor 💡 IMPORTANT ASPIRIN PEARL: When Brilinta is prescribed with aspirin, the usual aspirin maintenance dose is 75–100 mg DAILY. 🚨 Avoid higher aspirin maintenance doses unless specifically directed under an appropriate regimen. Selected patients after PCI may receive ticagrelor without aspirin based on their clinician’s assessment. ⚠️ COMMON ADVERSE EFFECTS: 🔸 Bleeding 🔸 Easy bruising 🔸 Shortness of breath (dyspnea) 🔸 Dizziness 🚨 Serious complications may include major bleeding and clinically significant bradyarrhythmias. 💊 IMPORTANT DRUG INTERACTIONS: 🔹 NSAIDs, such as ibuprofen and naproxen: Increased bleeding risk. 🔹 Anticoagulants, such as warfarin and apixaban: Increased bleeding risk. 🔹 Strong CYP3A inhibitors, such as clarithromycin: May increase ticagrelor exposure. 🔹 Strong CYP3A inducers, such as rifampin: May reduce ticagrelor effectiveness. 🔹 Digoxin: Monitor concentrations when ticagrelor is started or changed. 🔹 Simvastatin or lovastatin doses above 40 mg/day: Increased risk of statin-related adverse effects. 🩺 PHARMACIST MONITORING: ✅ Signs of bleeding ✅ Bruising or black stools ✅ Shortness of breath ✅ Heart rate when clinically indicated ✅ Adherence to twice-daily dosing ✅ Interacting medications ✅ Hemoglobin/CBC when appropriate 💡 PATIENT COUNSELING: ✔️ Take exactly as prescribed, usually twice daily. ✔️ May be taken with or without food. ✔️ Do NOT stop Brilinta without speaking with your prescriber. ✔️ Stopping too early after a coronary stent may increase the risk of serious cardiovascular events. ✔️ Tell your healthcare team before surgery or dental procedures. ✔️ Avoid taking extra aspirin or NSAIDs without professional advice. ✔️ Report unusual bruising, prolonged bleeding, or new shortness of breath. ✔️ Seek emergency care for severe bleeding, vomiting blood, black tarry stools, or symptoms of stroke. 🧠 NAPLEX MEMORY TIP: 💙 TICAGRELOR = BRILINTA! ❤️ BRILINTA = P2Y12 INHIBITOR! 🚨 THINK BLEEDING + DYSPNEA! ⏰ AFTER ACS: 90 mg BID FIRST YEAR → 60 mg BID AFTER ONE YEAR, WHEN INDICATED. 🎓 BONUS NAPLEX QUESTION: What is the recommended aspirin MAINTENANCE dose when used with Brilinta? A. 325 mg daily B. 75–100 mg daily C. 500 mg daily D. 650 mg daily 👇 COMMENT YOUR ANSWER! 📌 SAVE this video for your NAPLEX preparation! 💙 SHARE it with another pharmacy student! Follow @dr_malak5.6 for daily BRAND vs. GENERIC quizzes, medication safety, cardiology pharmacology, and high-yield NAPLEX pearls! #NAPLEX #NAPLEXPrep #Ticagrelor #Brilinta #
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