You are covering for a colleague while he is out on vacation…

You are covering for a colleague while he is out on vacation. One of his chronic pain patients presents to your clinic with the chief complaint of anxiety following a life event. His current medication list includes hydrocodone-acetaminophen (Vicodin) 5/325 mg four times daily, cyclobenzaprine (Flexeril) 5 mg three times daily as needed, and gabapentin (Neurontin) 400 mg three times daily. Based on the content discussed in this course, which of the following medications would be a safe 1st line choice for anxiety treatment in this patient?

The nurse practitioner has treated a patient for hypothyroid…

The nurse practitioner has treated a patient for hypothyroidism with the same dose of levothyroxine for several years.  In the past two weeks she has complained of fatigue, dry skin, and cold intolerance. She was recently admitted to the hospital for a GI bleed and prescribed several new medications – pantoprazole (Protonix), sulcralfate (Carafate), hydrocodone-acetaminophen (Vicodin), and metoclopramide (Reglan). Which medication when co-administered together with levothyroxine is known to have a drug-drug interaction and may be causing her hypothyroid symptoms today?