NAPLEX Quiz
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MEDICATION USE PROCESS
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A 43-year-old female presents to pick up new prescriptions from an urgent care visit for acute dental pain after extraction. She is currently taking clonazepam (Schedule IV) 1 mg by mouth twice daily, sertraline 100 mg by mouth daily, and zolpidem (Schedule IV) 10 mg by mouth at bedtime as needed (uses most nights). Allergies: hydrocodone (itching). Medical history: generalized anxiety disorder, insomnia. Labs: serum creatinine 0.8 mg/dL (0.6–1.3), AST 22 U/L (10–40), ALT 19 U/L (7–56). New prescription: tramadol (Schedule IV) 50 mg by mouth every 6 hours as needed for pain, #20. What is the best recommendation for this patient's therapy?
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