Can you identify this pill?
dextroamphetamine
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buprenorphine/naloxone
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acyclovir
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prasugrel
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(World J Transplant)—A 50-year-old female kidney transplant recipient presented with progressive dry cough and fever x3 days, after recent contact with a symptomatic COVID-19–positive individual. Her COVID-19 nasopharyngeal swab was negative; however, chest CT revealed consolidation typical of the disease. Empiric tx was initiated, consisting of piperacillin/tazobactam 4.5 g tid; azithromycin 500 mg x1 dose, then 250 mg daily; chloroquine 800 mg x1 dose, then 400 mg daily; and oseltamivir 75 mg daily. Despite clinical improvement of lung consolidation, the patient’s serum creatinine and tacrolimus trough levels rose to 1.4 mg/dL and 23.58 ng/mL, respectively, 6 days after hospital admission. The elevated creatinine level was attributed to high tacrolimus levels.
Pre-admission meds: tacrolimus, mycophenolate mofetil, prednisone, amlodipine.
Which drug could have caused the elevation in tacrolimus levels?
Pre-admission meds: tacrolimus, mycophenolate mofetil, prednisone, amlodipine.
Which drug could have caused the elevation in tacrolimus levels?
piperacillin/tazobactam
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oseltamivir
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chloroquine
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azithromycin
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All of these factors might be a reason for patients to get a vaccine sooner than 3 months if they've recently had COVID-19 EXCEPT:
Local COVID-19 hospital admission level
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Concerns about timing with other vaccines such as influenza vaccines
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Personal risk of severe disease
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Risk of disease in a loved one or close contact
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Characteristics of the most common COVID-19 variant currently causing illness
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