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Introduction
Review/Questions
Objectives
18%
35% 32% 31%
47%
54%
47% 14% 22%
Medications to Review
Entresto®: Sacubitiril/valsartan
Praxbind®: Idarucizumab
Ibrance®: Palbociclib
Bridion®: Sugammadex
Avycaz®: Ceftazidime/Avibactam
Corlanor®: Ivabradine
Sacubitiril/Valsartan
Indications
Heart failure
Use of an ACE inhibitor with sacubitril is contraindicated; allow a 36 hour washout period
when switching from or to an ACE inhibitor
Medication Dosing
Patients previously taking >10 mg/day of enalapril or >160 mg/day of valsartan (or
equivalent dose of another ACE inhibitor or ARB):
Sacubitril 49 mg and valsartan 51 mg twice daily
Patients previously taking low doses of an ACE inhibitor (≤10 mg/day of enalapril or ≤160
mg/day of valsartan (or equivalent dose of another ACE inhibitor or ARB):
Sacubitril 24 mg and valsartan 26 mg twice daily
Double the dose as tolerated after 2 to 4 weeks to the target maintenance dose of sacubitril 97 mg
and valsartan 103 mg twice daily
Storage, Preparation, and Administration
Paradigm-HF
Review
Idarucizumab
Indications
Effect on bleeding is observed within minutes and normal blood function is restored in
approximately 12 hours
May redose 5 g if patient continues to have elevated labs or needs emergent surgery
Storage, Preparation, and Administration
•Hypersensitivity •No
•Risk of clotting contraindications
•Fever to a rescue
medication
•Headache
•Hypokalemia
Clinical Trials
Re-VERSE AD
Review
Palbociclib
Indications
Estrogen receptor (ER) positive, human epidermal growth factor (HER@) negative
advanced breast cancer in combination with letrozole in post-menopausal women as
initial endocrine based therapy in metastatic disease
Mechanism of Action
Palbociclib
Paloma-1/Trio-18
Paloma3
Review
Sugammadex
Indications
Store at 25°C
Aurora Trial
Review
Ceftazidime/Avibactam
Indications
Coverage of gram positive and gram negative organisms, especially those resistant to
carbapenems (e.g. meropenem)
Mechanism of Action
Avycaz
Medication Properties
Mixed solutions are good for 12 hour at room temperature or 24 hours refrigerated
Precautions
Dose can be increased to 7.5 mg twice daily after two weeks to achieve a resting heart
rate of 50-60 beats per minute
Heart rate >60 bpm: Increase by 2.5 mg twice daily
Heart rate <50 or symptoms of bradycardia: Decrease by 2.5 mg twice daily
1. Choose the correct match between the drug and its indication c. Ivabradine
a. Ceftazidime/avibactam = heart failure d. Sugammadex
b. Idarucizumab = breast cancer
c. Palbociclib = reversal of dabigatran 4. Which medication is classified as a hazardous drug and appropriate
precautions should be followed
d. Sugammadex = Reversal of roncuronium
a. Idarucizumab
e. Ivabradine = intra-abdominal infections
b. Sacubitiril/valsartan
c. Ceftazidime/avibactam
2. Which side effect limits the use of ivabradine?
d. Palbociclib
a. Bradycardia (slow heart rate)
b. Nausea
5. Which medication causes therapy limiting hypotension (low blood
c. Skin rash pressure)?
d. Headache a. Ivabradine
b. Sugammadex
3. Which medication is dispensed as 2 vials that are drawn into 1 syringe c. Sacubitiril/valsartan
and administered as a bolus?
d. Ceftazidime/avibactam
a. Palbociclib
b. Idarucizumab