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FOM Tertiary Resources Assignment Guide: Questions 1- 9

This guide is designed to assist students with their tertiary resources assignment in the EBM I course.

Definitions for Drug Monograph Components/ Other Advice

Definitions of Rubric Components:

  • When searching, the medication may be available as systemic, ophthalmic, topical etc. Choose the systemic version unless the question states otherwise. 
  • See the Population Health Medical Tertiary Resources lecture slides. It includes screenshots on how to use the different resources.
  • Where to find the updated date for a drug monographs citation?
    • Lexi-Comp and MicroMedex - The data is at the end of the monograph after the reference section. 
    • AccessMedicine and AccessPharmacy - The information is not provided so you can leave it out of the citation.
    • ClinicalKey - The information is not provided so you can leave it out of the citation.
    • UpToDate - The information is not provided so you can leave it out of the citation.
    • DailyMed - The date is at the top of the monograph to the right of the words drug label information

Questions 1 - 3

Answer these questions using professional drug monographs. Use one of the monographs available in the following resources. You may not use monographs written specifically for patients. You may seek permission to use a professional monograph from a resource that is not in this list. Please contact H. McEwen for permission. You will continue to use these resources for your EBM assignments for the rest of COM curriculum. 

1. Monitoring Parameters

  • In AccessMedicine and AccessPharmacy monographs, see the monitoring section.
  • UpToDate Lexidrug - In the Lexi-Drugs monograph, see the patient and therapy management section.
  • In Merative MicroMedex, monitoring is listed under patient safety.
  • In a DailyMed monograph, see the Uses section.
  • In an UpToDate monograph, see the monitoring section

2. Labeled Uses or Indications -

May be listed as Labeled Uses (FDA approved use) or Indications. These are not the same as unlabeled uses.

  • In AccessMedicine and AccessPharmacy monographs, see the Indications and Usage section.
  • In UpToDate Lexidrug - In the Lexi-Drugs monograph, see the Uses section.
  • In Merative MicroMedex, it is listed under FDA Uses.
  • In a DailyMed monograph, see section 17 Patient Counseling Information
  • In an UpToDate monograph, see the Uses: Labeled Indications section

3. Adverse Warnings

  • In AccessMedicine and AccessPharmacy monographs, see the Adverse Reactions section.
  • Lexi-Comp Online - In the Lexi-Drugs monograph, see the Adverse Reactions section.
  • In Merative MicroMedex, it is listed under Adverse Effects.
  • In a DailyMed monograph, see the Warnings section
  • In an UpToDate monograph, see the Adverse Reactions section.

Question 4

Use one of these resources to answer the question.

Question 5

A professional herbal monograph should be consulted for this question. Please choose one of the following resources.  Many resources have herbal monographs (Natural Medicines database, Lexi-Comp Online, AccessPharmacy, MicroMedex, etc.).  

For this question, you can provide an individual drug or a drug class. An example of a drug class would be 

Questions 6 - 8

Answer these questions using professional drug monographs. Use one of the monographs available in the following resources. You may not use monographs for patients. You may seek permission to use a professional monograph from a resource that is not in this list. Please contact H. McEwen for permission. See the box at the top of this page for links to definitions for black box warnings and contraindications.

Question 6: Information can be found in the interactions section of a drug monograph. MicroMedex's drug interaction tool will also provide information about food interactions with medication.

Question 7: If you are using Lexi-Comp Online (Lexi-Drugs) monograph, contraindications are listed under Warnings and Precautions.

Question 8: Black box warnings sometimes are found at the beginning of the drug monograph. You can find the information warnings section of the drug monograph. They sometimes provide a summary of the black box warning before providing more detailed information. You just need to provide the short summary. For example, you could state bleeding risk. 

Question 9

See the Lexi-Drugs monograph within UpToDateLexidrug or UpToDate  to answer both parts of the question. Please note: a drug may have a generic name but not be available as a generic drug.