During the course of a targeted medication review for a patient who has asthma, the pharmacist discovers a poor response to a recently increased dose of inhaled corticosteroids which has cause excessive use of rescue with a B2-agonist Upon further investigation, the pharmacist identifies a causal gene variant reported in the patient's recent pharmacogenomics test results variation in which of the following genes would MOST likely have caused an altered response to an inhaled corticosteroid?

A newly diagnosed epilepsy patient with few episodes or focal onset seizures in the past week presents to the pharmacy with a new prescription for a carbamazepine ER 200mg once daily The patent has an ongoing diagnosis of bipolar disorder and a history of migraines and takes valproic acid 750mg in divided doses daily.
Which one of the following severe and RARE side effects should the pharmacist discuss with the patient?

During an MTM session the pattern reveals being currently treated with ifosfamind ana complains of symptoms that suggest severe central nervous system toxicity. Which agent should be used to counter this effect'

Which intervention is MOST important for the prevention and treatment or COPD?

A patient presents at the pharmacy to request monthly refills. During the conversation with the pharmacist, the patient does not mention the names or indications of the medications being refilled; however, the patient could describe the color and shape of each. Past interactions with the patientinclude several missed appointments for an annual influenza vaccine, an outburst when asked to fill out an influenza vaccination questionnaire, and continual refusals when offered medication guides. Based on this information, which approach should the pharmacy staff use to communicate with the patient going forward?
when asked to nil out an influenza vaccination questionnaire, and continual refusals when offered medication guides Based on this information, which approach should the pharmacystaff use to communicate with the patient going forward?