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PTCB PTCE Exam - Topic 4 Question 125 Discussion

A patient is prescribed Prilosec capsules for gastroesophageal reflux disease. If thepatient is unable to swallow capsules, they may:
A) open the capsules and sprinkle the medication on applesauce.
B) chew and swallow the capsules.
C) compound the capsules into a topical preparation.
D) allow the capsules to dissolve under their tongue.

PTCB PTCE Exam - Topic 4 Question 125 Discussion

Actual exam question for PTCB's PTCE exam
Question #: 125
Topic #: 4
[All PTCE Questions]

A patient is prescribed Prilosec capsules for gastroesophageal reflux disease. If thepatient is unable to swallow capsules, they may:

Show Suggested Answer Hide Answer
Suggested Answer: A

Prilosec (Omeprazole) is a delayed-release proton pump inhibitor (PPI)used forGERD, ulcers, and acid reflux. It comes incapsulescontainingenteric-coated granules, designed to protect the medication from stomach acid and ensure proper absorption.

Prilosec capsules contain enteric-coated granulesthat are safe to sprinkle on soft foodswithout chewing.

Applesauce is an ideal optionbecause it doesnot interfere with drug absorption or stability.

B . Chew and swallow the capsules Incorrect

Chewing destroys the enteric coating, leading to premature drug release and degradation by stomach acid.

C . Compound the capsules into a topical preparation Incorrect

Prilosecis not formulated for topical use. The medication must reach the stomach intact for proper effect.

D . Allow the capsules to dissolve under the tongue Incorrect

Sublingual administration is ineffectivebecauseomeprazole is not absorbed through the mucous membranesand needs enteric protection.

FDA Omeprazole Medication Guide-- States that the contents can be sprinkled on applesauce.

ISMP Safe Medication Use Guidelines-- Emphasizes proper administration of delayed-release capsules.

PTCB PTCE Exam Content Outline-- Covers modified-release formulations and proper drug administration techniques.

Why Can the Capsules Be Opened?Why Not the Other Options?Key Reference:


Contribute your Thoughts:

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Jacki
2 hours ago
Wait, can you really open capsules? I thought that was a no-go.
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Geraldine
5 days ago
Totally agree, that's what my doctor said too!
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Elliott
10 days ago
A) is correct! You can sprinkle it on applesauce.
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Ludivina
16 days ago
I don't recall any option about topical preparations for oral medications. That seems off to me.
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Mozell
2 months ago
I practiced a question similar to this, and I believe the right answer is to sprinkle the contents on something soft, like applesauce.
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Brock
2 months ago
I'm not entirely sure, but I feel like chewing the capsules isn't a good idea. I think it could affect how the medication works.
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Herminia
2 months ago
I think I remember something about opening capsules and mixing them with food, like applesauce. That sounds familiar.
upvoted 0 times
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