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علاج دوائي 5

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A patient is prescribed vardenafil for ED. What is the correct counseling point regarding administration?
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A 55-year-old male with ED, well-controlled hypertension, and hyperlipidemia is prescribed sildenafil 50 mg. He reports that the medication is not working. What is the most appropriate next step?
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A 52-year-old male with ED and a history of refractory angina (despite treatment) requests a PDE5 inhibitor. What is the most appropriate action?
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A patient with RA is started on leflunomide. What is a critical piece of pre-therapy counseling regarding the drug's long half-life?
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A patient on methotrexate and adalimumab for RA returns for follow-up. He reports that his joint pain is well-controlled, but he has a fever, productive cough, and feels very fatigued. What is the most appropriate next step?
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A patient with RA and moderate disease activity is started on methotrexate. What is the optimal evidence-based dosing and route escalation strategy if the response is insufficient?
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