NAPLEX (North American Pharmacist Licensure Examination) Practice Exam

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Ace your North American Pharmacist Licensure Examination (NAPLEX) with our comprehensive practice test. Features include interactive flashcards, multiple-choice questions, with detailed hints and explanations. Fast-track your pharmacy career today!

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Which of the following Inhaled Corticosteroids (ICS) does not need to be shaken before use?

Beclomethasone (QVAR)
Budesonide (Pulmicort)
Fluticasone (Flovent)
Ciclesonide (Alvesco)

The correct answer is: Ciclesonide (Alvesco)

Inhaled corticosteroids, or ICS, are commonly used to treat asthma and other conditions that affect the respiratory system. These medications typically come in an inhaler form and need to be shaken before use to ensure that the medication is evenly distributed and properly dispensed. However, ciclesonide (Alvesco) is a unique ICS that does not need to be shaken before use. This is because ciclesonide is in a solution form, not a suspension like the other ICS listed. This means that the medication particles are already dissolved in the liquid and do not need to be evenly distributed like a suspension would. As a result, patients using ciclesonide do not need to shake the inhaler before each use.