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Digital Seminar

Black Box Warnings: Prescribing Potentially Dangerous Medications Safely

Bob McMullen, EdD, PA-C
1 Hour 56 Minutes
Audio and Video
May 19, 2022
Product Code:
Media Type:
Digital Seminar


Who among us does not prescribe (or have patients taking) antidepressants, diabetic medications or fluoroquinolones? Many commonly prescribed medications contain safety warnings from the FDA, called “Black Box Warnings.” It is easy to forget the warnings on relatively common drugs, and even easier to forget the warnings for less commonly used medications. This presentation will be interactive and fun while Bob McMullen, EdD, PA-C reviews the dangers of many medications, to ensure you are safely prescribing for patients. 


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education, as well as which credit types are acceptable for continuing education hours. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

Nurses - Pharmacology Nurse Practitioners

This self-study program offers instructional minutes of pharmacology content which is designed to qualify for 1.75 contact hours toward your pharmacology requirement. 

Nurses - Nurses, Nurse Practitioners, and Clinical Nurse Specialists - ANCC

PESI, Inc. is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation. Nurses completing these self-study materials will earn 1.75 contact hours. Expires: 05/19/2025.

Nurses - California Nurses

PESI, Inc. is a provider approved by the California Board of  Registered Nursing, Provider #: 17118 for 1.5 self-study contact hours. 

** You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Nurses - Florida Nurses

PESI, Inc. is an approved provider by the Florida Board of  Nursing. Provider #: FBN2858. These materials qualify for 1.5 self-study contact hours.

CE Broker

Nurses - Iowa Nurses

PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 1.75 self-study contact hours. Please email with your license number, include the title, speaker name and date. PESI must have this number on file in order for your hours to be valid.

Physicians - Physicians

PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. This activity was originally recorded on 05/19/2022. It was last reviewed on 05/04/2022 and is valid until 05/05/2025.


Physicians should only claim credit commensurate with the extent of their participation in the activity. You are required to successfully complete and submit a post-test prior to receiving a certificate of completion.

Physicians Assistants - Physician Assistants

AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by ACCME such as PESI. Physician assistants may receive a maximum of 1.5 hours for completing this self-study program. This activity was originally recorded on 05/19/2022. It was last reviewed on 05/04/2022 and is valid until 05/05/2025


PESI, Inc. is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. PESI, Inc. designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit(s)™.

Other Professions

This self-study activity qualifies for 1.75 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Bob McMullen, EdD, PA-C's Profile

Bob McMullen, EdD, PA-C Related seminars and products

Bob McMullen, EdD, PA-C, is a physician assistant with more than 30 years of experience in primary care and emergency medicine. He is a respected and sought-after presenter, teaching experienced clinicians on numerous topics, including pharmacology, for the past 20 years. His passions include making complex topics simple and accessible. As a provider and educator, pharmacology and safe prescribing is an on-going area of interest, particularly how mechanisms of action and pharmacokinetics affect drug-drug interactions.

Speaker Disclosures:
Financial: Bob McMullen has employment relationships with Silver Healthcare, A.T. Still University, and ATSU. He receives a speaking honorarium from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Bob McMullen is a member of the American Academy of Physician Assistants, the Physician Assistant Education Association, and the Society of Point of Care Ultrasound.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Distinguish the black box warnings for common medications. 
  2. Analyze complications listed as Black Box Warnings, such as QT prolongation, increased suicidality, increased heart disease...and more! 
  3. Evaluate the dangers of less commonly prescribed medications. 
  4. Determine opportunities to improve prescriptive safety within your own practice.


Dangerous Medication Considerations for the Heart  

  • NSAIDs 
  • Promotility drugs 
  • Combination oral contraceptives 
  • Thiazolidinediones 
  • Beta blockers 

Dangerous Medication Considerations for Pediatric Patients 

  • Antibiotics (doxycycline, tigecycline) 
  • Opioids 
  • Birth control 
  • Acne meds 
  • RAAS drugs  
  • Misoprostol 

Dangerous Medication Considerations for Breathing  

  • Opioids 
  • Methadone 
  • Tramadol 
  • Inhaled insulin 
  • Nitroprusside 
  • LABAs 

Dangerous Medication Considerations for Blood Gasses 

  • Metformin 
  • Benzocaine-containing sprays or gels  

Dangerous Medication Considerations for Bullae, Blisters, and Biopsies 

  • Antiepileptic drugs 
  • Topical calcineurin inhibitors 
  • Psoralen 
  • Antiemetics 

Dangerous Medication Considerations for Bowels 

  • IBS drugs 
  • NSAIDs 
  • APAP 

Dangerous Medication Considerations for Bleeding 

  • Platelet inhibitors 
  • Thrombin inhibitors 
  • Factor Xa inhibitors 
  • Anticoagulant, Vitamin K Antagonist 

Dangerous Medication Considerations for the Body 

  • Fluoroquinolones 
  • Botulinum toxins 

Dangerous Medication Considerations for the Brain 

  • Antidepressants 
  • Atypical antipsychotics  
  • Amphetamine, dextroamphetamine, lisdexamfetamine 
  • Metoclopramide

Target Audience

  • Nurses
  • Nurse Practitioners
  • Pharmacists
  • Physicians
  • Physician Assistants


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