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According to ISMP, which medication pair is considered a look-alike/sound-alike pair?

  1. Amoxicillin and penicillin

  2. Lorazepam and loratadine

  3. Zanaflex and Zithromax

  4. Spiriva and Apidra

The correct answer is: Spiriva and Apidra

Spiriva and Apidra are both medications that are used for different conditions, but their names are very similar and may easily be confused. Amoxicillin and penicillin are both antibiotics, but their names are not as similar as Spiriva and Apidra. Lorazepam and loratadine may have similar sounding names, but they are used for different purposes. Zanaflex and Zithromax both start with the letter "Z" but their purposes and names are not as similar as Spiriva and Apidra. Therefore, the correct answer choice is D.