OTC Flashcards
What is the trimethoprim course length for a UTI for a non pregnant woman
200mg BD for three days
What trimester is trimethoprime teratogenic
First
At what stage of pregnancy is nitrofurantoin tetrogenic?
At term
What sort of products are potassium citrate, sodium citrate and sodium bicarbonate?
Urinary alkalinising products
Regarding urinary alkalinising products. What patient group(s) must carebe taking with in regards to potassium containing products?
Pts with hyperkalaemia, and renal or cardiac impairment.
Patients taking potassium sparing diuretics, aldosterone antagonists or ACEi
Regarding urinary alkalinising products. What patient group(s) must carebe taking with in regards to sodium containing products?
Pregnant woman and patients with hypertension
If a child is complaining of pain when passing urine with frequency. What is the appropriate action?
GP referral
How does cranberry juice help with the prevention of cystitis?
It inhibits the adherence of E.coli to the cell lining of the bladder
What are the symptoms of vaginal thrush ?
Vulval itching, local erythema, vaginal discharge which is white, curd-like and odourless, dyspareunia and dysuria
If a woman who has not had vagibal thrush before who suspects it. What is the appropriate action?
GP referral for diagnosis confirmation
Who else should be referred for vaginal thrush?
Women aged under 16, over 60 or pregnant
Whats is the treatment for vaginal thrush?
Clotrimazole, econazole or micronazole. All are equally as effective with pessary and intravaginal cream being most effective
Alternatively fluconazole 150mg capsules can be offered
How frequent does a woman need to experience vaginal thrush to justify a GP referral?
More then 2 cases in 6 months
Vaginal dryness affects many post menopausal women. However what other symptoms may suggest the autoimmune disease Sjorgen’s syndrome
Dry eyes and mouth
What is a non-hormonal treatment for vaginal dryness (strophix vaginitis)?
Replens MD and Sylk
Also a water lubricant KY jelly
What is dyspepsia?
Is an umbrella term for things like heart burn and GORD
What are the 5 danger symptoms of dypepsia?
GI bleeding Dysphagia Unintended weight loss Persistent vomiting Anaemia
What is the benifit of using antacids that contain both magnesium and aluminium?
Less gastric upset
What factors can co tribute to GORD (6)
Food Drugs that relax the oesophagus sphincter - CCB, nitrates and theophylline Smoking Alcohol Obesity Genetic factors
If a patient is wanting to buy a PPI why must you check if the have a endoscopy referral?
As ppis should not be take 2 weeks before the endoscopy because they mask the pathology
What is the otc age limit of paracetamol?
2 months
What is the otc age limit of ibuprofen?
3 months
What is the otc age limit of miconazole gel?
4 months
What is the otc age limit of naproxen?
15 years
