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GPhC BNF > POM to P Switches > Flashcards

POM to P Switches Flashcards

1
Q

How long can Ella One be taken after UPSI?

A

120 hours

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2
Q

If a patient takes Ella One and is on a POP, how long should they wait before they can restart it?

A

5 days

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3
Q

In which 2 conditions is Ella One not recommended?

A
  1. Severe hepatic impairment

2. Severe asthma that requires treatment with oral steroids

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4
Q

Patients who have taken which medicines within the last 4 weeks are not recommended to take Ella One?

A

CYP3A6 inducers or herbal medicines within the last 4 weeks

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5
Q

Is Ella One recommended in breast feeding?

A

No

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6
Q

Which EHC can be taken more than once during the menstrual cycle?

A

Levonelle

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7
Q

How long can Levonelle be taken after UPSI?

A

72 hours

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8
Q

What is first line EHC if a patient has taken CYP3A6 inducers or herbal medicines within the last 4 weeks?

A

Copper IUD

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9
Q

What is second line EHC if a patient has taken CYP3A6 inducers or herbal medicines within the last 4 weeks?

A

2 tablets of Levonelle

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10
Q

What should a patient do regarding their normal contraception following Levonelle EHC?

A

Take it as normal

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11
Q

Who is Levonelle less effective in?

A

Women weighing over 70kg or with a BMI >26

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12
Q

What can a woman weighing over 70kg or with a BMI >26 take as EHC?

A

2 Levonelle tablets

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13
Q

What must a woman who has taken EHC do if they vomit within 3 hours?

A

Go back to the pharmacy for another dose

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14
Q

At which point during the menstrual cycle must EHC be taken?

A

At any time

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15
Q

At what age OTC Levonelle licensed?

A

Over 16

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16
Q

At what age is EllaOne Licensed?

A

No limit

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17
Q

If a patient you suspect to be pregnant requests EHC, what must you do?

A

Refer

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18
Q

Can EHC be supplied to a representative?

A

Yes but you must speak to the patient on the phone

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19
Q

Can EHC be supplied in advance?

A

No

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20
Q

If a patient at which age requests EHC, safeguarding should be considered

A

Younger than 13, cannot legally consent

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21
Q

At what dose is orlistat available OTC?

A

60mg capsules

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22
Q

Orlistat can be supplied to patients at which age?

A

> 18

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23
Q

Orlistat can be supplied to patients at which BMI?

A

> 28

24
Q

If a patient requests orlistat and is on which medicines, do you refer? (6)

A
  1. Antihypertensives / Cholesterol
  2. Amiodarone
  3. Ciclosporin
  4. Warfarin and anticoagulants
  5. Levothyroxine
  6. Antiepileptics
25
Q

Patients requesting orlistat with which other comorbidities should be referred?

A
  1. Diabetes
  2. Hypertension
  3. Chronic malabsorption
  4. Cholestasis
  5. Pregnant or breastfeeding
26
Q

How long should treatment with OTC orlistat not exceed?

A

6 months

27
Q

What may orlistat impair the absorption of?

A

Fat-soluble vitamins

28
Q

What is tranexamic acid licensed for OTC?

A

Heavy bleeding during periods

29
Q

After how long should patients notice a difference after taking orlistat?

A

12 weeks

30
Q

After how long on OTC tranexamic acid with no difference should patients be referred?

A

3 cycles

31
Q

Which patients requesting tranexamic acid should be referred? (6)

A
  1. History of convulsions
  2. Taking oestrogen/tamoxifen
  3. Taking warfarin or other anticoagulants
  4. Breastfeeding
  5. Taking oral hormonal contraception
  6. Irregular periods
32
Q

When should tranexamic acid be taken?

A

Only once the heavy bleeding has started

33
Q

What is the dose of tranexamic acid?

A

500mg TDS

34
Q

What is the dose of orlistat?

A

60mg TDS

35
Q

How long can treatment with tranexamic acid be per cycle?

A

4 days

36
Q

At what age are OTC PPIs licensed?

A

Over 18

37
Q

After how long should you refer patients on OTC PPIs?

A

2 weeks

38
Q

What can PPIs mask the symptoms of?

A

Gastric cancer

39
Q

In which patients should you think about referring if they are asking for OTC PPIs due to the risk of gastric cancer?

A

Over 55

40
Q

How long do PPIs take to work?

A

3-4 days

41
Q

What lifestyle advice can you give to people experiencing dyspepsia? (5)

A
  1. Weight loss
  2. Smaller meals
  3. 3-4 hours between meals
  4. Propping up the head of the bed
  5. Avoiding things that trigger their GI irritation
42
Q

At what age can tamsulosin be supplied OTC for BPH?

A

45-75

43
Q

How long should the patient have been experiencing symptoms of BPH before you can supply OTC tamsulosin?

A

3 months

44
Q

What are the symptoms of BPH? (5)

A
  1. Incomplete bladder emptying
  2. Nocturises
  3. Difficulty urinating
  4. Straining
  5. Weak flow
45
Q

What is the initial supply you can make of tamsulosin?

A

2 weeks

46
Q

After making the initial 2 week supply of tamsulosin and the patient has an improvement, how many more weeks can you supply?

A

Further 4 more weeks

47
Q

After 6 weeks of OTC Tamsulosin, what must the patient do?

A

Have a review with their doctor so they can confirm that it is alright for the patient to keep having the treatment

48
Q

When should tamsulosin be taken?

A

1 cap at the same time, after the same meal each day

49
Q

How often should a patient being treated with OTC tamsulosin have a review with their doctor?

A

every 12 months

50
Q

What are the side effects of tamsulosin?

A
  1. Dizziness
  2. Weakness
  3. Drowsiness
51
Q

At what age can you supply sumatriptan OTC?

A

18-65

52
Q

Can OTC sumatriptan be supplied without previous diagnosis?

A

No, must be diagnosed to have migraines by pharmacist or doctor

53
Q

If the patient has not tried any other treatment for their migraines, can sumatriptan be supplied?

A

No, simple analgesia has to have been proven ineffective

54
Q

What is the dose of sumatriptan?

A

1 tablet on onset per attack, no further tablets for the same attack

55
Q

After a patient takes their does of sumatriptan, how soon after can they feel an effect?

A

30 minutes

56
Q

What are the referral criteria for sumatriptan? (4)

A
  1. First migraine in over 50
  2. Headache >24 hours
  3. Sensitivity to sulfonamides
  4. Taking COC and they have gotten worse

GPhC BNF (48 decks)

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