Reclassified Medicines

Question 1

Fexofenadine - 120mg POM to GSL

Allevia

Answer 1

• 120mg
• Take ONE daily before food for seasonal allergic rhinitis

Licensed age 12+

Side effects - dizziness, drowsiness, headaches, nausea

Interacts with apple and orange juice, Dronedarone, tepotinib will increase exposure to fexofenadine

Question 2

Omeprazole - 20mg NOW GSL

Answer 2

20mg

One daily for short term relief heartburn symptoms associated with acid reflux

• 18 years + max treatment for 4 weeks

Side effects - Gi disturbances, headaches, dizziness, fatigues, long term PPI use = hypomagnesia amd Hyponatraemia

Cautions- Increased fracture risk in elderly, caution in osteoporosis, increase risk C diff, ,at mask symptoms of gastric cancer- reduces absorption of B12 with long term treatment

Interact with Atanavir, clopidogrel and coumarins

Question 3

Dyspepsia Red flags

Answer 3

Anaemia
Loss of weight
Anorexia
Recent onset of progressive symptoms - 55 years +
Malaena

( also includes persistent vomitting)

Question 4

Amorolifine - 5% POM TO P

Answer 4

Dose - apply to affected nail once weekly for mild cases of fungal infections associated with the nail

18+

Gi disturbances, headaches, dizziness, fatigues

Refer - peripheral circulatory disorder, diabetes, immunocompromised patients, patients with nail dystrophy and damaged nail plate, more than 2 nails affected

Interactions - None, use of nail varnish and artificial nails should be avoided

Question 5

Sumatriptan POM TO P

Answer 5

50mg
Take ONE tablet on onset of migraine,if migraine recurs. Take one tablet after at least 2 hours