Common prescriptions

Question 1

URTI common prescriptions

Answer 1

• Paracetamol tablet 500mg PO q.i.d.
• Chlorpheniramine tablet 4mg (Piriton®) PO Q4-6h (max. 24mg/d)
• Loratadine tablet 10mg PO q.d.

Question 2

GERD and PUD

Answer 2

PPI * Esomeprazole 20mg tablet PO b.d. x 4-8 weeks * Lansoprazole 30mg tablet PO b.d. x 4-8 weeks * Pantoprazole 40mg tablet b.d. x 4-8 weeks

H2RA * Famotidine 40mg tablet PO q.d. x 4-8 weeks, taken at night * Ranitidine 150mg tablet PO b.d. x 4-8 weeks * Ranitidine 300mg tablet PO q.d. x 4-8 weeks, taken at night

Question 3

Constipation

Answer 3

• Bulk Laxatives: Methylcellulose 500mg tablets PO 3-6 tablets b.d.
• Osmotic Laxatives: Lactulose 680mg/ml solution PO 15ml b.d.
• Stimulant Laxatives: Bisacodyl 5-10mg tablet q.d., taken at night

Question 4

Acute cystitis

Answer 4

• Cotrimoxazole (160/800) 960 mg tablet PO b.d. x 3 days
• Ciprofloxacin 250mg tablet PO b.d. x 3 days
• Nitrofurantoin 50mg tablet PO q.i.d. x 3-7 days
• Phenazopyridine 200mg tablet PO t.d.s (Note ADR: Red urine) x 1-2 days

Question 5

Candidiasis

Answer 5

• Clotrimazole 10% cream 1 applicator intravaginal once daily at night
• Clotrimazole 200mg pessary intravaginal x 3 nights (or 100mg x 6 nights)

Question 6

LUTS

Answer 6

• Alfuzosin 10mg (modified release) tablet PO q.d.
• Tamsulosin 500ug (modified release) tablet/ capsule PO q.d.
• Oxybutynin 5mg tablet PO b.d. or t.d.s up to q.i.d.
• Finasteride 5mg tablet PO q.d.

Question 7

Acute otitis media

Answer 7

• Paracetamol 250-500 mg tablet PO qid. p.r.n. (Dose by weight in children <3yo)
• Ibuprofen 200-400 mg tablet PO qid. p.r.n.
• Coamoxiclav (Augmentin) 250mg/125mg 1 tab PO TDS for (duration)

Question 8

Depression

Answer 8

Fluoxetine 20mg tablet PO q.d. x 6 months
Sertraline 50mg 1 tab PO q.d. for (duration)

Question 9

Sleep disturbance

Answer 9

• Zolpidem 10mg tablet PO q.d. x 4 weeks, taken at bedtime (half dose in elderly)
• Zopiclone 7.5mg tablet PO q.d. x 4 weeks, taken at bedtime (half dose in elderly)

Ramelteon: 8mg PO tablet q.d. nocte, 30 mins before sleep

Question 10

Anxiety

Answer 10

-Fluoxetine 20mg tablet PO q.d. x 6 months
-Lorazepam 1mg tablet PO q.d. taken at bedtime (up to 2mg q.d.)
- Escitalopram 10mg tablet PO q.d. (om or nocte)

Question 11

MSK issues

Answer 11

• Ibuprofen 200mg PO q.i.d. prn (max 1200mg/ day)
• Diclofenac 75-100mg tablet PO q.d. in 2-3 divided doses
• Indomethacin 150-200mg (immediate release) tablet PO q.d. in divided doses
• Indomethacin 75mg (modified release) tablet PO q.d. or b.d.
• Celecoxib 200mg tablet PO q.d. x 2 weeks
• Tramadol 50-100mg (modified release) tablet PO Q4-6h (max. 400mg/d)

Question 12

Hypertension

Answer 12

Losartan 50mg 1 tab PO q.d. for (duration)

Metoprolol 100 mg 1 tab PO q.d. for (duration)

Amlodipine 5mg 1 tab PO q.d. for (duration)

Question 13

Thyrotoxicosis

Answer 13

Propranolol 40mg 1 tab PO TDS for (duration)

Question 14

Hyperlipidemia

Answer 14

Simvastatin 20mg 1 tab PO OD for (duration)

Question 15

DM

Answer 15

Metformin MR 500mg 1 tab PO OD for (duration)

Gliclazide (Diamicron) MR 30mg 1 tab PO OD for (duration)

Dapagliflozin 10mg 1 tab PO OD for (duration)

Question 16

Bacterial Infection

Answer 16

Coamoxiclav (Augmentin) 250mg/125mg 1 tab PO TDS for (duration)

Azithromycin 500mg 1 tab PO OD for (duration)

Azithromycin 1g 1 tab PO once

Nitrofurantoin 50mg 1 tab PO QID for 3-7/7

Question 17

Fungal infection

Answer 17

Clotrimazole (Canestan) 1% cream sparingly to (affected area) TDS for (duration)

Question 18

Eczema

Answer 18

Hydrocortisone 1% cream sparingly to (affected area) BD for (duration)

Mometasone 0.1% ointment sparingly to (affected area) OD for (duration)

Question 19

Allergic rhinitis

Answer 19

Fluticasone (Avamys) 27.5mg/spray 1 spray each nostril OD for (duration)

Antihistamines

Chlorpheniramine (Piriton) 4mg 1 tab PO QID PRN for (duration)
Loratadine 10mg 1 tab PO OD PRN for (duration)

Question 20

Migraine

Answer 20

Sumatriptan comes as:

50mg and 100mg tablets
3mg and 6mg pre-filled syringes
a 10mg and 20mg nasal spray

Oral: 300mg max in 24 hours. Space 2 hours between 1st and 2nd dose
Syringe: 12mg max
Nasal spray: 40mg max

Question 21

Asthma

Answer 21

Salbutamol
MDI
100mcg per puff
2 activations/ puffs per time
3-4 times per day