Communication Information

Question 1

anti hypertensive in pregnancy

Answer 1

labetalol first line, ACEi teratogenic

Question 2

SE tamoxifen

Answer 2

incr risk of endometrial cancer. incr efficacy of warfarin so incr INR. common side effect hot flushes. incr risk of VTE

Question 3

which diabetes medication has a high risk hypoglycaemia

Answer 3

sulphonylureas (gliclazide). increases insulin production, take in morning with breakfast. dont give at night as can get nocturnal hypoglyaemia

Question 4

what is a big risk of metformin

Answer 4

lactic acidosis

Question 5

what should you never prescribe when taking methotrexate

Answer 5

folate antagonists- trimethoprim, co trimaxazole as it increases the methotrexate effect. use folic acid alongside to limit toxicity to bone marrow.

Question 6

long term use of steroids does what to the risk diabetes

Answer 6

increases the risk

Question 7

what should you prescribe if taking steroids for >3m

Answer 7

bisphosphonates- risk osteoporosis

Question 8

citalopram SE

Answer 8

makes more photosensitive

Question 9

serotonin syndrome

Answer 9

agitation, temp, hallucinations

Question 10

should you have food when having bisphosphonate

Answer 10

no- avoid for 2 hours as it decreases absorption. tablet swallowed with glass of water and remain upright for 30 mins which minimises gastric SEs. dont take with calcium salts (adcal D3) at same time of day