counselling points

Question 1

Aminosalicylates (mesalazine, olsalazine, sulfasalazine)

Answer 1

Blood disorders- report any unexplained bruising/ bleeding/ sore throat/ fever/ malaise

Question 2

Specific for sulfasalazine

Answer 2

may stain soft contact lenses

Question 3

Ispaghula husk (fybogel)

Answer 3

swells in contact with water- take with water,
do not take right before bed
full effect may take a few days

Question 4

Prucalopride

Answer 4

dizziness and fatigue may affect your ability to drive

Question 5

liquid parafin

Answer 5

do not take immediately before bed

Question 6

glycerol suppositories

Answer 6

moisten suppository with water prior to insertion

Question 7

Pancreatin

Answer 7

ensure adequate hydration esp if high dose

Question 8

Ursodeoxycholic acid

Answer 8

avoid excessive cholesterol and calories

Question 9

Betamethasone with clioquinol

Answer 9

stains clothing

Question 10

Antiarrythmics

Answer 10

ay affect ability to drive

Question 11

AMIODARONE

Answer 11

Phototoxicity reactions- shield skin from sun damage during treatment and for severe months after discontinuation
Corneal micro deposits - blurred vision may affect ability to drive

Question 12

Amiodarone with sofosbuvir

Answer 12

recognise signs and symptoms of bradycardia and heart block- seek immediate medical attention if SOB, lightheadedness, palpitations, waiting, tiredness and chest pain

Question 13

Dronedarone

Answer 13

Heart failure- seek immediate med attention for weight gain, dependent oedema, dyspnoea
Hepatic disorders- signs and symptoms of liver disorder- seek immediate attention for abdominal pain, anorexia, nausea, vomitting, fever, malaise, itching, dark urine, jaundice

Question 14

apixaban, edoxaban, rivaroxaban

Answer 14

Alert card should be kept on person at all times

Question 15

Dabigatran

Answer 15

contact doctor if GI symptoms like dyspepsia
Alert card- keep on person at all times
Missed dose= 6h late - skip and take next dose at normal time

Question 16

Warfarin

Answer 16

anticoagulation book should be issued and include advice for patients on anticoagulant treatment and INR monitoring readings
alert card should be kept on you at all times

Question 17

Phenindione

Answer 17

may turn urine pink/ orange
anticoagulant card kept on person at all times

Question 18

Clonidine, methyldopa

Answer 18

drowsiness may affect ability to drive,
effect of alcohol may be enhanced

Question 19

ACEis

Answer 19

take first dose before bedtime

Question 20

Riociguat

Answer 20

smoking cessation is advised- as smoking can reduce efficacy

Question 21

Iloprost

Answer 21

increased risk of diziness- may affect ability to drive

Question 22

Midodrine

Answer 22

report symptoms of supine hypertension (like chest pain, palpitations, SOB, headache, blurred vision) immediately. Risk of supine hypertension at night may be reduced by raising the head of the bed

Question 23

Colesevelam, colestipol, colestyramine

Answer 23

avoid taking other drugs at the same time

Question 24

Statin

Answer 24

Report promptly Andy unexplained muscle pain, tenderness or weakness

Question 25

Nicorandil

Answer 25

Do not drive or operate machinery until its effect is established that performance isn't impaired

Question 26

Epipen

Answer 26

advise on use before supply At the first signs of anaphylaxis- use epipen, call 999 and say 'anaphylaxis', use second epipen if no improvement after 5 mins lie down or sit up with legs elevated if struggling to breath and lie down asap do not leave person alone

Question 27

Cilostazol

Answer 27

report unexplained bleeding/ bruising. sore throat/ fever

Question 28

Ipratropium bromide (atrovent)

Answer 28

avoid contact with eye as can cause ocular toxicity increased risk of dizziness and vision disorders can affect ability to drive

Question 29

Tiotropium (braltus, spiriva)

Answer 29

Respimat inhaler carftrige is reusable and can be replaced 6 times before needing a replacement Remind that capsules are not for oral administration

Question 30

Beta 2 adrenoreceptor agonists (formoterol, olodaterol, salmeterol, salbutamol, terbutaline)

Answer 30

dose, frequency, and max doses in 24 hours should be explained seek medical attention if prescribed dose is not provided relief as indicated worsening of symptoms

Question 31

Salmeterol

Answer 31

Not for acute attacks- do not exceed prescribed dose

Question 32

Salbutamol, terbutaline

Answer 32

should provide relief for about 3 hours do not exceed prescribed dose- especially important for news as doses are much higher than inhaler

Question 33

ICS

Answer 33

Steroid emergency card for - adrenal supression - belometasone dose higher than 100mcg/ day - fluticasone 500mcg/ day

Question 34

Montelukast

Answer 34

Neuropsychiatric reactions- seek medical attention if changes in speech or behaviour occur

Question 35

Antihistamines

Answer 35

Drowsiness may affect ability to drive sedating antihistamines- effect enhanced by alcohol

Question 36

Ivacaftor

Answer 36

6h= missed dose- skip and onto next at normal time dizziness may affect ability to drive