Diarrhoea Flashcards
1
Q
acute diarrhoea drug tx
A
- usually settles w/o medication
- use oral rehydration therapy if needed
- if severe dehydration/can’t drink = IV fluids at hospital
2
Q
when to avoid drug tx?
drug tx if rapid control needed for diarrhoea
including traveler’s diarrhoea
A
- loperamide
- avoid if bloody or suspected inflammatory diarrhoea
3
Q
what is first line for patients with faecal incontinence
A
loperamide
4
Q
age limit in loperamide
OTC and POM
A
- OTC = 12 years+
- POM = 4 years+
5
Q
loperamide dose
A
- initially ONE to TWO doses (2-4mg) then ONE with every loose stool
- max EIGHT doses (16mg) per day
6
Q
MHRA warning of loperamide
A
serious cardiac reactions QT prolongation with high doses
7
Q
tx of loperamide overdose
A
naloxone
