Dysmenorrhoea Flashcards
1
Q
Symptoms of Dysmenorrhoea
A
- lower abdominal cramps (begins day before period and lasts 2 to 3 days)
Associated Symptoms
- back pain
- nausea
- diarrhoea
- fatigue
2
Q
Dysmenorrhoea referral
A
- secondary Dysmenorrhoea
- pain increases on onset of (uteral substance discharge)
- women >30 years with new or worsening symptoms
3
Q
Dysmenorrhoea referral part 2
A
- vaginal bleeding (post menopause)
- oral contraceptive use
- intermenstrual pain and bleeding
- pain with late period
- presence of fever
4
Q
First Line OTC treatment
A
Ibuprofen (12+)
5
Q
Second Line OTC treatment
A
Naproxen (Pharmacist only medication) (15 to 50 years)
Feminax Ultra
6
Q
Dose of Naproxen
A
- TWO 250mg tablets at first
- ONE 250mg 6 to 8 hours later if needed
Max TDS
Max 3 days in one month
7
Q
Naproxen counselling
A
swallow whole with water after food
8
Q
Cautions with Naproxen
A
Asthma
9
Q
Naproxen contraindications
A
- GI events (peptic ulcers, GI bleeding)
- severe heart failure/ liver disease
- previous stroke
- anticoagulants
- NSAID hypersensitivity
- pregnancy
10
Q
Why is previous stroke an NSAID contraindication
A
because NSAIDS cause cardiovascular events
11
Q
Other OTC products
A
Anti-muscarinics
- Hyoscine Hydrobromide (buscopan) (6+)
Anti-spasmodics
- Alverine (spasmonal) (12+)
12
Q
Dysmenorrhoea advice
A
- hot water bottle
- exercise
- acupuncture
- dietary supplements
- tens machine (nerve stimulation)
