flashcard pharmacist revision
levythyroxine how do you have to take it
empty stomach before food or other meds
mebeverine consuellign hwat do you have to do
take just before food -20mins
drugs that cause diarrhoea - CALM D
colchine, abx, laxatives, magnesium cotnrinaing antacides and digoxin
drugs cause constipation
aluminium, antimuscariins, antihistamines, antiepileptics, verapamil, opiates, clozapine
three aromotase inhibitors
letrozole
exemestane
anastrozole
side effects of armotase inhibitord - aromatase
alopecia
reduced memory
OP
mood change
arthralgia
taste altered
appetite decreased
skin reactions
excess sweating
levythryroxine usual start dose and what are its available strengths
1.6mcg/kg
cardiac or elderly 25-50mcg
only comes in 12.5,25,50,75,100
primary prevention risk statin -20mg for what groups
QRISK over 10 with DM , age 84
eGFR under 60 or albuminuria
secondary prevention atorvastatin of 80mg who needs to be on this
ACS
angina
CHD
stroke/tia
omeprazole moa
irreversibly bind to and inhibt hydrogen potassium atpase pump also known as the proton pump
can also reduce stomach acid after 5 days
side effect of PPI
OP
c diff risk
reduced b12 absorption
Subcutaneous lupus erthematous
low MG ( after 1 yer) , low sodium
dyspepsia usual maintaince dose
lansoprazole 30mg OD (omepraole 20) - use L
H pylori usual dose ppi
lansoprazole 30mg OD
what should you avoid PPI with
clopidogrel - with omeprazole - reduces clop
methtrexate
citalopram - increases level
warfarin - increased warfarin so monitor INR
ADR of salbutamol - pneumonic the name
shaky hands - tremor
arrhythmias
lactic acidosis
bronchospasm
unstable diabetes - hyperglycaemia
throat irritation
anxiety
muscle cramp
oral irritation
lightheaded - dizzy
dose of asthma salbut neb
2.5mg
why do you mix saline soluton in with nebuliser
to ease cough associated with tenacious secreations