General Practice Flashcards
1
Q
What is the treatment for stress incontinence?
A
- Pelvic floor muscle retraining
- Surgical procedures eg tape
- Duoloxetine in women if they decline surgery
2
Q
What is the treatment for urge incontinence?
A
- Bladder retraining
- Antimuscarinics (oxybutynin, tolteridone or darifenacin)
- Mirabegron if oxybutynin cannot be used (eg frail older women)
3
Q
Give examples of medications used to help with smoking cessation?
A
Nicotine replacement therapy
Varenicline
Bupropion
4
Q
What is varenicline?
A
A nicotine receptor partial agonist/
5
Q
What is bupropion?
A
A norepinephrine and dopamine reuptake inhibitor
6
Q
What are the common side effects of varenicline?
A
Nausea Headache Insomnia Abnormal Dreams - Use in caution in patients with a history of self harm/depression
7
Q
What medication is given to all patients over 75 who have had a fragility fracture?
A
Alendronate (without waiting for DEXA)
if the patient is younger than 75 she needs a dexa scan first to calculate a frax score