Genitourinary all else Flashcards
What is 1st line after pelvic floor exercises and lifestyle for urge incontinence
Antimuscarinics e.g. oxybutynin, solifenain,
What is a caution of mirabegron for urge incontinence?
QT prolongation and c/i in severe uncontrolled hypertension
What is first line for stress incontinence in women
duloxetine
What is 1st and second line for nocturnal enursis in children
- enuresis alarrms
- desmopressin in 5+
but avoid fluid overload including durign swimming and restrict fluids 1 hour before/until 8hours after taking
if a child taking desmopressin experiences diarrhoea or vomiting, what is advised
stop until it resolves / normal fluid balance resumed
What are main treatments fo urinary retention in men
alpha blockers e.g. tamsulosin, doxazosin, alfuzosin
Finasteeride
What are 3 key side effects of finasteride and associated MHRA warning
- male breast cancer and symptoms
2. suicidal thoughts/depression - MHRA ALERT- stop and report
is finastride teratognic? what is the advise for conception?
Yes
- use condoms if partner is likely to be pregnant/get pregnant as excreted in semen
- women of childbearing potential to not handle crushed/leaking
What is the supply age licensing for tamsulosin OTC
and the supply criteria
45-75
criteria:
- symptoms 3 or more months
- will give initial 2 week supply then further 4 weeks if improvement within that time
would need to see dr in 6 weeks to confirm
what are some referral points if a man is requesting tamsulosin?
blood in urine, pain in urination <3 months duration fever, systemic CVD/kidney/liver diabetic, prostate surgeries Scheduled surgery for glaucoma or cataracht
What are common s/e of sildenafil
Vasodilatory s/e e.g. fiushing, hypotension, headaches/migraine, nasal congestion, tachy, palpitations
What are key interactions of sildenafil
Nitrates
alpha blockes
CCBs
nicorandil
