Interactions

Question 1

Phenytoin role, interaction and interventions

Answer 1

Anti seizure medications
70% reduced absorption with EF as interacts with protein and calcium in feed

1h pre and post feed

Question 2

Carbamazepine role, interaction, intervention

Answer 2

Anticonvulsant (anti seizure) by decreasing nerve impulses….

Reduced absorption

Dilute with sterile water

Question 3

Warfarin role, interaction, intervention

Answer 3

Blood thinning (anti coagulant)
Treats and prevents blood clots

Treatment resistance due to increased vitamin K levels in feeds

1h pre and post feed

Question 4

Fluroroquinolones (antibiotics) e.g. cirproflaxacin role, interaction and interaction

Answer 4

Treats infections by killing bacteria

Reduced bioavailability as drug binds with ca mg and iron in the feed

1h pre and post feed

Question 5

PPI e.g. omeprazole role, interaction and intervention

Answer 5

Prolonged reduction of stomach acid production

Treatment of ulcer and heart burn (gord) and zollinger Ellison syndrome

Enteric coated granules cause clumping when mixed in water..

Mix with acid juice e.g. apple juice for EF

Question 6

Anti Parkinson’s disease e.g. levodopa, role, interaction and intervention

Answer 6

Manages PD symptoms by being converted to dopamine

Reduced absorption by high P diet and high P feeds

1h between feed dispensible tablets