MHRA Warnings Flashcards
Omega 3 MHRA Warning - which pt to avoid in?
Avoid in AF patients as increases risk
Dose: over 1mg tends to be high risk
So counsel 1 1mg od not any more!
Signs: Palpitations, Tachycardia,
Pseudoephedrine MHRA warning?
Risk of Encelopathy:
- Cognitive symptoms: Confusion, headache
-Kidney issues
Finasteride 1mg MHRA warning?
Psychiatric disorder or Erectile Dysfunction
Montelukast MHRA warning?
Psychiatric side effects - Depressed don’t give
Topiramate MHRA Warning? And can now be used in which condition?
PPP - Can lead to cleft
Topirimate can now be used in prophylaxis of migraines
Warfarin and Tramadol interaction MHRA warning?
Increases INR thus increases bleeding risk
Epimax ointment MHRA warning?
Avoid Eyes and even face - can cause ocular injury!
Fluoriquinol MHRA warning?
Avoid unless LAST OPTION then give
Due to QT prolongation - heart effects
Sodium Valproate MHRA?
Full pack dispensing
Under 55 year old male/female can’t be given unless two specialists decide
Male pt who may be fathering soon, contraception during treatment and at least 3 months after
Hycoscine Hydrobromide MHRA warning?
With Hycoscine Hydrobromide patches - Risk of severe anticholinergic side effects
Nitrofurantoin MHRA warning?
Risk of Hepatotoxicity and Pulmonary
Quinolones MHRA warning?
Risk of suicidal Thoughts + behaviours
MHRA warnings DOACS?
Dose adjustments needed in Renal pts
Febuxostat MHRA warning?
Pts with CVD history - Caution
MHRA Methotrexate warning?
Photosensitivity - Caution in sun
