MSU in practice

Question 1

what is the role of the pharmacist for OA?

Answer 1

recognize presentation
patient education on managment- pharmacological and non-pharmacological
signposting to appropiate support and advice
medication review
advise to other HCPS regarding optimal treatment
lifestyle advice
surgery and practial points

Question 2

what is the treatment aims of OA?

Answer 2

• Reduce pain & stiffness
• Maintain/improve functional capacity 
including ability to work 
• Prevention of progression of joint damage
• Improve quality of life

Question 3

what is the analgesia summary for OA?

Answer 3

paracetamol still 1st line, but awaiting
guidance review due to ?effectiveness
• Topical NSAIDs
• Oral NSAIDs/Opioids
• Adjuncts e.g. capsaicin, intra-articular steroids

Question 4

what risks do you have to consider when prescribing NSAIDS in OA- what are the risks?

Answer 4

• Cardiovascular risk
• GI risk
• Renal risk

Question 5

what else would you need to consider for surgery ?

Answer 5

– Medications in the peri-op period
– VTE prophylaxis
– Post-op Analgesia
– Supportive therapies e.g. anti-emetics/laxatives