Oral Medicine pre reading Flashcards

1
Q

Types of medicine used in oral medicine?

A

Antimicrobial
Topical steroids
Benzdamine mouthwash
Carbamazepine

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2
Q

Subsections of antimicrobials?

A

Antiviral
Antifungal
Antibiotics

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3
Q

Subsections of topical steroids?

A

Inhaled steroids
Steroid Mouthwash

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4
Q

Classifications of Medicine?

A

General Sales
Pharmacy Medicine
Prescription only
Controlled drugs
Medical devices

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5
Q

What are licensed medicine

A

Proven in evidence to MHRA to have efficacy + safety when treating specific condition at specific dose
-Usually clinical trial data
-Post license surveillance by MHRA

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6
Q

What are unlicensed medicine?

A

Not had evidence of efficacy submitted for specific condition
-could be licensed for different condition
- may be used by treating physician
- pt. must be informed that unlicensed
- pt. must be given PIL specific to condition

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7
Q

Example of licensed antiviral?

A

Aciclovir
Treats:
- primary herpetic gingivostomatitis
- recurrent herpetic lesions
- shingles

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8
Q

Examples of licensed antifungals?

A

Miconazole, Fluconazole, Nystatin
Treats:
- Acute pseudomembranous candidiasis
- acute erythematous candidiasis

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9
Q

Examples of unlicensed topical steroids?

A
  • Betamethasone MW
  • Beclomethasone Metered Dose Inhaler
    Treats:
  • apthous ulcers
  • lichen ulcers
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10
Q

Purpose of Medical devices?

A
  • Diagnosis, prevention, monitoring, treatment/alleviation of disease
  • Investigation, replacement, modification or support of physiological process
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11
Q

Examples of medical devices (saliva substitutes)?

A

Saliva orthana
Biotene oral balance
Glandosane

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12
Q

What should be considered before using medicine?

A
  • Clinical Indications
  • licensed or unlicensed
  • dose + ROA
  • Important warnings for pt.
  • drug interactions
  • Tx. duration + monitoring
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13
Q

Info required when writing prescription?

A
  • Name/ address/ age
  • DOB/CHI
  • Tx. duration
  • Drugs to be prescribed
  • Drug dose + formulation
  • Instructions on quantity dispensed
  • Instructions to be given to pt
  • signature
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14
Q

How long is prescription valid for?

A

6 months from date issued

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15
Q

Key info when writing prescription?

A
  • legible
  • no abbreviation
  • must be signed (law)
  • Same info for private
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16
Q

Advantages of written instructions on prescription?

A
  • stressed pt. may not remember
  • language issues
  • contact no. for pt
  • legal protection
17
Q

What advice should be given to pt on prescription?

A
  • Take drugs at correct time + finish course
  • Stop if unexpected reaction
  • Discuss side effects
  • keep medicine safe
18
Q

Systemic steroid risk

A

Adrenal suppression- steroid dependency
Cushingoid features
Osteoporosis risks
Peptic ulcer risks
Mood/sleep alterations/depression/mania

19
Q

What needs to be done before starting immune modulators

A

FBC
Electrolytes
BBV screen
Pregnancy test