Otc Flashcards
Referral points for constipation
Refer if patient has been constipated for more than 14 days or more than seven days for children
Terry red, black, bloody stools, constipation, accompanied by wait an appetite loss, constipation with me again without a cause of dry skin constipation in over 50 years old with a new me abdominal pain and weight loss
Moa of bulk forming laxatives
Swell up in the gut to increase faecal mass and so peristalsis is stimulated and encourage proliferation of colonic bacteria
How long does bulk forming laxatives take to reach full effect?
2 to 3 days side-effects, flatulence, abdominal pain, safe in pregnancy and breastfeeding
Fybogel age
Over 6 years of age
Counselling advice for bulk forming laxatives
Must drink plenty of water when taking bulk forming laxative not to take before bed due to risk of oesophageal and intestinal obstruction
Moa of osmotic
Retain fluids in the bowl by osmosis
How long does it take for osmotic to work?
2-3 days to work
Safe in pregnancy and breastfeeding flatulence abdominal pain collic
Moa of stimulant laxatives
Increase motility by stimulating peristalsis
How long does it take for a stimulant laxative to work?
Effect can be achieved within 6 to 12 hours or within an hour, if applied as a suppository side-effects, abdominal pain, hyperkalaemia, avoiding pregnancy and breastfeeding
Moa of stool softeners
Decrease surface tension and increase penetration of intestinal fluids. Takes up an hour to work on a plan as a suppository.
Docusate and glycerol
Have a stimulant and stool softener properties
Biscadoyl
Counselling
Should not be taken with antacids and milk at the same time as the Internet courting can be broken down, cotton dyspepsia and gastric irritation
Referral points for diarrhoea
Babies under 12 months, if a child stops breast or bottlefeeding if a child under 5+70, her dehydration such as for your wet nappies, if the child is over five years old, but still showing signs of dehydration after you think I will rehydration sachets if diary process for more than seven days bloody diarrhoea, unable to drink fluids. Change in bowel habits in 50 years and above with concurrent weight loss.
Age for loperamide
12 years
Dose for loperamide
Two tablets initially, and then one tablet to be taken after each loose stool maximum 16 mg a day eight tablets, not suitable for pregnancy and breastfeeding
Bismuth salicylate age
> 16 years of age
Bismuth in P & breastfeeding
No
Interaction between pepto bismol
Quinolone antibiotic leave a two hour gap
Dose for pepto bismol
30ml or two tablets every 30 to 6 minutes when needed maximum eight tablets a day
Bismuth sub salicylate cancelling
Can result in salsalate absorption should be avoided by individuals hypersensitive to aspirin
Difference between heartburn and indigestion
Heartburn is burning pain and discomfort in the stomach all the way up to the oesophagus. Indigestion refers more to the pain from the chest to the upper abdominal and lower abdominal symptoms.
Referral for heartburn and indigestion
Anaemia, loss of weight anorexia and pain radiates to the back and the arms difficulty swallowing drugs which causes heartburn new or recently change symptoms in over 55 years of age, 4 weeks jaundice, severe liver, liver, disease and children
Antacids age
> 12 years old
Alignates age
> 12 years of old
Gaviscon >6 years old
H2 antagonists counselling
Can we recommended for short-term 14 days only license +16 years old can be used in pregnancy and breastfeeding

PPI counselling
14 days only license for 18 years old and above can mask symptoms of gastric cancer over 55 years of range. NHRA running very low risk of subacute lupus
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Mebeverine age
18 +
Orlistat counselling
18 years over and over with a BMI of 28 kg or more should be taken in conjunction with a low-fat Miley hypercaloric diet
Referral for orlistat
Diabetes not recommended for Accra boss American only required dose. Adjustment antiepileptic risk of convulsions people with chronic malabsorption syndrome, colour status, Conqueror treatment with ciclosporin or warfarin, pregnant or breastfeeding, a rectal bleeding while taking Orlistat
Counselling for Orlistat
Treatment should not exceed six months, if patient has not been able to lose weight after 12 weeks of treatment
Dose for Orlistat
One capsule, three times a day taken with water immediately before or during up to 1 hour after each main meal. If the meal contains no fat in the dose should be omitted.
Interactions with Orlistat
May reduce availability of oral contraceptives, ADEK, fat, soluble, vitamins, . patient should be referred with amirodone, oral anticoagulant, acrabose , antiepileptic, ciclosporin levothyroxine.
Referral for haemorrhoids
unresponsive to 1 week of otc treatment symptoms longer than three weeks
Anusol hc age
> 18 not to be is longer than a week’s duration for a maximum four times a day
Astringents age
> 12
Referral for mouth ulcers
No signs of healing for more than 14 days to 3 weeks if also more than 1 cm in diameter, persistent recurrent diarrhoea weight loss is present painless ulcers
Hydrocortisone buccal tablets age
> 12
Bonjella-O, Junior, age
Five months to 16 years old