OTC Flashcards
What organism causes thrush
Candida albicans
Does thrush smell
No
What is different with the symptoms of thrush and bacterial vaginosis
Fishy smell and less itching
What suggests trichmonas vaginalis
Froth yellow green colour
Should you refer thrush that hadn’t previously been diagnosed?
Yes
How many thrush attacks is a referral symptoms
Two in six months
What age is OTC thrush treatment licensed for
16-60
Should you refer preg or bf women
Yes
Do things interact with fluconazole
Yes but rarely with a single dose
Does topical or oral antifungals improve thrush faster
Topical
Councelling for OTC thrust
Topical may affect diaphragms and condoms
Don’t have sex as this spreads infection
Two conditions where you can’t provide levonesterel
Chrons and conditions that might affect absorbtion
Liver dysfunction
What duration of cystitis is referal symptom
Two days
Is fever a referal symptom for cystitis ?
Yes
What are the dose directions of alkylating agents for cystitis ?
Tds for two days
Cautions for cystitis preparations
Sodium containing preparations can lead to fluid retention
Caution in hypertension , cv disease, impaired renal function, pregnancy, lithium,
Potassium preps - spironolactone, ACEi, heart and kidney disease
What are the two OTC cystitis salts
Potassium citrate
Sociumd carbonate
Difference in symptoms of primary and secondary menorrhagia
Secondary: Dull, continuous, diffuse abdo pain (as opposed to radiating crampy pain)
After birth of child
Discharge may indicate infection
Painful intercourse
Referal age for period pain
30
Referal symptoms for period pain
Abnormal discharge or bleeding
Pain worsening after start of mensturation
Pain with late period (ectopic pregnancy)
Pain for over 48 hours before start and after end of period
What strength of naproxen can be bought over the counter
250mg
Why do some period pain preparations have sedating anitihamines in the them?
Two examples
Muscle relaxant properties
And antiemetic effect
Diphenhydramine and doyxlamine
Does smoking help period pain
No - makes it worse
Who should you refer in terms of cycle duration etc
Anything that’s not 21-35 day cycles and more than three days variability
