OTC Treatments

Question 1

For ‘stop smoking’, patients should be advised to ‘stop in one go’ rather than taper down.
True or False?

Answer 1

True

Question 2

Drug Treatment for Nicotine Addiction

-Nicotine replacement therapy (NRT)
-Varenicline
-Bupropion

These drugs can be offered alongside behavioural support.
Most effective treatment option is varenicline, or a combination of long-acting NRT (transdermal patch) and short-acting NRT (lozenges, gum, sublingual tablets, inhaler, nasal spray and oral spray).
-If inappropriate, offer bupropion or a single therapy NRT instead.

Question 3

How long are nicotine transdermal patches usually applied for?

Answer 3

16 hours per patch

Question 4

When would decongestant tablets be contraindicated?

Answer 4

In patients with taking antihypertensives

Question 5

What would be the appropriate dose of 120mg/5ml calpol solution for a 6-24 month old?

Answer 5

5ml up to QDS

Question 6

What would be the appropriate dose of 120mg/5ml calpol solution for a 2-4 year old?

Answer 6

7.5ml up to QDS

Question 7

What is the age limit for Daktarin oral gel?

Answer 7

4 months +

Question 8

What are milia?

Answer 8

Also known as milk spots, they are small, white cysts on your skin. Most commonly seen on the face- harmless.

Question 9

What is molluscum contagiosum?

Answer 9

Harmless infection that causes small dimpled spots to appear on the skin- raised and dome-shaped with a shiny white dimple in the middle.

It is contagious, and most commonly seen in children.

Question 10

What is the age restriction on the supply of Allevia (fexofenadine) OTC?

Answer 10

Not for under 12s

Question 11

What are the symptoms of blepharitis?

Answer 11

Skin flakes around the eyelashes
Watery eyes

Question 12

Paracetamol (120mg/5ml) Dosing (all every 4 hours)

2-3 months (if over 4kg): 2.5 ml
3-6 months: 2.5ml
6-24 months: 5ml
2-4 years: 7.5ml
4-8 years: 10ml
8-10 years: 15ml
10-12 years: 20ml

Pyrexia following immunisation at 2/3/4 months: 2.5ml , no more than 4 doses in 24h.

Answer 12

.

Question 13

Ibuprofen (100mg/5ml) Dosing- All TDS

3-6 months (over 5kg): 2.5ml
6 months-1 year: 2.5ml (can be TDS-QDS)
1-4 years: 5ml
4-7 years: 7.5ml
7-12 years: 10ml

Post-immunisation fever: 2.5ml, then a further 2.5ml six hours later if necessary. No more than 2 doses in 24 hours; if fever not reduced, call a doctor.

Answer 13

.

Question 14

What are some symptoms of uveitis?

Answer 14

Eye pain
Photophobia
Cloudy vision
Small shapes moving across the field of vision

Question 15

How does shingles present?

Answer 15

Tingling/painful feeling in an area, followed by a rash. Rash appears as blotches, on one side of the body only; then becomes itchy and oozes fluid

Question 16

What is urticaria?

Answer 16

Hives- features as an itchy, raised rash due to a reaction to food, pollen, insects etc