Prescriptions - SDCEP Flashcards
Bacterial inf -1st line
Amoxicillin
Phenoxymethyloenicillin
Metronidazole = PENICILLIN ALLERGY
Amoxicillin capsules 500mg
send: 15 capsules
label: 1 3x daily for 5 days
for children >5yr same
Phenoxymethylpenicillin tablets 250mg
send: 40tablets
label: 2 tblets 4x daily for 5 days
for children >6yr same
Metronidazole tablets 200mg
send: 15 tablets
label: 1 tablet 3x daily for 5 days
for children >10yr same (half if younger)
Bacterial inf - 2nd line what are they effective against? Clindamycin Co-amoxiclav Clarithromycin
Clindamycin - gram +ve cocci/penicillin resistant staph (cause AB associated colitis)
Clindamycin capsules 150mg
send: 20 capsules
label: 1 cap 4x daily with water for 5 days
>12 as for adults
Co-amoxiclav - beta-lactamase producing bacteria, amoxicillin resistant, severe odontogenic inf, cellulitis
BROAD SPEC AB - C.DIFFICILE RISK
Co-amoxiclav 250/125 tablets
send: 15 tablets
label: 1 tablet 3xdaily for 5 days
>12 as for adults
Clarithromycin - beta-lactamase producing bacteria
BROAD SPEC AB - C.DIFFICILE RISK
Clarithromycin 250mg tablets
send: 14 tablets
label: 1 tablet 2x daily
>12 as for adults
ANUG and pericoronitis prescription
metronidazole
amoxicillin
Metronidazole tablets 200mg
send: 9 tablets
label: 1 tablet 3x daily for 3 days
>10yr same
Amoxicillin capsules 500mg
send: 9 capsules
label: 1 capsule 3x daily for 3 days
Sinusitis prescription
Ephedrine nasal drops - contraind
Amoxicillin
Doxycycline - contraind
Ephidrine nasal drops 0.5% send: 10ml label: 1 drop into each nostril <3x daily as required >12yr as for adults NOT FOR HYPERTENSIVE PATIENTS
Amoxicillin capsules 500mg
send: 21 capsules
label: 1 capsule 3x daily for 7 days
>5yr as for adults
Doxycycline capsules 100mg
send: 8 capsules
label: 2 on day 1, 1 capsule daily for 7 days
NOT FOR CHILDREN <12yr - intrinsic staining
INTERACTS WITH WARFARIN
Fungal inf - pseudomembranous/erythematous candidosis (Denture stomatitis)
Fluconazole
Miconazole
Nystatin
Fluconazole capsules 50mg
send: 7 capsules
label: 1x daily for 7 days
INTERACTS WITH STATINS/WARFARIN
Miconazole oromucosal gel 20mg/g
send: 80g tube
label: apply pea sized amount after food 4x daily
INTERACTS WITH WARFARIN/STATINS
Nystatin oral suspension 100,000 u/ml
send: 30ml
label: 1ml after food 4x daily for 7 days
Angular chelitis
miconazole cream
sodium fusidate ointment
unresponsive
Miconazole and hydrocortisone cream
Miconazole and hydrocortsone ointment
Miconazole cream(2%)
send: 20g tube
label:apply to angles of mouth 2x daily
NOT FOR WARFARIN/STATIN PATIENTS
Sodium flusidate ointment 2%
send: 15g tube
label: angles of mouth 4x daily
Miconazole 2% / Hydrocortisone 1% cream
send: 30g tube
label: apply to angles of mouth 2x daily
NOT FOR WARFARIN/STATINS PATIENTS
Miconazole 2% / Hydrocortisone 1% ointment
send: 30g tube
label: apply to angles of mouth 2x daily
NOT FOR STATINS/WARFARIN PATIENTS
Herpes simplex virus
CHX mw
Hydrogen peroxide mw
immunocomp
Aciclovir tablet and aciclovir cream
CHX mw 0.2%
send: 300ml
label: rinse mouth for 1min with 10ml 2x daily
Hydrogen peroxide mw 6%
send: 300ml
label: rinse mouth for 2 min with 15ml diluted with warm water 3x daily
Immunocomp/severe inf Aciclovir tablets 200mg send: 25 tables label: 1 tablet 5x daily >2yr same as adults
Aciclovir cream 5%
send: 2g
label: appply to lesion every 4 hrs for 5 days
Herpes zoster (shingles treatment pack)
Aciclovir tablets 800mg
send: 35 tablets
label: 1 tablet 5x daily
odontogenic pain
- paracetemol
- ibuprofen
- aspirin
- diclofenac sodium
paracetemol tablets 500mg
send: 40 tablets
label: take 2 tablets 4x daily (4g max)
ibuprofen tablets 400mg
send: 20 tablets
label: 1 tablet 4x daily (2.4g max)
Aspirin dispersible tablets 300mg
send: 40 tablets
label: 2 tablets 4x daily (max 4g)
diclofenac sodium tablets 50mg
send: 15 tablets
label:1 tablet 3x daily (max 150mg)
AVOID FOR PATIENTS WITH CVD
if patient needs odontogenic pain relief stronger than paracetemol but has history/current PUD
NSAID prescription, prescribe PPI also
-Lansoprazole
-Gastroresistant omeprazole
Lansoprazole capsules 15mg
send: 5 capsules
label; 1 capsule 1x daily
Gastro-resistant omeprazole capsules 20mg
send: 5 capsules
labela; 1 capsule daily
oral ulceration/mucosal inflammation - analgesics
- benzydamine mw
- benzydamine oromucosal spray
- lidocaine ointment
benzydamine mw 0.15%
send: 300ml
label: rinse 15ml every 1.5hrs
benzydamine oromucosal spray 0.15%
send: 30ml
label: 4 sprays affected area every 1.5hrs
lidocaine ointment 5%
send: 15g
label: rub sparingly on affected area
oral ulceration/mucosal inflammation - topical corticosteroids
- beclometasone inh
- betamethasone tablets
- hydrocortisone oromucosal tablets
beclometasone inh 50mg
send: 1 dose 200mg unit
label: 1-2 puffs 2x daily
betamethasone tablets 500mg
send: 100 tablets
label: 2 tablets in 20ml water, rinse for 2 min 2x daily
Hydrocirtisone oromucosal tablets 2.5mg
send: 20 tablets
label: 1 tablet dissolved next to lesion 4x daily
