Reclassification Guide

Question 1

what is the diagnostic sign for migraine

Answer 1

> 5 migraines a year

Question 2

what are the c/i for sumatriptan (4)

Answer 2

• MAOi/SSRI/TCA/tramadol/st johns wort (serotonin syndrome)
• heart disease/MI/TIA/HTN (vasoconstriction)
• hx of seizure
• recent use of CoC (PE/VTE)

Question 3

dosage for a migraine attack

Answer 3

50mg sumatriptan as migraine starts, 1 tab for 1 attack only. max 2 in 24hrs

Question 4

supply criteria for tamsulosin (age)

Answer 4

45-75 years

Question 5

after how long must a pt review with GP to obtain a further supply of tamsulosin

Answer 5

6 weeks

Question 6

after how long must a pt see a result in order to conti with tamsulosin

Answer 6

2 weeks

Question 7

UPA is not suitable for women who have taken CYP inducers in the last x period of time

Answer 7

4 weeks

Question 8

UPA and contraceptives

Answer 8

must avoid contraceptives for 5 days after taking UPA as reduced efficacy. Use a condom until the next period.

Question 9

dosage of UPA

Answer 9

30mg

Question 10

dosage of LNG

Answer 10

1500mcg

Question 11

can LNG be taken if taken CYP inducer in last 4 weeks

Answer 11

yes, double dose, two tab of 1500mcg LNG

Question 12

can UPA or LNG be taken more than once in the same cycle?

Answer 12

LNG yes

UPA no

Question 13

age restriction for LNG/UPA

Answer 13

UPA dont matter

LNG 16+

Question 14

weight and LNG

Answer 14

if >70kg, suggest IUD within 5days or 2 tab of LNG 1500mcg OFF LABEL use

Question 15

max duration fo use for orlistat

Answer 15

6 months max

Question 16

target weight loss for orlistat

Answer 16

0.5-1kg per week

Question 17

suitable BMI for use of orlistat

Answer 17

BMI >= 28

Question 18

max dose and duration for use of tranexamic acid

Answer 18

2x 500mg tabs TDS. max 8 tabs (4g) daily. for no more than 4 consecutive days.

Question 19

tranexamic acid is c/I in women who are..

Answer 19

on the pill;

Question 20

age restrcition for tranexamic acid

Answer 20

over 18

less than 45

Question 21

max duration of use for Mometasone 0.05% Nasal Spray

Answer 21

3months

Question 22

when should a pt using mometasone nasal spray see their GP?

Answer 22

if no improvement after 14 days

Question 23

why is mometasone nasal spray c/i in people w infections

Answer 23

corticosteroid reduces immunity, prolonged infections