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Pre-reg (Rosie) > RPS reference guides > Flashcards

RPS reference guides Flashcards

1
Q

Amorlofine can be sold OTC to patients over what age?

A

Over 18

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2
Q

Treatment with amorofine OTC is limited to how many infected nails?

A

Max 2 infected nails at one time

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3
Q

How should amorolfine nail lacquer be applied?

A

Filed down the affected areas thoroughly, the surface of the nail should be cleansed and degreased. Then apply the lacquer.

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4
Q

How long should amorolfine be used for?

A

Treatment should be continued, without interruption until the nail is regenerated and the affected areas are finally cured. Generally 6 months for finger nails and 9-12 months for toe nails

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5
Q

Can amorlofine be used in pegnancy?

A

No - refer if pregnant or breastfeeding

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6
Q

Orlistat can be sold over the counterto what patients?

A

Adults age 18 and over who have a BMI >28

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7
Q

Why must you refer patients with diabetes who wish to purchase orlistat?

A

Dose of diabetic medication may need adjusting as weight loss may be accompanies by improved metabolic control.

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8
Q

Orlistat can be supplied to a patient taking:

a) levothyroxine
b) naproxen
c) lamotrigine
d) ramipril
e) amiodarone

A

B- naproxen

levothyroxine - may decrease absorption
lamotrigine- there is an increased risk of convulsions when orlistat is given with antiepileptics
amiodarone - dose may need to be adjusted
ramipril- should refer patients taking anti hypertensives as weight loss may be accompanied by an improvement in blood pressure

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9
Q

How long orlistat be used OTC?

A

Treatment with orlistat should not exceed 6 months

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10
Q

What is the OTC dose of orlistat?

A

60mg TDS with meals (note - if a meal is missed or contains no fat then a dose should be missed)

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11
Q

Vitamin advice to a patient taking orlistat?

A

Treatment with orlistat may impair the absorption of fat soluble vitamins. Advise all users of orlistat to use a multivitamin supplement at bedtime

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12
Q

Can you supply orlistat to a third party?

A

Yes - it is possible to make a supply to a patients representative provided that you are satisfied it is a genuine request.

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13
Q

Under the PPP, prescriptions for isotretinoin are valid for how many days?

A

7 days

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14
Q

The maximum quantity of isotretinoin that can be supplied under the PPP?

A

30 days supply

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15
Q

What is the name of the mandatory CD requisition form?

A

FP10CDF

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16
Q

What SIX details must be on a CD requisition form?

A 
Signature of the recipient
Name of the recipient
Address of the recipient
Profession or occupation 
Total quantity of drug
Purpose of requisition
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17
Q

Can a CD be supplied in an emergency to a doctor without a requisition?

A

Yes - In an emergency, a doctor, dentist or vet can be supplied with a sch 2 or 3 controlled drug on the undertaking that a requisition will be supplied within the next 24 hours. Failure to do so would be an offence on the part of the requesting practitioner

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18
Q

How long must CD requisitions be retained for?

A

2 years

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19
Q

Can both chloramphenicol eye drops and ointment be used at the same time?

A

Yes - when both are being used the drops should be used during the day and the ointment just once at night.

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20
Q

How should chloramphenicol eye drops be stored

A

in the fridge

21
Q

How should chloramphenicol ointment be stored?

A

Does not require refrigeration and should be stored <25’C

22
Q

How long can chloramphenicol be given OTC?

A

5 days

23
Q

Reasons to refer someone with experiencing eye problems

A

Photophobia, vision is affected, eye surgery within past 6 months, symptoms get worse despite using chloramphenicol treatments, pupils look unusual, eye looks cloudy, patient is a contact lens wearer.

24
Q

Maximum recommended dose of viagra a day?

A

Max dose is one 50mg tablet a day. To be taken one hour before sexual activity.

25
Q

Should sildenafil be taken with or without food?

A

Either but when taken with food the onset may be delayed compared to the fasted state.

26
Q

Patients requesting sildenafil, may need to be referred if you believe sexual activity may be inadvisable. Such as?

A

Those with severe cardiovascular disorder, recent acute MI or stroke, unstable angina.

27
Q

Side effects of sildenafil

A

Common - headache, flushing, dyspepsia, nasal congestion, dizziness, nauesa, blurred vision.

Priapism - prolonged, painful erections lasting more than 4 hours. seek immediate medical assistance
Sudden visual defects - seek immediate medical assistance

28
Q

How many tablets of sildenafil can be sold OTC?

A

No limit - pharmacists should use their professional judgment on a case by case basis.

29
Q

OTC age for tranexamic acid

A

18-45 years

30
Q

After how many months of no reduction in bleeding while taking tranexamic acid should you refer a patient?

A

3 months

31
Q

what is the dose of tranexamic acid OTC?

A

It should be taken only once heavy bleeding has started at a dose of two 500mg tablets three times a day until the symptoms are alleviated. Can be increased to a max of eight tablets a day (4g) if needed)

32
Q

Should tranexamic acid be taken before menstruation to reduce bleeding?

A

NO - use only once bleeding has started. It will not work properly if taken before menstruation has started.

33
Q

How many days can tranexamic acid be taken for OTC?

A

Should not be taken for more than four consecutive days

34
Q

What is sumatriptan indicated for?

A

acute relief of migraine with or without aura

35
Q

What is the supply criteria for OTC sumatriptan - 3 points

A
  1. Migraine must be diagnosed by a doctor or pharmacist
  2. Established pattern of migraine (a history of five or more migraine attacks occuring over a period of at least one year)
  3. Simple analgesics have been tried and ineffective
36
Q

What is the dose of sumatriptan?

A

One 50mg tablet taken immediately. No further doses should be taken for the same migraine attack. If there is a second migraine attack within 24 hours a second dose may be taken.

37
Q

Patients taking what medicines should be referred when requestion sumatriptan?

A

SSRIs, TCAs, MAOIs

38
Q

Patients over what age, experiencing their first migraine should be referred?

A

Over 50

39
Q

Patients with a PMH of what should not be given sumatriptan?

A 
Seizures
Myocardial infarction 
Cerebrovascular disease
CoC use
St johns wort
40
Q

Tamulosin can be supplied to patients OTC within what age bracket?

A

45-75 years

41
Q

How many weeks supply of tamulosin can be supplied initially?

A

2 weeks

42
Q

Symptoms of BPH must be present for X months for tamulosin to be supplied OTC

A

3 months

43
Q

After how many weeks of OTC tamulosin, should a patient see their doctor?

A

6 weeks

44
Q

What drugs should not be taken with tamulosin OTC?

A

Verapamil, diclofenac, warfarin and strong CYP3A4 inhibitors

45
Q

EllaOne can be given to patients over the age of what?

A

No age limit but patients under 13 are not deemed old enough to consent

46
Q

Levonelle can be given to patients over what age?

A

16 years

47
Q

Which EHC can be taken more than once in a cycle?

A

Levonelle

48
Q

Which EHC would be best in a patient taking phenytoin?

A

Levonelle - patients taking enzyme inducing drugs within the last 4 weeks should be offered referral for a copper IUD however if this is not a suitable option the women should take double the usual dose.

Ella one- does not recommend concomitant use

Pre-reg (Rosie) (18 decks)

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