Start & Stop

Question 1

When do you stop metoclopramide?

Answer 1

With parkinsonism and after 5 days

Question 2

When do you stop domperidone?

Answer 2

For treatment other than n&v
After 1 week
With patients with heart disease
Meds that cause QT prolongation

Question 3

When do you stop PPI?

Answer 3

After 1-2 months for uncomplicated peptic ulcer.

Question 4

Which drugs cause constipation?

Answer 4

Iron,
Opioids
Verapmil
Aluminium antacids

Question 5

When do suspect c.diff? Diarrhoea

Answer 5

If there is a history of antibiotic use in last 8 weeks or recent hospital discharge so stop antimotiluy drugs, antibiotics and PPI.

Antimotility should be avoided if there is blood or mucus in stools.

Question 6

Which fibre supplements is recommended with history of constipation?

Answer 6

Bran, ispagula, methylcellouse, sterculia,

Question 7

When do you stop digoxin?

Answer 7

For heart failure with normal systolic
For left systolic ventricular dysfunction
Dose more than 125mcg if eGFR less than 30.

Question 8

When do you stop thiazide?

Answer 8

If k less than 3
Hyponatremia (Na less than 130)
Gout
Hypercalcemia

Question 9

When do you stop verapamil or diltizem?

Answer 9

With heart failure. It may worsen it

Question 10

Beta blockers?

Answer 10

Add to stable systolic HF.

Question 11

When do u stop Aspirin?

Answer 11

Doses more than 160mg a day
Past history of peptic ulcers without taking ppl
In combination with noacs and warfarin in chronic AF
As monotherapy for Stoke prevention in AF

Question 12

Which drugs to stop with uncontrolled hypertension?

Answer 12

Noacs, warfarin, clopdegrol, aspirin, dipyradmole

Risk of bleeding