General Notes 3

Question 1

When is senna prescribed? [1]

Answer 1

Once nightly (macrogol given during the day)

Question 2

Doing a prescription review - see that a tetracycline is given.
What do you need to check? [1]

Answer 2

If over 14

Question 3

Which drugs do you stop prior to surgery? [+]

Answer 3

ACE / ARBs
Diuretics - risk of hypokalaemia and volaemia
NSAIDS

BBs ok to continue

Question 4

Max dose of tramadol? [1]

Answer 4

400mg daily

Question 5

Name some key drugs that influence sleep? [3]

Answer 5

BBs
Statins !
Mirtazapine

Question 6

When do you check insulin levels in DMT1? [2]

Answer 6

Before each meal
Before sleep

Question 7

SSRIs x which drugs are bad? [1]

Answer 7

NSAIDS

Question 8

Lithium x which drugs increase the liklihood of low K? [1]

Answer 8

Thiazides

Lithium interacts with ACEs but this would cause hyperkalaemia

Question 9

You’re trying to prescribe sc morphine bc they’re NBM. How would you do this? [1]

Answer 9

‘10mg/ml morphine sulfate sc’

Question 10

A patient is given anti-TB medication.
Which one should be careful with diet and why? [1]

Answer 10

Patients taking linezolid should avoid consuming large amounts of tyramine-rich foods (such as mature cheese, salami, pickled herring, Bovril®, Oxo®, Marmite® or any similar meat or yeast extract or fermented soya bean extract, and some beers, lagers or wines).

Question 11

What are key side effects of ciclosporin? [3]

Answer 11

Ciclosporin side-effects: everything is increased - fluid, BP, K+, hair, gums, glucose

Question 12

SSRIs and [anti-pyschotic class] should never be combined as there is a risk of serotonin syndrome

Answer 12

SSRIs and MAOIs should never be combined as there is a risk of serotonin syndrome