Transcript infertility
Over the Counter Remedies Jots GP research Approximately what percentage of your total time is spent in consultation with your patients with minor aliments? 34% In general what action do you usually take when presented with a patient with minor aliments who didn’t require a prescription? Encourage them to look after their condition themselves at home 61% Recommend a particular OTC medicine myself 41% Advised them to do nothing as condition will normally heal itself 33% Recommend they visit a retail pharmacist for advice 20% Give them a prescription as well as advise or recommendation 7% Recommend they see my practise nurse for advice 3% POM P Not as good if not on prescription Pharmacy is a 4yr course Pharmacy is a business Prescription charge per item £ 6.85 (going up in April!) denotes pharmacy only and can only be supplied under the pharmacist supervision Allergy ORAL ANTIHISTAMINES Benadryl (allergy relief, one a day relief) Clarityn Zirtek Piriton ‘brand names’ –misunderstanding, more expensive! NASAL SPRAYS/DROPS Otrivine Beconase Flixonase ORAL ANALGESIA Disprin Anadin Cuprofen Nurofen Panadol Solpedine Paracodol Calprofen Medinol Medised Migraleve Paramol ‘plus, extra, max’ Gastro Variety of antacids Gavilast/Zantac Zanprol Motilium Buscopan Colofac Fybogel Mebeverine Peppermint oil Imodium - majority not P medicines Cough Medicine Expectorants Suppressants (linctus) Added ingredients guaifenesin phenylephrine Hcl pholcodeine dextromethorphan antihistamines decongestnats analgesia Emergency Contraception Levonelle one step Within 72hrs Patient group directive £22.35 Useful? Smoking cessation Trained pharmacists Regular reviews with monitoring Free NRT Suggest Zyban/Champix Odd bits! Simvastatin 10mg Ranitidine 75mg Mouth ulcers Antimalarials Chloramphenicol Hair loss Threadworms! Cystitis remedies Irritating common aliments The Future Oral Contraception Trimethoprin Azithromycin for Chlamydia Take Home Messages Always consider OTC remedies Encourage patients to see their pharmacist first for minor aliments Always suggest medications generically eg not NUROFEN! Get your hand on a ‘Guide to OTC’