Advice for patients
Articles and advice for patients around conditions and their treatment.
Ranitidine alternative drugs are in demand. UK markets have been wiped out from ranitidine, a popular medication used mainly in the management of indigestion / acid reflux. In the US and UK, ranitidine was subject to a number of recalls at the end of 2019 and the beginning of 2020 due to possible contamination with N-Nitrosodimethylamine (NDMA), a probable human carcinogen (a chemical that possibly causes cancer). The topic of ranitidine and cancer risk with updates on all ranitidine recalls was previously discussed in the post: Ranitidine recalls – updates & patients information. Ranitidine alternative drugs will be discussed in this post, in brief, the following will be reviewed: Ranitidine:…
Warfarin is the most used anticoagulant in the UK, with a history going back to the 1950s when it was approved for human use in 1954. Over 60 years later and the popularity of warfarin is indisputable. Two factors contributing to the wide use of warfarin are the effectiveness and low cost of the drug. However, as you are about to learn from this post, the prescribing of warfarin is in decline in place of warfarin alternative drugs, a new group of novel anticoagulant drugs known as Non-Vitamin K antagonist oral anticoagulants (NOAC). I this post will review: warfarin mechanism of action and indicated use, discuss the advantages and disadvantages of…
Naproxen, a non-steroidal anti-inflammatory drug (NSAID), is commonly prescribed medication in the UK used in the management of conditions associated with pain and inflammation. In this post, I discuss the availability of naproxen alternative drugs in the UK. I will briefly explain what NSAIDs are used for, their mechanism of action, common side effects, and then list over the counter and prescribed alternatives to naproxen.
EpiPen, a device containing adrenaline (ephedrine) used in allergic emergencies, has been subject to shortages since late 2017. Patients who are at risk of an anaphylactic reaction, which can be life-threatening, are advised to keep two pens with them at all times. EpiPen shortage in the UK has been covered widely by mainstream media; therefore, in this post, I will focus on the process of getting an EpiPen device and discuss alternative treatment options and supply issues around them. Recently I was surprised when a patient presented a prescription for EpiPen and traveled 20 miles as their local pharmacy could not supply EpiPen as ‘items is out of stock.’ In…
Conjunctivitis (also known as pink eye) is a common childhood eye condition characterised by redness of an eye due to inflammation of the conjunctiva, an outer membrane that covers the surface of the eye. It is very common for parents to seek treatment for conjunctivitis from the pharmacy, although in many cases, conjunctivitis is a self-limiting condition. In this post, I will discuss the treatment of conjunctivitis in babies.
Naproxen and Omeprazole are common drugs prescribed in the UK. Individually both drugs are used in the treatment of different conditions, however many patients who are prescribed Naproxen get Omeprazole prescribed at the same time. Why are Naproxen and Omeprazole prescribed together?
Each tablet of Feminax Ultra contains 250mg of Naproxen as an active ingredient. The licensed use of Feminax Ultra is in the treatment of primary dysmenorrhea. Naproxen is recommended as one of the first-line drugs in the management of acute gout attack. Is it possible to use of Feminax Ultra for gout?
Chilblains is a condition characterised by painful, itchy and red swellings of the skin, affecting mainly toes, fingers and ear, caused by exposure to cold, which causes narrowing of the blood vessels and consequently poor circulation. Chilblains is self-limiting condition meaning, it resolves itself without any treatment. Prolonged chilblains may require a GP intervention. Chilblains treatment may involve symptomatic management of pain and avoidance of cold and damp conditions to prevent further events of chilblains.
High blood pressure (hypertension) is a common condition affecting one-third of the UK population. It is estimated that more than 5.5 mln people in the UK live with undiagnosed high blood pressure (GOV.UK, 2017). When left untreated, high blood pressure (BP) increases the risk of getting a heart attack or stroke and/or other long term health conditions. This post focuses on high blood pressure treatment. The main drugs used in the treatment will be reviewed according to NICE guideline and prescribing popularity in the UK.
Paracetamol is one of the most commonly purchased over the counter medication. It is still one of the most commonly prescribed drugs in the UK with more than 17mln items prescribed in the last 12 months (Sep ’18—Aug ’19), costing NHS over £46 mln (Openprescribing.net, 2019). I previously wrote a couple of posts on use of paracetamol and naproxen and paracetamol and ibuprofen. Can you take paracetamol with … covers concomitant use of paracetamol with other common drugs, purchased from the pharmacy or prescribed.