The best course of action is to ensure patients receive no more than 4, mg per day of acetaminophen from all sources all OTC products and all prescription medication. Patients should be taught to correctly read and use the drug facts label on OTC products, and to adhere to the maximum doses for acetaminophen listed in Table 3. Make sure your patient is not taking both ibuprofen and naproxen.
Concurrent use of antiplatelet agents, anticoagulants, corticosteroids, or selective serotonin reuptake inhibitors with NSAIDs increases the risk for GI ulceration and bleeding. Other commonly used herbals, including dong quai, green tea, and ginkgo biloba, also have antiplatelet effects. OTC analgesics also can interact with each other. Is your patient taking 81 mg of aspirin daily for cardiovascular protection?
NSAIDs such as ibuprofen can interfere with the antiplatelet effect of aspirin. Advise your patient to take aspirin 30 minutes before or 8 hours after ibuprofen to avoid this interaction. Is the benefit the patient is receiving greater than the risk of harm? Make sure the patient is receiving appropriate non-pharmacologic therapy to minimize their need for medications. Because systemic absorption of topical analgesics is limited, these agents may help patients avoid the adverse effects associated with oral agents such as hepatic toxicity with acetaminophen and renal and cardiovascular toxicity with NSAIDs.
However, patients should be cautioned to stop using topical analgesics if a red rash develops. In addition, because camphor can be fatal when used in children under 2 years of age, patients should be cautioned against using topical camphor products in children under age 2 and should store their medications out of reach of children. Subscribe to PPM. Sign-up now! Types of Pain Acute Pain. Cancer Pain. Neuropathic Pain. Oral and Maxillofacial Pain.
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Common Causes of Acute Abdominal Pain. Opioid Bias Hurts Pain Patients. Can misoprostol be used for refractory chronic constipation? Gaining a complete medication history often requires sleuthing skills akin to those of Sherlock Holmes.
Guide to Good Prescribing - A Practical Manual
A complete over-the-counter OTC medication history should include the name and strength of the medication, how the patient takes it, the duration and frequency of use, the side effects experienced by the patient, and the degree of relief provided by the medication. References: Johnsen, M.
Accessed February 2, Improving the decision-making process for nonprescription drugs: a framework for benefit-risk assessment. Clin Pharmacol Ther. American College of Preventive Medicine. Accessed March 8, What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use. Patient Educ Couns.
Practical Guide To Safe Use of Nonprescription Pain Medications
National Council on Patient Information and Education. A dose of reality: executive summary.
February 2, Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. Precipitating factors in asthma. Aspirin, sulfites, and other drugs and chemicals. Accessed January 24, FDA. Drug Safety and Availability. Handbook of Nonprescription Drugs.
Vascular and upper gastrointestinal effects of non-steroidal anti-inflammatory drugs: meta-analyses of individual participant data from randomised trials. Advisory Committees. WebMD, 11 Feb. For Consumers. FDA recommends health care professionals discontinue prescribing and dispensing prescription combination drug products with more than mg of acetaminophen to protect consumers. Accessed March 9, Dosage for Adults. Acetaminophen: changing times and closer scrutiny. Maryland Pharmacist.
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Use our poster to display the 7-point plan for responsible use of antimicrobials. Veterinary medicines good practice guide We have produced a good practice guide on veterinary medicines with the support of the Veterinary Medicines Directorate VMD. This prescription is for single-use only unless otherwise certified. All products for retail supply are subject to VAT.
All the practical tools you need to prepare for an RCVS inspection can be found right here, along with useful information and advice. VAT registration number GB BVA logo registered trademark numbers Medicines View, download and order useful documents to do with the use of medicines. Responsible use of anthelmintics in grazing animals BVA has issued a responsible use of anthelmintics poster as guidance to veterinary surgeons encouraging judicious use of anthelmintics. Responsible use of antimicrobials in veterinary practice Antimicrobials are essential to veterinary and human medicine to treat infectious and zoonotic bacterial diseases, but inappropriate use could render them ineffective.
Related Prescription Medicines: A Practical Guide
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