1st line oral paracetamol, aspirin disp, ibuprofen
- Numbing spray
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when to refer sore throat
>1 week
>3 weeks of hoarseness
difficulty swallowing
failed meds
(carbimazole can cause sore throat)
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cough suppressants for a non-productive cough
Codeine linctus is most effective (>18)
Pholcodeine linctus (drowsy)
Dextromethorphan (robitussin)
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examples of drowsy antihistamines
chlorphenamine (piriton), cinnarizine, diphenydramine, hydroxyzine and promethazine
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examples of non-drowsy antihistamines
acrivastine, cetirizine, fexofenadine, loratidine
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What to do when experiencing Migraine and on oral COC
Refer
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maximum dose of paracetamol for adults in 24hrs
4g (1000mg up to 4 times a day)
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Max Paracetamol doses in children per day
one dose of 60mg for babies aged 2 months
3-5 months 240mg/day (60mg four times a day)
6-12 months 480mg/day (120mg 4x a day)
2-3 years 720mg/day (180mg 4x a day)
4-5 years 960mg/day (240mg 4x a day)
6-7 years 1000mg/day (250mg 4x a day)
8-9 years 1500mg/
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age for hydrocortisone
>10
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age for clobetasone butyrate
>12
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trmt for dandruff
Ketoconazole (nizoral) 2x a week for 2-4 weeks then fortnightly
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Trmt for Acne
Benzoyl Peroxide (quinoderm)
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Treatment for cold sore (herpes simplex)
aciclovir 5% cream (zovirax)
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Treatment for scabies and lice
Permethrin (lyclear)
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Age for amorolfine (curanil)
>18
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treatment and age for corn/callus/bunion
salicylic acid / refer if <15
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active ingredient in ear calm for otitis externa
acetic acid
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subconjuctival haemorrhage trmt
self-limiting (7-14 days)
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Conjuctivitis
primarily resolves itself within 2-5 days
if bacterial use chloramphenicol (>2 and can't use in pregnancy)
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what is cystitis?
Bladder inflammation (self limiting 7-9 days)
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trmt for thrush
topical clotrimazole (canesten) or oral fluconazole 150mg (C/I pregnant/BF)
Refer if <16 or >60
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trmt for menorrhagia (heavy periods)
tranexamic acid (C/I <18 >45)
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cream for cracked sore *******
kamillosan
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treatment for colic
infacol (simeticone)
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trmt for threadworms
mebendazole (treat full family but C/I <2, epilepsy and pregnancy)
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