Medicines Information Skills for NHS Direct Nurse Advisors & Health Information Advisors Guide to NHS Direct Medicines Q&A documents (October 2009) Access and availability N141 What is an unlicensed medicine? Administration and/or dosage N6 Medicines with or after food N22 Missed doses of medicines N7 Medicines before food or on an empty stomach N49 Is it OK to crush tablets/open capsules N10 Withdrawing from antidepressants N110 paracetamol doses in children N13 Missed doses of antibiotics N111 ibuprofen doses in children N18 Clotrimazole more than twice in 6 months N112 paracetamol and ibuprofen for post vaccination fever Adverse effects N44 Antacids in hypertension N135 ibuprofen adverse effects N77 How safe are my cough/cold/flu medicines N137 Adverse effects of diclofenac N56 Antihistamines and hypertension N140 Ibuprofen and asthma N55 Decongestants and hypertension N145 Penicillin allergy N59 Ibuprofen and hypertension Breastfeeding related N20 OTC analgesia in breast-feeding N47 Anti-malarials in breast-feeding N21 OTC cough/cold meds in breast-feeding N74 Head lice treatment in breast-feeding N26 Hay fever medicines in breast-feeding N75 Antihistamines in breast-feeding N29 Antibiotics in breast-feeding N106 Co-codamol or co-dydramol while breastfeeding N31 Paracetamol in breastfeeding N107 Sumatriptan in breast-feeding N33 Ibuprofen in breast-feeding N143 Safety of Tamiflu or Relenza in breast feeding N42 General advice on meds in breast-feeding N146 Safety of Levonelle in breastfeeding N29 Antibiotics in breast-feeding Contraception N68 SJW with the combined oral contraceptive pill N72 Combined oral contraceptive pill and surgery N67 Antibiotics with the progesterone only pill N61 Progestogen only pill missed or delayed dose(s) N69 St John’s Wort with the progestogen only pill N62 Combined oral contraceptive pill missed or delayed dose(s) N70 St John’s Wort with the Mirena coil N64 Contraceptive implant delayed N73 Ecstasy with the oral contraceptive pill N65 Contraceptive injection delayed N66 Antibiotics with the combined oral contraceptive pill N71 Tricycling combined oral contraceptive pill N60 Type of oral contraceptive pill N63 Contraceptive patch detached or delayed Role Preparation: Handling Medicines Calls Updated October 2009 Medicines Information Skills for NHS Direct Nurse Advisors & Health Information Advisors Herbal/complementary medicines N79 Garlic - interactions N93 Aloe Vera interactions N80 Garlic- ADRs N94 Aloe Vera ADRs N81 Echinacea Interactions N95 Chondroitin interactions N82 Echinacea-ADRs N96 Chondroitin ADRs N83 Tea tree oil interactions N97 Valerian interactions N84 Tea-Tree oil ADRs N98 Valerian ADRs N85 Ginseng interactions N99 Acidophilus - interactions N86 Ginseng ADRs N100 Acidophilus -ADRs N87Evening Primrose Oil interactions N101 St John’s Wort - interactions N88 Evening Primrose Oil ADRs N102 St John’s Wort ADRs N89 Saw Palmetto interactions N103 Glucosamine – interactions N90 Saw Palmetto ADRs N104 Glucosamine ADRs N91Gingko interactions N108 General herbal medicines N92 Gingko ADRs Interactions between medicines or with food/alcohol N1 Paracetamol and warfarin N16 OTC painkillers and alcohol N2 Paracetamol/ibuprofen and cold meds N23 Cannabis and antidepressants, lithium N4 Paracetamol and antibiotics N35 paracetamol and tramadol N5 Grapefruit juice and calcium channel blockers N36 Ibuprofen with antibiotics N12 Antidepressants and alcohol N52 amitriptyline and cough/cold meds N14 Metronidazole and starting alcohol N134 Important interactions with ibuprofen N15 Antibiotics and alcohol N136 Important interactions with diclofenac Names and identification of medicines N24 What is homeopathic medicine N51 What are E numbers N143 What is a broad spectrum antibiotic Pregnancy related N50 General advice on medicines in pregnancy N43 Codeine in pregnancy N28 Antibiotics in pregnancy N25 Antihistamines for hay fever in pregnancy N30 Paracetamol in pregnancy N46 Antimalarials in pregnancy N32 Ibuprofen in pregnancy N58 Vitamin A in pregnancy N34 Intranasal steroids for hay fever in pregnancy N57 Cough /cold medicines in pregnancy N37 Antacids and alginates in pregnancy N74 Head lice treatment in pregnancy N38 Omeprazole in pregnancy N78 Asthma meds in pregnancy N39 Ranitidine in pregnancy N109 Treatment of thrush in pregnancy N40 Threadworm treatment in pregnancy N147 Constipation in pregnancy Time in the body (pharmacokinetics) N8 How long does cannabis stay in the body Role Preparation: Handling Medicines Calls N11How long does it take antidepressants to work Updated October 2009 Medicines Information Skills for NHS Direct Nurse Advisors & Health Information Advisors Uses (indications) N3 Paracetamol & ibuprofen for fever in children N142 Kenalog for hayfever N27 Anti-platelets before minor surgery N144 Antibiotics: why complete the course? N45 General advice on malaria prophylaxis N48 Antimalarials in children Dental N105 Warfarin before dental surgery N124 Dental meds/treatment with epilepsy? N113 Fluoride in toothpaste N125 Dental meds/ treatment and diabetes? N114 Which medicines can dentists prescribe N126 Dental meds/ treatment and thyroid disease? N115 Safety of temporary fillings in pregnancy N127 Dental meds/ treatment and liver disease? N116 Safety of temporary fillings in lactation N128 Dental meds/ treatment and kidney disease? N117 Safety of local anaesthetics in pregnancy N129 What saliva substitutes are available N118 Safety of local anaesthetics in lactation N130 What mouthwashes are available OTC N119 Endocarditis prophylaxis & dental trtmt N131 Teething treatments available OTC N120 Anti-platelets and dental treatment N132 Mouth ulcer treatments are available OTC N122 Bisphosphonates and dental treatment N133 Do SSRIs cause bleeding? N123 Chemotherapy and dental treatment (Orange font: not yet written, italic font: in Q&A process) Analgesia related topics Doses/administration N110 paracetamol doses in children N112 paracetamol/ ibuprofen & post vaccination fever N3 Paracetamol and ibuprofen for fever in children N111 ibuprofen doses in children Breastfeeding N31 Paracetamol in breastfeeding N106 Co-codamol/co-dydramol in breast-feeding N20 OTC analgesia in breast-feeding N33 Ibuprofen in breast-feeding Pregnancy N30 Paracetamol in pregnancy N43 Codeine in pregnancy N32 Ibuprofen in pregnancy Interactions N1 Paracetamol and warfarin N35 paracetamol and tramadol N4 Paracetamol and antibiotics N2 Paracetamol/ibuprofen and cold meds N16 OTC painkillers and alcohol N136 Important interactions with diclofenac N134 Important interactions with ibuprofen N36 Ibuprofen with antibiotics ADRs N59 Ibuprofen and hypertension N135 ibuprofen adverse effects N137 Adverse effects of diclofenac N140 Ibuprofen and asthma Role Preparation: Handling Medicines Calls Updated October 2009